JP2021018667A - Prescription information providing device, pharmacy terminal, dispensing reservation system, prescription information providing method, dispensing reception method, prescription information providing program, and dispensing reception program - Google Patents

Abstract

To make it possible to easily transmit prescription information to a pharmacy terminal of a pharmacy and request to fill the prescription.SOLUTION: A prescription information providing device includes: an acquisition unit that acquires prescription information indicating medicine prescribed for an examinee from a server of a medical institution where the examinee was examined; a selection unit that selects a pharmacy to request dispensing based on the prescription information by an operation of the examinee; and a transmission control unit that transmits the prescription information to a pharmacy terminal provided in the pharmacy selected by the selection unit via a network.SELECTED DRAWING: Figure 1

Description

The present invention relates to a prescription information providing device, a pharmacy terminal, a dispensing reservation system, a prescription information providing method, a dispensing receiving method, a prescription information providing program, and a dispensing receiving program.

Conventionally, when a patient who has been examined at a hospital is prescribed a drug, the examinee receives the prescription for the drug at the hospital, then goes to the dispensing pharmacy with this prescription, and gives a prescription to the staff of the dispensing pharmacy. Was handed over and asked for dispensing. In this case, since the dispensing is started after the examinee arrives at the dispensing pharmacy and requests the dispensing, the waiting time of the examinee until receiving the medicine is long.

On the other hand, the image data of the prescription is photographed, the prescription content information indicating the description content of the prescription is acquired from the image data of the prescription, the prescription mail including the acquired prescription content information is created, and the dispensing pharmacy A device for transmitting data to a terminal has been proposed (Patent Document 1).

In addition, before the examinee goes to the dispensing pharmacy, the prescription is sent to the dispensing pharmacy by fax to request dispensing, and the staff of the dispensing pharmacy dispenses based on the faxed prescription to shorten the waiting time of the examinee. Things are also being done.

Japanese Unexamined Patent Publication No. 2005-137443

The dispensing information processing device described in Patent Document 1 captures a prescription even when the examinee uses, for example, a mobile phone with a camera. At this time, if the photographed image is blurred or an extra shadow or the like is reflected in the photographed image, it is not possible to accurately acquire the contents of the prescription, and there is a problem that it is not always possible to request dispensing correctly. In addition, in order to take a clear picture of the prescription, for example, in a place where a sufficient amount of light can be secured and the prescription does not move due to the influence of wind, the prescription is placed on a flat surface and taken. There is a problem that it takes time and effort to take a prescription.

In addition, in the configuration of transmitting faxes to dispensing pharmacies, equipment for transmitting faxes is required, but there are not many hospitals equipped with fax machines for examinees, and it is necessary for examinees to search for convenience stores equipped with fax machines. There was a problem that it was troublesome.

Furthermore, the staff of the dispensing pharmacy does not dispense based only on the prescription, but after listening to the wishes of the visiting examinee's symptoms, history, dosage form, etc., if there is a problem with the prescribed drug Since it will be changed, even if the prescription information is sent to the dispensing pharmacy in advance by e-mail or fax, the waiting time of the examinee may not be shortened.

Therefore, an object of the present invention is to provide a technique capable of easily transmitting prescription information to a pharmacy terminal of a dispensing pharmacy to request dispensing.

In order to solve the above problems, the prescription information providing device of the present invention
The acquisition department that acquires prescription information indicating the medicine prescribed for the examinee from the server of the medical institution where the examinee visited, and the acquisition department.
A selection unit that selects a dispensing pharmacy to request dispensing based on the prescription information by the operation of the examinee, and
A transmission control unit for transmitting the prescription information to a pharmacy terminal provided in the dispensing pharmacy selected by the selection unit is provided.

In order to solve the above problems, the pharmacy terminal of the present invention
At least the dispensing reception department that receives prescription information from the prescription information providing device via the network and accepts dispensing requests,
Among the prescription information received by the dispensing reception department, the dispensing time calculation unit that calculates the dispensing completion time based on the number of prescription information that has not been dispensed,
It is provided with a dispensing time transmission unit that transmits the completion time of the dispensing to the prescription information providing device.

In order to solve the above problems, the pharmacy terminal of the present invention
A dispensing reception department that receives prescription information acquired from a medical information server by a examinee who has consulted a medical institution using a prescription information providing device from the prescription information providing device via a network, and accepts a dispensing request.
A change determination unit that determines whether or not the drug needs to be changed depending on whether or not the information of the examinee satisfies the change condition of the drug shown in the prescription information.
It is provided with a question inquiry unit that transmits question inquiry information for inquiring about the change of the drug to the server of the medical institution when it is determined that the change of the drug is necessary.

In order to solve the above problems, the dispensing reservation system of the present invention
The prescription information providing device and the pharmacy terminal are provided.
The pharmacy terminal
At least the dispensing reception department that receives prescription information from the prescription information providing device via the network and accepts dispensing requests,
Among the prescription information received by the dispensing reception department, the dispensing time calculation unit that calculates the dispensing completion time based on the number of prescription information that has not been dispensed,
A dispensing time transmission unit for transmitting the dispensing completion time to the prescription information providing device is provided.

