JP2003150711A - Electronic drug history system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an electronic drug history system which can be used for proper patient compliance instruction and which is useful for preventing a medical accident, etc., by having excellent looking and reading property. SOLUTION: The electronic drug history system 1 is provided with an input means 12 for inputting contents about the drug history of each patient written in a prescription, a drug history entering tag, etc., a copying means 13 for preparing the copied images of the prescription and the drug history entering tag, a storage means 111, a control means for shortening information on the drug history inputted by the input means 12, and prepared by the copying means 13 and storing and retaining it in the storage means 111, a selection means 15 for selecting succeeding information desired to be succeeded to prescription of next time in the information stored in the storage means 111, and a display means 14. When the identification information of each patient is inputted, the control means 112 extracts the succeeding information corresponding to the patient selected by the selection means 15 from the storage means 111, and displays it on the display means 14.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an electronic drug history system, and in particular, it is excellent in readability and provides appropriate medication instruction when performing this medication while referring to the medication history up to the previous medication. The present invention relates to an electronic drug history system which is useful for preventing medical accidents and the like in advance.

[0002]

2. Description of the Related Art Generally, in an insurance pharmacy, various medicines are prepared based on a prescription issued by an insurance doctor and administered to a patient, that is, dispensing is carried out. Insurance pharmacist (hereinafter simply referred to as pharmacist) when administering a drug
Is a detailed description of the dispensing fee based on the prescription: drug fee, basic dispensing fee, dispensing technology addition fee such as home-made agent / measuring mixed dispensing addition, drug history management / instruction fee, etc., and their partial contributions. It is obliged to make a dispensation record based on Article 16 of the Ordinance for Enforcement of the Pharmacist Law and Article 28, Paragraph 2 of the Pharmacist Law, and keep it for three years from the day it is dispensed.

On the other hand, in addition to the above-mentioned dispensation record, the insurance pharmacy prepares and stores a drug history record for recording in chronological order what kind of medicine and what kind of medicine was prescribed to the patient.
It must be used properly during medication. More specifically, in a dispensing instruction sheet output from a so-called receipt computer (a computer for making a receipt for an insurance pharmacy), a medication history entry form is created in which the details of checks regarding special instruction items and the medication instruction record described below are described. It is used as a medication history record by accumulating and saving the medication history entry form and prescription. (1) Patient's name, date of birth, sex, code number of insured person, address, etc. about the patient, (2) Prescription medical institution name, insurance doctor name, prescription Record of prescription such as date, prescription content, (3) Dispensing date, record of dispensing such as points of inquiry about prescription content, (4) Record of patient profile such as patient constitution, allergy history, side effect history, etc. (5) The patient's medication instruction items, and (6) the name of the instructing insurance pharmacist must be entered. In addition, the records of the drug history record are required to be kept and managed so that all records of the same patient can be referred to immediately when necessary, and must be kept for 3 years from the date of the last record. ing. Furthermore, depending on the prescription demand, the patient's medication status, changes in physical condition during medication, presence of symptoms suspected of side effects, presence of allergies, presence of consultation with other medical institutions, information on concomitant medications (including over-the-counter medications), food and drink Collect information by listening to patients for items (these seven items are referred to as special guidance items) regarding the collection status of objects (which are those that have been observed to interact with the drug that the patient is currently taking). Based on the information and records of the above, it is desired to provide medication instruction for proper use of the administered drug.

In order for the pharmacist to appropriately administer such medication instruction, it is effective to refer to the drug history record of the patient up to the previous administration, but the pharmacist should provide medication instruction. Are subject to the payment of dispensing fees to the pharmacist, and in order to receive such dispensing fees, the pharmacist must record and save the content of the medication instruction given to the patient. . Also,
At a later date, it may be possible to receive guidance, inspection, etc. from the supervisory authority as appropriate. Therefore, the pharmacist teaches the patient himself,
In order to objectively clarify what was recorded, the content of the medication instruction (medication guidance record) is recorded by hand on a medication history entry form on the paper, and handwritten with the medication history entry form and prescription, etc. It is customary to create a drug history register.

However, in order to provide proper medication instruction in the insurance pharmacy, when referring to the drug history record up to the last time of medication, it is necessary to turn over the paper after searching the drug history record of the corresponding patient. It takes time and effort not to become. In particular, if there is a change in the pharmacist in charge between the previous administration and this administration, the pharmacist in charge of the previous administration should ask the patient questions and guidance during this administration. In particular, take over the transfer information that you should be careful of when giving medication instructions.
There is a possibility that it may not be possible to communicate well to the pharmacist in charge at the time of medication this time on paper, and it may lead to a medical accident, etc., because proper medication instruction cannot be given.

