JP2022041363A - Medication provision supporting device and program - Google Patents

Abstract

To provide a medication provision supporting device and a program which allow patients to receive, at home and in an appropriate way, the medications that have been prepared according to their prescriptions.SOLUTION: A patient supporting server 1 which is communicably connected to pharmacist terminals 7 used by pharmacists respectively working in a pharmacy and patient terminals 5 used by patients to support the provision of medications to the patients includes: a medication teaching processing unit which connects, according to a medication teaching request from a patient terminal 5, the patient terminal 5 and the pharmacist terminal 7 of a pharmacy which has been specified with the medication teaching request as well as makes prescription data regarding the prescription provided to the patient available to be viewed via the pharmacist terminal 7 to allow medication teaching to be performed between the patient terminal 5 and the pharmacist terminal 7; and a medication delivery processing unit which receives and registers a delivery record sent from the pharmacist terminal 7 when the medications which have been prepared according to the prescription data in the pharmacy are delivered.SELECTED DRAWING: Figure 1

Description

The present invention relates to a drug delivery support device and a program.

Traditionally, a patient goes to a hospital to see a doctor and then goes to a pharmacy with a prescription given to the patient. By doing so, the patient receives the prescription-prepared drug after receiving the medication instruction from the pharmacist.
In recent years, online medical examinations have come to be performed, and the convenience of medical examinations has improved. However, when a prescription is issued by a doctor, for example, the prescription is delivered to the patient by mail, and the prescription delivered by the patient must be taken to the pharmacy, which is not convenient.

Therefore, as a service related to the service of delivering drugs to home without the patient going to a pharmacy, "Receive and manage at least the patient's insurance certificate number and prescription information including the prescription contents of the drug to the patient from the hospital. A patient who obtains patient information of the patient from a patient information management database that stores patient information including the insurance certificate number by using the prescription information receiving means and the insurance certificate number of the prescription information received by the prescription information receiving means as a key. Based on the information acquisition means and the patient information obtained by the patient information acquisition means, the patient's predetermined dispensing and distribution center are determined, and a part or all of the prescription information and the patient information are sent to the dispensing and distribution center. Is disclosed as a prescription collection distribution server provided with a prescription delivery information distribution means for notifying as prescription delivery information (see, for example, Patent Document 1).

Japanese Unexamined Patent Publication No. 2002-279569

The one described in Patent Document 1 delivers a drug by transmitting prescription information to a drug and a distribution center registered in advance. On the other hand, when the patient receives the drug, the pharmacist needs to give instructions on taking the drug, but the one described in Patent Document 1 does not take this point into consideration.

An object of the present invention is to provide a drug delivery support device and a program capable of receiving a drug dispensed by a prescription by an appropriate method while the patient is at home or the like.

The present invention is a drug supply support device that is communicably connected to a pharmacist terminal used by a pharmacist belonging to a pharmacy and a patient terminal used by a patient to support the supply of the drug to the patient, and is a patient. In response to the medication instruction request from the terminal, the patient terminal is connected to the pharmacist terminal of the pharmacy specified by the medication instruction request, and prescription data related to the prescription delivered to the patient is obtained from the pharmacist terminal. Delivery from the pharmacist terminal when delivering a medication instruction processing means that makes it visible and enables medication instruction between the patient terminal and the pharmacist terminal and a drug dispensed based on the prescription data at the pharmacy. The present invention relates to a drug providing support device comprising a delivery record registration means for receiving and registering a record.

Further, the drug supply support device includes a patient information storage unit that stores patient information including information of a pharmacist who has received a face-to-face drug supply, and the medication instruction processing means refers to the patient information storage unit. The medication instruction may be enabled between the patient terminal and the pharmacist terminal only when the information of the pharmacist specified by the medication instruction request is included.

Further, the drug providing support device includes a prescription data storage unit for storing the prescription data, and the medication instruction processing means is the medication in the prescription data storage unit from the pharmacist terminal of the pharmacy specified by the medication instruction request. The prescription data corresponding to the instruction request may be made visible.

Further, in the drug providing support device, the patient terminal and the medical institution specified by the medical examination request are connected in a communicable manner to the doctor terminal used by the doctor, and in response to the medical examination request from the patient terminal. A medical examination processing means that connects to a doctor terminal and enables a medical examination between the patient terminal and the doctor terminal, and the prescription data related to the prescription delivered to the patient by the doctor who uses the doctor terminal. , The prescription data processing means that makes it visible from the patient terminal may be provided.

Further, the drug providing support device includes a medical examination availability receiving means for receiving medical examination availability information from the doctor terminal, and the medical examination processing means is used when the medical examination request received from the patient terminal is a request for immediate medical examination. The doctor terminal and the patient terminal may be connected to each other, in which the medical examination availability information received by the medical examination availability receiving means is the information on which the medical examination is possible.

Further, in the drug providing support device, when the medical examination processing means receives the requirement related to the medical institution from the patient terminal, the received requirement is satisfied, and the medical examination availability information received by the medical examination availability receiving means is examined. The one doctor terminal and the patient terminal, which are acceptable information, may be connected.

Further, the drug providing support device includes a patient information storage unit that stores patient information including information of a doctor who has performed a face-to-face examination, and the examination processing means refers to the patient information storage unit and requests the examination. The medical examination may be possible between the patient terminal and the doctor terminal only when the information of the doctor specified by the above is included.

Further, it may be a program for operating the computer as a drug delivery support device.

According to the present invention, it is possible to provide a drug provision support device and a program capable of receiving a drug dispensed by a prescription while the patient is at home or the like by an appropriate method.

It is an overall block diagram of the medical examination and medication instruction system which concerns on 1st Embodiment. It is a functional block diagram of the patient support server which concerns on 1st Embodiment. It is a figure which shows the example of the storage part of the patient support server which concerns on 1st Embodiment. It is a flowchart which shows the examination and the medication instruction processing of the examination and the medication instruction system which concerns on 1st Embodiment. It is a figure which shows the display example in the patient terminal which concerns on 1st Embodiment. It is a functional block diagram of the patient support server which concerns on 2nd Embodiment. It is a flowchart which shows the medical examination process which concerns on 2nd Embodiment, and the immediate medical examination process of the medication instruction system. It is a figure which shows the display example in the doctor terminal and the patient terminal which concerns on 2nd Embodiment. It is a flowchart which shows the immediate medication instruction processing of the medical examination and medication instruction system which concerns on 2nd Embodiment.

