JP2004188167A - Medicine management system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To appropriately judge propriety of formulation even when mixing three or more kinds of medicines. <P>SOLUTION: A storage means 2 stores formulation change information corresponding to the combination of medicine codes related for each medicine and medicine information rearranged according to the medicine codes. When two or more kinds of medicines are included in one or two or more prescription information of a certain patient, a formulation propriety judging means 1 rearranges the medicine information on the basis of the medicine codes stored in the storage means 2 and refers to the formulation change information called from the storage means 2 according to the order and combination of the resultant medicine information to judge the propriety of formulation. <P>COPYRIGHT: (C)2004,JPO&NCIPI

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a medicine management system that can determine whether or not two or more kinds of medicines are blended.
[0002]
[Prior art]
Conventionally, when a plurality of drugs are administered to a patient, it is proposed to determine whether or not there is a possibility of being out of the effective range of the acid-alkali at the time of the formulation so that the suitability of the formulation can be determined in advance. (For example, see Patent Document 1). In this method, a search is made to determine whether all of the two combinations of the medicines specified by the prescription information are included in the incompatibility file.
[0003]
[Patent Document 1]
JP 2002-113072 A
[0004]
[Problems to be solved by the invention]
However, in the above method, the suitability of the combination is determined only by the combination of two kinds of chemicals. For this reason, if the number of chemicals to be compounded is three or more, the number of combinations becomes enormous in consideration of the order of compounding, resulting in poor practicality.
[0005]
In addition, there is not much information on the change in mixing when three or more kinds of chemicals are mixed in literatures and the like, and it is often necessary to actually perform verification and confirmation on site. Moreover, even if the results are recorded, when sharing and using them at hospitals and pharmacies, there is no other choice but to confirm by a person, and there has been no system that can perform such checks automatically.
[0006]
Further, as an example of a change in the composition, when, for example, a medicine A (elemenpic), a medicine B (PIN Twin), and a medicine C (Solcotev) are compounded, the combination change does not occur in any combination of these two medicines. A combination change may occur in the combination of these three medicines (there is no change in the order of medicines A, B and C, but a change in the mixture occurs in the order of medicines A, C and B). In this case, it is impossible to confirm with a conventional system for checking a change in the combination of two chemicals.
[0007]
Therefore, an object of the present invention is to provide a medicine management system that can appropriately determine whether or not a medicine is mixed even when three or more kinds of medicines are mixed.
[0008]
[Means for Solving the Problems]
The present invention, as means for solving the above problems, storage means for storing medicine information on medicines, and combination change information indicating a change when compounding a plurality of medicines,
A drug management system comprising, if one or more prescription information of a patient contains two or more kinds of medicines, a combination suitability judging means for judging suitability based on the combination change information stored in the storage means; At
The storage means stores a medicine code associated with each medicine, and combination change information corresponding to a combination of medicine information rearranged according to the medicine code,
When the prescription information contains two or more kinds of medicines, the mixing suitability judging means sorts the medicine information based on the medicine codes stored in the storage means, and stores the medicine information in accordance with the order and combination of the obtained medicine information. In this case, the suitability of the blending is determined by referring to the blending change information called from the program.
[0009]
With this configuration, it is not necessary to store the change in the combination for each difference in the mixing order of the chemicals, and the storage capacity required for the storage unit can be suppressed. In addition, for two or more kinds of medicines to be combined, rearrangement may be performed according to the medicine code, and the combination change information may be searched only in accordance with the combination of the medicines stored in the storage unit in that order. It becomes possible. In particular, it is effective when the number of chemicals to be added increases to three or more.
[0010]
Further, the present invention, as means for solving the above-mentioned problem, storage means for storing medicine information on medicines and combination change information indicating a change when compounding a plurality of medicines,
When two or more kinds of medicines are included in the prescription information, a medicine management system comprising: a combination suitability judging means for judging suitability of the combination based on the combination change information stored in the storage means;
The storage unit stores the drug-related information of each drug, and calculates a combination of two or more types of drugs according to a hash function based on the drug-related information, and stores the combination change information for each obtained hash value.
