JP2004157978A - Adverse drug interaction check system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To providean adverse drug interaction check system of taking together between a general drug administered and a prescription drug without requiring the user to remember a history of purchase. <P>SOLUTION: In the adverse medicine interaction check system, an overall processing part 11, for each customer, manages information on the purchase of general drugs or the like purchased at drugstores 13, while associating this information with his or her ID number. When a customer desires to check adverse drug interaction at a dispensing pharmacy 12, the prescription drug prescribed at the dispensing pharmacy 12 and information on the history of purchase of general drug or the like are used to check their adverse interaction. The result is reported to the customer and used by pharmacists at the dispensing pharmacy 12 to give advice. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a drug interaction check system, and more particularly, when a customer who is a member intends to purchase a prescription drug by a prescription, automatically checks the interaction with a general drug already purchased, The present invention relates to a drug interaction check system for preventing undesired side effects on the body from taking prescription drugs.
[0002]
[Prior art]
In modern life, any drug can be purchased at a drugstore without the need of a doctor's prescription (for example, commercially available cold medicine, gastrointestinal medicine, Chinese medicine, etc.), as well as supplements having medicinal effects and health The number of people who eat and drink food is increasing rapidly (hereinafter collectively referred to as general medicines). The types of these general medicines vary greatly, and usually, these general medicines are selected, purchased, and taken by themselves.
[0003]
On the other hand, when such a person suffers from any illness, it is usual to purchase and take medicines (hereinafter referred to as prescription medicines) dispensed at a dispensing pharmacy based on a prescription corresponding to the etiology from the doctor in charge. is there.
[0004]
In such a case, if the regular medicine and the prescription medicine which are taken daily are taken in an overlapping manner, it is expected that the medicines will interact. When such an interaction occurs, the efficacy of a general drug may be enhanced, or the efficacy of a prescription drug may decrease, and the treatment expected by the attending physician may not be possible. Furthermore, when taking interacting chemicals for a long period of time, there is a possibility that undesired side effects on the body may occur due to the mutual reaction of the chemical substances constituting them.
[0005]
Therefore, whether the general medicines taken from daily may be taken as they are with the prescription medicines, or if there are general medicines taken from daily, whether appropriate prescription medicines are selected There is a need for a check system that makes a determination and allows the user to safely take medicines based on the result.
[0006]
As such a check system, at present, for example, when necessary data of general medicines to be taken daily is input to a computer, and further, necessary data of prescription medicines to be newly taken are inputted. There is an interaction check program that can determine the possibility and the degree of the possibility.
[0007]
[Problems to be solved by the invention]
However, such an interaction check program needs to remember what was purchased and taken as a general medicine for an accurate interaction check. That is, it is necessary to declare the brand and type, and the date and time of taking the drug more accurately because the drug has an expiration date.
[0008]
However, as a practical matter, usually, it is extremely rare to memorize these matters accurately. As a result, the interaction check program as described above cannot effectively check the side effects of drugs. Although such a check system is strongly demanded, the fact is that it has not yet been widely used.
[0009]
The present invention has been made in order to improve such problems, and the purpose of the present invention is to make it difficult for a customer to remember accurate information about drugs, mainly general drugs, which have already been purchased and taken. However, the present invention provides an interaction check system that can automatically determine an interaction with a prescription drug to be newly purchased.
[0010]
[Patent Document]
JP-A-10-225500
[0011]
[Means for Solving the Problems]
The drug interaction check system of the present invention is a drug interaction check system for automatically checking the interaction between a drug already purchased by a customer and a prescription drug newly purchased by the customer, The interaction check system, an input unit capable of inputting the purchase information of the medicines of the customer in association with the customer identification information of the customer, a customer / purchase history management server having a purchase history database storing the purchase information, A comprehensive processing unit having an interaction check server having an interaction database for storing interaction information of drugs, a receipt computer for creating a receipt for the prescription drug, and A mechanism provided with an interaction check terminal having a function of checking the interaction of drugs using the history and the interaction check information Characterized by comprising a processing section.
[0012]
According to this configuration, it is possible to grasp the accurate taking state of the medicines already purchased and automatically check the interaction with the newly purchased prescription medicine without relying on the memory of the person, It is possible to easily obtain information as to whether or not it is possible to take the prescribed general drug as it is with the prescription drug.