Hereinafter, embodiments for carrying out the present invention will be described with reference to the drawings. It should be noted that this is only an example, and the technical scope of the present invention is not limited to this.
(First Embodiment)
[Overall configuration of medical examination and medication guidance system 100]
FIG. 1 is an overall configuration diagram of a medical examination and medication guidance system 100 according to the first embodiment.
FIG. 2 is a functional block diagram of the patient support server 1 according to the first embodiment.
FIG. 3 is a diagram showing an example of the storage unit 30 of the patient support server 1 according to the first embodiment.

The medical examination and medication instruction system 100 shown in FIG. 1 provides a one-stop service from medical examination to medication instruction and drug delivery, which enables a patient to receive medical examination by a doctor and medication instruction by a pharmacist while staying at home, for example. It is a system to do.
The medical examination and medication guidance system 100 includes a patient support server 1 (drug provision support device), a patient terminal 5, a doctor terminal 6, and a pharmacist terminal 7. Then, the patient support server 1, the patient terminal 5, the doctor terminal 6, and the pharmacist terminal 7 can perform data communication by the data communication network N.
Note that FIG. 1 shows one patient terminal 5, two doctor terminals 6, and a pharmacist terminal 7 together with their installation locations, but this is only an example. The number of each terminal and the installation location of each terminal are not particularly limited.

[Patient support server 1]
The patient support server 1 is owned by, for example, a company that provides a platform for realizing the service. Then, the company operates the patient support server 1.
Here, in order for many patients to use the service provided by the patient support server 1, it is necessary to inform many patients of the service. In addition, it is necessary to install an application program (hereinafter, also referred to as "member application") necessary for using the service on each patient terminal 5.
Therefore, in the medical examination and medication guidance system 100, for example, a database having information on a purchaser who has already purchased a drug, which is owned by a company operating a patient support server 1, may be linked with patient information. Then, the purchaser of the drug may be provided with, for example, an advertisement urging the purchaser of the member application to be installed. It should be noted that such a measure for increasing the number of users is an example.

As shown in FIG. 2, the patient support server 1 includes a control unit 10, a storage unit 30, and a data communication IF (interface) 39.
The control unit 10 is a CPU (central processing unit) that controls the entire patient support server 1. The control unit 10 appropriately reads out and executes an OS (operating system) and an application program stored in the storage unit 30 to cooperate with the above-mentioned hardware and execute various functions.
The control unit 10 includes a medical institution processing unit 11 and a pharmacy processing unit 21.

The medical institution processing unit 11 performs processing related to advance reservation, online medical examination, and issuance of a prescription as processing when a patient visits a medical institution while staying at home or the like. Here, online refers to connecting terminals to each other and remotely making a call or the like with the other party.
The medical institution processing unit 11 includes an advance reservation processing unit 12, a medical examination request receiving unit 13, a medical examination processing unit 14 (medical examination processing means), and a prescription data processing unit 15 (prescription data processing means).

When the advance reservation processing unit 12 receives a request for a medical examination reservation from the patient terminal 5, the advance reservation processing unit 12 processes the received medical examination reservation request. Here, the appointment for a medical examination means an appointment for a medical examination from the next day onward.
The medical examination request receiving unit 13 receives the medical examination request from the patient terminal 5 when the medical examination reservation time arrives. The consultation request contains information that identifies the medical institution designated by the patient.

The medical examination processing unit 14 connects the patient terminal 5 and the doctor terminal 6 of the medical institution specified by the medical examination request received by the medical examination request receiving unit 13. Then, the medical examination processing unit 14 enables the medical examination using the patient terminal 5 and the doctor terminal 6. For example, by using the video call function, the medical examination processing unit 14 asks a question between the patient who uses the patient terminal 5 and the doctor who uses the doctor terminal 6, observes the complexion and symptoms of the patient, and the like. The doctor can see the patient.
The prescription data processing unit 15 receives prescription data obtained by digitizing the prescription delivered to the patient by the doctor when the prescription of the drug is required as a result of the medical examination. The prescription data processing unit 15 receives, for example, prescription data from the doctor terminal 6. The doctor terminal 6 may transmit the prescription data to the patient terminal 5, and in that case, the prescription data processing unit 15 may receive the prescription data from the patient terminal 5. The prescription data may be, for example, a paper prescription taken with a camera or scanned to be converted into data (imaging), or created by an electronic medical record device (not shown) or the like. It may be converted into data from the beginning. Then, the prescription data processing unit 15 stores the received prescription data in the prescription data storage unit 35. Further, when the medical institution transmits the prescription by FAX, the prescription data processing unit 15 may store the received FAX data in the prescription data storage unit 35.

The pharmacy processing unit 21 performs processing related to advance reservation, online medication guidance, and drug delivery as processing when a patient receives a drug prescribed at a pharmacy while staying at home or the like.
The pharmacy processing unit 21 includes an advance reservation processing unit 22, a medication instruction request receiving unit 23, a medication instruction processing unit 24 (medication instruction processing means), and a drug delivery processing unit 25 (delivery record registration means).
When the advance reservation processing unit 22 receives a request for reservation of medication instruction from the patient terminal 5, the advance reservation processing unit 22 performs processing related to the received instruction reservation request.
The medication instruction request receiving unit 23 receives the medication instruction request from the patient terminal 5 when the instruction reservation time arrives. The medication instruction request contains information that identifies the pharmacy designated by the patient.

The medication instruction processing unit 24 connects the patient terminal 5 to the pharmacist terminal 7 of the pharmacy specified by the medication instruction request received by the medication instruction request receiving unit 23. Then, the medication instruction processing unit 24 enables medication instruction using the patient terminal 5 and the pharmacist terminal 7. At that time, the medication instruction processing unit 24 makes the patient's prescription data visible from the pharmacist terminal 7. Then, the medication instruction processing unit 24 relates to the medication of the medicine dispensed based on the prescription between the patient who uses the patient terminal 5 and the pharmacist who uses the pharmacist terminal 7, for example, by using the video call function. I can give guidance.
The drug delivery processing unit 25 receives the delivery record of the drug from the pharmacist terminal 7 after the processing by the medication instruction processing unit 24. Then, the drug delivery processing unit 25 updates the status related to the delivery of the corresponding prescription data in the prescription data storage unit 35.

