JP2006276899A - Information management system program and management device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an information management system which is applied for management of, for example, attached documents to be attached to a medicine and supports management of attached documents and to provide a management device. <P>SOLUTION: The management device 1 uses; a 1st database 13a which records basic information about the medicine by homologizing it to identification information which identifies the medicine; a 2nd database 13b which records a plurality of items of attached documents information described in the attached documents attached to the medicine by homologizing it to the identification information; and a 3rd database 13c which records additional information about attached documents by homologizing it to the identification information or the basic information. The device extracts the additional information recorded in the 3rd database 13c, and outputs the extracted additional information in a list. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to an information management system that supports management of information related to a management target and a management device used in the information management system, and more particularly to an information management system and management device that supports management of information related to medicines.

It is stipulated by the Pharmaceutical Affairs Law that a document called a package insert is attached to a pharmaceutical product. The package insert describes, for example, the composition, properties, effects / indications, usage / dose, and precautions for use (including general precautions, especially information on contraindicated diseases, side effects, etc.) Is done. If it is a medical product for physicians, the package insert will also contain information such as the pharmacology, pharmacokinetics, clinical application, and non-clinical results of the drug. Various original information that is the source of the attached document is provided as a recording medium such as a DVD-ROM. Techniques relating to such a package insert are disclosed in, for example, Patent Document 1, Patent Document 2, and Patent Document 3 below.
JP-A-10-97543 JP 2000-163498 A JP 2002-132939 A

  However, research related to pharmaceuticals is progressing steadily, and various information that should be included in the package inserts such as the development of new drugs and the discovery of new side effects has been announced every day. There may be a time difference before it is reflected in the recording medium provided as the original information. In some cases, it may be preferable to browse the information necessary only in each hospital together with the attached document, but the original information of the attached document is not edited for each individual hospital. Accordingly, there is a need for a method that supports the complete description of the information in the package insert whenever such information is announced, or whenever there is a situation in which necessary information is clearly specified only within an individual hospital.

  The present invention has been made in view of such circumstances, and a database for recording additional information such as a newly announced side effect is provided separately from the database for recording the contents of the original attached document. Information management system capable of supporting the reflection of the additional information in the attached document without any omission by associating with the recorded database and outputting the additional information as a list, and used in the information management system The purpose is to provide a management device.

  An information management system according to a first aspect of the present invention is an information management system for supporting management of information related to medicines, wherein the first recording means records basic information of a plurality of items related to medicines in association with identification information for identifying medicines. And a second recording means for recording a plurality of items of attachment information described in the attachment attached to the medicine in association with the identification information, and an addition relating to the attachment in association with the identification information or basic information. Third recording means for recording information, means for extracting additional information recorded in the third recording means, output means for outputting information relating to the extracted additional information as a list, and outputting as a list It is characterized by comprising means for receiving an instruction of information relating to the additional information and means for outputting additional information corresponding to the received instruction.

  In the present invention, the additional information to be added every day is recorded in association with the attached document information and the medicine separately from the attached document information issued after a period of time, thereby leaking the content of the additional information to the attached document. Moreover, it is easy to reflect, and by outputting a list of additional information, it is possible to easily grasp the occurrence status of the additional information.

  An information management system according to a second invention is the information management system according to the first invention, wherein the first recording means is configured to record property presence / absence information indicating the presence / absence of a predetermined property of the medicine as basic information. Means for receiving a search key to be performed, means for extracting basic information including property presence / absence information about the medicine from the first recording means based on the received search key, and presence / absence of each property based on the extracted property presence / absence information It is characterized by comprising means for generating property presentation information indicating one of them, and means for outputting the extracted basic information and the generated property presentation information as a list.

  In the present invention, by outputting the presence / absence of properties such as internal medicines, powerful drugs, psychotropic drugs, etc., it is easy to grasp the properties related to the drugs. , It is possible to explicitly indicate that the drug does not have the property as well as the property of the drug.

  In the second invention, the information management system according to the third invention extracts, from the second recording means, means for accepting an instruction for the basic information output as a list, and attached document information corresponding to the medicine related to the accepted basic information. Means and an attached document output means for outputting the extracted attached document information.

  In the present invention, since the attached document information is output in cooperation with the basic information, the operability is high.

  The information management system according to a fourth aspect of the present invention is the information management system according to the third aspect, wherein the first recording means is configured to record medicinal efficacy information indicating medicinal efficacy of the medicine hierarchically as basic information, and to instruct the basic information. In the case of acceptance, it further comprises means for extracting medicinal effect information related to the received basic information from the first recording means, and the attached document output means is configured to hierarchically output the extracted medicinal effect information together with the attached document information It is characterized by being.

  In the present invention, for example, the medicinal effects are hierarchically recorded, such as central nervous system drugs, hypnotic sedatives / anti-anxiety agents / benzodiazepine preparations, and output together with package insert information to easily grasp the medicinal effects of the drugs. It is possible.

  The information management system according to a fifth aspect of the present invention is the information management system according to the fourth aspect, wherein the fourth recording means records management state information indicating whether or not the medicine is adopted in association with the identification information, and the indication of the outputted medicinal effect information The means for receiving the medicine, the fourth recording means, the means for judging the identification information of the medicine that contains the same medicine efficacy information as the accepted medicine and that is the medicine to be adopted, and the identification information of the judged medicine The retrieval key includes means for extracting basic information from the first recording means, and means for outputting the extracted basic information as a list.

  In the present invention, a management state indicating whether or not the drug is adopted in the hospital and sold in the attached pharmacy is recorded, and the drug having the same medicinal effect as the desired drug and the adopted drug is used. By outputting basic information, it is possible to easily grasp other drugs that have the same medicinal effect as the desired drug from the drugs used in the hospital, so support the management of the drug Is possible.

  The information management system according to a sixth aspect of the present invention is the information management system according to any one of the third to fifth aspects, wherein all items of the attached document information and an input field for designating whether or not to output contents corresponding to the items are output. And means for accepting an input specifying whether or not output is required for each item, and the attached document output means is configured to output attached document information relating to the item for which the designation of output is accepted It is characterized by.

