JP2021056813A - Therapy management system, and therapy management program - Google Patents

Abstract

To provide a therapy management system and a therapy management program capable of easily grasping a relation between information of an administering date shown by prescription data and information of an administering date following therapy.SOLUTION: A therapy management program executes a first acquisition step for acquiring basic administration information including at least one of basic administering date specification information for one course about therapy shown by prescription data or a basic administering date for one course specified by the basic administering date specification information on the basis of basic therapy information obtained by preliminarily associating predetermined therapy with the basic administering date specification information for specifying a basic administering date for one course for administering a basic administration chemical according to the therapy, a second acquisition step for acquiring prescription administration information including at least one of a prescription administering date of a prescription administration chemical shown by the prescription data and prescription administration date specification information for specifying the prescription administration date, and an output step for outputting the basic administration information and the prescription administration information to the same screen or the same sheet.SELECTED DRAWING: Figure 6

Description

The present invention relates to a therapy management system and a therapy management program that manage information such as drug type, administration date, and dose related to cancer chemotherapy.

A system used for managing prescription data including drug type, administration date, dose, etc. regarding cancer chemotherapy (hereinafter, simply referred to as “therapy”) is known (see, for example, Patent Document 1).

Japanese Unexamined Patent Publication No. 2018-185636

By the way, when the prescription data is registered, the administration date or dose of the drug determined according to the predetermined therapy may be changed according to various situations such as a medical institution holiday or the patient's condition. is there. However, since there are many types of therapies, it is difficult to easily grasp the relationship between the information on the administration date shown in the prescription data and the information on the administration date according to the therapy.

An object of the present invention is to provide a therapy management system and a therapy management program capable of easily grasping the relationship between the administration date information indicated by the prescription data and the administration date information according to the therapy.

The therapy management system according to the present invention includes a first acquisition processing unit, a second acquisition processing unit, and an output processing unit. The first acquisition processing unit is a basic therapy in which a predetermined therapy and basic administration date identification information for specifying the basic administration date for one course in which the basic administration drug is administered according to the therapy are associated in advance. Based on the information, the basic including at least one of the basic administration date specific information for one course or the basic administration date for one course specified based on the basic administration date specific information for the therapy indicated by the prescription data. Obtain administration information. The second acquisition processing unit acquires prescription administration information including at least one of the prescription administration date of the prescription administration drug indicated by the prescription data and the prescription administration date specific information for specifying the prescription administration date. The output processing unit outputs the basic administration information acquired by the first acquisition processing unit and the prescription administration information acquired by the second acquisition processing unit on the same screen or the same sheet.

The therapy management program according to the present invention is a program for causing a computer to execute a first acquisition step, a second acquisition step, and an output step. In the first acquisition step, basic therapy information in which a predetermined therapy and basic administration date identification information for specifying the basic administration date for one course in which the basic administration drug is administered according to the therapy are associated in advance. Basic administration including at least one of the basic administration date specific information for one course or one course of the basic administration date specified based on the basic administration date specific information for the therapy indicated by the prescription data. Get information. The second acquisition step acquires prescription administration information including at least one of the prescription administration date of the prescription administration drug shown in the prescription data or the prescription administration date identification information for specifying the prescription administration date. The output step outputs the basic administration information acquired by the first acquisition step and the prescription administration information acquired by the second acquisition step on the same screen or the same sheet.

The therapy management system according to the present invention includes a first acquisition processing unit, a second acquisition processing unit, a determination processing unit, and an output processing unit. The first acquisition processing unit is a basic therapy in which a predetermined therapy and basic administration date identification information for specifying the basic administration date for one course in which the basic administration drug is administered according to the therapy are associated in advance. Based on the information, the basic including at least one of the basic administration date specific information for one course or the basic administration date for one course specified based on the basic administration date specific information for the therapy indicated by the prescription data. Obtain administration information. The second acquisition processing unit acquires prescription administration information including at least one of the prescription administration date of the prescription administration drug indicated by the prescription data and the prescription administration date specific information for specifying the prescription administration date. The determination processing unit determines whether or not the basic administration information and the prescription administration information satisfy a preset specific condition. The output processing unit outputs the determination result at least when the determination result by the determination processing unit is unsatisfactory.

The therapy management program according to the present invention is a program for causing a computer to execute a first acquisition step, a second acquisition step, a determination step, and an output step. In the first acquisition step, basic therapy information in which a predetermined therapy and basic administration date identification information for specifying the basic administration date for one course in which the basic administration drug is administered according to the therapy are associated in advance. Basic administration including at least one of the basic administration date specific information for one course or one course of the basic administration date specified based on the basic administration date specific information for the therapy indicated by the prescription data. Get information. The second acquisition step acquires prescription administration information including at least one of the prescription administration date of the prescription administration drug shown in the prescription data or the prescription administration date identification information for specifying the prescription administration date. The determination step determines whether or not the basic administration information and the prescription administration information satisfy a preset specific condition. The output step outputs the determination result at least when the determination result by the determination step is unsatisfactory.

According to the present invention, there is provided a therapy management system and a therapy management program capable of easily grasping the relationship between the administration date information indicated by the prescription data and the administration date information according to the therapy.

FIG. 1 is a block diagram showing a configuration of a therapy management system according to an embodiment of the present invention. FIG. 2A is a diagram showing an example of prescription data used in the therapy management system according to the embodiment of the present invention. FIG. 2B is a diagram showing an example of prescription data used in the therapy management system according to the embodiment of the present invention. FIG. 2C is a diagram showing an example of prescription data used in the therapy management system according to the embodiment of the present invention. FIG. 3 is a diagram showing an example of test data used in the therapy management system according to the embodiment of the present invention. FIG. 4 is a diagram showing an example of a therapy master used in the therapy management system according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of therapy history data used in the therapy management system according to the embodiment of the present invention. FIG. 6 is a flowchart showing an example of information acquisition processing executed by the therapy management system according to the embodiment of the present invention. FIG. 7 is a flowchart showing an example of a therapy determination process executed by the therapy management system according to the embodiment of the present invention. FIG. 8 is an example of a display screen displayed by the therapy management system according to the embodiment of the present invention. FIG. 9 is an example of a display screen displayed by the therapy management system according to the embodiment of the present invention. FIG. 10 is a diagram showing an example of a display screen displayed by the therapy management system according to the embodiment of the present invention. FIG. 11 is an example of a display screen displayed by the therapy management system according to the embodiment of the present invention. FIG. 12 is an example of a display screen displayed by the therapy management system according to the embodiment of the present invention. FIG. 13 is an example of a display screen displayed by the therapy management system according to the embodiment of the present invention. FIG. 14 is an example of a display screen displayed by the therapy management system according to the embodiment of the present invention. FIG. 15 is an example of a display screen displayed by the therapy management system according to the embodiment of the present invention. FIG. 16 is an example of a display screen displayed by the therapy management system according to the embodiment of the present invention. FIG. 17 is an example of a display screen displayed by the therapy management system according to the embodiment of the present invention. FIG. 18 is an example of a display screen displayed by the therapy management system according to the embodiment of the present invention. FIG. 19 is an example of a display screen displayed by the therapy management system according to the embodiment of the present invention.

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings for the purpose of understanding the present invention. It should be noted that the following embodiment is an example embodying the present invention and does not limit the technical scope of the present invention.

[Therapeutic management system 10]
As shown in FIG. 1, the therapy management system 10 according to the embodiment of the present invention includes a therapy management device 1, a client terminal 2, a printer 3, and the like. The therapy management device 1, the client terminal 2, and the printer 3 are connected to each other via a communication network 4 so as to be able to communicate wirelessly or by wire. The communication network 4 is a LAN, WAN, Internet, intranet, or the like.

The therapy management system 10 is used to manage information (regime information) such as drug type, administration date, and dose regarding cancer chemotherapy (hereinafter, simply referred to as "therapy"). Specifically, in the present embodiment, the therapy management system 10 also serves as a dispensing support system used to support a drug dispensing operation by a pharmacist or the like. The user of the therapy management system 10 is, for example, a doctor, a pharmacist, a technician, a nurse, a medical clerk, a facility manager, or the like in a medical institution such as a hospital, a nursing care facility for the elderly, or a pharmacy.

Then, in the present embodiment, the server client system is configured by the therapy management device 1 and the client terminal 2, and the therapy management device 1 displays and prints various types according to the user operation of the client terminal 2. Executes the processing of. Therefore, in the present embodiment, input operations such as "operation", "selection", and "input" of various information, and display of various information will be described as being performed using the client terminal 2. .. The same input operation and display may be performed by the therapy management device 1.

Further, a medical-related system 5 such as an electronic medical record system or an ordering system is connected to the therapy management device 1 via the communication network 4. The medical-related system 5 can accept input of prescription data regarding administration of a drug such as an anticancer drug according to therapy to a patient, and test data regarding test results of various tests performed on the patient. is there. Then, the medical-related system 5 inputs the prescription data, the test data, and the like into the therapy management device 1 according to a user operation, or automatically performs the above at a predetermined timing such as a preset tightening process time. Input to the therapy management device 1. Further, the therapy management device 1 may be configured to actively read the prescription data, the test data, and the like from the medical-related system 5. Further, the prescription data and the test data may be input to the therapy management device 1 by a user operation or the like on the therapy management device 1 or the client terminal 2.

Here, FIGS. 2A to 2C are diagrams showing an example of the prescription data. As shown in FIGS. 2A-2C, the prescription data includes information such as patient name, therapy name, cool ID, drug name, administration date, dose, administration start date, patient weight, body surface area, and the like. Is done. The content of the prescription data is not limited to the items shown in FIGS. 2A to 2C, and includes, for example, other information such as a prescription ID, a doctor in charge, a pharmacist in charge, a clinical department, and a ward.

Specifically, the three prescription data shown in FIGS. 2A to 2C correspond to one course of the therapy name "therapy R1", and each of the prescription data corresponds to one day's worth of medicine for the patient. Information on the administration of. In the following, a collection of the prescription data corresponding to the same course will be referred to as a prescription data group. One course in the therapy is a unit that includes a period during which the drug is administered and a drug holiday during which the drug is not administered for the administration of a drug such as an anticancer drug to the patient according to the therapy. is there. The therapy includes one or more courses.

The prescription data group is not limited to those including a plurality of the prescription data, and when the number of days of administration of the drug corresponding to one course is one day, the prescription data group includes one of the prescription data. .. Further, as another embodiment, the prescription data corresponding to one course may be input to the therapy management system 10 as one prescription data. The timing at which the plurality of prescription data belonging to the prescription data group are input to the therapy management device 1 may be the same timing or different timings.