The storage unit 30 is a storage area for a hard disk, a semiconductor memory element, or the like for storing programs, data, and the like necessary for the control unit 10 to execute various processes.
The storage unit 30 includes a program storage unit 31, a patient information storage unit 32, a doctor information storage unit 33, a pharmacist information storage unit 34, a prescription data storage unit 35, and a reservation information storage unit 36.
The program storage unit 31 is a storage area for storing an application program (program) for executing various functions performed by the control unit 10 described above.

The patient information storage unit 32 is a storage area for storing information about a patient who uses a service realized by the medical examination and medication guidance system 100.
In the example shown in FIG. 3A, the patient information storage unit 32 uses the patient ID (Identification) as a key to provide personal information such as name, address, telephone number, e-mail address, date of birth, and insurance certificate information. , The payment method information, the face-to-face doctor ID, the face-to-face pharmacist ID, and the like are stored in association with each other.
The patient ID is identification information that identifies the patient. The patient ID is used to uniquely identify the patient in the patient support server 1, and when the patient information is registered, the control unit 10 of the patient support server 1 automatically automatically identifies the patient as a serial number from 1, for example. It may be given to.

Personal information such as a name and an address is stored in the patient information storage unit 32 by being input by the patient in advance when using this service, for example.
The health insurance card information is the face information of the health insurance card, and may be, for example, an image of the face of the ticket, an insurance card number, or both. When using this service, the health insurance card information is stored in the patient information storage unit 32 by the patient taking a picture of his / her health insurance card in advance with a camera of the patient terminal 5, for example. In addition to the health insurance card, the health insurance card information may include information such as a medical certificate.
The payment method information is, for example, credit card information, which is used for payment of medical treatment costs and drug costs. The payment method information is stored in the patient information storage unit 32, for example, when the patient inputs a credit card number or the like in advance when using this service. In addition to credit card information, the payment method information may be other information as long as it can be used for electronic payment, such as financial institution account information and prepaid card numbers.

The face-to-face doctor ID and the face-to-face pharmacist ID are identification information that identifies the doctor who performed the face-to-face examination and the pharmacist who provided the face-to-face medication instruction. The face-to-face doctor ID and the face-to-face pharmacist ID correspond to the information of the doctor who performed the face-to-face examination and the information of the pharmacist who received the face-to-face drug. As for the face-to-face doctor ID and the face-to-face pharmacist ID, for example, a doctor or a pharmacist is registered by the patient after performing a face-to-face examination or medication instruction. At that time, in order to prevent unauthorized registration by the patient, for example, the patient may be registered in the patient information storage unit 32 when approved by a doctor or a pharmacist. A plurality of face-to-face doctor IDs and face-to-face pharmacist IDs can be registered.
In addition, instead of the face-to-face doctor ID and the face-to-face pharmacist ID, the face-to-face medical institution ID and the face-to-face pharmacy ID may be used. In that case, the medical institution to which the doctor who conducted the face-to-face examination belongs and the pharmacy to which the pharmacist who provided the face-to-face medication instruction belongs are registered.

The doctor information storage unit 33 is a storage area for storing information about a doctor who makes a medical examination using the medical examination and medication guidance system 100.
In the example shown in FIG. 3B, the doctor information storage unit 33 stores the name, the clinical department, the medical institution ID, the doctor's license information, and the like in association with each other, using the doctor ID as a key.
The doctor ID is identification information that uniquely identifies a doctor. The doctor ID is used in the patient support server 1 to uniquely identify a doctor.

The name and the clinical department are the names of the doctors and the clinical departments that can be handled, and are stored in the doctor information storage unit 33, for example, by being input by the doctor in advance when registering for this service.
The medical institution ID is identification information that identifies the medical institution to which the doctor belongs.
The doctor's license information is the information of the doctor's license, such as an image of the doctor's license and a list registration number.
The doctor information storage unit 33 may register other information about the doctor.

The pharmacist information storage unit 34 is a storage area for storing information about a pharmacist who gives medication guidance using the medical examination and medication guidance system 100.
In the example shown in FIG. 3C, the pharmacist information storage unit 34 stores the name, the pharmacy ID, the pharmacist license information, and the like in association with each other using the pharmacist ID as a key.
The pharmacist ID is identification information that uniquely identifies the pharmacist. The pharmacist ID is used to uniquely identify the pharmacist in the patient support server 1.

The name is the name of the pharmacist, and is stored in the pharmacist information storage unit 34 by being input by the pharmacist in advance when registering for this service, for example.
The pharmacy ID is identification information that identifies the pharmacy to which the pharmacist belongs.
The pharmacist license information is information on the pharmacist license, such as an image of the pharmacist license and a list registration number.
The pharmacist information storage unit 34 may register other information about the pharmacist.

The prescription data storage unit 35 is a storage area for storing data related to a prescription issued by a doctor.
In the example shown in FIG. 3D, the prescription data storage unit 35 associates the date and time, the patient ID, the doctor ID, the prescription information, the pharmacist ID, and the delivered flag with the prescription ID as a key. And remember.
The prescription ID is identification information that identifies the prescription. The prescription ID is used to uniquely identify the prescription in the patient support server 1, and when the prescription data is registered, the control unit 10 of the patient support server 1 automatically automatically identifies the prescription as a serial number from 1, for example. It may be given to.
The date and time is the input date and time of the prescription data.

The patient ID is the identification information of the patient to whom the prescription is delivered, and the doctor ID is the identification information of the doctor who issues the prescription. The medical institution ID may be used instead of the doctor ID or in addition to the doctor ID.
Prescription information is information on prescription contents. The prescription information may be an image of a prescription or input data for creating a prescription. In the case of input data, for example, it is desirable that an electronic certificate or the like indicating that the data has been issued by a doctor is attached.
The pharmacist ID is identification information of the pharmacist who gave the patient medication instruction based on the prescription data, and is registered in the prescription data storage unit 35 when the pharmacist gives the medication instruction. In addition, instead of the pharmacist ID, or in addition to the pharmacist ID, the pharmacy ID may be used.
The delivered flag is a flag indicating whether or not the drug based on the prescription data has been shipped (delivered). Turn on the flag when arranging delivery.