[0006]

DISCLOSURE OF THE INVENTION The present invention has been made to solve the above-mentioned conventional problems, and when performing this medication while referring to the medication history up to the time of the previous medication,
It is an object of the present invention to provide an electronic drug history system which is excellent in readability and can be used for proper medication instruction and is also useful for preventing medical accidents.

In order to solve such a problem, the present invention provides an input means for inputting the contents relating to the medication history of each patient described in a prescription and a medication history entry form, and a copy image of the prescription and the medication history entry form. A copy means to be created, a storage means, a control means for collectively storing the information about the drug history input by the input means or created by the copy means for each patient in the storage means, and the storage means. Of the stored information, a selection means for selecting the transfer information desired to be transferred to the next medication and a display means are provided, and the control means, when the identification information of each patient is input, the selection means. The electronic drug history system is characterized in that the transfer information corresponding to the patient selected by is extracted from the storage means and displayed on the display means.

According to the present invention, the transfer information selected by the selection means is extracted and displayed from the drug history information collected for each patient, so that the medicines up to the previous administration In giving medication instruction while referring to the history,
It is possible to expose the handing-over information that requires special attention, provide appropriate medication guidance, and help prevent medical accidents. In addition, since the medication history information consisting of prescriptions and medication history entry forms and copy images is collected and digitized for each patient and stored, it is quick and appropriate unlike the conventional paper format. It is possible to refer to the medication history.

As the takeover information, for example,
(1) Guidance items (contents that are described in the medication instruction record of the medication history entry form, etc., which you want to confirm or instruct the patient at the time of the next medication), (2) Special guidance items, (3) Previous prescription and this prescription Included in each patient's prescription in addition to information directly related to each patient's prescription and description of the medication history entry form, such as the content of comparison with (4) a copy of the medication history entry form and (5) a copy of the prescription form. (6) PEM information, (7) DEM information, regarding
(8) Near-miss information (drug information that may cause serious harm to the patient if wrong medication is administered), (9) Patient information summary (patient questionnaire, prescription history, medical history (existing disease), patient characteristics , Means a summarized patient information, which is useful for an overview such as a device for dispensing, judgment of a pharmacist, etc.).

Preferably, the control means recognizes the identification number displayed on the copy image of the medication history entry form created by the copying means, and writes the medication history as the information of the patient corresponding to the identification number. A copy image of the vote is stored in the storage means.

According to this invention, it is possible to automatically recognize which patient the copied image of the medication history entry form created by the copying means corresponds to, based on the identification number displayed on the copied image. Therefore, it is not necessary to separately input patient information when storing and storing the copy image, and it is possible to reduce the time and effort of inputting information.

Preferably, the control means recognizes the check content of the special instruction matter displayed on the copy image of the medication history entry form created by the copy means, and the check content is stored as digital data in the storage means. It is configured to store in memory.

According to this invention, the check content of the special instruction items (each of the seven special instruction items is changed from the time of the previous medication instruction based on the copy image of the medication history entry form created by the copying means). There was no change from the last time I was instructed to take medication, I did not hear it,
(Which means the result of checking which of the above) is automatically recognized and stored and saved as digital data. Since it is not necessary to input as, it is possible to reduce the trouble of inputting information.
In this way, by converting the check contents of special instruction items into digital data, it can be used as statistical data of pharmacoimmunology, and for example, the interval between hearing special instruction items from the patient is preset by the control means. However, if the check content says that you did not listen (above) even after the interval date, a warning will be issued,
It may be arranged to call attention as if listening.

[0014] Preferably, the handover information includes information comparing the content of the prescription at the time of the previous medication with the content of the prescription at the time of the current medication.

According to this invention, for example, on the premise that the patient is a prescription of the same medical institution and the same medical department, the content of the prescription at the time of the previous administration and the content of the prescription at the time of the current administration are: Information such as drugs that have been compared and deleted, drugs that were newly prescribed, drugs that have been prescribed in the past, drugs that were added again this time, drugs that were changed from the same efficacy group, etc. will be displayed as transfer information Become. Therefore, by visually recognizing such takeover information,
It is possible to give medication instructions paying particular attention to the difference between the content of the prescription at the time of the previous medication and the content of the prescription at the time of this medication, as well as the description error of the prescription due to the clear change in the prescription. It is also useful for preventing medical accidents caused by.