When two or more types of medicines are included in the prescription information, the combination suitability judging means calculates a hash value based on the medicine-related information stored in the storage means, and calculates a hash value from the storage means based on the obtained hash value. The corresponding combination change information is called to determine the suitability of the combination.
[0011]
With this configuration, if a medicine code is determined for each medicine, a calculation using a hash function is performed based on the medicine code, and a combination of medicines to be compounded is specified and combination change information is searched by simply obtaining a hash value. be able to.
[0012]
As the hash function, a combination of different medicines having different hash values and the same combination can be used if the combination is the same even if the order is different. However, a desired hash value may be obtained by selecting a drug code to be associated with each drug.
[0013]
The storage means is configured to store a master file in which non-rewritable combination change information is stored and a case card file in which new combination change information can be stored. This is preferable in that it is possible to appropriately add blending change information based on actual examples and the like.
[0014]
Display means for displaying the suitability of the mixture determined by the suitability determination means,
It is preferable that the composition change information on all combinations of drugs displayed on the display means can be displayed, because the composition change can be grasped at a glance.
[0015]
If the combination change information for all combinations of drugs displayed on the display means can be changed and can be newly stored in the case card file, the addition of the combination change information can be performed easily and completely. Is preferred.
[0016]
On the display means, after displaying a medicine registration screen that allows a plurality of medicines to be combined to be registered for each combination unit, a list of all combinations between all combination units is displayed on the combination medicine confirmation screen, and new combination change information is displayed. It is preferable that the input can be stored in the case card file because the new registration of the composition change information can be performed easily and completely.
[0017]
If there is a case where a combination change occurs due to a difference in the combination order in the combination of the stored medicine information, the storage unit stores the fact, and when the corresponding combination is referred to, the appropriate combination is displayed on the display unit. It is preferable that the medicine information is rearranged and displayed in order, since it becomes easier to use.
[0018]
If the prescription information contains two or more types of medicines, the mixing suitability judging means determines the medicines to be simultaneously administered based on the procedure code stored in the storage means before rearranging the medicine information based on the medicine code. When selected, the number of cases to be handled can be narrowed down as compared with the case of judging the suitability of only the drugs prescribed at the same time for the same person, and the search process can be performed even faster. preferable.
[0019]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments according to the present invention will be described with reference to the accompanying drawings.
[0020]
FIG. 1 shows a medicine management system according to the present embodiment. In this system, based on information stored in the storage device 2 by the central processing unit 1 (CPU), a computer installed in the medicine section or the like can make a display on the display device 3 and determine whether or not the combination is appropriate. I have to. In addition, the result of the determination of the suitability of the combination can be printed by the printing device 4.
[0021]
Various storage media, such as a hard disk, can be used for the storage device 2, which stores a compounding change master, a case card master, a basic medicine information master, and the like.
[0022]
The compounding change master stores in advance compounding change information indicating what kind of change occurs when two or more kinds of chemicals are compounded (investigated in literatures and the like) (this compounding change information cannot be updated). ). Specifically, the medicines are rearranged according to the medicine codes associated with each medicine, and the combination change information is stored for each combination of the obtained medicines. For example, when the medicines A (001), B (003), and C (002) (the medicine code in the parentheses) are compounded, the medicines are rearranged into the medicines A, C, and B. (For example, “no problem”, “cloudiness immediately after mixing A and C”, etc.) are stored. The order of the rearranged drug codes is not related to the mixing order, and the mixing order is not always the same due to the difference in the drugs to be combined. In the case card information stored in the case card master, in the same format as the above-mentioned combination change master, combination change information based on an actual example of a combination change obtained at a medical site or the like is stored. Although the combination change master cannot be changed, the case card information can be freely changed based on the result of the combination at the site. The basic medicine information master includes a medicine code, a medicine name, a maker name, a medicine class, a technique code, and the like. Here, the procedure code is, as shown in FIG. 18, a code number corresponding to the procedure name indicating to which part of the body the injection is injected. Usually, when there are a plurality of injections to be injected into the same site, these are compounded into one and then injected.
[0023]
The display device 3 includes a prescription input / audit screen, a drug-specific composition change check result screen, a drug-specific composition change information screen, a basic drug information screen, a component information screen, a drug selection screen for a case card, a case card detail registration screen, and the like. Is displayed.
