JP2016024621A - Care facility resident management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a system for making a patient take medicine in a periodic manner surely, and a system for compacting pieces of physical measurement information of the patient and selecting an optimum care method.SOLUTION: A blister card in which a medicine for every time of taking medicine is stored, is created based on a formula of a doctor, then a BC identification member attached to a cartridge which is separated from the blister card is read by a BC reading device, and then the read content of the BC identification member is collated with medicine prescription information sent from a pharmacy terminal, for managing whether or not medication to the patient is properly performed.SELECTED DRAWING: Figure 1

Description

  The present invention mainly makes it possible for patients occupying nursing homes such as nursing homes for the elderly and nursing homes to reliably perform the required periodic medication and to collect patient body measurement information. The present invention relates to a system that makes it possible to select an optimal care method.

  As a conventional system of this type, Japanese Patent Application Laid-Open No. 2010-42136 presents a “medicine supply system for care resident”. This system prepares a storage case for each resident (for example, morning, noon, night, before going to sleep) for each resident, and stores a medicine bag containing the medicine to be taken in that case. When taking medicines, taking out the medicine bags in the corresponding resident's storage cases and taking them to take them, the administration of the medicines is made easier.

  However, since this medicine supply system requires a separate storage case for each resident and each time of taking medicine, it is not only complicated to determine the storage case in which the medicine bag to be taken out is stored. The patient may take a medicine bag taken out by mistake.

JP 2010-42136 A

  An object of the present invention is to provide a system that can ensure that a patient occupying a nursing facility basically regularly takes a medicine, and further collects information on the patient's body and optimizes the system. It is to provide a system that makes it possible to select an appropriate care method.

  The system according to the present invention includes a medical institution terminal provided in a medical institution such as a clinic, a clinic, a hospital, a pharmacy terminal provided in a dispensing pharmacy, and a facility terminal provided in a care facility such as a nursing care welfare facility or nursing home for the elderly. And a management server respectively connected to a medical institution terminal, a pharmacy terminal, and a facility terminal via a communication line such as the Internet. Here, the doctor's medical care in this system is based on the “home visit” in which the doctor visits the care facility and examines the patient, but it is still applicable to the “outpatient examination” in which the patient goes to a medical institution. Note that you can.

The management server has a database for storing basic information including basic information on medical institutions, basic information on pharmacies, basic information on facilities, and basic information on patients, and various types of information described later. Each of the basic information includes, but is not limited to, the following data.
・ Medical institution basic information: Basic data such as medical institution address, name, telephone number, etc., medical institution identification code assigned to each medical institution, medical treatment data, visit schedule data ・ Pharmacy basic information: Dispensing pharmacy address, name , Basic data such as phone number, pharmacy identification code given to each dispensing pharmacy, content of dispensing / facility basic information: Facility basic data such as address, name, phone number of nursing care facility, given to each nursing facility Facility identification code, medical institution identification code given to medical institutions that examine patients in nursing homes, pharmacy identification codes given to dispensing pharmacies that provide drugs to patients in nursing homes, basic patient information: patient name, year of birth Personal identification data such as date, age, and gender, patient identification code given to each patient, facility identification code of the nursing home where the patient resides, health applied to the patient Insurance data such as insurance and annuity insurance

  Here, medical institution basic information, pharmacy basic information, and facility basic information are recorded in the database before the system is operated, and can be added whenever there is additional information. It is easy to understand that a doctor's prescription is required to be recorded in a database.

  The database further stores drug prescription information, wellness information, and blister card management information (hereinafter referred to as “BC management information”) linked to patient basic information. Basically, a) drug prescription information includes drug codes given for each prescription, prescription days and drug distribution date data for each drug, b) wellness information includes patient blood pressure, weight, calories burned, etc. And c) BC management information is a blister card identification code (hereinafter referred to as “BC identification code”), which is given for each blister card in which the medicine is sealed. The patient identification code of the patient taking the medicine on the card, the cart code given to the BC storage cart of the nursing facility where the blister card is stored, the usage data of the medicine sealed on the blister card, the start date and the number of days taken Including. Here, wellness information is an existing health support service that stores the blood pressure, weight, calories burned, etc. of a patient measured with a sphygmomanometer, weight scale, pedometer, etc. in the cloud via the Internet, such as OMRON Healthcare Corporation Vital data collected in the corporate cloud can be used with WellnessLINK (registered trademark) provided by.

