JP2006107321A - Dosing guidance support system, dosing guidance support program and computer readable recording medium with dosing guidance support program recorded thereon - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a dosing guidance support system capable of sufficiently coping with initial symptoms appealed by a patient, a dosing guidance support program and a computer readable recording medium on which the dosing guidance support program is recorded. <P>SOLUTION: This computer A is made to operate as a patient information input means P1, a patient information recording means P2, an initial symptom input means P3, an initial symptom information retrieval means P4, an initial symptom information output means P5, a side-effect information reading means P6 and a side-effect information output means P7. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a medication guidance support system, a medication guidance support program, and a computer-readable recording medium that records the medication guidance support program.

  While drugs have efficacy, they usually have side effects. In addition, when multiple drugs are administered to a patient at one time, side effects may occur due to multiple administration of multiple drugs having the same type of action, or side effects may occur due to the interaction of multiple drugs having different types of actions. There are things to do.

  Traditionally, doctors and pharmacists have been able to determine the efficacy of drugs prescribed to patients based on information described in package inserts issued by pharmaceutical manufacturers, for example, side-effect information such as medication instructions and drug information. We give medication instruction about side effects and countermeasures.

For such side effect information, a pharmaceutical database in which prescription contents of a prescription prescribed for a patient are input and information including drug information and side effect information on the side effect, multiple administration, and interaction of the drug is recorded. Drug side information and side effect information of the drug, and side effects and duplicate administration and interaction of the drug based on the inputted prescription content, and the checked side effect on the inputted prescription content Adopts a system that displays and / or prints information by output means (for example, printing means such as a printer or image display means such as a display), and prints side effect information when a doctor or pharmacist determines side effects Or display it so that it can be viewed and confirmed (for example, Patent Document 1). See Patent Document 4).
JP-A-8-63519 JP-A-9-307722 JP 2000-163498 A JP 2003-16185 A

  However, in the conventional system, the content shown to the patient as side effect information is a difficult expression for the patient, and the situation considered as the side effect does not indicate what initial symptoms are seen. Therefore, it is impossible for the patient to determine whether the medical condition is getting worse due to the side effects of the drug, and what to be aware of when taking the drug.

  Even if the patient is a pharmacist or the like, for example, if the patient takes D tablet 1 mg, the patient may be instructed to take medication such as “blood pressure lowering” as a side effect, There are not enough medication instructions such as “I don't have appetite ...”, and this medication guidance largely depends on my experience as a pharmacist. In addition, even in the conventional system, when taking a plurality of drugs (prescription), a double-dose prescription check and a side effect check are performed by mutual check and duplication check, but there is no record of initial symptoms for side effects. Is the actual situation.

  In addition, when a patient complains of initial symptoms such as “slow body, no appetite ...”, pharmacists etc. determine which side effect caused by which drug among the drugs prescribed in the past There was a case where it couldn't be done. Even a pharmacist may not be able to fully cope with patient complaints because the side effects that can occur in all drugs and drug combinations and their initial symptoms are not fully understood.

  The present invention has been made in view of the above-mentioned problems, and is a computer-readable recording system that records a medication guidance support system, a medication guidance support program, and a medication guidance support program that can sufficiently cope with initial symptoms reported by a patient. It is an object to provide a simple recording medium.

  In order to solve the above problems, the present invention provides the following medication guidance support system, a medication guidance support program, and a computer-readable recording medium in which the medication guidance support program is recorded.