  In the present invention, since an item to be output as an attached document can be selected, it is possible to support the creation of an attached document according to the application.

  The information management system according to a seventh aspect of the present invention is the information recording system according to any one of the first to sixth aspects of the invention, which is output as a list with fifth recording means for recording interaction information indicating interactions related to a plurality of medicines. Among the basic information, there are means for receiving instructions on basic information relating to a plurality of medicines, means for storing information indicating the medicines for which instructions have been received, information indicating the stored medicines, and images for requesting determination of interaction. When receiving an instruction for outputting and an image requesting determination of interaction, whether or not interaction information relating to a plurality of medicines for which the instruction has been received is recorded with reference to the fifth recording means If it is determined that the interaction information is not recorded, the means for outputting the information indicating that there is no interaction when it is determined that the interaction information is not recorded, and the information recorded when the interaction information is recorded. Means for extracting data on the interactions that the fifth recording unit, characterized in that it comprises a means for outputting the extracted interaction information.

  In the present invention, it is possible to assist in grasping the interaction of a plurality of medicines.

  According to an eighth aspect of the present invention, there is provided an information management system according to any one of the first to seventh aspects of the present invention, the sixth recording means for recording the chemical collection and / or the chemical collection information indicating information related to the chemical collection, 6 means for outputting medicine collection information recorded in the recording means.

  In the present invention, it is possible to easily browse medicine collection information and the like.

  An information management system according to a ninth invention is the information management system according to any one of the first invention to the eighth invention, wherein the management device includes the first recording unit, the second recording unit, and the third recording unit, and the terminal device includes the output unit. The management device and the terminal device are connected by a communication network.

  In the present invention, it is possible to share information within the hospital by constructing it as a server client type hospital communication network.

  An information management system according to a tenth aspect of the invention is an information management system for supporting the management of information related to medicines, and records the attached document information constituting the attached documents attached to the medicines in association with identification information for identifying the medicines. Recording means, means for accepting designation of medicine and additional information for the designated medicine, recording means for recording the received additional information in association with identification information of the designated medicine, designation and designation of medicine Means for receiving an instruction to output the attached document information of the medicine, means for extracting the attached document information corresponding to the designated medicine and additional information corresponding to the designated medicine from the recording means, and the extracted additional information, It is characterized by comprising means for adding to the extracted attached document information and means for outputting attached document information to which the additional information is added.

  In the present invention, in addition to the attached document information issued after a period of time, additional information to be added every day is recorded in association with the attached document information and the medicine, and the attached information is output when the attached document information is output. By adding the added additional information to the attached document information and outputting it, the contents of the added information can be reflected in the attached document without omission.

  An information management system according to an eleventh aspect of the invention is the information management system according to the tenth aspect, wherein when additional information is recorded in the recording means, recording status information indicating that additional information associated with a medicine is recorded is output. The recording status information is configured to be updated each time new additional information is recorded in the recording means.

  In the present invention, it is possible to easily grasp the occurrence status of additional information.

  A management apparatus according to a twelfth aspect of the present invention is a management apparatus that supports management of information related to medicines, wherein the first recording means records basic information of a plurality of items related to medicines in association with identification information for identifying medicines; A second recording means for recording a plurality of items of attachment information described in the attachment attached to the medicine in association with the identification information, and additional information relating to the attachment in association with the identification information or basic information. Third recording means for recording, means for extracting additional information recorded in the third recording means, means for outputting information relating to the extracted additional information as a list, and additional information output as a list It is characterized by comprising means for receiving an instruction of such information and means for outputting additional information corresponding to the received instruction.

  In the present invention, the additional information to be added every day is recorded in association with the attached document information and the medicine separately from the attached document information issued after a period of time, thereby leaking the content of the additional information to the attached document. Moreover, it is easy to reflect, and by outputting a list of additional information, it is possible to easily grasp the occurrence status of the additional information.

  An information management system and a management apparatus according to the present invention are applied to, for example, management of an attached document attached to a medicine, and a first recording unit that records basic information about the medicine in association with identification information for identifying the medicine; A second recording means for recording a plurality of items of attachment information described in the attachment attached to the medicine in association with the identification information, and additional information relating to the attachment in association with the identification information or basic information. Using the recorded third recording means, the additional information recorded in the third recording means is extracted, and the extracted additional information is output as a list.

  With this configuration, in addition to the attached document information issued after a period of time, additional information that should be added daily and additional information that is required only in the hospital that manages the management device are associated with the attached document information and medicines. By recording it, it is easy to reflect the contents of the additional information in the attached document, and by outputting the list of additional information, it is possible to easily grasp the occurrence status of the additional information. There are excellent effects.

  Hereinafter, the present invention will be described in detail with reference to the drawings illustrating embodiments thereof. FIG. 1 is a conceptual diagram showing a configuration example of an information management system of the present invention. In FIG. 1, 1 is a management apparatus of the present invention using a web server computer, and the management apparatus 1 is managed by a medical institution such as a hospital. The management apparatus 1 is connected to an in-hospital communication network (hereinafter referred to as an in-hospital LAN) 100 used as an intranet, and the in-hospital LAN 100 includes operation terminals used in various areas such as wards, examination sites, and pharmacies. Devices 2, 2,... Are connected. In addition, a management terminal device 3 used for management of the management device 1 is also connected to the hospital LAN 100.

  2 and 3 are block diagrams showing configuration examples of various devices used in the information management system of the present invention. FIG. 2 mainly shows the management device 1, and FIG. 3 mainly shows the operation terminal device 2 and the management terminal device 3. The management apparatus 1 is a CD that reads various information from a control unit 11 such as a CPU that controls the entire apparatus, a computer program 200 for the management apparatus of the present invention, and a recording medium 300 such as a CD-ROM that records various information such as data. Auxiliary storage means 12 such as a ROM drive, a recording means 13 such as a hard disk for recording various information read by the auxiliary storage means 12, a storage means 14 such as a RAM for temporarily storing information, and a LAN connected to the in-hospital LAN 100 Communication means 15 such as a port is provided.