[0016]

DETAILED DESCRIPTION OF THE INVENTION An embodiment of the present invention will be described below with reference to the accompanying drawings. FIG. 1 is a schematic configuration diagram of an electronic drug history system according to an embodiment of the present invention. As shown in FIG. 1, the electronic drug history system 1 according to this embodiment includes a system body 11, an input unit 12, a copying unit 13, a display unit 14, and a selecting unit 15. The system main body 11 includes a storage unit 111 and a control unit 112.

The system main body 11 can be constructed by using a general-purpose computer such as a personal computer or a workstation. The system body 11 includes a storage unit 111 including a hard disk and a control unit 112 including a CPU and a memory.

The input means 12 is a means for inputting the contents relating to the medication history of each patient described in the prescription and the medication history entry form, and for example, the pharmacist looks at the prescription and the medication history entry form, and enters the information. It consists of a keyboard for key input.

The copying means 13 is means for making a copy image of the prescription and the medication history entry form, and is composed of, for example, an image scanner.

The display means 14 is means for displaying electronic drug history and transfer information, which will be described later, on a screen, for example, a CRT.
And LCD monitor.

The selecting means 15 is means for selecting takeover information, which will be described later, among the information stored in the storage means 111, and is composed of a pointing device such as a mouse.

The input unit 12, the copying unit 13, the display unit 14, and the selecting unit 15 having the above-mentioned configuration are electrically connected to the system main body 11.

The control means 112 of the system main body 11 is programmed so that the digital information regarding the drug history inputted by the input means 12 or created by the copying means 13 is stored in the storage means 111 together for each patient. There is. In other words, the input means 12 and the copying means 1
The information about the medication history acquired through 3 is stored in the storage means 111 as an electronic medication history for each patient. The control unit 112 is configured to display a predetermined menu screen or input screen on the display unit 14 when the input unit 12 makes an input and the copy unit 13 makes a copy image. Information regarding the medication history may be appropriately input according to the screen and the like.

FIG. 2 shows an example of an input / display screen for "instruction items" displayed on the display means 14. As shown in FIG.
On this screen, an input field 141 for inputting, through the input means 12, a guidance matter that means a matter to be confirmed or instructed to the patient at the time of the next medication, and the guidance matter input in the input field 141 is stored in the storage means 111. A “registration button” 142 for performing and a display field 143 for displaying the stored and saved instruction items are provided. When inputting the guidance item, after inputting the guidance item in the input field 141 and then clicking the “register button” 142, the guidance item is stored and stored in the storage means 111 as information regarding the medication history of the patient. Become.

The selection means 15 is used to select, from the electronic drug history stored in the storage means 111, the transfer information desired to be transferred to the next medication. Here, as the takeover information that can be selected, (1) guidance items as described above,
(2) Special instructions, (3) Details of comparison between previous prescription and current prescription, (4) Copy image of medication history entry form, (5) Copy image of prescription, (6) PEM information, (7) DEM information In addition to (8) near-miss information, (9) patient information summary, in the present embodiment, a copy image of a patient questionnaire (questionnaire regarding a medical history to be given to a new patient) can be created by the copying means 13. Is configured as such (10)
A copy of the patient questionnaire can also be selected as the transfer information.

The input field 141 will be described with reference to the screen shown in FIG. 2 as an example of the method for selecting the transfer information.
If it is desired to take over the guidance items input to the next time the medication is taken, the "takeover" check box 144 provided on this screen is checked by the selection means 15 such as a mouse, and then the "register" button 142 is clicked. . As a result, the guidance item input in the input field 141 is selected as the handover information for the next medication, and the selected fact is also stored in the storage unit 111. In this way, at the stage of inputting information regarding medication history (instruction items in FIG. 2) for storage and storage, it is possible to easily select whether or not to use the input information as transfer information.

In FIG. 2, the selection method has been described by taking the guidance items as an example among the takeover information, but depending on the type of the takeover information, control may be performed without checking the check boxes as described above. The means 112 may be automatically selected as the takeover information. In this case, the control means 112 also has the function of the selection means 15. For example, as for the content of the comparison between the previous prescription and the present prescription (3) described above, if there is a difference between the previous prescription and the present prescription, it is automatically selected as the transfer information. Others (6)
Regarding the PEM information, (7) DEM information, and (8) near-miss information, if the information is related to the drug contained in the prescription of the patient, it will be automatically selected as the transfer information. As described above, of the information on the medication history of each patient stored in the storage unit 111, the takeover information desired to be taken over to the next medication is selected.