(1) Medication instruction support system Patient information input means for inputting patient information including information for identifying a patient and prescription contents of a prescription prescribed for the patient, prescription for the prescription input from the patient information input means Patient information database in which content is recorded, initial symptom information database in which drug information and initial symptom information including information on initial symptoms of side effects related to the drug or combination of drugs are recorded, and medication prescribed to patients The initial symptom input means for inputting the contents of the initial symptoms of the side effects caused by the drug, and the drug information prescribed to the patient is read from the patient information database based on the input patient information, and the initial symptom information is read from the initial symptom information database. Based on the entered initial symptoms, the initial symptoms of the drugs prescribed to the patient match Initial symptom information search means for searching for a drug, initial symptom information output means for outputting the initial symptom information and the corresponding drug information searched by the initial symptom information search means, and side effects related to the combination of the drug information and the drug or drug The side effect information of the corresponding drug information from the side effect information database based on the side effect information database in which the side effect information including the information is recorded, the initial symptom information output from the initial symptom output means and the corresponding drug information A medication instruction support system comprising: a side effect information reading unit that reads out the side effect information; and a side effect information output unit that outputs the side effect information read out by the side effect information reading unit and the corresponding drug information.

(2) Medication instruction support program An initial symptom information database in which prescription contents of a prescription are recorded, and initial symptom information including drug information and initial symptom information of side effects related to the drug or a combination of the drug And a computer having a side effect information database in which side information including side information on the drug or a combination of the drugs is recorded, information identifying the patient and prescription contents of the prescription prescribed for the patient Patient information input means for inputting patient information including: patient information recording means for recording the prescription content of a prescription input from the patient information input means in a patient information database, initial stage of side effects caused by taking medicine prescribed to the patient Initial symptom input means to input the contents about the symptom, based on the input patient information In addition to reading out the drug information prescribed to the patient from the patient information database, the initial symptom information is read out from the initial symptom information database, and the initial symptom of the drugs prescribed to the patient matches based on the inputted initial symptom. Initial symptom information search means for searching for a drug to be performed, initial symptom information output means for outputting initial symptom information searched by the initial symptom information search means and corresponding drug information, and initial symptom information output from the initial symptom output means And side effect information reading means for reading out the side effect information of the corresponding drug information from the side effect information database, and the side effect information and the corresponding drug information read out by the side effect information reading means based on the corresponding drug information Medication characterized by functioning as a side effect information output means Guide support program.

(3) Computer-readable recording medium A computer-readable recording medium in which the medication instruction support program according to the present invention is recorded.

  According to the medication instruction support system, the medication instruction support program, and the recording medium according to the present invention, the patient information input by the patient information input means and the initial side effects of the medication prescribed in the past input from the initial symptom input means From the contents about the symptoms, among the drugs prescribed to the patient, the drug or combination of drugs corresponding to the initial symptoms is searched by the initial symptom information search means and output by the initial symptom information output means. Further, the side effect information about the corresponding drug is read out by the side effect information reading unit from the drug or the combination of drugs and the initial symptom information, and is output by the side effect information output unit.

  Therefore, it is possible to grasp which side effect is caused by which medicine or a combination of medicines among the medicines prescribed to the patient from the initial symptoms reported by the patient, so that sufficient treatment can be performed on the patient.

  In the medication instruction support system according to the present invention, additional updating is performed by inputting additional update initial symptom information for additionally updating the initial symptom information for the drug and / or additional update side effect information for additionally updating the side effect information for the drug. Drug information input means, and drug information and initial symptom information are read from the initial symptom information database, drug information and side effect information are read from the side effect information database, and input by the additional update drug information input means Based on the drug information, the retrieved drug information is referred to, and the initial symptom information for additional update and / or the side effect information for additional update are additionally updated with respect to the initial symptom information and / or side effect information of the referred drug. Database adding / updating means for performing the processing may be further provided.

  Further, in the medication instruction support program according to the present invention, the computer is used for additional update initial symptom information for additionally updating the initial symptom information for the drug and / or additional update side effect information for additionally updating the side effect information for the drug. Additional update drug information input means for inputting information, and reading drug information and initial symptom information from the initial symptom information database, reading drug information and side effect information from the side effect information database, and the additional update drug information Based on the drug information input by the input means, the read drug information is referred to, and initial update symptom information and / or additional update for the initial symptom information and / or side effect information of the referred drug. Function as an additional database update means to update additional side effect information It may be.

