JP2023179788A - Information processing system, information processing device, information processing method and program - Google Patents

Abstract

To provide information related to past prescriptions in a form useful for a patient.SOLUTION: In an information processing system 1, a prescription data acquisition part 51 of a computer 10 for a pharmacy acquires prescription data of a patient. A prescription data transmission part 52 transmits the acquired prescription data to a server 20. A change point acquisition part 155 of the server 20 acquires change point information being information based on changed prescription contents among a plurality of prescription data issued to the patient this time and in the past on the basis of the transmitted prescription data and the past prescription data of the patient corresponding to the prescription data. A change point data transmission part 156 transmits data of the change point information to a pharmacist terminal 30. A screen display part 254 of the pharmacist terminal 30 displays a screen for presenting, to the patient, information related to comparison of prescription contents including the change point information on the basis of the data of the change point information.SELECTED DRAWING: Figure 1

Description

The present invention relates to an information processing system, a terminal device, an information processing method, and a program.

BACKGROUND ART Conventionally, in medical institutions such as dispensing pharmacies, a patient's drug history is managed using an electronic drug history system or the like based on a prescription issued to the patient.
A medical professional such as a pharmacist can check the history of a patient's prescriptions using an electronic drug history system or the like.
Note that a system for managing medical information such as a patient's drug history is described in, for example, Patent Document 1.

JP 2016-212559 Publication

However, with conventional technologies, including the technology described in Patent Document 1, patients only receive explanations from pharmacists about the contents of the current prescription, and are not informed of the contents of past prescriptions. be.
On the other hand, even if the contents of past prescriptions are simply shown to the patient, the patient does not know how to refer to the information, and the information is not necessarily useful.
As described above, in the conventional technology, information regarding past prescriptions was not provided in a form useful to patients.

An object of the present invention is to provide information regarding past prescriptions in a form that is useful to patients.

In order to solve the above problems, an information processing system according to one embodiment of the present invention includes:
An information processing system that includes a pharmacy computer installed in a pharmacy, a pharmacist terminal used by a pharmacist, and a server that manages data used in the pharmacy,
The pharmacy computer includes:
Prescription data acquisition means for acquiring prescription data of a patient;
prescription data transmitting means for transmitting the prescription data acquired by the prescription data acquiring means to the server;
Equipped with
The server is
Based on the prescription data sent from the pharmacy computer and the patient's past prescription data corresponding to the prescription data, multiple prescriptions issued to the patient this time or in the past are calculated. A change acquisition means for acquiring change information that is information based on prescription contents changed between data;
change point data transmitting means for transmitting data of the change point information to the pharmacist terminal;
Equipped with
The pharmacist terminal is
The method is characterized by comprising a screen display means for displaying a screen for presenting to the patient information regarding a comparison of prescription contents including the change information, based on the data of the change information transmitted from the server. .

According to the present invention, it is possible to provide information regarding past prescriptions in a form useful to patients.

1 is a diagram showing a system configuration of an information processing system 1 according to an embodiment of the present invention. It is a diagram showing the hardware configuration of an information processing device 800 that configures each device. 1 is a block diagram showing the functional configuration of a pharmacy computer 10. FIG. 2 is a block diagram showing the functional configuration of a server 20. FIG. FIG. 3 is a block diagram showing the functional configuration of a pharmacist terminal 30. FIG. 2 is a flowchart showing the flow of drug information output processing executed by the pharmacy computer 10. FIG. 3 is a flowchart showing the flow of data generation processing executed by the server 20. FIG. It is a flowchart which shows the flow of communication support processing which pharmacist terminal 30 performs. FIG. 3 is a schematic diagram showing an example of an initial screen displayed in communication support processing. It is a schematic diagram which shows an example of a pharmacist's profile screen. FIG. 3 is a schematic diagram showing an example of a questionnaire screen. FIG. 2 is a schematic diagram showing an example of a state in which responses to a questionnaire have been made. It is a schematic diagram which shows an example of the display screen which shows the content of changed drug information. 14 is a schematic diagram illustrating an example of a state in which a pharmacist performs an operation for explaining prescription details to a patient on the display screen illustrated in FIG. 13. FIG. FIG. 3 is a schematic diagram illustrating an example of a state in which the arrangement of items displayed in a list is changed. FIG. 2 is a schematic diagram showing an example of a schedule presented to a patient. FIG. 3 is a schematic diagram showing an example of an interface screen for inputting stamp data. FIG. 2 is a schematic diagram showing an example of an interface screen for inputting handwritten characters. FIG. 2 is a schematic diagram showing an example of an interface screen for registering a new schedule. FIG. 3 is a schematic diagram showing an example of an interface screen for editing an already input schedule. FIG. 3 is a schematic diagram showing an example of a screen displaying a message indicating that any consultation matter is accepted. FIG. 2 is a schematic diagram showing an example of a provided document (changed drug information) provided to a patient. FIG. 2 is a schematic diagram showing an example of a provided document (changed drug information) provided to a patient. It is a schematic diagram showing an example of a provided document (related document) provided to a patient.

Embodiments of the present invention will be described below with reference to the drawings.

The information processing system 1 according to the present embodiment, when a pharmacist interacts with a patient at a dispensing pharmacy, displays information about the drug while displaying the pharmacist's predetermined profile, thereby increasing the patient's interest in and familiarity with the pharmacist. It is intended to arouse feelings and support smoother dialogue. In addition, the information processing system 1 according to the present embodiment is configured to provide information (prescription contents) written in a prescription issued to a patient from a pharmacist to the patient regarding drug information (past prescription contents and current prescription contents). By issuing a drug information provision document (hereinafter referred to as ``medication information'' as appropriate) that reflects the content of the explanation (e.g., changes in prescribed drugs), pharmacists will be able to provide a drug information document that reflects the explanation. This helps the patient to more easily refer to the content of the explanation given to the patient. Furthermore, the information processing system 1 according to the present embodiment presents the content explained by the pharmacist to the patient, such as how to take the prescribed drug, as information in a form that is easy for the patient to understand, and allows the patient to take the appropriate drug. This is to support the
The specific configuration will be explained below.

[System configuration of information processing system 1]
FIG. 1 is a diagram showing a system configuration of an information processing system 1 according to an embodiment of the present invention.
As shown in FIG. 1, the information processing system 1 includes a pharmacy computer 10, a server 20, and a pharmacist terminal 30. The pharmacy computer 10, the server 20, and the pharmacist terminal 30 connect to a network 40. are configured to be able to communicate with each other via the Further, the pharmacy computer 10 and the pharmacist terminal 30 are installed in the same dispensing pharmacy. Furthermore, the information processing system 1 according to the present embodiment is operated in units of, for example, a predetermined region, and is connected to a pharmacy computer 10 and a pharmacist terminal 30 installed in a plurality of dispensing pharmacies belonging to the region. In contrast, one server 20 is installed. In addition, in FIG. 1, for convenience of explanation, only one pharmacy computer 10 and one pharmacist terminal 30 are shown.

The pharmacy computer 10 is constituted by a PC (Personal Computer) or a server computer, and has a drug history management function and a medical fee statement (receipt) creation function. Then, the pharmacy computer 10 receives input of patient's prescription data, and stores and manages the received prescription data. The pharmacy computer 10 also calculates details of medical fees for dispensing medicines to patients based on prescriptions. Furthermore, the pharmacy computer receives from the server 20 print data for documents to be provided to patients (described later), including drug information documents (drug information) and predetermined related documents, and prints the data by using a printer installed at the dispensing pharmacy. Print the document. In this embodiment, the drug information provision document (drug information) is a document or a document similar to a document (for example, a document pasted on a notebook) that expresses information on the name, usage, dose, efficacy, effect, side effects, interactions, etc. of a drug. (possible stickers, etc.). In addition, in the present embodiment, the pharmacy computer 10 includes, in the drug history, content that corresponds to the history of medication guidance to the patient (guidance history) among the content that the pharmacist communicated with the patient on the pharmacist terminal 30. management.

The server 20 is constituted by a server computer, acquires data on prescriptions accepted by the pharmacy computer 10, and generates data for a pharmacist profile screen to be presented to the patient. The server 20 also accumulates and manages data on prescriptions received by the pharmacy computer 10, and stores changes in the medicines prescribed to the patient (prescription contents in the past (previous or previous) and contents of the current prescription). (changed points). The data on the changes is sent to the pharmacist terminal 30 and displayed on the screen, or is sent to the pharmacy computer 10 and printed out as part of the medication information. Further, the server 20 manages schedule data such as a drug dosing schedule (medication schedule) or a visit schedule for each patient.