  The blister card with the medicine sealed is created for each patient and for each dose (after breakfast, before going to bed, etc.). For example, one patient was prescribed a medicine to be taken after meals three times in the morning, day and night, a medicine to be taken three times in the morning, day and night, a medicine to be taken before meals, and a medicine to be taken only once before going to bed. Sometimes, seven blister cards are created for after-meal morning and evening, before-meal morning and evening, and before going to bed. The blister card has a medicine package in which a medicine to be taken at each time of taking is blister-wrapped with a plastic film on one surface of a base sheet made of a relatively rigid member. Each medicine package is formed so that it can be individually separated from the blister card. The blister card contains the name of the patient taking the drug sealed in the blister card, the usage and dose of the drug, the date of dispensing, the name of the pharmacist who dispensed, and the name of the institution that dispensed Is provided. In addition, on each medicine package, a medicine package information column for displaying the name of the patient to be taken and the time of taking the medicine is provided.

  The blister card can further include optical or electronic blister card identification means (hereinafter referred to as “BC identification member”) in which a BC identification code assigned to each blister card is recorded. As the BC identification member, an optical identification member such as a QR code (registered trademark) or a barcode, or an electronic identification member such as a non-contact IC tag is used. The optical or electronic identification member preferably displays or attaches the optical or electronic identification member to each medicine package. At this time, the optical or electronic identification member attached to the blister card records the patient identification code of the patient to be taken in addition to the BC identification code, while the optical or electronic identification only records the patient identification code. The member is preferably carried by the patient in the form of a wristband or the like.

  The BC storage cart installed in the care facility is provided separately for each time of taking. A blister card reader (hereinafter referred to as “BC reader”) for optically or electronically reading information recorded on the BC identification member is provided. The BC reader is preferably a handy-type BC reader, and is configured to be connected to the facility terminal as necessary or online. The BC reading device reads the data recorded on the BC identification member of the blister card when the medicine package of the blister card is separated and delivered to the patient, and the read data is recorded in the storage device of the facility terminal, and preferably on time. Therefore, it is transmitted from the facility terminal to the management server. The facility terminal has a storage device for storing medication data for blister card medicine packages.

  Here, the BC storage cart and the blister card are preferably provided with means for displaying the BC storage cart in which the blister card is to be stored. This display means displays the code (hereinafter referred to as “cart number”) assigned to each BC storage cart (or each storage shelf of the BC storage cart), and also stores BC stored in the blister card. This is done by displaying the cart number of the cart. This cart number can also be incorporated as part of the BC identification code. The storage of the blister card in the BC storage cart is set so that the blister card can be stored separately for each time of taking. The facility terminal connected to the BC reader or the BC reader includes a storage device that stores in advance the BC identification code, the patient identification code of the patient, and the time of administration, and the identification member read when the drug is distributed to the patient. It is determined whether or not medication is properly performed by comparing with the data included and the time.

  The system of the present invention configured as described above is operated as follows.

(1) Issuance of a prescription A doctor visits a patient occupying a care facility, issues a prescription for the examined patient, and sends it to a dispensing pharmacy. The prescription is issued on paper because the electronic prescription is not legally approved at the time of this application, but when the electronic prescription is approved, the prescription content will be sent from the medical institution terminal to the pharmacy terminal That will be easily understood.

(2) Preparation of blister card In the dispensing pharmacy, as a basic task, the pharmacist audits whether the prescription content described in the prescription is appropriate, and if necessary, after consulting the doctor about the prescription content, Work to prepare a drug based on the contents of the prescription, perform a final audit by comparing the prepared drug with the prescription contents, blister pack the prepared drug, create a blister card, and send it to the care facility where the patient is located Is done.