Next, the control means 111 inputs patient identification information (ID number, etc.) at the time of the current medication (corresponding to the next medication based on the time point of input of medication history information / selection of transfer information). In this case, the transfer information corresponding to the patient is extracted from the storage unit 111 and displayed on the display unit 14.

FIG. 3 shows an example of a display screen of takeover information.
As shown in FIG. 3, in the present embodiment, the takeover information list display window 145 is configured to be popup-displayed as an active window, and the takeover information can be reliably transmitted. It should be noted that in the takeover information list display window 145 according to the present embodiment, all items that may be selected as takeover information are listed, and if there is actually takeover information for each item, that fact is displayed. A display unit 146 is provided.
In addition, in order to confirm the content of the takeover information, a screen (for example, the display column 143 in FIG. 2) for browsing the takeover information may be activated.

As described above, the transfer information includes the contents of comparison between the previous prescription and the present prescription. More specifically, assuming that the prescription is for the same medical institution and the same clinical department for the patient, the content of the prescription at the time of the previous medication and the content of the prescription at the time of the current medication are automatically controlled by the control unit 112. Compared to, the drug that was deleted (blue), the drug that was newly prescribed (red), the drug that was previously prescribed and was added again this time (purple), the drug that was changed from the same efficacy group (green) ) Etc.,
These pieces of information are configured to be displayed in different colors as handover information. Therefore, by visually observing such hand-over information, it is possible to give medication instruction paying particular attention to the difference between the content of the prescription at the time of the previous medication and the content of the prescription at the time of this medication, and to describe the prescription. It also helps prevent medical accidents caused by mistakes.

As described above, according to the electronic drug history system 1 according to the present embodiment, the selection means 15 (the control means 112 also has this function) among the drug history information collected for each patient. It is configured to extract and display the transfer information selected according to (1), so when taking medication instruction while referring to the medication history up to the last medication,
It is possible to expose the handing-over information that requires special attention, provide appropriate medication guidance, and help prevent medical accidents. In addition, since the medication history information consisting of prescriptions and medication history entry forms and copy images is collected and digitized for each patient and stored, it is quick and appropriate unlike the conventional paper format. It is possible to refer to the medication history.

Here, the control means 112 is the copying means 13
The identification number (for example, the reception number) displayed on the copy image of the medication history entry form created by the above is recognized, and the copy image of the medication history entry form is stored in the storage means 111 as the patient information corresponding to the identification number. It is configured to store in memory.

FIG. 4 shows an example of a medication history entry form. As shown in FIG. 4, in the upper part of the medication history entry form, records of the patient such as the patient's name and date of birth, the name of the prescribing medical institution,
A record of prescription such as insurance doctor name and prescription date, in addition to the prescription content and dispensing information in the lower row,
At the top, there is provided a reception number display field 2 that functions as an identification number associated with each patient.

After making a copy image of the medication history entry form described above by the copying means 13, the controlling means 1
12 is a reception number (see FIG. 4) described in the reception number display column 2.
In this example, “18”) is recognized. Here, since the reception number display column 2 is positioned within a predetermined range, the reception number can be easily recognized by using existing character recognition software or the like. Since the recognized reception number is associated with the patient in advance, the copy image of the medication history entry form is stored and stored in the storage unit 111 as the information of the patient corresponding to the reception number.

As described above, which patient the copy image of the medication history entry form prepared by the copying means 13 corresponds to is identified based on the identification number (the reception number in this embodiment) displayed on the copy image. Since the information is automatically recognized, it is not necessary to input patient information separately when storing and storing the copy image, and it is possible to reduce the time and effort required for inputting information.

Further, the control means 112 recognizes the check contents of the special instruction items displayed on the copy image of the medication history entry form created by the copying means 13, and stores the check contents in the storage means 111 as digital data. It is configured to store.

