JP2017102885A - Medication notification management device and residual medicine adjustment method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medication notification management device and the like in which an actual number of residual medicines at the patient side can be reflected on a setting of a medication notification without causing no conflict between a prescription at a medical institution and a drug preparation at a pharmacy.SOLUTION: In a medication notification management device, a medication notification for a medicine newly prepared is required when the medicine is prescribed at a medical institution and prepared at a pharmacy and the like, medicines recently prepared or medicines prepared in the past by a prescription in which combination of medicines resembles the targeted prescription is presented as a candidate of residual medicine adjustment by retrieving data with respect to preparation based on past prescriptions for a prescribed patient when data required for setting of the medication notification of the medicines newly prepared from a pharmacy terminal, and if residual medicine number of the medicines is accepted, the medication notification setting data is generated even when it is not included in the targeted prescription so that a medicine which is required and not prescribed because the residual medicines are enough can become a setting target of the medication notification.SELECTED DRAWING: Figure 20

Description

  The present invention provides medication notification management for assisting in the adjustment of the remaining medicine reflecting the remaining medicine in the patient's hand when generating the medication notification setting data for setting the medication notification prompting the patient to take the medicine at a predetermined timing. The present invention relates to a device and a remaining medicine adjustment method.

  Patients who have been prescribed drugs at medical institutions are required to take the drugs according to the prescribed usage and dosage. However, the patient may not always be aware of the timing of medication, and may forget to take drugs or take multiple doses. In order to prevent such a situation, an invention relating to a system for performing a notification prompting a patient to take a prescribed drug has been disclosed (for example, see Patent Documents 1-5).

  Using such a system for managing the medication schedule of dispensed drugs, it is possible not only to give notifications prompting the patient to take, but also to know the quantity of drugs remaining at the patient's hand at each point in time. Information on the amount of remaining medicine managed in the system is, for example, the same as what has been prescribed in the past, for example, prompting the creation of a new prescription or appointment for medical examination when the remaining medicine falls below a predetermined amount (see Patent Document 3) When a doctor prescribes a medicine, it can be used to determine the quantity of medicine to be newly prescribed reflecting the amount of remaining medicine (see Patent Document 4).

  In order to accurately grasp the amount of remaining medicine at the patient's hand, it is also effective to check not only the quantity managed by the system but also the quantity of the drug actually present at the patient's hand. . For example, there is disclosed a method of dispensing a remaining medicine brought to a pharmacy by a patient into a unidirectional apparatus, counting the quantity, and subtracting the remaining medicine quantity from a prescribed quantity (paragraph 0025- of Patent Document 5). 0027).

JP 2003-016185 A JP 2010-035885 A JP 2005-266853 A JP, 2015-170019, A Japanese Patent Laying-Open No. 2015-095124

  If there are remaining medicines in the patient's hands when setting the timing of medication notification, the amount of medication required is not only the newly prescribed dispensing amount, but also the amount of the remaining medicine, It is preferable that the remaining medicine quantity is appropriately reflected in the setting of the medication notification. To do so, add the amount of remaining medicines known in the system to the number of newly dispensed drugs, and set the medication notification for the total quantity in the schedule. It may be forgotten, and in order to make the amount of remaining medicine grasped by the system coincide with the actual condition, it is necessary to input a medication record as to whether or not the patient actually took the medicine. In addition, even if a system is used that reflects the medication record in the remaining drug quantity in the system, the system will know if the patient has actually taken the drug but has forgotten to enter the medication record. There will be a difference between the amount of remaining medicine and the actual number of remaining medicines at hand.

  According to the method disclosed in Patent Document 5, which uses the remaining medicine brought to the pharmacy by the patient, the actual number of the remaining medicine at hand of the patient is reflected as it is, but in this method, the remaining medicine is included in the dispensing itself. This reflects the real number, and there is a discrepancy between the quantity prescribed at the medical institution and the quantity dispensed at the pharmacy. In addition to these problems, if the patient himself / herself does not present the remaining medicine to the pharmacist at the pharmacy, the remaining medicine may not be reflected in the medication notification setting.

  The present invention has been made in order to cope with such problems, and the actual number of remaining medicines at the patient's hand can be notified without causing a discrepancy in prescription at a medical institution and dispensing at a pharmacy. When generating medication notification setting data for setting medication notification that prompts the patient to take medication at a predetermined timing that can be reflected in the settings, the remaining medication adjustment that reflects the remaining medication at hand of the patient is performed. It is an object of the present invention to provide a medication notification management device and a remaining medicine adjustment method to be supported.

  The present invention that solves such a problem is connected to a medication notification management device that manages medication notification setting data for setting medication notification that prompts a patient to take medication at a predetermined timing. A drug selection receiving means for receiving selection of a drug that needs to be adjusted from one or more drugs dispensed based on a prescription, and a medication notification that reflects the amount of the remaining drug for the drug that needs to be adjusted An input screen for inputting the remaining medicine adjustment quantity used for the setting of the remaining medicine adjustment quantity receiving means for accepting the quantity input on the input screen as a confirmed remaining medicine adjustment quantity, and the confirmed remaining medicine The amount of adjustment is used as the remaining medicine adjustment information used for the remaining medicine adjustment when generating the medicine notification setting data for setting the medicine notification regarding the medicine requiring the remaining medicine adjustment. And residual drug adjustment information transmission means for transmitting the notification management apparatus, a residual drug adjustment support device, characterized in that it comprises a.

  When dispensing a drug prescribed by a medical institution and prescribed by a pharmacy, etc., it is necessary to set a medication notification for the newly dispensed drug, but there is a remaining drug at hand of the patient For drugs, the remaining drug adjustment quantity (of the drug at hand of the patient) is sent when the data required for setting the drug notification is sent from the dispensing pharmacy etc. so that the quantity can be reflected in the drug notification setting. The amount of the remaining medicine, which is a quantity, may be reflected, and it may be a quantity obtained by adding the quantity of the medicine dispensed based on the prescription to the remaining medicine quantity or the remaining medicine quantity itself). The medicine notification setting data used to reflect the remaining medicine amount when generating the medicine notification setting data for setting the medicine notification is transmitted to the medicine notification management apparatus that manages the medicine notification setting data. As a result, information about the remaining drug quantity required for the remaining drug adjustment is sent to the medication notification management device without changing the prescription and dispensing quantity, resulting in a discrepancy between the prescription at the medical institution and the dispensing at the pharmacy. Without making it possible, it is possible to reflect the actual number of remaining medicines in the patient's hand in the setting of the medication notification.