The reservation information storage unit 36 is a storage area for storing information related to appointments for medical examinations and medication guidance by patients.
In the example shown in FIG. 3 (E), the reservation information storage unit 36 uses the reservation ID as a key to set the date and time, the patient ID, the reservation frame A, the medical institution ID, the reservation frame B, and the pharmacy ID. Store in association with each other.
The reservation ID is identification information that identifies the reservation information. The reservation ID is used to uniquely identify the reservation information in the patient support server 1, and when the reservation information is registered, the control unit 10 of the patient support server 1 automatically sets the reservation ID as, for example, a serial number from 1. It may be given as a target.
The date and time is the input date and time of the reservation information by the patient.
The patient ID is patient identification information.
The reservation frame A and the medical institution ID are the appointment date and time frame (time zone) for the medical examination and the identification information of the medical institution that made the reservation.
The reservation frame B and the pharmacy ID are the reservation date and time frame (time zone) for medication instruction and the identification information of the reserved pharmacy.
The medical institution ID and the pharmacy ID may be used instead of the doctor ID and the pharmacist ID.

Further, the data stored in the storage unit 30 is not limited to the above. For example, it may have a medical institution information storage unit that stores information about a medical institution using a medical institution ID as a key, or a pharmacy information storage unit that stores information about a pharmacy using a pharmacy ID as a key.
Further, each item from the patient information storage unit 32 to the reservation information storage unit 36 shown in FIG. 3 is an example, and may or may not have other items.

The data communication IF 39 is an interface with the data communication network N.
The computer is an information processing device provided with a control unit, a storage device, and the like, and the patient support server 1 is an information processing device provided with a control unit 10, a storage unit, and the like, and is included in the concept of a computer. ..
Further, the patient support server 1 may be realized not by one server device but by a combination of a plurality of server devices such as a cloud server.

[Patient terminal 5]
The patient terminal 5 is a terminal used when a patient receives an online medical examination or medication instruction. In FIG. 1, the patient terminal 5 is illustrated as a mobile terminal such as a smartphone or a tablet, but the present invention is not limited thereto. The patient terminal 5 may be another, for example, a personal computer (PC) or the like.
Although not shown, the patient terminal 5 includes a control unit, a storage unit, an input / output unit such as a touch panel, a camera, a microphone, and a data communication IF.

[Doctor terminal 6]
The doctor terminal 6 is, for example, a terminal provided in each medical institution and used by a doctor. In FIG. 1, the doctor terminal 6 is exemplified as a general PC, but is not limited thereto. The doctor terminal 6 may be another, for example, a smartphone, a tablet, or the like. Although not shown, the doctor terminal 6 includes a control unit, a storage unit, a display unit such as a display, an input unit such as a keyboard, a camera, a microphone, and a data communication IF.
As the doctor terminal 6, for example, a terminal for an electronic medical record or the like may be used.

[Pharmacist terminal 7]
The pharmacist terminal 7 is, for example, a terminal provided in each pharmacy and used by a pharmacist. In FIG. 1, the pharmacist terminal is exemplified as a general PC, but is not limited thereto. The pharmacist terminal 7 may be another, for example, a smartphone, a tablet, or the like. Although not shown, it includes a control unit, a storage unit, a display unit such as a display, an input unit such as a keyboard, a camera, a microphone, and a data communication IF.

[Explanation of processing]
Next, the medical examination and the processing in the medication instruction system 100 will be described.
As a preliminary process, first, a patient who intends to use the service by the medical examination and medication guidance system 100 installs a member application (not shown) for using the service on the patient terminal 5.
Then, the member application installed on the patient terminal 5 is started and the basic information is registered. Here, the basic information is information of each item stored in the patient information storage unit 32. As described above, the patient information storage unit 32 may store the information of the purchaser who has already purchased the drug.

Further, the doctor who performs the medical examination by the service connects to the patient support server 1 from the doctor terminal 6 via the Web, for example, and inputs the information of each item to be stored in the doctor information storage unit 33. Similarly, the pharmacist who gives the medication instruction by the service connects to the patient support server 1 from the pharmacist terminal 7, for example, via the Web, and inputs the information of each item to be stored in the pharmacist information storage unit 34.

Next, the processing related to the medical examination and the medication instruction will be described.
FIG. 4 is a flowchart showing a medical examination and medication instruction processing of the medical examination and medication instruction system 100 according to the first embodiment.
FIG. 5 is a diagram showing a display example on the patient terminal 5 according to the first embodiment.
First, the patient who wants to receive an online medical examination by a doctor activates the member application of the patient terminal 5 to display a screen for inputting the reservation information, and the patient inputs the reservation information. (Hereinafter, simply referred to as "S") In 11, the control unit of the patient terminal 5 accepts the input of reservation information.

The patient can input the reservation information using the patient terminal 5 by using various methods for searching for a hospital (medical institution).
FIG. 5A is a screen 51 used when searching for a hospital to make a reservation.
The screen 51 is first output to the patient terminal 5 when searching for a hospital to be reserved. On the screen 51, as a method of searching for a hospital, it is possible to search "by position", "by symptom", "by date and time", or "by word of mouth". Here, when searching for a hospital "from a location", the control unit 10 of the patient support server 1 can search for a nearby hospital based on the address of the patient stored in the patient information storage unit 32.
If the patient terminal 5 has a function of acquiring position information, the patient terminal 5 transmits the current location information to the patient support server 1 in response to the acceptance of the selection of "from the position", so that the patient The control unit 10 of the support server 1 may search for a hospital in the vicinity of the received current location information. Further, the screen 51 is an example, and there may be one that searches for a hospital by another method.

