JP2004110532A - Medical prescription creating system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a system for simplifying a prescription of individual medicine and injection drug, and simply and systematically inputting and processing unified wrapper of some medicine, nurse management and complicated infusion by introducing a means for grouping medicine and injection drug by each usage to handle them. <P>SOLUTION: In this medical prescription creating system, a medical prescription is input/created using an electronic means. The system includes: a used material classifying and recording means for previously classifying and recording used material like a tree; a tree display means for displaying the contents recorded in the used material classifying and recording means in a tree structure; a select means for selecting a necessary used material from the tree display means; and a material for use input means for inputting the material selected by the select means. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a medical prescription creation system for inputting and processing medical instructions and prescriptions.
[0002]
[Prior art]
In prescribing a drug, it is necessary to issue a prescription specifying the name of the drug, the daily dose, the number of doses, the dose time, and the number of administration days. Usually, it is described according to usage, but even for the same three doses, complicated designations are required after each meal, before each meal, between meals, after breakfast and dinner and before sleep. Further, in the case of a patient with dementia, it is necessary to pack the medicines to be taken together into one bag for each dose. Nurse management may ensure the safety of drugs that may be dangerous if mistakenly swallowed by a sleeping pill of a hospitalized patient.
In the prescription of infusion, it is necessary to indicate the base for infusion, the name of the injection medicine to be co-injected, the dosage, etc., for each administration route and for each time. In an intensive care unit or the like, infusions of various compositions are performed at a fixed time from a plurality of infusion routes such as both arms, both lower limbs, and subclavian veins. In the same drip route, while injecting 500 ml to 1000 ml called an infusion base by infusion, injecting an injection drug diluted in 20 ml of physiological saline from a side tube, or injecting a small infusion of about 100 ml called a piggy bag into a drip. Rinse with the base.
Many medical institutions use prescriptions handwritten on paper, but it is necessary to repeat handwriting of all written items every time a prescription is given, and there is a danger of medical accidents due to the difficulty in reading handwritten characters For this reason, the introduction of so-called electronic medical records, which perform electronic input and processing, is being promoted.
[0003]
In the conventional prescription system for electronic medical records, since many drugs and injections are based on the input of kana, it is difficult to search for the same medicinal effect even if the product name is different, making entry difficult. Not a few things. Physicians have strongly requested to prescribe by selecting from a list of medicines and injections with the same medicinal effect, but there has been no response to this.
Ordering is more useful if it is linked not only with the medical billing system but also with an inventory management system.However, in the conventional ordering system, instructions for medical practices and consumables for which billing is not approved are not implemented properly, and There was a disadvantage that the systemization was limited.
When the prescription is repeated regularly, some drugs or injections may be temporarily unnecessary for some reason. At this time, in the conventional prescription input system, the medicine or the injection has to be deleted from the prescription list. In this case, it has been experienced that at the time of the next regular prescription, mistakes that the originally required medicines and injections are not restored and remain deleted are frequently generated.
[0004]
In the prescription of drugs, it is necessary to specify items such as daily dose, number of doses, time of taking, and number of days for each drug. In pediatrics, it is necessary to adjust the dose according to the weight of the child. These inputs required a great deal of time.
In addition, the input list is for simply inputting a list of individual medicines or injection medicines, and is not for managing groups that require processing such as the same packaging and mixing by group. For this reason, there are drawbacks in that drugs with different usages are mixed, and it is difficult to give instructions for packaging and nursing management, and it is difficult to understand.
In the pharmacy dispensing business, there is a task of preparing and packaging medicines for each usage, and grouping them together for injections used at the same time, but since prescriptions are not grouped by usage, it is necessary to distribute them manually. There was a lot of effort.
In the case of intravenous drip, it is difficult to systematize instructions for each route and time, and it is complicated to check out when injecting medicines from pharmacies and receiving them in hospital wards.
The prescription entered with much effort was not reused, and the prescription of another patient had to be repeated from the beginning.