  In addition, the present invention provides one or two or more drugs dispensed based on a past prescription for a patient who has received a prescription for which setting of the medication notification is set, and a residual drug adjustment that is a candidate for a drug that requires a residual drug adjustment A remaining medicine adjustment candidate presenting means to be presented as a candidate, a second medicine selection accepting means for accepting selection of a medicine that requires a remaining medicine adjustment from the remaining medicine adjustment candidates, and a medicine that requires the remaining medicine adjustment. Included in the prescription for outputting the input screen for inputting the remaining drug quantity, and receiving the remaining drug quantity receiving means for accepting the quantity entered on the input screen as the determined remaining drug quantity, and the setting target for the medication notification Residual drug adjustment information used for generating medication notification setting data for setting a medication notification related to the remaining amount of the drug as the quantity of the drug for which a medication notification needs to be set although there is not As above It may be characterized in that it comprises a second residual drug adjustment information transmission means for transmitting to the medication notification management apparatus.

  The remaining medicine adjustment candidate presenting means may preferentially present the remaining medicine adjustment candidate by giving priority to a medicine having a new dispensing date among the medicines dispensed to the patient.

  The remaining medicine adjustment candidate presenting means includes a medicine dispensed based on a prescription in which a predetermined condition including a combination of medicines approximates a prescription to be set for the medication notification among the medicines dispensed to the patient. It may be characterized by presenting the remaining medicine adjustment candidates with priority.

  At medical institutions, if the doctor confirms the amount of remaining medicines at hand and determines that only some of the prescribed drugs are sufficient, the patient may continue to take the medicine. There are cases where the necessary medicine is not included in the prescription. In such a case, if the medication notification is set for only the medicine dispensed based on the prescription, there will be a problem that the medication notification for the remaining medicine is leaked.

  With the above configuration, since the medicine prescribed in the past for the same patient is presented as a residual drug adjustment candidate, the doctor instructs the patient to take the residual drug, but the patient remains in the pharmacist at the pharmacy. Even if you forget to present the medicine, the pharmacist confirms with the patient the medicines that are included in the previous prescription but are not included in the current prescription. It becomes possible to reduce the risk of occurrence.

  Since this situation is likely to occur for recently prescribed drugs or drugs that have been repeatedly prescribed, drugs that have newer dispensing dates or combinations of drugs are approximated to drugs that are presented as candidates for residual drug adjustment. It is preferable to target a drug dispensed based on the prescription.

  Further, according to the present invention, the input screen output by the remaining medicine quantity receiving means is provided with an input field in which information regarding at least one of the usage or dosage of the medicine that requires adjustment of the remaining medicine is provided, and the input When the information entered in the column is accepted as a confirmed usage or dose, the second remaining medicine adjustment information transmitting means transmits the confirmed usage or dosage as the remaining medicine adjustment information to the medication notification management device. Can also be characterized.

  On the input screen output by the remaining medicine quantity receiving means, at least one value of usage, dose, and remaining medicine quantity is set as a default value that can be updated based on data relating to dispensing based on the past prescription, The second remaining medicine adjustment information transmitting means receives the default value when accepting that the default value is confirmed without being updated, and is updated when accepting that the value with the updated default value is confirmed. The value may be transmitted to the medication notification management device as the remaining medicine adjustment information.

  In cases where it is necessary to take a drug that was not included in the prescription considering the remaining drug, the patient may have been instructed to change the dosage or dosage by the doctor. In order to allow such instructions to be reflected in medication notifications, the remaining drug adjustment information for drugs not included in the prescription should be configured to include not only the remaining drug quantity but also information on usage and dosage. Is preferred. Furthermore, setting a past prescription value as the default value of such information is suitable for reducing the burden of input work by a pharmacist or the like.

  The present invention can also be specified as a residual drug adjustment support program provided in the residual drug adjustment support apparatus according to the present invention.

  The residual medicine adjustment support program according to the present invention is provided in a residual medicine adjustment support apparatus connected via a network to a medication notification management apparatus that manages medication notification setting data for setting a medication notification that prompts a patient to take medication at a predetermined timing. A drug selection accepting step for accepting selection of a drug that requires adjustment of a remaining drug from one or more drugs dispensed based on a prescription for which a medication notification is set; A residual drug adjustment quantity receiving step of outputting an input screen for inputting a residual drug adjustment quantity used for setting a medication notification reflecting a drug quantity, and receiving the quantity input on the input screen as a fixed residual drug adjustment quantity And the determined remaining medicine adjustment quantity is used for the remaining medicine adjustment when generating the medicine notification setting data for setting the medicine notification regarding the medicine requiring the remaining medicine adjustment. As the residual medicine adjustment information, a residual drug adjustment support program characterized by executing the, and residual drug adjustment information transmission step of transmitting to the medication notification management apparatus.

  The residual drug adjustment support program according to the present invention can also be specified as a residual drug adjustment support program corresponding to each configuration of the residual drug adjustment support device according to the present invention.

  The present invention can also be specified as a remaining drug adjustment support method executed by the remaining drug adjustment support apparatus according to the present invention.

  The support method for residual medicine adjustment according to the present invention includes a residual medicine adjustment support apparatus connected via a network to a medication notification management device that manages medication notification setting data for setting a medication notification that prompts a patient to take medication at a predetermined timing. A drug selection accepting step for accepting selection of a drug that requires adjustment of a remaining drug from one or more drugs dispensed based on a prescription to be set for medication notification; and For a drug that requires drug adjustment, output an input screen for entering the remaining drug adjustment quantity used to set the medication notification reflecting the remaining drug quantity, and confirm the remaining drug adjustment entered on the input screen. Residual drug adjustment quantity receiving step for accepting as a quantity, and the residual drug adjustment support device for setting the finalized drug adjustment quantity to be used for setting a medication notification regarding a drug that requires the residual drug adjustment A residual drug adjustment information transmitting step for transmitting to the medication notification management device as residual drug adjustment information used for residual drug adjustment when generating notification setting data. is there.