  When a drug is prepared, the processing unit of the pharmacy terminal sends the drug prescription information, that is, prescription information such as the drug usage and dose, the dispensing date, the name of the dispensed pharmacist, and the patient basics of the dispensed patient. The information and the BC identification code of the created blister card are recorded in the storage device of the pharmacy terminal for drug administration history management, receipt creation, and the like, and transmitted to the management server via the communication line. The arithmetic processing unit of the pharmacy terminal also generates drug distribution information including the point-in-time data in the drug prescription information, the patient identification code of the dispensed patient, and the BC identification code of the created blister card. Preferably, it is transmitted and recorded in the storage device of the facility terminal. The basic patient information included in the drug prescription information is managed when the patient who prepared the drug is the first time, the arithmetic processing unit of the pharmacy terminal generates a patient identification code of the patient, records it in the storage device together with other data, and manages it Send to server. For the subsequent transmission and reception of the drug prescription information, the patient identification code is used instead of the patient basic information.

  When the blister card is created, the arithmetic processing unit of the pharmacy terminal generates a BC identification code for the blister card to be created and instructs the blister packaging device to record the BC identification code on the BC identification member of the blister card. In addition to the BC identification code, the BC identification member includes a patient identification code and taking time point data. Preferably, the BC identification member is provided in each medicine package of the blister card. The BC identification code is recorded on the BC identification member and also displayed on the blister card so that the care facility staff can visually confirm it.

  When the processing unit of the management server receives the drug prescription information from the pharmacy terminal, the prescription information of the drug included therein, the patient basic information of the patient to be taken (first time or only when the recorded items are changed) and / or the patient The identification code and the blister card cart number are linked to each other and recorded in the database. Preferably, the arithmetic processing unit of the management server uses the BC identification code, the patient identification code, the cart number of the blister card, and the prescription information of the drug from each database of the blister card delivered to the care facility from the database. The data is read to generate blister card distribution information (hereinafter referred to as “BC distribution information”), transmitted to the care terminal of the care facility where the blister card is distributed, and stored in the storage device of the care terminal.

(3) Storage of blister card The blister card sent to the care facility is stored in the BC storage cart by the care facility staff according to the cart number displayed on the blister card. When stored in the BC storage cart, the care facility staff reads the BC identification information recorded on the BC identification member with the BC reader. Whether the read BC identification information is sent from the BC reading device to the facility terminal and checked with the BC distribution information recorded in the storage device by the arithmetic processing device to confirm whether the distributed blister card is excessive or insufficient, Alternatively, when using the MCU integrated BC reader, the read BC identification information is checked against the BC distribution information recorded in the BC reader to confirm whether the distributed blister card is excessive or insufficient.

(4) Taking medicine When the time of taking is approaching, the care facility staff removes the blister card at the time of taking from the BC storage cart, detaches the medicine package, and returns the blister card to the original BC storage cart. Give the patient a separate medicine package. At this time, the staff causes the BC reader to read the BC identification code recorded on the BC identification member of the blister card. The BC reading device sends the read BC identification code to the care terminal together with the reading time, on time, after the distribution work is completed, or at other appropriate timing. Based on the read BC identification code and reading time, the arithmetic processing unit of the facility terminal determines that the medicine on the blister card at the time of taking is used for the patient. Here, it is preferable that the BC reader itself has a data storage function and an arithmetic processing function, or is connected to the facility terminal on time, so that it is sent from the pharmacy terminal and stored in the BC reader or facility terminal. By comparing the BC distribution information stored in the device with the read BC identification code and reading time, it is possible to monitor whether the medicine is properly distributed and taken. More preferably, the patient identification member storing the patient identification code is held in advance by the patient, and when the medicine package is distributed, the patient identification member possessed by the patient is read by the BC reader, so that At the same time as detecting which medicine package has been distributed and taken to the patient, the risk of distributing another medicine to the patient by mistake can be avoided by checking the BC distribution information on time.

  The arithmetic processing unit of the care terminal records the data sent from the BC reading device in the storage device for each BC identification code, reads out the data recorded in the storage device, generates patient taking information, To the management server.

  The arithmetic processing unit of the management server records the medication taking history management information in the database based on the patient taking information received from the care terminal. Preferably, the arithmetic processing unit of the management server compares the received patient medication information with the prescription information received from the pharmacy terminal, determines whether the medication is correctly taken, and calculates the remaining number of medications. Record additional information in medication history management information. When it is determined that proper dosing is not being performed, the arithmetic processing unit of the management server generates dosing warning information and transmits it to the care terminal of the care facility to alert the care facility staff. When the remaining number of medicines reaches a predetermined number (generally, patients in nursing homes regularly take the same medicine), the processing unit of the management server generates dispensing preparation information and dispenses Send to the pharmacy terminal of the pharmacy.