  The medication instruction support system according to the present invention also includes an initial symptom information database in which drug information and initial symptom information including information on initial symptoms of side effects related to the drug or a combination of drugs are recorded, and an initial stage of side effects caused by drug administration. Initial symptom input means for inputting contents of symptoms, initial symptom information search means for reading out initial symptom information from the initial symptom information database, and searching for a drug that matches the input initial symptom, and the initial symptom information search An initial symptom information output means for outputting initial symptom information searched by means and corresponding drug information, a side effect information database in which drug information and side effect information including side effect information related to the drug or a combination of drugs are recorded; Based on the initial symptom information and the corresponding drug information output from the initial symptom output means. A side effect information reading unit that reads out the side effect information of the corresponding drug information from the side effect information database, and a side effect information output unit that outputs the side effect information read out by the side effect information reading unit and the corresponding drug information. It may be a thing.

  According to the medication guidance support system and the medication guidance support program according to the present invention and the computer-readable recording medium recording the medication guidance support program, any drug or combination of drugs causes side effects from the initial symptoms reported by the patient. Therefore, it is possible to cope with the patient sufficiently.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings. FIG. 1 is a diagram showing a configuration example of a computer which is an example of a medication instruction support system according to the present invention.

  As shown in FIG. 1, the computer A includes a central processing unit 1, a main memory 2, a file device 3, an input device 4, and an output device 5. The input device 4 includes a reading unit 41 that can read program information from a computer-readable recording medium 6 that records the medication instruction support program P, and an input unit 42 such as a mouse or a keyboard. The file device 3 records the program information read from the recording medium 6, and stores a patient information database L, an initial symptom information database M, and a side effect information database N that can be used for the medication instruction support program P. In addition, data can be read and written to the databases L, M, and N. The main memory 2 can read program information recorded in the file device 3 and has a program work area. Here, the output device 5 includes an image display device 51 such as a display and a printing device 52 such as a printer, and can display and / or print information processed by the medication instruction support program P. Further, the central processing unit 1 can control the entire medication instruction support system based on the medication instruction support program P read into the main memory 2.

  The patient information database L records the prescription content history of the prescription for each patient, and patient information, medication date, prescription drug information, etc. are recorded for each patient. The initial symptom information database M is recorded with drug information and initial symptom information including information on initial symptoms of side effects related to the drug or a combination of drugs. Specifically, as drug information, a drug name, Ingredients, efficacy and the like are recorded, and initial symptom information of the drug is also recorded. The side effect information database N records drug information and side effect information including information on side effects related to the drug or combination of drugs. Specifically, the drug name is recorded as drug information, Side effect information etc. are also recorded. The initial symptom information and the side effect information may be ranked and recorded as a larger value as the symptom becomes heavier according to the degree of the symptom.

In the medication instruction support program P, the process selected by the user among the following processes (a) to (b) is executed.
(A) side effect drug search process in prescription for patient (a ') side effect drug search process (b) database addition update process

  FIG. 2 is a schematic block diagram of each means for causing the computer to function in each process of the medication instruction support program.

  In the side effect occurring drug search process in the prescription for the patient of (a), the computer A is connected to the patient information input means P1, patient information recording means P2, initial symptom input means P3, initial symptom information search means P4, initial symptom information output means. It functions as P5, side effect information reading means P6, and side effect information output means P7.

  In the patient information input means P1, information for specifying a patient (for example, patient name, patient ID, date of birth, etc.) and prescription contents of a prescription prescribed for the patient are input units such as a mouse and a keyboard in the input device 4. 42 is input.

  In the patient information recording means P2, the prescription contents of the patient's prescription inputted from the patient information input means P1 are additionally recorded in the patient information database L. Thereby, the side effect drug search processing in the past prescription (generally the previous prescription) can be performed even at the next medication instruction.