[0005]
[Problems to be solved by the invention]
The present invention has been made in order to solve such conventional problems, and aims to simplify the prescription of individual drugs and injectable drugs, and to group drugs and injectable drugs into groups according to usage. It is an object of the present invention to provide a system that can easily and systematically input and process one package, nurse management, complicated infusions, and the like by introducing means for handling separately.
[0006]
[Means for Solving the Problems]
2. A medical prescription creating system according to claim 1, wherein said medical prescription is inputted and created by electronic means as means for achieving said object. Used material classification recording means for classifying and recording used materials in a form, tree display means for displaying the contents recorded in the used material classification recording means along a tree structure, and selecting necessary materials from the tree display means And use material input means for inputting the use material selected by the selection means.
[0007]
According to a second aspect of the present invention, there is provided a medical prescription creating system for inputting and creating a medical prescription using electronic means, comprising a use material input means for inputting a use material. The used material input means includes a pause flag input means for enabling input of a pause flag that is not executed only this time.
[0008]
In the medical prescription creation system according to the third aspect, in the medical prescription creation system according to any one of the first and second aspects, a standard dosage is recorded for each material, and this is called up for easy operation. A standard dosage recording means for each material which enables input is provided.
[0009]
In the medical prescription creation system according to the fourth aspect, in the medical prescription creation system according to any one of the first to third aspects, a code for a billing computer, consumables used in association therewith, and the like are recorded for each material. In addition, there is provided a material management unit that can be linked with a medical billing system or an inventory management system by calling this.
[0010]
In the medical prescription creation system according to the fifth aspect, in the medical prescription creation system according to any one of the first to fourth aspects, a patient condition input means such as an age or a body weight and a standard dose according to the age or the body weight are recorded. The apparatus further comprises a standard dosage recording means for each material, and a standard dose calculating means for calculating a standard dose from the age or weight of the patient.
[0011]
According to a sixth aspect of the present invention, there is provided a medical prescription creating system for inputting and creating a medical prescription using electronic means, comprising a use material input means for inputting a use material. And a group creating means for organizing a list of used materials into groups according to usage.
According to a seventh aspect of the present invention, there is provided the medical prescription creation system according to the sixth aspect, wherein the group creation means includes group attribute input means for inputting a group attribute.
[0012]
In the medical prescription creation system according to the eighth aspect, in the medical prescription creation system according to any one of the sixth to seventh aspects, in the group creation means, 1) the use of the input material is automatically performed in accordance with the usage. 2) The prescriber specifies the group to which the used material belongs. 3) Automatically creates a group based on the attribute code assigned to the used material having the same attribute in advance. 4) The same tag. Group creation means for automatically creating a group based on the property.
[0013]
10. The medical prescription creation system according to claim 9, wherein in the medical prescription creation system according to any one of claims 6 to 8, the materials used are grouped into the same group by any one of the group creation units. A group dividing means is provided for dividing a specified used material group from the group into another group.
[0014]
According to a tenth aspect of the present invention, there is provided the medical prescription creation system according to any one of the sixth to ninth aspects, further comprising a label printing unit that performs label printing for each of the groups.
[0015]
In the medical prescription creation system according to the eleventh aspect, in the medical prescription creation system according to the tenth aspect, the label printing unit can select whether or not to print the material on which the pause flag is set. .
[0016]
In the medical prescription creation system according to claim 12, in the medical prescription creation system according to any one of claims 1 to 11, an execution designation time input for designating a time to execute an instruction for the entire prescription or for each of the groups. Means.
[0017]
14. The medical prescription creation system according to claim 13, wherein in the medical prescription creation system according to any one of claims 1 to 12, an execution site input unit for designating a site to execute an instruction for the entire prescription or for each group. It has.
[0018]
15. The medical prescription creation system according to claim 14, wherein the instruction content is displayed or printed for each of the designated execution times and for each group in the medical prescription creation system according to any one of claims 1 to 13. The display unit is provided.
[0019]
In the medical prescription creation system according to the fifteenth aspect, in the medical prescription creation system according to any one of the first to fourteenth aspects, a prescription including a list of used materials organized by the group is recorded, and if necessary, It has a prescription recording means for calling and reusing.
