JP2002342483A - Device, system and method for managing medicine prescription information and program for performing the method by computer - Google Patents

Abstract

PROBLEM TO BE SOLVED: To support an optional pharmacy to be functioned as 'the family pharmacy' of a patient. SOLUTION: A medicine prescription information center 100 is arranged and connected to a medical institution 101, a dispensing pharmacy 103 and a medicine trading company 104 respectively by a network. When information is received concerning a medicine to be newly provided from the medical institution 101 or from the dispensing pharmacy 103, a harmful effect when the patient 102 takes a plurality of kinds of medicines together is confirmed by judging the appropriateness of the medicine and safety and stock are properly secured by jointly purchasing the medicines from the medicine trading company 104 on the basis of stock information. Then the patient 102 receives the medicines in any pharmacy at ease.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an information terminal device installed in one or more medical institutions (hereinafter referred to as "medical institution terminal device") and an information terminal device installed in one or more dispensing pharmacies. (Hereinafter referred to as “dispensing pharmacy terminal device”) and / or an information terminal device installed in one or more drug trading companies (hereinafter referred to as “drug trading company terminal device”). A drug prescription information management device, a drug prescription information management system including the drug prescription information management device, a drug prescription information management method in the drug prescription information management system, and a program for causing a computer to execute the method. The present invention relates to a device for managing drug prescription information to be performed.

[0002]

2. Description of the Related Art Patients treated at medical institutions such as hospitals and clinics receive drugs prescribed by doctors at pharmacies in the medical institutions or external dispensing pharmacies. It is up to each patient to choose which pharmacy to use, but ideally each patient has a so-called "family pharmacy" near his home, and always purchases all drugs including over-the-counter drugs at this pharmacy It is considered desirable.
This is because the pharmacist of this "home pharmacy" can grasp all the medicines taken by each patient, thereby enabling more comprehensive health management including swallowing and counseling on medicines.

However, keeping various medicines prescribed by various medical institutions on a regular basis imposes a heavy burden on each pharmacy, and in particular, the stockpile of medicines at general pharmacies is half that of pharmacies specializing in dispensing. The current situation is less than that. Thus, a prescribed drug may not be immediately available at a pharmacy near the familiar face. For this reason, it is common for patients to use a pharmacy that is located very close to a medical institution and securely stocks drugs prescribed by the institution, a so-called “monzen pharmacy”. This means that different pharmacies are used for each medical institution used, which is not desirable from the viewpoint of "family pharmacies".

In this connection, for example, Japanese Patent Application Laid-Open
According to the conventional technique described in Japanese Patent Application Laid-Open No. 99608/99, when an IC card on which a prescription is written is inserted into a portable terminal (such as a handheld PC) and a service center is accessed,
A list of pharmacies that can dispense the prescribed medicine can be obtained. This may, to some extent, prevent the patient from flowing to the front gate pharmacy, despite the fact that it may be dispensed at a nearby pharmacy, but may be absent. However, if there is no drug stock in the neighborhood pharmacy, you have to use another pharmacy,
The centralized management of medication (medication history) by a specific pharmacy becomes difficult.

[0005] For example, Japanese Patent Application Laid-Open No. 2001-14403
In the prior art described in the official gazette, the IC card on which the prescription is written is inserted into a computer installed in the medical institution, and when one of the pharmacies is selected on the map on the screen, the database in the computer is read. In addition, it is possible to check whether the prescribed medicine can be dispensed at the pharmacy. If the dispensing is possible, the prescription is transmitted to the pharmacy as it is, but if the dispensing is not possible, a message to that effect is displayed and the user is prompted to select another pharmacy. Therefore, even in this case, when there is no stock, it is difficult to centrally administer medication by a specific pharmacy, as described above.

However, in the latter prior art, the computer checks whether a newly prescribed medicine (recorded in an IC card) and a previously prescribed medicine (stored in the computer) can be used together. It has become. This can prevent serious side effects caused by the combined use of multiple drugs beforehand, but since this computer is managed for each medical institution, the drug prescribed by multiple medical institutions can be avoided. I can't check out the drinks. Of course, it is also difficult to check the combination with over-the-counter medicines (pharmaceuticals that can be sold and purchased without a prescription).

[0007]

As described above, in the above-mentioned prior art, the medicine taken by a specific patient is comprehensive.
There is no one who can cross-sectionally understand, so unless consent is given by the patient, concomitant contraindications / concomitant use of drugs (including almost simultaneously) or the same drug (with different brands but the same composition) The problem is that it is not possible to check for overdose of the drug (including so-called "generic").

[0008] The necessity of a "family pharmacy" as an institution that plays the role is widely recognized, and in order to promote the use of local pharmacies, each individual can check the stock status of any pharmacy immediately after medical treatment. Although such a system has been introduced, at present, due to the large inventory burden and the resulting shortage of inventory, there is often no choice but to use a well-stocked pharmacy. As a result, the situation in which pharmacies to be used are scattered in pharmacies in various places does not improve, and there is a problem that none of the pharmacies functions as a “home pharmacy”.

The present invention solves the above-mentioned problems of the prior art, and provides a drug prescription information management apparatus, a drug prescription information management system, a drug prescription information management system capable of supporting an arbitrary pharmacy to function as a "home pharmacy" for a patient. An object of the present invention is to provide a prescription information management method and a program for causing a computer to execute the method.

[0010]

Means for Solving the Problems The above-mentioned problems are solved,
In order to achieve the object, a medicine prescription information management device according to the invention of claim 1 is connected to a network with at least one of an information processing device of a medical institution terminal device, a dispensing pharmacy terminal device, and a drug trading company terminal device. A connectable drug prescription information management device, wherein a patient receives drug prescription information on a prescription prescribed by a doctor at the one or more medical institutions from the medical institution terminal device via the network. Receiving means, and the patient is provided at the one or more dispensing pharmacies, the second receiving means for receiving drug information on drugs including over-the-counter medicines from the dispensing pharmacy terminal device via the network, The drug prescription information received by the first receiving means and the drug information received by the second receiving means are used as drug history information for the patient. Storage means for storing in association with, and, based on the drug history information stored by the storage means, a determination means for determining the suitability of a newly prescribed drug or a newly provided drug for the patient. A proper information transmitting means for transmitting information relating to the suitability determined by the determining means to the medical institution terminal device or the dispensing pharmacy terminal device, wherein the first receiving means or the second receiving means
When information on a drug to be newly prescribed or a drug to be newly provided is received by the receiving means, or when there is a request from the one or more medical institutions or the one or more dispensing pharmacies In addition, if necessary, the appropriateness information transmitting means transmits information on the appropriateness determined by the determining means to the medical institution terminal device or the dispensing pharmacy terminal device.

According to the first aspect of the present invention, it is not necessary to confirm to the patient what kind of drug is being administered to a patient at a medical institution or other pharmacies, etc. Simultaneous administration and overdose of the same drug can be checked easily to determine the appropriateness of the drug provided, including checking,
The efficacy and safety of drug therapy can be improved.

[0012] Further, a medicine prescription information management device according to a second aspect of the present invention provides the medicine prescription information management device according to the first aspect of the invention.
The appropriate information includes information on cautionary explanation of the newly prescribed medicine or the medicine to be newly provided.

According to the second aspect of the present invention, it is possible to omit the trouble of preparing a cautionary manual including cautionary use in combination with a drug provided by another pharmacy, etc. About the effects, side effects, usage of
By properly explaining (medication guidance) to the patient based on the instruction manual, the patient's understanding of the drug is deepened, and it can be expected that the dispensed drug is taken as intended.

According to a third aspect of the present invention, there is provided a drug prescription information management device which is connected to at least one of an information processing device among a medical institution terminal device, a dispensing pharmacy terminal device and a drug trading company terminal device via a network. A first possible medicine prescription information management device, wherein a patient receives medicine prescription information on a prescription prescribed by a doctor at the one or more medical institutions from the medical institution terminal device via the network. Receiving means, the patient provided at the one or more dispensing pharmacies, second receiving means for receiving drug information on drugs including over-the-counter drugs from the dispensing pharmacy terminal device via the network, Drug prescription information received by the first receiving means,
The medicine information received by the second receiving means,
A storage unit that stores in association with each patient as drug history information, a determination unit that determines a stock status of a drug for each dispensing pharmacy based on the drug history information stored by the storage unit, and the determination unit Order information generating means for generating order information on a drug to be ordered from the one or more drug trading companies based on the determined information on the inventory status; and order information generated by the order information generating means on the drug trading company. Order information transmitting means for transmitting to the terminal device.

According to the third aspect of the present invention, it is possible to omit the trouble of ordering a missing drug from a drug trading company at a pharmacy, and to realize a cost advantage by exhibiting a merits of scale by joint procurement. can do.

[0016] According to a fourth aspect of the present invention, there is provided a medicine prescription information management apparatus according to the third aspect.
The dispensing pharmacy terminal device further includes purchase information receiving means for receiving the purchase information of the medicine transmitted via the network, wherein the order information generating means receives the information on the inventory status and / or the purchase information. On the basis of the purchase information received by the means, order information on a medicine to be ordered from the medicine trading company terminal device is generated.

According to the fourth aspect of the present invention, it is possible to increase the efficiency of ordering to a pharmaceutical trading company, and to realize cost reduction by exhibiting merits of scale by joint purchasing.

According to a fifth aspect of the present invention, in the drug prescription information management apparatus according to the third or fourth aspect, the order information is required in the dispensing pharmacy and the dispensing pharmacy for each drug. It is characterized in that it contains information on the amount to be performed.

According to the fifth aspect of the present invention, it is possible to substitute the dispensing pharmacy's purchasing business, exhibit the merits of scale by joint purchasing, and realize cost reduction.

According to a sixth aspect of the present invention, there is provided a drug prescription information management device which is connected to at least one of a medical institution terminal device, a dispensing pharmacy terminal device and a drug trading company terminal device via a network. A first possible medicine prescription information management device, wherein a patient receives medicine prescription information on a prescription prescribed by a doctor at the one or more medical institutions from the medical institution terminal device via the network. Receiving means, the patient provided at the one or more dispensing pharmacies, second receiving means for receiving drug information on drugs including over-the-counter drugs from the dispensing pharmacy terminal device via the network, Drug prescription information received by the first receiving means,
The medicine information received by the second receiving means,
Storage means for storing in association with each patient as medicinal history information, and, based on the medicinal history information stored by the storing means, trend information generating means for generating trend information on a prescribed amount or a provided amount for each of the medicines, Trend information transmitting means for transmitting the trend information generated by the trend information generating means to the medical institution terminal device, the dispensing pharmacy terminal device or the drug trading company terminal device,
Comprising, when requested by the one or more medical institutions, the one or more dispensing pharmacies or the one or more drug trading companies, by the trend information transmitting means, the trend information generating means Is transmitted to the medical institution terminal device, the dispensing pharmacy terminal device or the drug company terminal device.

According to the sixth aspect of the present invention, it is possible to easily know the trend of drugs that are often prescribed in recent medical institutions and drugs that are frequently provided in other pharmacies, It can be used as a reference when dispensing and purchasing by a dispensing pharmacy (pharmacist) or a drug prescription information management device.

According to a seventh aspect of the present invention, in the drug prescription information management apparatus according to any one of the first to sixth aspects, the drug prescription information is image information and the first prescription information is image information. Is provided with an OCR function for converting the received image information into character information.

According to the seventh aspect, a prescription written on paper by a doctor at a medical institution can be handled.