As shown in FIGS. 2A to 2C, in the present embodiment, for convenience of explanation, the “patient name” is used as the patient identification information that can identify the patient in the prescription data, and the therapy identification information that can identify the therapy. The "therapy name" is used as the "drug name", and the "drug name" is used as the drug identification information that can identify the drug type. On the other hand, the "patient ID" may be used as the patient identification information, the "therapy ID" may be used as the therapy identification information, or the "drug ID" may be used as the drug identification information. The prescription data may include specific contents of the therapy indicated by the therapy identification information in place of the therapy identification information or together with the therapy identification information. Further, in the present embodiment, the drug corresponding to the drug name shown in the prescription data is referred to as "prescription administration drug", and the identification information of the drug is referred to as "prescription administration drug information".

The cool ID is an example of identification information that can identify the prescription data belonging to the same course of the therapy. In the medical-related system 5, the same cool ID is assigned to the prescription data belonging to the same course of one therapy corresponding to one patient. For example, the Cool ID is unique information for each combination of patient, therapy, and Cool. Thereby, in the therapy management system 10, it is possible to specify the prescription data belonging to the same course based on the course ID. In addition, instead of the cool ID, cool identification information (information such as the first cool, the second cool, the third cool, etc.) that can identify each cool in the therapy may be used.

The administration date indicates the date on which the prescription-administered drug is administered based on the prescription data. Hereinafter, the administration date indicated by the prescription data will be referred to as a “prescription administration date”. The dose indicates the dose of the prescription-administered drug to be administered based on the prescription data. Hereinafter, the dose indicated by the prescription data will be referred to as a “prescription dose”. The administration start date is information indicating the prescription administration date of the first prescription administration drug in one course to which the prescription data belongs.

The body weight and the body surface area are information included in the prescription data as physical information of the patient corresponding to the prescription data. The physical information is used to calculate the prescription dose of the prescription-administered drug according to the therapy. The physical information may be different for each prescription data when the issuance timings of the plurality of prescription data included in the prescription data group are different. Further, the physical information may be input to the therapy management system 10 as data different from the prescription data as long as it is associated with the prescription data, and may be included in the test data.

Specifically, in the prescription data group shown in FIGS. 2A to 2C, for the patient of "patient C1", the therapy corresponding to the prescription data is "therapy R1", and the drug administered according to the therapy is "therapy R1". "Chemical M1" and "Chemical M2". The prescription administration date of "drug M1" is 2 days, 8/7 and 8/21, and the prescription dose of "drug M1" is "500 mg". Similarly, the prescription administration date of "drug M2" is 3 days of 8/7, 8/14, 8/21, and the prescription dose of "drug M2" is "120 mg". In each of the prescription data, the weight of the patient is "56.0" and the body surface area is "1.488 m ² ". Hereinafter, in the present embodiment, the prescription data group shown in FIGS. 2A to 2C may be described as a specific example.

Here, FIG. 3 is a diagram showing an example of the inspection data. As shown in FIG. 3, the test data is information including test results such as test values for each test item performed on a patient. For example, as shown in FIG. 3, the test data includes information such as a patient name, a test date, a test ID, a test item, and a test result. The inspection data is displayed on a display screen P11 (see FIG. 19) described later.

[Printer 3]
The printer 3 is a color printer capable of executing a printing process for recording information included in print data input from the therapy management device 1 or the client terminal 2 via the communication network 4 or the like on a sheet such as paper. It is an image forming apparatus such as a monochrome printer. For example, in a medical institution such as a hospital or a pharmacy, the printer 3 may print a prescription or an injection slip based on the prescription data. The printer 3 is also used for printing the display screen P1 (see FIG. 8) described later in the therapy management system 10.

[Client terminal 2]
One or more of the client terminals 2 are communicably connected to the therapy management device 1 via the communication network 4. Each of the client terminals 2 is a personal computer including a control unit 21, a storage unit 22, a communication I / F 23, a display unit 24, an operation unit 25, a drive device 26, and the like. Each of the client terminals 2 is an operation terminal arranged in a medical institution where the therapy management system 10 is used and operated by a user. For example, the client terminal 2 is used by a pharmacist or the like who prepares a drug such as an anticancer drug to be administered to a patient at the medical institution. The client terminal 2 may be various information processing devices such as a smartphone, a tablet terminal, or a laptop computer.

The control unit 21 includes control devices such as a CPU, ROM, RAM, and EEPROM. The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and EEPROM are used as a temporary storage memory (working area) for various processes executed by the CPU. Then, the control unit 21 uses the CPU to execute various processes according to various control programs stored in the ROM, the EEPROM, or the storage unit 22 in advance.

The storage unit 22 is a non-volatile storage unit such as a hard disk or SSD that stores various control programs and various data executed by the control unit 21. Specifically, the storage unit 22 includes a program storage unit 221 in which application programs such as an operating system (OS) and browser software are stored. The browser software displays various operation screens and the like on the display unit 24 by accessing the therapy management device 1 via the communication network 4, and inputs operations to the operation screen using the operation unit 25. Is application software for transmitting to the therapy management device 1. For example, when the control unit 21 inputs address information such as a URL (Universal Resource Locator) corresponding to the therapy management device 1 at a predetermined position on the operation screen displayed by the browser software, the address information The therapy management device 1 is accessed based on the above.

The communication I / F 23 is a network that executes data communication wirelessly or by wire with the therapy management device 1 and an external device such as the printer 3 via the communication network 4 according to a predetermined communication protocol. It is a communication interface that has a card or the like.

The display unit 24 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 21. For example, the control unit 21 executes various processes according to the browser software, and based on the display data received from the therapy management device 1, various information based on the display data is transmitted to the display unit 24. To display.

The operation unit 25 is an operation unit operated by a user to input various information to the client terminal 2. Specifically, the operation unit 25 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display unit 24. Further, the operation unit 25 may include a touch panel that accepts touch operations on various operation screens displayed on the display unit 24, or a voice input device that accepts input of various information by voice recognition. Then, the control unit 21 receives a user operation on the operation unit 25 by executing various processes according to the browser software, and inputs the content of the user operation to the therapy management device 1.

The drive device 26 can read a program such as the OS or the browser software from a computer-readable recording medium 261 in which the OS or the browser software or the like is recorded. The recording medium 261 is a CD, DVD, BD, USB memory, or the like, and the drive device 26 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. In the client terminal 2, a program such as the OS or browser software read from the recording medium 261 by the control unit 21 using the drive device 26 is installed in the program storage unit 221 of the storage unit 22. The program.

[Therapeutic management device 1]
The therapy management device 1 is a computer such as a server including a control unit 11, a storage unit 12, a communication I / F 13, a display unit 14, an operation unit 15, a drive device 16, and the like. The therapy management device 1 may be provided outside a medical institution such as a hospital or a pharmacy in which the therapy management system 10 is used. Further, the therapy management device 1 may be an information processing device such as a smartphone, a tablet terminal, or a laptop computer.

The control unit 11 includes control devices such as a CPU, ROM, RAM, and EEPROM (registered trademark). The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and EEPROM are used as a temporary storage memory (working area) for various processes executed by the CPU. Then, the control unit 11 uses the CPU to execute various processes according to various control programs stored in advance in the ROM, the EEPROM, or the storage unit 12.

The storage unit 12 is a non-volatile storage unit such as a hard disk or SSD that stores various control programs and various data executed by the control unit 11. The storage unit 12 includes a program storage unit 121, a master storage unit 122, and an information storage unit 123.

The program storage unit 121 is a storage area for storing a therapy management program or the like for causing the control unit 11 to execute the information acquisition process and the therapy determination process (see FIGS. 6 and 7) described later. The program storage unit 121 also stores programs such as an operating system (OS).

The master storage unit 122 is a storage area in which various master information such as a drug master, a patient master, and a therapy master is stored. The drug master includes drug ID (YJ code, etc.), drug name, JAN code, RSS code, drug bottle code, dosage form, unit, specific gravity, compounding change, excipients, precautions, etc., which correspond to each drug. Information is included. The patient master includes information such as a patient ID, a patient name, a clinical department, a ward, a disease name, a doctor in charge, and a pharmacist in charge, which correspond to each patient.

The therapy master is an example of basic therapy information in which a predetermined therapy and the content of the therapy are associated in advance. Specifically, in the therapy master, at least the therapy and basic administration date identification information for specifying the administration date for one course in which the drug is administered according to the therapy are associated in advance. Hereinafter, the drug corresponding to the therapy defined by the therapy master is referred to as "basic-administered drug", and the identification information of the drug is referred to as "basic-administered drug information". The administration date on which the basic administration drug is administered is referred to as a "basic administration date".

Here, FIG. 4 is a diagram showing a part of the therapy master. As shown in FIG. 4, the therapy master includes information such as a therapy name, number of courses, drug name, basic dose specific information, basic administration date specific information, dose tolerance, and administration period. Further, the dose permissible range may be stored in the master storage unit 122 as information different from the therapy master in association with the combination of the therapy name and the drug name. As described above, the therapy ID may be used instead of the therapy name, and the drug ID may be used instead of the drug name. The number of courses is the total number of courses performed as the therapy.

The basic dose specific information is information indicating the dose of the drug per unit body weight (1 kg) or unit body surface area (1 m ² ) of the patient, and the administration of the basic dose drug to be administered to the patient according to the therapy. Information used to calculate the quantity. Hereinafter, the dose calculated based on the basic dose specific information will be referred to as a basic dose.

For example, in FIG. 4, the basic dose specific information of the basic dose of "drug M1" corresponding to the therapy of "therapy R1" is 10 mg per 1 kg of the patient's body weight (10 mg / kg), and the body weight is 56. For a 0.0 kg patient, the basal dose is 560 mg. Similarly, in FIG. 4, the basic dose specific information of the basic dose of "drug M2" corresponding to the therapy of "therapy R1" ^{is 90 mg per 1 m 2} of the body surface area of the patient (90 mg / m ^2). ), The basic dose is 133.92 mg for a patient with a body surface area of 1.488 m ^2.

The basic administration date specifying information is information used for specifying the basic administration date for one course in which the basic administration drug is administered according to the therapy. Specifically, the basic administration date specific information indicates the number of days (to day) from an arbitrary administration start date to the basic administration date. For example, in FIG. 4, the basic administration date specific information corresponding to the basic administration drug “drug M1” is the “1” day and the “15” day from an arbitrary administration start date. Similarly, in FIG. 4, the basic administration date specific information corresponding to the basic administration drug “drug M2” is obtained on the “1” day, the “8” day, and the “15” from the arbitrary administration start date. It's the day. The information for specifying the basic administration date may be, for example, the number of days indicating the interval between the basic administration dates as long as the information can identify each of the basic administration dates. In addition, the basic administration day for one course in the therapy is not limited to a plurality, and may be one day.