  Then, by reading various information such as the computer program 200 and data from the recording means 13, storing them in the storage means 14, and executing various procedures included in the computer program 200, the web server computer becomes the management apparatus 10 of the present invention. Operate.

  A part of the recording area of the recording means 13 provided in the management device 1 is associated with identification information for identifying a medicine, a first database (first DB) 13a for recording basic information about the medicine, and associated with the identification information. A second database (second DB) 13b for recording the attached document information described in the attached document attached to the medicine, a third database (third DB) 13c for recording additional information related to the attached document in association with the identification information, A fourth database (fourth DB) 13d that records management state information indicating the management state of the pharmaceutical in association with the identification information, and a fifth database (fifth DB) that records interaction information indicating the interactions related to a plurality of pharmaceuticals. 13e, various data such as the sixth database (sixth DB) 13f for recording the drug collection information indicating the drug collection and information on the drug collection It is used as the base, performs recording, access reading such to various databases, if necessary. A part of the recording area of the recording means 13 is not used as various databases, but another device connected to the management device 1 is a database server computer that records various databases, and is accessed from the management device 1 as necessary. Anyway.

  The operation terminal device 2 includes a control unit 21, a recording unit 22, a storage unit 23, a communication unit 24, an input unit 25 such as a mouse and a keyboard, and an output unit 26 such as a monitor and a printer. The recording means 22 of the operation terminal device 2 records various computer programs such as browsing software (hereinafter referred to as browser) in order to use the hospital LAN 100 constructed as an intranet.

  The management terminal device 3 includes a control unit 31, a recording unit 32, a storage unit 33, a communication unit 34, an input unit 35, and an output unit 36. The recording means 32 of the management terminal device 3 stores various computer programs such as a browser in order to use the hospital LAN 100 constructed as an intranet.

  Next, various databases provided in the management apparatus 1 of the present invention will be described. 4 and 5 are explanatory diagrams conceptually showing an example of recorded contents of the first database 13a provided in the management apparatus 1 of the present invention. The first database 13a is a database that records basic information related to medicines in units of records, and is associated with a medicine code that is identification information for identifying the medicine, a distribution flag, a generic flag, a pharmacopoeia flag, a YJ code, a medicine Name, drug name Kana, standard unit, color, stamp notation, packaging notation, drug price, manufacturer code, manufacturer name, manufacturer name in MEDIS, internal use flag, external use flag, injection flag, secant flag, drug flag, poisonous drug flag, powerful drug flag , Psychotropic drug flag, anticancer drug flag, antibiotics flag, diabetes drug flag, thyroid drug flag, blood product flag, Chinese medicine flag, drug type code, drug type name, medicinal effect classification, medicinal effect classification, medicinal effect minor classification, medicinal effect 4 Items such as digit classification and the same medicinal effect code are set, and data for each medicine is recorded in each item. Note that the recorded contents of the first database 13a are obtained by reading and recording data issued as a recording medium such as a DVD-ROM.

  Among the items set in the first database 13a, the distribution flag is a flag indicating whether or not the drug is in circulation. The generic product flag is a flag indicating whether or not the generic product is a generic product. The pharmacopoeia flag is a flag indicating whether the product is a pharmacopoeia product. The YJ code is an individual drug code. The medicine name is recorded in double-byte characters, for example, kanji. The chemical name Kana is recorded in single-byte Kana characters. The standard unit is a character string indicating a standard unit of pharmaceutical products. The color is a character string indicating the color of the medicine. The stamp notation is a character string indicating the stamp of a medicine. The packaging notation is a character string indicating the contents shown on the packaging of the medicine. The drug price is the price of the drug. The manufacturer code is identification information for identifying the manufacturer that manufactured the medicine. The manufacturer name is the name of the manufacturer that manufactured the drug. The manufacturer name in MEDIS is the name of the manufacturer listed in the database issued by the Medical Information System Development Center. An internal use flag is a flag which shows whether it is an internal medicine. The external clothes flag is a flag indicating whether or not the medicine is an external medicine. The injection flag is a flag indicating whether or not it is an injection. The dividing line flag is a flag indicating whether or not there is a dividing line. The narcotic flag is one of property presence / absence information indicating the presence / absence of the property of the drug, and is a flag indicating whether the drug is a narcotic. The poison flag is one of the property presence / absence information indicating the presence / absence of the property of the drug, and is a flag indicating whether or not the drug is a poison. The powerful drug flag is one of the property presence / absence information indicating the presence / absence of the property of the drug and is a flag indicating whether or not the drug is a powerful drug. The psychotropic drug flag is one of the property presence / absence information indicating the presence / absence of the property of the drug and is a flag indicating whether or not the drug is a psychotropic drug. The anticancer agent flag is one of the property presence / absence information indicating the presence / absence of the property of the drug and is a flag indicating whether or not the drug is an anticancer agent. The antibiotic flag is one of the property presence / absence information indicating the presence / absence of the property of the drug, and is a flag indicating whether the drug is an antibiotic. The diabetic drug flag is one of the property presence / absence information indicating the presence / absence of the property of the drug, and is a flag indicating whether or not the drug is a diabetes drug. The thyroid drug flag is one of the property presence / absence information indicating the presence / absence of the property of the drug, and is a flag indicating whether or not the drug is a thyroid drug. The blood product flag is one of the property presence / absence information indicating the presence / absence of the property of the drug, and is a flag indicating whether the product is a blood product. The Kampo flag is one of the property presence / absence information indicating the presence / absence of the property of the medicine, and is a flag indicating whether the medicine is a Chinese medicine. The dosage form code is a code indicating the shape of a pharmaceutical product. The dosage form name is a character string indicating the name of the shape of the pharmaceutical product. The high efficacy classification, mid-efficacy classification, small efficacy classification, and 4-digit classification are efficacy information indicating the efficacy of pharmaceuticals, and are hierarchically configured. The same medicinal effect code is medicinal effect information indicating the same medicinal effect. The high efficacy category, mid-efficacy category, minor efficacy category, 4-digit efficacy category and the efficacy code are obtained from the YJ code.