(5) Wellness management As described above, vital data required for wellness management uses data collected in a corporate cloud by a health support service provided by an existing company. WellnessLINK (registered trademark) provided by OMRON Healthcare Co., Ltd. is known as an example of this health support service. For example, OMRON automatic blood pressure monitor HEM-6310, OMRON body weight analyzer HBF-252F, Using vital instruments equipped with communication functions such as OMRON activity meter HJA-700T and OMRON sleep meter HSL-101 (both are trade names), patient blood pressure, weight, body fat percentage, visceral fat level, Vital data such as skeletal muscle percentage, body age, basal metabolism, BMI (obesity level), total steps, number of steps going up stairs, number of steps taken quickly, walking distance, total calories burned, sleep state, etc. are recorded as digital data in the corporate cloud The

  The arithmetic processing unit of the management server records the patient vital data obtained from the corporate cloud in the database of the management server as vital information of the patient. In response to a request from a medical institution or a care facility, the arithmetic processing unit of the management server also reads the requested patient vital information and medication administration history management information from the database, for example, linking both information in time series Then, the wellness information of the patient is generated, transmitted to the medical institution terminal and / or the facility terminal, and recorded in the database. More preferably, the arithmetic processing unit of the management server analyzes or analyzes the vital information and the medication administration history management information, and generates wellness information to which points to be noted for the patient are added.

  In the system of the present invention, after the blister card is taken out from the BC storage cart and the medicine bag sealed with one dose of medicine is cut off, the blister card medicine is taken by a normal operation of returning the blister card to the BC storage cart. By recognizing that the patient has entered the care facility, it is possible to ensure that patients taking care of the drug are regularly taken. Patient vital data obtained from the corporate cloud and the patient collected in the management server Thus, it is possible to collect measurement information about the patient's body and select an optimal care method.

FIG. 1 is a block diagram of a care facility resident management system according to an embodiment of the present invention. FIG. 2 is a diagram showing one form of a blister card used in the system shown in FIG.

  Embodiments of the present invention will be described below with reference to the drawings. It should be noted that, in order to avoid redundancy, explanations regarding various terms, means, configurations, information, and the like described in the means for solving the above-described problems are incorporated in the following description as they are.

  As shown in FIG. 1, a care facility resident management system according to an embodiment of the present invention includes a medical institution terminal 10 provided in a medical institution 1 such as a clinic, a clinic, or a hospital, and a pharmacy terminal 20 provided in a dispensing pharmacy 2. And a facility terminal 30 provided in a nursing facility 3 such as a nursing care facility or nursing home, and a management terminal connected to the medical institution terminal 10, the pharmacy terminal 20 and the facility terminal 30 via a communication line N such as the Internet. And a management server 40 of the center 4. Further, the facility terminal 30 is configured to be able to connect to the corporate cloud 5 of the existing health support service and upload the patient vital data Dv, while the management server 40 is connected to the corporate cloud 5 to connect the patient vital data. The data Dv is configured to be available.

  The medical institution terminal 10, the pharmacy terminal 20, and the facility terminal 30 are arithmetic processing devices 11, 21, and 31 for arithmetic processing of various data, and storage devices 12, 22 for storing various data and arithmetic results. The management server 40 also includes an arithmetic processing device 41 for arithmetic processing of various data and a database 42 for storing various data and arithmetic results. Although not shown, the medical institution terminal 10, the pharmacy terminal 20, the facility terminal 30, and the management server 40 are input devices such as a keyboard and a keypad for inputting data and calculation processing commands, input data and calculation processing results. And other required devices such as a communication port for communicating with a connected terminal or server.

  The database 42 of the management server 4 includes medical institution basic information Im related to a medical institution that visits a patient in a care facility, pharmacy basic information Id related to a dispensing pharmacy that prepares a medicine to be taken by the patient in the care facility, and care for the patient It is used to store basic information including basic facility information In regarding the facility and basic patient information Is regarding the patient taking the medicine, and other various types of information described later.