According to the present invention, there is provided a medicine prescription information management system, comprising: an information processing device of at least one of a medical institution terminal device, a dispensing pharmacy terminal device and a drug trading company terminal device; A management device, a drug prescription information management system connectable via a network, wherein the medical institution terminal device, the patient prescribes drug prescription information pertaining to a prescription from a doctor at the one or more medical institutions; Transmit to the drug prescription information management device via a network, the dispensing pharmacy terminal device,
The patient is provided at the one or more dispensing pharmacies, transmits drug information on drugs including over-the-counter drugs to the drug prescription information management device via the network,
The medicine prescription information management device receives the medicine prescription information and / or the medicine information, stores the received medicine prescription information and / or the medicine information as medicine history information in association with each patient, and stores the medicine prescription information and / or the medicine information. Based on the drug history information, a new prescribed drug or a newly provided drug is determined to be appropriate for the patient, and when requested by the medical institution or the dispensing pharmacy, it is necessary to Accordingly, information on the determined appropriateness is transmitted to the medical institution terminal device or the dispensing pharmacy terminal device.

According to the present invention, it is not necessary to confirm to the patient what kind of drug is being administered to the patient at a medical institution or another pharmacy, etc. It is possible to easily know the suitability of the drugs to be provided, including simultaneous administration and checking the overdose of the same drug, and the like.

According to a ninth aspect of the present invention, there is provided a drug prescription information management system, comprising: an information processing device of at least one of a medical institution terminal device, a dispensing pharmacy terminal device and a drug trading company terminal device; An information management device is a drug prescription information management system connectable via a network, wherein the medical institution terminal device is a device for storing drug prescription information on a prescription for which a patient has been prescribed by a doctor at the one or more medical institutions. Transmit to the drug prescription information management device via the network, the dispensing pharmacy terminal device,
The patient is provided at the one or more dispensing pharmacies, transmits drug information on drugs including over-the-counter drugs to the drug prescription information management device via the network,
The medicine prescription information management device receives the medicine prescription information and / or the medicine information, stores the received medicine prescription information and / or the medicine information as medicine history information in association with each patient, and stores the medicine prescription information and / or the medicine information. Based on the medication history information, based on the information on the determined inventory status of the drug for each dispensing pharmacy, based on the information,
It is characterized in that order information relating to a drug to be ordered from the one or more drug trading companies is generated, and the generated order information is transmitted to the drug trading company terminal device.

According to the ninth aspect of the present invention, in a pharmacy, the trouble of ordering a missing drug to a drug trading company can be omitted, and a scale advantage by joint procurement can be exhibited to realize a cost reduction. can do.

According to a tenth aspect of the present invention, in the drug prescribing information management system according to the ninth aspect, the dispensing pharmacy terminal device further stores the drug purchase information via the network. The medicine prescription information management device transmits the medicine prescription information management device, and the medicine prescription information management device, based on the information on the stock status and / or the received purchase information, receives order information on the medicine to be ordered from the one or more medicine trading companies. It is characterized by generating.

According to the tenth aspect of the present invention, it is possible to improve the efficiency of ordering to a pharmaceutical trading company,
The merits of scale through joint procurement can be demonstrated, and costs can be reduced.

In the medicine prescription information management system according to the invention described in claim 11, in the invention described in claim 9 or 10, the order information is required in the dispensing pharmacy and the dispensing pharmacy for each medicine. The drug trading company terminal device generates sub-delivery information for sub-delivery of the medicine ordered by the ordering information for each of the dispensing pharmacies, based on the sub-dividing information. It is characterized by.

According to the eleventh aspect, it is possible to more efficiently deliver the co-purchased medicine to each pharmacy.

[0032] A drug prescription information management system according to a twelfth aspect of the present invention provides an information processing device for at least one of a medical institution terminal device, a dispensing pharmacy terminal device and a drug trading company terminal device. An information management device is a drug prescription information management system connectable via a network, wherein the medical institution terminal device is a device for storing drug prescription information on a prescription for which a patient has been prescribed by a doctor at the one or more medical institutions. Transmit to the drug prescription information management device via the network, the dispensing pharmacy terminal device, the patient provided at the one or more dispensing pharmacies, drug information on drugs including over-the-counter drugs, the network Via the medicine prescription information management device and / or the medicine prescription information management device. Receiving information, storing the received drug prescription information and / or the drug information as drug history information in association with each patient, and prescribing or providing the drug for each drug based on the stored drug history information. Generate trend information on the amount, the one or more medical institutions, the one or more dispensing pharmacies or the request from the one or more drug trading company, the generated trend information, The information is transmitted to the medical institution terminal device, the dispensing pharmacy terminal device, or the drug trading company terminal device.

According to the twelfth aspect of the present invention, it is possible to easily know the trend of drugs that are often prescribed in recent medical institutions or drugs that are frequently provided in other pharmacies, It can be used as a reference when dispensing and purchasing by a dispensing pharmacy (pharmacist) or a drug prescription information management device.

A method for managing prescription information according to a thirteenth aspect of the present invention is the method for managing prescription information of at least one of a medical institution terminal device, a dispensing pharmacy terminal device and a drug trading company terminal device. An information management apparatus and a drug prescription information management method in a drug prescription information management system connectable via a network, wherein the patient has the drug prescription information on a prescription prescribed by a doctor at the one or more medical institutions, Transmitting from the medical institution terminal device to the drug prescription information management device via the network, and wherein the patient is provided at the one or more dispensing pharmacies, the drug information on drugs including over-the-counter drugs, Transmitting from the pharmacy terminal device to the drug prescription information management device via the network, and the drug prescription information and Or the step of receiving the drug information by the drug prescription information management device, and based on the received drug prescription information and / or drug history information in which the drug information is associated with each patient, A step of determining the suitability of the newly provided drug for the patient, and, when requested by the medical institution or the dispensing pharmacy, if necessary, information on the determined suitability is provided as the drug prescription information. Transmitting from the management device to the medical institution terminal device or the dispensing pharmacy terminal device via the network.

According to the thirteenth aspect of the present invention, it is not necessary to confirm to the patient what kind of drug is being administered to the patient at a medical institution or another pharmacy, and thus the contraindications for the concomitant use / precaution of the concomitant use can be obtained. It is possible to easily know the suitability of the drugs to be provided, including simultaneous administration and checking the overdose of the same drug, and the like.

The method of managing prescription information according to the invention described in claim 14 is an information processing device for at least one of a medical institution terminal device, a dispensing pharmacy terminal device and a drug trading company terminal device. An information management apparatus and a drug prescription information management method in a drug prescription information management system connectable via a network, wherein the patient has the drug prescription information on a prescription prescribed by a doctor at the one or more medical institutions, Transmitting from the medical institution terminal device to the drug prescription information management device via the network, and wherein the patient is provided at the one or more dispensing pharmacies, the drug information on drugs including over-the-counter drugs, Transmitting from the pharmacy terminal device to the drug prescription information management device via the network, and the drug prescription information and Or the step of receiving the medicine information by the medicine prescription information management device, and the medicine prescription information for each of the dispensing pharmacies based on the medicine prescription information and / or the medicine history information associated with the medicine information for each patient. A step of determining inventory status; a step of generating order information on a drug to be ordered from the one or more drug trading companies based on the determined information on the inventory status; and Transmitting from the prescription information management device to the drug trading company terminal device via the network.

According to the fourteenth aspect of the present invention, in a pharmacy, the trouble of ordering a missing drug to a drug trading company can be omitted, and the merits of scale can be exhibited by joint purchasing, thereby realizing cost reduction. can do.

According to a fifteenth aspect of the present invention, in the drug prescription information management method according to the fourteenth aspect, the drug prescription information is transmitted from the dispensing pharmacy terminal device via the network. Transmitting to the management device, receiving the purchase information by the drug prescription information management device, based on the information on the inventory status and / or the received purchase information,
Generating order information related to the drug to be ordered from the one or more drug trading companies.

According to the fifteenth aspect of the present invention, it is possible to improve the efficiency of ordering to a pharmaceutical trading company,
The merits of scale through joint procurement can be demonstrated, and costs can be reduced.

[0040] Also, in the medicine prescription information management method according to the invention of claim 16, in the invention of claim 14 or 15, the order information is required in the dispensing pharmacy and the dispensing pharmacy for each medicine. The method further includes a step of generating sub-delivery information for sub-delivery of the medicine ordered by the order information based on the sub-partition information for each of the dispensing pharmacies. And

According to the sixteenth aspect, the co-purchased medicine can be more efficiently delivered to each pharmacy.

The method for managing prescription information according to the invention according to claim 17 is a method for managing at least one of a medical institution terminal device, a dispensing pharmacy terminal device and a drug trading company terminal device, comprising: An information management apparatus and a drug prescription information management method in a drug prescription information management system connectable via a network, wherein the patient has the drug prescription information on a prescription prescribed by a doctor at the one or more medical institutions, Transmitting from the medical institution terminal device to the drug prescription information management device via the network, and wherein the patient is provided at the one or more dispensing pharmacies, the drug information on drugs including over-the-counter drugs, Transmitting from the pharmacy terminal device to the drug prescription information management device via the network, and the drug prescription information and Or the step of receiving the drug information by the drug prescription information management device, and based on the received drug prescription information and / or drug history information in which the drug information is associated with each patient, a prescription amount or A step of generating trend information regarding the amount provided, the one or more medical institutions, the one or more dispensing pharmacies or the request from the one or more drug trading companies, the generated one or more Transmitting the trend information to the medical institution terminal device, the dispensing pharmacy terminal device, or the drug trading company terminal device.

According to the seventeenth aspect of the present invention, it is possible to easily know the trend of a drug frequently prescribed in a recent medical institution or a drug frequently provided in another pharmacy, and a doctor can prescribe a medicine. It can be used as a reference for dispensing and purchasing by a dispensing pharmacy (pharmacist) or a drug prescription information management device.

According to the program of the eighteenth aspect, the method according to any one of the thirteenth to seventeenth aspects can be executed by a computer.

[0045]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Preferred embodiments of a drug prescription information management apparatus, a drug prescription information management system, a drug prescription information management method, and a program for causing a computer to execute the method will be described below with reference to the accompanying drawings. Will be described in detail.

Outline of drug prescription information management system:
An outline of the medicine prescription information management system according to the embodiment of the present invention will be described. The outline of this drug prescribing information management system consists of establishing a drug prescribing information center that centrally manages prescribing information from clinics and hospitals, and using an IC card-type insurance card presented by a patient (user) who stops at a dispensing pharmacy. Then, the prescription information is distributed from the drug prescription information center together with the prescription data and a cautionary statement regarding the medicine to be administered, and a mechanism for efficiently performing the prescription operation and the packaging operation is provided. At the same time, a database of prescription data will be built at the drug prescription information center, grasping trends regarding the type and quantity of drugs, acting as a dispensing pharmacy procurement service, realizing the merit of scale by joint procurement and realizing cost reduction It is.

The system allows a patient to receive medication at any pharmacy that is easily accessible to the patient. In addition, when the user designates a pharmacy to receive at a hospital in advance, the time for waiting for dispensing / medication can be saved. As an advantage of the dispensing pharmacy, patients other than fixed clinics can be customers. In addition, there is no need to create an instruction manual for medicines, and the efficiency of medicine delivery can be improved. In addition, the cooperative procurement of drugs by the drug prescribing information center reduces management burden and realizes cost reduction. In the future, it may be possible to omit the task of issuing a prescription for receiving dispensing at a dispensing pharmacy in a medical institution such as a clinic or a hospital in the future.

FIG. 1 is an explanatory diagram showing an outline of a medicine prescription information management system according to the embodiment of the present invention.
In FIG. 1, a drug prescription information management system includes a drug prescription information center 100, one or more medical institutions 101 such as hospitals / clinics, a user (patient) 102, a dispensing pharmacy (family pharmacy) 103, And a pharmaceutical trading company 104 including a pharmaceutical company or a drug wholesaler. The drug trading company 104 includes a drug manufacturer, a drug wholesaler, and the like that purchases drugs.