[0024]
The printing device 4 prints the agent-specific combination change information displayed on the display device 3.
[0025]
The central processing unit 1 refers to the combination change information stored in the storage device 2 based on the prescription information as described below, and determines whether or not combination is appropriate, displays, prints, and the like.
[0026]
Next, the operation of the medicine management system will be described with reference to the flowchart of FIG.
[0027]
First, prescription information is read from the host computer (step S1). Then, it is determined whether or not two or more kinds of medicines are prescribed for each patient according to the read prescription information (step S2). If two or more kinds of chemicals are prescribed, a change in the composition is checked (step S3). As a result, as shown in FIG. 3D to be described later, the results of the blending check are displayed in a list.
[0028]
In the check of the change in the combination, the medicine to be injected into the same site at the same time and in the same manner at the same time is selected for each patient according to the procedure code assigned to each medicine (step S4). Then, the selected medicines are rearranged according to the medicine codes (step S5). Then, the case card master is searched only according to the combination (permutation) of the medicines stored in the order after the rearrangement (step S6), and thereafter, the combination change master is searched (step S7). If similar information is registered in both masters, the registration information in the case card master has priority. If it is determined that there is a change in the combination during the combination of the medicines (step S8), a predetermined display is performed on the display device 3 as described later (step S9).
[0029]
Specifically, as shown in FIG. 2, first, prescription information (Rp1, Rp2,...) For which the combination needs to be checked is sequentially extracted as agents to be checked. Then, it is searched whether or not the patient who is prescribed the taken check target drug has another drug (the target of injection or infusion) prescribed on that day, and these are combined with the check target drug group. I do. Here, the medicine to be administered alone is classified from the group of medicines to be checked, and only for the medicine to be administered in combination, a combination check is performed to determine whether or not there is a corresponding substance in the combination change master and the case card master. Whether or not to perform mixed administration is determined based on the procedure code of the basic medicine information master based on whether or not the medicine is injected into the same site. As a result, the drugs to be searched can be further narrowed down.
[0030]
When a plurality of prescriptions are issued for a certain patient, it is preferable that the combination change check is performed every time the prescription is issued. For example, when the patient is urgently hospitalized due to an accident or the like, a prescription is issued each time because the condition of the patient changes every moment. In this case, each time a prescription is issued, the above-described combination change check is performed. Also, when the drug is finally administered to a patient, a combination change check is performed based on all prescription information of the patient. As a result, it is possible to perform a double / triple mixture change check.
[0031]
According to the above-mentioned compounding check method, for example, when mixing two drugs C and A, only the combination of CA should be considered, and it is necessary to consider even the combination in which the compounding order of AC is different. There is no. Therefore, the number of searches in the combination change master and the case card master can be suppressed, and an efficient combination check can be performed. Specifically, in the case where five drugs are to be checked, 200 searches are required in the conventional method, but in the present invention, it is possible to perform only 25 searches.
[0032]
In addition, according to the above-described blending check method, the blending check of 1000 prescriptions can be performed in 30 minutes. The combinations that actually cause a change in the composition are 20 to 30 prescriptions. However, when the case card master is not used, the cases in which the result with the change in the composition can be obtained can be narrowed down to only 100 to 200 prescriptions. On the other hand, when the case card master is used, it is based on the information obtained at the actual medical site, so the reliability of the information is high, and it was possible to narrow down to 50 to 60 prescriptions. As a result, the final check of the blending check can be performed in a short time. Of course, this narrowing can be made closer to the actual value as the information of the case card master is expanded.
[0033]
In addition, the mixing check is performed outside normal business hours, such as at night, and by batch processing, if only errors (mixing changes) are tabulated, a free time can be used effectively. . The tally result may be printed out. However, the time period for performing the composition check can be set to any time, such as during the day, according to the needs of the user.
[0034]
FIG. 3A shows a tabulation result, that is, an injection audit list screen displayed on the display device 3. On the injection audit list screen, a list of those for which an error has occurred during the combination check is displayed. The displayed contents are a prescription number (prescription number), an order number, a prescription classification, a ward, a medication day, a patient ID, and a patient name. However, the contents are not limited to these.