In order to solve the above problems, the dispensing reservation system of the present invention
The prescription information providing device, the pharmacy terminal, and the server of the medical institution are provided.
The pharmacy terminal
At least the dispensing reception department that receives prescription information from the prescription information providing device via the network and accepts dispensing requests,
A change determination unit that determines whether or not the drug needs to be changed depending on whether or not the information of the examinee satisfies the change condition of the drug shown in the prescription information.
It is provided with a question inquiry unit that transmits question inquiry information for inquiring about the change of the drug to the server of the medical institution when it is determined that the change of the drug is necessary.

In order to solve the above problems, the method for providing prescription information of the present invention is:
The step of acquiring prescription information indicating the medicine prescribed for the examinee from the server of the medical institution where the examinee visited, and
The step of selecting a dispensing pharmacy to request dispensing based on the prescription information by the operation of the examinee, and
A step of transmitting the prescription information to a pharmacy terminal provided in the dispensing pharmacy selected in the step of selecting the dispensing pharmacy, and a step of transmitting the prescription information.
Is executed by the computer.

In order to solve the above problems, the dispensing acceptance method of the present invention is:
At least the step of receiving prescription information from the prescription information providing device via the network and accepting dispensing requests,
Of the prescription information received in the step of accepting the dispensing request, the step of calculating the dispensing completion time based on the number of prescription information for which dispensing has not been completed, and the step of calculating the dispensing completion time.
A step of transmitting the completion time of the dispensing to the prescription information providing device, and
Is executed by the computer.

In order to solve the above problems, the dispensing acceptance method of the present invention is:
A step of receiving a prescription information acquired from a medical information server by a patient who has consulted a medical institution using a prescription information providing device from the prescription information providing device via a network and accepting a dispensing request.
A step of determining whether or not the drug needs to be changed depending on whether or not the information of the examinee satisfies the conditions for changing the drug shown in the prescription.
A step of transmitting question inquiry information for inquiring about the change of the drug to the server of the medical institution when it is determined that the change of the drug is necessary.
Is executed by the computer.

In order to solve the above problems, the prescription information providing program of the present invention
The step of acquiring prescription information indicating the medicine prescribed for the examinee from the server of the medical institution where the examinee visited, and
The step of selecting a dispensing pharmacy to request dispensing based on the prescription information by the operation of the examinee, and
A step of transmitting the prescription information to a pharmacy terminal provided in the dispensing pharmacy selected in the step of selecting the dispensing pharmacy, and a step of transmitting the prescription information.
Let the computer run.

In order to solve the above problems, the dispensing reception program of the present invention
At least the step of receiving prescription information from the prescription information providing device via the network and accepting dispensing requests,
Of the prescription information received in the step of accepting the dispensing request, the step of calculating the dispensing completion time based on the number of prescription information for which dispensing has not been completed, and the step of calculating the dispensing completion time.
A step of transmitting the completion time of the dispensing to the prescription information providing device, and
Let the computer run.

In order to solve the above problems, the dispensing reception program of the present invention
A step of receiving a prescription information acquired from a medical information server by a patient who has consulted a medical institution using a prescription information providing device from the prescription information providing device via a network and accepting a dispensing request.
A step of determining whether or not the drug needs to be changed depending on whether or not the information of the examinee satisfies the conditions for changing the drug shown in the prescription.
A step of transmitting question inquiry information for inquiring about the change of the drug to the server of the medical institution when it is determined that the change of the drug is necessary.
Let the computer run.

Further, the present invention may be a recording medium that can be read by a computer that stores the above program. The function can be provided by causing a computer to read and execute a program of this recording medium.

Here, a recording medium that can be read by a computer or the like is a recording medium that can store information such as data and programs by electrical, magnetic, optical, mechanical, or chemical action and can be read from the computer or the like. To say. Among such recording media, those that can be removed from a computer or the like include, for example, flexible discs, optical magnetic discs, CDs (Compact Discs), CD-R / Ws, DVDs (Digital Versatile Disks), and Blu-ray (registered trademark) discs. There are memory cards such as (Blu-ray Disc), DAT, 8 mm tape, and flash memory. In addition, there are hard disks, ROMs (read-only memories), and the like as recording media fixed to computers and the like.

According to the present invention, prescription information can be easily transmitted to a pharmacy terminal of a dispensing pharmacy to request dispensing.

FIG. 1 is a diagram showing an example of a dispensing reservation system. FIG. 2 is a diagram showing an example of medical care information stored in the medical care database. FIG. 3 is a diagram showing an example of prescription information. FIG. 4 is a diagram showing an example of a dispensing database. FIG. 5 is an explanatory diagram of a dispensing reservation method executed by a medical information server, a examinee terminal, and a pharmacy terminal based on a program in the dispensing reservation system. FIG. 6 is an explanatory diagram of a dispensing reservation method executed by a medical information server, a examinee terminal, and a pharmacy terminal based on a program in a dispensing reservation system.