In this medicine prescription information management system, the prescription information for the user (patient) 102 and the
Drug prescription information such as drug history information is centrally managed by a host computer installed in the drug prescription information center 100. The medicine prescription information is referred to and updated at any time from the terminals of the medical institutions 101 and the dispensing pharmacies 103 connected to the host via a network 200 such as an extranet described later. In this way, medical institution 1
In the case of No. 01, since the drug history and the drug allergy information of the individual of the patient 102 can be reliably grasped, the prescription can be made more safely for the patient.

The prescription information center 100 also collects information on the prescription results of the user (patient) 102 from the dispensing pharmacy 103. Further, drug DB (database) information and information on a drug flash report are collected from the drug trading company 104. On the contrary, the drug trading company 104 receives information on the stock amount of the pharmacy in each dispensing pharmacy 103 and information on the medical institution 101. And send information about the prescription trend. In this way, it is possible to quickly and surely grasp what kind of medicine is specified and to what extent, or the stock status of the dispensing pharmacy 103, so that business activities can be performed more efficiently.

Based on the various information transmitted from the drug prescribing information center 100, the drug trading company 104 provides a joint purchase CD (cost reduction) procurement and special Carry out drug subdivision. In this way, it is possible to receive an order even if the pharmacy is not located in front of the hospital, and since the infrequently used specialty medicine is delivered each time, the inventory burden can be reduced.

Further, the dispensing pharmacy 103 stores the user 102
, A home delivery service may be provided.
Further, the user 102 can make a dispensing request or a delivery request to the medicine prescription information center 100. By doing so, it is convenient for the user (patient) 102 to use the nearest pharmacy or home delivery so as not to take time to obtain the medicine. In addition, even if the patient is in a plurality of hospitals, the patient can confirm the drink and receive the medication with confidence.

More specifically, a reception computer installed at the reception of each medical institution 101 receives an input of insurance information. The insurance information is the items described on the insured person's card (insurance card), for example, its symbol and number, date of grant, expiration date, address and name of the insured person, location and name of the insured person, etc. It is. If the insurance card is converted to an IC card in the future, insurance information will be read. Then, the insurance information is transmitted from the transmitting / receiving unit, and is received by the transmitting / receiving unit of the computer of the doctor in charge.

Next, the doctor's computer receives the input of the name and amount of the medicine prescribed to the patient from the doctor who has completed the medical treatment. Then, when the specific key is pressed, the received insurance information and the inputted prescription are transmitted to the host computer of the medicine prescription information center 100. Then, the host computer receives this.

Next, the host computer retrieves the stored medicine prescription information, that is, the medication history. The medicine prescription information storage unit (individual medicine history DB 406 described later) holds insurance information and medicine prescription information, that is, past medication history for each patient. In the received insurance information, the medication history of the insured person can be read using, for example, the symbol and number of the insured person's card as a key.

Then, the host computer compares the received new prescription with the past medication history, and
A check is made to see if the drugs of concomitant use will not be administered at the same time, or if the same drug will not be administered in an overdose. Therefore,
The patient 102 can safely receive the drug at any pharmacy, even if not at a specific pharmacy (especially at a pharmacy). As described above, by using the present system, the nearest pharmacy can be set as a “family pharmacy”.

System Configuration of Drug Prescription Information Management System: Next, the system configuration of the drug prescription information management system according to the embodiment of the present invention will be described. FIG. 2 is a system configuration diagram showing a configuration of the medicine prescription information management system according to the embodiment of the present invention.

In FIG. 2, a medicine prescription information management system includes a center system (drug prescription information management device) 201.
And information terminal devices (medical institution terminal devices) 202 installed in one or more medical institutions, and information terminal devices (dispensing pharmacy terminal devices) installed in one or more dispensing pharmacies
203 and one or a plurality of drug trading company systems (drug trading company terminal devices) 204 are connected by the Internet or a network 200 using a dedicated line, respectively. When the Internet is used, it is preferable to transmit and receive data after encrypting the data in order to prevent leakage of information about the patient.

A facsimile for transmitting information of the prescription 220 printed from a printer of the medical institution terminal device 202 or handwritten by a doctor to the center system 201 via the network 200 or a general public line (not shown). FAX) 221 is connected. Thus, the reception at the pharmacy is completed before going to the dispensing pharmacy 103, and the waiting time for receiving the medicine can be reduced correspondingly.

Hardware Configuration of Drug Prescription Information Management Apparatus: Next, the hardware configuration of the drug prescription information management apparatus according to the embodiment of the present invention will be described. FIG. 3 is a block diagram showing a hardware configuration of the medicine prescription information management device according to the embodiment of the present invention.

In FIG. 3, reference numeral 301 denotes a CPU for controlling the entire apparatus, 302 denotes a ROM storing a basic input / output program, and 303 denotes a RAM used as a work area of the CPU 301.

Reference numeral 304 denotes an HDD (hard disk drive) for controlling the reading / writing of data from / to an HD (hard disk) 305 under the control of the CPU 301. Reference numeral 305 denotes an HD for storing data written under the control of the HDD 304. Each is shown. 306 is F under the control of the CPU 301.
An FDD (Floppy Disk Drive) for controlling reading / writing of data from / to a D (Floppy (registered trademark) disk) 307 is an example of a removable recording medium for storing data written under the control of the FDD 306. FD are shown respectively. F
D307 is used, for example, when a new program or data is input to the medicine prescription information management apparatus 201.

Reference numeral 308 denotes a display such as a CRT or a liquid crystal display for displaying various data such as cursors, menus, windows, and characters and images. 309 is connected to the network 200 via a communication line. (Interface) functioning as an interface between the CPU and the CPU 301
Are respectively shown. A modem 310 receives an audio signal from the facsimile 221 and converts the audio signal into an image signal. A modem 311 converts the image signal converted by the modem 310 into character data that can be processed and edited on a computer. Converting OCR (Optical Cha)
, a keyboard provided with a plurality of keys for inputting characters, numerical values, various instructions, etc., and a mouse 313 for selecting and executing various instructions, selecting a processing target, moving a cursor, etc. , Respectively.

Reference numeral 314 denotes a scanner for reading characters and images written on paper including prescriptions under the control of the CPU 301; 315, a printer for printing characters and images under the control of the CPU 301; And buses or cables for connecting the respective devices.

The hardware configuration of the medical institution terminal device 202 and the dispensing pharmacy terminal device 203 will not be particularly described, but has the same configuration as the drug prescription information management device 201 as shown in FIG. .

Database Configuration of Drug Prescription Information Management Apparatus: Next, the database configuration of the drug prescription information management apparatus according to the embodiment of the present invention will be described. FIG. 4 is an explanatory diagram showing a database configuration of the medicine prescription information management device according to the embodiment of the present invention.

In FIG. 4, the medicine prescription information management device 20
1 is an insurance price DB storing information on insurance prices
(Database) 401, a personal master 402 storing personal information such as a patient's name, address, ID number (insurance card number), a hospital / clinic master 403 storing information on hospitals / clinics, and a dispensing pharmacy A dispensing pharmacy master 404 that stores information about the patient, reception prescription data 405 that stores information about the patient's consultation or prescription,
Personal drug history DB (database) 406 storing information on individual drug history, and drug interaction contraindication DB storing information on interaction contraindications (drinking) for each drug
(Database) 407, delivery prescription data 408 storing prescription information to be transmitted to a dispensing pharmacy, and a prescription trend DB storing information on trends of prescription drugs
(Database) 409 and a pharmacy inventory DB (database) 41 storing information on the stock status of each dispensing pharmacy.
0. All or part of these databases are stored in the drug prescription information management device 20.
For example, a hard disk 3 provided in one device
05 may realize the function, or may be provided in another information processing apparatus (server) connected to the medicine prescription information management apparatus 201 via the network 200.

Functional Configuration of Drug Prescription Information Management Apparatus: Next, the functional configuration of the drug prescription information management apparatus according to the embodiment of the present invention will be described. FIG. 5 is a functional block diagram showing a functional configuration of the medicine prescription information management device according to the embodiment of the present invention. In FIG. 5, the medicine prescription information management device 201 includes a reception unit 501, a transmission unit 502, a storage unit 503, a determination unit 504, an order information generation unit 505, and a trend information generation unit 506. .

Here, receiving section 501 and transmitting section 502
Can realize its function by the I / F 309 shown in FIG. In addition, the receiving unit 501 includes the first
Receiver 511, second receiver 512, purchase information receiver 5
13 is included. Also, the transmission unit 502
Are the trend information transmitting unit 521 and the appropriate information transmitting unit 52
2 and an order information transmitting unit 523.

The first receiving unit 511 receives, from the medical institution terminal device 202 via the network 200, drug prescription information on a prescription prescribed by a patient at one or more medical institutions. Further, when the medicine prescription information is image information, the first receiving unit 511 converts the received image information into character information, as shown in FIG.
R311 may be provided. This makes it possible to handle prescriptions written on paper by doctors at medical institutions.

The second receiving section 512 receives drug information on drugs including over-the-counter drugs provided by the patient at one or more dispensing pharmacies from the dispensing pharmacy terminal device 203 via the network 200.

The storage unit 503 associates the drug prescription information received by the first receiving unit 511 with the drug information received by the second receiving unit 512 as drug history information for each patient, for example, as shown in FIG. Personal drug history DB 406 shown
To memorize. The storage unit 503 stores, for example, the H shown in FIG.
The function can be realized by the D305 and the HDD 304.

The determination section 504 determines the suitability of a newly prescribed drug or a drug to be newly provided for a patient based on the drug history information stored in the storage section 503. Specifically, the new prescription once stored as the received prescription data 405 is compared with the past registered drug history extracted from the personal drug history DB 406 using the personal master 402, and the medicine mutual prescription is compared. Contraindications for action DB407
With reference to whether concomitant contraindications / cautions for concomitant use will not be administered at the same time (including almost simultaneously), or whether the same drug (a drug with a different brand name but the same composition, ie, a so-called “ (Including generics) will not be overdose.

Further, the appropriate information may include information relating to cautionary explanation of a newly prescribed medicine or a medicine to be newly provided. Thereby, the dispensing pharmacy 10
In 3, it is possible to omit the trouble of creating a cautionary statement including cautions for use with drugs provided by other pharmacies, etc., and to use caution with drugs provided by other pharmacies at pharmacies. It is possible to omit the trouble of creating a cautionary statement including the drug, and to explain the effects, side effects, usage, etc. of the drug to the patient accurately based on the cautionary statement (drug instruction), and It is expected that the understanding of the drug will deepen and that the dispensed medicine will be taken as intended. The determination unit 504 determines the value of R shown in FIG.
The functions are realized by the CPU 301 executing programs stored in the OM 302, the RAM 303, the HD 305, the FD 307, and the like.

The appropriateness information transmitting unit 522 transmits information on the appropriateness determined by the determining unit 504 to the medical institution terminal device 202 or the dispensing pharmacy terminal device 203. Specifically, when information about a drug to be newly prescribed or a drug to be newly provided is received by the first receiving unit 511 or the second receiving unit 512, or one or a plurality of medical institutions or the one Alternatively, when there is a request from a plurality of dispensing pharmacies (this request can be received by, for example, the first receiving unit 511 or the second receiving unit 512), the determination is made by the determining unit 504 as necessary. Information on the appropriateness of the medical institution terminal device 202
Alternatively, it can be transmitted to the dispensing pharmacy terminal device 203.

The appropriate information may be transmitted as needed, and the appropriate information may be transmitted only when there is a problem with the appropriateness, and the information indicating that there is no problem with the appropriateness may not be transmitted.

As described above, the contraindications for concomitant use can be made without confirming to the patient 102 what kind of medicine is being administered to the patient 102 at the medical institution 101 or another dispensing pharmacy 103.
It is possible to easily know the suitability of the drugs to be provided, including the simultaneous administration of the drugs of concomitant use and the check of the overdose of the same drug.