  The residual drug adjustment support method according to the present invention can be specified as a residual drug adjustment support method executed by each configuration of the residual drug adjustment support device according to the present invention.

  The present invention can also be specified as a medication notification management device having a function corresponding to the residual drug adjustment support device according to the present invention.

  A medication notification management device according to the present invention is a medication notification management device that manages medication notification setting data for setting medication notifications that prompt a patient to take medication at a predetermined timing, and is a prescription to be set for medication notification. Based on one or more drugs dispensed based on the drug selection receiving means for receiving selection of a drug that requires adjustment of the remaining drug, and for the drug that requires adjustment of the remaining drug, setting of a medication notification reflecting the quantity of remaining drug An input screen for inputting the remaining medicine adjustment quantity to be used is output, and the remaining medicine adjustment quantity receiving means for accepting the quantity input on the input screen as a confirmed remaining medicine adjustment quantity, and the confirmed remaining medicine adjustment quantity A medication notification setting data generating means for generating medication notification setting data for setting a medication notification related to a drug requiring the residual drug adjustment, used for the residual drug adjustment for the prescribed quantity; A medication notification management apparatus, characterized in that it comprises.

  The medication notification management device according to the present invention can also be specified as a medication notification management device having a function corresponding to each configuration of the remaining medicine adjustment support device according to the present invention.

  This invention can also be specified as a residual medicine adjustment method performed by the medication notification management apparatus provided with the function corresponding to the residual medicine adjustment assistance apparatus which concerns on this invention.

  The residual drug adjustment method according to the present invention is a residual drug adjustment method that is executed by a medication notification management device that manages medication notification setting data for setting a medication notification that prompts a patient to take medication at a predetermined timing. The medication notification management device receives a selection of a drug that needs to be adjusted from the one or two or more drugs dispensed based on the prescription for which the medication notification is set, and the medication notification management device includes: , For the drug that needs to be adjusted for residual medicine, an input screen for inputting the residual medicine adjustment quantity used for setting the medication notification reflecting the residual medicine quantity is output, and the quantity entered on the input screen is confirmed. The remaining medicine adjustment quantity receiving step for accepting the remaining medicine adjustment quantity, and the medication notification management device using the determined remaining medicine adjustment quantity for the remaining medicine adjustment for the prescribed quantity, And administration notice setting data generation step of generating a medication notification setting data for setting the administration notice regarding the drug required is integer, is the residue drug adjustment method characterized by having a.

  The residual drug adjustment method according to the present invention can also be specified as a residual drug adjustment method executed by a medication notification management device having a function corresponding to each configuration of the residual drug adjustment support device according to the present invention.

  The present invention can also be specified as a medication notification management device that receives residual drug adjustment information from the residual drug adjustment support device according to the present invention.

  A medication notification management device according to the present invention is a medication notification management device that manages medication notification setting data for setting medication notifications that prompt a patient to take medication at a predetermined timing, and is a prescription to be set for medication notification. Drug selection information receiving means for receiving, from a terminal device connected via a network, information related to a drug selected as a drug that needs to be adjusted from one or more drugs dispensed based on the drug, and the residual drug adjustment An input screen transmitting means for generating an input screen for inputting a residual drug adjustment quantity used for setting a medication notification reflecting a residual drug quantity on the terminal device for a necessary drug, and transmitting the terminal screen to the terminal device; Receiving drug adjustment information received from the terminal device as the remaining medicine adjustment information, the quantity input on the input screen accepted as the remaining medicine adjustment quantity confirmed in the terminal device And medication notification setting data generating means for generating medication notification setting data for setting medication notification related to the drug that requires the residual drug adjustment using the residual drug adjustment information for the residual drug adjustment for the prescribed quantity. And a medication notification management device.

  The medication notification management device according to the present invention can also be specified as a medication notification management device that receives the residual medication adjustment information from each configuration of the residual medication adjustment support device according to the present invention.

  This invention can also be specified as a residual medicine adjustment method performed by the medication notification management apparatus which receives residual medicine adjustment information from the residual medicine adjustment assistance apparatus which concerns on this invention.

  The residual drug adjustment method according to the present invention is a residual drug adjustment method that is executed by a medication notification management device that manages medication notification setting data for setting a medication notification that prompts a patient to take medication at a predetermined timing. A terminal device in which the medication notification management device is connected via a network with information related to a drug selected as a drug requiring residual drug adjustment from one or two or more drugs dispensed based on a prescription for which a medication notification is set The drug selection information receiving step received from the terminal, and the medication notification management device inputs the residual drug adjustment quantity used for setting the medication notification reflecting the residual drug quantity for the drug requiring the residual drug adjustment at the terminal device An input screen transmission step for generating an input screen for transmitting to the terminal device, and a remaining medicine adjustment quantity determined by the medication notification management device in the terminal device The remaining amount adjustment information receiving step for receiving from the terminal device the remaining amount adjustment information received as the remaining amount adjustment information from the terminal device, and the amount that the medication notification management device has prescribed the remaining amount adjustment information. A medicine notification setting data generating step for generating medicine notification setting data for setting medicine notification regarding a medicine that needs to be adjusted for the medicine remaining adjustment, It is.

  The residual drug adjustment method according to the present invention can also be specified as the residual drug adjustment method executed by the medication notification management device that receives the residual drug adjustment information from each configuration of the residual drug adjustment support device according to the present invention.

  According to the present invention, when there is a remaining medicine that needs to be taken at the patient's hand, the actual number of the remaining medicine at the patient's hand is required without causing a flaw in the prescription at the medical institution and the dispensing at the dispensing pharmacy. It is possible to reflect in the setting of the medication notification that prompts the patient to take medication at a proper timing. The present invention provides a medication notification effective for preventing forgetting to take a drug or preventing repeated drinking as a more accurate one, and contributes to the effective use of the remaining medicine. It is expected to be effective in reducing medical costs by suppressing unnecessary medication.