Hereinafter, the dispensing reservation system according to the embodiment will be described with reference to the drawings. The configuration of the following embodiment is an example, and the dispensing reservation system is not limited to the configuration of the embodiment.
<First Embodiment>
"System configuration"
FIG. 1 is a diagram showing an example of a dispensing reservation system 10 according to the present embodiment. The dispensing reservation system 10 includes a medical information server 1, a examinee terminal 2, and a pharmacy terminal 3. The examinee terminal 2 is a form of the prescription information providing device in the present embodiment.

The medical information server 1 is mainly installed in a medical institution such as a clinic or a hospital, and information on the examinee who receives medical treatment at the medical institution, the examination result of the examinee who received the medical examination, and the prescription issued to the examinee. It is a device that manages the information of. The medical information server 1 is connected to a doctor terminal 11 operated by a doctor, an accounting device 12 that performs accounting processing, and a examinee terminal 2 operated by a examinee via a network. In this embodiment, for convenience of explanation, an example is shown in which the in-hospital doctor terminal 11 and the out-of-hospital examinee terminal 2 and the pharmacy terminal 3 are connected to the same medical information server 1, but the configuration is limited to this. However, the out-of-hospital examinee terminal 2 and the pharmacy terminal 3 may be configured to send and receive information to and from the medical information server 1 via other devices such as a proxy server and a mail server.

The medical information server 1 includes a medical treatment reception unit 101, a medical examination information unit 102, a medical information management unit 103, an accounting information generation unit 104, and a prescription information generation unit 105.

When the medical treatment reception unit 101 receives the examinee ID of the examinee together with the information to apply for the medical treatment, the medical treatment reception unit 101 adds the examinee ID to the waiting list of the medical examination to accept the medical treatment for the examinee. For example, the examinee terminal 2 connects to the medical information server 1 via the network, and transmits the information to the effect of applying for medical treatment and the examinee ID to the medical information server 1. In addition, the examinee holds the examination ticket over the reception terminal (not shown) to read the examinee ID, and sends the information to apply for medical treatment and the examinee ID from the reception terminal to the medical information server 1. You may. The examinee ID includes identification information that uniquely identifies the examinee in the system 10. In addition, the information to apply for medical treatment may include information indicating the name of the clinical department to receive medical treatment, body temperature, chief complaint, and the like.

The examinee guide unit 102 transmits the guide information regarding medical treatment to the examinee terminal 2. For example, the examinee ID of the examinee who has come to receive medical treatment is read from the waiting list for medical treatment, and the examinee terminal 2 corresponding to the examinee ID is guided to the examinee terminal 2 such as "Please enter the examination room No. ○". Send information. In addition, the examinee guidance unit 102 transmits guidance information to the examinee terminal 2 of the examinee who has completed the medical treatment, such as "Please process the accounting."

The medical information management unit 103 manages medical information including the information described in the medical record of the examinee. For example, the medical information management unit 103 reads the medical information corresponding to the examinee ID in the medical waiting list from the medical database (hereinafter, also referred to as DB) 109, transmits it to the doctor terminal 11 used by the doctor, and electronic medical records. Is displayed as. Further, the medical information management unit 103 receives the medical information input as a result of the medical treatment input by the doctor to the doctor terminal 11 from the doctor terminal 11 and stores it in the medical treatment DB 109.

FIG. 2 is a diagram showing an example of medical information stored in the medical treatment DB 109 and information related to the examinee. As shown in FIG. 2A, the medical care information includes, for example, a examinee ID, a medical treatment date and time, a medical treatment content, an examination content, a drug name and dose of a prescribed drug, and a name of a doctor who has performed medical treatment. ing. Further, as shown in FIG. 2B, the medical treatment DB 109 includes information input by the doctor at the time of medical treatment, as well as the name, date of birth, telephone number, address, e-mail address, and address of the examinee terminal 2. Information related to the examinee, such as the insurer number, is stored in association with the examinee ID. In FIG. 2, for convenience, the medical information stored in the medical treatment DB 109 is shown in a language that can be read by a person, but the medical information is not limited to this and may be any language that can be processed by a computer. The same applies to the prescription information of FIG. 3 and the information stored in the dispensing DB of FIG. 4, which will be described later.

When the medical information management unit 103 receives the medical information from the doctor terminal 11, the accounting information generation unit 104 receives the medical information and the information of the examinee stored in the medical DB, and based on the medical information, the cost and the examination contents according to the medical contents. The medical expenses are integrated according to the costs according to the above, and the medical expenses, the information including the examinee ID, the examinee's name, and the like are transmitted to the accounting device 12 as accounting information.

Each time the medical treatment information is stored in the medical treatment DB 109 as a result of the medical treatment, the prescription information generation unit 105 generates prescription information indicating the medicine prescribed at the time of the medical treatment based on the information stored in the medical treatment DB 109. It is transmitted to the accounting device 12 and the examinee terminal 2. FIG. 3 is a diagram showing an example of prescription information. As shown in FIG. 3, the prescription information is information input at the time of prescription, for example, the name of the examinee, the date of birth, the drug name and dose of the prescribed drug, the prescription date, the validity period, and the name of the prescribing doctor. including. Further, the prescription information generation unit 105 adds identification information (prescription ID) that uniquely identifies the prescription information in the dispensing reservation system 10 to each prescription information. Further, the prescription information generation unit 105 includes information on the medical institution such as the location, name, telephone number, and image data of the seal of the medical institution that issued the prescription in the prescription information.