[0020]
BEST MODE FOR CARRYING OUT THE INVENTION
Embodiments of the present invention will be described below with reference to the drawings.
As shown in FIG. 1, the medical prescription creation system of the present invention comprises a PC including an input device, a control device, a memory device, and an external storage device, and a network thereof.
The input device is a keyboard, a mouse, a tablet, a touch panel, or the like. The input device inputs character string data and various commands.
The display device is a CRT or a liquid crystal display, and the display device displays input data information and search results.
The control device is a CPU, which controls the entire device.
The memory device is a ROM or a RAM, and has a program unit for storing programs necessary for the control device to execute various controls and processes, and a buffer unit for storing data necessary for the processes.
The external storage device is a hard disk, a magneto-optical disk, a flash memory, or the like.
The external communication device is also called a network adapter board, and is connected to a LAN. In the LAN, other similar computers and a server for recording a large amount of data are connected. The LAN is connected to the Internet via a modem, a router, and the like.
The client PC sends a request such as a standard drug dosage search to the server, a prescription record input, and the like. The server searches the drug database, records the prescription content in the electronic medical record, and returns the result to the client PC.
[0021]
Examples of the drug formulation of the present invention will be described.
FIG. 2 is an example of a medicine prescription screen.
First, a use material search unit is selected. Here, a Do search that uses the previous prescription again, a personal set or hospital set search that uses a registered prescription set, a search by medicinal effect, and a kana search by a kana of a drug can be used. In many cases, conventional ordering only supports Do search and Kana search.
When the drug effect classification is selected as the input means, the classification of the drug effect is displayed in a tree shape in the area A. Therefore, the target drug effect is searched and clicked. Since the category of the drug having the selected medicinal effect is developed in the area B, a necessary drug category is clicked. The names of medicines included in the designated medicine category are displayed in area C. When a necessary medicine name is selected (selection means) and an "add" button is clicked, the designated medicine is additionally displayed in the prescription table in the area D (use material input means).
[0022]
In the example of FIG. 2, a drug for digestive organs is selected from individual organ system drugs in area A, and a “peptic ulcer drug” in a category included in this medicinal effect is selected in area B. “Solon fine granules 10% (1 g / package)” is designated from the developed list of drug names included in this category.
Here, the area A is classified into a large classification, the area B is classified into a middle classification, and the area C is classified into a middle classification, and is branched and spread from the upper layer to the lower layer and classified in a tree shape (used material classification recording means) (tree display means). .
[0023]
FIG. 3 is a corresponding page of the “medicine master database” that summarizes information for each medicine, in which the drug efficacy, standard dose, usage, maximum dose, and the like are described. The classification display displayed in the area A is based on the major and middle classifications of the efficacy of this database. The category of area B is based on the medicinal name of this database. In this way, by describing the medicinal effects of the individual drugs in large, medium, and small categories, it is possible to display them in a tree-like manner as in areas A to C in an easy-to-understand manner. In addition, the standard dose and usage are recorded in advance, and by referring to these, the standard dose and usage are displayed from the beginning as default values as shown in FIG. ).
[0024]
With this function, most of the work of designating the dosage and usage for each medicine can be omitted, so that significant labor saving can be obtained. The display value can be freely changed as needed. Also, by recording the maximum dose and the like, if the prescribed dose exceeds the maximum dose, a warning message is issued and the effect of preventing a medical accident can be expected. Further, although not shown, a medical request code corresponding to the medicine is also described, and by referring to this, it is possible to cooperate with the medical request system. In the case of injections and the like, consumables such as infusion circuits and disinfectants required in addition to chemicals are also recorded, and by referring to these, it is possible to cooperate with the inventory management system (material management means ).
[0025]
When the standard dose for 1 kg body weight is described in the standard value for children, the standard dose can be displayed by referring to the patient weight recorded in the electronic medical record and multiplying the two. This simplifies prescribing in the pediatric field (standard dose calculation means).