[0013]
In the drug interaction check system of the present invention, the interaction check terminal includes: a data acquisition unit that acquires the purchase information in the purchase history database and the interaction check information in the interaction database. Data conversion means for converting information and the interaction check information into data capable of checking the interaction of drugs, and means for checking the interaction of drugs with the customer using the converted data It is preferable that
[0014]
In the medicine interaction check system of the present invention, the customer identification information is input using a membership card which is issued to the customer and records at least information including the member number, name, and address of the customer. It is preferable that it is performed.
[0015]
In the medicine interaction check system of the present invention, the interaction check terminal includes an output unit that outputs a check result of the medicine interaction as the various advice sheets for the customer and / or the person in charge. Preferably, it is
BEST MODE FOR CARRYING OUT THE INVENTION
[0016]
Hereinafter, an embodiment of a system for checking interaction of medicines according to the present invention will be described in detail with reference to the accompanying drawings.
FIG. 1 is a diagram showing an outline of a drug interaction check system according to an embodiment of the present invention. FIG. 2 is a diagram for explaining a purchase history database stored in a customer / purchase history management server 11a. 3 is a diagram illustrating a configuration of an interaction check terminal 12b of the dispensing pharmacy 12, and FIG. 4 is a diagram illustrating an advice sheet that outputs an interaction check result.
[0017]
In the drug interaction check system 10, when a customer who is a member purchases a general drug at the drug store 13 (input unit) under the umbrella of the present system, purchase information is input from the POS register 13a, and is transmitted through the store controller 13b. It is recorded in the purchase history database of the customer / purchase history management server 11a of the management center 11. On the other hand, when a customer who is a member intends to purchase a prescription drug at the dispensing pharmacy 12 (mechanism processing unit) under the umbrella of the present system, the prescription data is input to the reception control 12a, and the interaction check terminal 12b is managed. It accesses the interaction check server 11b provided in the center 11 (overall processing unit), obtains information necessary for the interaction check, and automatically checks the interaction between the already purchased medicines and the newly purchased prescription drugs. It is to do it.
[0018]
The management center 11 is connected to the drug store 13 and the dispensing pharmacy 12 via the Internet, a network such as a LAN, a telephone line, etc., so that various kinds of information and data can be exchanged, updated and exchanged easily. It is configured so that it can be performed quickly.
[0019]
The input unit mainly installed in the drug store 13 (a pharmacy that sells only general medicines) under the umbrella of this system associates purchase information of general medicines of customers with customer identification information in addition to the function of a normal cash register. It has a POS register 13a that can be input, and a store controller 13b that temporarily stores the purchase information and transmits the purchase information to the customer / purchase history management server of the general processing unit periodically or sequentially.
[0020]
In the drug store 13, when a customer purchases a general drug, the customer is required to present a membership card 13c. As a result, it is possible to accurately input, into the POS register 13a, information on when and how many general medicines were purchased by the customer with which member number. The member card 13c can be repeatedly read and written, and can record, for example, a member number, a name, an address, the latest use date, the number of uses, a total point, and the like. The member card 13c is issued by having a customer fill in an application form with a name, an address, a telephone number, and the like when joining.
[0021]
In the system management center 11 of this system or another place, a general processing unit including a customer / purchase history management server 11a and an interaction check server 11b is installed.
[0022]
The purchase history database stored in the customer / purchase history management server 11a is, for example, as shown in FIG. 2, and includes the purchase date, product name, drug type, and the like of the general medicine purchased by the corresponding member at the drug store 13. It consists of a list of purchase histories, such as the presence or absence of continuous use, and is managed in association with a member number. The member name, address, telephone number, date of birth, and family structure are also registered as customer identification information other than the member number.
[0023]
The customer identification information is registered not only with the name but also with the address and date of birth to prevent misidentification of the customer with the same name and the same name, and the registration up to the family structure is performed between the member family and the member card 13c. This is to make it possible to appropriately check the interaction of the customer even when the customer is lent.
[0024]
Of course, the type and content of each item in the purchase history database are not necessarily limited to those described above. For example, if there is additional information about the health condition of the member, such as the member's past medical history within the past three years, it is preferable that such information is also registered.
[0025]
The purchase history database is automatically or periodically transmitted from the customer / purchase history management server 11a to the interaction check server 11b. This is to centrally manage information necessary for the interaction check.