The pharmacist terminal 30 is configured by a tablet terminal or a notebook PC, acquires profile screen data generated by the server 20, and displays the pharmacist's profile on the display screen when the pharmacist communicates with the patient. In addition, the pharmacist terminal 30 acquires data on drug changes generated by the server 20, and displays a comparison between the drug before the change and the drug after the change when the pharmacist communicates with the patient. do. Furthermore, the pharmacist terminal 30 accepts input of schedule data such as a medication intake schedule or a visit schedule for the patient, and transmits the input schedule data to the server 20. In the present embodiment, the pharmacist terminal 30 records the content of the pharmacist's communication with the patient by operating the pharmacist terminal 30 as information for recording the history of medication guidance to the patient (guidance history). The information is sent to the pharmacy computer 10.

[Hardware configuration]
Next, the hardware configuration of each device in the information processing system 1 will be explained.
In the information processing system 1, each device is constituted by an information processing device such as a PC, a server computer, or a tablet terminal, and the basic configuration thereof is the same.

FIG. 2 is a diagram showing the hardware configuration of the information processing device 800 that constitutes each device.
As shown in FIG. 2, the information processing device 800 that constitutes each device includes a CPU (Central Processing Unit) 811, a ROM (Read Only Memory) 812, a RAM (Random Access Memory) 813, a bus 814, and an input It includes a section 815, an output section 816, a storage section 817, a communication section 818, a drive 819, and an imaging section 820.

The CPU 811 executes various processes according to programs recorded in the ROM 812 or programs loaded into the RAM 813 from the storage unit 817 .
The RAM 813 also appropriately stores data necessary for the CPU 811 to execute various processes.

The CPU 811, ROM 812, and RAM 813 are interconnected via a bus 814. An input section 815, an output section 816, a storage section 817, a communication section 818, a drive 819, and an imaging section 820 are connected to the bus 814.

The input unit 815 is composed of various buttons and the like, and inputs various information according to instruction operations.
The output unit 816 is configured with a display, a speaker, etc., and outputs images and audio.
Note that when the information processing device 800 is configured as a smartphone or a tablet terminal, the displays of the input section 815 and the output section 816 may be arranged to overlap to form a touch panel.
The storage unit 817 is configured with a hard disk, a DRAM (Dynamic Random Access Memory), or the like, and stores various data managed by each server.
The communication unit 818 controls communication with other devices via the network.

A removable medium 831 such as a magnetic disk, an optical disk, a magneto-optical disk, a semiconductor memory, etc. is attached to the drive 819 as appropriate. The program read from the removable medium 831 by the drive 819 is installed in the storage unit 817 as necessary.
The imaging unit 820 is configured by an imaging device including a lens, an image sensor, etc., and captures a digital image of a subject.
Note that when the information processing device 800 is configured as the server 20, it is also possible to have a configuration in which the imaging unit 820 is omitted. Further, when the information processing device 800 is configured as a tablet terminal, the input unit 815 can be configured with a touch sensor and placed over the display of the output unit 816, thereby providing a configuration with a touch panel. be.

[Functional configuration]
Next, the functional configuration of each device in the information processing system 1 will be explained.
[Functional configuration of pharmacy computer 10]
FIG. 3 is a block diagram showing the functional configuration of the pharmacy computer 10. As shown in FIG.
As shown in FIG. 3, the CPU 811 of the pharmacy computer 10 includes a prescription data acquisition section 51, a prescription data transmission section 52, a comparison content specification section 53, a patient attribute acquisition section 54, and a patient attribute transmission section 55. , a print data receiving section 56, a print control section 57, and a drug history management section 58 function. Further, in the storage unit 817 of the pharmacy computer 10, a prescription database (prescription DB) 71, a patient attribute database (patient attribute DB) 72, and a drug history database (medication history DB) 73 are formed.

The prescription DB 71 stores data on prescriptions accepted by the pharmacy computer 10. This prescription data includes information that identifies the patient, such as the patient's name, age, gender, and insurance number, and the name of the medical institution that issued the prescription, the name of the doctor, and contact information for the medical institution. information, and information representing prescription details such as the name of the prescribed drug, dosage form, usage/administration, and whether or not it can be changed to a generic drug.
The patient attribute DB 72 stores data of the patient's address, name, age, gender, and information representing the patient's individual characteristics (patient attributes). These patient attributes consist of information obtained by pharmacists through dialogue with patients, and information provided by patients in response to questionnaires (hearings). Food, favorite colors, favorite characters, things that concern you in daily life (things that are directly related to medical care, such as body pain, or things that are not directly related to medical care, such as concerns about your child's education) ) etc. are included.
The drug history DB 73 stores data on the history of drugs prescribed to patients and the history of medication guidance given by pharmacists to patients. In this embodiment, when executing communication support processing, which will be described later, etc., the history of medication guidance to the patient (guidance history) is recorded in the content of communication performed by the pharmacist with the patient by operating the pharmacist terminal 30. The corresponding contents can be stored in the drug history DB 73.

The prescription data acquisition unit 51 acquires data (prescription data) representing the contents of a prescription that is received at a dispensing pharmacy by a patient. In the present embodiment, the prescription data acquisition unit 51 acquires prescription data generated by inputting the contents of a prescription brought by a patient by a pharmacist or operator of a dispensing pharmacy via the input unit 815. In addition, when the prescription is issued as electronic data, the prescription data acquisition unit 51 reads the data from the storage medium in which the prescription data is stored or receives the data via the network. It is also possible to obtain the data of

Further, the prescription data acquisition unit 51 stores the acquired prescription data in the prescription DB 71. Note that among the prescription data, information for identifying a patient is also appropriately stored in the patient attribute DB 72 when the patient is a new patient or when there is a change in the information for identifying a patient.
The prescription data transmitter 52 transmits the prescription data acquired by the prescription data acquirer 51 to the server 20 .
The comparison content designation unit 53 receives a designation of the content of drug information change (content to be compared) to be obtained for the current prescription data, and transmits the received designation content to the server 20 . For example, the comparison content specification unit 53 accepts the specification of past prescription data (one or more) to be compared with the current prescription data, or the items to be compared between the current prescription data and past prescription data. (Changes in "drug", "dosage/administration", "efficacy/effects", "side effects", "dosage form", and "devices/heat seals/packages containing drugs" as described below) ” (drug packaging), “drug appearance”, “drug precautions”, “number of days to take”, etc.).

The patient attribute acquisition unit 54 acquires patient attribute data of a patient corresponding to prescription data. Patient attribute data may be input by the pharmacist using the pharmacist terminal 30 during dialogue with the patient prior to this visit, or by the pharmacist or operator at the dispensing pharmacy based on the results of a questionnaire survey of the patient. It is generated by inputting data through the section 815 and stored in the patient attribute DB 72.

The patient attribute transmitter 55 transmits the patient attribute data acquired by the patient attribute acquirer 54 to the server 20 .
The print data receiving unit 56 receives the print data of the document provided to the patient, including the drug information document (medication information) transmitted from the server 20 .
The print control unit 57 prints a document provided to the patient including drug information from a printer installed at the dispensing pharmacy based on the print data received by the print data reception unit 56.
The medication history management unit 58 acquires the content of communication between a pharmacist and a patient by operating the pharmacist terminal 30, such as when executing communication support processing. Then, the medication history management unit 58 stores, in the medication history DB 73, content that corresponds to the history of medication guidance to the patient (guidance history) among the contents of the acquired communication. Note that the medication history management section 58 can acquire the details of the pharmacist's communication with the patient based on the operation details transmitted from the operation details transmitting section 255 of the pharmacist terminal 30, which will be described later. However, since the content of communication between the pharmacist and the patient by operating the pharmacist terminal 30 is transmitted from the pharmacist terminal 30 to the server 20, the medication history management unit 58 The content of communication with the patient may be acquired via the server 20.