It is a figure which shows the outline | summary of embodiment of this invention. It is a block diagram which shows an example of the system configuration which implements this invention. It is the 1st flowchart which showed the processing flow which produces | generates the medication notification setting data for performing a remaining medicine adjustment and setting a medication notification by this invention. It is the 2nd flowchart which showed the processing flow which produces | generates the medication notification setting data for performing a remaining medicine adjustment and setting a medication notification by this invention. It is the 3rd flowchart which showed the processing flow which produces | generates the medication notification setting data for performing a remaining medicine adjustment and setting a medication notification by this invention. It is a 1st figure which shows the example of the screen transition until it transmits the remaining medicine adjustment information in 1st Example of this invention. It is a 2nd figure which shows the example of the screen transition until it transmits the remaining medicine adjustment information in 1st Example of this invention. It is a 3rd figure which shows the example of the screen transition until it transmits the remaining medicine adjustment information in 1st Example of this invention. It is a 4th figure which shows the example of the screen transition until it transmits the remaining medicine adjustment information in 1st Example of this invention. It is a figure which shows the flow which produces | generates medication notification setting data in 1st Example of this invention. It is a 1st figure which shows the example of the screen transition until it transmits the remaining medicine adjustment information in 2nd Example of this invention. It is a 2nd figure which shows the example of the screen transition until it transmits the remaining medicine adjustment information in 2nd Example of this invention. It is a 3rd figure which shows the example of the screen transition until it transmits the remaining medicine adjustment information in 2nd Example of this invention. It is a 4th figure which shows the example of the screen transition until it transmits the remaining medicine adjustment information in 2nd Example of this invention. It is a figure which shows the flow which produces | generates medication notification setting data in 2nd Example of this invention. It is a 1st figure which shows the example of the screen transition until it transmits the remaining medicine adjustment information in 3rd Example of this invention. It is a 2nd figure which shows the example of the screen transition until it transmits the remaining medicine adjustment information in 3rd Example of this invention. It is a 3rd figure which shows the example of the screen transition until it transmits the remaining medicine adjustment information in 3rd Example of this invention. It is a 4th figure which shows the example of the screen transition until it transmits the remaining medicine adjustment information in 3rd Example of this invention. It is a figure which shows the flow which produces | generates medication notification setting data in the 3rd Example of this invention.

  Embodiments for carrying out the present invention will be described below in detail with reference to the drawings. The following explanation shows an example of an embodiment of the present invention, and the system configuration of whether the function corresponding to the medication management support server is provided in either the terminal or the server, the input screen of the remaining medicine adjustment information Embodiments of the present invention, including specific examples such as transitions, are not limited to the examples shown below.

  FIG. 1 shows an outline of an example of an embodiment of the present invention described below. The present invention sets a medication notification schedule that informs a patient terminal such as a smartphone or tablet computer possessed by a patient who has been prescribed a medicine in a medical institution of the timing when medication is required. Will send medication notification setting data, which is information related to the timing and quantity of medication used to set medication notification, and will use this to set a medication notification schedule in the dedicated app on the patient terminal, at the timing when medication is required Then, a notification prompting the patient to take medication is given by pop-up display or voice.

  The medication notification setting data used for the medication notification setting is a dispensing that converts and stores the dispensing data input from the pharmacy terminal installed in the dispensing pharmacy when dispensing a drug based on prescription at a medical institution. Although it is generated using management data, a medication record is sent to the medication management support server, which indicates whether the patient has taken medication at each timing using a dedicated application, and the medication performance is managed by the medication management support server If configured to do so, it should be possible to grasp the remaining drug quantity at hand of the patient, but in reality, there may be a difference from the actual remaining drug quantity due to forgetting to send the medication record.

  Therefore, in the present invention, when a patient who has been prescribed a medicine at a medical institution visits a pharmacy and receives dispensing, a pharmacist or the like confirms the amount of remaining medicine brought by the patient, and the remaining medicine adjustment quantity (on hand of the patient) It may be any quantity that reflects the quantity of the remaining medicine that is the quantity of a certain medicine, and may be a quantity obtained by adding the quantity of the medicine dispensed based on the prescription to the remaining medicine quantity, or the remaining medicine quantity itself. The medicine adjustment information is transmitted to the medication management support server. In order to support such a residual drug adjustment method, when dispensation data based on a prescription is transmitted, information on a drug that can be a target for the residual drug adjustment including the prescribed drug is displayed on the pharmacy terminal, and any drug Is selected, an input screen for the remaining medicine adjustment quantity is displayed, and the remaining medicine adjustment quantity that has been accepted is transmitted to the medication management support server.

  In FIG. 1, the pharmacy terminal corresponds to the remaining medicine adjustment support device according to the present invention, and the medication management support server corresponds to the medication notification management device according to the present invention, but the patient terminal corresponds to the medication management support server. It is also possible to provide a function of storing the dispensing management data to be generated and generating the medication notification setting data, and transmitting the dispensing data and the remaining medicine adjustment information directly from the pharmacy terminal to the patient terminal. In such a configuration, a patient terminal having a function corresponding to the medication management support server corresponds to the medication notification management device according to the present invention.

  In addition, the pharmacy terminal can also be equipped with functions for storing dispensing management data corresponding to the medication management support server and generating medication notification setting data, so that the medication notification setting data can be transmitted from the pharmacy terminal to the patient terminal. However, in such a configuration, a pharmacy terminal having a function corresponding to the medication management support server corresponds to the medication notification management device according to the present invention.

  FIG. 2 shows an example of the system configuration of the present invention. The pharmacy terminal 10 of FIG. 2 corresponds to the remaining medicine adjustment support device according to the present invention, and the medication management support server 20 corresponds to the medication notification management device according to the present invention. As described above, the medication management support server It is also possible to adopt a configuration in which 20 functions are provided in the pharmacy terminal 10 and the patient terminal 30. Moreover, the pharmacy terminal 10 and the medication management support server 20 may be connected not by the Internet but by a LAN or the like.