Further, the judgment section 504 judges the stock status of the medicine for each dispensing pharmacy 103 based on the medicine history information stored by the storage section 503. The stock status can be determined by, for example, extracting necessary information from the pharmacy stock DB 410 shown in FIG.

The order information generation unit 505 generates order information on medicines to be ordered from one or more medicine trading companies 104 based on the information on stock status judged by the judgment unit 504. The ordering information includes information on the dispensing pharmacy 103 and the amount required in the dispensing pharmacy 103 for each medicine. The order information generation unit 505 includes the ROM 302, the RAM 303, the HD 305 shown in FIG.
The program stored in the FD 307 or the like
Implements that function by executing

The order information transmitting unit 523 transmits the order information generated by the order information generating unit 505 to the drug trading company terminal device 204. Thus, a plurality of dispensing pharmacies 103
By collectively placing orders, large quantities of drugs can be jointly purchased, economies of scale can be exhibited, and costs can be reduced.

Further, each dispensing pharmacy terminal device 203 may be provided with purchase information receiving means for receiving drug purchase information transmitted via the network 200. In this case, the order information generation unit 505 may include an inventory status Based on the purchase information received by the purchase information receiving unit 513 and the purchase information received by the purchase information receiving unit 513, order information regarding the medicine to be ordered from the medicine trading company terminal device 204 may be generated. By doing so, it is possible to increase the efficiency of ordering to a drug trading company, and to achieve cost reduction by exhibiting economies of scale by joint procurement.

The trend information generation unit 506 stores information in the storage unit 50
3 (medical history DB406)
, And generates trend information on the prescription amount or the supply amount for each drug, and stores the generated trend information in the prescription trend DB 409. The trend information generation unit 506 calculates the R
The functions are realized by the CPU 301 executing programs stored in the OM 302, the RAM 303, the HD 305, the FD 307, and the like.

The trend information transmitting section 521 transmits the trend information generated by the trend information generating section 506 to the medical institution terminal device 202, the dispensing pharmacy terminal device 203 or the drug trading company terminal device 204. Specifically, when there is a request from one or more medical institutions 101, one or more dispensing pharmacies 103 or one or more drug trading companies 104, the trend generated by the trend information generating unit 506. The information is transmitted to the medical institution terminal device 202, the dispensing pharmacy terminal device 203, or the drug company terminal device 204.

As described above, it is possible to easily know the trend of drugs that are frequently prescribed in recent medical institutions and drugs that are frequently provided in other pharmacies, and that the doctor of the medical institution 101 can refer to the information for prescribing. It can be. In addition, a pharmacist of the dispensing pharmacy 103 can refer to the dispensing and purchasing. Also, the person in charge of the drug trading company 104 can use the data as effective reference data at the time of sales activities.

Functional configuration of medical institution terminal device:
A functional configuration of the medical institution terminal device according to the embodiment of the present invention will be described. FIG. 6 is a functional block diagram showing a functional configuration of the medical institution terminal device according to the embodiment of the present invention. 6, the medical institution terminal device 202 includes a reception unit 601, a transmission unit 602, and a display unit 6.
03, an input unit 604, and an output unit 605.

Here, the receiving unit 601 and the transmitting unit 602
Although not shown, for example, the I shown in FIG.
The function can be realized by a configuration similar to / F309. Although the display unit 603 is not shown,
For example, the function can be realized by the same configuration as the display 308 illustrated in FIG. Although not shown, the input unit 604 is, for example, a KB (keyboard) 312 and a mouse 313 shown in FIG.
The function can be realized by the same configuration as described above. Although the output unit 605 is not shown, its function can be realized by, for example, the same configuration as the printer 315 shown in FIG.

The receiving section 601 is provided for the medicine prescription information management device 2
Various information transmitted from 01 is received. The transmitting unit 602 transmits various types of information described below to the medicine prescription information management device 201. In addition, the display unit 603 is connected to the input unit 6.
The information input by the input unit 04 and the information received by the receiving unit 601 are displayed as necessary. The specific contents to be displayed will be described later.

The input unit 604 includes a drug history information requesting unit 611
And a prescription information input section 612 and a confirmation information input section 61
3 and a trend information requesting unit 614. Drug history information request section 611, drug prescription information input section 61
2. Confirmation information input unit 613, trend information request unit 614
Operate in accordance with the guidance on the display screen displayed on the display unit 603.

The medication history information request section 611 requests the medication prescription information management device 201 for medication history information of the corresponding patient. The medicine prescription information input unit 612 inputs information on a medicine prescribed by a doctor of the medical institution 101. In addition, the confirmation information input unit 613 displays an intention to confirm that the transmitted appropriate information has been confirmed. Specifically, for example, confirmation information is input by pressing a “confirmation” button 1401 (see FIG. 14) displayed on a display screen by a display unit described later. Further, the trend information requesting unit 614 requests the drug prescription information management device 201 for drug trend information.

The output unit 605 includes a medicine prescription information input unit 61
2 can output (print out) the prescription information input as a prescription. In addition, information in the medical institution terminal device 202 can be printed out.

Functional configuration of dispensing pharmacy terminal device:
The functional configuration of the dispensing pharmacy terminal device according to the embodiment of the present invention will be described. FIG. 7 is a functional block diagram showing a functional configuration of the dispensing pharmacy terminal device according to the embodiment of the present invention. 7, the dispensing pharmacy terminal device 203 includes a receiving unit 701, a transmitting unit 702, and a display unit 7.
03, an input unit 704, and an output unit 705.

Here, the receiving unit 701 and the transmitting unit 702
Although not shown, for example, the I shown in FIG.
The function can be realized by a configuration similar to / F309. Although the display unit 703 is not shown,
For example, the function can be realized by the same configuration as the display 308 illustrated in FIG. Although not shown, the input unit 704 is, for example, a KB (keyboard) 312 and a mouse 313 shown in FIG.
The function can be realized by the same configuration as described above. Although the output unit 705 is not shown, its function can be realized by the same configuration as the printer 315 shown in FIG. 3, for example.

[0093] The receiving section 701 is a
Various information transmitted from 01 is received. In addition, the transmission unit 702 transmits various information described below to the medicine prescription information management device 201. In addition, the display unit 703 includes the input unit 7.
The information input by the input unit 04 and the information received by the receiving unit 701 are displayed as necessary. The specific contents to be displayed will be described later.

The input unit 704 includes a drug history information requesting unit 711
, A medicine information input unit 712, and a purchase information input unit 713
And a trend information requesting unit 714. The medicine history information request unit 711, the medicine information input unit 712, the purchase information input unit 713, and the trend information request unit 714
In each case, the operation is performed according to the guidance on the display screen displayed on the display unit 703.

The drug history information requesting section 711 requests the drug prescribing information management apparatus 201 for the drug history information of the corresponding patient, similarly to the drug history information requesting section 611. Also,
The medicine information input unit 712 inputs information on a medicine to be dispensed by a pharmacist of the dispensing pharmacy 103 based on a doctor's prescription. In addition, the purchase information input unit 713 inputs information on medicines that need to be purchased and their quantities. Also,
The trend information requesting unit 714 is the medicine prescription information management device 2
01, a request for drug trend information is made.

The output unit 705 is connected to the medicine prescription information management device 2
The information on (relevant to) the cautionary instruction transmitted from 01 and received by the receiving unit 701 can be output (printed out). In addition, the dispensing pharmacy terminal device 203
You can print out the information inside.

Hardware Configuration of Drug Trading Company Terminal Device: Next, the hardware configuration of the drug trading company terminal device according to the embodiment of the present invention will be described. FIG. 8 is a block diagram illustrating a hardware configuration of the terminal device of the drug company according to the embodiment of the present invention.

In FIG. 8, reference numeral 801 denotes a CPU for controlling the entire apparatus, 802 denotes a ROM storing a basic input / output program, and 803 denotes a RAM used as a work area of the CPU 801.

Reference numeral 804 denotes an HDD (hard disk drive) for controlling reading / writing of data from / to an HD (hard disk) 805 under the control of the CPU 801, and reference numeral 805 denotes an HD for storing data written under the control of the HDD 804. Each is shown. 806 is F under the control of the CPU 801.
An FDD (Floppy Disk Drive) for controlling reading / writing of data from / to a D (Floppy Disk) 807, and an FD 807 as an example of a removable recording medium for storing data written under the control of the FDD 806. Is shown. FD807 is
For example, it is used when a new program or data is input to the drug trading company terminal device (drug trading company system) 204.

Reference numeral 808 denotes a display such as a CRT or a liquid crystal display for displaying cursors, menus, windows, or various data such as characters and images. 809 is connected to the network 200 via a communication line. (Interface) that functions as an interface between the CPU and the CPU 801
Are respectively shown. 810 is a character, a numerical value,
A keyboard 811 has a plurality of keys for inputting various instructions and the like. A mouse 811 selects and executes various instructions, selects a processing target, and moves a cursor.

Reference numeral 812 denotes a scanner for reading characters and images written on paper including prescriptions under the control of the CPU 801; 813, a printer for printing characters and images under the control of the CPU 801;
Drug trading company 10 to which drug trading company terminal device 204 is connected
Reference numeral 4 denotes an in-house LAN, and reference numeral 800 denotes a bus or a cable for connecting the above-described units.

Functional configuration of drug trading company terminal device:
The functional configuration of the dispensing pharmacy terminal device according to the embodiment of the present invention will be described. FIG. 9 is a functional block diagram showing a functional configuration of the terminal device for a pharmaceutical company according to the embodiment of the present invention.

In FIG. 9, the terminal device 204 for the drug trading company
Are a receiving unit 901, a transmitting unit 902, and a display unit 903.
, An input unit 904, an output unit 905, a subdivision information extraction unit 906, and a subdivision delivery information generation unit 907.

Here, receiving section 901 and transmitting section 902
Can realize its function by the I / F 809 shown in FIG. 8, for example. The display unit 903
Can realize its function by the display 808 shown in FIG. 8, for example. The function of the input unit 904 can be realized by, for example, the same configuration as the KB (keyboard) 810 and the mouse 811 shown in FIG. Although not shown, the output unit 905 can realize its function by, for example, the same configuration as that of the printer 813 shown in FIG.

The receiving section 901 is provided for the medicine prescription information management device 2
Various information transmitted from 01 is received. The transmitting unit 902 transmits various types of information described below to the medicine prescription information management device 201. Further, the display unit 903 displays the input unit 9.
The information input by the user 04 and various information including the trend information received by the receiving unit 901 are displayed as necessary. The specific contents to be displayed will be described later.

The input unit 904 is connected to the trend information requesting unit 91
4 is included. Trend information request unit 914
Operate in accordance with the guidance on the display screen displayed on the display unit 903. The trend information request unit 914 requests the drug prescription information management device 201 for drug trend information.

The output unit 905 outputs the subdivision delivery information generation unit 9
07 (for example, a delivery slip) can be output (printed out). In addition, information in the medicine trading company terminal device 204 can be printed out.

The subdivision information extraction unit 906 includes a reception unit 901
Then, only the dispensing pharmacy and the subdivision information relating to the amount required in the dispensing pharmacy are extracted from the order information received by the dispensing pharmacy. Then, based on the subdivision information, the subdivision delivery information generating unit 907 generates subdivision delivery information for subdivided delivery of the medicine ordered by the order information for each dispensing pharmacy 103.

The subdivision information extraction unit 906 and the subdivision delivery information generation unit 907 are provided in the ROM 80 shown in FIG.
2. The function is realized by the CPU 801 executing a program stored in the RAM 803, the HD 805, the FD 807, or the like. This makes it possible to more efficiently deliver the co-purchased medicine to each pharmacy.

