JP2014174786A - Medication management support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To obtain a system for rapidly, correctly and accurately recording a medication situation of a patient visiting a hospital or a pharmacy, and collecting information for performing an appropriate medical activity.SOLUTION: The system records a customer's administration history information and medicine information such as intake combination, adverse effects and allergies; photographs the customer's medicine pocketbook or medicine explanatory note by photographing means to analyze administration information including the customer name, medicine name, prescription amount, usage and dosage; retrieves the customer's administration history information on the basis of the analyzed customer name; refers the medicine information; determines whether or not there is any item that fails to meet a safety standard; and displays the result.

Description

The present invention relates to a technique for collecting information for quickly and correctly recording accurately and accurately performing a medical practice of a customer who comes to a medical institution such as a hospital or a pharmacy (visiting a hospital).

Medical institutions such as hospitals and pharmacies hand out medicine notebooks and drug information provision forms (hereinafter referred to as “pharmaceutical information documents”) to inform customers who come to the hospital or pharmacy. Each time a customer visits the customer, he / she presents the medicine notebook and / or medication information and reads it to check the customer's medication status.
The medication information contains detailed information about the drug, but it is bulky and inconvenient to carry. On the other hand, continuous medication history information is described as basic information in the medication notebook, and it is possible to check the administration of multiple medications and drinking. It is thought that the use of medicine notebooks will be mainly used in the future due to the mandatory issue of medicine notebooks, but for the time being both medicine notebooks and drug information books will be used in parallel. It is done.
Under the present circumstances, doctors store medicine notebooks or medication information from customers in hospitals, read the medicine notebook or medication information that they have received, and check prescriptions for double administration, contraindications for ingestion, etc. ing. Also at pharmacies, pharmacists take medicine notebooks or medication information (pharmaceutical information provision documents) from customers, read the medicine notebook or medication information that they have received, and check for contraindications such as double administration and ingestion during dispensing. Things have been done.
In recent years, drug history management systems for managing drug history information using IC cards have been published (Patent Documents 4 to 6).

JP 2006-243880 A JP 2009-32225 A JP2012-203810A JP-A-5-143620 JP 2005-173704 A JP 2009-146367 A

However, the following issues exist.
(1) According to the above-mentioned mechanism for giving a medicine notebook or medical information to customers, doctors or pharmacists at hospitals and pharmacies have names, drug names, prescriptions, usage, dosage, etc. Because it takes time to read medication information, it can be time-consuming, missed, or misread.
(2) Even if read correctly, it is difficult to check for drinking, side effects, and allergies.
(3) In addition, a system has been developed and published that allows customers to read an IC card instead of a medicine notebook or drug information and read it electronically. Since there are few pharmacies and hospitals, it is still in the planning and development stage, and people will read it for the time being, and the above problems will not be solved.
The present invention has been made to solve the above-described problems, and provides a mechanism for reducing the trouble of reading and at the same time eliminating errors and guaranteeing safety.

(1) Solution 1
Medication history storage means for storing customer medication history information in association with the customer name;
Drug information storage means including information such as whether or not to drink drugs, side effects, allergies, disease names,
Photography means consisting of a camera or scanner that photographs the medicine notebook or medical information of the visiting customer,
Analyzing the image taken by the photographing means, extracting means for extracting medication information such as customer name, drug name, prescription amount, usage, dosage,
Operation means for recording and displaying the extraction result and correcting the described error;
The customer information storage means is searched from the analyzed customer name to extract the medication history, collated with the medication information, the drug information storage means is referred to, and warning information such as duplicated administration and contraindications for drinking is extracted. Inspection means;
And alarm means for informing the inspection result.
(2) Solution 2 is the solution 1,
The operation means analyzes the image photographed by the photographing means and the analysis processing means, records the processed results, and displays them in parallel on the screen of the display terminal so that they can be confirmed and corrected. And
(3) Solution means 3 is the solution means 1,
The photographing means is characterized in that one page of a medicine notebook or drug information book or a plurality of continuous pages can be photographed.
(4) Solution means 4 is characterized in that, in the solution means 1, a transparent plate is placed on the medicine notebook or drug information book when photographing with the camera.

(1) According to Solution 1, it is possible to quickly and correctly and accurately record the customer's medication status and collect information for performing safe and appropriate medical practice.
(2) According to the solution means 2, by displaying the items described in the taken medicine notebook or medicine information form and the medication information of the analysis result side by side, confirmation and correction are easy and accuracy can be improved.
(3) According to the solution means 3, by continuously reading a plurality of pages, even information over a plurality of pages can be captured at high speed.
(4) According to Solution 4, when taking a picture with a camera, a transparent plate is placed on the medicine notebook or drug information book to smooth the writing surface and take an image that is in focus and free from distortion. it can.

The conceptual diagram of the whole structure of one Embodiment of the system which concerns on this invention is shown. The example of the label of a medicine notebook is shown. A description example of the medicine notebook and a display example of medication information are shown. A display example of alarm information is shown. An example of spread of a medicine notebook is shown. An example of a drug information provision form is shown.