  The pharmacy terminal 10 is a network terminal such as a PC (personal computer) or a tablet computer that is installed in a dispensing pharmacy or the like, can be connected to the Internet, and can input / output data and transmit / receive data. The pharmacy terminal 10 is provided with a CPU, a main memory, and an auxiliary storage device. A program stored in the auxiliary storage device is read into the main memory, and a calculation process is executed by the CPU. Realized.

  The dispensing data registration unit 11 of the pharmacy terminal 10 is functionally specified, and a program for registering dispensing data stored in the auxiliary storage device (for example, a dedicated application for a tablet computer) is stored in the main memory. A corresponding function is realized by reading out and executing arithmetic processing by the CPU.

  The medication management support server 20 is a server computer connected to the Internet and capable of transmitting / receiving information to / from network terminals such as the pharmacy terminal 10 and the patient terminal 30. The medication management support server 20 includes a CPU, a main memory, and an auxiliary storage device. A program stored in the auxiliary storage device is read into the main memory, and an arithmetic process is executed by the CPU. Function is realized.

  Note that the hardware configuration of the computer constituting the medication management support server 20 is not particularly limited. In addition to the function for carrying out the present invention, the configuration for realizing other functions is the same computer. It may be provided. Each function necessary for the present invention may be physically realized by one computer or may be realized by using a plurality of computers.

  The dispensing management data registration unit 21, the past data extraction unit 22, the medication information recording unit 24, and the medication notification setting data transmission unit 25 of the medication management support server 20 are all functionally specified and are auxiliary storage devices. The programs corresponding to the respective functions stored in the memory are read into the main memory, and the functions corresponding to the respective functions are realized by executing arithmetic processing by the CPU.

  A predetermined storage area of an auxiliary storage device provided in a computer constituting the medication management support server 20 is allocated to the dispensing management data storage unit 23 of the medication management support server 20. These storage areas are not required to be physically provided in one computer, and may be provided in a plurality of computers including a computer constituting a database server.

  As the patient terminal 30, a network terminal such as a smartphone or a tablet computer that can be connected to the Internet and is easy for the patient to receive notifications is used. The patient terminal 30 includes a CPU, a main memory, and an auxiliary storage device. A program stored in the auxiliary storage device is read into the main memory, and arithmetic processing is executed by the CPU. Realized.

  The medication notification control unit 31 of the patient terminal 30 is functionally specified, and a program (for example, a smartphone dedicated application) for controlling the timing of medication notification stored in the auxiliary storage device is the main memory. The corresponding function is realized by executing the arithmetic processing by the CPU.

  In the configuration of FIG. 2, when dispensing is performed at the dispensing pharmacy based on the prescription of the medical institution, dispensing data is transmitted from the dispensing data registration unit 11 of the pharmacy terminal 10 to the medication management support server 20, and is dispensed by the dispensing management data registration unit 21. Dispensing management data obtained by converting the dispensing data into a predetermined format is stored in the dispensing management data storage unit 23. Based on the stored dispensing management data, medication notification setting data used for setting medication notification such as the timing and quantity of medication is generated and transmitted from the medication notification setting data transmission unit 25 to the patient terminal 30.

  In the patient terminal 30, a medication notification schedule is set by the medication notification control unit 31 based on the medication notification setting data received from the medication management support server 20, and the medication notification is performed at a timing when medication is required. When a patient takes a drug and the medication notification control unit 31 transmits a medication record to the medication management support server 20, the medication management support server 20 activates the medication information recording unit 24 and records the medication record in the dispensing management data storage unit 23. Is written.

  On the premise of the above configuration, a processing flow for generating medication notification setting data for setting a medication notification by adjusting residual medicine according to the present invention will be described along the flow of the flowcharts of FIGS.

  When a patient prescribed a medicine at a medical institution receives a prescription based on a prescription at a dispensing pharmacy, the dispensing data based on a predetermined format including the usage, dosage, etc. of the prescribed medicine from the dispensing data registration unit 11 of the pharmacy terminal 10 Is transmitted to the medication management support server 20. The flowchart of FIG. 3 shows the processing flow of the medication management support server 20 in which the dispensing management data registration unit 21 is activated. When the dispensing data is received from the pharmacy terminal 10 (S01), the medication management support server 20 Is converted into the dispensing management data based on the format for management in step S <b> 02, and the converted dispensing management data is stored in the dispensing management data storage unit 23 (S <b> 02).

  Subsequently, the past data extraction unit 22 is activated, and the past dispensing management data stored in the dispensing management data storage unit 23 for the same patient is searched using the patient code for identifying the patient as a key (S03). . The search condition is not particularly limited, but if there is past dispensing management data of the same patient (Yes in S04), the one with a new dispensing date is preferentially read from the dispensing management data storage unit 23. (S05) Targeting the same patient, narrow down to prescriptions that are determined to be approximated by conditions such as at least part of the types and quantities of drugs that are prescribed by the same medical institution and are prescribed at the same time. If there is corresponding past dispensing management data (Yes in S04), it is possible to select past management data for past prescription approximate to the new prescription and read it from the dispensing management data storage unit 23. (S05).

  Thus, when the past dispensing management data is read from the dispensing management data storage unit 23, these information is newly added to the dispensing management data of the dispensing based on the prescription, and the past dispensing management data corresponding to the search condition is found. If it does not exist (S04 is No), a screen file for displaying the patient portal screen as illustrated in FIGS. 6, 11, and 16 is generated using only the dispensing management data of the dispensing based on the new prescription. (S06), and transmits it to the pharmacy terminal 10 (S07). In the patient portal screen, in addition to information on the newly prescribed medicine (the medicine displayed in the right column in the examples of FIGS. 6, 11, and 16), when past dispensing management data is read, Information related to a medicine prescribed in the past (the medicine displayed in the left column in the examples of FIGS. 6, 11, and 16) is displayed.