FIG. 5B is a screen 52 for inputting a date and time (medical examination date and time) for receiving a medical examination when a hospital is designated from the screen 51. The screen 52 is a screen on which a medical treatment date and a medical treatment start time can be specified. Dates and times that cannot be specified are marked with a strikethrough. In addition, the date and time selected by the patient can be grasped at a glance. The screen 52 shown in FIG. 5B shows that the medical examination from 15:00 on September 9, 2020 is reserved.
If the patient searches for a hospital "by date and time" in FIG. 5 (A), a screen (not shown) for inputting a date and time similar to that in FIG. 5 (B) is output, and the patient By outputting a hospital list screen (not shown) that can be examined at a specified date and time, it is possible to make an appointment for an examination.

Next, the patient makes an appointment for medication instruction using the patient terminal 5. Reservation for medication instruction can be made in much the same way as appointment for medical examination, and it is sufficient to use a "pharmacy" instead of a "hospital".
The appointment for medication instruction may be made in advance, but may be made after the medical examination.

After that, the patient terminal 5 transmits the input reservation information to the patient support server 1, and the control unit 10 (advance reservation processing unit 12) of the patient support server 1 receives the reservation information, and in S12 of FIG. , The control unit 10 (advance reservation processing unit 12) registers the reservation information in the reservation information storage unit 36. By this process, new information in which each item from the reservation ID to the medical institution ID is input is added to the reservation information storage unit 36.
Here, in the control unit 10 (advance reservation processing unit 12) of the patient support server 1, the medical institution ID included in the received reservation information is the medical treatment to which the doctor with the face-to-face doctor ID stored in the patient information storage unit 32 belongs. It may be confirmed that the ID is the same as the medical institution ID of the institution, and the reservation information may be registered in the reservation information storage unit 36 only in the same case. This corresponds to a system that enables online medical examinations from the next time onward only when face-to-face medical examinations are conducted for the first time.

Next, when the reserved consultation time approaches and the patient operates the patient terminal 5, in S21, the control unit of the patient terminal 5 transmits a consultation request to the patient support server 1. Here, the control unit 10 (medical institution processing unit 11) of the patient support server 1 refers to the reservation information storage unit 36, and when the reservation date and time approaches, the patient terminal 5 corresponding to the corresponding patient ID , You may notify the reservation time.
When the control unit 10 (medical examination request receiving unit 13) of the patient support server 1 receives the medical examination request from the patient terminal 5, the control unit 10 (medical examination processing unit 14) refers to the reservation information storage unit 36 in S22. The doctor terminal 6 corresponding to the reserved medical institution ID and the patient terminal 5 are connected. Then, the control unit 10 (medical examination processing unit 14) performs a medical examination process that enables a medical examination between the doctor terminal 6 and the patient terminal 5.
The doctor and the patient can perform an online examination by using the doctor terminal 6 and the patient terminal 5.

When the examination is completed and the doctor inputs the prescription data using the doctor terminal 6, in S23, the control unit of the doctor terminal 6 accepts the input of the prescription data and transmits it to the patient support server 1.
In S24, the control unit 10 (prescription data processing unit 15) of the patient support server 1 registers the received prescription data in the prescription data storage unit 35. By this processing, the control unit 10 (prescription data processing unit 15) makes the prescription data visible from the patient terminal 5 in response to the inquiry from the patient terminal 5.
After the examination is completed, the control unit 10 of the patient support server 1 displays a screen (not shown) for inputting the evaluation of the examination on the patient terminal 5, and registers the evaluation of the doctor and / or the medical institution with the patient. You may let it. Then, the registered evaluation information may be stored as word-of-mouth information in the storage unit 30 of the patient support server 1.

Next, when the reserved medication instruction time approaches and the patient operates the patient terminal 5, in S31, the control unit of the patient terminal 5 transmits the medication instruction request to the patient support server 1. Here, the control unit 10 (pharmacy processing unit 21) of the patient support server 1 refers to the reservation information storage unit 36, and when the reservation date and time approaches, the patient terminal 5 corresponding to the corresponding patient ID is referred to. You may notify the reservation time.

When the control unit 10 (medication instruction request receiving unit 23) of the patient support server 1 receives the medication instruction request from the patient terminal 5, in S32, the control unit 10 (medication instruction processing unit 24) stores the reservation information storage unit 36. The pharmacist terminal 7 corresponding to the reserved pharmacy ID and the patient terminal 5 are connected with reference to each other. Then, the control unit 10 (medication instruction processing unit 24) performs a medication instruction process that enables medication instruction between the pharmacist terminal 7 and the patient terminal 5. At that time, the control unit 10 (medicine administration instruction processing unit 24) makes only the prescription data of the corresponding patient in the prescription data storage unit 35 visible from the pharmacist terminal 7.
The pharmacist and the patient can give medication instruction online by using the pharmacist terminal 7 and the patient terminal 5.

When the medication instruction is completed and the pharmacist arranges the delivery of the drug dispensed based on the prescription data to the predetermined place designated by the patient, the pharmacist registers the drug delivery using the pharmacist terminal 7. Then, in S33, the control unit of the pharmacist terminal 7 accepts the drug delivery registration and transmits the registration data (delivery record) to the patient support server 1.

In S34, the control unit 10 (drug delivery processing unit 25) of the patient support server 1 updates the delivered flag of the prescription data storage unit 35 on based on the received registration data. After that, the control unit 10 of the patient support server 1 ends this process.
The patient support server 1 outputs an evaluation screen (not shown) to the patient terminal 5, and even if the patient is made to register the evaluation of the pharmacist and / or the pharmacy who gave the medication instruction in the same manner as the medical examination by the doctor. good.

Further, although detailed description is omitted, various processes other than the medical examination may be performed on the patient support server 1. For example, before the doctor examines the patient, the patient support server 1 may confirm the validity of the health insurance card from the health insurance card information registered in the patient information storage unit 32. Further, after the medical examination, the doctor terminal 6 charges the patient support server 1 for medical expenses, and the patient support server 1 uses the patient's payment method information to process the payment to the medical institution to which the doctor terminal 6 belongs. May be good. Similarly, the patient support server 1 may perform payment processing related to drug costs.