  In the initial symptom input means P3, the contents of the initial symptom of the side effect caused by the medication prescribed to the patient are input by the input unit 42 such as a mouse or a keyboard in the input device 4. For example, using a template (check sheet) relating to the initial symptoms stored in the file device 3 of the computer A in advance, the pharmacist interviews the patient and inputs it by checking the corresponding part with a mouse or the like. .

  In the initial symptom information search means P4, based on the patient information input by the patient information input means P1, drug information prescribed to the patient is read from the patient information database L, and initial symptom information is read from the initial symptom information database M. Based on the initial symptom input by the initial symptom input means P3, a drug whose initial symptom matches among the drugs prescribed for the patient is searched. In addition, when reading the medicine information prescribed | regulated to the patient, the medicine information prescribed this time can be read, or the medicine information prescribed in the past can be read. In particular, when reading out prescription drug information, only the prescription information of the previous prescription is read (by inputting the previous prescription date and searched), or the prescription information of the prescription within a predetermined period in the past is read out. (Searching by inputting a period) or the like can be employed as appropriate. In the initial symptom information output means P5, the initial symptom as a search result in the initial symptom information search means P4 and the medicine information about the corresponding medicine or medicine combination are displayed on the output device 5 such as an image display device 51 such as a display or a printer. The data is output to the printing device 52.

  The side effect information reading unit P6 reads side effect information for the corresponding drug information from the side effect information database N based on the initial symptom information and the corresponding drug information output from the initial symptom information output unit P5. In the side effect information output means P7, the side effect information read by the side effect information reading means P6 and the medicine information about the corresponding medicine or medicine combination are displayed on the output device 5 such as an image display device 51 such as a display, or a printer such as a printer. To 52.

  In the side effect occurring drug search process of (a ′), the computer A performs initial symptom input means P3, initial symptom information search means P4, which does not depend on patient information in the side effect occurring drug search process in the prescription for the patient of (a), It functions as initial symptom information output means P5, side effect information read means P6, and side effect information output means P7.

  In the initial symptom database additional update process of (b), the computer A is caused to function as additional update drug information input means P8 and database additional update means P9.

  In the additional update medicine information input means P8, in the input device 4, additional update initial symptom information for additionally updating the initial symptom information for the medicine and / or additional update side effect information for additionally updating the side effect information for the medicine is provided in the input device 4. Input is performed by an input unit 42 such as a mouse or a keyboard.

  The database additional update means P9 reads out the drug information and the initial symptom information from the initial symptom information database M, reads out the drug information and the side effect information from the side effect information database N, and inputs them in the additional update drug information input means P8. Based on the obtained drug information, the retrieved drug information is referred to, and the initial symptom information for additional update and / or the side effect information for additional update are added to the initial symptom information and / or side effect information of the inquired drug. Add and update.

  Here, the subroutine processing for executing each processing of (a) to (b) will be described more specifically.

(A) Side effect occurrence drug search process in prescription for patient / (a ′) Side effect occurrence drug search process In the following example, among the prescriptions for patient, the side effect occurrence drug search process in the previous prescription is specified and explained. To do. FIG. 3 is a flowchart showing an example of a subroutine for searching for a side effect drug.

  First, the drug instruction support program P is activated to enable a side effect drug search process, and then whether or not to input patient information is selected (step S1). When patient information is input (Yes in step S1), the side effect occurrence drug search process in the past prescription of (a) is performed. When patient information is not input (No in step S1), the side effect occurrence drug search of (a ') It becomes processing.

  First, the side effect drug search process in the previous prescription of (a) is demonstrated. When patient information is input (Yes in step S1), information for specifying a patient (hereinafter referred to as patient specifying information) is input (step S2). Specifically, information specifying the patient such as the patient's name, ID, and the previous prescription date (dispensing date) is input from the input device 4 as the patient information input means P1. When the patient identification information is input, the central processing unit 1 retrieves the patient identification information from the patient information database L, reads the corresponding patient information (including prescription history, etc.), and outputs and displays it on the image display device 51 ( Step S3).