The dose permissible range is information for determining the suitability of the prescription dose shown in the prescription data, and is determined by, for example, the ratio of the prescription dose to the basic dose. For example, in FIG. 4, since the permissible dose range corresponding to the basic administration drug “drug M1” is “85% or more and 103% or less”, the prescription administration of “drug M1” in the prescription data When the ratio of the amount to the basic dose (= prescription dose / basic dose) is within the allowable dose range, the prescribed dose is appropriate. The administration period is the length of the period per course, and is predetermined as a period including a period in which the drug is administered and a subsequent drug holiday in which the drug is not administered.

The control unit 11 can update various master information stored in the master storage unit 122 at any time based on the information acquired from the medical-related system 5 or an external server. Further, the control unit 11 can edit various master information stored in the master storage unit 122 in response to a user operation using the therapy management device 1 or the client terminal 2. Further, the control unit 11 can update various master information based on the information read from the recording medium by using the drive device 16.

The information storage unit 123 is a storage area in which various types of information such as the prescription data, the examination data, and the therapy history data are stored in association with each patient. In the present embodiment, the control unit 11 stores the prescription data and the examination data input from the medical-related system 5 in the information storage unit 123 in association with the patient. In addition, the control unit 11 stores the history of the therapy for the patient in the information storage unit 123 as the therapy history data.

For example, the control unit 11 stores the therapy history data in the information storage unit 123 based on the prescription data. Further, the control unit 11 can edit the therapy history data according to a user operation using the therapy management device 1 or the client terminal 2. It should be noted that the therapy history data may include not only the past administration record of the drug that has been performed but also the administration schedule of the future drug that has not been performed. For example, as shown in FIG. 5, the therapy history data, like the prescription data, includes patient name, therapy name, cool ID, drug name, administration date, dose, administration start date, body weight, body surface area, and the like. Contains information about.

The communication I / F 13 is a network card that executes data communication wirelessly or by wire with the client terminal 2 and an external device such as the printer 3 via the communication network 4 according to a predetermined communication protocol. It is a communication interface having the above.

The display unit 14 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 11. The operation unit 15 is an operation unit operated by a user to input various information to the therapy management device 1. Specifically, the operation unit 15 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display unit 14. Further, the operation unit 15 may include a touch panel that accepts touch operations on various operation screens displayed on the display unit 14, or a voice input device that accepts input of various information by voice recognition.

The drive device 16 can read the therapy management program from a computer-readable recording medium 161 in which the therapy management program is recorded non-temporarily. The recording medium 161 is a CD, DVD, BD, USB memory, or the like, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. Then, in the therapy management device 1, the therapy management program read from the recording medium 161 by the control unit 11 using the drive device 16 is installed in the program storage unit 121 of the storage unit 12.

By the way, when the prescription data is registered in the medical-related system 5 or the therapy management system 10, the administration date or dose of the drug determined according to the predetermined therapy is set on a holiday of a medical institution or a patient. It may be changed according to various situations such as the condition. However, since there are many types of therapies, it is difficult to easily grasp the relationship between the information on the administration date shown in the prescription data and the information on the administration date according to the therapy. On the other hand, in the therapy management system 10 according to the present embodiment, it is possible to easily grasp the relationship between the information on the administration date shown in the prescription data and the information on the administration date according to the therapy.

Specifically, the control unit 11 of the therapy management device 1 includes various processing units such as a first acquisition processing unit 111, a second acquisition processing unit 112, an output processing unit 113, and a determination processing unit 114. The control unit 11 functions as the various processing units by executing various processes such as information acquisition processing and therapy determination processing (see FIGS. 6 and 7) described later according to the therapy management program. That is, in the present embodiment, the therapy management device 1 alone is the therapy management system according to the present invention. The control unit 11 may include a plurality of processors, and the plurality of processors may share the functions of the various processing units. Further, a part or all of the various processing units may be composed of an electronic circuit.

Further, it is considered as another embodiment that a part or all of the functions of the therapy management device 1 are provided in the client terminal 2. For example, a part or all of the therapy management program is installed in the client terminal 2, and the control unit 21 of the client terminal 2 appropriately acquires necessary information from the therapy management device 1 and obtains the necessary information. It is also conceivable that it functions as the various processing units similar to the therapy management device 1. In this case, the client terminal 2 is an example of the therapy management system according to the present invention. Further, in the therapy management system 10, the therapy management device 1 and the client terminal 2 jointly execute various processes such as an information acquisition process and a therapy determination process (see FIGS. 6 and 7) described later. As a result, when the functions of the various processing units are shared and realized, the system including the therapy management device 1 and the client terminal 2 is an example of the therapy management system according to the present invention.

The first acquisition processing unit 111 is specified based on the therapy master based on the basic administration date identification information for one course or the basic administration date identification information for the therapy indicated by the prescription data. Obtain basic administration information including at least one of the basic administration days for the course. Specifically, the first acquisition processing unit 111 reads out the basic administration date identification information corresponding to the therapy name of the therapy indicated by the prescription data from the therapy master stored in the master storage unit 122. To get by. Further, the first acquisition processing unit 111 is based on the basic administration date identification information and the administration start date indicated by the prescription data, and the date of the basic administration date when the administration start date is set as the starting date. Is calculated. That is, in the present embodiment, the first acquisition processing unit 111 acquires both the basic administration date identification information and the basic administration date. As another embodiment, the first acquisition processing unit 111 may acquire the basic administration date identification information from an external server via the communication network 4. Further, as another embodiment, the first acquisition processing unit 111 may acquire the basic administration information including either the basic administration date specific information or the basic administration date.

The second acquisition processing unit 112 acquires prescription administration information including at least one of the prescription administration date of the prescription administration drug shown in the prescription data or the prescription administration date specific information for specifying the prescription administration date. To do. The prescription administration date identification information is information for specifying the prescription administration date by the same method as the basic administration date identification information. Specifically, the prescription administration date specific information is information indicating the number of days from the administration start date indicated by the prescription data to the prescription administration date. The basic administration date identification information may be the number of days indicating the interval of each of the basic administration days, and the prescription administration date identification information may be the number of days indicating the interval of each of the prescription administration days.

Specifically, the second acquisition processing unit 112 acquires the prescription administration date and the administration start date indicated by the prescription data from the prescription data. Then, the second acquisition processing unit 112 specifies the prescription administration date, which indicates the number of days until the prescription administration date when the administration start date is set as the starting date, based on the prescription administration date and the administration start date. Calculate the information. That is, in the present embodiment, the second acquisition processing unit 112 acquires both the prescription administration date and the prescription administration date specific information. Further, as another embodiment, the second acquisition processing unit 112 may acquire the prescription administration information including either the prescription administration date specific information or the prescription administration date. Specifically, when the basic administration information includes the basic administration date specific information, the prescription administration information includes the prescription administration date specific information, and the basic administration information includes the basic administration date. May include the prescription administration date in the prescription administration information.

The output processing unit 113 outputs the basic administration information acquired by the first acquisition processing unit 111 and the prescription administration information acquired by the second acquisition processing unit 112 on the same screen. As a result, the user can easily grasp the relationship between the basic administration information and the prescription administration information.

Further, the output processing unit 113 outputs the determination result at least when the determination result by the determination processing unit 114 is unsatisfactory. In particular, the output processing unit 113 can output the determination result by the determination processing unit 114 according to the output mode of the basic administration information and the prescription administration information. For example, the output mode is a color scheme such as a character color or a background color at the time of display or printing, a character size, a character thickness, and the like.

The output processing unit 113 generates display data for a display screen P1 (see FIG. 8), which will be described later, on which the basic administration information, the prescription administration information, the determination result, and the like are displayed on the client terminal 2. The display unit 24 of the client terminal 2 displays the basic administration information, the prescription administration information, the determination result, and the like.

In particular, when the output processing unit 113 displays the basic administration date identification information as the basic administration information, it is desirable that at least the prescription administration date identification information is displayed as the prescription administration information. Further, when the output processing unit 113 displays the basic administration date as the basic administration information, it is desirable that at least the prescription administration date is displayed as the prescription administration information. As a result, since the same type of information is displayed, the user can more easily grasp the relationship between the basic administration information and the prescription administration information.

In this embodiment, the case where the output mode by the output processing unit 113 is displayed will be described as an example, but as another embodiment, the output processing unit 113 uses the basic administration information and the prescription administration. By generating print data in which the information and the determination result are printed on the same sheet and transmitting the information and the determination result to the printer 3, the basic administration information, the prescription administration information, the determination result and the like are printed on the same sheet. You may.

The determination processing unit 114 determines whether or not the basic administration information and the prescription administration information satisfy a preset specific condition. Specifically, the determination processing unit 114 determines the basic administration date identification information and the prescription when the basic administration date identification information of the basic administration information and the prescription administration date identification information of the prescription administration information match. It is determined that the above-mentioned specific conditions are satisfied for the administration date specific information. As another embodiment, the determination processing unit 114 determines the basic administration date and the prescription administration date when the basic administration date of the basic administration information and the prescription administration date of the prescription administration information coincide with each other. It may be determined that the above-mentioned specific condition is satisfied. In addition, the specific condition also includes that the total number of days of the basic administration day for one course matches the total number of days of the prescription administration day in one or more of the prescription data corresponding to the same course. Further, the specific condition includes that the prescribed dose is within the allowable range of the prescribed amount.

[Information acquisition processing and therapy judgment processing]
Hereinafter, an example of the information acquisition process and the therapy determination process executed by the control unit 11 of the therapy management device 1 will be described with reference to the flowcharts of FIGS. 6 and 7. The present invention is a therapy management method in which a computer such as the therapy management device 1 executes a part or all steps of an information acquisition process and a therapy determination process, and the therapy for causing a computer to execute the therapy management method. It may be regarded as an invention of a management program. The therapy management program may be a program for causing a plurality of computers such as the therapy management device 1 and the client terminal 2 to perform the information acquisition process and the therapy determination process in cooperation with each other.

The information acquisition process and the therapy determination process are performed when, for example, a user such as a pharmacist performs a specific user operation for executing the therapy management program when the prescription data is inspected. It is executed by the control unit 11. In addition, the control unit 11 may execute the information acquisition process and the therapy determination process when a specific user operation for starting the preparation work of the drug based on the prescription data is performed. Further, the control unit 11 may execute the information acquisition process and the therapy determination process when a specific user operation for displaying the therapy history data of the patient is performed. The control unit 11 automatically performs steps S1 to S7 and steps S11 to S14 described later in the information acquisition process and the therapy determination process at the time of inputting the prescription data or at a predetermined timing such as a preset predetermined time. Then, when a specific user operation is performed, step S15 described later may be executed.