[Functional configuration of server 20]
FIG. 4 is a block diagram showing the functional configuration of the server 20.
As shown in FIG. 4, the CPU 811 of the server 20 includes a prescription data receiving section 151, a patient attribute receiving section 152, a profile screen data generating section 153, a profile screen data transmitting section 154, and a change point obtaining section 155. , a change data transmitting section 156, an operation content receiving section 157, a print data generating section 158, and a print data transmitting section 159 function. The storage unit 817 of the server 20 also includes a pharmacist profile database (pharmacist profile DB) 171, a prescription database (prescription DB) 172, a patient attribute database (patient attribute DB) 173, and a drug database (drug DB) 174. , a database of drugs used by pharmacy (drugs used by drug DB) 175, a drug information database of changed points (drug information DB of changed points) 176, and a schedule database (schedule DB) 177 are formed.

Pharmacist Profile DB 171 contains the profiles of pharmacists belonging to each dispensing pharmacy (including the pharmacist's photo, name, age, marital/single status, gender, specialty, details of local activities, current areas of focus, and strengths). Data such as what led you to become a pharmacist, reasons why you became a pharmacist, things that made you happy about becoming a pharmacist, hobbies, etc.) are stored. This pharmacist profile data is sequentially input and stored when each pharmacist belongs to a dispensing pharmacy. It is also possible to change the pharmacist's profile as appropriate, depending on the pharmacist's wishes.

The prescription DB 172 stores data of each prescription DB 71 stored in the pharmacy computer 10 of each dispensing pharmacy. That is, the prescription DB 172 stores aggregated data of the prescription DB 71 of each dispensing pharmacy for a predetermined region where the server 20 is operated.
The patient attribute DB 173 stores data of each patient attribute DB 72 stored in the pharmacy computer 10 of each dispensing pharmacy. That is, in the patient attribute DB 173, data in the patient attribute DB 72 of each dispensing pharmacy is collectively stored for a predetermined region where the server 20 is operated.

The drug DB 174 stores data representing information regarding various drugs. For example, the drug DB 174 stores data such as information written in package inserts and information regarding drug prices for various drugs.
The drug used by pharmacy DB 175 stores data representing drugs used for dispensing at each dispensing pharmacy. The data stored in this drug used by pharmacy DB 175 is updated as appropriate based on an application from the dispensing pharmacy, such as when the drugs used at each dispensing pharmacy are changed.

The changed drug information DB 176 stores information regarding drugs that have been changed between the patient's past prescription and the current prescription (hereinafter referred to as “changed drug information”). For example, the changed drug information DB 176 includes drugs added to past prescriptions, drugs discontinued from past prescriptions, or drugs included in past prescriptions for the same patient. Information regarding other drugs, etc. that have been changed from the previously used drug is stored as changed drug information. In this embodiment, the contents of "changed drug information" include changes in "drug" when comparing the patient's past prescription details and current prescription details, changes in "dosage/dosage", etc. Changes in "indications/effects", changes in "side effects", changes in "dosage form" (changes from granules to capsules, changes from general oral tablets to orally disintegrating tablets or sublingual tablets, etc.), "Drugs" Changes in equipment, heat seals, and sachets (drug packaging); changes in drug appearance; changes in drug precautions (for example, changes in handling methods depending on the season); This includes various changes due to changes in prescription contents, such as changes in prescriptions.
The schedule DB 177 stores schedule data regarding each patient. This schedule data reflects the patient's various specific schedules (medicine intake schedule, office visit schedule, etc.) input by the pharmacist using the pharmacist terminal 30 through dialogue with the patient.

The prescription data receiving unit 151 receives prescription data transmitted from the pharmacy computer 10. The prescription data receiving unit 151 then stores the received prescription data in the prescription DB 172.
The patient attribute receiving unit 152 receives patient attribute data transmitted from the pharmacy computer 10. The patient attribute receiving unit 152 then stores the received patient attribute data in the patient attribute DB 173.

When the pharmacist terminal 30 requests the generation of a profile screen for presenting the pharmacist's profile to the patient, the profile screen data generation unit 153 generates the profile data of the pharmacist whose profile screen is to be generated and the profile. The patient attributes of the patient to whom the screen is presented are read from the pharmacist profile DB 171 and patient attribute DB 173, respectively. Then, the profile screen data generation unit 153 presents the pharmacist's profile to the patient based on the profile data of the pharmacist whose profile screen is to be generated and the patient attributes of the patient who receives the profile screen. Generate data for the profile screen. When the profile screen data generation unit 153 generates profile screen data, it selects permanently displayed profile items and items that have attributes in common with the patient from among all the pharmacist's profile data. At this time, the profile screen data generation unit 153 may select screen elements (background, color, font size, type of display frame, etc.) other than the pharmacist's profile, depending on the patient's attributes.

The profile screen data transmitting unit 154 transmits the profile screen data generated by the profile screen data generating unit 153 to the pharmacist terminal 30 that has requested generation of the profile screen.
When prescription data is received by the prescription data receiving unit 151, the change acquisition unit 155 reads out past prescription data for the patient indicated by the prescription data from the prescription DB 172. Furthermore, when the specified contents (the contents of the drug information change to be acquired for the current prescription data) are transmitted from the pharmacy computer 10, the change point acquisition unit 155 receives the specified contents. Then, the change acquisition unit 155 compares the prescription data received by the prescription data reception unit 151 with the past prescription data read from the prescription DB 172 based on the specified contents transmitted from the pharmacy computer 10. Then, information regarding drugs that have been changed between the past prescription contents and the current prescription contents for the patient (changed drug information) is acquired. Furthermore, the changed point acquisition unit 155 stores the acquired changed point drug information data in the changed point drug information DB 176. In addition, images such as photos (for example, color photos) of drugs (packaging, appearance of the drug itself, etc.) are stored in the drug DB 174, and even if the same drug is prescribed, it can be used to compare past prescriptions and current prescriptions for the patient. If there has been a change in the packaging of the drug since the time of prescription, an image such as a photograph of the drug may be included in the changed drug information.

Here, when acquiring the changed drug information, the changed point acquisition unit 155 selects the past prescription data such as the previous prescription data and the current prescription data according to the settings by the pharmacist etc. (designation of prescriptions to be compared). It is possible to obtain the results of comparing the data of one prescription with the data of the current prescription, or the results of comparing the data of multiple past prescriptions and the data of the current prescription. It is. As an example, if the data for the previous prescription and the data for the previous prescription are the same as the data for the current prescription, but there has been a change in the data for the 3rd prescription, the data for the 3rd prescription and the previous (or ) and the current prescription data, and the results of comparing them can be shown in the provided document. This makes it possible to extract data on past prescriptions that are useful to present to the patient, not just the previous one, and to show the results of comparison with data on the current prescription.
Note that the change point acquisition unit 155 uses the data of the most recent past prescription whose prescription contents have been changed (in the above example, the data of the prescription three times before) as the data of the past prescription to be compared with the data of the current prescription. ) may be automatically identified and the comparison results may be obtained.
In addition, when acquiring changed drug information, the changed point acquisition unit 155 changes the “drug”, changes the “dosage/dose”, changes in ``effects'', changes in ``side effects'', changes in ``dosage form'' (changes from granules to capsules, changes from general oral tablets to orally disintegrating tablets or sublingual tablets, etc.); Changes in equipment, heat seals, and sachets (drug packaging), changes in drug appearance, changes in drug precautions (for example, changes in handling methods depending on the season), and changes in the number of days to take the drug. It is possible to obtain changes in specific items due to changes in prescription contents. Note that if no particular settings have been made or if all changes are targeted by the settings of the pharmacist, etc., the change acquisition unit 155 changes the changes of all items in the prescription data. It may also be obtained as information on infusion medications.

When the pharmacist terminal 30 requests the transmission of changed drug information regarding a specific patient, the changed point data transmission unit 156 transmits the changed drug information data stored in the changed drug information DB 176 to the pharmacist terminal. Send to 30.
The operation content receiving unit 157 receives from the pharmacist terminal 30 the content of the operation on the display screen that is input on the pharmacist terminal 30 . The contents of the operations on the display screen input on the pharmacist terminal 30 include, for example, specifying the printing target of items in the drug information, changing the arrangement of items in the drug information, specifying the display of detailed explanations in the drug information, and specifying the display of detailed explanations in the drug information. This includes instructions for printing documents provided to patients, etc. The contents of these operations are collectively sent from the pharmacist terminal 30 to the server 20 each time an operation is performed on the display screen on the pharmacist terminal 30, or when an instruction to print a document provided to a patient including drug information is issued. Sent.