[0035]
When the read button is clicked on the injection audit list screen, the screen is updated and the latest data is displayed. Also, by selecting any row on the injection audit list screen and clicking the audit button, or double-clicking on that row, the prescription medicine for a certain patient is displayed on the prescription input screen shown in FIGS. 3B and 3C. Are all displayed. As a result of the blending check, if there is a blending change (indicated by an arrow in FIG. 3C), the button of “with blending change error” is highlighted (red). Here, when the "combination change information" button is clicked, the search result of the combination change master is displayed as a combination change result list screen shown in FIG. 3D. By clicking a “next page” button (invisible in FIG. 3D, which is not visible), the result of the change in the composition after the displayed drug is displayed. By clicking a “previous page” button (invisible in FIG. 3D, which is not visible), the result of the change in the composition before the displayed medicine is displayed. By clicking the “all data” button, all the results of the change check of the corresponding prescription are displayed. By clicking the “individual data” button, the data is switched to data for each medicine.
[0036]
When the “details” button is clicked, a combination change information screen shown in FIG. 4 is displayed. In this screen, “pH fluctuation information”, “component information”, or “individual drug information” of a medicine is graphically displayed in color at an upper portion of the screen, and “mixing change information” is displayed in color at a lower portion.
[0037]
In the PH fluctuation information screen shown in FIG. 4, the area in which a change has been observed due to the fluctuation of the pH for each medicine is displayed in color according to the content of the change (the area that does not change is white, and the display color can be changed. However, the difference in color cannot be determined in the drawing.) When no change is observed even when all of 10 ml of the solution is titrated on the acid side and the alkali side, it is displayed in pale blue as "partially data available". The sample pH is indicated by a vertical black bar. When a change in the composition occurs, the content of the change is displayed in the right part of the graph. By right-clicking this part, all characters that cannot be displayed can be confirmed. Further, among all the chemicals, a red line is displayed at the highest change point on the acid side, and a blue line is displayed at the lowest value on the change side on the alkali side. This region is a pH value at which no change occurs for all chemicals. When the check button on the right side of the screen is removed (all are ON by default), the graph changes to a light color and can be excluded from the red and blue lines. When checking the pH value in the graph display portion, the pH value can be displayed on the upper portion of the mouse by right-clicking the portion to be checked. If there is no change point information in the selected medicine information, a comment is displayed in the "remarks" portion at the bottom of the screen as the content of caution.
[0038]
FIG. 5 shows a component information screen. On this screen, as the information extracted from the medicine master, a list of component values such as the input dose, the total capacity, and the calories of the displayed medicine is displayed. Items other than "input capacity", "total capacity", and "calorie" can be selected and displayed. Checking each item (class name) in the "display item selection" section at the bottom of the table displays the items belonging to that class. When the display items exceed nine items, the display items can be displayed by horizontal scrolling. Check the items and click the "User Registration" button at the bottom left of the screen to register the selected items as "User Settings". Only the registered items will be displayed if you check "User Settings" in the display item selection section. You. Among the items, especially for "sodium" and "potassium", since there is a limit amount that can be ingested in a day, calculate the total amount per day for all drugs administered to a patient and compare with the limit amount. Then, accidents can be prevented beforehand.
[0039]
FIG. 6 shows an individual medicine information screen. In this screen, each item of the basic medicine information of each medicine which is extracted and read from the medicine master is displayed in a list. As with the display of the component information, it is possible to select and display necessary items or to display user registration display items by selecting an item check button at the top of the screen and selecting a page at the bottom. Further, by clicking the displayed content, it is possible to display the detailed information registered in the medicine master in a pop-up display.