When the specific start operation is performed on the plurality of client terminals 2, the control unit 11 omits the individual information acquisition process and the therapy determination process corresponding to each of the client terminals 2. It can be executed in parallel. In addition, the information acquisition process and the therapy determination process may be terminated in response to a predetermined termination operation for the client terminal 2.

[Information acquisition process]
First, an example of the information acquisition process will be described with reference to FIG. In the information acquisition process, the control unit 11 includes the basic administration information including various information regarding administration of the basic administration drug according to the therapy defined by the therapy master, and the prescription data group included in the basic administration information. The prescription administration information including various information regarding the administration of the prescription administration drug indicated by the prescription data is acquired. The acquisition process executed by the first acquisition processing unit 111 of the control unit 11 in the information acquisition processing is an example of the first acquisition step in the present invention, and the second acquisition processing unit 112 of the control unit 11 The acquisition process executed by is an example of the second acquisition step in the present invention.

<Step S1>
In step S1, the control unit 11 executes a process for selecting a processing target in the information acquisition process and the therapy determination process. For example, the control unit 11 displays a list of the prescription data that are candidates for processing in the information acquisition process and the therapy determination process based on the prescription data stored in the information storage unit 123. Further, the control unit 11 may extract the prescription data corresponding to the search keyword input by the user operation and display the prescription data as a candidate. Then, when the prescription data to be processed is selected, the control unit 11 is currently stored in the information storage unit 123 and belongs to the same prescription data group as the selected prescription data. Alternatively, a plurality of the above-mentioned prescription data are selected as processing targets. Hereinafter, the prescription data group selected in step S1 will be referred to as a “target prescription data group”.

For example, even if the three prescription data corresponding to the three days of the prescription administration day in one course are to be input to the therapy management device 1, one or two of the three prescription data are currently available. When only the prescription data is stored in the information storage unit 123, the one or two prescription data are selected as the target prescription data group. In the following, for convenience of explanation, a case where the prescription data group including the three prescription data shown in FIGS. 2A to 2C is selected as the target prescription data group in step S1 will be described as a specific example. I have something to do.

<Step S2>
In step S2, the control unit 11 sets the basic administration date specific information and the basic administration date for one course for each basic administration drug corresponding to the therapy indicated by the prescription data included in the target prescription data group. Is acquired as the basic administration information. The step S2 is executed by the first acquisition processing unit 111 of the control unit 11.

Specifically, the control unit 11 provides the basic administration date identification information defined by the therapy master for each of the basic administration drugs administered in the therapy indicated by the prescription data included in the target prescription data group. The basic administration date specific information is acquired by reading from the master storage unit 122. Then, the control unit 11 acquires the basic administration date by calculating the basic administration date for each basic administration drug based on the basic administration date identification information and the administration start date indicated by the prescription data. To do.

For example, when the therapy indicated by the prescription data is "therapy R1", the control unit 11 specifies the basic administration date of the "drug M1" corresponding to the therapy from the therapy master shown in FIG. The information on the "1" day and the "15th" day is read out as the basic administration date specific information of the "drug M1". Similarly, the control unit 11 sets the "1" day, the "8" day, and the "15" day, which are the basic administration date specific information of the "drug M2", as the basic administration date of the "drug M2". Read as specific information. On the other hand, the control unit 11 reads "August 7", which is the administration start date shown in the prescription data, from the prescription data shown in FIGS. 2A to 2C. Then, with respect to the "drug M1", the control unit 11 has "August 7" and "8" which are the "1" day and the "15" day from the "August 7" which is the administration start date. "Month 21st" is calculated as the basic administration date. Further, with respect to the "drug M2", the control unit 11 has "8", which is the "1" day, the "8" day, and the "15" day from the "August 7", which is the administration start date. "Month 7", "August 14", and "August 21" are calculated as the basic administration dates.

As another embodiment, it is conceivable that the prescription data does not include the information on the administration start date. In this case, the control unit 11 may acquire the earliest prescription administration date among the prescription administration dates in one or more of the prescription data included in the target prescription data group as the administration start date. Further, the prescription data does not include the information on the administration start date, and the information indicating how many times the prescription data is administered in the therapy corresponding to the prescription data (information called the Nth time) is the prescription. It may be included in the data. In this case, the control unit 11 may acquire the prescription administration date in the prescription data corresponding to the first administration of one or a plurality of the prescription data included in the target prescription data group as the administration start date. ..

<Step S3>
In step S3, the control unit 11 uses the prescription administration date and the prescription administration date specific information for each prescription administration drug shown in each of the prescription data included in the target prescription data group as a part of the prescription administration information. Get as. The step S3 is executed by the second acquisition processing unit 112 of the control unit 11.

Specifically, the control unit 11 reads out the prescription administration date for each prescription administration drug indicated by the prescription data included in the target prescription data group from the prescription data stored in the information storage unit 123. By doing so, the date of administration of the prescription is obtained. Then, the control unit 11 determines the number of days from the prescription start date to each of the prescription administration dates calculated from the prescription start date based on the prescription administration date and the administration start date indicated by the prescription data for each of the prescription administration drugs. The prescription administration date identification information is acquired by calculating the prescription administration date identification information indicating.

For example, as shown in FIGS. 2A to 2C, the control unit 11 has "August 7", which is the prescription administration date of "drug M1" shown in each of the prescription data included in the target prescription data group. , "August 21" are read from each of the prescription data. Similarly, the control unit 11 has "August 7", "August 15", and "August 15", which are the prescription administration dates of the "drug M2" indicated by each of the prescription data included in the target prescription data group. "August 21" is read from each of the prescription data. On the other hand, the control unit 11 reads out "August 7", which is the administration start date of the "drug M1" shown in the prescription data shown in FIGS. 2A to 2C. Then, the control unit 11 calculates "August 7" and "August 21" when the administration start date "August 7" is set as the "1" day for the "drug M1". The "1" day and the "15" day, which are the number of days until "", are calculated as the prescription administration date specific information. Similarly, for the "drug M2", the control unit 11 starts "August 7" and "August 15" when the administration start date "August 7" is calculated as the "1" day. The "day", the "8" day, and the "15" day, which are the number of days until the "day" and "August 21", are calculated as the prescription administration date specific information.

<Step S4>
In step S4, the control unit 11 acquires the total number of days of the basic administration date as a part of the basic administration information based on the basic administration date specific information acquired in step S2 or the basic administration date. .. The acquisition process in step S4 is executed by the first acquisition processing unit 111 of the control unit 11.

For example, the control unit 11 has the basic administration of the “drug M1” from the therapy master shown in FIG. 4 on the “1” day and the “15” day, which are the basic administration date specific information of the “drug M1”. When it is acquired as day-specific information, "2" days are acquired as the total number of days of the basic administration day. Further, when the control unit 11 has acquired the basic administration dates of "drug M1", "August 7" and "August 21", as the basic administration date of "drug M1", You may obtain "2" days as the total number of days of the basic administration.

<Step S5>
In step S5, the control unit 11 acquires the total number of days of the prescription administration date as a part of the prescription administration information based on the prescription administration date identification information acquired in step S3 or the prescription administration date. .. The acquisition process of step S5 is executed by the second acquisition process unit 112 of the control unit 11.

For example, in the control unit 11, from the target prescription data group shown in FIGS. 2A to 2C, "8/7" and "8/21" which are the prescription administration dates of "drug M1" are "drug M1". When it is acquired as the prescription administration date, "2" days are acquired as the total number of days of the prescription administration date. Further, the control unit 11 administers the prescription when the "1" day and the "15th" day, which are the prescription administration date specific information, are acquired as the prescription administration date specific information of the "drug M1". You may get "2" days as the total number of days. When only the prescription data of FIGS. 2A and 2B is stored in the information storage unit 123 among the target prescription data groups shown in FIGS. 2A to 2C, the “drug” in each of the prescription data is stored. The total number of days of the prescription administration date of "M1" is one day.

<Step S6>
In step S6, the control unit 11 sets the basic dose of the basic drug to be administered according to the therapy indicated by each of the prescription data included in the target prescription data group based on the therapy master. Obtained as part of administration information. Specifically, the control unit 11 administers the basic dose based on the basic dose specific information for each basic dose defined by the therapy master and the body weight or body surface area of the patient included in the prescription data. The basic dose is obtained by calculating the amount. The step S6 is executed by the first acquisition processing unit 111 of the control unit 11.

For example, the control unit 11 uses the therapy "10 mg / kg", which is the basic dose specific information corresponding to the "drug M1" of the "therapy R1" indicated by the prescription data included in the target prescription data group. Read from the master. ^{Similarly, the control unit 11 reads "90 mg / m 2} ", which is the basic dose specific information corresponding to the "drug M2", from the therapy master. In addition, the control unit 11 reads out the body weight and body surface area of the patient included in each of the prescription data included in the target prescription data group shown in FIGS. 2A to 2C. Then, the control unit 11 calculates the basic dose corresponding to each of the prescription data based on the weight and body surface area of the patient in each of the prescription data and the basic dose specific information. Here, since the basic dose specific information of the "drug M1" is "10 mg / kg" and the weight of the patient in each of the prescription data is 56.0 kg, the "drug M1" corresponding to each of the prescription data. "560 mg" is calculated as the basic dose of. Similarly, the basic dose specific information "drug M2" is "90 mg / m ^2", the surface of the patient in the prescription data, each for a 1.488M ^2, corresponding to the prescription data of each ""133.92mg" is calculated as the basic dose of "drug M2".

<Step S7>
In step S7, the control unit 11 acquires the prescription dose for each prescription administration drug in each of the prescription data included in the target prescription data group as a part of the prescription administration information. For example, the control unit 11 uses "500 mg" as the prescription dose of "drug M1" corresponding to each of the prescription data from each of the prescription data included in the target prescription data group shown in FIGS. 2A to 2C. Is acquired, and "120 mg" is acquired as the prescription dose of "drug name M2" corresponding to each of the prescription data. The step S7 is executed by the second acquisition processing unit 112 of the control unit 11.

Then, when the information acquisition process is completed, the control unit 11 subsequently executes the therapy determination process. The execution order and execution timing of the various processes in the information acquisition process and the therapy determination process are not limited to those described here as long as the same functions can be achieved. For example, information necessary for the determination process may be acquired before various determination processes in the therapy determination process.

[Therapeutic judgment processing]
Subsequently, the therapy determination process will be described with reference to FIG. 7. Specifically, the control unit 11 executes a determination process for determining whether or not the basic administration information and the prescription administration information satisfy the specific condition set in advance in the therapy determination process. More specifically, the specific conditions include that the basic administration date specific information and the prescription administration date specific information match, that the total number of days of the basic administration date and the total number of days of the prescription administration date match, and that the prescription administration The amount is within the allowable dose range and the like. The various determination processes in the therapy determination process are examples of the determination steps in the present invention, and are executed by the determination processing unit 114 of the control unit 11.