As shown in FIG. 4, in the middle of the medication history entry form, (1) medication status, (2) physical condition change, (3) side effect,
Each of the 7 special instructions for (4) allergies, (5) other medical institutions, (6) concomitant medications, and (7) food and drink has changed since the last medication instruction ("Yes" in the figure). It corresponds to a check box), there was no change since the last time medication was instructed (corresponding to the "No" check box in the figure), or did not listen (corresponding to the "No" check box in the figure). A special instruction item check box 3 for checking whether or not is provided. In the example shown in FIG. 4, only "change in physical condition" is changed ("Yes")
Means that the other checkboxes have not been changed (the “none” checkbox has been marked black).
In addition, in the special guidance item check column 3, a black marker group 31 vertically arranged and a black marker group 32 horizontally arranged are displayed for the purpose of recognizing the check contents described later.

After making a copy image of the medication history entry form described above by the copying means 13, the control means 1
12 recognizes the check contents described in the special guidance item check column 3.

FIG. 5 is an explanatory diagram for explaining the method of recognizing the check contents. As shown in FIG. 5, when recognizing the check contents, first, the copy positions of the vertical marker group 31 and the horizontal marker group 32 positioned within a predetermined range are binarized. And the intersections of the markers forming the marker group 31 and the markers forming the marker group 32 are sequentially calculated. Next, a bit pattern (white:
0, black: 1) is recognized, and when the number of blacks is large, it is recognized that the check box located at the intersection is marked black.

The check contents recognized as described above are stored and stored in the storage means 111 as digital data. As described above, the check contents of the special instruction items are automatically recognized based on the copy image of the medication history entry form created by the copying means 13 and stored as digital data. It is not necessary to visually check the check contents of the given special instruction items and input them as digital data, and it is possible to reduce the trouble of inputting information. In this way, by converting the check contents of the special instruction items into digital data, it can be utilized as statistical data of pharmacoimmunology, and for example, the control means 11 controls the interval between hearing of the special instruction items from the patient.
It is also possible to set it in advance in 2 and issue a warning and call attention if the check content is that the listener did not hear even after the interval day.

[0041]

As described above, according to the electronic drug history system according to the present invention, the transfer information selected by the selecting means is extracted and displayed from the drug history information collected for each patient. Since it is configured as described above, it is possible to reveal the hand-over information that requires special attention when giving medication guidance while referring to the medication history up to the last medication, and to provide appropriate medication guidance. It also helps prevent medical accidents. In addition, since the medication history information consisting of the contents written on the prescription and the medication history entry form and a copy image is collected and digitized and stored for each patient, unlike the conventional paper format, the medication can be quickly delivered. It is possible to refer to the history.

[Brief description of drawings]

FIG. 1 is a schematic configuration diagram of an electronic drug history system according to an embodiment of the present invention.

FIG. 2 is an example of an input / display screen of “instruction matter” displayed on the display unit of FIG. 1.

FIG. 3 shows an example of a screen for displaying takeover information.

FIG. 4 shows an example of a medication history entry form.

FIG. 5 is an explanatory diagram for explaining a check content recognition method.

[Explanation of symbols]

DESCRIPTION OF SYMBOLS 1 ... Electronic drug history system 12 ... Input means 13 ... Copying means, 14 ... Display means 15 ... Selection means 111 ... Storage means 112 ... Control means

   ─────────────────────────────────────────────────── ─── Continued front page    (72) Inventor Yumoto Matsumoto             1097 Tatemachi, Hachioji City, Tokyo Hachi Co., Ltd.             Oji Pharmaceutical Center F-term (reference) 4C341 LL30

Claims (4)

[Claims] 1. An input means for inputting the content relating to the medication history of each patient described in a prescription and a medication history entry form, a copy means for creating a copy image of the prescription and the medication history entry form, and a storage means. Control means for storing information on the drug history input by the input means or created by the copying means for each patient in the storage means and storing the information in the storage means; A selection unit for selecting the transfer information desired to be transferred to the display unit, and a display unit, wherein the control unit, when the identification information of each patient is input,
An electronic drug history system, wherein transfer information corresponding to the patient selected by the selecting means is extracted from the storage means and displayed on the display means. 2. The control means recognizes the identification number displayed on the copy image of the medication history entry form created by the copying means, and the medication history entry form as patient information corresponding to the identification number. The electronic drug history system according to claim 1, wherein a copy image of the electronic drug history is stored in the storage means. 3. The control means recognizes the check content of the special instruction matter displayed on the copy image of the medication history entry form created by the copy means, and stores the check content in the storage means as digital data. The electronic drug history system according to claim 1, wherein the electronic drug history system is stored and stored. 4. The transfer information includes information obtained by comparing the content of a prescription at the time of the previous medication with the content of a prescription at the time of the current medication. Electronic drug history system.