  Here, in general, in order to perform medication instruction at the time of prescription (Yes in step S4), the prescription content of the patient's current prescription is input in the same manner as the patient specifying information (step S5). The prescription contents of the inputted prescription of this time are recorded as prescription history information in the patient information database L by the central processing unit 1 as the patient information recording means P2 (step S6). By recording the prescription history information, the side effect drug search process in the past (previous) prescription can be performed at the next prescription.

  After the current prescription is recorded in step S6, further medication instruction based on the previous prescription is required (Yes in step S7), or this time only when the patient is given prescription based on the previous prescription (the patient is the drug prescribed in the previous prescription) After the patient identification information is read in Step S3 (No in Step S4), the past prescription history information is read from the prescription history (Step S8). Note that if only the current prescription is required and no medication instruction based on the previous prescription is required (No in step S7), the process ends.

  Subsequently, the pharmacist interviews the patient, listens to what abnormalities (initial symptoms for side effects) appear when the patient takes the previously prescribed medication, and inputs the initial symptoms (Step S9). The patient himself / herself may input initial symptoms. FIG. 4 is a diagram showing an example of an input / output screen in the side effect drug search processing in the previous prescription. The input / output screen shown in FIG. 4 includes an initial symptom information input / output column c1 and a side effect information output column c2. In the initial symptom information input / output column c1, initial symptoms extracted from the initial symptom information database M recorded in the file device 3 are listed in advance, and initial symptom items corresponding to the initial symptoms of the patient obtained by the hearing are listed. The check column c111 of c11 is entered by clicking or the like with the input device 4 (such as a mouse) as the initial symptom input means P3.

  When the initial symptom is input, the central processing unit 1 functions as the initial symptom information search means P4, reads the initial symptom information from the initial symptom information database M recorded in the file device 3, and sets the input initial symptom to the initial symptom information. Based on the previous prescribed medicine, the medicine having the same initial symptom is searched (step S10). Then, the central processing unit 1 causes the output device 5 functioning as the initial symptom information output means P5 to output the search processing result (step S11). In this example, the medicine item c3 is listed and displayed as a lower item of the corresponding initial symptom item c11 on the input / output screen of FIG.

  Furthermore, the central processing unit 1 functions as the side effect information reading means P6, and reads out the side effect information of the corresponding drug from the side effect information database N recorded in the file device 3 (step S12). Then, the central processing unit 1 causes the output device 5 functioning as the side effect information output means P7 to output the read result (step S13). In this example, in the input / output screen of FIG. 4, the corresponding item (the column of jaundice and hypoglycemia in FIG. 4) among the side effect information items c21 listed in advance in the side effect information output column c2 changes color (FIG. 4). (It is possible to employ blinking, inversion, etc. as appropriate). By clicking the check field c211 of the color-changed item c21 with the input device 4 such as a mouse, the corresponding drugs or drug combinations as the drug item c3 are pulled down and listed.

  As described above, according to the side effect-occurring drug search process in the previous prescription in (a), any drug or drug out of the drugs prescribed to the patient (especially those previously prescribed) from the initial symptoms reported by the patient. Since it is possible to easily grasp whether a side effect is caused by the combination, it is possible to sufficiently cope with the patient.

  In this embodiment, in FIG. 4, the initial symptom is input from the initial symptom input / output column c1 and the corresponding drug is output from the initial symptom input / output column c1 and the side effect information output column c2. It is also possible to make it function as a device for examining side effect information and / or initial symptom information of the prescribed medicine from the contents or the contents of the current prescription. That is, by inputting or selecting predetermined prescription content, the item where the corresponding drug exists is changed in color among the initial symptom item c11 in the initial symptom input / output column c1 and the side effect information item c21 in the side effect information output column c2. By clicking the check boxes c111 and c211 of the color-changed items with the input device 4 such as a mouse, the drugs or drug combinations corresponding to the initial symptoms or side effects are pulled down as drug items c3 and listed. The In this case, at the time of multiple prescriptions of drugs, etc., it is possible to examine the initial symptoms for side effects at the same time as performing drug interactions, multiple administrations, and / or side effects, so pharmacists etc. The medication instruction including the initial symptoms for the side effect information can be effectively performed.