[0026]
The interaction check server 11b has information on the presence or absence of side effects when the general drug and the prescription drug are taken in an overlapping manner, and the degree of the side effects, that is, the occurrence of undesirable side effects caused by swallowing different drugs. An interaction check database for predicting and determining in advance is stored.
[0027]
The interaction check database mainly includes, but is not limited to, general drug list information sold at the drug store 13 under the umbrella of the system. Information on alternative drugs can be included for the possibility of interaction. In addition, the general medicine list information is updated to the latest one in a timely manner because new general medicines are always released.
[0028]
On the other hand, the interaction check server 11b may store an interaction check program stored in the interaction check terminal 12b and a past prescription history transmitted in reverse from the interaction check terminal 12b. The information required for the interaction check can be further centrally managed in the general processing unit.
[0029]
A dispensing pharmacy 12 (a pharmacy that sells prescription drugs) under the umbrella of this system is provided with a mechanism processing unit. The mechanism processing unit includes a receipt computer 12a, which is a computer dedicated to the hospital preparing a claim for requesting a remuneration such as health insurance from a public institution, a prescription drug that the customer wants to purchase, and a general drug already purchased. An interaction check terminal 12b having an interaction check function with a medicine is provided. The receipt creation in the receipt control unit 12a is automatically performed by extracting prescription information from the membership number of the membership card 13c by using the customer's membership card 13c.
[0030]
The interaction check terminal 12b acquires the prescription drug information and the member number from the reception computer 12a, and acquires the purchase history of the member from the customer / purchase history data server 11a, and the data acquisition unit 21 acquires the data. A data conversion unit 22 that converts information into information that can be checked for interaction, a swallow check unit 23 that checks interaction (swallow) from the converted information, and an output unit 24 that outputs a swallow check result; A memory 25 for temporarily storing the result of the drink check.
[0031]
The data conversion section 22 stores information on the chemical names and brands of general drugs and prescription drugs and the contained chemical substance information corresponding to the chemical substances contained therein. Store the check program. The interaction check program is updated to the latest one in a timely manner due to the possibility that a new interaction of drugs may be found.
[0032]
Next, the operation of the medicine interaction check system 10 having the above configuration will be described.
[0033]
When a customer who is a member purchases a general drug at the drug store 13 under the umbrella of the present system, presentation of the membership card 13c is required. With the membership card 13c, accurate purchase information indicating which member purchased what general medicine, when, and how many is input to the POS register 13a, is automatically associated with the customer identification information, and is automatically transmitted to the store controller 13b. Stored.
[0034]
After the drug store 13 is closed, the general drug purchase information stored in the store controller 13b on the day is transmitted to the customer / purchase history management server 11a of the management center 11 via a network or an electric line, and the customer / purchase history management is performed. The purchase history database stored in the server 11a is updated. This operation is performed by the store controller 13b provided in all the drug stores 13 under the control of this system.
[0035]
On the other hand, when a member becomes ill and purchases a prescription drug at the dispensing pharmacy 12 under the umbrella of the present system, the member card 13c is submitted together with a prescription by the doctor in charge. The member can request an interaction check between the prescription medicine described in the prescription and the conventional medicine which has been taken conventionally. In this case, the dispensing pharmacy 12 notifies the member of the interaction check service by displaying at the store that the interaction of the medicines can be checked.
[0036]
A person in charge of selling the dispensing pharmacy 12, for example, a pharmacist inputs the contents of the prescription to the reception computer 12a. This is a normal operation in the dispensing pharmacy 12. The receiving computer 12a automatically transfers the information of the prescribed prescription medicine and the member number of the membership card 13c to the interaction check terminal 12b, and instructs the interaction check with the general medicine.
[0037]
Upon receiving the command, the interaction check terminal 12b allows the data acquisition unit 21 to access the interaction system server 11b of the central processing unit and to obtain the purchase history information and customer identification information of the corresponding member recorded in the purchase history database by the member number. It is obtained from the customer / purchase history management server 11a via the interaction system data server 11b.
[0038]
In this case, the prescription history of the prescription drug can be transmitted to the interaction system server 11b and recorded in the interaction check database. In such a case, the past prescription history together with the purchase history of the general drug can be used as the past prescription history. It can also be added to the target drug list when checking the interaction of prescription drugs.