Operation of drug prescription information management system: First, the procedure of operation processing of the medical institution terminal device 202 will be described. FIG. 10 is a flowchart showing the operation of the medical institution terminal device 202 according to the embodiment of the present invention. In the flowchart of FIG. 10, first, a screen 1100 as shown in FIG.
In step S1001, it is determined whether a request for drug history information has been made. FIG. 11 is an explanatory diagram (specifically, a menu screen 1100) showing an example of a display screen of the medical institution terminal device according to the present embodiment of the present invention. In FIG. , A patient name input field 1111 for inputting a patient ID, an ID input field 1112 for inputting a patient ID, a “medication history information request” button 1113 for requesting medication history information, and a “medication history information request” button 1113 for entering prescription information. "Enter prescription information" button 1114 is displayed. Here, the request for drug history information is “Request for drug history information”
This can be performed by pressing a button 1113.

Here, when the medicine history information is not requested (step S1001: No), the process proceeds to step S1005. On the other hand, if the drug history information is requested in step S1001 (step S1001: Yes), the request information is transmitted to the center system (drug prescription information management device) 201 (step S1002).

Then, after waiting for the reception of the drug history information from the center system 201, if received (step S1003: Yes), the received drug history information is displayed on the display screen (step S1004). FIG. 12 is an example of a display screen of drug history information. In FIG. 12, a drug history information display screen 1200 displays information (medication period, drug name, dose,
Remarks (current status, etc.) are displayed.

Returning to FIG. 10, after displaying the drug history information in step S1004, it is determined whether or not the drug prescription information has been input (step S1005). If there has been no input (step S1005: No) ) Terminates all processing without doing anything. On the other hand, step S1
In 005, when the medicine prescription information is input (step S1005: Yes), the medicine prescription information is transmitted to the center system (drug prescription information management device) 201 (step S1006).

Then, after waiting for receiving the appropriate information from the center system 201, if received (step S1007: Yes), the received appropriate information is displayed on the display screen (step S1008). FIG. 13 is an example of a display screen for appropriate information. In FIG. 13, the appropriate information display screen 1300 displays a patient's name and ID name, as well as information on a drug to be prescribed for the patient and contraindications (swallowing).

Next, in step S1009, it is determined whether there is an appropriate problem. Here, when there is no problem (step S1009: No), a series of processing ends without doing anything. Appropriate information display screen 1 shown in FIG.
300 is a display example in a case where there is no problem with the appropriateness.

On the other hand, FIG. 1 shows an example in which there is a problem in step S1009 (step S1009: YES).
It is shown in FIG. In FIG. 14, an appropriate information display screen 1400
Indicates that there is a problem and the reason therefor as information on the drink. Further, a “confirm” button 1401 is displayed. The prescribing doctor,
After confirming the information on the drink, if it is determined that there is a problem in performing the prescription as it is, the user presses a “cancel” button 1402 and redoes the prescription. That is, in step S1010, confirmation information is not transmitted (step S1010: No). Then, the process proceeds to step S1005, and the processes of steps S1005 to S1010 are repeated.

On the other hand, if the doctor who checks the information on the drinks decides that there is no problem with the prescription as it is,
A “confirm” button 1401 is pressed. As a result, the confirmation information is transmitted (step S1010: Yes), the prescription becomes valid as it is, and a series of processing ends.

FIGS. 15 and 16 are flowcharts showing the contents of the operation of the medicine prescription information management apparatus 201 according to the embodiment of the present invention. In the flowchart of FIG. 15, it is determined whether or not there has been a request for medical history information from the medical institution terminal device 202 (step S1501). If there has been no request (step S1501: No), the process proceeds to step S1601 shown in FIG. I do.

On the other hand, in step S1501, when there is a request for medical history information from the medical institution terminal device 202 (step S1501: Yes), the patient information is extracted from the personal master 402 (step S1502). The drug history information is read from the drug history DB 406 (step S1503). Thereafter, the extracted drug history information is transmitted to the medical institution terminal device 202 (step S1504), and the process ends.

Next, in the flowchart of FIG. 16, first, it is determined whether or not the medicine prescription information has been received (step S1601).
01: No) shifts to the step S1501 shown in FIG. As a result, as shown in FIG. 11, a selection waiting state for selecting one of the drug history information request process and the prescription information input process is established.

In step S1601, when the medicine prescription information is received (step S1601: Yes),
Extract patient information from personal master 402 (step S
1602) Next, the medication history information is read from the personal medication history DB 406 (step S1603). So far, Figure 1
5 is the same as the process up to step S1503.

Next, the read medicine history information is compared with the newly prescribed medicine to determine the appropriateness (step S1604), and the appropriateness information relating to the determined result is sent to the medical institution terminal device 202. Send (Step S160)
5). Then, it is determined whether there is a problem appropriately (step S1606), and if there is no problem (step S1606).
(1606: No) moves to step S1609 without doing anything.

On the other hand, if there is an appropriate problem in step S1606 (step S1606: YES), the process waits for reception of confirmation information from the medical institution terminal device 202, and then receives it (step S1607: Y).
es) determines whether the information indicates that the medicine prescription information has not been changed (step S1608). If there is a change (the “cancel” button 1402 has been pressed) (step S1608: No), the process proceeds to step S16.
02 and return to steps S1602 to S1 again.
Step 608 is repeated.

On the other hand, there is no change (“Confirm” button 1401
Is pressed) (Step S1608: Yes)
Shifts to step S1609, and the personal drug history DB 406
Rewrite the drug history information (step S160)
9). This will add the drug history information again. Thereafter, a series of processing ends.

Next, the procedure of the operation process of the dispensing pharmacy terminal device 203 will be described. FIG. 17 is a flowchart showing the operation of the dispensing pharmacy terminal device 203 according to the embodiment of the present invention. In the flowchart of FIG. 17, although not shown, a screen similar to the menu screen 1100 as shown in FIG. 11 is displayed, and it is determined whether or not there is a request for drug history information on the screen (step S).
1701).

Here, when the medicine history information is not requested (step S1701: No), the process proceeds to step S1705. On the other hand, if the drug history information is requested in step S1701 (step S1701: Yes), the request information is transmitted to the center system (drug prescription information management device) 201 (step S1702).

Then, after waiting for the reception of the drug history information from the center system 201 and receiving it (step S1703: YES), the received drug history information is displayed on the display unit 7.
03 (step S1704). Although illustration is omitted, a screen similar to the drug history information display screen 1200 shown in FIG. 12 is displayed.

After displaying the drug history information in step S1704, it is determined whether or not drug information has been input (step S1705). If no input has been made (step S1705: NO), nothing is performed. All processing ends. On the other hand, in step S1705, when the medicine information is input (step S1705: Ye
s) transmits the drug information to the center system (drug prescription information management device) 201 (step S170)
6).

Then, after waiting for reception of the appropriate information from the center system 201, if it is received (step S1707: Yes), the received appropriate information is displayed on the display screen (step S1708). FIG. 18 is an example of a display screen for appropriate information. In FIG. 18, on a proper information display screen 1800, a drug to be prescribed for the patient and information on contraindications (swallowing) are displayed together with the patient name and the ID name.

Next, in step S1709, it is determined whether or not a request for an instruction manual has been made (step S1709).
1709). This determination is made based on whether one of the “Yes” button 1801 and the “No” button 1802 shown in FIG. 18 has been pressed. That is, if “yes” button 1801 is pressed, it is determined that there is a request, and if “no” button 1802 is pressed, it is determined that there is no request.

In step S1709, when there is no request for the cautionary manual (step S1709: No)
Terminates a series of processing without doing anything. On the other hand, when there is a request for the cautionary statement (step S1709: Yes)
Transmits the notice manual request information (step S171).
0) Then, after waiting for the information about the cautionary statement to be received, if it is received (step S1711: Yes)
Ends a series of processing.

FIGS. 19 and 20 are flowcharts showing the contents of another operation of the medicine prescription information management apparatus 201 according to the embodiment of the present invention. In the flowchart of FIG. 19, it is determined whether or not there has been a request for drug history information from the dispensing pharmacy terminal device 203 (step S190).
1) If there is no request (step S1901: N
In step o), the process proceeds to step S2001 shown in FIG.

On the other hand, if there is a request for drug history information from the dispensing pharmacy terminal device 203 in step S1901 (step S1901: Yes), patient information is extracted from the personal master 402 (step S1902). The drug history information is read from the drug history DB 406 (step S1903). Thereafter, the extracted drug history information is transmitted to the dispensing pharmacy terminal device 203 (step S1904), and the process ends.

Next, in the flowchart of FIG. 20, it is first determined whether or not the medicine information has been received (step S2001).
1: No) proceeds to step S1901 in FIG. As a result, a selection waiting state for selecting one of the drug history information request process and the drug information input process is established.

If the medicine information is received in step S2001 (step S2001: Yes), the patient information is extracted from the personal master 402 (step S20).
02) Next, drug history information is read from the personal drug history DB 406 (step S2003). The processing up to this point is the same as the processing up to step S1903 in FIG.

Next, the read medicine history information is compared with the newly input medicine to determine its suitability (step S2004), and the appropriate information relating to the determined result is sent to the dispensing pharmacy terminal device 203. Send (Step S200
5). Then, it is determined whether there is a problem appropriately (step S2006), and if there is no problem (step S2006)
(2006: No) moves to step S2009 without doing anything.

On the other hand, if there is an appropriate problem in step S2006 (step S2006: Yes), the process waits for reception of confirmation information from the dispensing pharmacy terminal device 203 and then receives it (step S2007: Y
es) determines whether or not the received information indicates that the medicine prescription information has not been changed (step S2008). here,
If there is a change (step S2008: No),
Returning to step S2002, step S2002 is performed again.
To Step S2008 are repeatedly performed.

On the other hand, when there is no change (step S200)
8: Yes), the process moves to step S2009, and rewrites the drug history information in the personal drug history DB 406 (step S2009). This will add the drug history information again. Thereafter, it is determined whether or not a request for a cautionary statement has been made (step S2010). here,
If there is no request (step S2010: No),
The process moves to step S2012 without doing anything. On the other hand, when there is a request (Step S2010: Yes), information on the cautionary statement is transmitted to the dispensing pharmacy terminal device 203 (Step S2011), and thereafter, Step S201 is performed.
Move to 2.

Next, the stock of the medicine related to the medicine information in the dispensing pharmacy 103 is checked using the pharmacy stock DB 410 (step S2012). Then, it is determined whether or not there is a stock (step S2013). If there is a stock (step S2013: Yes), the process ends without doing anything. On the other hand, when there is no stock (step S2
013: No) is transmitted to the drug trading company terminal device 204.
An order processing is performed (step S2014), and a series of processing ends.

FIG. 21 is a flowchart showing another operation content (ordering process) of the medicine prescription information management apparatus 201 according to the embodiment of the present invention. In the flowchart of FIG. 21, if the purchase information from the dispensing pharmacy terminal device 203 is received and received (step S2101: Yes), then the pharmacy inventory DB 4
10 is rewritten (step S21).
02), and then perform order processing (step S210)
3). This makes it possible to respond to a purchase application from the dispensing pharmacy 103.

FIG. 22 is a flowchart showing the contents of the operation of the terminal device for a drug company according to the embodiment of the present invention. In FIG. 22, first, after waiting for receiving the order information from the medicine prescription information management apparatus 201, if it is received (step S <b> 2201: Yes), next, subdivision information is extracted from the received order information. (Step S2202).

Then, based on the extracted subdivision information,
Subdivision delivery information is generated (step S2203). Next, the generated subdivision delivery information (slip) is output (printed out) (step S2204). After that, the delivery confirmation information is transmitted to the medicine prescription information management device 201 (step S2205), and the series of processing ends.