As described above, according to the medical examination and medication guidance system 100 of the first embodiment, there are the following effects.
(1) The prescription issued to the patient in response to the medication instruction request by connecting the patient terminal 5 and the pharmacist terminal 7 of the pharmacy specified by the medication instruction request in response to the medication instruction request from the patient terminal 5. The prescription data is made visible from the pharmacist terminal 7, and medication instruction is made possible between the patient terminal 5 and the pharmacist terminal 7. Then, when the drug dispensed based on the prescription data is delivered at the pharmacy, the delivery record is received from the pharmacist terminal 7 and registered.
With such a mechanism, the patient can select a pharmacy to request medication instruction and can receive medication instruction using the patient terminal 5, so that the patient can receive medication instruction while staying at home, for example. Can receive. In addition, the patient support server 1 can deliver the drug to the patient by delivery, and can record and manage it. Patients can receive the drug while staying at home, for example, so that they can make effective use of their time and improve convenience.

(2) When referring to the patient information storage unit 32 in which the face-to-face pharmacist ID that identifies the pharmacist who received the face-to-face drug is stored, and the pharmacist ID belonging to the pharmacy specified by the medication instruction request is stored. Only in the case, it is possible to give medication instruction between the patient terminal 5 and the pharmacist terminal 7.
Therefore, it is possible to provide face-to-face medication guidance at the first time and online medication guidance from the next time onward. Therefore, it is possible to limit the online medication instruction only to the pharmacies that actually provided the medication instruction face-to-face, and the reliability of the medication instruction can be ensured.

(3) The prescription data of the prescription data storage unit 35 corresponding to the medication instruction request is made visible from the pharmacist terminal 7 of the pharmacy that can be specified by the medication instruction request.
Therefore, the pharmacist at the pharmacy designated by the patient can confirm the prescription data of the patient, and the pharmacist can give dispensing and medication guidance.

(4) In response to a medical examination request from the patient terminal 5, the patient terminal 5 and the doctor terminal 6 of a medical institution that can be identified by the medical examination request are connected, and a medical examination can be performed between the patient terminal 5 and the doctor terminal 6. To. Then, when the doctor who uses the doctor terminal 6 delivers the prescription to the patient, the prescription data related to the prescription is made visible from the patient terminal 5.
With such a mechanism, the patient can select the medical institution requesting the medical examination and can receive the medical examination using the patient terminal 5, so that the patient can receive the medical examination while staying at home, for example. It is possible to reduce the risk of contracting infectious diseases such as nosocomial infections. In addition, the patient can confirm the prescription data related to the prescription delivered by the doctor from the patient terminal 5.

(5) Refer to the patient information storage unit 32 in which the face-to-face doctor ID that identifies the doctor who has undergone face-to-face examination is stored, and only when the doctor ID belonging to the medical institution specified by the examination request is stored. , Enables a medical examination between the patient terminal 5 and the doctor terminal 6.
Therefore, it is possible to perform a face-to-face medical examination at the first time and to perform an online medical examination from the next time onward. Therefore, it is possible to limit the medical institution that actually performed the medical examination face-to-face so that the medical examination can be performed online, and the system can be in accordance with the current law. In addition, the reliability of the medical examination can be ensured.

(6) The patient selects a medical institution for online medical examination and a pharmacy for online medication instruction using the patient terminal 5. Then, the patient can receive online medical examination and online medication instruction using the patient terminal 5.
Therefore, it can be realized by a mechanism that matches the mechanism of the division of labor in medicine. In addition, a series of services from medical examination to medication instruction and drug delivery can be realized in one go.

(Second Embodiment)
The second embodiment relates to a patient arranging a doctor or pharmacist who can respond immediately. In the following description, the same reference numerals or the same reference numerals will be added to the portions that perform the same functions as those of the first embodiment described above, and duplicate description will be omitted as appropriate.
FIG. 6 is a functional block diagram of the patient support server 201 according to the second embodiment.
The overall configuration of the medical examination and medication guidance system 200 in the second embodiment is the same as that in the first embodiment (FIG. 1).
The medical examination and medication guidance system 200 includes a patient support server 201, a patient terminal 5, a doctor terminal 6, and a pharmacist terminal 7.

[Patient support server 201]
As shown in FIG. 6, the patient support server 201 includes a control unit 210, a storage unit 230, and a data communication IF 39.
The control unit 210 includes a medical institution processing unit 211 and a pharmacy processing unit 221.

The medical institution processing unit 211 includes a medical examination availability receiving unit 216, a medical examination request receiving unit 213, a medical examination processing unit 214, and a prescription data processing unit 15.
The medical examination availability receiving unit 216 receives the medical examination availability information including the time information during which the medical examination is possible from the doctor terminal 6. Then, the medical examination availability receiving unit 216 stores the received medical examination availability information in the responder storage unit 237.
The medical examination request receiving unit 213 receives a medical examination request, which is a request for immediate medical examination, transmitted by the patient terminal 5 when the patient wants to receive a medical examination immediately.
The medical examination processing unit 214 refers to the person who can handle the memory unit 237, and selects a doctor who can handle the medical examination. Then, the medical examination processing unit 214 confirms with the doctor terminal 6 of the selected doctor and connects to the patient terminal 5. By doing so, the medical examination processing unit 214 enables a medical examination between the patient terminal 5 and the doctor terminal 6.

The pharmacy processing unit 221 includes a guidance availability receiving unit 226, a medication instruction request receiving unit 223, a medication instruction processing unit 224, and a drug delivery processing unit 25.
The guidance availability receiving unit 226 receives guidance availability information including time information during which medication instruction is possible from the pharmacist terminal 7. Then, the instruction availability receiving unit 226 stores the received instruction availability information in the responder storage unit 237.
The medication instruction request receiving unit 223 receives the medication instruction request, which is a request for immediate medication instruction transmitted by the patient terminal 5 when the patient wants to receive the medication instruction immediately.
The medication instruction processing unit 224 refers to the responder memory unit 237 and selects a pharmacist who can respond. Then, the medication instruction processing unit 224 confirms with the pharmacist terminal 7 of the selected pharmacist and connects to the patient terminal 5. By doing so, the medication instruction processing unit 224 enables medication instruction between the patient terminal 5 and the pharmacist terminal 7.