When an instruction to print a document to be provided to a patient including drug information is sent from the pharmacist terminal 30 to the server 20, the print data generation unit 158 generates the drug information to be provided to the patient and the pharmacist's explanation to the patient. Print data of a provided document including predetermined related documents describing various contents is generated. For example, drug information includes drug information including changed drug information, and predetermined related documents include information regarding schedules such as drug dosing schedules or office visit schedules explained to patients by pharmacists on pharmacist terminal 30. is described.
The print data transmitter 159 transmits the print data generated by the print data generator 158 to the pharmacy computer 10.

[Functional configuration of pharmacist terminal 30]
FIG. 5 is a block diagram showing the functional configuration of the pharmacist terminal 30.
As shown in FIG. 5, the CPU 811 of the pharmacist terminal 30 includes an operation reception section 251, a profile screen data reception section 252, a change data reception section 253, a screen display section 254, and an operation content transmission section 255. works.
The operation accepting unit 251 accepts various operations input on the content displayed on the display screen. For example, the operation reception unit 251 can specify the items to be printed in the drug information, change the arrangement of items in the drug information, specify the display of detailed explanations in the drug information, write on the schedule presented to the patient, and print the drug information. Accepts operations such as printing instructions for documents provided to patients.

The profile screen data receiving unit 252 receives profile screen data transmitted from the server 20.
The changed point data receiving unit 253 receives changed drug information data transmitted from the server 20.
The screen display unit 254 displays an initial screen (a selection screen for various menus, etc.) on the pharmacist terminal 30, a profile screen based on the profile screen data, a display screen for changed drug information based on changed drug information data, or a display screen for displaying changed drug information based on changed drug information data, or Various display screens, such as a schedule screen related to the event, are displayed on the display. At this time, the screen display unit 254 displays various display screens on the display by appropriately requesting the server 20 to generate profile screen data, send changed drug information, and the like.

The operation content transmitting unit 255 transmits the content of the operation on the display screen accepted by the operation receiving unit 251 to the pharmacy computer 10 and the server 20. As mentioned above, these operations are performed on the pharmacy computer each time an operation is performed on the display screen on the pharmacist terminal 30, or when an instruction is given to print a document to be provided to a patient including drug information. 10 and server 20.

[motion]
Next, the operation of the information processing system 1 will be explained.

[Processing of pharmacy computer 10]
FIG. 6 is a flowchart showing the flow of drug information output processing executed by the pharmacy computer 10.
The drug information output process is started in response to input of an instruction to execute the drug information output process via the input unit 815 of the pharmacy computer 10.

When the drug information output process is started, in step S1, the prescription data acquisition unit 51 acquires data (prescription data) representing the contents of the prescription received at the dispensing pharmacy by the patient. The prescription data acquired at this time is stored in the prescription DB 71.
In step S2, the prescription data transmitter 52 transmits the prescription data acquired by the prescription data acquirer 51 to the server 20.
In step S3, the comparison content designation unit 53 receives designation of the content of drug information change to be obtained for the current prescription data (content to be compared).
In step S4, the comparison content designation unit 53 transmits the received designation content to the server 20.
In step S5, patient attribute data of the patient corresponding to the prescription data is acquired.
In step S6, the patient attribute transmitter 55 transmits the patient attribute data acquired by the patient attribute acquirer 54 to the server 20. Thereafter, the pharmacy computer 10 enters a standby state in which it waits to receive operation details for the display screen transmitted from the pharmacist terminal 30.
In step S7, the drug history management unit 58 receives the operation details for the display screen transmitted from the pharmacist terminal 30. Among the operation contents on the display screen received at this time, contents corresponding to the history of medication guidance to the patient (guidance history) are stored in the medication history DB 73. Thereafter, the pharmacy computer 10 enters a standby state waiting to receive print data transmitted from the server 20.

In step S8, the print data receiving unit 56 receives the print data of the document provided to the patient including the drug information document (medication information) transmitted from the server 20.
In step S9, the print control unit 57 prints a document provided to the patient including drug information from a printer installed at the dispensing pharmacy based on the print data received by the print data reception unit 56.
After step S9, the drug information output process ends.

[Processing of server 20]
FIG. 7 is a flowchart showing the flow of data generation processing executed by the server 20.
The data generation process is started when the server 20 is started, and is repeatedly executed.

When the data generation process is started, the prescription data receiving unit 151 receives prescription data transmitted from the pharmacy computer 10 in step S11. The prescription data received at this time is stored in the prescription DB 172.
In step S12, the change acquisition unit 155 receives the specified contents (the contents of the drug information change to be acquired for the current prescription data) from the pharmacy computer 10.
In step S13, the patient attribute receiving unit 152 receives patient attribute data transmitted from the pharmacy computer 10. The patient attribute data received at this time is stored in the patient attribute DB 173.

In step S14, the profile screen data generation unit 153 generates a profile screen of the pharmacist in response to a request from the pharmacist terminal 30 to generate profile screen data for presenting the pharmacist's profile to the patient. Generate data.
In step S15, the profile screen data transmitting unit 154 transmits the profile screen data generated by the profile screen data generating unit 153 to the pharmacist terminal 30 that requested generation of the profile screen.

In step S16, in response to the prescription data receiving unit 151 receiving the prescription data, the change acquisition unit 155 changes the current prescription content and the past prescription content for the patient corresponding to the prescription data. Obtain information regarding the drug (changed drug information). At this time, the change acquisition section 155 updates the prescription received by the prescription data reception section 151 based on the specified contents (the contents of the drug information change to be acquired for the current prescription data) transmitted from the pharmacy computer 10. By comparing the data with past prescription data read from the prescription DB 172, changed drug information is obtained. Note that the data on changed drug information acquired at this time is stored in the changed drug information DB 176.

In step S17, in response to a request from the pharmacist terminal 30 to send changed drug information regarding a specific patient, the changed point data transmitting unit 156 transmits the changed drug information stored in the changed drug information DB 176. The information data is sent to the pharmacist terminal 30. Thereafter, the server 20 enters a standby state in which it waits to receive the details of the operation on the display screen transmitted from the pharmacist terminal 30.
In step S<b>18 , the operation content receiving unit 157 receives from the pharmacist terminal 30 the content of the operation on the display screen input on the pharmacist terminal 30 .

In step S19, the print data generation unit 158 generates drug information to be provided to the patient in response to an instruction to print a document to be provided to the patient including drug information sent from the pharmacist terminal 30 to the server 20. and generates print data of a provided document including predetermined related documents describing various contents explained to the patient by the pharmacist.
In step S20, the print data transmitter 159 transmits the print data generated by the print data generator 158 to the pharmacy computer 10.
After step S20, the data generation process is repeated.

[Processing of pharmacist terminal 30]
FIG. 8 is a flowchart showing the flow of communication support processing executed by the pharmacist terminal 30.
The communication support process is started in response to input of an instruction to execute the communication support process via the input unit 815 of the pharmacist terminal 30.

When the communication support process is started, in step S21, the screen display unit 254 requests the server 20 to generate profile screen data.
In step S22, the profile screen data receiving unit 252 receives profile screen data transmitted from the server 20.
In step S23, the screen display unit 254 requests the server 20 to transmit data on changed drug information.

In step S<b>24 , the changed point data receiving unit 253 receives changed drug information data transmitted from the server 20 .
In step S25, the screen display unit 254 sequentially displays various display screens including the pharmacist's profile screen and the changed drug information display screen on the display.
In step S26, the operation accepting unit 251 accepts various operations input on the content displayed on the display screen.

In step S27, the operation content transmitting unit 255 transmits the contents of the operation on the display screen accepted by the operation reception unit 251 (designation of items to be printed in the drug information, change of arrangement of items in the drug information, detailed explanation in the drug information). (designation of display, writing on the schedule presented to the patient, printing instructions for documents provided to the patient including drug information, etc.) are transmitted to the pharmacy computer 10 and the server 20.
In step S28, the screen display unit 254 determines whether an instruction has been given to end the communication support process.
If the end of the communication support process has not been instructed, the determination in step S28 is NO, and the process moves to step S25.
On the other hand, if an instruction is given to end the communication support process, YES is determined in step S28, and the communication support process ends.