FIG. 23 is a flowchart showing another operation (trend information generation) of the drug prescription information management apparatus 201 according to the embodiment of the present invention. In the flowchart of FIG.
2. Dispensing pharmacy terminal device 203, drug trading company terminal device 204
And waits for the purchase information from any one of the information processing apparatuses to be received (step S2301:
Yes), extracts information on a trend in the prescription trend DB 409 (step S2302), and generates trend information based on the extracted information (step S2303).

Thereafter, the medical institution terminal device 202 and the dispensing pharmacy terminal device 20 that have requested the generated trend information.
3. Transmit to any one of the drug company terminal devices 204 (step S2304), and a series of processing ends. Thus, the medical institution terminal device 202, the dispensing pharmacy terminal device 20
3. If there is a request from any of the information terminal devices of the drug trading company terminal device 204, it is possible to provide the trend information of the prescribed drug at that time.

As described above, according to the present embodiment, contraindications to concomitant use are not made without confirming to the patient 102 what kind of medicine is being administered to the patient 102 at the medical institution 101 or another pharmacy 103. / It is possible to easily know the suitability of the drug to be provided, including checking the simultaneous administration of the cautionary drugs and the overdose of the same drug, etc., so that any dispensing pharmacy 103 can function as the "home pharmacy" for the patient Can help you to

[0146] The medicine prescription information management method according to the present embodiment may be a computer-readable program prepared in advance, and is realized by executing the program on a computer such as a personal computer or a workstation. Is done. This program is recorded on a computer-readable recording medium such as an HD (hard disk), FD (floppy disk), CD-ROM, MO, or DVD, and is executed by being read from the recording medium by the computer. Further, the program may be a transmission medium that can be distributed via a network such as the Internet.

[0147]

As described above, according to the first aspect of the present invention, the first receiving means transmits the medicine prescription information on the prescription for the patient to be prescribed by a doctor at one or more medical institutions. Received from the terminal device via the network,
Second receiving means for receiving, via the network, drug information on a drug including a marketed drug provided by the patient at one or more dispensing pharmacies from the dispensing pharmacy terminal device; The drug prescription information received by the receiving means and the drug information received by the second receiving means are stored as drug history information in association with each patient, and the determining means is stored by the storing means. A new prescribed drug or a new provided drug is determined to be appropriate for the patient based on the obtained drug history information, and the first prescribed drug or the second prescribed drug is newly prescribed. Or, when information about a drug to be newly provided is received, or when there is a request from the one or more medical institutions or the one or more dispensing pharmacies. In this case, if necessary, the appropriateness information transmitting means transmits information on the appropriateness determined by the determining means to the medical institution terminal device or the dispensing pharmacy terminal device. It is easy to know the appropriateness of the drug to be provided, including checking concurrent administration of contraindicated / cautionary drugs and overdose of the same drug, without confirming to the patient whether a new drug is being administered to the patient. As a result, there is an effect that a medicine prescription information management device capable of supporting an arbitrary pharmacy to function as a “family pharmacy” for a patient is obtained.

According to the second aspect of the present invention, in the first aspect of the present invention, the appropriate information includes information relating to a cautionary explanation of the newly prescribed medicine or a newly provided medicine. Because it includes, it is possible to omit the trouble of creating a cautionary statement including cautions in combination with drugs provided by other pharmacies at pharmacies, and at each pharmacy, it is provided at other pharmacies etc. It is possible to omit the trouble of preparing cautionary instructions, including cautions for using the drug in combination, and to explain the effects, side effects, usage, etc. of the drug to the patient accurately based on the cautionary instructions (drug instruction) By doing so, it is expected that the patient's understanding of the drug will be deepened and that the dispensed drug will be taken as intended. As a result, an effect is obtained that a medicine prescription information management device capable of supporting an arbitrary pharmacy to function as a “family pharmacy” for a patient is obtained.

Further, according to the third aspect of the present invention, the first receiving means transmits, from the medical institution terminal device, the medicine prescription information on the prescription for which the patient has been prescribed by one or more medical institution doctors. Receiving via a network, the second receiving means receiving from the dispensing pharmacy terminal device via the network, the patient information provided by the patient at one or more dispensing pharmacies, including medicines including over-the-counter medicines, The storage means stores the drug prescription information received by the first receiving means and the drug information received by the second receiving means in association with each other as drug history information for each patient. Based on the drug history information stored by the storage means, determining the stock status of the drug for each of the dispensing pharmacies, the order information generation means, the inventory information determined by the determination means Based on the information on the order, the order information about the medicine to be ordered from the one or more drug trading companies is generated, and the order information transmitting means transmits the order information generated by the order information generating means to the drug trading company terminal device. Therefore, in a pharmacy, it is possible to omit the trouble of ordering a missing drug to a drug trading company, and to achieve cost reduction by exhibiting the merits of scale through joint procurement. This has the effect of providing a drug prescription information management device that can assist the patient to function as a “family pharmacy”.

According to the invention set forth in claim 4, in the invention set forth in claim 3, the purchase information receiving means includes:
Each of the dispensing pharmacy terminal devices receives drug purchase information transmitted via the network, and the order information generating means transmits information on the stock status and / or purchase information received by the purchase information receiving means. On the basis of this, the order information on the medicine to be ordered to the medicine trading company terminal device is generated, so that it is possible to increase the efficiency of ordering to the medicine trading company, and to realize the cost merit by exhibiting the merits of scale by joint procurement. As a result, an effect is obtained that a drug prescription information management device capable of supporting an arbitrary pharmacy to function as a “family pharmacy” for a patient is obtained.

According to a fifth aspect of the present invention, in the third or fourth aspect of the invention, the order information includes information on the dispensing pharmacy and the amount required in the dispensing pharmacy for each drug. Because of this, it can act as a procurement pharmacy procurement agency and can achieve cost reductions by exhibiting the merits of scale through joint procurement, thereby allowing any pharmacy to function as a `` home pharmacy '' for patients This provides an effect that a medicine prescription information management device capable of supporting the patient is obtained.

Further, according to the invention described in claim 6, the first receiving means transmits, from the medical institution terminal device, the medicine prescription information on the prescription for which the patient has been prescribed by one or more medical institution doctors. Receiving via a network, the second receiving means receiving from the dispensing pharmacy terminal device via the network, the patient information provided by the patient at one or more dispensing pharmacies, including medicines including over-the-counter medicines, The storage means stores the drug prescription information received by the first receiving means and the drug information received by the second receiving means in association with each other as drug history information for each patient, and generates trend information. Means for generating, based on the drug history information stored by the storage means, trend information relating to the prescribed amount or the provided amount for each of the medicines, Seki, when there is a request from the one or more dispensing pharmacies or the one or more drug trading companies, the trend information transmitting means transmits the trend information generated by the trend information generating means to the medical institution terminal. To transmit to the device, dispensing pharmacy terminal device or drug trading company terminal device, it is easy to know the trend of drugs that are often prescribed in recent medical institutions and drugs that are often provided in other pharmacies, prescription, This can be used as a reference for dispensing and purchasing, thereby providing an effect of obtaining a drug prescription information management device capable of supporting an arbitrary pharmacy to function as a "family pharmacy" for a patient.

According to the invention of claim 7, in the invention of any one of claims 1 to 6, the medicine prescription information is image information, and the first receiving means Since an OCR function for converting the received image information into character information is provided, an effect is obtained that a medicine prescription information management device capable of responding to a prescription written on paper by a doctor at a medical institution is obtained.

According to the invention of claim 8, the medical institution terminal device transmits the drug prescription information on the prescription prescribed by the patient from the doctor of the one or more medical institution via the network. The drug prescription information management device transmits to the prescription information management device, the dispensing pharmacy terminal device, the patient provided at the one or more dispensing pharmacies, the drug prescription information management device via the network drug information on drugs including over-the-counter drugs And the medicine prescription information management device receives the medicine prescription information and / or the medicine information,
The received drug prescription information and / or the drug information is stored as drug history information in association with each patient, and based on the stored drug history information, a drug to be newly prescribed or a drug to be newly provided Is judged to be appropriate for the patient, and when requested by the medical institution or the dispensing pharmacy, information on the judged suitability is transmitted to the medical institution terminal device or the dispensing pharmacy terminal device as necessary. Therefore, it is not necessary to confirm to the patient what kind of drug is being administered to the patient at a medical institution or another pharmacy. Drug pharmacies that can assist in making any pharmacy function as a "home pharmacy" for patients. There is an effect that information management system is obtained.

[0155] According to the ninth aspect of the present invention, the medical institution terminal device transmits, via a network, the medicine prescription information on the prescription given by the patient to a doctor at the one or more medical institutions. Transmitting to the drug prescription information management device, the dispensing pharmacy terminal device, the patient provided at the one or more dispensing pharmacies, the drug prescription information management via the network drug information on drugs including over-the-counter drugs Transmitting to the device, the drug prescription information management device receives the drug prescription information and / or the drug information,
The received drug prescription information and / or the drug information are stored in association with each patient as drug history information and stored, and based on the stored drug history information, a stock status of the drug for each dispensing pharmacy is determined, At the pharmacy, based on the determined information on the stock status, generates order information on a drug to be ordered from the one or more drug trading companies, and transmits the generated order information to the drug trading company terminal device. In addition, it is possible to omit the trouble of ordering a drug shortage to a drug trading company, and to realize the cost advantage by exhibiting economies of scale through joint procurement. The effect is obtained that a medicine prescription information management system capable of supporting to function as "" is obtained.

Further, according to the tenth aspect of the present invention,
In the invention according to claim 9, the dispensing pharmacy terminal device further transmits drug purchase information to the drug prescription information management device via the network, and the drug prescription information management device relates to the stock status. Based on the information and / or the received purchase information, order information relating to the drug to be ordered from the one or more drug trading companies is generated, so that the efficiency of ordering to the drug trading company can be improved, and joint purchasing can be achieved. Can reduce costs by realizing the merit of economies of scale, thereby providing a drug prescribing information management system that can support any pharmacy to function as a "home pharmacy" for patients. It works.

According to the eleventh aspect of the present invention,
In the invention according to claim 9 or 10, the ordering information includes subdivision information on the amount required in the dispensing pharmacy and the dispensing pharmacy for each drug, and the drug trading company terminal device includes the subdivision information in the subdivision information. On the basis of, to generate sub-delivery information for sub-delivery of the medicine ordered by the order information for each dispensing pharmacy, it is possible to more efficiently deliver the co-purchased medicine to each pharmacy, As a result, an effect is obtained that a medicine prescription information management system capable of supporting an arbitrary pharmacy to function as a “family pharmacy” for a patient is obtained.

According to the twelfth aspect of the present invention,
The medical institution terminal device, the patient transmits the drug prescription information on the prescription prescribed by the doctor of the one or more medical institutions to the drug prescription information management device via a network, the dispensing pharmacy terminal device, The patient is provided at the one or more dispensing pharmacies, transmits drug information on drugs including over-the-counter drugs to the drug prescription information management device via the network, the drug prescription information management device,
Receiving the medicine prescription information and / or the medicine information; storing the received medicine prescription information and / or the medicine information in association with each patient as medicine history information;
Based on the medicinal history information stored, generate trend information on the prescription amount or the provided amount for each drug, the one or more medical institutions, the one or more dispensing pharmacies or the one or more In the case of a request from a drug trading company, to transmit the generated trend information to the medical institution terminal device, the dispensing pharmacy terminal device or the drug trading company terminal device, many prescriptions have been made in recent medical institutions. You can easily find out the trends of drugs that are available and drugs that are frequently provided by other pharmacies, and can be used as a reference when prescribing, dispensing, and purchasing, so that any pharmacy can be referred to the patient's The effect is obtained that a medicine prescription information management system capable of supporting to function as "" is obtained.