  6, 7 and 8 are explanatory diagrams conceptually showing examples of recorded contents of the second database 13b provided in the management apparatus 1 of the present invention. The second database 13b is a database that records the package insert information described in the package insert attached to the drug in units of records, and includes a sequence number (SeqNum) that identifies the record and a drug code that is identification information for identifying the drug. Corresponding, update date, creation date, data date, JAMES record number, product name update date, product name, drug code update date, original drug code date, attached document date update date, attached document date, modification type update date , Modification type, regulatory category update date, regulatory category, generic name update date, generic name, drug name Kana update date, drug name Kana, company name update date, company name, composition update date, composition, dosage form update date, Dosage form, identification renewal date, identification, savings renewal date, savings method, expiration date renewal date, expiry date, expiration date renewal date, expiration date, efficacy effect renewal date, efficacy effect, dosage renewal date, usage Volume, warning renewal date, warning, general caution renewal date, general caution, contraindication renewal date, contraindication, careful administration renewal date, careful administration, mutual contraindication renewal date, mutual concomitant contraindication, mutual careful renewal date, mutual careful renewal Administration, Mutual and other renewal date, Mutual and other, Side effect renewal date, Side effect, Caution maternity renewal date, Caution pregnant women, Reminder infants renewal date, Reminder infants, etc. Items such as renewal date, clinical laboratory value influence, medicinal pharmacology renewal date, medicinal pharmacology, in vivo pharmacokinetic renewal date, in vivo pharmacokinetics, etc. are set, and data for each drug is recorded in each item. The recorded content of the second database 13b is obtained by reading and recording data issued as a recording medium such as a DVD-ROM.

  FIG. 9 is an explanatory diagram conceptually showing an example of recorded contents of the third database 13c provided in the management apparatus 1 of the present invention. The third database 13c is a database that records additional information related to the attached document in units of records, and is associated with a drug code that is identification information for identifying a drug, a creation date, an update date, a reference drug code, and a reference drug YJ code. Items such as a text comment, an HTML comment, a rich text comment, an attached file path, and an image file are set, and data is recorded in each item as necessary. The recorded contents of the third database 13c are specified by accepting the designation of the medicine and the input of additional information for the designated medicine based on the operation of the operator who operates the operation terminal device 2 and the management terminal device 3. The received additional information is recorded in association with the medicine identification information.

  Of the items recorded in the third database 13c, the creation date indicates information relating to the time at which the additional information recorded as the record was created, here the date. The update date indicates information related to the time at which the content of the additional information recorded as the record is updated, here the date. The reference medicine code is a medicine code of a medicine to be referred to. The reference medicine YJ code is a YJ code of a medicine to be referred to. A text comment is additional information shown as text data. An HTML comment is additional information indicated in an HTML format that is a markup description language. The rich text comment is additional information indicated as text data including format information. The attached file path is additional information indicating a route on the communication network to the recording position of other information when other information is cited. An image file is additional information indicated as image information.

  FIG. 10 is an explanatory diagram conceptually showing an example of recorded contents of the fourth database 13d provided in the management apparatus 1 of the present invention. The fourth database 13d is a database that records management state information indicating the management state of medicines in association with identification information in units of records. The fourth database 13d is associated with medicine codes that are identification information for identifying medicines, and is used in the hospital. Items such as an out-of-hospital drug flag, an out-of-hospital drug flag, a past drug flag, and a non-adopted drug flag are set, and data is recorded in each item. The recorded contents of the fourth database 13d are those received and recorded by the operator who operates the operation terminal device 2 and the management terminal device 3.

  Among the items recorded in the fourth database 13d, the in-hospital adopted medicine flag is a flag indicating whether or not the medicine is adopted in the hospital. The out-of-hospital adopted medicine flag is a flag indicating whether or not the medicine is adopted outside the hospital such as an attached pharmacy facility. The in-hospital adopted medicine flag is a flag indicating whether or not the medicine is adopted both inside and outside the hospital. The past adopted medicine flag is a flag indicating whether or not the medicine has been adopted in the past in the hospital and outside the hospital but is not currently employed. The non-adopted medicine flag is a flag indicating whether or not the medicine has never been adopted in the hospital and outside the hospital.

  FIG. 11 is an explanatory diagram conceptually showing an example of recorded contents of the fifth database 13e provided in the management apparatus 1 of the present invention. The fifth database 13e is a database for recording interaction information indicating interactions related to a plurality of medicines in units of records, such as A medicine YJ code, B medicine YJ code, direction, risk, simple reason, detailed reason, etc. Items are set in association with each other, and data is recorded in each item.

  Of the items recorded in the fifth database 13e, the A medicine YJ code indicates the individual medicine code of the first medicine. The B medicine YJ code indicates the individual medicine code of the second medicine. The direction indicates the master-slave relationship between the first drug and the second drug by a sign of “0” or “1”, and when it is “0”, the record has the first drug as the main drug, Indicates that this is a record indicating the interaction when the second drug is a secondary drug. If it is “0”, the record has the second drug as the primary drug and the first drug as the secondary drug. It shows that this is a record indicating the interaction. The risk level indicates the risk level of the interaction with a sign of “0” or “1”. When it is “0”, it indicates contraindication, and when it is “1”, it indicates caution. ing. The simple reason and the detailed reason are explanations of the interaction.

  The sixth database 13f is a database for recording drug collection information indicating information related to the drug collection and the drug collection. Specifically, information such as information indicating the contents of the drug collection, image information indicating an appendix diagram of the drug collection, and the like. Information is recorded.

  Next, processing of various devices and operation of the operator in the information management system of the present invention will be described. FIG. 12 is a flowchart showing processing of the management device 1 and the operation terminal device 2 used in the information management system of the present invention. An operator who operates the operation terminal device 2 operates the operation terminal device 2 to start a browser, and displays instruction information indicating a position on a communication network such as a URL (Universal Resource Locator) in a predetermined field of the browser. To access the management device 1 and request login to the management device 1. In the following description, a mode of operating the operation terminal device 2 will be described, but the same operation can be performed using the management terminal device 3. The operation terminal device 2 requests the management device 1 to log in under the control of the control means 21 (S101). Here, a form for requesting login is shown, but it is also possible to configure so as not to make a login request.