[Display screen example]
Next, an example of a display screen displayed in communication support processing will be described.
FIG. 9 is a schematic diagram showing an example of an initial screen displayed in communication support processing.
As shown in FIG. 9, the screen display unit 254 first displays an initial screen showing the patient's name, date of birth, age, etc. In this embodiment, the background, color tone, type of display frame, etc. of the initial screen are selected by the server 20 according to patient attributes.

FIG. 10 is a schematic diagram showing an example of a pharmacist's profile screen.
As shown in FIG. 10, following the initial screen, the screen display section 254 displays a pharmacist's profile screen. The pharmacist's profile screen includes permanently displayed profile items and items selected by the server 20 according to patient attributes. For example, in the example shown in Figure 10, the permanently displayed profile items include the pharmacist's photo, name, age, marital/single status, community activities, and areas of current focus. ing. Furthermore, in the example shown in FIG. 10, "Hobby: Walking" is displayed as an item selected according to patient attributes. That is, the patient attributes of the patient to whom the profile screen of FIG. 10 is presented includes data for "Hobby: Walking," and the pharmacist's profile data includes "Hobby: Walking," which is common to the patient's attribute information. item is selected and displayed on the profile screen.

FIG. 11 is a schematic diagram showing an example of a questionnaire screen.
As shown in FIG. 11, the screen display unit 254 displays the contents of a questionnaire regarding drug administration in response to the pharmacist's operation on the display screen, and the operation reception unit 251 accepts an operation for selecting options for the items of this questionnaire. It will be done.

FIG. 12 is a schematic diagram showing an example of a state in which responses to the questionnaire have been made.
In the example shown in FIG. 12, in response to the questionnaire ``Do you like medicine?'', the patient's response, ``I want to feel safe by taking medicine,'' is selected. Furthermore, in the example shown in FIG. 12, in response to the questionnaire ``Do you ever forget to take your medicine?'', the patient's response option ``Sometimes'' is selected. In the present embodiment, the pharmacist's profile with simplified content is displayed on display screens other than the pharmacist's profile screen, such as the questionnaire display screen, as shown in FIG. 12.

FIG. 13 is a schematic diagram showing an example of a display screen showing the contents of changed drug information.
As shown in FIG. 13, the screen display unit 254 displays the contents of the changed drug information in response to the pharmacist's operation on the display screen. In the example shown in FIG. 13, the contents of past prescriptions include the name of the medical institution to which the doctor who prescribed the prescription belongs, the clinical department, the name of the doctor, the date of prescription, and a list of drugs prescribed the day before last. Similarly, in the example shown in FIG. 13, the contents of the current prescription include the name of the medical institution to which the prescribing doctor belongs, the department, the doctor's name, the date of prescription, etc., and a list of the drugs prescribed this time. There is. Furthermore, in the example shown in FIG. 13, it is shown between the contents of the prescription two times before and the contents of the current prescription that the previous prescription is the same as the prescription two times before. Note that if the previous prescription has been changed from the prescription before the previous one, the changes are also displayed. The pharmacist can explain the contents of the prescription change in an easy-to-understand manner to the patient by operating the display screen while presenting the display screen shown in FIG. 13 to the patient.

FIG. 14 is a schematic diagram illustrating an example of a state in which the pharmacist performs an operation for explaining prescription details to a patient on the display screen illustrated in FIG. 13.
As shown in Figure 14, there are no changes between the past prescription contents and the current prescription contents for "A tablet" and "B tablet", so the pharmacist changed the items for "tablet A" and "tablet B". When operated, an arrow indicating that the prescription is the same will identify and indicate that there is no change in the prescription. On the other hand, although "C tablets" were included in past prescriptions, they were not included in the current prescription, so when the pharmacist operated on the "C tablets" item, the prescription was canceled. A dashed X symbol indicating this, and a message "Please bring it without drinking it" are displayed over the "C tablet" item. Furthermore, although the prescription for "D Capsules" has been switched to "G Capsules," it is necessary to drink all the prescribed "D Capsules" before switching to "G Capsules," so pharmacists When the "Capsule" item is operated, a message "Drink all the D Capsule" is displayed superimposed on the "D Capsule" item. In addition, the method of changing the prescription is identified and represented by an arrow indicating that the prescription has been changed from "D capsule" to "G capsule" and a message "change after drinking the entire capsule".

Additionally, when the pharmacist operates on the items for drugs prescribed in the current prescription, such as "A tablet" and "F capsule," a message saying "◎Don't forget to take your dose" will be superimposed on these items. Is displayed. Furthermore, if the pharmacist manipulates an item in the current prescription that has been changed from the previous prescription, such as G-capsules, and has an advantage for the patient (for example, ``From today, I will start A message indicating that the patient's quality of life will improve, such as "You can eat it now!", is displayed over this item. In addition, if there is a change in the drug packaging or the appearance of the drug itself, a message such as "The packaging (appearance) has changed" will be displayed to notify the patient of the change in the drug packaging or the appearance of the drug itself. It is also possible to do so. In this case, images such as photographs showing the drug packaging and appearance of the drug itself before the change are displayed in the past prescription contents, and images such as photographs showing the drug packaging and appearance of the drug itself after the change are displayed in the current prescription contents. An image such as a photograph is displayed. These messages include "Bring it without drinking," "Drink it all," "Don't forget to drink it," "You can eat ○○ from today!" and "The packaging (appearance) has changed." The message can be automatically displayed based on the result of comparing past prescription data with the current prescription data or the result of the pharmacist's operation.

In addition to the above-mentioned examples, the display contents of these messages can include contents to be notified to the patient (such as a warning or advice from a pharmacist) in response to a change in prescription contents. For example, in the current prescription, benefits for the patient (for example, improvements in quality of life, etc.) resulting from changes from past prescriptions can also be displayed. This can encourage patients to be more conscious of changing prescription details.
Further, the contents of these messages correspond to the history of medication guidance to patients (guidance history). Therefore, when the pharmacy computer 10 receives the content of a pharmacist's communication with a patient by operating the pharmacist terminal 30, the pharmacy computer 10 records the fact that the patient was instructed on the content of these messages in the drug history. Store in DB73. For example, when a pharmacist operates the item "A tablet" on the pharmacist terminal 30 and a message "Don't forget to take it" is displayed, the contents of this operation are transmitted to the pharmacy computer 10. Then, in the pharmacy computer 10, the content of the instruction, ``I emphasized and instructed the patient not to forget to take the A tablet'' is stored in the drug history DB 73. This makes it possible to reduce the work burden on pharmacists in creating a drug history, and to appropriately record necessary record items as a drug history.

Here, on the display screen showing the contents of changed drug information, each listed item has been rearranged between the past prescription contents and the current prescription contents for the purpose of ease of explanation. can do.
FIG. 15 is a schematic diagram showing an example of a state in which the arrangement of listed items is changed.
As shown in Figure 15, if "C tablet" in the past prescription has been changed to "F capsule" with the same efficacy in the current prescription, the position of "C tablet" is changed to "F capsule". You can change the arrangement by moving it to the position next to ``. Thereby, the details of the prescription change can be displayed more clearly for the patient.

FIG. 16 is a schematic diagram showing an example of a schedule presented to a patient.
In FIG. 16, the patient's schedule for two weeks is displayed. In the example schedule shown in FIG. 16, in the schedule field consisting of the date, day of the week, and weather forecast, there is a band containing the word ``Medicine'' indicating the period of time for which the dispensed drug is to be taken, and a band containing the word ``Medicine'' indicating the date of the patient's reunion. The characters ``Alumni Association'' and a double-headed arrow with the characters ``Travel'' indicating the patient's travel schedule have been input. Furthermore, the pharmacist can input handwritten input or stamp data to this schedule. For example, on the schedule of an "alumni reunion," the pharmacist enters data for a "be careful not to forget to take a dose" stamp, and on the first day of a "trip," the pharmacist enters data for a "bring medicine" stamp. . Furthermore, on the last day of the period for taking the dispensed drug, data for a "next visit" stamp is entered to encourage the patient to visit the clinic next time. The "next visit" stamp data can be automatically entered on the last day of the period of taking the dispensed drug, or can be entered at the discretion of the pharmacist. Furthermore, in the example schedule shown in FIG. 16, the pharmacist's work schedule is shown at the bottom of the schedule column, and the patient can decide the date to visit the dispensing pharmacy according to the pharmacist's work schedule. It has become.
Using such a schedule function, a pharmacist can set a drug dosing schedule that fully takes into account the patient's daily life. For example, if a patient is prescribed medication for a headache and wants to be in good physical condition for his or her child's sports day, the pharmacist may prescribe medication so that the patient's symptoms are alleviated on the day of the sports day. Can provide schedule guidance.