<Step S11>
In step S11, the control unit 11 determines whether or not each of the basic administration date identification information acquired in step S2 matches any of the prescription administration date identification information acquired in step S3. .. Here, when it is determined that any of the basic administration date specific information does not match the prescription administration date specific information, that is, when it is determined that one of the specific conditions is not satisfied (S11: No). , The process proceeds to step S111. Further, when it is determined that all the basic administration date identification information matches any of the prescription administration date identification information (S11: Yes), the process proceeds to step S12. In step S11, the control unit 11 determines whether or not each of the basic administration dates coincides with any of the prescription administration dates instead of the basic administration date identification information and the prescription administration date identification information. You may.

<Step S111>
In step S111, the control unit 11 corresponds to the target prescription data group with the first error information indicating an error regarding the basic administration date specific information determined to be inconsistent with the prescription administration date specific information in step S11. It is attached and stored in the information storage unit 123, and the process shifts to the step S12. If the control unit 11 can refer to the various error information stored in the therapy determination process when the control unit 11 executes step S15 described later, the EEPROM of the control unit 11 or the client terminal 2 It may be stored in another storage unit such as.

<Step S12>
Next, in step S12, the control unit 11 determines whether or not each of the prescription administration date identification information acquired in step S3 matches any of the basic administration date identification information acquired in step S2. To judge. Here, when it is determined that any of the prescription administration date specific information does not match the basic administration date specific information, that is, when it is determined that one of the specific conditions is not satisfied (S12: No). , The process proceeds to step S121. Further, when it is determined that all the prescription administration date identification information matches any of the basic administration date identification information (S12: Yes), the process proceeds to step S13. In step S12, the control unit 11 determines whether or not each of the prescription administration dates coincides with any of the basic administration dates in place of the basic administration date identification information and the prescription administration date identification information. You may.

<Step S121>
In step S121, the control unit 11 corresponds to the target prescription data group with second error information indicating an error regarding the prescription administration date specific information determined to be inconsistent with the basic administration date specific information in step S12. It is attached and stored in the information storage unit 123, and the process shifts to step S13. As described above, in the present embodiment, in steps S11 and S12, the error of the basic administration date specific information and the error of the prescription administration date specific information are determined separately. As another embodiment, it is conceivable that the error of the basic administration date specific information and the error of the prescription administration date specific information cannot be distinguished and determined.

<Step S13>
In step S13, the control unit 11 totals the total number of days of the basic administration date of each of the basic administration drugs acquired in step S4 and the total number of days of the prescription administration date of each of the prescription administration drugs acquired in step S5. Determine if the number of days matches. The total number of days is determined whether or not the basic administration drug and the prescription administration drug match for the same combination. Here, when it is determined that the total number of days does not match for any combination of the basic administration drug and the prescription administration drug, that is, when it is determined that one of the specific conditions is not satisfied (S13). : No), the process proceeds to step S131. Further, when it is determined that the total number of days matches for all the combinations of the basic administration drug and the prescription administration drug (S13: Yes), the process proceeds to step S14.

<Step S131>
In step S131, the control unit 11 stores the third error information indicating an error about the prescription administration drug whose total number of days does not match in the information storage unit 123 in association with the target prescription data group, and performs processing. The process proceeds to step S14.

Here, the prescription-administered drug in which the total number of days of the prescription-administered day is 0 is a deficient drug that is omitted from the prescription data. Therefore, in step S131, the control unit 11 includes the deficient drug information indicating that the prescription-administered drug is a deficient drug for the prescription-administered drug in which the total number of days of the prescription administration date is 0. 3 Store error information. Further, the prescription-administered drug in which the total number of days of the basic administration day is 0 and the total number of days of the prescription administration day is 1 or more is an excess drug with respect to the prescription data. Therefore, in step S131, the control unit 11 has an excess of the prescription-administered drug for the prescription-administered drug in which the total number of days of the basic administration date is 0 and the total number of days of the prescription administration date is 1 or more. The third error information including the excess drug information indicating that the drug is a drug is stored.

<Step S14>
In step S14, the control unit 11 determines whether or not the prescribed dose of each of the prescribed administered drugs acquired in step S7 is within the dose allowable range determined by the therapy master. Specifically, it is determined whether or not the prescribed dose of the prescription-administered drug is within the allowable dose range with respect to the basic dose of the basic-administered drug acquired in step S6. Will be done. Here, when it is determined that the prescribed dose is out of the allowable dose range, that is, when it is determined that one of the specific conditions is not satisfied (S14: No), the process proceeds to step S141. Transition. Further, when it is determined that the prescribed dose is within the allowable dose range (S14: Yes), the process proceeds to step S15.

<Step S141>
In step S141, the control unit 11 provides the fourth error information indicating an error of the prescribed dose for the prescribed administered drug for which the prescribed dose is determined to be out of the allowable dose range in step S14. It is stored in the information storage unit 123 in association with the target prescription data group, and the process shifts to the step S15.

<Step S15>
In step S15, the control unit 11 displays a display screen P1 (see FIG. 8) for supporting the inspection of each of the prescription data included in the target prescription data group on the display unit 24 of the client terminal 2. Execute output processing to do so. For example, the control unit 11 generates display data for displaying the display screen P1 and transmits it to the client terminal 2, and causes the display screen P1 to be displayed on the display unit 24 of the client terminal 2. The output process of step S15 is an example of the output step in the present invention, and is executed by the output processing unit 113 of the control unit 11.

Specifically, the control unit 11 causes the basic administration information and the prescription administration information to be displayed on the display screen P1 which is the same screen. More specifically, the control unit 11 displays the basic administration date specific information for one course acquired in step S2, the basic administration date, and the prescription acquired in step S3 on the display screen P1. The administration date, the prescription administration date identification information, and the determination results in steps S11 to S14 are displayed.

The display of the basic administration information and the prescription administration information on the same screen does not require that the basic administration information and the prescription administration information are always displayed on the same screen, for example, by slide display on the same screen. The basic administration information and the prescription administration information may be displayable. Further, the display of the basic administration information and the prescription administration information on the same screen may be in a mode in which the basic administration information and the prescription administration information can be displayed simultaneously on the display unit 24, for example, the basic administration. Two windows in which the information and the prescription administration information are individually displayed may be displayed on the display unit 24 at the same time. That is, the present invention may be regarded as an invention characterized in that the output processing unit 113 of the control unit 11 displays the basic administration information and the prescription administration information in a manner that can be referred to at the same time. For example, the output processing unit 113 may display two windows in which the basic administration information and the prescription administration information are individually displayed in two display units. Further, as another embodiment, the output processing unit 113 may print out the basic administration information and the prescription administration information on the same sheet by the printer 3 or the like, and transmits the basic administration information to an information processing device designated in advance. It may be output.

In the present embodiment, the basic administration information includes the basic administration date identification information and the basic administration date, and the prescription administration information includes the prescription administration date identification information and the prescription administration date. The basic administration date identification information, the basic administration date, the prescription administration date identification information, and the prescription administration date are displayed on the screen P1. On the other hand, as another embodiment, the output processing unit 113 includes the basic administration date identification information, the basic administration date, the prescription administration date identification information, and the prescription administration date identification information and the basic administration date identification information. The prescription administration date specific information may be displayed on the display screen P1 which is the same screen. Similarly, as another embodiment, the output processing unit 113 has the basic administration date, the basic administration date, the prescription administration date identification information, and the prescription administration date, the basic administration date and the prescription. The administration date may be displayed on the display screen P1 which is the same screen.

Here, an example of the display screen P1 will be described with reference to FIG. As shown in FIG. 8, the display areas A11 to A15 and the like are displayed on the display screen P1.

In the display area A11, the administration of the therapy corresponding to the target prescription data group is started based on the administration period predetermined by the therapy master and the administration start date corresponding to the target prescription data group. "2019/08 / 07-2019 / 09/03", which is the period from the day until the administration period elapses, and "therapy R1", which is the therapy name of the therapy, are displayed. In addition, other information such as a patient name, a patient's weight, a patient's body surface area, and a current date and time may be displayed in the display area A11.

The display area A12 is an area in which the content of the therapy defined by the therapy master is displayed, and the display area A12 includes areas A121 to A125 and the like.

In the area A121, the basic administration date identification information predetermined by the therapy master for the therapy corresponding to the target prescription data group is displayed. Further, in the area A122, the basic administration date acquired in step S2 is displayed. Specifically, on the display screen P1, each of the regions A121 in which the basic administration date specific information for one course is displayed and each of the regions A122 in which the basic administration date for one course is displayed are displayed. It is displayed in chronological order along the first direction D1 which is the right direction on the screen P1. Further, the basic administration date specific information and the basic administration date corresponding to the basic administration date specific information are the regions arranged in the second direction D2 in the downward direction on the display screen P1 and perpendicular to the first direction D1. It is displayed in two columns on A121 and A122. As another embodiment, it is conceivable that the first direction D1 is the downward direction on the display screen P1 and the second direction D2 is the right direction on the display screen P1.

In the area A121 of FIG. 8, "1", "8", and "15", which are the basic administration date specific information defined by the therapy master for the therapy of "therapy R1", are displayed, and the area A122 displays the information. , "8/7", "8/14", and "8/21" which are the basic administration dates corresponding to each of the basic administration date specific information are displayed.

The region A123 is displayed along the second direction D2 for each of the basic doses predetermined by the therapy master for the therapy corresponding to the target prescription data group, and is displayed in each of the regions A123. , The drug name is displayed as the basic drug information that can identify the corresponding basic drug.

The area A124 is displayed at a position corresponding to each of the basic doses, and the basic dose specific information of the corresponding basic dose of the corresponding basic dose is displayed in each of the regions A124.

The region A125 is a position on the first direction D1 corresponding to each of the basic administration drugs, and is displayed at the position corresponding to the basic administration date specific information and the basic administration date of the basic administration drug. For each of the basal doses, the basal dose obtained in step S6 is displayed. For example, in FIG. 8, based on the therapy master, the basic specific day specific information is assigned to the “drug M1” of the “therapy R1” in each of the regions A125 corresponding to the “1” day and the “15” day. "560 mg" is displayed as the corresponding prescription dose.

That is, for the basic administration drug, the basic dose is displayed in the basic administration date specific information in which the administration of the basic administration drug is required and the region A125 corresponding to the basic administration date. On the other hand, the basic administration date specific information and the area A125 corresponding to the basic administration date, which do not require administration of the drug for the basic administration drug, are displayed as blanks or the like. As described above, the output processing unit 113 determines the basic administration date specific information corresponding to the area A125 and the administration of the basic administration drug on the basic administration date depending on whether or not the basic dose is displayed in the area A125. The presence or absence is displayed in an identifiable manner. In addition, the output processing unit 113 may display a character or a symbol indicating whether or not the basic administration drug is administered, instead of displaying the basic dose to the area A125.