  In the system of the present invention, the medicine to be taken by the patient is prepared in the form of a blister card 6. As shown in FIG. 2, the blister card 6 is provided with individual medicines 63 for one dose by a plastic film 62 on one surface of a mount 61 made of a relatively rigid member (for example, cardboard, plastic sheet, etc.). The medicine package 64 is formed by blister packaging. Each medicine package 64 is divided by a perforation line 65 and can be individually separated from the blister card 6 along the perforation line 65. In the region where the medicine package 64 of the blister card 6 is not arranged (in the illustrated case, the upper end portion of the blister card 6), the medicine bag information Ip legally required to be written in the medicine bag, that is, the patient's name, There is provided a medicine bag information display column 66 in which the usage / dose, the dispensing date, the name of the dispensed pharmacist, and the name of the dispensing institution are described. Each medicine package 64 defined by the perforation line 65 can visually confirm which patient should take the medicine at which time even after the medicine package is separated from the blister card. A medicine package information display field 67 in which medicine package information Ic including at least the name of the patient and the time of taking is described.

  An optical or electronic BC identification member 68 is provided in or near each of the medicine bag information display field 66 and / or medicine package information display field 67 of the blister card 6. In the BC identification member 68, a BC identification code Cb given for each blister card 6 and a patient identification code Cp given for each patient are recorded.

  The care facility 3 includes a BC storage cart 7 for storing the blister card 6. The BC storage cart 7 may be in the form of a fixed shelf as shown in FIG. 1 or in the form of a movable wagon, but at the time of each taking, ie before breakfast, after breakfast, between meals It is formed so that the blister card 6 can be stored according to the time taken, such as (am), before lunch, after lunch, between meals (afternoon), before dinner, after dinner, before going to bed, and before taking clothes.

  When the BC storage cart 7 is in the form of a fixed shelf, it is preferable to provide a wagon (not shown) for use in dispensing medicine to a patient. This medicine distribution wagon includes a tray for placing a medicine package 64 separated from the blister card 6, data of a BC identification member 68 provided on the medicine package 64, and preferably a BC identification given to the patient. Patient identification member data similar to the member also has a tray or other suitable holder for holding the BC reader 71 for reading. The BC reader 71 may be a device installation type, but preferably a handy type is prepared so that a free reading operation can be performed. The BC reader 71 is connected to the facility terminal 30 on time, or preferably, an integrated reader with a built-in MCU is used.

  The management from the issuance of prescriptions to the distribution / taking of medicines, the utilization of accumulated data, etc. performed in the system of the present invention configured as described above will be described below.

  First, a doctor visits a patient occupying a care facility, issues a prescription for the examined patient, and sends it to a dispensing pharmacy. The prescription content described in the prescription is input at the pharmacy terminal 20 of the dispensing pharmacy 2 that has received the prescription and recorded in the storage device 22 of the pharmacy terminal 20. As for the prescription, when the electronic prescription is approved, the electronic prescription is sent from the medical institution terminal to the pharmacy terminal.

  The dispensing pharmacy 2 performs a predetermined confirmation operation and dispensing based on the received prescription, while the BC identification code Cb of the blister card to be created and the patient identification code Cp of the patient in the case of the first patient are stored in the pharmacy terminal 20 to generate. The generated BC identification code Cb and patient identification code Cp are stored in the pharmacy terminal 20 by the arithmetic processing unit 21 of the pharmacy terminal 20 together with the drug prescription information If of the blister card and the basic patient information Is for the first patient. While being recorded in the apparatus 22, it is transmitted to the management server 40 of the management center 4 via the communication line N.

  The arithmetic processing unit 21 of the pharmacy terminal 20 also includes taking time point data Dd in the medicine prescription information If of the created blister card 6 stored in the storage device 22, the patient identification code Cp of the dispensed patient, and the BC identification code. BC distribution information Ig including Cb is generated and transmitted to the facility terminal 30 of the care facility 3 to which the blister card is distributed. The arithmetic processing device 31 of the facility terminal 30 records the received BC distribution information Ig in the storage device 32 and, when an MCU integrated BC reading device 71 is used, records it in the storage unit of the BC reading device 71. .