The storage unit 230 includes a program storage unit 231, a patient information storage unit 32, a doctor information storage unit 33, a pharmacist information storage unit 34, a prescription data storage unit 35, and a responder storage unit 237.
The program storage unit 231 is a storage area for storing an application program for executing various functions performed by the control unit 210 described above.
The responder storage unit 237 is a storage area that stores the doctor ID of a doctor who can respond to a request for immediate medical examination, the pharmacist ID of a pharmacist who can respond to a request for immediate medication guidance, and the available time. be. The responder storage unit 237 stores only those that can be handled on the day.

[Explanation of processing]
Next, the medical examination and the processing in the medication instruction system 200 will be described.
The pretreatment is the same as in the first embodiment.
Next, the processing related to the medical examination will be described.
FIG. 7 is a flowchart showing an immediate medical examination process of the medical examination and medication guidance system 200 according to the second embodiment.
FIG. 8 is a diagram showing a display example on the doctor terminal 6 and the patient terminal 5 according to the second embodiment.

First, a doctor who can perform an online examination on the day connects to the patient support server 201 from the doctor terminal 6 and displays the free time registration screen 261 illustrated in FIG. 8A on the display unit of the doctor terminal 6. ..
The free time registration screen 261 illustrated in FIG. 8A includes a simple input unit 261a and a designated input area 261b. The simple input unit 261a is a button selected by a doctor when it is possible to respond in the most recent time (up to 1 hour in the example of FIG. 8A) from the present. On the other hand, in the designated input area 261b, today's free time can be registered, and a plurality of time zones are displayed, and can be arbitrarily registered by selecting the time zone. The time zone indicated by the strikethrough indicates that the time zone cannot be specified based on the current time.

The doctor selects simple input or designated input using the simple input unit 261a or the designated input area 261b of the free time registration screen 261, and registers the free time to input information on medical examination.
In S211 of FIG. 7, the control unit of the doctor terminal 6 accepts the input of the information that can be examined and transmits it to the patient support server 201.
In S212, the control unit 210 (medical examination availability receiving unit 216) of the patient support server 201 receives the medical examination available information (medical examination availability information), and the available person storage unit 237 receives the doctor ID and the available time. Remember.

Next, the patient who wants to receive an immediate medical examination operates the patient terminal 5 to display the reservation status confirmation screen 255 illustrated in FIG. 8B on the touch panel.
Here, the reservation status confirmation screen 255 will be described.
The reservation status confirmation screen 255 illustrated in FIG. 8B includes a reservation status display area 255a, a normal reservation registration unit 255b, and an immediate reservation registration unit 255c. The reservation status display area 255a displays the reservation status of the patient. The normal reservation registration unit 255b is a button for searching for a hospital and making a reservation. When the normal reservation registration unit 255b is selected by the patient, the control unit of the patient terminal 5 makes a screen transition to, for example, the screen 51 of FIG. 5A of the first embodiment, so that the patient can be examined the next day or later. You can make a reservation for. The immediate appointment registration unit 255c is a button selected by the patient when requesting an immediate medical examination. In the medical examination and medication guidance system 200, since the patient can request an immediate medical examination only by selecting the immediate reservation registration unit 255c, the needs of the immediate medical examination of the patient can be satisfied, which is very convenient.

When the patient selects the immediate reservation registration unit 255c on the reservation status confirmation screen 255, in S221 of FIG. 7, the control unit of the patient terminal 5 transmits a medical examination request to the patient support server 201.
When the control unit 210 (medical examination request receiving unit 213) of the patient support server 201 receives the medical examination request from the patient terminal 5, the control unit 210 (medical examination processing unit 214) refers to the responder storage unit 237 in S222. , Select one doctor who can handle the procedure, and confirm with the doctor terminal 6 of the selected doctor. The confirmation here may be something like a connection request.

In S223, the control unit 210 (examination processing unit 214) connects the doctor terminal 6 that has confirmed the connection and the patient terminal 5, and performs an examination process that enables the examination.
Since the processing of S224 and S225 is the same as the processing of S23 and S24 of the first embodiment (FIG. 4), the description thereof will be omitted.

Next, the processing related to the medication instruction will be described.
FIG. 9 is a flowchart showing the immediate medication guidance processing of the medical examination and medication guidance system 200 according to the second embodiment.
First, a pharmacist who can provide online medication guidance on the day connects to the patient support server 201 from the pharmacist terminal 7 and displays the same screen as the free time registration screen 261 illustrated in FIG. 8A on the pharmacist terminal 7. It is displayed on the display part of.
When the pharmacist registers the free time, in S241 of FIG. 9, the control unit of the pharmacist terminal 7 accepts the input of whether or not the guidance is possible by the pharmacist and transmits it to the patient support server 201.
In S242, the control unit 210 (guidance availability reception unit 226) of the patient support server 201 receives the guidance availability information, and stores the pharmacist ID and the response available time in the responder storage unit 237.

Next, the patient who wants to receive immediate medication instruction operates the patient terminal 5 to request immediate medication instruction, and in S251 of FIG. 9, the control unit of the patient terminal 5 requests the patient to take medication instruction. It is transmitted to the support server 201.
When the control unit 210 (medication instruction request receiving unit 223) of the patient support server 201 receives the medication instruction request from the patient terminal 5, in S252, the control unit 210 (medication instruction processing unit 224) causes the responder storage unit 237. Refer to, select one pharmacist who can handle it, and confirm with the pharmacist terminal 7 of the selected pharmacist.
In S253, the control unit 210 (medicine medication instruction processing unit 224) connects the pharmacist terminal 7 that has confirmed the connection and the patient terminal 5, and performs medication instruction processing that enables medication instruction.
Since the processing of S254 and S255 is the same as the processing of S33 and S34 of the first embodiment (FIG. 4), the description thereof will be omitted.

As described above, according to the medical examination and medication instruction system 200 of the second embodiment, there are the following effects.
The doctor or pharmacist registers in advance the time zone during which medical examination and medication instruction are possible in the patient support server 201 using the doctor terminal 6 and the pharmacist terminal 7. Then, when the patient support server 201 receives a request for immediate medical examination or medication instruction from the patient terminal 5, the patient terminal 5 and the doctor terminal 6 or the pharmacist terminal 7 are selected from the registered doctors and pharmacists. To connect.
With such a mechanism, doctors and pharmacists can perform online medical examinations and online medication guidance using the medical examination and medication guidance system 200 in the gap time when their schedule is free. Therefore, it is possible to reform the working styles of doctors and pharmacists and to increase profits. In addition, it can respond to the urgent needs of patients who want immediate medical examination and medication guidance.