According to the thirteenth aspect of the present invention,
The patient transmits the drug prescription information on the prescription prescribed by a doctor at one or more medical institutions to the drug prescription information management device via the network from the medical institution terminal device,
The patient is provided at one or more dispensing pharmacies, drug information on drugs including over-the-counter drugs, from the dispensing pharmacy terminal device to the drug prescription information management device via the network, the drug prescription information and / Or received the drug information by the drug prescription information management device, based on the received drug prescription information and / or drug history information associated with the drug information for each patient,
Determine the appropriateness of the newly prescribed drug or the drug newly provided to the patient, and when requested by the medical institution or the dispensing pharmacy, if necessary, information on the determined appropriateness To the medical institution terminal device or dispensing pharmacy terminal device from the drug prescription information management device via the network, to the patient what kind of drug is being administered to the patient at a medical institution or another pharmacy, etc. Without confirmation, it is possible to easily know the appropriateness of the drug to be provided, including the simultaneous administration of contraindications / cautions for concomitant use of the drug and the overdose of the same drug, including checking the overdose of the same drug. There is an effect that a medicine prescription information management method capable of supporting the function as a “home pharmacy” can be obtained.

According to the fourteenth aspect of the present invention,
The patient transmits drug prescription information relating to a prescription prescribed by a doctor at one or more medical institutions from the medical institution terminal device to the drug prescription information management device via a network, and the patient has one or more The medicine information on the medicine including the over-the-counter medicine provided at the dispensing pharmacy is transmitted from the dispensing pharmacy terminal device to the medicine prescription information management device via the network, and the medicine prescription information and / or the medicine information is transmitted to the medicine prescription. Based on drug history information received by the information management device, and the received drug prescription information and / or the drug information associated with each patient,
Determine the inventory status of the drug for each dispensing pharmacy, based on the information on the determined inventory status, generate order information on the drug to be ordered to one or more drug trading companies, the generated order information Since the medicine prescription information is transmitted from the medicine prescription information management device to the medicine trading company terminal device via the network, it is possible to omit the trouble of ordering the missing medicine from the medicine trading company at the pharmacy, and exhibit the merits of scale by joint purchasing. As a result, it is possible to reduce the cost, thereby providing an effect of obtaining a medicine prescription information management method capable of supporting an arbitrary pharmacy to function as a “home pharmacy” for a patient.

According to the fifteenth aspect of the present invention,
In the invention according to claim 14, the medicine purchase information is transmitted from the dispensing pharmacy terminal device to the medicine prescription information management device via the network, and the purchase information is received by the medicine prescription information management device, Based on the information on the stock status and / or the received purchase information, order information on the drug to be ordered from the one or more drug trading companies is generated, so that the efficiency of ordering with the drug trading company can be improved. In addition, a drug prescription information management method that can achieve cost reductions by demonstrating the merits of scale by joint procurement, thereby enabling any pharmacy to function as a "home pharmacy" for patients Is obtained.

According to the sixteenth aspect of the present invention,
In the invention according to claim 14 or 15, the order information includes subdivision information on the amount required at the dispensing pharmacy and the dispensing pharmacy for each drug,
Based on the subdivision information, subdivided delivery information for subdivided delivery of the medicine ordered by the ordering information for each dispensing pharmacy is generated, so that the jointly purchased medicine is more efficiently delivered to each pharmacy. As a result, there is an effect that a medicine prescription information management method capable of supporting an arbitrary pharmacy to function as a “family pharmacy” of a patient is obtained.

According to the seventeenth aspect of the present invention,
The patient receives the drug prescription information pertaining to a prescription prescribed by a doctor at one or more medical institutions, from the medical institution terminal device to the drug prescription information management device via the network,
The patient is provided at one or more dispensing pharmacies, drug information on drugs including over-the-counter drugs, from the dispensing pharmacy terminal device to the drug prescription information management device via the network, the drug prescription information and / Or received the drug information by the drug prescription information management device, based on the received drug prescription information and / or drug history information associated with the drug information for each patient,
Generates trend information about the prescribed amount or provided amount for each drug, and when requested by the one or more medical institutions, the one or more dispensing pharmacies or one or more drug trading companies In order to transmit the generated trend information to the medical institution terminal device, the dispensing pharmacy terminal device or the drug trading company terminal device, a lot has been provided in medicines and other pharmacies that are often prescribed in recent medical institutions. You can easily know the trend of the drug you are using and can refer to it when prescribing, dispensing, and purchasing, which can help any pharmacy to function as a "home pharmacy" for patients It is possible to obtain an effective medicine prescription information management method.

According to the eighteenth aspect of the present invention,
There is an effect that a program capable of causing a computer to execute the method according to any one of claims 13 to 17 is obtained.

[Brief description of the drawings]

FIG. 1 is an explanatory diagram showing an outline of a medicine prescription information management system including a medicine prescription information management device according to an embodiment of the present invention.

FIG. 2 is a system configuration diagram showing a configuration of a medicine prescription information management system according to the embodiment of the present invention.

FIG. 3 is a block diagram showing a hardware configuration of a medicine prescription information management device according to the embodiment of the present invention.

FIG. 4 is an explanatory diagram showing a database configuration of the medicine prescription information management device according to the embodiment of the present invention;

FIG. 5 is a functional block diagram showing a functional configuration of the medicine prescription information management device according to the embodiment of the present invention.

FIG. 6 is a functional block diagram showing a functional configuration of an information terminal device (hereinafter, referred to as “medical institution terminal device”) installed in one or a plurality of medical institutions according to the embodiment of the present invention.

FIG. 7 is a functional block diagram showing a functional configuration of an information terminal device (hereinafter, referred to as “dispensing pharmacy terminal device”) installed in one or a plurality of dispensing pharmacies according to the embodiment of the present invention.

FIG. 8 is a block diagram showing a hardware configuration of an information terminal device (hereinafter referred to as “drug trading company terminal device”) installed in one or more drug trading companies according to the embodiment of the present invention.

FIG. 9 is a functional block diagram showing a functional configuration of the terminal device for a pharmaceutical company according to the embodiment of the present invention.

FIG. 10 is a flowchart showing the contents of the operation of the medical institution terminal device according to the embodiment of the present invention.

FIG. 11 is an explanatory diagram showing an example of a display screen of the medical institution terminal device according to the embodiment of the present invention.

FIG. 12 is an explanatory diagram showing another example of the display screen of the medical institution terminal device according to the embodiment of the present invention;

FIG. 13 is an explanatory diagram showing another example of the display screen of the medical institution terminal device according to the embodiment of the present invention.

FIG. 14 is an explanatory diagram showing another example of the display screen of the medical institution terminal device according to the embodiment of the present invention;

FIG. 15 is a flowchart showing the operation of the medicine prescription information management apparatus according to the embodiment of the present invention.

FIG. 16 is a flowchart showing another operation content of the medicine prescription information management apparatus according to the embodiment of the present invention.

FIG. 17 is a flowchart showing the operation of the dispensing pharmacy terminal device according to the embodiment of the present invention.

FIG. 18 is an explanatory diagram showing an example of a display screen of the dispensing pharmacy terminal device according to the embodiment of the present invention.

FIG. 19 is a flowchart showing another operation content of the medicine prescription information management apparatus according to the embodiment of the present invention.

FIG. 20 is a flowchart showing another operation content of the medicine prescription information management device according to the embodiment of the present invention.

FIG. 21 is a flowchart showing another operation content of the medicine prescription information management apparatus according to the embodiment of the present invention.

FIG. 22 is a flowchart showing the operation of the drug company terminal device according to the embodiment of the present invention.

FIG. 23 is a flowchart showing another operation content of the medicine prescription information management apparatus according to the embodiment of the present invention.

[Explanation of symbols]

 100 Drug Prescription Information Center 101 Medical Institution (Hospital / Clinic) 102 User (Patient) 103 Dispensing Pharmacy (Family Pharmacy) 104 Pharmaceutical Trading Company 200 Network 201 Center System (Drug Prescription Information Management Device) 202 Medical Institution Terminal Device 203 Dispensing Pharmacy Terminal device 204 Pharmaceutical trading company system (Drug trading company terminal device) 220 Prescription 221 Facsimile (FAX) 300,800 Bus or cable 301,801 CPU 302,802 ROM 303,803 RAM 304,804 HDD 305,805 HD 306,806 FDD 307 , 807 FD 308,808 Display 309,809 I / F 310 Modem 311 OCR 312,810 KB (Keyboard) 313,811 Mouse 314,812 Scanner 315 813 Printer 401 Insurance price DB (database) 402 Personal master 403 Hospital / clinic master 404 Dispensing pharmacy master 405 Receiving prescription data 406 Personal drug history DB (database) 407 Drug interaction contraindicated DB (database) 408 Delivery prescription data 409 Prescription trend DB (Database) 410 Pharmacy Inventory DB (Database) 501, 601, 701, 901 Reception Unit 502, 602, 702, 902 Transmission Unit 503 Storage Unit 504 Judgment Unit 505 Ordering Information Generation Unit 506 Trend Information Generation Unit 511 First Reception Unit 512 Second receiving unit 513 Purchasing information receiving unit 521 Trend information transmitting unit 522 Proper information transmitting unit 523 Order information transmitting unit 603, 703, 903 Display unit 604, 704, 904 Input unit 605, 705, 905 Output unit 611, 711 Medication history information request unit 612 Drug prescription information input unit 613 Confirmation information input unit 614, 714, 914 Trend information request unit 712 Drug information input unit 713 Purchasing information input unit 714 Trend information request unit 814 In-house LAN 906 Subdivision information extraction part 907 Subdivision delivery information generation part 1100 Menu screen 1111 Patient name input field 1112 ID input field 1113 “medication history information request” button 1114 “prescription information input” button 1200 medicine history information display screen 1300, 1400, 1800 Appropriate information Display screen 1401 "Confirm" button 1402 "Cancel" button

Claims (18)