  Based on the drug prescription information If recorded in the storage device 22, the arithmetic processing unit 21 of the pharmacy terminal 20 summarizes the types and amounts of drugs to be taken at each time point for each patient and the number of doses required. The number of blister cards 6 to be created is calculated, and the number of BC identification codes Cb corresponding to the number of created blister cards 6 is generated. Next, the arithmetic processing unit 21 of the pharmacy terminal 20 generates and creates the medicine bag and medicine package information Ip and Ic to be described in the medicine bag and medicine package information display fields 66 and 67 of the blister card 6, respectively. The identification code Cb and the type and amount of the medicine to be sealed in the blister card 6 and the number of medicine packages are transmitted to the blister packaging device 8.

  The blister packaging device 8 blister-packs the medicine based on the information received from the pharmacy terminal 20, and describes the medicine bag and medicine package information Ip and Ic in the medicine bag and medicine package information display fields 66 and 67, respectively. The blister packaging device 8 also includes a BC identification code Cb, a patient identification code Cp, and administration time data on an electronic BC identification member 68 provided in the medicine bag and medicine package information display fields 66 and 67 of the blister card 6 or in the vicinity thereof. Dd is recorded, or the optical BC identification member 68 in which the BC identification code Cb, the patient identification code Cp, and the administration time point data Dd are recorded is written in the medicine bag and medicine package information display fields 66 and 67 or in the vicinity thereof. To do. The blister card 6 has a cart number indicating the storage location of the blister card 6 at an appropriate position of the blister card so that a care facility staff can directly visually confirm the BC storage cart 7 in which the blister card should be stored. 72 is described by the blister packaging device 8.

  The management server 20 of the management center 4 that has received the drug prescription information If from the pharmacy terminal 20 includes information on the prescription of the drug included in the drug prescription information If, patient basic information Is of the patient to be taken (change of the initial or recorded items) And the patient identification code Cp and the cart number 72 of the blister card 6 are linked to each other and recorded in the database 42, respectively. Here, it has been described that the BC distribution information Ig described above is generated by the pharmacy terminal 20 and transmitted to the facility terminal 30, but may be configured to be generated by the management server 20 and transmitted to the facility terminal 30. .

  The blister card 6 sent to the care facility 3 is stored in the corresponding BC storage cart 7 by the hand of the care facility staff according to the cart number 72 displayed on the blister card 6. When the blister card 6 is stored in the BC storage cart 7, the care facility staff causes the BC reader 71 to read the BC identification information Ib recorded on the BC identification member 68 of each blister card 6. The read BC identification information Ib is sent to the facility terminal 30 and checked by the arithmetic processing unit 31 with the BC identification information Ib stored in the storage device 32 of the facility terminal to confirm whether the distributed blister card is excessive or insufficient. To do. When the BC reader 71 is an MCU-integrated reader, the read BC identification information Ib is sent to the facility terminal 30 at an appropriate timing and recorded in the storage device 32, while the storage section of the BC reader 71 Is compared with the BC identification information Ib stored in the on-time.

  When a predetermined dose time approaches, the care facility staff usually takes out all the blister cards 6 from the BC storage cart 7 containing the blister cards 6 at the time of the dose. The staff separates each medicine package 64 from the taken out blister card 6 and then returns the blister card 6 to the original BC storage cart 7. The separated medicine package 64 is placed on a medicine distribution wagon and carried to the patient. Preferably, the staff member reads the patient identification code Cp stored in a patient identification member (not shown) possessed by the patient with the BC reader 71, and at the same time the BC of the BC identification member 68 attached to the medicine package 64 delivered to the patient. The identification information Ib is read together with the reading time. The read patient identification code Cp of the patient identification member and the patient identification code Cp included in the BC identification information Ib of the BC identification member 68 are collated, and the reading time is included in the BC identification information Ib of the BC identification member 68. By comparing with the taking time point data Dd, it is determined whether or not the medication is appropriate for an appropriate patient. This determination is performed by the arithmetic processing unit 31 of the facility terminal 30 when the BC reading device 71 is connected to the facility terminal 30, and by the built-in MCU when the BC reading device 71 is an MCU-integrated reading device. Done.