The accounting device 12 includes a examinee ID acquisition unit 121, an accounting information acquisition unit 122, a settlement unit 123, and a printing unit 124.

The examinee ID acquisition unit 121 acquires the examinee ID of the examinee who performs accounting. For example, when a examinee who has completed a medical examination holds a barcode written on a medical examination ticket or a medical record over a barcode reader (not shown), the barcode reader reads the barcode and reads the read information as the examinee ID. By decoding by the acquisition unit 121, it is acquired as a examinee ID. The means for acquiring the examinee ID is not limited to the barcode reader, and may be one that reads the magnetic information of the examination ticket, one that reads the examinee ID from the IC chip, or one that receives an input operation using the keyboard. ..

The settlement unit 123 receives the accounting information corresponding to the examinee ID acquired by the examinee ID acquisition unit 121 from the medical information server 1, presents the medical expenses to the examinee based on the received accounting information, and receives the medical expenses from the examinee. When the medical fee is received, the medical information server is notified that the payment has been completed. Since a known technique can be used for the configuration for receiving the medical expenses, detailed description thereof will be omitted. For example, the bills and coins inserted into the slot by the examinee are counted by a counter and inserted. The amount is calculated, and if the input amount is equal to or greater than the medical expenses, it is considered that the settlement has been completed, and the balance obtained by subtracting the medical expenses from the input amount is returned to the input port. Not limited to cash, the configuration may be such that the card information of the credit card is read, the payment is requested from the server of the card company, and the payment is completed when the payment is accepted by the server of the card company. ..

When the settlement unit 123 completes the settlement of the medical expenses, the printing unit 124 prints out the receipt of the medical expenses from a printer (not shown). Further, when the settlement is completed, the printing unit 124 receives the prescription information corresponding to the examinee ID acquired by the examinee ID acquisition unit 121 from the medical information server 1, and prescribes the prescription based on the received prescription information. Print out from a printer (not shown).

The examinee terminal 2 is a terminal used by the examinee, and may be, for example, a smartphone, a mobile phone, a tablet PC, or the like. In the present embodiment, it is described that the examinee operates the examinee terminal 2, the accounting device 12, etc., but this is not limited to the examinee himself / herself, but a person who substitutes for the examinee such as a guardian or a caregiver. May go.

The examinee terminal 2 has a medical treatment application unit 201, a guidance information acquisition unit 202, a prescription information acquisition unit 203, a pharmacy selection unit 204, and a transmission control unit 205.

The medical treatment application unit 201 connects to the medical information server 1 via a network, and by transmitting information to the effect of applying for medical treatment and a examinee ID, applies for medical treatment to the medical information server 1. When applying for this medical treatment, information such as body temperature, chief complaint, travel history, and whether there are any people with similar symptoms in the surroundings (hereinafter referred to as chief complaint information) is input to the examinee terminal 2 and this information is entered. The chief complaint information may be included in the information that the medical treatment application unit 201 applies for medical treatment and transmitted to the medical information server 1.

The guidance information acquisition unit 202 receives the guidance information from the medical information server 1 and displays it on the display, etc., and presents it to the examinee.

The prescription information acquisition unit 203 acquires prescription information indicating the medicine prescribed for the examinee from the medical information server 1 of the medical institution where the examinee visited. For example, when the examinee pays the medical expenses to the accounting device 12 and the medical information server 1 receives the notification that the payment is completed from the accounting device 12, the prescription information generation unit 105 receives the prescription information. It is transmitted to the terminal 2, and the prescription information acquisition unit 203 receives the prescription information.

The pharmacy selection unit 204 selects a dispensing pharmacy that requests dispensing based on the prescription information by the operation of the examinee. For example, the pharmacy selection unit 204 displays a list of dispensing pharmacies stored in advance on the display, and when the examinee performs an operation of selecting a desired dispensing pharmacy from the list using an operation button or a touch panel, this operation is performed. Select a dispensing pharmacy based on. The list of dispensing pharmacies may include the address and contact information of each dispensing pharmacy, and the address of the pharmacy terminal 3 provided in each dispensing pharmacy.

The transmission control unit 205 transmits prescription information using the address of the pharmacy terminal 3 provided in the dispensing pharmacy selected by the pharmacy selection unit 204 as the transmission destination. The transmission control unit 205 may transmit the chief complaint information input by the examinee at the time of applying for medical treatment to the medical information server 1 to the pharmacy terminal 3 together with the prescription information.

The pharmacy terminal 3 includes a dispensing DB 300, a dispensing reception unit 301, a examinee information confirmation unit 302, a dispensing time calculation unit 303, a dispensing time transmission unit 304, a change determination unit 305, a question inquiry unit 306, and dispensing. It has an information output unit 307.