  The management device 1 receives a login from the operation terminal device 2 under the control of the control unit 11 that executes the computer program 200 stored in the storage unit 14 (S102), accesses the third database 13c, and accesses the third database The additional information record recorded in 13c is extracted (S103), and the additional information record is based on the date (time) indicating the newer creation date and update date shown in the extracted additional information record. Are rearranged (S104), and the rearranged additional information is output from the communication means 15 to the operation terminal device 2, that is, transmitted (S105). At this stage, not all of the additional information is extracted and transmitted, but a part of the additional information or the name of the medicine based on the medicine code related to the additional information is transmitted as information related to the additional information. Also good.

  The terminal device 2 for operation receives the rearranged additional information by the communication means 24 by control of the control means 21 (S106), and outputs the received additional information from the output means 26 which is a monitor (S107).

  FIG. 13 is an explanatory diagram showing an image output from the operation terminal device 2. FIG. 13 shows an image including additional information output in step S107, that is, an image in the browser displayed on the screen of the output means 26. In the upper part of the screen, menu tabs shown as “Top”, “Drug search”, “Interaction” and “Appendix diagram” are shown. The current image is a top page defined by a menu tab shown as “Top”, and a column shown as news and a column shown as the latest medicine comment are displayed. The column shown as news shows information posted using the bulletin board system, which is one of the functions of the system realized using the in-hospital LAN 100. In the column shown as the latest medicine comment, a list of additional information rearranged based on time is shown. The screen shown as a list is updated each time new additional information is recorded in the third database 13c. As shown in FIG. 13, in the additional information shown in the list, the name of the medicine based on the medicine code related to the additional information is shown as the title. Then, a word displayed as a comment is shown in association with the title, and a link for requesting output of additional information is provided in the word displayed as a comment. The link can be easily created by using a page description language. As described above, in the information management system of the present invention, when the operation terminal device 2 is operated to access the management device 1 and log in to the system, a top page showing a list of additional information is displayed. Note that the displayed icon (image) and text may be changed according to the type of additional information recorded.

  Then, the operator operates the input means 25 which is a mouse, operates a cursor indicating a position in the image, superimposes the cursor on a link attached to a comment, and inputs so-called click operation. To request transmission of other additional information.

  FIG. 14 is an explanatory diagram illustrating an image output from the operation terminal device 2. FIG. 14 shows an image that is output as a separate window when the link is clicked from the state of FIG. 13. The medicine name, text comment, “general medicine (generic product) in this hospital” Please note that “Hull * 0.125mg Tablet” is used. "Additional information such as a rich text comment indicated as" and an attachment file path indicated as "There is an attachment".

  By selecting the menu tab indicated as drug search from the image shown in FIG. 13, a drug search page having a search key input field is displayed. Information serving as a search key, such as “Hull The drug search process can be performed by inputting character information such as “ON” and performing a predetermined operation.

  FIG. 15 is a flowchart showing processing of the management device 1 and the operation terminal device 2 used in the information management system of the present invention. The terminal device 2 for operation receives the input of the search key from the input means 25 by control of the control means 21 (S201), and transmits the received search key from the communication means 24 (S202).

  The management device 1 receives the search key transmitted from the operation terminal device 2 under the control of the control unit 11 that executes the computer program 200 stored in the storage unit 14 (S203), and based on the received search key, Basic information including property presence / absence information is extracted from one database 13a (S204), and based on the property presence / absence information included in the extracted basic information, property presentation information indicating either presence or absence is generated for each property (S205). The extracted basic information and the generated property presentation information are output, that is, transmitted from the communication means 15 to the operation terminal device 2 as a list (S206).

  The operation terminal device 2 receives the basic information and property presentation information by the communication unit 24 under the control of the control unit 21 (S207), and outputs the received basic information and property presentation information from the output unit 26 as a list. (S208).

  FIG. 16 is an explanatory diagram illustrating an image output from the operation terminal device 2. FIG. 16 shows an image including additional information output in step S207, that is, an image in the browser displayed on the screen of the output means 26. FIG. 16 is a medicine search page defined by a menu tab indicated as “medicine search”, and shows a list of basic information and property presentation information of medicines as search results. Basic information includes information such as drug name (drug name), manufacturer name (manufacturer), marking notation and appearance such as color (marking), drug price, and the like. For each property, property presentation information indicating whether or not the property is present is shown. The property presentation information shows 10 symbols indicating characters such as “hemp”, “poison”, “play”, “direction” and the like indicating 10 types of properties as a 2 × 5 matrix. And the symbol which shows the property which the said pharmaceutical has is shown in red (white in FIG. 16), and the symbol which shows the property which the said pharmaceutical does not has is shown in colorless (hatched in FIG. 16). In the example shown in FIG. 16, since the symbol “Muko” is shown in red, it has the property of a psychotropic drug, but symbols such as “Hemp”, “Poison”, “Drama”, etc. Since it is shown in colorless, it has no properties such as narcotics, poisons, powerful drugs. The item indicated as “collecting” indicates a medicine management state based on the recorded contents of the fourth database 13d. The item “additional” indicates the presence / absence of additional information based on the recorded contents of the third database 13c. The item indicated as “phase” indicates the presence or absence of interaction based on the recorded contents of the fifth database 13e. The item labeled “Picture” indicates that image information relating to the drug is recorded.

  Then, the operator can request the output of the package insert information related to the instructed medicine by inputting the basic information indicated as a list.

  FIG. 17 is a flowchart showing processing of the management device 1 and the operation terminal device 2 used in the information management system of the present invention. Under the control of the control unit 21, the operation terminal device 2 receives an instruction of basic information output as a list from the input unit 25 (S301), and requests transmission of package insert information corresponding to the medicine related to the received basic information. The attached document transmission request is transmitted from the communication means 24 (S302).