  The BC identification information Ib read by the BC reading device 71 and its reading time are added to the BC distribution information Ig already stored in the storage device 32 by the arithmetic processing unit 31 of the facility terminal 30 for each BC identification code Cb. At the same time, patient administration information Ie is generated based on the data and transmitted to the management server 40 of the management center 4 via the communication line N.

  The arithmetic processing unit 41 of the management server 40 records the medicine taking history management information Ih in the database 42 based on the patient taking information Ie sent from the care terminal 30, and the patient taking information Ie received from the care terminal 30. The medicine prescription information If received from the pharmacy terminal 20 is collated to determine whether the patient is taking proper medicine. When it is determined that proper dosing has not been performed, the arithmetic processing unit 41 of the management server 40 generates the dosing warning information Ia and transmits the dosing warning information Ia to the care terminal 30 of the corresponding care facility 3. To alert the care facility staff. The arithmetic processing unit 41 of the management server 40 also calculates the remaining number for each medicine in the BC storage cart 7 based on the medicine prescription information If and the patient taking information Ie, and additionally records it in the medicine taking history management information Ih. In general, since a patient in a care facility regularly takes the same medicine, when the remaining number of medicines reaches a predetermined number, the arithmetic processing unit 41 of the management server 40 requires which medicine and how much is needed. This is calculated to generate drug distribution preparation information Ir, and the drug distribution preparation information Ir is transmitted to the pharmacy terminal 20 of the corresponding dispensing pharmacy.

  The care terminal 30 of the care facility 3 is connected to a vital measuring device 50 with various communication functions mounted on each patient. Various measurement values measured by the vital measuring device 50 with a communication function are recorded in the corporate cloud 5 through a health support service provided by an existing company. The management server 40 of the management center 4 appropriately acquires patient vital data Dv from the corporate cloud 5. The vital data Dv obtained from the enterprise cloud 5 is recorded in the database 42 as vital information Iv of the patient.

  In response to a request from the medical institution 1 or the care facility 2, the arithmetic processing unit 41 of the management server 40 reads out the vital information Iv and the medication history management information Ih of the required patient from the database 42. By performing arithmetic processing such as sequential linking, wellness information Iw relating to the relationship between the patient's health condition and drug administration is generated and recorded in the database, and the medical institution terminal 10 or the caregiver of the requested medical institution The wellness information Iw is transmitted to the facility terminal 30 of the facility. More preferably, the management server 40 periodically analyzes or analyzes the vital information Iv and the medication history management information Ih to generate and record wellness information Iw in which points to be noted about the patient are additionally recorded and recorded in the database. And transmitted to the medical institution terminal 10 and the facility terminal 30.

DESCRIPTION OF SYMBOLS 1 Medical institution 10 Medical institution terminal 11 Arithmetic processing device 12 Storage device 2 Dispensing pharmacy 20 Pharmacy terminal 21 Arithmetic processing device 22 Storage device 3 Care facility 30 Facility terminal 31 Arithmetic processing device 32 Storage device 4 Management center 40 Management server 41 Arithmetic processing device 42 Database 5 Corporate Cloud 50 Vital Measuring Device with Communication Function 6 Blister Card 61 Mount 62 Plastic Film 63 Drug 64 Medicine Package 65 Perforation Line 66 Medicine Bag Information Display Field 67 Medicine Package Information Display Field 68 BC Identification Member 7 BC Storage Cart 71 BC Reading Device 72 Cart No. 8 Blister packaging device Cb BC identification code Cp Patient identification code Dv Vital data Dd Dosing time point data Ia Dosing warning information Ib BC identification information Ic Medication information Id Pharmacy basic information Ie Patient dosing information If Drug Isotropic information Ig BC distribution information Ih drug taking history management information Im medical institutions basic information In facility basic information Ip bag information Ir distribution drug preparation information Is basic patient information Iv vital information Iw wellness information N communication line

Claims (4)