The dispensing DB 300 stores information such as information on each examinee, information on the medicine dispensed for each examinee, and administration conditions of the prescribed medicine as a drug history. FIG. 4 is a diagram showing an example of the dispensing DB 300. As shown in FIG. 4 (A), the dispensing DB 300 includes, for example, a examinee ID, a examinee's name, a date of birth, a gender, an insurer number, an address, emergency contact information, a prescribed insurance medical institution name, and insurance. Regarding the doctor's name, prescription date, prescription content, dispensing date, content of inquiries regarding prescription content, constitution of the examinee, history of allergies, history of side effects, medication status, changes in physical condition during medication, concomitant medications, history including complications It may have information such as information, presence / absence of consultation with other departments, presence / absence of symptoms suspected of having side effects, and the intention of the examinee regarding the use of generic drugs. In addition, the dispensing DB 300 stores conditions that require caution in administration (confirmation conditions) and conditions in which administration is contraindicated (change conditions) for the drug prescribed as shown in FIG. 4 (B). ..

The dispensing reception unit 301 receives the prescription information from at least the examinee terminal 2 via the network, and accepts the dispensing request. In addition, when a examinee who does not use this system visits the station and hands the prescription to the staff, the staff reads the prescription with a scanner and uses it as prescription information, and the dispensing reception department 301 acquires this prescription information. Accepts dispensing requests.

When the information such as the constitution, allergies, and medical history of the examinee meets the confirmation conditions of the prescribed medicine, the examinee information confirmation unit 302 transmits the confirmation items corresponding to the confirmation conditions to the examinee terminal 2. .. Further, the examinee information confirmation unit 302 receives the confirmation result of the examinee for the confirmation items from the examinee terminal 2.

The dispensing time calculation unit 303 calculates the dispensing completion time based on the number of prescription information for which dispensing has not been completed among the prescription information received by the dispensing reception unit 301. Further, the dispensing time calculation unit 303 may calculate the dispensing completion time based on the prescription information for which dispensing has not been completed, as well as the type and amount of the drug shown in the prescription. The dispensing time transmission unit 304 transmits the dispensing completion time calculated by the dispensing time calculation unit 303 to the examinee terminal 2.

The change determination unit 305 determines whether or not the prescribed drug needs to be changed, depending on whether or not the information such as the medical history and drug history of the examinee satisfies the conditions for changing the prescribed drug.

When the change determination unit 305 determines that the prescribed drug needs to be changed, the question inquiry unit 306 transmits the question inquiry information indicating the change of the prescribed drug to the medical information server 1. Further, the question inquiry unit 306 receives the confirmation result of the doctor for the question inquiry from the medical information server 1.

The dispensing information output unit 307 presents the prescription information received by the dispensing reception unit 301 to the bureau staff (pharmacist) by displaying it on a display or the like, and instructs the dispensing based on the prescription. Further, the dispensing information output unit 307 transmits information on the medicine to be dispensed to the packing machine or the dispensing machine based on the prescription information received by the dispensing reception unit 301, and divides the information by the type and capacity of the medicine indicated in the prescription. Have them wrap and pay out. Further, the dispensing information output unit 307 reads an explanatory document attached to the dispensed medicine from the storage device and prints it out based on the prescription information received by the dispensing reception unit 301.

FIG. 5 is a diagram showing a hardware configuration of a computer (information processing device) such as a medical information server 1, a examinee terminal 2, a doctor terminal 11, an accounting device 12, and a pharmacy terminal 3.

As shown in FIG. 5, the computer 100 includes, for example, a memory 112 connected to the CPU 111 via a bus, an input device 113, an output device 114, and a communication interface (communication IF) 115.

The memory 112 includes a main storage device and an auxiliary storage device. The main storage device is used as a work area of the CPU 111, a storage area for programs and data, and a buffer area for communication data. The main storage device is formed, for example, by Random Access Memory (RAM) or a combination of RAM and Read Only Memory (ROM).

The auxiliary storage device stores the program executed by the CPU 111 and the data used when executing the program. The auxiliary storage device is, for example, a hard disk drive (HDD), a solid state drive (SSD), a flash memory, an electrically Erasable Programmable Read-Only Memory (EEPROM), or the like. The auxiliary storage device also includes a portable storage medium that is removable from the computer 100. The portable storage medium is, for example, a Universal Serial Bus (USB) memory. Further, the auxiliary storage device includes a disk storage medium such as a CD-ROM, a DVD-ROM, or a DVD-R, and a drive device for the disk storage medium. The disk storage medium is one of the portable storage media. If it is the medical information server 1, the auxiliary storage device stores the medical care DB 109. Further, in the case of the pharmacy terminal 3, the auxiliary storage device stores the dispensing DB 300.

The input device 113 is used to input information and data to the computer 100. The input device 113 includes, for example, a pointing device such as a button, a key, and a mouse, a touch panel, a camera, a barcode reader, a scanner, an IC chip reader by NFC, and the like. The input device 113 may include a voice input device such as a microphone.

The output device 114 outputs information and data. The output device is, for example, a display device, a printer, a writing device for storage media, an IC chip writing device by NFC, or the like. The output device 114 may include an audio output device such as a speaker. The communication IF 115 is an interface for connecting to a network and communicating with other devices. The communication IF 115 is, for example, a Local Area Network (LAN) card.