[0026]
In FIG. 4, the medicines necessary for the prescription are inputted in any order. Since it is difficult to see the medicine as it is, the "usage arrangement" button is clicked in FIG. 5, and the medicines having the same usage are displayed in a group (group creation means).
The same usage here means that the usage count and the usage name are the same. With this function, since the medicines having the same dosing method are displayed in an organized manner, it is easy to understand, and it is expected that the processing time is shortened and errors are reduced.
Even if the same usage is used, (1) if the patient is hospitalized and the nurse is managed without giving it to the patient, etc. Is appropriate. In this case, for a drug that should once be in another group among the drugs once in the same group, check the check box on the left end and then click the “Usage release” button to separate the drug into another group. (Group division means).
A comment column is provided not only for each drug but also for each group. By making it possible to input comments for the entire group, a prescription that is easy to understand and hard to induce errors can be obtained.
[0027]
In FIG. 6, a check is made for a stomach medicine used in combination with an analgesic which is unnecessary this time (pause flag input means). This has been going on as a regular medication but will not be prescribed this time. Painless days do not take painkillers, so there's more and more often that you don't need a prescription this week. In the past, the only way to do this was to delete it from the prescription itself. However, in the next prescription, the medicine that should have been taken only once was often leaked forever. In order to prevent this mistake, it is useful to leave it on the regular prescription and leave it only this time.
[0028]
7 and 8 show examples of injection instruction sheets. In FIG. 7, necessary injection medicines are extracted in random order from the drug effect search. In FIG. 8, the grouping is performed by designating the medicines to be co-injected into the same bottle by the drag-and-drop method. Like the drug prescription, the group can be commented on, such as "main" or "piggy", to make it easier to understand. In addition, it is possible to specify the time for executing infusion or injection. In addition, when performing infusion from a plurality of locations, it is necessary to specify an injection site ("upper right limb" in FIG. 8).
[0029]
As a means of grouping, if the group is automatically created using the same usage agreement as in the case of drug prescription, or if the prescriber specifies a group of drugs that constitutes the group, as in the case of injection prescription, For example, in the case of automating the creation of a group for each same attribute using a match of attribute codes assigned to instruction options of the same attribute such as a trunk, an upper limb, and a lower limb in a simple radiography prescription, for example, In some cases, group creation is automated using tag matching.
In an intensive care unit or the like, it is necessary to perform a large amount of various types of infusions from various sites according to a detailed schedule. Oversight and contradiction increase as complexity increases. In order to prevent this, there is provided a means for displaying a list of drug contents by site, time, and group. As a result, medical errors can be suppressed.
The present invention includes a group attribute input unit for inputting such attributes.
[0030]
Prescriptions are known to occupy 80 to 90% with relatively few prescription patterns. If these frequently used prescription patterns are recorded so that they can be reused, significant labor savings can be achieved. FIG. 9 is an example of a frequently used prescription pattern, which is a prescription example of an analgesic. The synthesis of various patterns is registered so that the analgesic can be used in various ways, the most frequent use is set as a default, and the other patterns are checked by "rest" and suppressed. By changing the check, it is possible to flexibly cope with various situations. In this example, this prescription pattern is registered in the individual set search under the title of “Painful disease”. Normally, a single prescription is reused, but it may be reused by incorporating it into a clinical pathway or the like for prescribing various test or treatment schedules.
[0031]
Conversely, if a frequently-used prescription pattern is created using a drug effect search or the like and a “set registration” button is clicked, a dialog for inquiring of a title opens, and the prescription pattern is registered with the title. FIG. 10 is an example of a registered pattern. The medicine list is recorded as plain text for each group. Drugs that are checked for "off" are marked with a ▽ at the beginning of the line. The numbers at the end of the line are codes for transferring the prescription order to a billing computer called a receipt computer. With this code, it is possible to perform an automatic accounting process for a prescription order. If consumables and the like used at the same time are also recorded, inventory management becomes possible.