[0040]
In addition, in the lower half of the combination change detail screen, a combination change information screen is displayed as shown in FIG. By clicking on the combination drug group column, a list of all combinations of the drugs displayed in the drug name column of the pH fluctuation information can be displayed. When an arbitrary medicine group is selected from the combination of medicines displayed in the list, registered combination change information is displayed below the selected medicine group. The displayed composition change information can be rewritten and registered in the case card. In other words, although the composition change information stored in the composition change master is a formal one clarified in the literature and the like, it is often changed somewhat in actual operation, so that information is registered in the case card master. It is intended to be used preferentially. By inputting a composition change comment, a time-series comment, and the like, and clicking a “case card” button, the changed information is automatically input to the case card. Combination change information ["pH fluctuation information (graph display)", "mixed medicine information (total infusion, total calories)", "combination change information", "Individual medicine information (single administration comment, precautions for application, etc ... To print "), click the" Print "button at the lower right of the screen. By using the display options (“combination change result”, “combination medicine number”) in the lower right part of the screen, it is possible to limit the number displayed in the combination modification medicine group. Also, for the medicine group selected at the bottom of the screen, the color of the medicine list section at the top can be changed (for example, to light green), and the medicine displayed in the composition change information section can be clarified. is there.
[0041]
When registering the combination change information in the case card with a new combination of medicines not registered in the combination change master, the medicine registration screen shown in FIG. 7 is opened, and the first medicine and the second medicine are displayed from the medicine list displayed. The medicines may be selected in the order of eyes.
[0042]
FIG. 7 shows a state in which the medicines in the medicine list are sorted in the order of the medicine name (they can also be sorted in the order of the medicine codes), and the first medicine is selected as the first medicine and the third medicine is selected as the second medicine. Here, when the “combination drug determination” tab at the top of the screen is clicked, as shown in FIG. 8, all of the selected drug combinations (here, 1 × 3 = 3) are listed as a combination drug confirmation list screen. Is displayed. If there is already registered blending change information, the content is displayed. If there is no registered blending change information, "drug amount", "blending order", "possibility", "change time", "judgment comment" After inputting necessary information such as, etc., clicking the “Case Card Registration” tab allows automatic registration.
[0043]
When inputting the details of the blending information, it is possible to input necessary items corresponding to each item by double-clicking or right-clicking the corresponding portion. For example, in the case of “dose”, a dose input screen shown in FIG. 9 is opened, so that a lower limit value, an upper limit value, and a unit of the used amount can be input. In the “combination order”, the combination order setting screen shown in FIG. 10 is opened, and the combination order can be determined by sequentially clicking the medicine column. In the case of “Possibility” (whether or not to be blended), the feasibility setting screen shown in FIG. 11 is opened, so that “O” (blend), “Δ” (conditionally blendable), “X” (blend) ) Can be selected. For “judgment comment”, the judgment comment setting screen shown in FIG. 12 is opened, and the corresponding comment can be selected. In "Segment", the segment setting screen shown in FIG. 13 is opened, and the corresponding segment can be selected. As for other items such as “remarks” and “time-series comments”, the corresponding items can be selected on the combination drug confirmation list screen and input using a keyboard or the like. In addition, in the case of inputting combination change information having different doses with the same combination of drug codes, only the dose may be changed using the “duplicate selected line” button. If there is an unnecessary combination of medicine codes, the corresponding line may be selected and the "Delete selected line" button may be clicked. If there is a combination of the same medicines in the combination medicine confirmation list, a message is displayed in a separate window indicating that the combination cannot be registered.
[0044]
For the information of each medicine, a basic injection medicine information screen shown in FIG. 14 is displayed (at this time, a screen in which the “basic information 1” tab is clicked is displayed), and a medicine code is input. It is possible to confirm by. When the medicine code is not known, the medicine code selection screen shown in FIG. 15 is displayed by double-clicking the medicine code column or the like, and a desired medicine can be selected. In addition, when the “basic information 2” tab is clicked on the basic injection medicine information screen, the component information screen shown in FIG. 16 is displayed, and the component information can be confirmed. The information displayed on each of these screens is read from the medicine master.
[0045]
In the above embodiment, the prescription data for checking the change in the composition is automatically taken in from the host computer. However, it is also possible to manually input the prescription data using the simple prescription input screen shown in FIG.