Although the embodiments of the present invention have been described above, the present invention is not limited to the above-described embodiments. Moreover, the effects described in the embodiments are merely a list of the most suitable effects resulting from the present invention, and the effects according to the present invention are not limited to those described in the embodiments. The above-described embodiment and the modified form described later may be used in combination as appropriate, but detailed description thereof will be omitted.

(Deformed form)
(1) In each embodiment, a medical institution to which a doctor who conducts online medical examination belongs and a pharmacy to which a pharmacist who provides online medication guidance belongs are designated, and one doctor belonging to the designated medical institution examines and belongs to the designated pharmacy. One pharmacist provided medication instruction, but it is not limited to this. For example, if you already have a family doctor or pharmacist, you may directly specify the doctor or pharmacist.

(2) In the first embodiment, some methods have been exemplified as a method for searching for a hospital, but the method is not limited thereto. For example, if a patient has a history of chronic illness, the patient may always be prescribed the same drug. It may be possible to register a pre-existing illness in the patient information storage unit so that a doctor who can respond to needs such as "I want a medicine" can make an appointment for a medical examination.

(3) In the first embodiment, an example is provided in which online medical examination (or online medication instruction) is possible by a medical institution (or pharmacy) to which a doctor (or pharmacist) who has performed face-to-face examination (or medication instruction) belongs. As explained, but not limited to this. If it is not necessary to require face-to-face medical examination (or medication guidance) due to law revisions or temporary exceptions, face-to-face medical examination (or medication guidance) can be performed by not executing the logic that restricts this. It is possible to enable online medical examination (or online medication instruction) by a medical institution (or pharmacy) that does not provide medical care.

(4) In the second embodiment, the requirements of a doctor or a pharmacist are not specifically described, but the patient may be allowed to input the requirements. In the case of a doctor, for example, in addition to the desired clinical department, the requirements include a doctor at a medical institution located near the patient's address. In addition, it may be a requirement that priority is given to those having a high word-of-mouth evaluation. The patient support server stores the requirements received from the patient terminal in the storage unit (patient requirement storage unit), and when selecting a doctor (or pharmacist) capable of immediate medical examination (or medication guidance), the storage unit is used. The stored requirements may be used.

1,201 Patient support server (drug supply support device)
5 Patient terminal 6 Doctor terminal 7 Pharmacist terminal 10,210 Control unit 11,211 Medical institution processing department 12,22 Advance reservation processing department 13,213 Medical examination request receiving unit 14,214 Medical examination processing department 15 Prescription data processing department 21,221 Pharmacy Processing unit 23,223 Medication guidance request receiving unit 24,224 Medication guidance processing unit 25 Drug delivery processing unit 30 Storage unit 31,231 Program storage unit 32 Patient information storage unit 33 Doctor information storage unit 34 Pharmacist information storage unit 35 Prescription data storage Department 36 Reservation information storage unit 39 Data communication IF
100,200 Medical examination and medication guidance system 216 Medical examination availability reception unit 226 Guidance availability reception unit 237 Corresponding person storage unit N Data communication network

Claims (8)

A drug supply support device that is communicably connected to a pharmacist terminal used by a pharmacist belonging to a pharmacy and a patient terminal used by a patient to support the supply of the drug to the patient.
In response to the medication instruction request from the patient terminal, the patient terminal is connected to the pharmacist terminal of the pharmacy specified by the medication instruction request, and the prescription data related to the prescription delivered to the patient is input to the pharmacist terminal. A prescription instruction processing means that enables prescription instruction between the patient terminal and the pharmacist terminal so as to be visible from the patient.
A delivery record registration means for receiving and registering a delivery record from the pharmacist terminal when delivering a drug dispensed based on the prescription data at the pharmacy.
A drug delivery support device equipped with. In the drug providing support device according to claim 1,
Equipped with a patient information storage unit that stores patient information, including information on pharmacists who received face-to-face drug provision.
The medication instruction processing means refers to the patient information storage unit, and enables medication instruction between the patient terminal and the pharmacist terminal only when the information of the pharmacist specified by the medication instruction request is included. Drug delivery support device. In the drug providing support device according to claim 1 or 2.
A prescription data storage unit for storing the prescription data is provided.
The medication instruction processing means is a drug supply support device that makes it possible to visually recognize the prescription data corresponding to the medication instruction request of the prescription data storage unit from the pharmacist terminal of the pharmacy specified by the medication instruction request. In the drug providing support device according to any one of claims 1 to 3.
Connected to the doctor's terminal used by the doctor so that it can communicate further,
A medical examination that connects the patient terminal and the doctor terminal of the medical institution specified by the medical examination request in response to the medical examination request from the patient terminal, and enables a medical examination between the patient terminal and the doctor terminal. Processing means and
A prescription data processing means for making the prescription data related to the prescription delivered to the patient by the doctor using the doctor terminal visible from the patient terminal.
A drug delivery support device equipped with. In the drug providing support device according to claim 4,
A medical examination availability receiving means for receiving medical examination availability information from the doctor terminal is provided.
When the medical examination request received from the patient terminal is a request for immediate medical examination, the medical examination processing means includes the doctor terminal whose medical examination availability information received by the medical examination availability receiving means is information that can be examined. , A drug delivery support device that connects to the patient terminal. In the drug providing support device according to claim 5,
When the medical examination processing means receives the requirement related to the medical institution from the patient terminal, the medical examination processing means satisfies the received requirement, and the medical examination availability information received by the medical examination availability receiving means is the information on the medical examination possible. A drug delivery support device that connects a doctor terminal and the patient terminal. In the drug providing support device according to any one of claims 4 to 6.
It is equipped with a patient information storage unit that stores patient information, including information on doctors who have undergone face-to-face examinations.
The medical examination processing means refers to the patient information storage unit and enables a medical examination between the patient terminal and the doctor terminal only when the information of the doctor specified by the medical examination request is included. Provided support device. The program for operating a computer as the drug providing support device according to any one of claims 1 to 7.

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