  The management device 1 receives the attached document transmission request transmitted from the operation terminal device 2 by the communication unit 15 under the control of the control unit 11 that executes the computer program 200 stored in the storage unit 14 (S303). The attached document information related to the medicine requested by the attached document transmission request is extracted from the second database 13b using, for example, the medicine code as a key (S304), and the additional information related to the medicine requested by the received attached document transmission request is obtained. For example, the medicine code is extracted from the third database 13c as a key (S305), and the hierarchical medicinal information on the medicine requested by the received attached document transmission request is obtained from the first database 13a, for example, using the medicine code as a key. Extraction (S306), extracted attached document information, additional Information and efficacy information, output from the communication unit 15 to the operation terminal 2, i.e. transmits (S307).

  The operation terminal device 2 receives the attached document information, additional information and medicinal effect information by the communication unit 24 under the control of the control means 21 (S308), and outputs the received attached document information, additional information and medicinal effect information to the output means 26. (S309). In addition, when the additional information regarding the said pharmaceutical is not recorded on the 3rd database 13c, extraction, transmission, reception, and an output of additional information are not performed. The attached document information, additional information, and medicinal information are not transmitted and output as individual information, but the management apparatus 1 adds the additional information and medicinal information to the attached document information, and the additional information and medicinal information are added. The attached document information may be transmitted to the operation terminal device 2, and the operation terminal device 2 may output the attached document information to which the additional information and the medicinal effect information are added.

  FIG. 18 is an explanatory diagram showing an image output from the operation terminal device 2. FIG. 18 shows an image including attached document information, additional information, and medicinal effect information output in step S309, that is, an image in the browser displayed on the screen of the output means 26. In FIG. 18, the drug name “Hull ○ On 0.125 mg tablet” is shown in the upper part of the screen, the lower part is divided into left and right frames, and a list of items of attached document information is displayed in the left frame. In the right frame, attached document information, additional information, and medicinal effect information are shown. In the left frame, the management status information related to the medicine is an image showing the word “◎ adopted medicine” indicating that it is a hospital adopted medicine, and “display setting” for displaying a display setting image described later. An image showing the wording is displayed. Below that, a list of items of attached document information is shown. The frame on the right shows an image showing the word “drug details” indicating that it is attached document information, etc., and an image showing the word “◎ adopted drug” indicating that it is an in-hospital drug. Has been. Below that, the medicine name, additional information shown as “comment information”, and medicinal effect information shown as “medicinal effect classification” are shown. The medicinal effect information is hierarchically structured information such as a medicinal effect classification, medicinal effect classification, medicinal effect minor classification, and the like, as shown in FIG. The hierarchical relationship is displayed in a tree shape so that the hierarchical structure of a certain “hypnotic sedative / anti-labile agent” and “benzodiazepine preparation” which is a subcategory becomes clear. Below that, the contents of each item of the attached document information such as “editing date” are shown. 18 does not show the entire image and attached document information, but by operating the input means 25 and scrolling the image in the right frame, the attached document not shown in FIG. The contents of information items can be output.

  As shown in FIG. 18, the list of items of the attached document information and the list of contents corresponding to the items are output side by side, and the items of the attached document shown in the left frame correspond to the right frame. Since the contents are linked, clicking on the item of the attached document shown in the left frame outputs the contents corresponding to the item to the right frame.

  The attached document information, additional information, and medicinal effect information shown in FIG. 18 are output as an attached document from the output means 26 that is a printer by performing predetermined operations, and attached to the medicine. In addition, when it is necessary to change an item to be output as an attached document, for example, when attached to a medical product for a doctor, it is possible to set the item. The item is set by making a display setting request for designating an image indicated as “display setting” shown in the left frame.

  FIG. 19 is a flowchart showing processing of the operation terminal device 2 used in the information management system of the present invention. The terminal device 2 for operation receives the input of a display setting request | requirement from the input means 25 by control of the control means 21 (S401), and the necessity of the output of the content corresponding to all the items of attached document information and those items is required. Is input from the output means 26 (S402).

  FIG. 20 is an explanatory diagram illustrating an image output from the operation terminal device 2. FIG. 20 is displayed on the screen of the output means 26, that is, an image including input fields for designating all items of attached document information output in step S402 and the necessity of outputting contents corresponding to those items. Shows the image in the browser. FIG. 20 shows a state in which an input indicating the display setting is made from the image shown in FIG. 18. The inside of the right frame is the same as that of FIG. All items of the attached document information and input fields for specifying whether or not to output contents corresponding to these items, so-called check boxes are shown. For items that require output of contents, an input for checking the check box is performed, and for items that do not require output, an input for removing the check from the check box is performed. Then, the input of the setting is completed by performing the input indicating the image in which the word “setting” is displayed above the left frame.

  Returning to the flowchart of FIG. 19, the operation terminal device 2 receives, from the input unit 25, an input for designating necessity of output for each item under the control of the control unit 21 (S <b> 403), and accepts designation of output necessity. The contents related to the attached information item are output from the output means 26 (S404).

  Further, from the image shown in FIG. 18, it is possible to search for other medicines having the same medicinal effect as the medicinal effect related to the instructed medicinal effect information by performing an instruction for instructing medicinal effect information such as a medicinal effect category, a medicinal effect subcategory etc. it can.

  FIG. 21 is a flowchart showing processing of the management device 1 and the operation terminal device 2 used in the information management system of the present invention. The terminal device 2 for operation receives the instruction | indication of the output medicinal effect information from the input means 25 by control of the control means 21 (S501), and searches for the other medicinal product provided with the medicinal effect similar to the medicinal effect concerning the received medicinal effect information. The requested medicinal drug search request is transmitted from the communication means 24 (S502).

  The management device 1 receives the same drug search request transmitted from the operation terminal device 2 under the control of the control unit 11 that executes the computer program 200 stored in the storage unit 14 (S503), and records it in the fourth database 13d. With reference to the management status information that has been received, the identification information of the pharmaceutical that contains the same efficacy information as the received medicinal drug search request and that is in the predetermined management state is determined (S504). The basic information is extracted from the first database 13a using the identification information of the medicine as a search key (S505), and the extracted basic information is output from the output means to the operation terminal device 2 as a list, that is, transmitted (S506). Here, the medicines in a predetermined management state indicate “in-hospital medicines”, “out-hospital medicines” and “in-hospital medicines”. That is, a list of medicines that have the indicated medicinal effects and can be provided is extracted.