[0046]
In the simple prescription input screen, the “prescription code”, “drug name”, “Ministry of Health and Welfare Code”, “quantity”, and “unit” are displayed in the prescription input section (input is performed for the underlined items). The “drug name”, “standard”, “manufacturer name”, and “drug category” of all registered drugs are displayed in the registered drug list section at the bottom of the screen. At the top of the list, “select order” and “cue button” are displayed. In the input using the simple prescription input screen, the “medicine code” can be directly input from the keyboard (drug code direct input mode), selected from the “medicine code list” (drug code list selection mode), or the “registered medicine list”. "(Registered medicine list selection mode) or" bar code list "(bar code list input mode). In the medicine code direct input mode, by inputting the medicine code directly from the keyboard, the corresponding data (medicine name, Ministry of Health and Welfare code) can be read from the medicine master and displayed. In the medicine code list input mode, when a medicine code is not registered in the medicine master or when a medicine code is not input, a medicine code list can be displayed and selected. In the registered medicine list selection mode, a registered medicine list is displayed, and a medicine can be specified based on a standard, a manufacturer, a drug classification, and the like. The order of the list of medicines is “drug name in alphabetical order”, “manufactured in alphabetical order”, and “pharmaceutical distinction”, and any of them can be selected and rearranged. In addition, the quantity and the unit may be input in a corresponding column using a keyboard or the like. In the unit column, the first unit is displayed as a default value. If the drug is a drug having a second unit and a third unit, every time the "Space" key is pressed, "1st unit" → "2nd unit" → "3rd unit" → "1st unit" It is possible to switch. Note that all information input in units other than the first unit is converted into the first unit, a blending change check is performed, and the result is reflected on the result display screen.
[0047]
Further, in the above-described embodiment, the database is searched in the storage device 2 based on the combination of medicines rearranged in medicine code order. However, the search may be performed as follows based on a hash function. .
[0048]
That is, a hash value is obtained for each combination of medicines from the medicine name, medicine code, and the like of the medicine to be combined as the combination change information, and registered in the combination change master as a search key. Then, a matching hash value obtained from the combination of medicines to be compounded can be searched from the compounding change master. In this case, as the hash value, a different value can be obtained by a combination of different medicines, and a hash value that is the same even if the combination order of the medicines is different can be used.
[0049]
Specifically, when the medicine A (drug code: 123) and the medicine B (drug code: 456) are compounded, the adjacent numerical value of each medicine is multiplied by the leading and ending numerical values (drug A: 1 ×). 2 = 02, 2 × 3 = 06, 1 × 3 = 03 Chemical B: 4 × 5 = 20, 5 × 6 = 30, 4 × 6 = 24). Then, the calculation result is inserted after each numerical value of the drug code (drug A: 102206303 drug B: 42053624), and the obtained result is added between the drugs to obtain a hash value (102206303 + 420530624 = 522736927). According to the hash values thus obtained, different values are obtained for different combinations of drugs, and the same value is obtained even when the order of mixing the drugs is different.
[0050]
As described above, when the hash function is used, it is not necessary to rearrange the order of registering the medicines in the composition change master and the order of the medicines to be checked in the order of codes. In addition, when registration in the composition change master is performed in the order of blending, it is not necessary to separately store the composition order field, that is, the composition order in which the composition change occurs.
[0051]
Further, in the above-described embodiment, the mixing order when mixing three or more drugs is not particularly considered, but the “mixing order presence / absence flag” field and the “mixing order” field may be separately stored. The "mixing order presence / absence flag" field stores information indicating that a change in mixing occurs due to the difference in the mixing order, and the "mixing order" field stores the mixing order in that case. Then, when the corresponding record is searched in the “mixing change master” at the time of checking the mixing change, the presence or absence of the mixing order is checked by referring to the “mixing order presence / absence flag” field, and the mixing order is related to the mixing change. For example, the display is rearranged in the mixing order with reference to the "mixing order" field, and a comment indicating that the mixing order is related to the change in the mixing is displayed. As a result, the compounding order can be automatically determined, and a compounding error can be prevented beforehand, and the working efficiency can be significantly improved.
[0052]
In the above-described embodiment, the medicine code and the procedure code are represented by numbers. However, in addition to symbols and the like, the medicine name and the procedure name may be used. Anything can be used as long as the order can be rearranged according to.
[0053]
【The invention's effect】
As is apparent from the above description, according to the present invention, when two or more kinds of medicines are included in the prescription information, the medicine information is rearranged based on the medicine codes stored in the storage means, and the obtained medicine information is Since the suitability of the combination is determined by referring to the combination change information called from the storage unit in accordance with the order and the combination, high-speed search can be performed while suppressing the storage capacity of the storage unit.