[0039]
Next, the data acquisition unit 21 outputs the purchase history, customer identification information, and prescription drug information to the data conversion unit 22. The data converter 22 converts the information into information that can be checked for interaction. For example, since the purchase history and prescription drug information are information on a product name and a brand, a process such as specifying a contained chemical substance from the product name and the brand is performed.
[0040]
The data conversion unit 22 outputs the converted chemical substance information of the general medicine and the prescription medicine to the mixing check unit 23. The mixing check unit 23 performs mixing of the contained chemical substance information, that is, the interaction check of the medicines, by the interaction check program.
[0041]
Specifically, there is interaction information indicating that there is an interaction between the chemical substance A of Xmg and the chemical substance B of Ymg, and the content of the chemical substance A exceeding Xmg and the chemical substance exceeding Ymg from the purchase history and prescription drug information. When the content of the substance B is found, the swallow check unit 23 gives a result indicating that there is an interaction.
[0042]
The drink checking unit 23 outputs the result of the drink check to the output unit 24. The output unit 24 is composed of, for example, a display, a printer, and a personal computer, and has a function of outputting the result of the drink check in a predetermined form as various advice sheets.
[0043]
Although there is no particular limitation on the format of the advice sheet, the interaction check result sheet for pharmacists is based on their own knowledge. It is configured to be able to explain the interaction relationship between the two and how to take it. For example, as shown in FIG. 4A, header information (title, reception number, prescription date, reception date, output date and time), prescription reception / point card member information (name, card number as member number, telephone number) Along with the address, the instruction procedure and the check result (general medicine name, purchase date, prescription medicine name, prescription pharmacy / purchasing shop name, purchaser name, judgment level, interaction comment) and the like are described.
[0044]
The judgment level is classified into, for example, safety, caution, and caution, and the interaction comment includes, for example, the effect of general drug A is enhanced, and the blood pressure is likely to be reduced by the effect of general drug B. It is a material for giving appropriate advice to customers as a pharmacist.
[0045]
In addition, the format of the interaction check result sheet for the customer is substantially the same as that of the interaction check result sheet for the pharmacist, and the description is omitted here. A check guidance column is provided to explain the points to be taken in taking the medicine in an easy-to-understand manner.
[0046]
Further, by outputting the target medicine list as shown in FIG. 4B, the customer himself / herself confirms the general medicine which has been excluded from the interaction check because he / she has purchased at the drug store 13 which is not affiliated with the present system. It is also possible to ask a pharmacist for appropriate advice on how to take such general medicine.
[0047]
As described above, the interaction checking system 10 for medicines can automatically check the interaction with the prescription medicine based on the accurate situation of taking the general medicine without relying on the memory of the person himself / herself. It is possible to easily obtain information as to whether or not a general medicine taken may be taken as it is with a prescription medicine as it is, or how to take it. As a result, it is possible to prevent the health from being damaged by drinking.
[0048]
In addition, based on the results of the interaction check, the pharmacist can provide guidance on how to take general drugs and prescription drugs, and can recommend appropriate alternative general drugs if necessary. At the time of advice, guidance including exercise and nutrition should be provided, and if a list of alternative general medicines is created in advance and distributed to each dispensing pharmacy 12, quick guidance can be provided to customers. .
[0049]
In addition, provide the doctor in charge of the prescription issue of the medical institution at the medical institution with information on the use of general drugs and the interaction with prescription drugs, and a list of alternative general drugs as necessary, and reflect them in medical examinations at medical institutions. You can also. In this case, it is desirable to obtain the consent of the customer when providing information to the medical institution.
[0050]
Here, a specific flow in the present system will be described with reference to FIG.
First, when the prescription and the member card 13c are received at the dispensing pharmacy 12, a reception slip is issued (processing 1, 2). The prescription is copied, and the base paper is stored for return to the member (process 3). The contents of the prescription are prescription data.
[0051]
Next, when the prescription data and the membership number are input to the reception computer 12a, a reception is created (process 4). Drug information based on the prescription data is output as a drug description and stored for handing over to members. Collection of prescription drugs is started according to the drug instructions, and the prescription drugs are kept for handing over to members. On the other hand, the prescription data is automatically output from the receptacle computer 12a as medicine bag data to the medicine bag issuing machine, and the medicine bag issuing machine issues medicine bags based on the medicine bag data (processing 5, 6). This medicine bag is also kept for handing over to members.