The CPU 111 corresponds to a processing device in this example. The CPU 111 is also called an MPU (Micro Processor Unit), a microprocessor, or a processor. The CPU 111 is not limited to a single processor, and may have a multiprocessor configuration. Further, a single CPU connected by a single socket may have a multi-core configuration. Even if at least a part of the processing of each of the above parts is performed by a processor other than the CPU, for example, a dedicated processor such as a Digital Signal Processor (DSP), Graphics Processing Unit (GPU), a numerical arithmetic processor, a vector processor, or an image processing processor. good. Further, at least a part of the processing of each of the above parts may be an integrated circuit (IC) or another digital circuit. Further, an analog circuit may be included in at least a part of each of the above parts. Integrated circuits include LSIs, application specific integrated circuits (ASICs), and programmable logic devices (PLDs). The PLD includes, for example, a Field-Programmable Gate Array (FPGA). Each of the above parts may be a combination of a processor and an integrated circuit. The combination is called, for example, an MCU (Micro Controller Unit), a SoC (System-on-a-chip), a system LSI, a chipset, or the like.

The CPU 111 loads and executes the program stored in the auxiliary storage device in the main storage device. In the case of the medical information server 1, the CPU 111 operates as a medical treatment reception unit 101, a medical examination reception unit 102, a medical information management unit 103, an accounting information generation unit 104, and a prescription information generation unit 105. In the case of the accounting device 12, the CPU 111 operates as a examinee ID acquisition unit 121, an accounting information acquisition unit 122, a settlement unit 123, and a printing unit 124. In the case of the examinee terminal 2, the CPU 111 can be used as the medical treatment application unit 201, the guidance information acquisition unit 202, the prescription information acquisition unit 203, the pharmacy selection unit 204, and the transmission control unit 205 by executing the prescription information providing program. Operate. In the case of the pharmacy terminal 3, the CPU 111 executes the dispensing reception program to execute the dispensing reception unit 301, the examinee information confirmation unit 302, the dispensing time calculation unit 303, the dispensing time transmission unit 304, the change determination unit 305, and the question. It operates as an inquiry unit 306 and a dispensing information output unit 307.

《Dispensing reservation method》
A dispensing reservation method executed by the medical information server 1, the examinee terminal 2, and the pharmacy terminal 3 based on the program in the dispensing reservation system 10 of the present embodiment will be described with reference to FIG. In the dispensing reservation method shown in FIG. 6, the method executed by the examinee terminal 2 is an example of the prescription information providing method according to the present embodiment, and the method executed by the pharmacy terminal 3 is the dispensing according to the present embodiment. This is an example of the reception method. Since the examinee terminal 2 and the pharmacy terminal 3 each perform the following processing in cooperation with the medical information server 1, an application program for communicating by, for example, TCP / IP is installed via a network such as the Internet. Execution of the application program is started when the operation to start execution is performed by the examinee or the staff, or when the terminal is started.

When the medical treatment of the examinee is completed and the medical treatment information is stored in the medical treatment DB 109 as a result of the medical treatment, the medical information server 1 indicates a prescription indicating the medicine prescribed at the time of the medical treatment based on the information stored in the medical treatment DB 109. Information is generated (step S10). Although omitted in FIG. 6, the medical information server 1 transmits the prescription information to the accounting device 12. Then, when the examinee pays the medical expenses to the accounting device 12 and receives the notification that the settlement is completed from the accounting device 12, the medical information server 1 transmits the prescription information to the examinee terminal 2 ( Step S20). Not limited to this, when a request for acquisition of prescription information is received from the examinee terminal 2, the medical information server 1 may transmit the prescription information to the examinee terminal 2.

The examinee terminal 2 receives the prescription information transmitted from the medical information server 1 (step S30). Then, the examinee terminal 2 displays a list of dispensing pharmacies stored in advance on the display, and when the examinee performs an operation of selecting a desired dispensing pharmacy from the list using an operation button or a touch panel, this operation is performed. A dispensing pharmacy is selected based on (step S40).

Then, the examinee terminal 2 transmits the main complaint information input by the examinee at the time of applying for medical treatment to the medical information server 1 together with the prescription information to the pharmacy terminal 3 selected in step S30 (step S50).

The pharmacy terminal 3 receives the prescription information and the chief complaint information transmitted from the examinee terminal 2 and accepts the dispensing request (step S60).

The pharmacy terminal 3 determines whether or not the information such as the constitution, allergies, and medical history of the examinee satisfies the confirmation condition of the prescribed drug (step S70). For example, as confirmation conditions for the prescribed drug, conditions that require caution in administration, such as "persons who are allergic to XX" and "persons who have a history of heart disease," are stored in the dispensing DB 300, and these conditions are stored. Judge whether or not the information such as the constitution and medical history of the examinee is satisfied.