Further, on the display screen P1, an operation unit K11 for slidingly displaying the areas A121, A122, and A125 in the first direction D1 is displayed, and the control unit 11 can operate the operation unit K11. Accordingly, the regions A121, A122, and A125 are slid and displayed in the first direction D1. Even when the operation unit K11 is operated, the area A123 and the area A124 are not displayed as slides.

The display area A13 is an area in which the content of administration is displayed for each of the prescription-administered drugs indicated by the prescription data included in the target prescription data group, and the display areas A13 include areas A131 to A134 and the like. included.

In the area A131, the prescription administration date indicated by the prescription data included in the target prescription data group and the prescription administration date specific information acquired in step S3 are displayed. Specifically, on the display screen P1, each of the area A131 on which the prescription administration date and the prescription administration date identification information are displayed is separated from the basic administration date identification information and the basic administration date in the second direction D2. The information is displayed in chronological order along the first direction D1.

For example, in the region A131 of FIG. 8, based on the target prescription data group shown in FIGS. 2A to 2C, the prescription administration dates “8/7”, “8/14”, and “8/21”. And "Day 1", "Day 8", and "Day 15", which are the prescription administration date specific information corresponding to each of the prescription administration dates, are displayed. When only the prescription data of FIGS. 2A and 2B is stored in the information storage unit 123 among the target prescription data groups shown in FIGS. 2A to 2C, the prescription in each of the prescription data is stored. The administration dates "8/7" and "8/14" and the prescription administration date specific information "Day 1" and "Day 8" corresponding to the respective prescription administration dates are displayed.

Further, as another embodiment, each of the regions A131 may be displayed at a position adjacent to the regions A121 and A122 on which the basic administration date identification information and the basic administration date are displayed in the second direction D2. .. Further, in the present embodiment, the case where the prescription administration date and the prescription administration date specific information are both displayed in each of the regions A131 will be described as an example, but the region A121 and the region A122 of the display region A12 will be described. Similarly, the prescription administration date and the prescription administration date specific information may be displayed in two stages.

The area A132 is displayed along the second direction D2 corresponding to each of the prescription-administered drugs contained in each of the prescription data corresponding to the target prescription data group, and each of the areas A132 corresponds to the above-mentioned area A132. The drug name is displayed as the prescription drug information that can identify the prescription drug.

The area A133 is displayed at a position corresponding to each of the prescription administration drugs, and each of the areas A133 displays the total number of days of the prescription administration date acquired in step S5. Specifically, the control unit 11 has the number of prescription administration days in which the prescription dose of the prescription administration drug exists for each of the prescription administration drugs shown in each of the prescription data corresponding to the target prescription data group. Is counted as the total number of days.

The region A134 is a position on the first direction D1 corresponding to each of the prescription administration drugs, and is displayed at a position corresponding to the prescription administration date and the prescription administration date specific information of the prescription administration drug. The prescription dose obtained in step S7 is displayed for each prescription drug. For example, in FIG. 8, based on the information of the target prescription data group shown in FIGS. 2A to 2C, each of the regions A134 corresponding to the prescription administration dates “8/7” and “8/21” is designated as “ "500 mg" is displayed as the prescription dose corresponding to "drug M1" of "therapy R1", and "(89.3%)" is displayed as the ratio of the prescription dose to the basic dose.

That is, for the prescription-administered drug, the prescription-administered drug is displayed in the area A134 corresponding to the prescription-administered date-specific information and the prescription-administered date in which the prescription-administered drug needs to be administered. The information on specifying the prescription administration date and the area A134 corresponding to the prescription administration date, which do not require administration of the prescription administration drug, are displayed as blanks or the like. As described above, the output processing unit 113 determines the prescription administration date specific information corresponding to the region A134 and the administration of the prescription administration drug on the prescription administration date depending on whether or not the prescription dose is displayed in the region A134. Display the presence or absence in an identifiable manner. The output processing unit 113 may display characters or symbols indicating whether or not the prescription-administered drug is administered, instead of displaying the prescription dose to the area A134.

Further, on the display screen P1, an operation unit K12 for sliding the areas A131 and A134 in the first direction D1 is displayed, and the control unit 11 responds to the operation of the operation unit K12. The areas A131 and A134 are slid and displayed in the first direction D1. Even when the operation unit K12 is operated, the area A132 and the area A133 are not displayed as slides. Further, the control unit 11 interlocks the operations of the operation unit K11 and the operation unit K12, and executes the slide display of the areas A121, A122, and A125 and the slide display of the areas A131, A134 in conjunction with each other. May be possible, and the presence or absence of the interlocking may be switched according to the user operation.

As described above, on the display screen P1, the display area A12 and the display area A13 are displayed side by side so as to be separated from or adjacent to the second direction D2. Therefore, by referring to the display screen P1, the user can obtain the prescription administration date and the prescription administration date specific information in the target prescription data group, and the basic administration date and the basic administration date identification information in the therapy master. Can be easily grasped.

In the display area A14, comment information that can be arbitrarily registered in association with the target prescription data group is displayed. The comment information may be input in the client terminal 2 or the medical-related system 5, and is included in one or more of the prescription data in the target prescription data group. Specifically, the comment information includes information such as a date indicating an input date, a patient memo type indicating the type of the comment information, a patient memo content indicating the content of the comment information, and a registrant who registered the comment information. Is included. For example, in the display area A14, a reason for registering a content different from the therapy defined by the therapy master for the prescription data included in the target prescription data group is displayed. The control unit 11 can also register the comment information in association with the target prescription data group in response to a user operation at a predetermined timing such as during display of the display screen P1.

In the display area A15, legend information indicating a display mode corresponding to various determination results displayed in the display area A12 and the display area A13 is displayed. Specifically, in the display area A15, a predetermined pink color or the like corresponding to the "basic administration date" indicating that an error corresponding to the first error information and the second error information has occurred. One color, a second color such as yellow corresponding to "overdose or deficiency" indicating that an error corresponding to the third error information has occurred, and an error corresponding to the fourth error information. A predetermined third color such as red corresponding to the "standard dose" indicating that is occurring is shown. In addition, in this embodiment, the case where the display mode by three kinds of color schemes is used as the display mode of the determination result as to whether or not the basic administration information and the prescription administration information satisfy the specific condition will be described. The display mode of the determination result may be set in detail. Further, the display mode corresponding to various determination results is not limited to the color scheme such as the character or the background color, and may be a font such as the size or the thickness of the character.

Then, the control unit 11 displays the determination results in the steps S11 to S14 on the display screen P1 according to the display mode of the basic administration information and the prescription administration information in the display area A12 and the display area A13. Specifically, in the present embodiment, the control unit 11 has determined that the specific condition in which the determination result in the steps S11 to S14 is an index of the determination process in each of the steps S11 to S14 is unsatisfied. In this case, the determination result is displayed on the display screen P1 according to the display mode of the basic administration information and the prescription administration information. On the other hand, when it is determined that the specific condition is satisfied, the control unit 11 does not display information on the display screen P1 in various display modes when the specific condition is not satisfied. The determination result that the specific condition is satisfied is displayed. As the determination result, information such as a message indicating the determination result may be displayed on the display screen P1.

Hereinafter, an example of a display mode of various error information on the display screen P1 will be described with reference to FIGS. 9 to 17.

[Example 1 of difference in drug administration date]
FIG. 9 is a diagram showing a display example when the administration dates of the drugs are different. Specifically, in the example shown in FIG. 9, the "1" day and "8" day of the basic administration date specific information and the "1" day and "8" day of the basic administration date specific information. Is consistent with. On the other hand, in the example shown in FIG. 9, the "15" day, which is the basic administration date specific information, does not exist in the prescription administration date specific information, and the "16" day, which is the basic administration date specific information, is said. Basic administration date Not present in specific information. Therefore, in the therapy determination process, the first error information is stored for the basic administration date identification information on the "15th" day, and the second error information is stored for the prescription administration date identification information on the "16th" day. Will be done.

Then, as shown in FIG. 9, on the display screen P1, the region A121 corresponding to the “15” day of the basic administration date specific information and the “16” day of the prescription administration date specific information. The area A131 corresponding to the above is identifiablely displayed by the color scheme of the first color. Therefore, by referring to the display screen P1, the user can grasp that the prescription administration date identification information corresponding to the "15th" day of the basic administration date identification information does not exist, and the prescription It can be grasped that the basic administration date specific information corresponding to the “16th” day does not exist in the administration date specific information. The color scheme of each area on the display screen P1 described in the present embodiment is applied to the character color or the background color in each area, and it is sufficient that the difference from other areas can be identified.

Further, in the example shown in FIG. 9, in the display area A14, as the comment information, the prescription administration date in the prescription data was intentionally postponed by one day with respect to the basic administration date, and the reason (holiday). Because) is displayed. Therefore, the user refers to the comment information in the display area A14, and has a problem about the discrepancy between the basic administration date specific information and the basic administration date and the prescription administration date specific information and the prescription administration date shown in FIG. It is possible to know that there is no such thing.

[Example 2 of difference in drug administration date]
FIG. 10 is a diagram showing a display example when the administration dates of the drugs are different. Specifically, in the example shown in FIG. 10, the "1" day and "15" day of the basic administration date specific information and the "1" day and "15" day of the basic administration date specific information. Is consistent with. On the other hand, in the example shown in FIG. 10, the "8" day, which is the basic administration date specific information, does not exist in the prescription administration date specific information, and the "22" day, which is the prescription administration date specific information, is said. Basic administration date Not present in specific information. Therefore, in the therapy determination process, the first error information is stored for the basic administration date specific information on the "8" day, and the second error information is stored for the prescription administration date specific information on the "22" day. Will be done.

Then, as shown in FIG. 10, on the display screen P1, the region A121 corresponding to the "8" day of the basic administration date specific information and the "22" day of the prescription administration date specific information. The area A131 corresponding to the above is identifiablely displayed by the color scheme of the first color. Therefore, by referring to the display screen P1, the user can grasp that the prescription administration date identification information corresponding to the "8th" day of the basic administration date identification information does not exist, and the prescription It can be grasped that the basic administration date specific information corresponding to the “22nd” day does not exist in the administration date specific information.

Further, in the example shown in FIG. 10, in the display area A14, as the comment information, the prescription administration date in the prescription data was intentionally postponed for one week with respect to the basic administration date, and the reason (examination). (Because the value is abnormal) is displayed. Therefore, the user refers to the comment information in the display area A14, and has a problem about the discrepancy between the basic administration date specific information and the basic administration date and the prescription administration date specific information and the prescription administration date shown in FIG. It is possible to know that there is no such thing.