[Claims] 1. An information terminal device installed in one or more medical institutions (hereinafter referred to as “medical institution terminal device”), an information terminal device installed in one or more dispensing pharmacies (hereinafter “dispensing pharmacy terminal”) Drug prescription information management that can be connected to at least one of information processing devices installed in one or more drug trading companies (hereinafter referred to as “drug trading company terminal devices”) and at least one information processing device. An apparatus, wherein a first receiving means for receiving, via the network, drug prescription information on a prescription from which a patient has been prescribed by a doctor at the one or more medical institutions from the medical institution terminal device, Receives drug information on drugs including over-the-counter drugs provided at the one or more dispensing pharmacies from the dispensing pharmacy terminal device via the network. A second receiving unit that stores the prescription information received by the first receiving unit and the drug information received by the second receiving unit as drug history information in association with each patient Storage means, based on the drug history information stored by the storage means,
Judgment means for judging the suitability of a newly prescribed medicine or a medicine to be newly provided for the patient, and transmitting information on the suitability judged by the judgment means to the medical institution terminal device or the dispensing pharmacy terminal device. Proper information transmitting means, and when the first receiving means or the second receiving means receives information on a drug to be newly prescribed or a drug to be newly provided, or When there is a request from a medical institution or the one or more dispensing pharmacies, if necessary, by the appropriate information transmitting means, the medical institution terminal device or dispensing information on the appropriateness determined by the determining means. A prescription information management device for transmitting to a pharmacy terminal device. 2. The medicine prescription information management device according to claim 1, wherein the appropriate information includes information on a cautionary explanation of the newly prescribed medicine or a medicine to be newly provided. 3. An information terminal device installed in one or more medical institutions (hereinafter referred to as “medical institution terminal device”), an information terminal device installed in one or more dispensing pharmacies (hereinafter “dispensing pharmacy terminal”). Drug prescription information management that can be connected to at least one of information processing devices installed in one or more drug trading companies (hereinafter referred to as “drug trading company terminal devices”) and at least one information processing device. An apparatus, wherein a first receiving means for receiving, via the network, drug prescription information on a prescription from which a patient has been prescribed by a doctor at the one or more medical institutions from the medical institution terminal device, Receives drug information on drugs including over-the-counter drugs provided at the one or more dispensing pharmacies from the dispensing pharmacy terminal device via the network. A second receiving unit that stores the prescription information received by the first receiving unit and the drug information received by the second receiving unit as drug history information in association with each patient Storage means, based on the drug history information stored by the storage means,
Determining means for determining the stock status of the medicine for each of the dispensing pharmacies; and ordering for generating order information regarding the drug to be ordered from the one or more drug trading companies based on the information on the stock status determined by the determining means. A medicine prescription information management device, comprising: an information generation unit; and an order information transmission unit that transmits order information generated by the order information generation unit to the drug trading company terminal device. 4. A dispensing pharmacy terminal device further comprising purchase information receiving means for receiving drug purchase information transmitted via the network for each of the dispensing pharmacy terminal devices, wherein the order information generating means includes information on the stock status and / or 4. The drug prescribing information management device according to claim 3, wherein, based on the procurement information received by the procurement information receiving unit, order information on a drug to be ordered from the drug trading company terminal device is generated. 5. The drug prescription information management device according to claim 3, wherein the order information includes information on the dispensing pharmacy and the amount required at the dispensing pharmacy for each drug. 6. An information terminal device installed in one or more medical institutions (hereinafter referred to as “medical institution terminal device”), an information terminal device installed in one or more dispensing pharmacies (hereinafter “dispensing pharmacy terminal”). Drug prescription information management that can be connected to at least one of information processing devices installed in one or more drug trading companies (hereinafter referred to as “drug trading company terminal devices”) and at least one information processing device. An apparatus, wherein a first receiving means for receiving, via the network, drug prescription information on a prescription from which a patient has been prescribed by a doctor at the one or more medical institutions from the medical institution terminal device, Receives drug information on drugs including over-the-counter drugs provided at the one or more dispensing pharmacies from the dispensing pharmacy terminal device via the network. A second receiving unit that stores the prescription information received by the first receiving unit and the drug information received by the second receiving unit as drug history information in association with each patient Storage means, based on the drug history information stored by the storage means,
A trend information generating unit that generates trend information on a prescription amount or a supply amount for each medicine; and the medical institution terminal device, the dispensing pharmacy terminal device, or the drug trading company terminal device that stores the trend information generated by the trend information generating unit. A trend information transmitting means for transmitting to the one or more medical institutions, the one or more dispensing pharmacies or the one or more drug trading companies, when there is a request, the trend information A prescription information management device for transmitting trend information generated by transmission means to the medical institution terminal device, the dispensing pharmacy terminal device or the drug trading company terminal device. 7. The medicine prescription information is image information, and the first receiving means has an OCR function for converting the received image information into character information. 6. The drug prescription information management device according to any one of 6. 8. An information terminal device installed in one or more medical institutions (hereinafter referred to as “medical institution terminal device”), an information terminal device installed in one or more dispensing pharmacies (hereinafter “dispensing pharmacy terminal”). Device) and at least one information processing device installed in one or more drug trading companies (hereinafter referred to as “drug trading company terminal device”), and a drug prescription information management device, A drug prescription information management system connectable via a network, wherein the medical institution terminal device transmits, via the network, drug prescription information on a prescription for which a patient has been prescribed by a doctor at the one or more medical institutions. The dispensing pharmacy terminal device transmits the drug to the drug prescription information management device, and the dispensing pharmacy terminal device relates to the drug, including a marketed drug, provided by the patient at the one or more dispensing pharmacies. Transmitting the medicine prescription information to the medicine prescription information management device via the network, the medicine prescription information management apparatus receiving the medicine prescription information and / or the medicine information, and receiving the medicine prescription information and / or The drug information is stored in association with each patient as drug history information, and based on the stored drug history information, the appropriateness of a newly prescribed drug or a drug newly provided to the patient is determined. When there is a request from the medical institution or the dispensing pharmacy, if necessary, information on the determined appropriateness is transmitted to the medical institution terminal device or the dispensing pharmacy terminal device, and the drug prescription information Management system. 9. An information terminal device installed in one or more medical institutions (hereinafter referred to as “medical institution terminal device”), an information terminal device installed in one or more dispensing pharmacies (hereinafter “dispensing pharmacy terminal”). Device) and at least one information processing device installed in one or more drug trading companies (hereinafter referred to as “drug trading company terminal device”), and a drug prescription information management device, A drug prescription information management system connectable via a network, wherein the medical institution terminal device transmits, via the network, drug prescription information on a prescription for which a patient has been prescribed by a doctor at the one or more medical institutions. The dispensing pharmacy terminal device transmits the drug to the drug prescription information management device, and the dispensing pharmacy terminal device relates to the drug including the over-the-counter drug provided by the patient at the one or more dispensing pharmacies. Transmitting the medicine prescription information to the medicine prescription information management device via the network, the medicine prescription information management apparatus receiving the medicine prescription information and / or the medicine information, and receiving the medicine prescription information and / or The medicine information is stored as medicine history information in association with each patient, and the stock status of the medicine for each dispensing pharmacy is determined based on the stored medicine history information. A medicine prescription information management system, which generates order information on a medicine to be ordered from the one or more medicine trading companies based on the information, and transmits the generated order information to the medicine trading company terminal device. 10. The dispensing pharmacy terminal device further transmits drug purchase information to the drug prescription information management device via the network, and the drug prescription information management device transmits information on the stock status and / or Based on the received purchase information,
The medicine prescription information management system according to claim 9, wherein order information on medicines to be ordered from the one or more medicine trading companies is generated. 11. The ordering information includes subdivision information on the amount required at the dispensing pharmacy and the dispensing pharmacy for each drug, and the drug trading company terminal device, based on the subdivision information,
The medicine prescription information management system according to claim 9 or 10, wherein sub-delivery information for sub-delivery of the medicine ordered according to the order information for each dispensing pharmacy is generated. 12. An information terminal device installed in one or a plurality of medical institutions (hereinafter referred to as “medical institution terminal device”),
Information terminal devices installed in one or more dispensing pharmacies (hereinafter referred to as "dispensing pharmacy terminal devices") and information terminal devices installed in one or more drug trading companies (hereinafter referred to as "pharmacy trading company terminal devices") At least one of the information processing device and the drug prescription information management device is a drug prescription information management system connectable via a network, wherein the medical institution terminal device is configured such that a patient has the one or more medical devices. The medicine prescription information concerning the prescription prescribed by the doctor of the institution is transmitted to the medicine prescription information management device via the network, and the dispensing pharmacy terminal device is provided, wherein the patient is provided at the one or more dispensing pharmacies. Transmitting medicine information on medicines including over-the-counter medicines to the medicine prescription information management device via the network, Receiving the drug prescription information and / or the drug information, storing the received drug prescription information and / or the drug information in association with each patient as drug history information, and storing the received drug prescription information and / or the drug information based on the stored drug history information Generating trend information on a prescribed amount or a provided amount for each of the medicines, wherein there is a request from the one or more medical institutions, the one or more dispensing pharmacies, or the one or more medicine trading companies In this case, the prescription information management system transmits the generated trend information to the medical institution terminal device, the dispensing pharmacy terminal device, or the drug trading company terminal device. 13. An information terminal device (hereinafter referred to as “medical institution terminal device”) installed in one or a plurality of medical institutions.
Information terminal devices installed in one or more dispensing pharmacies (hereinafter referred to as "dispensing pharmacy terminal devices") and information terminal devices installed in one or more drug trading companies (hereinafter referred to as "pharmacy trading company terminal devices") A drug prescription information management method in a drug prescription information management system in which at least any one of the information processing device and the drug prescription information management device is connectable via a network, wherein the patient has one or more medical institutions. A step of transmitting drug prescription information on a prescription prescribed by a doctor from the medical institution terminal device to the drug prescription information management device via the network, and wherein the patient is provided at the one or more dispensing pharmacies In addition, the medicine information on medicines including over-the-counter medicines can be managed by the medicine prescription information management via the network from the dispensing pharmacy terminal device. Transmitting the medicine prescription information and / or the medicine information by the medicine prescription information management device; and a medicine in which the received medicine prescription information and / or the medicine information are associated for each patient. Based on the history information, a step of judging the suitability of the newly prescribed drug or the newly provided drug to the patient, and, if requested by the medical institution or the dispensing pharmacy, as necessary And transmitting information on the determined suitability from the drug prescription information management device to the medical institution terminal device or the dispensing pharmacy terminal device via the network. . 14. An information terminal device (hereinafter, referred to as “medical institution terminal device”) installed in one or more medical institutions,
Information terminal devices installed in one or more dispensing pharmacies (hereinafter referred to as "dispensing pharmacy terminal devices") and information terminal devices installed in one or more drug trading companies (hereinafter referred to as "pharmacy trading company terminal devices") A drug prescription information management method in a drug prescription information management system in which at least any one of the information processing device and the drug prescription information management device is connectable via a network, wherein the patient has one or more medical institutions. A step of transmitting drug prescription information on a prescription prescribed by a doctor from the medical institution terminal device to the drug prescription information management device via the network, and wherein the patient is provided at the one or more dispensing pharmacies In addition, the medicine information on medicines including over-the-counter medicines can be managed by the medicine prescription information management via the network from the dispensing pharmacy terminal device Transmitting the medicine prescription information and / or the medicine information by the medicine prescription information management device; and a medicine in which the received medicine prescription information and / or the medicine information are associated for each patient. Determining the stock status of the medicine for each of the dispensing pharmacies based on the history information; and generating order information regarding the medicine to be ordered from the one or more drug trading companies based on the determined information on the stock status. And transmitting the generated ordering information from the drug prescription information management device to the drug trading company terminal device via the network. 15. A step of transmitting medicine purchase information from the dispensing pharmacy terminal device to the medicine prescription information management apparatus via the network, and a step of receiving the purchase information by the medicine prescription information management apparatus; Generating, based on information on inventory status and / or the received procurement information, ordering information on drugs to order from the one or more drug trading companies. Drug prescription information management method described in 4. 16. The order information includes subdivision information on the amount required at the dispensing pharmacy and the dispensing pharmacy for each drug, and based on the subdivision information, the drug ordered by the order information, 16. The medicine prescription information management method according to claim 14, further comprising a step of generating sub-delivery information for sub-delivery for each dispensing pharmacy. 17. An information terminal device installed in one or a plurality of medical institutions (hereinafter referred to as “medical institution terminal device”),
Information terminal devices installed in one or more dispensing pharmacies (hereinafter referred to as "dispensing pharmacy terminal devices") and information terminal devices installed in one or more drug trading companies (hereinafter referred to as "pharmacy trading company terminal devices") A drug prescription information management method in a drug prescription information management system in which at least any one of the information processing device and the drug prescription information management device is connectable via a network, wherein the patient has one or more medical institutions. A step of transmitting drug prescription information on a prescription prescribed by a doctor from the medical institution terminal device to the drug prescription information management device via the network, and wherein the patient is provided at the one or more dispensing pharmacies In addition, the medicine information on medicines including over-the-counter medicines can be managed by the medicine prescription information management via the network from the dispensing pharmacy terminal device. Transmitting the medicine prescription information and / or the medicine information by the medicine prescription information management device; and a medicine in which the received medicine prescription information and / or the medicine information are associated for each patient. Based on history information, a step of generating trend information on the prescription amount or provided amount for each drug, the one or more medical institutions, the one or more dispensing pharmacies or the one or more drug trading companies And a transmitting step of transmitting the generated trend information to the medical institution terminal device, the dispensing pharmacy terminal device or the drug trading company terminal device when a request is received from a medical prescription. Information management method. 18. A program for causing a computer to execute the method according to any one of claims 13 to 17.