  Next, the side effect drug search processing not based on patient information (a ′) will be described. In this processing, basically the same processing is performed after step S9 (No in step S1) in FIG. 4 in the side effect drug search processing in the previous prescription of (a). However, since the patient information is not input, it is expected that the number of drug items c3, which are subordinate items of the initial symptom item c11 in FIG. Therefore, when the initial symptom is input in step S9, the number of drugs can be narrowed down to some extent by inputting the use, type, prescription department, etc. of the drug together, and effective use can be achieved. it can.

  As described above, according to the side effect occurrence drug searching process not based on the patient information of (a ′), drug information and / or side effect information can be searched from the initial symptom information, and general drug information → side effect information → initial symptom information. Therefore, it can be used as a kind of reverse lookup dictionary, and a pharmacist or the like can give more effective medication instruction from the initial symptoms appealed by the patient.

(B) Database Additional Update Process FIG. 5 is a flowchart showing an example of a subroutine for database additional update process. When it becomes necessary to additionally update the initial symptom information and / or side effect information of a certain drug, this processing program is started. First, when it is desired to additionally update new initial symptom information (Yes in step S21), the initial symptom information to be additionally updated and the corresponding drug information are input as additional update drug information input means P8 according to a predetermined template or the like. Input from the device 4 (step S22). Furthermore, when it is desired to additionally update new side effect information (Yes in step S23), similarly, the side effect information to be additionally updated and the corresponding drug information are input (step S24). Similarly, when the information to be additionally updated is only the side effect information (No in step S21) or only the initial symptom information (No in step S23), the information to be additionally updated is similarly input.

  The initial symptom information to be additionally updated and the side effect information to be additionally updated may be associated with each other and input simultaneously.

  When initial symptom information and / or side effect information to be additionally updated is input, the central processing unit 1 functions as the database additional update means P9, and the initial symptom information database M and / or side effect information recorded in the file device 3 is used. Drug information and initial symptom information and / or side effect information are read from the database N, the input drug information and the read drug information are inquired, and initial symptom information and / or additional update for additional update related to the corresponding drug information Additional side effect information is updated (step S25).

  As described above, even when new addition or change of the initial symptom information and / or side effect information occurs, the additional update processing can be easily performed based on the initial symptom information database M and the side effect information database N linked to the drug information. It can be performed.

It is a figure which shows the structural example of the computer which is an example of the medication guidance assistance system which concerns on this invention. It is a schematic block diagram of each means which makes a computer function in each process of a medication instruction | indication assistance program. It is a flowchart which shows an example of the subroutine of a side effect generation drug search process. It is a figure which shows the example of the input / output screen in the side effect generation | occurrence | production drug search process in the last prescription. It is a flowchart which shows an example of the subroutine of a database addition update process.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Central processing unit 3 ... File apparatus 4 ... Input device 5 ... Output device 6 ... Recording medium A ... Computer (medicine instruction support system) P ... Medication instruction support program P1 ... Patient information input means P2 ... Patient information recording means P3 ... Initial symptom input means P4 ... Initial symptom information search means P5 ... Initial symptom information output means P6 ... Side effect information read means P7 ... Side effect information output means P8 ... Additional update drug information input means P9 ... Database addition update means

Claims (6)