  The operation terminal device 2 receives the basic information by the communication unit 24 under the control of the control unit 21 (S507), and outputs the received basic information as a list from the output unit 26 (S508).

  By selecting the menu tab indicated as interaction from the image shown in FIG. 13, a page for determining the presence or absence of interaction is displayed. The operator indicates the presence or absence of interaction by, for example, searching for a plurality of medicines from the basic information of the plurality of medicines shown as a list by drug search and performing a predetermined operation for determining the presence or absence of the interaction. Can be checked.

  FIG. 22 is a flowchart showing processing of the management device 1 and the operation terminal device 2 used in the information management system of the present invention. The terminal device 2 for operation receives the instruction | indication of the basic information which concerns on a some chemical | medical agent from the input means 25 by control of the control means 21 (S601). Basic information such as identification information indicating a plurality of medicines for which an instruction has been received is temporarily stored in the storage means 23 of the operation terminal device 2 or the storage means 14 of the management device 1. When the page for determining the presence / absence of interaction is output, the information indicating the accumulated medicine is output together with an image indicating a button for requesting determination of the presence / absence of interaction. The operator confirms the information indicating the accumulated medicine, and performs an input indicating an image indicating a button for requesting determination of the presence or absence of interaction. Under the control of the control means 21, the operation terminal device 2 receives an instruction for an image requesting determination of the presence / absence of an interaction from the input means 25 (S 602), and determines the presence / absence of an interaction between a plurality of stored medicines. An interaction presence / absence determination request for requesting is transmitted from the communication means 24 (S603).

  The management apparatus 1 receives the interaction presence / absence determination request transmitted from the operation terminal apparatus 2 by the communication means 15 under the control of the control means 11 that executes the computer program 200 stored in the storage means 14 (S604). 5 Referring to the database 13e, it is determined whether or not the interaction information relating to the instructed plurality of medicines indicated by the received interaction presence / absence determination request is recorded (S605). Whether or not interaction information is recorded is determined by regarding the YJ code, which is the basic information of one drug, as the A drug YJ code, and the YJ code, which is the basic information of the other drug, as the B drug YJ code. It is performed by determining whether or not a record in which the A medicine YJ code and the B medicine YJ code match is recorded in the fifth database 13e.

  When it is determined in step S605 that no interaction information is recorded (S605: NO), the management device 1 controls the communication unit 15 to indicate no interaction information indicating that there is no interaction under the control of the control unit 11. Is output, that is, transmitted to the operation terminal device 2 (S606).

  The operation terminal device 2 receives the no-interaction information by the communication unit 24 under the control of the control unit 21 (S607), and outputs the received no-interaction information from the output unit 26 (S608).

  In step S605, when it is determined that the interaction is recorded (S605: YES), the management device 1 controls the recorded interaction information, that is, the direction, the risk level, the simple reason, All or a part of the information recorded in the item such as the detailed reason is extracted (S609), and the extracted interaction information is output from the communication means 15 to the operation terminal device 2, that is, transmitted (S610). In extracting the interaction information, for example, it is possible to narrow down according to the degree of risk.

  The operation terminal device 2 receives the interaction information by the communication unit 24 under the control of the control unit 21 (S611), and outputs the received interaction information from the output unit 26 (S612).

  By selecting the menu tab labeled “Appendix” from the image shown in FIG. 13, a page for outputting a list of information related to the drug collection, such as a recorded drug collection and an appendix diagram of the drug collection, is displayed. . Then, the operator performs input for instructing information requesting output from the list, for example, “management tool specification” which is one of the information related to the pharmaceutical product collection, and thereby the designated information (hereinafter referred to as pharmaceutical product collection information). Output can be requested.

  FIG. 23 is a flowchart showing processing of the management device 1 and the operation terminal device 2 used in the information management system of the present invention. Under the control of the control means 21, the operation terminal device 2 accepts an instruction for drug collection information from the input means 25 (S 701), and transmits a drug collection information request for requesting the received drug collection information from the communication means 24. (S702).

  The management apparatus 1 accepts a pharmaceutical collection information request transmitted from the operation terminal device 2 under the control of the control means 11 that executes the computer program 200 stored in the storage means 14 (S703), and accepts the received pharmaceutical collection information, etc. Is extracted from the sixth database 13f (S704), and the extracted drug collection information is output from the communication means 15 to the operation terminal device 2, that is, transmitted (S705).

  Under the control of the control means 21, the operation terminal device 2 receives the drug collection information by the communication means 24 (S706), and outputs the received drug collection information from the output means 26 (S707).

  In the embodiment, the information management system in which the management device and the operation terminal device are connected by the hospital LAN is shown, but the present invention is not limited to this, and the functions of the management device and the operation terminal device are integrated. That is, the management apparatus can be developed in various forms such as a form in which the management apparatus is realized in a stand-alone manner. In that case, in the above-described embodiment, reception of information indicates reception of input using an input unit such as a mouse, and output of information indicates display on an output unit such as a monitor.