  The flowchart of FIG. 4 shows the processing flow of the pharmacy terminal 10 that has received the screen file for displaying the patient portal screen and that has started the dispensing data registration unit 11. The received screen file is opened to display a patient portal screen (S08), and a drug that is a candidate for residual drug adjustment is presented to a pharmacist or the like who operates the pharmacy terminal 10. When the completion operation is detected as it is (S09 is Yes), information on the completion operation is transmitted to the medication management support server 20 and the remaining medicine adjustment process is completed, but the completion operation is not detected ( When S09 is No) and the selection of one of the drugs displayed on the patient portal screen is accepted (S10 is Yes), the following process for adjusting the remaining drug is performed.

  When the selected drug is a drug included in the current prescription (new prescription) (the drug displayed in the right column in the examples of FIGS. 6, 11, and 16) (S11 is Yes), FIG. As shown in FIG. 12, an input screen is displayed on which the remaining drug adjustment quantity (the total quantity obtained by adding the remaining drug quantity to the currently prescribed quantity) can be input (S12). When an operation for confirming the remaining medicine adjustment quantity reflecting the brought-in remaining medicine quantity is received, the remaining medicine adjustment quantity of the selected medicine is transmitted to the medication management support server 20 as remaining medicine adjustment information (S13).

  The selected drug is not the drug included in the current prescription (new prescription) (the drug displayed in the right column in the examples of FIGS. 6, 11, and 16), but the drug included in the past prescription (FIG. 6). 11 and 16 (medicine displayed in the left column) (S11 is No), the remaining drug quantity as shown in FIG. 17 (the quantity prescribed this time is zero, so the remaining drug quantity is In addition to the total amount), an input screen that allows you to enter the dosage and dosage is displayed (S14), the amount of remaining medicine brought by the patient confirmed and entered by the pharmacist, etc., and the usage and dosage change from the doctor etc. If a pharmacist confirms the entered information and accepts an operation to confirm the information entered, the remaining drug quantity of the selected drug and information on the changed usage / dose will be displayed. Is transmitted to the medication management support server 20 (S15).

  The flowchart of FIG. 5 shows the processing flow of the medication management support server 20 for generating medication notification setting data by the medication management data registration unit 21, but without shifting to the remaining medicine adjustment screen at the pharmacy terminal 10. In the case of (2) when the completion operation has been performed and no residual drug adjustment information has been received, a medication notification for setting a medication notification based on the dispensing quantity of the dispensing management data of the dispensing based on the current prescription Setting data is generated (S16).

  In the case of (3) where only the remaining medicine adjustment quantity is accepted as the remaining medicine adjustment information, the remaining medicine amount obtained by adding the remaining medicine quantity confirmed to be in the patient's hand to the dispensing quantity based on the current prescription. To set the medication notification based on the adjustment quantity (when only the remaining medicine quantity is received as the remaining medicine adjustment quantity, the quantity obtained by adding the dispensing quantity of the dispensing based on the current prescription to the received remaining medicine adjustment quantity) Medication notification setting data is generated (S17). In the case of (3), which accepts information to change the remaining drug quantity and usage / dose as the remaining drug adjustment information, the target dispensing management data (in this case, not the current prescription) Applying the usage / dose of the past prescription (based on the dispensing management data read out) or the usage / dose instructed to be changed to generate the medication notification setting data for setting the medication notification (S18) .

  Next, with reference to FIGS. 6 to 20, three examples with different residual drug adjustment patterns will be described. 6 to 10 do not reflect that there is any remaining medicine at the stage of prescribing by the doctor for the medicine prescribed this time, and only the pharmacist of the dispensing pharmacy confirms the remaining medicine quantity and relates to the medication notification. This relates to the first embodiment for adjusting the remaining medicine.

  In the first embodiment, when the medicine A and the medicine B that the patient is taking continuously are prescribed by the medical institution in the same amount as usual, there is a residual medicine in the patient's hand for the medicine A. The Example of this invention in is shown. FIG. 6 shows the patient portal screen in the first embodiment. In the right column, the usage and dosage of the drugs A and B prescribed on October 1, 2015 are shown in the right column. As a drug based on a past prescription with the newest dispensing date (or as a drug based on a prescription similar to this prescription), the usage and dosage of Drug A and Drug B prescribed on September 1, 2015 Is displayed.

  Here, when the pharmacist or the like confirms that the remaining medicine A is present at the patient's hand, an operation of selecting the medicine A in the right column of the patient portal screen is performed as shown in FIG. Then, the screen shifts to the remaining medicine carry-over processing screen in which the amount of remaining medicine shown in FIG. 7 can be input, and the selected medicine A displays the usage / dose of the dispensing management data based on the current prescription, The total amount of dispensed drug A calculated from these information is displayed in the “Quantity (Prescription)” column in the left column, and the same quantity is the default value in the display of the total amount in the “Quantity (adjustment result)” column in the right column. Is displayed. This default value may be any remaining drug adjustment quantity confirmed by the pharmacist or the like (the quantity that reflects the remaining drug quantity at hand of the patient), and the quantity of the drug dispensed based on the current prescription is added to the remaining drug quantity. It may be the quantity or the remaining medicine quantity itself).

  In this example, a check box is provided next to the name of the drug so that the remaining drug adjustment quantity can be additionally input for other selectable drugs (drug B). When this check box is checked, the default value of the total amount of “quantity (adjustment result)” in the right column of medicine B is changed to a state where it can be overwritten, as with the medicine A selected previously.

  In FIG. 8, “90” tablets displayed as default values in the total amount of “quantity (adjustment result)” in the right column are added with 30 tablets, which is the remaining drug amount that is confirmed to be at the patient's hand. 120 ”shows a state where the lock is overwritten. The number of days taken for “30” days is changed to “40” days by automatically calculating an increase in the total amount. When the “OK” button on the screen is selected in this state, a confirmation screen for setting the medication notification including the remaining medicine carry-over as shown in FIG. 9 is displayed (the confirmation of the remaining medicine carry-over is shown in the upper right part of the screen). A clip indicating that it is a screen is displayed, and the portion of the drug A to be adjusted for remaining medicine is colored and displayed.) By selecting the “Drug Complete” button on the screen, the remaining medicine adjustment Quantity is fixed.