Patient information input means for inputting patient information including information for identifying a patient and prescription contents of a prescription prescribed for the patient;
A patient information database in which the prescription content of the prescription inputted from the patient information input means is recorded;
An initial symptom information database in which drug information and initial symptom information including information on initial symptoms of side effects related to the drug or a combination of drugs are recorded;
An initial symptom input means for inputting contents of an initial symptom of a side effect caused by taking a medicine prescribed to a patient;
Based on the input patient information, the drug information prescribed to the patient is read from the patient information database, and the initial symptom information is read from the initial symptom information database, and is prescribed to the patient based on the input initial symptom. An initial symptom information search means for searching for a drug with an initial symptom that matches,
Initial symptom information output means for outputting initial symptom information searched by the initial symptom information search means and corresponding drug information;
A side effect information database in which drug information and side effect information including side effect information regarding the drug or combination of drugs are recorded;
Side effect information reading means for reading out the side effect information of the corresponding drug information from the side effect information database, based on the initial symptom information and the corresponding drug information output from the initial symptom output means,
A medication instruction support system comprising: side effect information read out by the side effect information read out means and side effect information output means for outputting corresponding drug information. An initial symptom information database in which drug information and initial symptom information including information on initial symptoms of side effects related to the drug or a combination of drugs are recorded;
An initial symptom input means for inputting contents about an initial symptom of a side effect caused by taking a drug;
Read initial symptom information from the initial symptom information database, and search for an initial symptom information search means for searching for a drug whose initial symptom matches.
Initial symptom information output means for outputting initial symptom information searched by the initial symptom information search means and corresponding drug information;
A side effect information database in which drug information and side effect information including side effect information regarding the drug or combination of drugs are recorded;
Side effect information reading means for reading out the side effect information of the corresponding drug information from the side effect information database, based on the initial symptom information and the corresponding drug information output from the initial symptom output means,
A medication instruction support system comprising: side effect information read out by the side effect information read out means and side effect information output means for outputting corresponding drug information. Additional update drug information input means for inputting additional update initial symptom information for additionally updating initial symptom information for drugs and / or additional update side effect information for additionally updating side effect information for drugs;
The drug information and the initial symptom information are read from the initial symptom information database, the drug information and the side effect information are read from the side effect information database, and read based on the drug information input by the additional update drug information input means. Database addition means for making an inquiry with the issued drug information and additionally updating the initial symptom information for additional update and / or the side effect information for additional update with respect to the initial symptom information and / or side effect information of the inquired drug; A medication instruction support system according to claim 1 or 2. A patient information database in which the prescription content of the prescription is recorded,
An initial symptom information database in which drug information and initial symptom information including information on initial symptoms of side effects related to the drug or a combination of drugs are recorded;
A computer having a side effect information database in which drug information and side effect information including side effect information related to the drug or a combination of drugs are recorded;
Patient information input means for inputting patient information including information for identifying a patient and prescription contents of a prescription prescribed for the patient;
Patient information recording means for recording the prescription content of the prescription inputted from the patient information input means in a patient information database;
Initial symptom input means for inputting the contents of the initial symptoms of side effects caused by taking the medicine prescribed to the patient;
Based on the input patient information, the drug information prescribed to the patient is read from the patient information database, and the initial symptom information is read from the initial symptom information database, and is prescribed to the patient based on the input initial symptom. An initial symptom information search means for searching for a drug having the same initial symptom among drugs,
Initial symptom information output means for outputting initial symptom information searched by the initial symptom information searching means and corresponding drug information;
Based on the initial symptom information output from the initial symptom output means and the corresponding drug information, the side effect information reading means for reading out the side effect information of the corresponding drug information from the side effect information database, and read by the side effect information reading means A medication instruction support program which functions as a side effect information output means for outputting the side effect information and the corresponding drug information. The computer,
Additional updating drug information input means for inputting additional update initial symptom information for additionally updating initial symptom information for drugs and / or additional update side effect information for additionally updating side effect information for drugs, and the initial symptoms The drug information and the initial symptom information are read from the information database, the drug information and the side effect information are read from the side effect information database, and read based on the drug information input by the additional update drug information input means. Claims which are made to function as database addition update means for making an inquiry with drug information and additionally updating the initial symptom information for additional update and / or the side effect information for additional update with respect to the initial symptom information and / or side effect information of the inquired drug. 3. Medication instruction support program according to 3.   6. A computer-readable recording medium on which the medication instruction support program according to claim 4 is recorded.

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