FIG. 17 is a schematic diagram showing an example of an interface screen for inputting stamp data.
On the schedule display screen shown in Figure 16, with the schedule field for any date selected, perform an operation (tap, etc.) to select the "stamp" icon located in the bottom column of the schedule display screen. Then, as shown in FIG. 17, an interface screen for inputting a stamp is displayed. By selecting one of the stamps, the pharmacist can input the data of the desired stamp on the desired date.

FIG. 18 is a schematic diagram showing an example of an interface screen for inputting handwritten characters.
On the schedule display screen shown in Figure 16, select the schedule column for any date and perform an operation (tap, etc.) to select the "handwritten" icon located at the bottom column of the schedule display screen. Then, as shown in FIG. 18, an interface screen for inputting handwritten characters is displayed. The pharmacist can input any characters by hand in the area for inputting handwritten characters, the input characters will be recognized, and the data of the desired characters can be entered on the desired date. . In addition, on the interface screen for inputting handwritten characters, it is possible to select the color of the characters to be input, and by inputting handwritten characters after selecting the color, the characters of the desired color can be input. be able to.

FIG. 19 is a schematic diagram showing an example of an interface screen for registering a new schedule.
On the schedule display screen shown in Figure 16, if you select (tap, etc.) the "Add schedule" icon located at the bottom of the schedule display screen, a new schedule will be added as shown in Figure 19. An interface screen for registering will be displayed. By selecting the period, schedule option, and display color of the double-headed arrow, the pharmacist displays the double-headed arrow indicating the selected period in the selected color, and also inputs characters indicating the schedule selected from the schedule options. be able to.

FIG. 20 is a schematic diagram showing an example of an interface screen for editing an already input schedule.
On the schedule display screen shown in FIG. 16, when an operation (double tap, etc.) to select an already input schedule is performed, an interface screen for editing the schedule is displayed as shown in FIG. 19. By selecting to change the period, appointment options, and double-headed arrow display color to the desired color, the pharmacist can display the double-headed arrow indicating the selected period in the selected color and select from the appointment options. You can enter characters that indicate the scheduled event.

FIG. 21 is a schematic diagram showing an example of a screen displaying a message indicating that any consultation matter is accepted.
In the example screen shown in Figure 21, questions such as ``Do you have any concerns?'', ``I know it's hard to talk to you, but please feel free to ask,'' ``About your family,'' and ``If you have any questions other than medicine, please feel free to ask.''' message is displayed. By presenting such a screen, the pharmacist can create an atmosphere where patients can feel free to consult.

[Specific example of drug information provision document]
Next, a specific example of the document provided to the patient will be explained.
FIGS. 22 and 23 are schematic diagrams showing examples of provided documents (changed drug information) provided to patients.
On the display screen showing the contents of the modified drug information illustrated in FIGS. 13 to 15 above, the pharmacist can appropriately select the drugs to be printed on the drug information based on dialogue with the patient and the like.
For example, FIG. 22 shows an example in which major drugs including drugs whose prescriptions have been changed and drugs whose prescriptions have not been changed are selected as print targets. In Figure 22, "Tablets A" and "Tablet B" whose prescription has not been changed, "Tablet C" whose prescription has been discontinued, "Capsule F" which has been newly prescribed, and "Capsule D" whose prescription has been changed are shown. ” and “G Capsule” are selected as printing targets. Furthermore, in the example shown in FIG. 22, it is shown between the contents of the prescription two times before and the contents of the current prescription that the previous prescription is the same as the prescription two times before. In addition, if the previous prescription has been changed from the prescription before the previous one, the changes are also shown.

On the other hand, FIG. 23 shows an example in which a medicine whose prescription has been changed is selected as a printing target. In FIG. 23, a newly prescribed "F capsule", "D capsules" and "G capsules" whose prescriptions have been switched, and "C tablets" whose prescription has been discontinued are selected as printing targets. Also, in the example shown in FIG. 23, the fact that the previous prescription is the same as the prescription before the previous one is shown between the content of the previous prescription and the current prescription content. In addition, if the previous prescription has been changed from the prescription before the previous one, the changes are also shown.
As shown in Figures 22 and 23, among the drugs whose prescriptions have been changed, for those that require caution when taking, there is a ``Do not drink, take it with you'' message urging people to bring it to the dispensing pharmacy instead of taking it because the prescription is no longer available. Please take all the medicines you have been prescribed in the past before starting to take the medicines prescribed this time. A "Don't forget to take" mark is added to remind patients to forget to take the drug, and a "You can eat ○○ from today!" mark is added to indicate that the patient's quality of life will improve due to changes in the prescription. has been done. In addition, if there is a change in the drug packaging or the appearance of the drug itself, a mark such as "Packaging (appearance) has changed" is added to notify patients of changes in the drug packaging or the appearance of the drug itself. It is also possible to do so. In this case, images such as photographs showing the drug packaging and the appearance of the drug itself before the change are printed in the past prescription contents, and the current prescription contents include the drug packaging and the appearance of the drug itself after the change. An image such as a photograph shown is printed. These phrases include "Don't drink it, bring it with you,""Drink it all,""Don't forget to drink it,""You can eat ○○ from today!" and "The packaging (appearance) has changed." Marks such as , etc. can be automatically added based on the results of comparing past prescription data and current prescription data or the results of operations by the pharmacist.
In addition to the above-mentioned examples, the display contents indicated by these marks can include contents to be notified to the patient (such as a warning or advice from a pharmacist) in response to a change in prescription contents. This can encourage patients to be more conscious of changing prescription details.

FIG. 24 is a schematic diagram showing an example of a provided document (related document) provided to a patient.
The related documents shown in Figure 24 are mainly for patients to post on the walls of their homes, refrigerators, and other easily visible places so that they can easily take notes on anything that concerns them, and to bring them with them the next time they visit the hospital. This is a written document given to the patient for the purpose.
As shown in FIG. 24, among the provided documents provided to the patient, predetermined related documents include, on the display screen illustrated in FIG. Information regarding the schedule, such as the schedule, is recorded. Also, for each day in the schedule, check columns for taking medication in the morning, afternoon, evening, and before bedtime (before bedtime) are listed.

Further, in a predetermined related document, below the schedule column, a time that is a guideline for the timing of taking medication in a day is displayed on a time axis. That is, in the example shown in FIG. 24, 7:00 a.m., 13:00 noon, and 19:00 p.m. are shown as the approximate timing for taking medication.
Furthermore, further below the time axis indicating the approximate timing of medication administration, there is a column for the patient to write down anything that concerns him/her, and images such as photographs of drugs that require particular attention in medication administration are printed.
Further, in the bottom column of the predetermined related document shown in FIG. 24, a message from the pharmacist to the patient and the contact information of the dispensing pharmacy are printed.

As described above, in the information processing system 1 according to the present embodiment, when a pharmacist interacts with a patient at a dispensing pharmacy, information regarding the drug is displayed while displaying the pharmacist's predetermined profile. It can arouse the patient's interest and sense of familiarity and support smoother dialogue.
In addition, in the information processing system 1, when a pharmacist explains information about drugs to a patient (changes in prescribed drugs, etc.), by issuing a drug information provision document (drug information) that reflects the explanation content, Patients can more easily refer to the explanation provided by the pharmacist even when taking the drug. At this time, the information processing system 1 can display or issue predetermined changed drug information based on the prescription contents that have been changed between the data of a plurality of prescriptions issued to the patient this time or in the past.
Furthermore, the information processing system 1 presents the content explained by the pharmacist to the patient, such as how to take the prescribed drug, as information (such as a schedule) that is easy for the patient to understand, and helps the patient take the appropriate drug. We can support you.
Therefore, according to the information processing system 1 according to the present embodiment, it is possible to provide information regarding past prescriptions in a form useful to patients. Additionally, communication between pharmacists and patients can be more appropriately supported.