It is a conceptual diagram which shows the structural example of the information management system of this invention. It is a block diagram which shows the structural example of the various apparatuses used with the information management system of this invention. It is a block diagram which shows the structural example of the various apparatuses used with the information management system of this invention. It is explanatory drawing which shows notionally the example of the recording content of the 1st database with which the management apparatus of this invention is provided. It is explanatory drawing which shows notionally the example of the recording content of the 1st database with which the management apparatus of this invention is provided. It is explanatory drawing which shows notionally the example of the content of recording of the 2nd database with which the management apparatus of this invention is provided. It is explanatory drawing which shows notionally the example of the content of recording of the 2nd database with which the management apparatus of this invention is provided. It is explanatory drawing which shows notionally the example of the content of recording of the 2nd database with which the management apparatus of this invention is provided. It is explanatory drawing which shows notionally the example of the content of recording of the 3rd database with which the management apparatus of this invention is provided. It is explanatory drawing which shows notionally the example of the recording content of the 4th database with which the management apparatus of this invention is provided. It is explanatory drawing which shows notionally the example of the recording content of the 5th database with which the management apparatus of this invention is provided. It is a flowchart which shows the process of the management apparatus and operation terminal device which are used with the information management system of this invention. It is explanatory drawing which shows the image output from the terminal device for operation. It is explanatory drawing which shows the image output from the terminal device for operation. It is a flowchart which shows the process of the management apparatus and operation terminal device which are used with the information management system of this invention. It is explanatory drawing which shows the image output from the terminal device for operation. It is a flowchart which shows the process of the management apparatus and operation terminal device which are used with the information management system of this invention. It is explanatory drawing which shows the image output from the terminal device for operation. It is a flowchart which shows the process of the terminal device for operation used in the information management system of this invention. It is explanatory drawing which shows the image output from the terminal device for operation. It is a flowchart which shows the process of the management apparatus and operation terminal device which are used with the information management system of this invention. It is a flowchart which shows the process of the management apparatus and operation terminal device which are used with the information management system of this invention. It is a flowchart which shows the process of the management apparatus and operation terminal device which are used with the information management system of this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Management apparatus 2 Operation terminal apparatus 3 Management terminal apparatus 13a 1st database 13b 2nd database 13c 3rd database 13d 4th database 13e 5th database 13f 6th database 100 Hospital communication network (hospital LAN)
200 Computer program 300 Recording medium

Claims (12)

In an information management system that supports the management of information about medicines,
A first recording means for recording basic information of a plurality of items related to medicine in association with identification information for identifying medicine;
A second recording means for recording a plurality of items of attached document information described in an attached document attached to the medicine in association with the identification information;
Third recording means for recording additional information related to the attached document in association with the identification information or the basic information;
Means for extracting additional information recorded in the third recording means;
An output means for outputting information relating to the extracted additional information as a list;
Means for receiving an instruction of information relating to the additional information output as a list;
An information management system comprising: means for outputting additional information corresponding to the received instruction. The first recording means is configured to record property presence / absence information indicating presence / absence of a predetermined property of the medicine as basic information,
Means for receiving a search key for searching for medicines;
Means for extracting basic information including property presence / absence information about the medicine from the first recording means based on the accepted search key;
Based on the extracted property presence / absence information, for each property, a means for generating property presentation information indicating either presence / absence,
The information management system according to claim 1, further comprising: means for outputting the extracted basic information and the generated property presentation information as a list. Means for accepting instructions for basic information output as a list;
Means for extracting, from the second recording means, package insert information corresponding to the medicine related to the received basic information;
The information management system according to claim 2, further comprising: an attached document output unit that outputs the extracted attached document information. The first recording means is configured to record medicinal efficacy information indicating medicinal efficacy of the medicine hierarchically as basic information,
A means for extracting medicinal effect information related to the received basic information from the first recording means when receiving an instruction of the basic information;
4. The information management system according to claim 3, wherein the attached document output means is configured to output the extracted medicinal effect information hierarchically together with the attached document information. A fourth recording unit that records management state information indicating whether or not the medicine is adopted in association with the identification information;
Means for receiving an instruction of the output medicinal effect information;
Referring to the fourth recording means, means for determining the identification information of the medicine that contains the same medicinal effect information as the accepted medicinal effect information and is an adopted medicine;
Means for extracting basic information from the first recording means using the determined medicine identification information as a search key;
The information management system according to claim 4, further comprising: means for outputting the extracted basic information as a list. Means for outputting an input field for designating whether or not to output all items of the attached document information and contents corresponding to the items;
Means for accepting an input for designating necessity of output for each item,
The information management system according to any one of claims 3 to 5, wherein the attached document output unit is configured to output attached document information relating to an item for which designation of output necessity has been received. A fifth recording means for recording interaction information indicating interactions related to a plurality of medicines;
Means for receiving basic information instructions regarding a plurality of medicines from the basic information output as a list;
Means for accumulating information indicating the medicine that has received the instruction;
Means for outputting information indicating accumulated medicine and an image for requesting an interaction determination;
When receiving an image instruction that requires interaction determination,
Means for referring to the fifth recording means to determine whether or not interaction information relating to a plurality of medicines for which instructions have been received is recorded;
Means for outputting information indicating that there is no interaction when it is determined that the interaction information is not recorded;
Means for extracting the recorded interaction information from the fifth recording means when it is determined that the interaction information is recorded;
The information management system according to any one of claims 1 to 6, further comprising: means for outputting the extracted interaction information. Sixth recording means for recording medicine collection and / or medicine collection information indicating information related to the medicine collection;
The information management system according to any one of claims 1 to 7, further comprising: means for outputting medicine collection information recorded in the sixth recording means. A management device comprising the first recording means, the second recording means and the third recording means;
A terminal device comprising the output means,
The information management system according to any one of claims 1 to 8, wherein the management device and the terminal device are connected via a communication network. In an information management system that supports the management of information about medicines,
Recording means for recording the attached document information constituting the attached document attached to the medicine in association with identification information for identifying the medicine,
Means for accepting the designation of the medicine and additional information for the designated medicine;
A recording means for recording the received additional information in association with the specified medicine identification information;
Means for receiving an instruction to output the designation of medicine and the attached document information of the designated medicine;
Means for extracting package insert information corresponding to the designated medicine and additional information corresponding to the designated medicine from the recording means;
Means for adding the extracted additional information to the extracted attachment information;
An information management system comprising: means for outputting attached document information with additional information added thereto. When additional information is recorded in the recording means, further comprising means for outputting recording status information indicating that additional information associated with the medicine is recorded,
The information management system according to claim 10, wherein the recording status information is configured to be updated each time new additional information is recorded in the recording means. In a management device that supports the management of information about medicines,
A first recording means for recording basic information of a plurality of items related to medicine in association with identification information for identifying medicine;
A second recording means for recording a plurality of items of attached document information described in an attached document attached to the medicine in association with the identification information;
Third recording means for recording additional information related to the attached document in association with the identification information or the basic information;
Means for extracting additional information recorded in the third recording means;
Means for outputting information relating to the extracted additional information as a list;
Means for receiving an instruction of information relating to the additional information output as a list;
And a means for outputting additional information corresponding to the received instruction.

Images