When the information of the examinee satisfies the confirmation condition of the prescribed drug, the pharmacy terminal 3 reads out the confirmation items corresponding to the confirmation condition from the dispensing DB 300, and "prescribed △△ (drug name) is , If you are allergic to 〇〇, it may cause serious side effects. Is there any problem with this medicine? ”And so on, send the confirmation items to the examinee terminal 2 (step S80). If the information of the examinee does not satisfy the confirmation condition of the prescribed medicine, the pharmacy terminal 3 omits step S80 and does not confirm with the examinee terminal 2.

The examinee terminal 2 displays the confirmation items received from the pharmacy terminal 3 on the display and presents them to the examinee, and transmits the confirmation result by the examinee to the pharmacy terminal 3 (step S90). For example, if the examinee has confirmed that the doctor has no problem with the problem, or if there is no problem using a similar drug, select "No problem" and side effects will occur. When there seems to be a problem, "There is a problem" is selected, and the examinee terminal 2 transmits this as a confirmation result.

The pharmacy terminal 3 calculates the dispensing completion time based on the number of prescription information for which dispensing has not been completed among the prescription information received by the dispensing reception unit 301 (step S100). For example, for one prescription information, the first predetermined time T1 (for example, 5 minutes) and the number MA of the types of drugs included in the prescription information multiplied by the second predetermined time T2 (for example, 1 minute) are added. Then, as in Equation 1, the time TS required for dispensing based on one prescription information is obtained. The time required for this dispensing is calculated for all prescription information for which dispensing has not been completed, and is integrated to obtain the dispensing completion time. For drugs whose dispensing time is different from the normal time T2 due to packaging, packaging, etc., the dispensing time may be adjusted by multiplying the time T2 by a coefficient.

TS = T1 + T2 × MA ・ ・ ・ Equation 1
The pharmacy terminal 3 transmits the dispensing completion time calculated in step S100 to the examinee terminal 2 (step S110).

In addition, the pharmacy terminal 3 determines whether or not the information such as the medical history and drug history of the examinee satisfies the conditions for changing the prescribed drug, and the confirmation result received from the examinee terminal 2 of the prescribed drug. It is determined whether or not the change is necessary (step S120). For example, as a condition for changing a prescribed drug, conditions that cannot be administered such as "simultaneous administration with △△ (drug name)", "person with a history of heart disease", and "duplicate with similar drug" are added to the dispensing DB300. It is memorized, and when this condition is satisfied with information such as the medical history and medical history of the examinee, it is determined that the prescribed drug needs to be changed. Further, the pharmacy terminal 3 determines that it is necessary to change the prescribed medicine when the confirmation result of "there is a problem" is received from the examinee terminal 2. On the other hand, the pharmacy terminal 3 receives a confirmation result of "no problem" from the examinee terminal 2 when the information such as the examinee's drug history and medical history does not satisfy the conditions for changing the prescribed medicine. If this is the case, or if step S80 is omitted and confirmation is not performed, it is determined that the change of the prescribed drug is unnecessary.

When the information of the examinee satisfies the change condition of the prescribed medicine, the pharmacy terminal 3 reads the question inquiry information corresponding to the change condition from the dispensing DB 300, adds a prescription ID and the like, and adds a prescription ID and the like to the medical information server. It is transmitted to 1 (step S130). Further, when the received confirmation result is "problem", the pharmacy terminal 3 reads out the question inquiry information corresponding to the confirmation item from the dispensing DB 300, adds a prescription ID and the like, and transmits the information to the medical information server 1. Here, the question inquiry information is, for example, "The prescribed △△ (drug name) overlaps with the □□ (drug name) being taken. Is it okay to delete △△?""Prescribed In XX (drug name), a side effect occurred. Is it okay to change to □□ (drug name)? ”, Which is the information to inquire about the change of the prescribed drug. If the information of the examinee does not satisfy the condition for changing the prescribed medicine, the pharmacy terminal 3 omits step S130 and does not make a question inquiry to the medical information server 1.

The medical information server 1 that has received the question inquiry information transfers the question inquiry information to the doctor terminal 11 of the doctor who prescribed based on the prescription ID (step S140). The medical information server 1 receives an inquiry result such as consent / disagreement input by the doctor to the doctor terminal 11 and transmits it to the pharmacy terminal 3 (step S150).

The pharmacy terminal 3 that receives the inquiry result changes the prescription drug if the inquiry result agrees, and does not change the prescribed drug if the inquiry result disagrees, and provides prescription information that reflects the inquiry result. Output in the order of acceptance (step S160) For example, the pharmacy terminal 3 adds an inquiry result to the prescription information received by the dispensing reception unit 301 and displays it on the display, and changes or deletes the medicine according to the inquiry result. Information on the medicine to be dispensed based on the prescription information is transmitted to the packaging machine or the dispensing machine, and the medicine is packaged or dispensed according to the type and volume of the medicine indicated on the prescription. Further, the pharmacy terminal 3 reads an explanatory document attached to the dispensed medicine from the storage device and prints it out based on the prescription information received by the dispensing reception unit 301.

As described above, according to the present embodiment, the examinee terminal 2 can request dispensing by acquiring the prescription information from the medical information server 1 and transmitting it to the pharmacy terminal 3, without the trouble of taking a picture of the prescription. , You can easily request dispensing. Further, according to the present embodiment, since the examinee can request dispensing before going to the dispensing pharmacy, it is possible to shorten the waiting time from when the examinee arrives at the dispensing pharmacy to when the examinee receives the medicine.