[0032]
In this example, the prescriber is a personal set in which the prescriber can freely record his / her own prescription pattern. In addition, a hospital set that can be shared by the entire hospital can be used. In this case, a security design is required so that it cannot be changed without permission at the individual level.
In a pharmacy, there is an operation of packing a medicine into a different medicine bag according to usage for a medicine prescription. For injection prescriptions, it is necessary to collectively pay out a group of medicines to be co-injected into the same bottle. At this time, it is useful if there is a function of performing label printing for each group. In drug prescribing, sticking the label on a medicine bag and packing the medicine reduces the risk of packing in the wrong bag, and at the same time provides information to the patient because the medicine name on the label is clearly indicated. . In the injection prescription, a medicine group and a label are packed in a small bag for each group, and the whole small bag group is paid out in a large bag for each patient. In the ward, co-inject each small bag and attach a label to the bottle. With such a system, not only is efficiency reduced, but the actual drug is always compared with the prescription content, so that a reduction in errors is expected.
The present invention includes a label printing means for printing such a label.
[0033]
The embodiment of the present invention has been described above. However, the specific configuration of the present invention is not limited to the present embodiment, and even if there is a design change or the like within a range not departing from the gist of the present invention, the present invention is not limited thereto. Included in the invention.
For example, in the tree-like classification record of the used material, in this example, the tree structure is dynamically created from the input of the large, medium and small classifications, but the tree structure is physically represented by using the jump destination address and the like. Is also good. In this example, when displaying the tree structure, a tree-like display is displayed in area A of FIG. 2 and a category list of the classification selected in area B is displayed. May be displayed as a list if all can be displayed. In this example, there are three display areas A to C. However, the display areas may be increased or decreased according to the rank of the classification.
In this example, the same group was designated by drag-and-drop method in grouping by injection prescription.However, for example, a method of attaching a button to group the same drug group with the check box on the leftmost checkbox checked May be taken.
In this example, the drug prescription and the injection prescription, which are typical prescriptions, are described. However, exactly the same means and programs can be applied to prescriptions such as radiation and blood tests.
[0034]
【The invention's effect】
As described above, in the medical prescription creation system of the present invention, necessary materials are classified according to the tree structure, so that a necessary drug search can be easily performed.
Further, by selecting a material to be used from the tree classification and inputting it to the prescription table, it is easy to create a prescription, and it is possible to prevent erroneous entry at the time of entry and to perform entry accurately.
Since the pause flag input means is provided, the name of the medicine is left on the regular prescription, and it is clear that the medicine is closed only this time, so that leakage of the medicine at the next prescription can be prevented.
Since the standard dosage recording means for each material is provided, most of the work of designating the dosage and usage for each drug can be omitted, and input can be performed accurately by preventing input errors.
The provision of the material management means enables automatic accounting and inventory management of consumables.
[0035]
Since standard dose calculation means is provided, standard doses are automatically calculated according to children or adults, and input is simplified.
Since the group preparation means is provided, the medicines having the same dosing method are displayed in an organized manner, so that it is easy to understand, and it is expected that the processing time and the number of mistakes are reduced.
Since a group attribute input unit and a group creation unit are provided, it is possible to create a group by using the attribute code matching for each prescription site, time, and other groups, thereby preventing oversight and inconsistency of the prescription.
The provision of the group dividing means makes it easy to classify and prescribe, for example, items to be managed by a nurse without using a patient even if the usage is the same, or to be a separate bag.
Since the label printing means is provided, it is possible to reduce a mistake in attaching a label to the front of the bag and filling the wrong bag, and to provide the medicine information to the patient because the medicine name is displayed.
[0036]
Since the designated execution time input means is provided, the prescription time can be managed and prescription omission can be prevented.
Since the execution part input means is provided, it is possible to prevent a mistake in prescribing the execution part in the execution stage.
Since the time table display means is provided, the operation can be performed according to the timetable, and prescription omission can be prevented.
Since a prescription recording unit is provided, past prescriptions can be recalled and used for the same symptom, thereby saving labor for inputting.