[0052]
The prescription data input to the reception computer 12a is sent to the interaction check terminal 12b for an interaction check command. The interaction check terminal 12b executes an interaction check between a prescribed general medicine and a prescribed medicine with the support of the interaction system server, and the interaction check result is output from the output device as an advice sheet. .
[0053]
The result of the interaction check for the customer is stored for delivery to the member, and the result of the interaction check for the pharmacist is delivered to the pharmacist's hand (processes 7 and 8).
[0054]
When the member interviews the pharmacist with the medicine, medicine instructions, medicine bag, and interaction check result sheet stored in this way, the pharmacist refers to the interaction check result and Guidance on drinking and, where necessary, recommendation of an appropriate alternative general drug is performed as an audit (process 9).
[0055]
Note that the present invention is not limited to the above embodiment, and can be implemented with various modifications. In the above embodiment, the case where the interaction system check server 11b and the interaction check terminal 12b are separate and the interaction check program 25 is provided in the interaction check terminal 12b has been described. The invention is not limited to this configuration. If the configuration is such that the interaction check function of medicines can be realized by purchasing history information, customer identification information, and prescription drug information, the interaction system check server 11b and interaction check terminal 12b are integrated. Alternatively, the interaction check program may be provided in another component. Further, in each dispensing pharmacy 12, the present system may be realized by including a device having all functions of the reception computer 12a, the interaction check terminal 12b, and the interaction system check server 11b.
[0056]
【The invention's effect】
As described above, according to the drug interaction check system of the present invention, without relying on the individual's memory, the state of taking the drug is accurately grasped, and the interaction with the prescription drug is automatically performed. It is possible to check, and it is possible to easily obtain information on how to take the general medicine that is taken daily, as it is with the prescription medicine, or how to take it. As a result, it is possible to prevent the health from being impaired by swallowing, and to maintain the health.
[Brief description of the drawings]
FIG. 1 is a diagram showing an outline of a drug interaction check system according to an embodiment of the present invention.
FIG. 2 is a diagram for explaining a purchase history database stored in a customer / purchase history management server 11a.
FIG. 3 is a diagram showing a configuration of an interaction check terminal 12b of the dispensing pharmacy 12.
FIG. 4 is a diagram illustrating an advice sheet that outputs an interaction check result.
FIG. 5 is a diagram for explaining the overall flow of the drug interaction check system according to one embodiment of the present invention.
[Explanation of symbols]
10 Interaction Check System 11 Management Center 11a Customer / Purchase History Management Server 11b Interaction Check Server 12 Dispensing Pharmacy 12a Rececon 12b Interaction Check Terminal 13 Drug Store 13a POS Cash Register 13b Store Controller 21 Data Acquisition Unit 22 Data Conversion Unit 23 Check unit 24 Output unit 25 Memory

Claims (4)

An interaction check system for medicines, which automatically checks an interaction between medicines already purchased by a customer and prescription medicines newly purchased by the customer,
The interaction check system, an input unit capable of inputting the purchase information of the medicines of the customer in association with the customer identification information of the customer, a customer / purchase history management server having a purchase history database storing the purchase information, A comprehensive processing unit having an interaction check server having an interaction database for storing interaction information of drugs, a receipt computer for creating a receipt for the prescription drug, and An interaction checking system for medicines, comprising: a mechanism processing unit having an interaction check terminal having a function of checking interaction of medicines using a history and the interaction check information. The interaction check terminal includes: a data acquisition unit configured to acquire the purchase information in the purchase history database and the interaction check information in the interaction database; and an interaction between the purchase history information and the interaction check information. 2. The apparatus according to claim 1, further comprising: a data conversion unit that converts the data into data that can be checked; and a unit that checks the interaction of drugs with the customer using the converted data. Drug interaction check system. 2. The customer identification information is input using a membership card that is issued to the customer and records information including at least the membership number, name, and address of the customer. 3. The interaction checking system for chemicals according to any one of items 1 to 2. The said interaction check terminal is provided with the output part which outputs the check result of the interaction of chemicals as various advice sheets for the said customers and / or persons in charge. 2. The interaction checking system for chemicals according to item 1.

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