[Modification 1]
In the above-described embodiment, when the print data generation unit 158 generates print data of the provided document, the drug information may include an image explaining the usage of the drug included in the current prescription.
For example, if it is an oral medicine, a pictogram shows that the medicine is taken orally; if it is a patch, a pictogram shows the medicine being applied to the body; if it is a suppository, a pictogram shows the medicine being inserted through the anus; can print pictograms of drugs applied to the body on drug information.
This can prevent patients from using drugs incorrectly.

[Modification 2]
In the embodiment described above, when displaying the currently prescribed medicine on the display screen of the pharmacist terminal 30 or when printing it on the drug information, the order in which the prescribed medicines are displayed or printed is determined according to predetermined conditions. It may also be set automatically.
For example, the main drugs prescribed by the prescribing doctor can be displayed on the top row, and the drugs with lower relative importance, such as auxiliary drugs, can be displayed on the lower row. As an example, drugs prescribed to suppress headaches are displayed on the top row, and drugs that suppress the side effects of taking the drug (such as drugs that protect the gastric mucosa to suppress side effects of stomach irritation) are displayed on the bottom row. It is possible to display, etc.
Further, for example, if a drug is taken at different timings such as morning, noon, and night, it is possible to display the medicines from the top to the bottom in the order of the timing.

[Modification 3]
In the embodiments described above, the provided document is provided to the patient, but the present invention is not limited thereto. In other words, in addition to the patient, the documents can be provided to various entities that may refer to the patient's prescription, such as the patient's family, caregivers (care workers, etc.), nurses, etc. . In this case, the content of the information (difficulty, granularity, etc.) shown in the provided document can be changed depending on the knowledge of the provider receiving the provided document.
Furthermore, among the provided documents, the drug information providing document (medication information) and the predetermined related document may be intended for different subjects. For example, the contents of the provided document can be generated assuming that a drug information providing document (drug information) is provided to a patient's caregiver and a predetermined related document is provided to the patient. Thereby, it is possible to generate a provided document (medication information or related document) with content suitable for the purpose, depending on the recipient of the provided document.

In the above-described embodiments and modifications, the document provided to the patient is described as being in the form of a predetermined document, such as changed drug information or related documents, but the document is not limited thereto. For example, the document may be provided to the patient in the form of a medicine bag. That is, in this embodiment, the print data generated by the print data generation unit 158 can be printed on various types of media on which information can be printed, such as medicine bags and drug information, and can be provided to patients. The materials of various media on which information can be printed may be paper, vinyl, electronic paper, or the like. It is also possible to print the print data by dividing it into multiple media. For example, a drug information provision document that prints out the current prescription data, and a sticker that is attached to the provision document to present changes to the prescription data as a whole to the patient (past prescription data and details of prescription changes). It is also possible to configure one medium by using a sticker printed with the following information.
Furthermore, in addition to providing documents provided to patients by printing information on various printable media, we also provide electronic medicine notebooks, smartphone apps (applications such as notebooks or schedule books), and other documents. The information may be provided to the patient in the form of viewable electronic data on the electronic device (for example, provided via communication or storage medium).

In addition, in the above-described embodiments and modifications, when the display screen showing the contents of changed drug information shown in FIG. The display can be arranged in such a way that it is automatically associated with the current prescription data. In this case, for example, unchanged drugs or drugs with the same ingredients (or efficacy) before and after the change are displayed in association with each other. If the pharmacist moves the display position of any drug on the display screen showing the contents of the changed drug information displayed in this way, the preset position will be changed in accordance with the position of the movement result. The displayed content can be automatically displayed. For example, if one of the drugs in the past prescription data is moved to a display position that does not have a corresponding drug in the current prescription data, a message will appear indicating that the prescription for that drug has been discontinued ("The medicine is out of stock"). ” etc.) can be displayed. Similarly, if any drug in the current prescription data is moved to a display position that does not have a corresponding drug in past prescription data, a message indicating that a prescription for the drug has been added ("Medicine "Added" etc.) can be displayed. Thereby, the content of the change in the prescribed drug can be shown to the patient more clearly.

Furthermore, in the above-described embodiments and modifications, it is also possible that the data of the prescription to be compared does not include the data of the current prescription. It is also possible to show the results of a comparison with prescription data.

As described above, the information processing system 1 according to this embodiment includes the pharmacy computer 10, the server 20, and the pharmacist terminal 30.
The pharmacy computer 10 includes a prescription data acquisition section 51 and a prescription data transmission section 52.
The prescription data acquisition unit 51 acquires data on a patient's prescription.
The prescription data transmitter 52 transmits the prescription data acquired by the prescription data acquirer 51 to the server 20 .
The server 20 includes a change acquisition section 155 and a change data transmission section 156.
Based on the prescription data transmitted from the pharmacy computer 10 and the patient's past prescription data corresponding to the prescription data, the change acquisition unit 155 determines which prescriptions have been issued to the patient this time or in the past. Obtain change information that is information based on prescription contents that have been changed between the data of a plurality of prescriptions.
The change data transmitting unit 156 transmits data of change information to the pharmacist terminal 30.
The pharmacist terminal 30 includes a screen display section 254.
The screen display unit 254 displays a screen for presenting information regarding comparison of prescription contents including change information to the patient, based on the change information data transmitted from the server 20 .
With such a configuration, the information processing system 1 can display information regarding comparison of prescription contents, including change information, when a pharmacist interacts with a patient at a pharmacy.
Therefore, it becomes possible to provide information regarding past prescriptions in a format useful to patients.

The pharmacist terminal 30 includes an operation reception section 251.
The operation accepting unit 251 accepts an operation input on the screen displayed by the screen display unit 254.
The screen display unit 254 changes the displayed content of the drug information according to the operation input on the screen.
This allows for more appropriate support for communication between pharmacists and patients.

The pharmacy computer 10 includes a drug history management section 58.
The medication history management unit 58 stores, as a medication history, the contents of the operations input on the screen of the pharmacist terminal 30 that correspond to the history of medication guidance given by the pharmacist to the patient.
This makes it possible to reduce the work burden on pharmacists in creating a drug history, and to appropriately record necessary record items as a drug history.

Based on the content of the screen displayed by the screen display unit 254 of the pharmacist terminal 30, the print control unit 57 prints a message to the patient on which information regarding comparison of prescription contents including change information is displayed, as a medium to be delivered to the patient. output the provided document.
This allows the pharmacy computer 10 to print the provided document according to the operation details input on the pharmacist terminal 30.

The pharmacy computer 10 includes a comparison content designation section 53.
The comparison content designation unit 53 accepts designation of items to be compared in data of a plurality of prescriptions issued to patients this time or in the past.
The change acquisition unit 155 of the server 20 acquires change information based on the designation of the item to be compared received by the comparison content designation unit 53.
This makes it possible to present changes in the patient's prescription for items specified by the pharmacist.
Therefore, it becomes possible to provide information regarding past prescriptions in a format useful to patients.

Change information includes changes in the drug, changes in usage and dosage, changes in efficacy and effects, changes in side effects, changes in dosage form, changes in drug packaging, changes in drug appearance, changes in drug precautions, and or a change in the number of days the drug is taken.
As a result, it is possible to present information regarding comparison of prescription contents from various viewpoints in addition to drug changes, and thus it is possible to provide information regarding past prescriptions in a form that is more useful to patients.

The changed point acquisition unit 155 identifies the data of the previous prescription that is different from the data of the current prescription, and determines the changed points based on the prescription contents changed between the data of the specified prescription and the data of the current prescription. Get information.
This makes it possible to automatically identify and compare the most recent prescription data whose prescription contents have been changed as the past prescription data to be compared with the current prescription data.

It should be noted that the present invention is not limited to the above-described embodiments, and any modifications, improvements, etc. that can achieve the purpose of the present invention are included in the present invention.
For example, in the above-described embodiment, the server 20 may collectively manage data in the pharmacy computer 10 without providing the prescription DB 71 or the patient attribute DB 72. In this case, the pharmacy computer 10 executes the same process as in the above embodiment by sequentially transmitting and receiving data to and from the server 20, using data stored in the prescription DB 172 or patient attribute DB 173 of the server 20. be able to.
Further, the information processing system 1 according to the present invention may be configured by each device in the above-described embodiments, and may also be configured by implementing the functions of a plurality of devices in the above-described embodiments into one device. It is possible to distribute and implement the functions of one device in multiple devices.