Further, according to the present embodiment, the pharmacy terminal 3 calculates the completion time of dispensing and notifies the examinee terminal 2, so that the examinee can know in advance the time when the medicine can be received. Convenience is improved.

Further, according to the present embodiment, when the pharmacy terminal 3 determines that the prescribed drug needs to be changed, the examinee can make a question inquiry before the examinee arrives, so that the examinee arrives at the dispensing pharmacy. After that, it is possible to prevent the drug from being changed and improve the efficiency of dispensing.

Various changes can be made to the embodiments described above without departing from the gist of the present case. For example, the components may be combined or partially omitted.

1: Medical information server 2: Patient terminal 3: Pharmacy terminal 4: Network 10: Dispensing reservation system 11: Doctor terminal 12: Accounting device 100: Computer 101: Medical reception department 102: Medical information management department 103: Medical information management department 104: Accounting information generation unit 105: Prescription information generation unit 121: Examiner ID acquisition unit 122: Accounting information acquisition unit 123: Settlement department 124: Printing department 201: Medical treatment application department 202: Guidance information acquisition department 203: Prescription information acquisition department 204: Pharmacy selection unit 205: Transmission control unit 301: Dispensing reception unit 302: Examiner information confirmation unit 303: Dispensing time calculation unit 304: Dispensing time transmission unit 305: Change judgment unit 306: Question inquiry unit 307: Dispensing information output unit 109: Medical care database 300: Dispensing database

Claims (8)

The acquisition department that acquires prescription information indicating the medicine prescribed for the examinee from the server of the medical institution where the examinee visited, and the acquisition department.
A selection unit that selects a dispensing pharmacy to request dispensing based on the prescription information by the operation of the examinee, and
A transmission control unit that transmits the prescription information to a pharmacy terminal provided in the dispensing pharmacy selected by the selection unit.
Prescription information providing device equipped with. At least the dispensing reception department that receives prescription information from the prescription information providing device via the network and accepts dispensing requests,
Among the prescription information received by the dispensing reception unit, the dispensing time calculation unit that calculates the completion time of the dispensing based on the number of prescription information for which the dispensing has not been completed,
A dispensing time transmission unit that transmits the dispensing completion time to the prescription information providing device, and
Pharmacy terminal equipped with. The prescription information providing device according to claim 1 and the pharmacy terminal are provided.
The pharmacy terminal
At least, a dispensing reception unit that receives the prescription information from the prescription information providing device via a network and accepts the dispensing request.
Among the prescription information received by the dispensing reception unit, a dispensing time calculation unit that calculates the completion time of the dispensing based on the number of the prescription information for which the dispensing has not been completed,
A dispensing reservation system including a dispensing time transmission unit that transmits the completion time of dispensing to the prescription information providing device. The prescription information providing device according to claim 1, the pharmacy terminal, and the server of the medical institution are provided.
The pharmacy terminal
At least, a dispensing reception unit that receives the prescription information from the prescription information providing device via a network and accepts a dispensing request.
A change determination unit that determines whether or not the drug needs to be changed depending on whether or not the information of the examinee satisfies the change condition of the drug shown in the prescription information.
A dispensing reservation system including a question inquiry unit that transmits question inquiry information for inquiring about changes in the drug to the server of the medical institution when it is determined that the change of the drug is necessary. The step of acquiring prescription information indicating the medicine prescribed for the examinee from the server of the medical institution where the examinee visited, and
The step of selecting a dispensing pharmacy to request dispensing based on the prescription information by the operation of the examinee, and
A step of transmitting the prescription information to a pharmacy terminal provided in the dispensing pharmacy selected in the step of selecting the dispensing pharmacy, and a step of transmitting the prescription information.
A method of providing prescription information that a computer executes. At least the step of receiving prescription information from the prescription information providing device via the network and accepting dispensing requests,
Of the prescription information received in the step of accepting the dispensing request, the step of calculating the completion time of the dispensing based on the number of prescription information for which the dispensing has not been completed, and the step of calculating the completion time of the dispensing.
A step of transmitting the completion time of the dispensing to the prescription information providing device, and
Dispensing reception method that the computer executes. The step of acquiring prescription information indicating the medicine prescribed for the examinee from the server of the medical institution where the examinee visited, and
The step of selecting a dispensing pharmacy to request dispensing based on the prescription information by the operation of the examinee, and
A step of transmitting the prescription information to a pharmacy terminal provided in the dispensing pharmacy selected in the step of selecting the dispensing pharmacy, and a step of transmitting the prescription information.
A prescription information program for letting a computer execute. At least the step of receiving prescription information from the prescription information providing device via the network and accepting dispensing requests,
Of the prescription information received in the step of accepting the dispensing request, the step of calculating the completion time of the dispensing based on the number of prescription information for which the dispensing has not been completed, and the step of calculating the completion time of the dispensing.
A step of transmitting the completion time of the dispensing to the prescription information providing device, and
Dispensing reception program to let the computer execute.

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