[Examples of excessive drug administration days]
FIG. 11 is a diagram showing a display example when the number of days of administration of the drug is excessive. Specifically, in the example shown in FIG. 11, the basic administration date specific information "1", "8", "15" days and the basic administration date specific information "1", "8", " It coincides with the 15th day. On the other hand, in the example shown in FIG. 11, the “22” day, which is the prescription administration date identification information, does not exist in the basic administration date identification information. Therefore, in the therapy determination process, the second error information is stored for the prescription administration date specific information on the “22nd” day.

Further, in the example shown in FIG. 11, the total number of days of the basic administration date of "drug M1" is "2" and the total number of days of the prescription administration date of "drug M1" is "2". .. On the other hand, "3", which is the total number of days of the basic administration date of "drug M2", and "4", which is the total number of days of the prescription administration date of "drug M2", do not match. Therefore, in the therapy determination process, the third error information is stored for the total number of days of the prescription administration date of the "drug M2".

Then, as shown in FIG. 11, on the display screen P1, the region A131 corresponding to the “22” day of the prescription administration date identification information is identifiablely displayed by the color scheme of the first color. The region A133 corresponding to the total number of days of the prescription administration of "drug M2" is identifiablely displayed by the second color scheme. Further, as shown in FIG. 11, on the display screen P1, the region A134 in which the prescription dose corresponding to the “22” day of the prescription administration date identification information is also displayed in the second color. It is displayed in an identifiable manner by the color scheme. Therefore, by referring to the display screen P1, the user can grasp that the basic administration date identification information corresponding to the "22nd" day of the prescription administration date identification information does not exist, and " It can be easily grasped that the total number of days of the prescription administration date of the "drug M2" does not match the total number of days of the basic administration date and the number of administration days of the "drug M2" is excessive. In addition, in FIG. 11, when the total number of days of the basic administration day is displayed in the display area A12, the display area of the total number of days of the basic administration day corresponding to "drug M2" is the color scheme of the second color. It may be displayed as.

[Example of insufficient drug administration days]
FIG. 12 is a diagram showing a display example when the number of days for administration of the drug is insufficient. Specifically, in the example shown in FIG. 12, the "1" day and "15" day of the basic administration date specific information, and the "1" day and "15" day of the basic administration date specific information. Is consistent with. Further, in the example shown in FIG. 12, the total number of days of the basic administration date of "drug M1" is "2" and the total number of days of the prescription administration date of "drug M1" is "2". .. On the other hand, in the example shown in FIG. 12, the "8" day, which is the basic administration date specific information, does not exist in the prescription administration date specific information. Therefore, in the therapy determination process, the first error information is stored for the basic administration date specific information on the "8th" day. Further, the total number of days of the basic administration day of the "drug M2""3" does not match the total number of days of the prescription administration day of the "drug M2""2". Therefore, in the therapy determination process, the third error information is stored for the total number of days of the "drug M2".

Then, as shown in FIG. 12, on the display screen P1, the region A121 corresponding to the "8th" day of the basic administration date identification information is identifiablely displayed by the color scheme of the first color, and ". The region A133 corresponding to the total number of days of the prescription administration of "drug M2" is identifiablely displayed by the second color scheme. Therefore, the user can grasp that the basic administration date specific information corresponding to the "8th" day does not exist in the prescription administration date specific information, and the total number of days of the prescription administration date of the "drug M2". However, it does not match the total number of days of basic administration, and it can be easily grasped that the number of days of administration of "drug M2" is insufficient. In addition, in FIG. 12, when the total number of days of the basic administration day is displayed in the display area A12, the display area of the total number of days of the basic administration day corresponding to "drug M2" is the color scheme of the second color. It may be displayed as.

[Example of excessive drug administration days]
FIG. 13 is a diagram showing a display example when the number of days of administration of the drug is excessive. Specifically, in the example shown in FIG. 13, all the basic administration date identification information and the prescription administration date identification information match. Further, in the example shown in FIG. 13, the total number of days of the basic administration date of the “drug M2” is “3” and the total number of days of the prescription administration date of the “drug M2” is “3”. .. On the other hand, the total number of days of the basic administration date of "drug M1" is "2" and the total number of days of the prescription administration date of "drug M1" is "3". Therefore, in the therapy determination process, the third error information is stored for the total number of days of the "drug M1".

Then, as shown in FIG. 13, on the display screen P1, the region A133 corresponding to the total number of days of the prescription administration date of the “medicine M1” is identifiablely displayed by the second color scheme. Therefore, by referring to the display screen P1, the user does not match the total number of days of the prescription administration date of the "drug M1" with the total number of days of the basic administration date, and the number of administration days of the "drug M1" is excessive. It can be easily grasped. In addition, in FIG. 13, when the total number of days of the basic administration day is displayed in the display area A12, the display area of the total number of days of the basic administration day corresponding to "drug M1" is the color scheme of the second color. It may be displayed as.

Further, when all the basic administration date specific information and the prescription administration date specific information match in the therapy determination process, the control unit 11 administers the basic administration drug in each of the basic administration date specific information. It may be determined whether or not the presence or absence of the prescription drug and the presence or absence of the administration of the prescription drug in each of the prescription administration date specific information match. Specifically, in the example shown in FIG. 13, the basic administration date identification information and the prescription administration date identification information all match. On the other hand, although the basic dose does not exist in the "drug M1" corresponding to the basic administration date specific information "8" day, the "drug M1" corresponding to the prescription administration date specific information "8" day Is present in the prescribed dose. Therefore, in this case, as shown in FIG. 13, in the display area A13, the area A134 corresponding to the prescribed dose on the “8” day of the “drug M1” has the second color scheme. It may be displayed in an identifiable manner. As a result, the user can easily grasp that the administration of "drug M1" is excessive on the "8th" day of "drug M1" by referring to the display screen P1.

[Example of excess or deficiency of drug dose]
FIG. 14 is a diagram showing a display example when the dose of the drug is outside the allowable dose range. Here, the weight of the patient in the prescription data on which the prescription administration date is "8/21" and the weight of the patient in the prescription data on which the prescription administration date is "8/7" are 56.0 kg to 48. The case where the basic dose corresponding to “8/21” is changed by reducing the weight to 0 kg will be described as an example.

Specifically, in the example shown in FIG. 14, the prescription administration date specific information is "500" which is the prescription dose of "drug M1" on the "1" day, and the said on the "1" day. The basic dose of "drug M1" calculated based on the weight of the patient in the prescription data is "560", and the prescription dose is within the permissible range of the prescription amount. On the other hand, the prescription administration date specific information is calculated based on the weight of the patient in the prescription data on the "15" day with respect to "500" which is the prescription dose of the "drug M1" on the "15" day. Since the basic dose of the given "drug M1" is "480" and the ratio to the basic dose is "104.2"%, the prescribed dose is out of the allowable dose range. Therefore, in the therapy determination process, the fourth error information is stored for the prescribed dose on the “15th” day of the “drug M1”.

Then, as shown in FIG. 14, on the display screen P1, the region A134 whose prescription administration date identification information corresponds to the prescription dose of the “drug M1” on the “15” day has the third color scheme. Displayed identifiable. As a result, the user can easily refer to the display screen P1 so that the prescription dose of the “drug M1” on the “15th” day of the prescription administration date identification information is out of the dose permissible range. Can be grasped.

[Example of chemical shortage]
FIG. 15 is a diagram showing a display example when the chemical is insufficient. Specifically, in the example shown in FIG. 15, the total number of days of the basic administration date for "drug M2" is "3", whereas the total number of days of the prescription administration date for "drug M2" is ". It is "0", and the total number of days of the prescription administration date and the total number of days of the basic administration date do not match. Therefore, in the therapy determination process, the third error information is stored for the total number of days of the prescription administration date of the "drug M2". In particular, since the total number of days of the prescription administration date of the "drug M2" is "0", the third error information includes the shortage drug information about the "drug M2".

Then, as shown in FIG. 15, the control unit 11 has the region corresponding to the prescription-administered drug of the “medicine M2” on the display screen P1 based on the deficient drug information of the third error information. A132, A133, and A134 are identifiablely displayed by the second color scheme. Therefore, the user can easily grasp that the prescription-administered drug of "drug M2" is insufficient for the basic-administered drug by referring to the display screen P1.

In addition, in FIG. 15, the case where the basic administration date specific information is plural is described as an example for one course, but as shown in FIG. 16, the basic administration date specific information is one and the said. It is also possible that the total number of basic administration days is "1". Even in this case, when the total number of days of the basic administration date for "drug M2" is "1", the total number of days of the prescription administration date for "drug M2" is "0". Stores the third error information including the deficient drug information for the total number of days of the prescription administration date of the "drug M2". Therefore, as shown in FIG. 16, on the display screen P1, the regions A132, A133, and A134 corresponding to the prescription-administered drug of the “drug M2” are identifiablely displayed by the second color scheme.

[Example of excess chemicals]
FIG. 17 is a diagram showing a display example when the amount of chemicals is excessive. In the medical-related system 5, it is generally considered that other drugs cannot be added to the drugs used for the therapy at the time of registration of the prescription data, but the system should be able to add other drugs. Is also possible. Specifically, in the example shown in FIG. 17, the total number of days of the basic administration date for "drug M3" is "0", whereas the total number of days of the prescription administration date for "drug M3" is ". 3 ”, and the total number of days of the prescription administration date and the total number of days of the basic administration date do not match. Therefore, in the therapy determination process, the third error information is stored for the total number of days of the prescription administration date of the "drug M3". In particular, since the total number of days of the basic administration date of "drug M3" is "0" and the total number of days of the prescription administration date of "drug M3" is "3", the third error information includes The excess drug information about "drug M3" is included.

Then, as shown in FIG. 17, the control unit 11 has the region corresponding to the prescription-administered drug of the “drug M3” on the display screen P1 based on the excess drug information of the third error information. A132, A133, and A134 are identifiablely displayed by the second color scheme. Therefore, by referring to the display screen P1, the user can easily grasp that the prescription-administered drug of "drug M3" is excessive with respect to the basic-administered drug.

[Other examples of display screen]
Note that FIG. 18 is a diagram showing another example of the display screen P1. In the display area A12 of the display screen P1 in FIG. 18, the area A126 in which the total number of days of the basic prescription date is displayed is displayed. Further, in the display areas A12 and A13 of the display screen P1 in FIG. 18, in the first direction D1, the areas A121, A122, and A125 indicating the basic administration date specific information, the basic administration date, and the basic dose are shown. The prescription administration date, the prescription administration date specific information, and the regions A135, A136, and A134 indicating the prescription dose are displayed so as to be aligned in the second direction D2 with the same display size and display interval, respectively. There is. This makes it possible to more easily compare the basic administration information and the prescription administration information in the display area A12 and the display area A13. In this case, the operation unit K11 or K12 is provided in either one of the display areas A12 and A13, and the control unit 11 is in the display areas A12 and A13 in response to the operation of the operation unit K11 or K12. The regions A121, A122, A131, A135, A136, and A134 may be interlocked and slide-displayed.