The series of processes described above can be executed by hardware or software.
In other words, the functional configurations in the embodiments described above are merely examples and are not particularly limited. In other words, it is sufficient that any computer constituting the information processing system 1 is equipped with a function that can execute the series of processes described above as a whole, and it is not particularly important what kind of functional blocks are used to realize this function. It is not limited to the example shown.
Further, one functional block may be configured by a single piece of hardware, a single piece of software, or a combination thereof.

Furthermore, the recording medium containing the program for executing the series of processes described above is not only configured as a removable medium that is distributed separately from the device itself in order to provide the program to the user, but also as a removable medium that is pre-installed in the device itself. It consists of recording media, etc. that are provided to users in a state in which they are

Although the embodiments of the present invention have been described above, the present invention is not limited to the embodiments described above. Further, the effects described in this embodiment are only a list of the most preferable effects resulting from the present invention, and the effects according to the present invention are not limited to those described in this embodiment.

1 Information processing system, 10 Pharmacy computer, 20 Server, 30 Pharmacist terminal, 40 Network, 51 Prescription data acquisition unit, 52 Prescription data transmission unit, 53 Comparison content specification unit, 54 Patient attribute acquisition unit, 55 Patient attribute transmission unit , 56 print data reception unit, 57 print control unit, 58 medication history management unit, 71 prescription database, 72 patient attribute database, 73 medication history database, 151 prescription data reception unit, 152 patient attribute reception unit, 153 profile screen data generation unit , 154 profile screen data transmission unit, 155 change acquisition unit, 156 change data transmission unit, 157 operation content reception unit, 158 print data generation unit, 159 print data transmission unit, 171 pharmacist profile database, 172 prescription database, 173 patient Attribute database, 174 Drug database, 175 Drug database used by pharmacy, 176 Change drug information database, 177 Schedule database, 251 Operation reception section, 252 Profile screen data reception section, 253 Change data reception section, 254 Screen display section, 255 Operation content transmission unit, 800 Information processing device, 811 CPU, 812 ROM, 813 RAM, 814 Bus, 815 Input unit, 816 Output unit, 817 Storage unit, 818 Communication unit, 819 Drive, 820 Imaging unit, 831 Removable media

The present invention relates to an information processing system, an information processing device , an information processing method, and a program.

Claims (10)

An information processing system that includes a pharmacy computer installed in a pharmacy, a pharmacist terminal used by a pharmacist, and a server that manages data used in the pharmacy,
The pharmacy computer includes:
Prescription data acquisition means for acquiring prescription data of a patient;
prescription data transmitting means for transmitting the prescription data acquired by the prescription data acquiring means to the server;
Equipped with
The server is
Information based on the prescription contents that have been changed between the data of multiple prescriptions issued to the patient in the current or past based on the data of the patient's current or past prescriptions sent from the pharmacy computer. a change point acquisition means for acquiring change point information that is;
change point data transmitting means for transmitting data of the change point information to the pharmacist terminal;
Equipped with
The pharmacist terminal is
screen display means for displaying a screen for presenting to the patient information regarding a comparison of prescription contents including the change information, based on the data of the change information transmitted from the server;
The change point acquisition means specifies data of a past second prescription that is different from data of a first prescription serving as a reference for comparison, and compares the data of the specified second prescription with the data of the first prescription. Obtaining the change information based on the prescription content changed with the data,
If one or more other prescriptions with the same content have been issued between the plurality of prescriptions on which the information regarding the comparison of the prescription contents is displayed, the screen display means displays the information regarding the comparison of the prescription contents. An information processing system characterized by displaying that one or more other prescriptions with the same contents have been issued in a position between information regarding the plurality of prescriptions. The change point acquisition means specifies data of a third prescription in the past that is different from the data of the second prescription, and compares the data of the specified third prescription with the data of the second prescription. Obtaining the change information based on the prescription contents changed between,
The screen display means displays information regarding a comparison of prescription contents including the change information between the first prescription and the second prescription, and the change information between the second prescription and the third prescription. 2. The information processing system according to claim 1, wherein information regarding a comparison of prescription contents is also displayed on the screen. The pharmacist terminal is
comprising an operation reception means for accepting an operation input on the screen displayed by the screen display means,
3. The screen display means changes display content of information regarding comparison of prescription contents including the change point information in accordance with an operation input to the screen. Information processing system. The pharmacy computer includes:
A claim characterized by comprising a medication history management means for storing, as a medication history, contents of operations input on the screen of the pharmacist terminal that correspond to a history of medication guidance given to patients by pharmacists. The information processing system according to item 3. The pharmacy computer includes:
Providing to the patient, on the basis of the content of the screen displayed by the screen display means of the pharmacist terminal, information regarding a comparison of prescription contents including the change information is displayed as a medium to be delivered to the patient. 5. The information processing system according to claim 1, further comprising an output control means for outputting a document. The pharmacy computer includes:
Comparison content designation means for accepting designation of items to be compared in data of multiple prescriptions issued to the patient this time or in the past;
6. The change acquisition means of the server acquires the change information based on the specification of the item to be compared received by the comparison content specification means. The information processing system described in . The change information includes changes in the drug, changes in usage/dose, changes in efficacy/effects, changes in side effects, changes in dosage form, changes in drug packaging, changes in drug appearance, changes in drug precautions, The information processing system according to any one of claims 1 to 6, characterized in that the information processing system includes at least one of: and changing the number of days of administration. A terminal device used by a pharmacist at a pharmacy,
Information regarding comparison of prescription contents including change information based on change information data, which is information based on prescription contents changed between data of multiple prescriptions issued to a patient this time or in the past. screen display means for displaying a screen for presenting to the patient;
operation reception means for accepting an operation input on the screen displayed by the screen display means;
Equipped with
The screen display means displays the change based on prescription contents that have been changed between data of a first prescription serving as a reference for comparison and data of a past second prescription that is different from the data of the first prescription. displaying information regarding comparison of prescription contents including point information; and changing display content of information regarding comparison of prescription contents including change point information in accordance with operations input on the screen; If one or more other prescriptions with the same content have been issued between the plurality of prescriptions for which information regarding comparison is displayed, the information regarding the plurality of prescriptions is displayed in the display of the information regarding comparison of the prescription contents. A terminal device characterized in that a display indicating that one or more other prescriptions with the same content has been issued is displayed in a position between the two prescriptions. An information processing method executed by a terminal device used by a pharmacist in a pharmacy, the method comprising:
Information regarding comparison of prescription contents including change information based on change information data, which is information based on prescription contents changed between data of multiple prescriptions issued to a patient this time or in the past. a screen display step of displaying a screen for presenting the information to the patient;
an operation reception step of accepting an operation input on the screen displayed in the screen display step;
including;
In the screen display step, the change is made based on the prescription content that has been changed between the data of the first prescription that is a reference for comparison and the data of a past second prescription that is different from the data of the first prescription. Displaying information regarding comparison of prescription contents including point information, and displaying information regarding comparison of prescription contents including change point information is changed according to operations input on the screen, and displaying information regarding comparison of prescription contents including point information is changed. If one or more other prescriptions with the same content have been issued between the plurality of prescriptions for which information regarding comparison is displayed, the information regarding the plurality of prescriptions is displayed in the display of the information regarding comparison of the prescription contents. An information processing method characterized in that a display indicating that one or more other prescriptions with the same content has been issued is displayed in a position between the prescriptions. A computer that constitutes a terminal device used by a pharmacist at a pharmacy,
Information regarding comparison of prescription contents including change information based on change information data, which is information based on prescription contents changed between data of multiple prescriptions issued to a patient this time or in the past. a screen display function that displays a screen for presenting the information to the patient;
an operation reception function that accepts an operation input on the screen displayed by the screen display function;
Realize,
The screen display function is configured to display the change based on the prescription contents that have been changed between the data of the first prescription that serves as a reference for comparison and the data of a past second prescription that is different from the data of the first prescription. displaying information regarding comparison of prescription contents including point information; and changing display content of information regarding comparison of prescription contents including change point information in accordance with operations input on the screen; If one or more other prescriptions with the same content have been issued between the plurality of prescriptions for which information regarding comparison is displayed, the information regarding the plurality of prescriptions is displayed in the display of the information regarding comparison of the prescription contents. A program characterized by displaying that one or more other prescriptions with the same contents have been issued in a position between them.

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