  FIG. 10 shows a flow of generating medication notification setting data in the first embodiment. Dispensing data based on a standardized format sent from a pharmacy terminal (currently JAHISver 1.1 format dispensing data, JAHIS is a registered trademark) is converted into dispensing management data in a format suitable for medication notification settings. In principle, the medication notification setting data for setting the medication notification to the patient terminal is generated from this data, but the medication notification setting is generated from the dispensing management data generated from the dispensing data based on this prescription. When data is generated, only the prescription 30-day medication notification is set for Drug A, but the remaining drug adjustment quantity reflecting the remaining drug quantity is set to the total amount, so that it is actually at the patient's hand after dispensing. The medication notification for 40 days according to the quantity to be changed can be set. About the timing of daily notification such as after each meal in the morning and evening, it may be set using the usage / dose of the dispensing management data.

  FIG. 11 to FIG. 15 show that the doctor prescribes the remaining medicine in the patient's hand for the medicine prescribed this time, and the pharmacist of the dispensing pharmacy confirms the remaining medicine quantity, This relates to the second embodiment for adjusting the remaining medicine regarding the notification.

  In the second embodiment, the patient is continuously taking medicine A and medicine B, but the doctor confirms the remaining medicine quantity at the patient's hand at the medical institution, and reduces that quantity to take medicine A. The Example of this invention in the case of prescribing is shown. FIG. 11 shows the patient portal screen in the second embodiment. In the right column, the usage and dosage of the drugs A and B prescribed on October 1, 2015 are shown in the right column. Shows the usage and dosage of the drugs A and B prescribed on September 1, 2015 as a past prescription (or a prescription similar to this prescription) whose dispensing date is the newest date. Of these, the prescription for the drug A this time is reduced from 30 days to 10 days, unlike the past prescription.

  When the pharmacist or the like confirms that the remaining drug A exists in the patient's hand in addition to the difference in the quantity of the drug A, an operation of selecting the drug A in the right column of the patient portal screen as shown in FIG. I do. Then, the screen transitions to the remaining medicine carry-over processing screen where the remaining medicine quantity can be entered as shown in FIG. 12, but the selected medicine A displays the usage / dose of the dispensing management data based on the current prescription, The total amount of dispensed drug A calculated from these information is displayed in the “Quantity (Prescription)” column in the left column, and the same quantity is the default value in the display of the total amount in the “Quantity (adjustment result)” column in the right column. Is displayed. This default value may be any remaining drug adjustment quantity confirmed by the pharmacist or the like (the quantity that reflects the remaining drug quantity at hand of the patient), and the quantity of the drug dispensed based on the current prescription is added to the remaining drug quantity. It may be the quantity or the remaining medicine quantity itself).

  In this example as well, a check box is provided next to the name of the drug so that the remaining drug adjustment quantity can be additionally input for other selectable drugs (drug B). When this check box is checked, the default value of the total amount of “quantity (adjustment result)” in the right column of medicine B is changed to a state where it can be overwritten, as with the medicine A selected previously.

  In FIG. 13, “10” tablets displayed as default values of the total amount of “quantity (adjustment result)” in the right column are added to 60 tablets that are the remaining drug amount confirmed to be in the hands of the patient. 90 ”shows a state where the lock is overwritten. The number of days taken for “10” days is changed to “30” days by automatically calculating an increase in the total amount. In this state, when the “OK” button on the screen is selected, a confirmation screen for setting the medication notification including the remaining medicine carry-over as shown in FIG. 14 is displayed (the upper right portion of the screen is similar to FIG. 9). A clip indicating that it is a confirmation screen for the remaining medicine carry-over is displayed, and the portion of the medicine A for which the remaining medicine adjustment is performed is displayed in color.), And the “medication complete” button on the screen is selected. By this, the remaining medicine adjustment quantity is determined.

  FIG. 15 shows a flow of generating medication notification setting data in the second embodiment. When the medication notification setting data is generated from the dispensing management data generated from the dispensing data based on the current prescription, only the medication notification for the prescribed 10 days is set for the drug A, but the remaining drug reflecting the remaining drug quantity By setting the adjustment quantity to the total quantity, it is possible to set a medication notification for 30 days according to the quantity that is actually at the patient's hand after dispensing. About the timing of daily notification such as after each meal in the morning and evening, it may be set using the usage / dose of the dispensing management data.

  Figures 16 to 20 show that the pharmacists of the dispensing pharmacies change the remaining drug quantity and the usage / dose for drugs that the doctors have confirmed that the remaining drugs are sufficient, but were not prescribed this time. The third embodiment relates to a third embodiment for confirming the presence or absence of the drug and adjusting the remaining medicine for medication notification.

  In the third embodiment, the patient is continuously taking medicine A, medicine B, and medicine C, but at the medical institution, the doctor confirms that the remaining medicine quantity at hand of the patient is sufficient for medicine C. Thus, the present embodiment shows an example of the present invention in the case where only drug A and drug B are prescribed. FIG. 16 shows the patient portal screen in the third embodiment. In the right column, the usage and dosage of the drugs A and B prescribed on October 1, 2015 are shown in the right column. Displays the usage and dose of Drug A, Drug B, and Drug C prescribed on September 1, 2015 as a past prescription (or a prescription similar to this prescription) with the newest dispensing date. ing. The difference is that drug C is not included in this prescription.

  When the pharmacist confirms that the remaining medicine of the medicine C exists in the patient's hand in addition to the difference that the medicine C is not included in the current prescription, as shown in FIG. An operation of selecting the medicine C in the row is performed. Then, the screen shifts to the remaining medicine carry-over processing screen where the remaining medicine quantity can be input shown in FIG. 17, but the usage / dose of the selected medicine C is not included in the dispensing management data based on the current prescription. From the dispensing management data based on the past prescription used for the display in the left column of the patient portal screen, the default values of the usage / dose are set. In this screen, the “quantity (prescription)” of the drug C displayed in the left column is “0” because the drug C is not prescribed, and is displayed under the name of the drug C. The default value is set for the usage and the daily quantity of “quantity (adjustment result)” in the right column from the dispensing management data of the past prescription used for the display in the left column of the patient portal screen. .