[Treatment history display]
In the therapy management system 10, the control unit 11 can display a display screen P11 including a therapy history and an examination history based on the therapy history data, the examination data, and the like according to a user operation. May be good. Then, it is conceivable that the control unit 11 displays the determination result in the therapy determination process on the display screen P11.

Here, FIG. 19 is a diagram showing an example of the display screen P11. As shown in FIG. 19, the display screen P11 includes a display area A21 in which the therapy history for a specific patient is displayed and a display area A22 in which the examination history for the patient is displayed.

In the display area A21, information such as the patient's body weight, body surface area, prescription administration date, therapy name, prescription administration drug, and prescription dose is displayed. Specifically, in the display area A21, the prescription administration date is displayed in each of the areas A211 and the presence or absence of medication corresponding to the prescription administration date is displayed in each of the areas A212, and each area A213 is displayed. The prescribed dose for each prescribed drug on the prescribed administration date is displayed. The display area A21 on the display screen P11 is not limited to the past administration history of the drug for the specific patient, and may include a future drug administration schedule. For example, in the example shown in FIG. 19, the display mode of the star mark indicating that there is medication in the region A212 indicates that the administration date (★) or the scheduled administration date (☆).

Then, when the first error information or the second error information is stored in the therapy determination process, the control unit 11 describes the first error information or the date corresponding to the second error information. The area A212 is displayed in the same color scheme of the first color as the display screen P1. Further, when the third error information is stored in the therapy determination process, the control unit 11 displays the area A212 on the date corresponding to the third error information on the same second display screen P1 as the display screen P1. Display in a color scheme. Further, when the fourth error information is stored in the therapy determination process, the control unit 11 displays the area A213 on the date corresponding to the fourth error information as the same as the display screen P1. Display in a color scheme.

As a result, when the user refers to the display screen P11, the color scheme of the first color, the second color, and the third color, which is the same as that of the display screen P1, causes various errors in the therapy determination process. It is possible to easily grasp the presence or absence of occurrence. The control unit 11 corresponds to the areas A212 and A213 according to the user operation of the areas A212 and A213 to which the first color, the second color, or the third color is applied. The content of the error may be displayed.

[Application to electronic medical record system]
In the above-described embodiment, the case where the therapy management system 10 is the dispensing support system has been described as an example, but the therapy management system 10 can also be applied to other systems. Specifically, it is conceivable that an electronic medical record system that manages patient medical record information is an example of the therapy management system 10. In this case, in the therapy management system 10, which is the electronic medical record system, the control unit 11 executes the information acquisition process and the therapy determination process when the prescription data is registered by a doctor or the like, and the display screen. It is conceivable to output the basic administration information, the prescription administration information, the determination result, and the like on the same screen in an embodiment such as P1. Thereby, when a user such as a doctor registers the prescription data, it is possible to easily grasp the relationship between the administration date information indicated by the prescription data and the administration date information according to the therapy. ..

1 Therapy management device 11 Control unit 111 First acquisition processing unit 112 Second acquisition processing unit 113 Output processing unit 114 Judgment processing unit 12 Storage unit 13 Communication I / F
14 Display unit 15 Operation unit 16 Drive device 2 Client terminal 3 Printer 4 Communication network 5 Medical-related system 10 Therapy management system

Claims (18)

Prescription data based on the basic therapy information in which the predetermined therapy and the basic administration date identification information for specifying the basic administration date for one course in which the basic administration drug is administered according to the therapy are associated in advance. First acquisition to acquire basic administration information including at least one of the basic administration date specific information for one course or the basic administration date for one course specified based on the basic administration date specific information for the indicated therapy. Processing unit and
A second acquisition processing unit that acquires prescription administration information including at least one of the prescription administration date of the prescription administration drug shown in the prescription data or the prescription administration date specific information for specifying the prescription administration date, and the second acquisition processing unit.
An output processing unit that outputs the basic administration information acquired by the first acquisition processing unit and the prescription administration information acquired by the second acquisition processing unit on the same screen or the same sheet.
A therapy management system equipped with. The output processing unit outputs the basic administration date identification information of the basic administration information and the prescription administration date identification information of the prescription administration information on the same screen or the same sheet.
The therapy management system according to claim 1. The output processing unit outputs the basic administration date of the basic administration information and the prescription administration date of the prescription administration information on the same screen or the same sheet.
The therapy management system according to claim 1 or 2. The output processing unit outputs the basic administration date identification information or the basic administration date of the basic administration information in chronological order along the first direction, and also outputs the basic administration date in a second direction perpendicular to the first direction. The prescription administration date identification information or the prescription administration date of the prescription administration information is output in chronological order along the first direction at a position separated from or adjacent to the administration date specific information or the basic administration date.
The therapy management system according to any one of claims 1 to 3. The output processing unit can discriminately output the basic dose specifying information or the presence or absence of administration on each of the basic administration dates for each of the basic administration drugs, and the prescription administration date identification information or the above for each of the prescription administration drugs. Outputs the presence or absence of administration on each prescription administration date in an identifiable manner.
The therapy management system according to claim 4. In the basic therapy information, the basic dose specifying information for specifying the basic dose of the basic administered drug to be administered according to the therapy is associated with each of the therapies.
The first acquisition processing unit obtains the basic administration information including the basic dose of the basic administration drug corresponding to the therapy indicated by the prescription data based on the basic dose specific information of the basic therapy information. Acquired,
The second acquisition processing unit acquires the prescription administration information including the prescription dose of the prescription administration drug indicated by the prescription data, and obtains the prescription administration information.
The output processing unit
The identification information of the basic administration drug is output along the second direction, and the basic administration date is specified at the position on the first direction corresponding to the basic administration drug to which the basic administration drug should be administered. The basal dose corresponding to the basal dose is output at the position corresponding to the information or the basal dose date.
The identification information of the prescription-administered drug is output along the second direction, and the prescription-administered date identification information at a position on the first direction corresponding to the prescription-administered drug to which the prescription-administered drug is administered. Alternatively, the prescribed dose corresponding to the prescribed drug is output at a position corresponding to the prescribed administration date.
The therapy management system according to claim 5. The second acquisition processing unit acquires the prescription administration information including the total number of days of the prescription administration date in one or a plurality of the prescription data corresponding to the same course.
The therapy management system according to any one of claims 1 to 6. The basic administration date specific information is information indicating the number of days from an arbitrary administration start date to the basic administration date.
The prescription administration date specific information is the administration start date indicated by the prescription data, or the administration start date which is the earliest prescription administration date among the prescription administration dates in one or more of the prescription data corresponding to the same course. Information indicating the number of days until the prescription administration date, counting from
The therapy management system according to any one of claims 1 to 7. A determination processing unit for determining whether or not the basic administration information and the prescription administration information satisfy a preset specific condition is provided.
The output processing unit outputs the determination result at least when the determination result by the determination processing unit is unsatisfactory.
The therapy management system according to any one of claims 1 to 8. The specific condition includes that the basic administration date specific information and the prescription administration date specific information match, or that the basic administration date and the prescription administration date match.
The therapy management system according to claim 9. The basic administration information includes the total number of days of the basic administration for one course.
The prescription administration information includes the total number of days of the prescription administration date in one or more of the prescription data corresponding to the same course.
The specific condition includes that the total number of days of the basic administration date and the total number of days of the prescription administration date match.
The therapy management system according to claim 9 or 10. The output processing unit outputs the determination result by the determination processing unit according to the output mode of the basic administration information and the prescription administration information.
The therapy management system according to any one of claims 9 to 11. Prescription data based on the basic therapy information in which the predetermined therapy and the basic administration date identification information for specifying the basic administration date for one course in which the basic administration drug is administered according to the therapy are associated in advance. First acquisition to acquire basic administration information including at least one of the basic administration date specific information for one course or the basic administration date for one course specified based on the basic administration date specific information for the indicated therapy. Steps and
A second acquisition step of acquiring prescription administration information including at least one of the prescription administration date of the prescription administration drug shown in the prescription data or the prescription administration date identification information for specifying the prescription administration date, and
An output step for outputting the basic administration information acquired by the first acquisition step and the prescription administration information acquired by the second acquisition step on the same screen or the same sheet.
A therapy management program that allows a computer to run. Prescription data based on the basic therapy information in which the predetermined therapy and the basic administration date identification information for specifying the basic administration date for one course in which the basic administration drug is administered according to the therapy are associated in advance. First acquisition to acquire basic administration information including at least one of the basic administration date specific information for one course or the basic administration date for one course specified based on the basic administration date specific information for the indicated therapy. Processing unit and
A second acquisition processing unit that acquires prescription administration information including at least one of the prescription administration date of the prescription administration drug shown in the prescription data or the prescription administration date specific information for specifying the prescription administration date, and the second acquisition processing unit.
A determination processing unit that determines whether or not the basic administration information and the prescription administration information satisfy a preset specific condition, and at least when the determination result by the determination processing unit is unsatisfactory, the determination result is output. Output processing unit and
A therapy management system equipped with. The specific condition includes that the basic administration date specific information and the prescription administration date specific information match, or that the basic administration date and the prescription administration date match.
The therapy management system according to claim 14. The basic administration information includes the total number of days of the basic administration for one course.
The prescription administration information includes the total number of days of the prescription administration date in one or more of the prescription data corresponding to the same course.
The specific condition includes that the total number of days of the basic administration date and the total number of days of the prescription administration date match.
The therapy management system according to claim 14 or 15. The output processing unit outputs the determination result by the determination processing unit according to the output mode of the basic administration information and the prescription administration information.
The therapy management system according to any one of claims 14 to 16. Prescription data based on the basic therapy information in which the predetermined therapy and the basic administration date identification information for specifying the basic administration date for one course in which the basic administration drug is administered according to the therapy are associated in advance. First acquisition to acquire basic administration information including at least one of the basic administration date specific information for one course or the basic administration date for one course specified based on the basic administration date specific information for the indicated therapy. Steps and
A second acquisition step of acquiring prescription administration information including at least one of the prescription administration date of the prescription administration drug shown in the prescription data or the prescription administration date identification information for specifying the prescription administration date, and
A determination step for determining whether or not the basic administration information and the prescription administration information satisfy a preset specific condition, and an output step for outputting the determination result when at least the determination result by the determination step is unsatisfactory. When,
A therapy management program that allows a computer to run.

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