[Brief description of the drawings]
FIG. 1 is a block diagram illustrating a medicine management system according to an embodiment.
FIG. 2 is a block diagram showing a procedure of a composition change check.
FIG. 3A is an injection inspection list screen.
FIG. 3B is a prescription input screen.
FIG. 3C is a prescription input screen showing a state scrolled downward in FIG. 3B.
FIG. 3D is a combination change result list screen.
FIG. 4 is a composition change information screen.
FIG. 5 is a component information screen.
FIG. 6 is an individual medicine information screen.
FIG. 7 is a medicine registration screen.
FIG. 8 is a combination drug confirmation list screen.
FIG. 9 is a dose input screen.
FIG. 10 is a blending order setting screen.
FIG. 11 shows an availability setting screen.
FIG. 12 is a determination comment setting screen.
FIG. 13 is a section setting screen.
FIG. 14 is a basic injection medicine information screen.
FIG. 15 is a medicine code selection screen.
FIG. 16 is a component information screen.
FIG. 17 is a simple prescription input screen.
FIG. 18 is a diagram showing a list of procedure names and code numbers.
FIG. 19 is a flowchart showing the control contents of the medicine management system.
[Explanation of symbols]
1. Central processing unit
2. Storage device
3. Display device
4: Printing device

Claims (8)

Storage means for storing medicine information on medicines and combination change information indicating a change when compounding a plurality of medicines;
A drug management system comprising, if one or more prescription information of a patient contains two or more kinds of medicines, a combination suitability judging means for judging suitability based on the combination change information stored in the storage means; At
The storage means stores a medicine code associated with each medicine, and combination change information corresponding to a combination of medicine information rearranged according to the medicine code,
When the prescription information contains two or more kinds of medicines, the mixing suitability judging means sorts the medicine information based on the medicine codes stored in the storage means, and stores the medicine information in accordance with the order and combination of the obtained medicine information. A drug management system characterized in that the suitability of a combination is determined by referring to the combination change information called from the system. Storage means for storing medicine information on medicines and combination change information indicating a change when compounding a plurality of medicines;
When two or more kinds of medicines are included in the prescription information, a medicine management system comprising: a combination suitability judging means for judging suitability of the combination based on the combination change information stored in the storage means;
The storage unit stores the drug-related information of each drug, and calculates a combination of two or more types of drugs according to a hash function based on the drug-related information, and stores the combination change information for each obtained hash value.
When two or more types of medicines are included in the prescription information, the combination suitability judging means calculates a hash value based on the medicine-related information stored in the storage means, and calculates a hash value from the storage means based on the obtained hash value. A medicine management system characterized in that the corresponding combination change information is called to determine the suitability of the combination. The storage means stores a master file in which non-rewritable combination change information is stored, and a case card file in which new combination change information can be stored,
The medicine according to claim 1, wherein the suitability judging means judges the suitability of the combination based on the combination change information stored in the case card file preferentially when judging the suitability of the chemical. Management system. Display means for displaying the suitability of the mixture determined by the suitability determination means,
The medicine management system according to any one of claims 1 to 3, wherein the composition change information for all combinations of medicines displayed on the display means can be displayed. 5. The medicine management system according to claim 4, wherein the change information of the combination of all the medicines displayed on the display means can be changed and can be newly stored in a case card file. On the display means, after displaying a medicine registration screen that allows a plurality of medicines to be combined to be registered for each combination unit, a list of all combinations between all combination units is displayed on a combination medicine confirmation screen, and new combination change information is displayed. The medicine management system according to claim 4, wherein the medicine management system can be inputted and stored in the case card file. If there is a case where a combination change occurs due to a difference in the combination order in the stored combination of medicine information, the storage unit stores the fact, and when the corresponding combination is referred to, the appropriate combination is displayed on the display unit. 7. The medicine management system according to claim 4, wherein the medicine information is rearranged in order and displayed. When the prescription information contains two or more kinds of medicines, the mixing propriety judging means judges the medicines to be simultaneously administered based on the procedure code stored in the storage means before rearranging the medicine information based on the medicine code. The drug management system according to any one of claims 1 to 7, wherein the drug management system is selected.

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