A facility terminal provided in a nursing facility where a patient to be managed is resident, a medical institution terminal provided in a medical institution that examines the patient, a pharmacy terminal provided in a dispensing pharmacy that prescribes a medicine to be taken by the patient, and management It consists of a management server provided in the center,
The facility terminal, medical institution terminal, pharmacy terminal and management server are each connected to each other via a communication line,
The management server relates to basic patient information relating to a patient to be managed, basic facility information relating to a care facility where the patient resides, basic institution information relating to a medical institution that examines the patient, and a dispensing pharmacy that prescribes a medicine that the patient takes. Stores basic information on pharmacies and various types of information received or generated as needed, stores various types of received or generated information in the database, and stores necessary information stored in the database. An arithmetic processing unit that reads and performs arithmetic processing,
The dispensing pharmacy individually encloses one dose of medicine to be taken by the patient, and a BC identification member storing the BC identification code of the blister card to be created and the patient identification code of the patient taking the enclosed medicine A blister packaging device for creating an attached blister card, wherein the pharmacy terminal stores a patient basic information of a patient prescribing a medicine and a medicine prescription information prescribed to the patient; and a storage device Based on the medicinal prescription information stored, each patient takes a medicine to be taken for each taking time point and creates a blister card that encloses and encloses it, and generates a BC identification code for the blister card to be created, While instructing the blister packaging device to store the generated BC identification code and patient identification code in the BC identification member, BC identification code terpolymers card, and a processing unit for sending to generate and facilities terminal BC distribution information including the patient identification code and taking time data,
The care facility further includes a BC storage cart that stores a blister card at each time of taking, and a BC reader that can be connected to the facility terminal. The facility terminal stores BC distribution information sent from the pharmacy terminal. The storage device, the BC identification code read by the BC reader, the patient identification code and the reading time thereof are compared with the BC distribution information stored in the storage device, or the BC distribution information stored in the storage device is And an arithmetic processing unit for storing in a BC reader incorporating
The facility terminal arithmetic processing unit or MCU-integrated BC reader includes a BC identification code, a patient identification code and a reading time read by the BC reader, and a BC stored in the storage device or the MCU-integrated BC reader. The BC identification code, the patient identification code and the time-of-taking data in the distribution information are collated to determine whether the medication is appropriate.
Care facility resident management system.   The care facility further includes a vital measuring device having a communication function for sending vital data to the health support service, and the facility terminal provides a corporate cloud of a company that provides the health support service with the vital data obtained by the vital measuring device. The system according to claim 1, wherein the management server downloads the vital data of the patient uploaded to the corporate cloud and generates vital information. Based on the doctor's prescription, the pharmacy terminal inputs the patient basic information of each patient and the drug prescription information prescribed for each patient, and stores it in the storage unit;
Read out the patient's drug prescription information from the storage unit of the pharmacy terminal, and based on the drug prescription information, blister card that encloses and encapsulates the medicines that each patient should take at each time point Creating a BC identification code for the blister card to be created and storing the generated BC identification code and patient identification code in the BC identification member;
BC distribution information including the BC identification code, patient identification code, and administration time data of the created blister card is generated by the pharmacy terminal and sent to the facility terminal, and the BC identification code and drug prescription information of the created blister card are sent to the management server. Sending process;
Recording the received BC distribution information in the storage device of the facility terminal or the MCU integrated BC reader by the processing device of the facility terminal;
The blister card sent from the dispensing pharmacy is stored in the BC storage cart provided at the care facility at each time point, and all blister cards are removed from the BC storage cart at each time point. After separating one of the packages, the blister card is returned to the BC storage cart, and the BC identification code and patient identification code recorded on the BC identification member of each medicine package or blister card are read together with the reading time by the BC reader. Determining whether the medication is appropriate by comparing with the BC distribution information stored in the storage device of the facility terminal or the MCU integrated BC reader;
The process of recording the read data sent from the BC reader by the arithmetic processing unit of the care terminal in the storage device for each BC identification code, and generating the patient dosing information based on the data and transmitting it to the management server;
Record patient medication information sent from the facility terminal in the database of the management server, and read the drug prescription information recorded in the database and collate it with the patient medication information to determine whether drug administration is being performed properly And a medicine distribution administration management system comprising a step of generating medicine administration history management information. Vital data obtained from a vital measuring instrument that has a communication function to send vital data to a health support service attached to a patient is uploaded to the corporate cloud of the company that provides the health support service by the facility terminal, and this corporate cloud The system according to claim 3, further comprising: downloading uploaded patient vital data by a management server to generate vital information.