Hereinafter, embodiments of the present invention will be described with reference to the drawings.
FIG. 1 is a conceptual diagram showing the overall configuration.
In FIG. 1, the medicine notebook 3 or the medicine information 71 (FIG. 6) of the customer is photographed by the photographing means 2 such as a camera or a scanner connected to the recognition device 1, and the photographed image is analyzed and analyzed by the analyzing means 4 The medication information as a result is displayed on the display operation means 10 and compared with the original image and corrected. The corrected medication information is sent to the inspection means 8. The customer's medication history is extracted from the customer information storage means 6, checked against the above medication information, checked for duplicate administration, and the drug information extracted from the medication information storage means 7 is checked to check for contraindications for ingestion, etc. If there is an alarm, it is displayed on the display operation means 10.
Also, the medication information of the analysis result is displayed on the display / operating means 10 to check whether the operator is correct and correct if there is an error.

FIG. 2 shows an example of the analysis target on the label 3 of the medicine notebook. The patient name 31, the drug name 3211, the usage 3212, the dose 3213, the total prescription amount 3214, the prescription date 33, the dispensing date 34, etc. Analyzing suitability.

FIG. 3 is an example of a display screen by the display operation means 10 and is an example in which the original description items (original images) 41 and the medication information 42 of the analysis result are displayed side by side.

Next, the processing of the inspection means will be described with reference to FIG. 1, FIG. 2, FIG. 4, and FIG.
For example, if a customer comes to the hospital before the last prescribed amount has been taken, or has not finished taking a medication prescribed at another hospital, and the same medication is prescribed this time, the dose will be duplicated. Become. Whether or not the prescribed amount remains is determined from the dispensing date 34 and the total prescribed amount 3214 of the medication history storage device 4. For example, if the previous visit was April 10, 2012, and the total prescription amount of Allegra Tablets 3211 was 7 days, and if this visit was made on April 15, 24, Allegra Tablets were prescribed, it would be a double dose.

Moreover, if it comes to another place after April 10, 2012, and the Allegra tablet 3211 is prescribed for 7 days, it will be a double administration. Prescriptions at other places are not recorded in the medication history, so the past minutes in the medicine notebook are taken and analyzed.
If there are multiple doses, an alarm is displayed, for example, as shown by overlap 51 in FIG.

The contraindications for swallowing are described, for example, as swallowing of Allegra tablets and erythromycin is contraindicated. Contraindications of drinking are recorded in the medicine information storage device 7 of the management device 5.

The previous visit was April 11, 2012, and the total prescription amount of erythromycin was 7 days, and this visit was April 16, 2012. If Allegra tablets are prescribed, it is contraindicated to drink. Even if this visit is on or after April 17, 2012, the state of caution of drinking may continue for a while, and the information in the medicine information storage device 7 is carefully checked.
In addition, prescriptions in other places are not recorded in the medication history, so the past portion of the medication notebook or medication information is taken and analyzed.
If there is a contraindication for drinking, a warning is displayed by blinking, for example, as shown in FIG.

The shooting of a plurality of pages will be described with reference to FIG. FIG. 5 is an image obtained by photographing the left page 61 and the right page 62 of the medicine notebook at the same time. At the same time, the photographed image is analyzed, and the medication information is output in order of date, for example.
In addition, a transparent plate such as a glass plate is placed on the medicine notebook or pharmacy book at the time of shooting, and the shooting object is held horizontally, so that the distortion of characters due to bending of the paper and the depth of field of the camera due to bending of the paper. You can prevent out-of-focus, etc. due to going out of the camera and shoot clear images.

In FIG. 1, the analysis unit 4 and the inspection unit 8 are separate devices, but may be integrated.

DESCRIPTION OF SYMBOLS 1 Customer management apparatus 2 Imaging | photography means 3 Medicine notebook label 4 Analysis means 5 Management apparatus 6 Customer information storage means 7 Drug information storage means 8 Inspection means 10 Display means 31 Customer name 3211, 3221 Drug name 3212, 3222 Prescription amount 3213, 3223 Usage 3214, 3224 Dose 33 Prescription date 34 Dispensing date 41 Original image 42 Analytical medication information 51 Duplication 52 Contraindications 61 Left page of medicine notebook 62 Right page 71 of medicine notebook Drug information document (drug information provision form)

Claims (4)

Medication history storage means for storing customer medication history information in association with the customer name;
Drug information storage means including information such as whether or not a drug can be taken, side effects, allergies, disease names, etc., imaging means comprising a camera or a camera for taking a medicine notebook or medical information book of the visiting customer, and the above imaging Analyzing the images taken by the means, extracting means for extracting medication information such as customer name, drug name, prescription amount, usage, dosage, etc., and operations for recording and displaying the extraction results and correcting the described errors And the customer information storage means from the analyzed customer name to extract the medication history, collate with the medication information, refer to the medication information storage means, warning information such as duplicated administration, contraindication of ingestion, etc. A customer medication management support system comprising: an inspection unit that extracts a test result; and an alarm unit that notifies the test result. The display operation means, the display operation means analyzes the image photographed by the photographing means and the analysis processing means, records the processed results and displays them in parallel on the screen of the display terminal for confirmation and correction. The customer medication management support system according to claim 1, wherein the customer medication management support system is configured to be able to do so. 2. The customer medication management support system according to claim 1, wherein the photographing means photographs one page of a medicine notebook or medicine information, or a plurality of continuous pages. The customer medication management support system according to claim 1, wherein a transparent board is placed on a page opened when taking a medicine notebook or medication information with the camera.

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