[Brief description of the drawings]
FIG. 1 is a block diagram illustrating a hardware configuration of a medical prescription creation system.
FIG. 2 is a diagram showing a screen of a drug prescription using a drug effect search.
FIG. 3 is a diagram showing an example of a standard dosage recording means for each material.
FIG. 4 is a diagram showing a state in which prescription drugs are input in any order.
FIG. 5 is a diagram showing a state in which usage arrangement is performed and grouping is performed.
FIG. 6 is a diagram showing a prescription example in which “off” is checked.
FIG. 7 is a diagram showing a state in which medicines to be used for injection are input in any order.
FIG. 8 is a diagram showing a state in which injection bottles, comments are input, and execution times are specified by grouping each bottle.
FIG. 9 is a diagram showing a state in which a frequently used pattern of a drug prescription is read.
FIG. 10 is a diagram showing a recording state of a frequent pattern shown in FIG. 9;

Claims (15)

A medical prescription creation system for inputting and creating a medical prescription using electronic means,
Used material classification recording means for classifying and recording used materials in a tree shape in advance;
Tree display means for displaying the contents recorded in the used material classification recording means along a tree structure,
Selecting means for selecting a necessary material to be used from the tree display means,
A medical prescription creation system, comprising: a use material input unit for inputting a use material selected by the selection unit. A medical prescription creation system for inputting and creating a medical prescription using electronic means,
A use material input means for inputting use material is provided,
A medical prescription creation system, characterized in that the used material input means includes a pause flag input means that enables input of a pause flag that is not executed only this time. 3. The medical system according to claim 1, further comprising a standard dosage recording unit for each material, wherein a standard dosage is recorded for each material, and a simple input is made possible by calling the standard dosage. The above prescription creation system. A billing computer code for each material, consumables to be used, etc. are recorded, and a material management means that can be linked with the medical billing system and the inventory management system by calling this is provided. The medical prescription creation system according to claim 1. It is provided with a means for inputting patient conditions such as age and weight, a standard dosage recording means for each material which records a standard dose according to age or weight, and a standard dose calculating means for calculating a standard dose from the age or weight of the patient. The medical prescription creation system according to any one of claims 1 to 4, wherein A medical prescription creation system for inputting and creating a medical prescription using electronic means,
A use material input means for inputting use material is provided,
A medical prescription creating system comprising a group creating means for organizing a list of materials to be used into groups according to usage. 7. The medical prescription creation system according to claim 6, wherein said group creation means includes group attribute input means for inputting a group attribute. In the group creation means, 1) a group is automatically created when the usages of the input used materials match, 2) a group to which the used materials belong is specified by the prescriber, and 3) the used materials having the same attribute are assigned in advance. 7. A group creation means according to any one of claims 6 to 7, wherein the group creation means is automatically created based on the attribute code set, and 4) the group creation is automatically made based on the identity of the tag. 7. The medical prescription creation system according to any one of 7. 7. The apparatus according to claim 6, wherein said group creating means includes a group dividing means for dividing a designated used material group into another group among the used material groups put into the same group by any one of the group creating means. 9. The medical prescription creation system according to any one of claims 8 to 8. The medical prescription creating system according to any one of claims 6 to 9, further comprising a label printing unit that performs label printing for each of the groups. 11. The medical prescription creating system according to claim 10, wherein the label printing unit can select whether or not to print the material on which the pause flag is set. The medical prescription creation system according to any one of claims 1 to 11, further comprising a designated execution time input means for designating a time for executing the instruction for the entire prescription or for each group. 13. The medical prescription creation system according to any one of claims 1 to 12, further comprising an execution site input unit for designating a site where an instruction is to be executed for the entire prescription or for each group. 14. The medical prescription creation system according to any one of claims 1 to 13, further comprising a timetable display means for displaying or printing instruction contents for each of said execution designated time and said group. The medical prescription creation according to any one of claims 1 to 14, further comprising prescription recording means for recording a prescription comprising a list of used materials organized by the group, and recalling and reusing the prescription as needed. system.

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