  The values displayed on this screen, including the number of days taken for “1 day” in “Quantity (adjustment result)” in the right column and the total amount displayed as “No adjustment”, Although not limited, at least the entire quantity of “quantity (adjustment result)” in the right column is displayed in a state where a new value can be input. The daily quantity of usage and “quantity (adjustment result)” in the right column is also preferably displayed in a state where a new value can be input so that it can be changed if a doctor instructs.

  In this example as well, a check box is provided next to the name of the drug so that additional selection can be made for other selectable drug selections (drug A and drug B). When this check box is checked, like the previously selected medicine C, at least the total amount of “quantity (adjustment result)” in the right column, and further, “quantity (adjustment result)” 1 in the usage and right column The daily quantity may be displayed in a state where it can be overwritten with the default value, but in this example, other selectable drug selections (drug A and drug B) are the current prescription. Therefore, when these are selected, they are handled in the same manner as in the first embodiment (or the second embodiment).

  FIG. 18 shows “60”, which is the amount of remaining medicine that has been confirmed to be at the patient's hand, as the display of “no adjustment” lock displayed as the default value of the total amount of “quantity (adjustment result)” in the right column. Indicates that the lock has been overwritten. In addition, the usage is changed to twice a day after dinner in accordance with instructions from the doctor regarding changes in usage / dose, and the daily quantity of “quantity (adjustment result)” in the right column is the default value. “3” lock displayed as “” is overwritten with “2” lock instructed by the doctor. The number of days taken for “30” days calculated from the total amount of “60” tablets and “2” tablets per day is also automatically displayed. If the “OK” button on the screen is selected in this state, In addition to the medicine prescribed this time as shown in FIG. 19, a confirmation screen for setting a medicine notification for the remaining medicine carryover is displayed (the remaining medicine carryover is displayed in the upper right part of the medicine C corresponding to the remaining medicine carryover. A clip indicating that it is a display part is displayed, and the part of medicine C is displayed in a colored manner), and the amount of remaining medicine is determined by selecting the “medication complete” button on the screen. Thereby, in addition to the medication notification corresponding to the current prescription of the medicine A and the medicine B, the medication notification can be set for the medicine C that is not prescribed.

  FIG. 20 shows a flow of generating medication notification setting data in the third embodiment. When the medication notification setting data is generated from the dispensing management data generated from the dispensing data based on the current prescription, since the medication C is not prescribed this time, the medication notification for the medication C is not set. Since the remaining drug quantity is also subject to the medication notification, the medication notification for 30 days according to the quantity actually at hand of the patient can be set. In this example, the daily notification timing is also set based on the remaining medicine adjustment information because the usage / dose is changed.

DESCRIPTION OF SYMBOLS 10 Pharmacy terminal 11 Dispensing data registration part 20 Medication management support server 21 Dispensing management data registration part 22 Past data extraction part 23 Dispensing management data storage part 24 Medication information recording part 25 Medication notification setting data transmission part 30 Patient terminal 31 Medication notification control part

Claims (6)

A medication notification management device for managing medication notification setting data for setting medication notification that prompts a patient to take medication at a predetermined timing,
Dispensing data receiving means for receiving data related to dispensing based on a prescription to be set for medication notification from a terminal device connected via a network,
Search for data related to dispensing based on past prescriptions for patients who have received prescriptions for which the notification of medication is to be set, and selected based on predetermined conditions, one or more of those dispensed based on the past prescriptions Residual drug adjustment candidates to be sent to the terminal device in order to cause the terminal device to output information related to the drug as a drug candidate that needs to be adjusted for the remaining drug, although it is not included in the prescription to be set for the medication notification A transmission means;
A remaining medicine quantity receiving means for receiving the remaining medicine quantity of any medicine outputted as a candidate for medicine requiring adjustment of the remaining medicine in the terminal device;
Based on the amount of remaining medicine, medication notification setting data generating means for generating medication notification setting data for setting medication notification regarding the drug,
A medication notification management apparatus comprising: The residual medicine adjustment candidate transmission means selects one or more medicines dispensed based on the past prescription, giving priority to a medicine with a new dispensing date among the medicines dispensed to the patient. The medication notification management apparatus according to claim 1, wherein: The remaining medicine adjustment candidate transmitting means is a medicine dispensed to the patient based on a prescription in which a predetermined condition including a combination of medicines approximates a prescription to be set for the medication notification. 2. The medication notification management apparatus according to claim 1, wherein one or two or more drugs dispensed based on the past prescription are preferentially selected. The residual drug quantity receiving means receives information on at least one of the usage or dose of the drug that received the residual drug quantity together with the residual drug quantity,
The medication notification management apparatus according to any one of claims 1 to 3, wherein the medication notification setting data generation unit generates the medication notification setting data by applying the usage or dose to the remaining medicine quantity. . The residual drug adjustment candidate transmission means displays a past value related to the drug in order to display it as a default value on an input screen of information necessary for the residual drug adjustment related to the drug that is output to the terminal device as a candidate that requires residual drug adjustment. 5. The medication notification management apparatus according to claim 4, wherein at least one value of a usage, a dose, and a remaining drug quantity included in data related to dispensing based on a prescription is transmitted to the terminal device. A residual drug adjustment method executed by a medication notification management device for managing medication notification setting data for setting medication notification that prompts a patient to take medication at a predetermined timing,
The medication notification management device receives data related to dispensing based on a prescription for which medication notification is set from a dispensing data receiving step connected from a terminal device connected via a network,
The medication notification management device searches for data related to dispensing based on a past prescription for a patient who has received a prescription for which the medication notification is set, and dispensed based on the past prescription selected based on a predetermined condition In order to cause the terminal device to output information on the one or more medicines that has been included in the prescription to be set for the medication notification but as a candidate for a medicine that requires residual medicine adjustment, the terminal device A residual drug adjustment candidate transmission step to be transmitted to
The remaining medicine quantity receiving step for receiving the remaining medicine quantity of any medicine that is output as a candidate for a medicine requiring the remaining medicine adjustment in the terminal device from the terminal device, the medication notification management device;
The medication notification management device generates medication notification setting data for generating medication notification setting data for setting medication notification related to the drug based on the remaining drug quantity; and
A method for adjusting the remaining medicine, comprising: