JP4516809B2 - Package indication code conversion method - Google Patents

Description

  The present invention relates to a packaged indication indication code conversion method, and more particularly, to creation and update of data storing drug information including indications in a package insert, and a system and program for retrieving the data.

  A package insert including “warning”, “indication”, “indication or effect” and the like is attached to the medicine. Traditionally, medical institutions have stored package inserts of drugs to be used and confirmed them as needed when prescribing to patients.

  In recent years, data of a standard disease name master for electronic medical records, which is created by the (Medidis-DC) Foundation for Medical Information System Development and conforms to ICD10 (International Disease Classification 10th Edition), has been provided. By using such a standard disease name master, it is possible to find an appropriate medicine for the disease.

For example, Patent Literature 1 and Patent Literature 2 include information on combining wounds and medicines that are adapted to wounds, and an auxiliary storage device that combines wounds and diseases and medical treatments adapted to the wounds, and wounds and diseases included in the reception. Therefore, a device capable of acquiring an applicable medicine or medical practice and checking a receipt is disclosed.
JP 2000-11038 A JP 2001-184411 A

  However, the disease name described in the “Effectiveness or effect” column of the package insert is not necessarily the same as that registered in the standard disease name master. For example, instead of describing “gastric ulcer” and “duodenal ulcer”, “gastric / duodenal ulcer” may be described.

  In addition, when a new effect or effect is recognized in the pharmaceutical product, the new effect or effect is described in the “efficacy or effect” column of the package insert. With such an update of the attached document, it is desirable that the master data referred to by the medical institution or the examination institution is also quickly updated.

  An object of the present invention is to provide a system and program that includes a product information master in which data of a standard disease name master and a disease name described in an attached document are associated with each other, and the data can be easily created and updated. .

  An object of the present invention is a standard disease name for electronic medical records, which includes a high-level concept word that is a basic word indicating the name of the disease and a low-level concept word that is an index term synonymous with the high-level concept word, and a receipt A product that identifies one or more product names described in the package insert by referring to a standard disease name master that includes a record having a conversion code including a computer code and character string data described in the package insert of the pharmaceutical product A disease name that identifies one or more disease names included in the character string by identifying the character string described in the column of efficacy or effect with reference to name specifying means and the character string data described in the attached document Using the extraction means and the extracted disease name as a matching keyword, matching is performed with a higher concept word or a lower concept word included in the standard disease name, and corresponds to the disease name in the standard disease name master Matching execution means for specifying one or more records including a position concept word or a subordinate concept word, an attached document ID for specifying an attached document of the medicine, a disease name, and items of records in the specified standard disease name master This is achieved by a pharmaceutical data generation system comprising: a record generation means for generating a record including information and storing the generated record in a product information master.

  According to the present invention, by executing matching between the broader concept words and lower concept words included in the standard disease name and the disease name in the package insert, the product name of the drug, the disease name in the package insert, the standard disease name, the receipt A product information master including a record associated with a computer code can be obtained.

  In a preferred embodiment, the product name specifying means specifies one or more records in the product information master based on the product name with reference to data of a character string described in the attached document, When the disease name extraction means compares the extracted disease name with the matching keyword in the specified record to determine the presence or absence of the disease name added in the attached document, and when it is determined that the disease name has been added The matching execution unit executes the matching to specify one or more records in the standard disease name master, and the record generation unit includes the attached document ID, the disease name, and the specified standard disease name master. It is configured to generate a record including information on the item of the inside record and store the generated record in the product information master.

  This makes it possible to quickly update the product information master data referred to by the medical institution or examination body as new effects or effects are added to the drug and the package insert is updated. .

  In a preferred embodiment, when the product name specifying unit refers to the character string data described in the attached document and determines that there are a plurality of product names, the record generating unit includes: A record including an attached document ID and a branch number specifying each product name is generated.

  In another preferred embodiment, when the matching execution unit finds neither a high-order concept word nor a low-order concept word for a certain matching keyword, the matching keyword is presented, and a new one changed as necessary The matching keyword is again matched with the higher concept word or the lower concept word included in the standard disease name.

  In still another preferred embodiment, when the matching execution unit finds neither a high-order concept word or a low-order concept word for a matching keyword, the high-order concept word and / or the low-level concept similar to the matching keyword. A word is obtained from the standard disease name master, and a list of the similar broader concept words and / or lower concept words is presented.

  6. The system according to claim 1, wherein the standard disease name master is configured from a record including a standard disease name based on an international disease classification.

  In addition, the object of the present invention is to accept the product information master composed of the records generated as described above and the input of disease name, product name, or disease name and product name. Referring to and finding the record in which the input disease name matches the higher-order concept word or the lower-order concept word in the record, the product name was input with reference to the product information master A record in which the product name matches the product name in the record is found, and for the disease name and product name, refer to the product information master, and the input disease name and the higher rank in the record Search means for finding a record that matches a concept word or a subordinate concept word, and that matches an input product name and the product name in the record, Also achieved by the search system characterized by.

  The merchandise information master may be stored in a portable storage medium such as a CD-ROM, and the computer may search for a record stored in the portable storage medium. Alternatively, the record of the product information master in the portable storage medium may be installed on the hard disk, and then the record in the hard disk may be searched. In particular, when the product information master is updated with the update of the attached document, the portable storage medium storing the new product information master can be read by the computer. As a result, a search using a product information master in which the latest attached document is associated with a standard disease name or the like for electronic medical records becomes possible.

Furthermore, an object of the present invention is an electronic medical record system that cooperates with the search system,
A medicine name accepting means for accepting a medicine name based on a doctor's diagnosis, a medicine name received by the medicine name accepting means to the search system, and a character string of the medicine name retrieved by the search system Transmission / reception means for receiving a record including a product name including a list, list presentation means for presenting a list of broader concept words and lower-order concept words included in the received record, and selection from the presented list And a record generation means for receiving and generating a record of an electronic medical record including the drug name and the selected higher-order concept word or lower-order concept word, and storing the electronic medical record in a medical record database. It is also achieved by an electronic medical record system.

  Another object of the present invention is a receipt computer system that cooperates with the search system and the electronic medical record system, the record receiving means for receiving a record stored in a medical record database from the electronic medical record system, and the record A product name including a character string of the drug name, and a high-level concept word or a low-level concept corresponding to the disease name, which is transmitted to the search system and at least a set of a disease name and a drug name is searched. The present invention is also achieved by a receipt computer system comprising: a transmission / reception unit that receives a record including a word; and a receipt creation unit that creates a receipt based on the received record.

An object of the present invention is a standard disease name for an electronic medical record, which includes a broader concept word that is a basic word indicating the disease name and a lower concept word that is an index term synonymous with the broader concept word, , A pharmaceutical data generation program readable by a computer comprising a standard disease name master comprising a record having a conversion code including a receipt computer code, the computer comprising:
Refers to the character string data described in the package insert of the medicine, and refers to the product name specifying means for specifying one or more product names described in the package insert, the character string data described in the package insert Then, a character string described in the efficacy or effect column is specified, disease name extraction means for extracting one or more disease names included in the character string, and the extracted disease name as a matching keyword and included in the standard disease name Matching execution means for performing matching with a higher-level concept word or lower-level concept word, and specifying one or more records including the higher-level concept word or lower-level concept word corresponding to the disease name in the standard disease name master, and the pharmaceutical product A record including an attached document ID for identifying the attached document, a disease name, and information of a record item in the identified standard disease name master is generated, and the generated record is generated. Also achieved by a program for causing to function as record generating means for storing the product information master the.

In a preferred embodiment, when the computer is caused to function as a product name specifying means, the computer is
With reference to the data of the character string described in the attached document, one or more records in the product information master are specified based on the product name, and the extracted disease name and matching in the specified record Compare with the keyword to determine the presence or absence of the disease name added in the package insert, and if it is determined that the disease name has been added, perform the matching to identify one or more records in the standard disease name master At the same time, a record including information of the attached document ID, the disease name, and the item of the record in the specified standard disease name master is generated, and the generated record is operated to be stored in the product information master.

In a preferred embodiment, when the computer is caused to function as a product name specifying unit, the computer is
When it is determined that a plurality of product names exist with reference to the character string data described in the attached document, the record generation unit includes an attached document ID and a branch number for identifying each product name. Operates to generate a record.

In another preferred embodiment, when the computer functions as the matching execution means, the computer is
When neither a high-level concept word nor a low-level concept word is found for a certain matching keyword, the matching keyword is presented, and a new matching keyword that is changed as necessary is again included in the standard disease name. Operate to perform matching with word or subordinate concept word.

In still another preferred embodiment, when the computer functions as a matching execution unit, the computer is
When neither a high-order concept word or a low-order concept word is found for a certain matching keyword, a high-order concept word and / or a low-order concept word similar to the matching keyword is acquired from the standard disease name master, and the similar high-order word Operate to present a list of concept words and / or subordinate concept words.

Another object of the present invention is a program readable by a computer having a product information master generated by executing the program,
Accept input of disease name, product name, or disease name and product name,
For the disease name, refer to the product information master, find a record in which the input disease name matches the broader concept word or the lower concept word in the record,
For the product name, refer to the product information master, find a record in which the input product name matches the product name in the record,
For the disease name and product name, referring to the product information master, the input disease name matches the broader concept word or the lower concept word in the record, and the entered product name, It is also achieved by a search program that functions as search means for finding a record that matches the product name in the record.

  According to the present invention, it is possible to provide a system and program that includes a product information master in which data of a standard disease name master and a disease name described in an attached document are associated with each other, and the data can be easily created and updated. It becomes.

  Embodiments of the present invention will be described below with reference to the accompanying drawings. FIG. 1 is a block diagram showing a configuration of a search system according to an embodiment of the present invention. As shown in FIG. 1, the search system according to the present embodiment includes a DB 12 storing dictionary data, which will be described later, and an input from an input device (not shown) or an external system (not shown) via a network. In response to a request from the user, a search processing unit 14 that searches the DB 12 and a data creation / update processing unit 16 that updates the dictionary data in accordance with the operation of the input device by the operator are provided. In this embodiment, a search system can be realized by installing a search program in a personal computer or server.

  As shown in FIG. 1, the DB 12 includes a product information master 22, an attached document image file 24, an attached document full-text file 26, and a MEDIS dictionary 28. The key item of the record of the product information master (for example, the record of the attached document image file and the record of the attached document full-text file 26 are associated with each other by “attached document ID” to be described later. It is also possible to obtain records of the attached document image file 24 and the attached document full text file 26. The MEDIS dictionary is referred to when data is created or updated later.

  FIG. 2A is a diagram showing a data structure of the dictionary data of the product information master according to the present embodiment. As shown in FIG. 2 (a), in the present embodiment, the dictionary data record includes “attached document ID”, “attached document branch number”, “product name”, “standard”, “matching keyword” as items. ”,“ Computation Code ”,“ Basic Word ”,“ Index Term ”,“ ICD10 Code ”, and“ Individual Drug Code ”.

The “attached document ID” is assigned to each attached document and uniquely identifies the attached document. One or more products are described in one package insert. For example, the attached document of a product “AAA”
"AAA fine grain"
"AAA 200mg Tablet"
"AAA 400mg Tablet"
"AAA"
"AAA Dry Syrup"
May be listed. In this case, since a plurality of products are described in the attached document, these individual products cannot be specified only by the attached document ID. Therefore, as shown in FIG. 2B, each commodity can be specified by giving a branch number.

  The “product name” corresponds to the name of each product described in the attached document. In the example of FIG. 2B, “AAA fine granules”, “AAA 200 mg tablets” and the like correspond to the product names.

  “Standard” indicates the quantity per product and the product form (bottle, capsule, tablet, etc.).

  The “matching keyword” corresponds to a disease name extracted from the indication item in the package insert. “Basic word” corresponds to a basic word (high-level concept word) of a dictionary (MEDIS dictionary) created by MEDIS-DC (Medical Information System Development Center), and “index term” is an index term of MEDIS dictionary ( Subordinate conceptual word: idiomatic term).

  The “computer code” corresponds to a “receipt computer code (receipt code)”. The “ICD10 code” corresponds to a code in a standard disease name master for electronic medical records corresponding to ICD10 (International Disease Classification 10th Edition). The “individual drug code” is a code assigned separately for each drug. The “ICD10 code” and “individual drug code” can be used as keys when executing a search process according to this code system.

  Furthermore, although not shown in FIG. 2, the record of the dictionary data of the merchandise information master includes a dosage as additional information.

  Next, data creation in the search system according to the present embodiment will be described. FIG. 3 is a flowchart schematically showing processing executed by the data creation / update processing unit 16 of the search system 10. In the processing of FIG. 3, the attached document is read by a scanner or the like, characters are recognized by OCR or the like, the image is stored in the attached document image file 24, and the text data that has been character-recognized is stored in the attached document full-text file 26. It can be executed almost simultaneously with being stored.

  The data creation / update processor 16 refers to the text data and identifies the product name (step 301). The data creation / update processing unit 16 assigns a unique number to the attached document as an attached document ID (step 302), and determines that a plurality of products are described in the product name column. Associates each product name with a branch number (step 303).

  Next, the data creation / update processing unit 16 executes a matching process between the character string (matching keyword) described in the “efficacy or effect” column and the character string in the MEDIS dictionary 28 in the text data, A matching character string is found (step 304).

  In the present embodiment, the MEDIS dictionary 28 has a structure as shown in FIG. That is, it has a higher-order concept word that is a basic word and one or more lower-order concept words (idioms) associated with the higher-order concept word. For example, as shown in FIG. 4, in the MEDIS dictionary 28, “patent artery duct”, which is the broader concept word, “patent artery duct (symptom)”, “patent artery duct” "Patency of arteries", "patent arterial duct", "patent patial tuberculosis", "patent patial tuberculosis", "PDA", "patent patency of BOTALLO", "patent tuberculosis of BOTALLO" It has been.

  In the present embodiment, matching is performed between the matching keyword and the higher-order concept word or the lower-order concept word in the MEDIS dictionary 28. In this matching, so-called front coincidence, backward coincidence, complete coincidence, and the like can be set by operator settings.

  If matching is possible (Yes in step 305), that is, if the matching keyword matches either the higher concept word or the lower concept word, the data creation / update processing unit 16 is identified in step 301. For the product name, in the MEDIS dictionary 28, together with other items in the record including the index term, for example, “computer code”, “ICD10 code”, the found high-level concept word is the “basic word” item. As a subordinate concept word as an item of “index term” and a matching keyword extracted from the attached document as a item of “matching keyword”, a record is generated and stored in the product information master 22 (step 306). .

  Here, in the MEDIS dictionary 28, when there are a plurality of lower-order concept words associated with the higher-order concept words related to matching, as many records as the number of the lower-order concept words are generated. For example, if the matching keyword is “patent arterial duct of premature infant” for the product name “*** for intravenous injection”, the high-level concept word “patent arterial duct” in the MEDIS dictionary 28. Or, it matches “patent arterial duct” of “subordinate concept word”. Therefore, a record is also generated for the lower concept word associated with the upper concept word “patent arterial duct” and stored in the product information master 22.

  On the other hand, if it is determined NO in step 305, manual or semi-manual (semi-automatic) unmatch processing is executed (step 307). More specifically, as shown in FIG. 5, the data creation / update processing unit 16 presents a list of higher-order concept words or lower-order concept words similar to the matching keyword (step 501). When the operator designates one or more high-order concept words or low-order concept words in the list (“word is specified” in step 502), and the designated high-order concept word or low-order concept word is received (step 503), The data creation / update processing unit 16 generates a record including the designated higher-order concept word or the lower-order concept word or a record containing the lower-order concept word related to the designated higher-order concept word or the lower-order concept word in the MEDIS dictionary 28. Then, it is stored in the product information master 22 (step 504). The processing in step 504 is almost the same as the processing in step 305.

  On the other hand, if there is no higher-order concept word or lower-order concept word to be specified by the operator in the list, the operator operates the input device to input that there is no appropriate word. In this case (“No corresponding word exists” in step 502), since the corresponding word does not exist in the MEDIS dictionary 28, the operator manually inputs only the values of items that can be input. The data creation / update processing unit 16 receives the value of the input item (step 505), generates a record according to the value of the received item, and stores it in the product information master 22 (step 506). In step 505, the data creation / update processing unit 16 sets an unmatch flag in the record so that it can indicate that there is no matching word with the MEDIS dictionary 28. . In this way, the record is stored in the product information master 22.

  The record generation process of the merchandise information master 22 will be further described according to a screen example of the display device. The character string in the “Effectiveness or Effect” column in the text data is displayed in the “Body text column (see reference numeral 600)” in the image shown in FIG. When the “matching” button 611 is turned on, a matching keyword is cut out from the character string, and matching between each matching keyword and the higher-order concept word or the lower-order concept word in the MEDIS dictionary 28 is executed.

  As shown in FIG. 7, the matching keyword in the matched character string is indicated by a mark “<<” in the replaced character string display field 702. In this example, for the matching keywords “psychiatric disorder”, “irritable bowel syndrome”, “chronic gastritis”, and “anxiety / tension / depression”, corresponding words are found in the MEDIS dictionary 28. The matching keyword that has been matched is displayed in the display field 703 together with the corresponding receipt computer code (receipt code).

  The operator operates the input device to specify a word to be searched for similar words from the character string display field 702 after replacement. In this example, the word “stomach / duodenal ulcer” is extracted. Of course, the data creating / updating processing unit 16 may automatically configure candidate words to be searched after similarity and present them to the operator. Words to be searched for similar words are displayed in a character string display field 801 of a newly displayed window image, as shown in FIG. The operator may change the character string so as to facilitate the search by operating the input device as necessary.

  When the operator turns on the “search” button 802, the data creation / update processing unit 16 searches for a similar word from the MEDIS dictionary 28 and presents the similar word in the search result display field 810. Alternatively, a high-level concept word or a low-level concept word including a character string that has been changed by the operator may be searched from the MEDIS dictionary 28.

  The operator selects a desired word from the search result display field 810 and turns on the “set” button 803. As a result, as shown in FIG. 9, the selected term and its receipt computer code are displayed in the term temporary registration column of the image. Next, when the operator turns on the “provisional registration” button 901, the index term is registered, and a record including values of various items included in the MEDIS dictionary 28 is generated.

  Next, a data update process when the attached document is revised will be described. When the attached document is revised, the revised attached document is scanned to obtain text data. As shown in FIG. 10, the data creation / update processing unit 16 refers to the character string described in the “Effectiveness or Effect” column in the text data (Step 1001), and the product information specified by the attached document ID The added character string is specified by comparing with the “matching keyword” of one or more records in the master 22 (step 1002). Next, the data creation / update processing unit 16 matches the added character string described in the “efficacy or effect” column with the character string in the MEDIS dictionary (step 1003). Hereinafter, the processing in steps 1004 to 1006 corresponds to the processing in steps 305 to 307 in FIG.

  In this way, the data creation / update processing unit 16 adds a new “efficacy or effect” to the product, and accordingly, even if the description is added to the attached document, It becomes possible to detect the character string added to the column of the effect or the effect and appropriately store the appropriate information in the product information master 22.

  Next, use of the search system 10 according to the present embodiment will be described. In the present embodiment, an external client (not shown) is used to access the search system 10 so that the client acquires necessary information. Of course, the present invention is not limited to this, and a storage medium such as a CD-ROM storing the product information master 22 created by the data creation / update processing unit 16 is read by a personal computer or the like. Also good.

  For example, in a medical institution, when a doctor performs medical care, a doctor or the like operates a client input device to input a diagnosed disease name. Here, the doctor inputs a disease name (MEDIS wound name) according to MEDIS. For example, when “hypertension” is input, the search processing unit 14 searches the merchandise information master 22 for records whose items (basic words and index terms) associated with the MEDIS dictionary match the input “hypertension”. Find out. Next, the search processing unit 14 presents a list of found records. The list of medicines for which “hypertension” is indicated. The doctor can select a desired medicine from the medicine list and issue a prescription.

  The search system 10 can also be used when a medical institution wants to check whether a prescription drug is applied to a diagnosed disease name. In this case, the doctor or the like operates the input device of the client and inputs the name of the prescription drug. The search processing unit 14 of the search system 10 specifies the product name and standard from the input information, and finds a record including the specified product name and standard in the product information master 22. Next, the search processing unit 14 presents a list of found records. The list lists the indications of the input prescription drug.

  Examining institutions and health insurance associations check receipts by referring to receipt request data. The search system 10 can also be used in this receipt check. In this case, an operator of the examination organization or the health insurance association gives an instruction to the search system 10 to take out the disease name and the name of the prescription drug from the record of the receipt request data and perform the receipt check. The search processing unit 14 of the search system 10 specifies the product name and standard from the name of the prescription drug in the record of the receipt request data. Next, the search processing unit 14 determines whether there is a record in the product information master 22 that includes a basic word or index term corresponding to a disease name, a product name, and a standard. If such a record exists, it is determined that the record of the receipt request data is appropriate. On the other hand, if the record does not exist, an error is indicated to the client of the screening agency or the health insurance association. At this time, the search processing unit 14 selects a list of medicines that are therapeutic agents for the disease name in the record of the claim request data and / or a disease name (basic term and index term) corresponding to the indication of the prescription drug in the record. ) List may be presented.

  As described above, according to the present embodiment, by using the product information master 22 that is updated as needed by the data creation / update processing unit 16, the search for medicines at the time of ordering and electronic medical record creation in a medical institution, It can be used for searching for the name of a disease, or for checking the suitability of a medicine and a disease name at the time of receipt check at an examination organization or a health insurance association.

  Next, further utilization of the search system 10 according to the present invention and cooperation with other systems will be described. FIG. 11A is a diagram showing a system construction example using the search system 10 according to the present invention. As shown in FIG. 11A, the search system 10 is connected to an electronic medical record system 100 and a receipt computer system 110 via a network 112 such as a LAN (Local Area Network).

  The search system 10 used here only needs the DB 12 and the search processing unit 14. When the data creation / update unit 16 is not provided as described above, it is desirable that the data in the DB 12 can be updated by reading a portable storage medium such as a CD-ROM or a DVD-ROM. The search system 10 may be incorporated in the electronic medical record system 100 or the receipt computer system 110. For example, as shown in FIG. 11 (b), when the search system 10 is incorporated in the electronic medical record system 100, the receipt computer system 110 performs a search incorporated in the electronic medical record system 100 via the network 112. Access to the system 10 is possible.

  The electronic medical record system 100 generates a data set of items such as a patient name, a health insurance card number, a disease name, and a administered medicine, and stores these data sets in a medical record DB (not shown). In response to the input of the patient name and health insurance card number by the doctor, the electronic medical chart system 100 takes out a record of data including the patient name and health insurance card number from the medical chart DB, and displays a display device (not shown). ) And a new input by the doctor can be received.

  The receipt computer system 110 can read a record in the medical record DB of the electronic medical record system 100 and create a receipt.

  The operation of the system configured as described above will be described. Here, a case where the system configuration example shown in FIG. As shown in FIG. 12, the doctor can open a data record for the patient in the medical record DB by inputting the patient name and health insurance card number (step 1201). The doctor examines the patient and determines the name of the disease to be described in the medical record and the name of the drug to be administered. Here, the name of the disease related to the judgment of the doctor is often a unique name for each medical institution, for example, and does not always match the standardized disease name. On the other hand, the names of pharmaceuticals that are determined to be administered are often accurate. Therefore, the doctor inputs the medicine name (step 1202). The inputted medicine name is transmitted to the search system 10 via the network 112 (step 1203).

  When the search system 10 receives the medicine name, the search processing unit 14 searches the product information master 22 in the DB 12 (step 1204). In the search, a record including a character string constituting the drug name in the item of product name is found using the drug name as a key. The retrieved record is transmitted from the retrieval system 10 to the electronic medical record system 100 (step 1205). When there are a plurality of records, a plurality of records are transmitted. For example, for a single product name, if a plurality of effects or effects are described in the attached document, there are a plurality of basic terms and index terms. For this reason, a plurality of records may exist for a single product name. Of course, if there are a plurality of product names including the character string of the inputted medicine name, there will be at least a plurality of records.

  When receiving the record, the electronic medical record system 100 presents a list of basic words and index terms in the record, for example, by a drop-down menu in the column of the disease name of the electronic medical record displayed on the screen of the display device (step) 1206). The doctor may refer to these lists and select a basic word or index term corresponding to the previously determined disease name (step 1207). Further, at the time of this selection, the value of the item of dosage in the record of the product information master is displayed on the screen of the display device. The physician can refer to the dosage and enter a desired value smaller than the dosage if necessary to reduce the value.

  In addition, when there are a plurality of product names corresponding to the medicine name inputted by the doctor, the electronic medical record system 100 displays a plurality of products in the medicine name column displayed on the screen of the display device by using, for example, a drop-down menu. After a list of names is presented and a doctor selects one of the product names, a disease name (that is, a basic word and an index term) associated with the selected product name may be presented.

  In this way, after completing the input of the medicine name and the disease name, the doctor inputs further necessary items in the input column of the electronic medical record (step 1208). Thereafter, for example, by turning on the “update” button, the input information (disease name, drug name, dosage, etc.) is stored in the medical record DB (step 1209). In this way, the doctor can create an electronic medical record.

  As shown in FIG. 13, the receipt computer system 110 requests transmission of a newly created or updated record in the medical record DB from the electronic medical record system 100 at a predetermined timing (for example, the end of the month or the beginning of the month) (step) 1301). In response to the request, the electronic medical record system 100 transmits a predetermined record group from the medical record DB to the receipt computer system 110 (step 1302). The receipt computer system 110 transmits at least a set of a disease name and a drug name in each record of the medical record DB to the search system 10 (step 1303), and the basic word or index term corresponding to the disease name and the drug name are transmitted. Require a search for records that contain the corresponding product name.

  The search system 10 searches the merchandise information master 22 in response to the request (step 1304), specifies a record including a basic word or index term corresponding to a disease name, and a merchandise name corresponding to a drug name, and the record Is transmitted to the receipt computer system 110 (step 1305). This process is executed for all sets of disease names and drug names transmitted from the receipt computer system 110. Here, in the present embodiment, since the electronic medical record is created by searching the search system 10, basically corresponding records are found for all data sets.

  The receipt computer system 110 creates a receipt for each of the received records with reference to the computer code, the ICD 10 code, etc. (step 1306).

  As described above, using the electronic medical record system 100 and the receipt computer system 110 in cooperation with the search system 10 has the following advantages.

  As mentioned above, the name of the disease that doctors conventionally enter in the medical record is often not a standardized disease name. Therefore, when creating a receipt, it is necessary to examine the standardized name of the disease name entered in the medical record. was there. In addition, it is often necessary for doctors and medical department staff to collate the name of the disease with the name of the drug before submitting the receipt, and labor costs for such time cannot be ignored (approximately 80 billion yen nationwide) ).

  On the other hand, by introducing the system as described above, the disease name in the electronic medical record is standardized, and the disease name and the drug name administered for the disease name are included in the product information master 22. Therefore, a receipt computer code is given and insurance can be applied. Therefore, you can automatically obtain a receipt with a remarkably small assessment rate (the rate of receipts that cannot be covered by insurance due to a mismatch between the name of the disease and the drug) without going through the process of creating the receipt or the work before submitting the receipt. Can do. In other words, the labor cost can be reduced by reducing the work, and the assessment rate can be reduced.

The present invention is not limited to the above-described embodiment, and various modifications are possible within the scope of the invention described in the claims, and these are also included in the scope of the present invention. Needless to say, for example, in the above-described embodiment, the search system 10 is connected to a client such as a medical institution or an examination institution via a network, and the search processing unit 14 of the search system 10 is connected according to an instruction from the client. In operation, the necessary processing is performed. As described above, a storage medium such as a CD-ROM storing the product information master 22 created by the data creation / update processing unit 16 of the search system is used. It may be in a form used by clients such as medical institutions and examination institutions. In this case, a search processing unit for searching for a record stored in a storage medium such as a CD-ROM is provided in a client such as a PC.

FIG. 1 is a block diagram showing a configuration of a search system according to an embodiment of the present invention. FIG. 2A is a diagram showing a data structure of the dictionary data of the product information master according to the present embodiment, and FIG. 2B is a diagram for explaining branch numbers in the dictionary data. FIG. 3 is a flowchart schematically showing processing executed by the data creation / update processing unit of the search system according to the present embodiment. FIG. 4 is a diagram for explaining the relationship between the higher-order concept words and the lower-order concept words in the MEDIS dictionary. FIG. 5 is a flowchart showing unmatch processing according to the present embodiment. FIG. 6 is a diagram illustrating an example of an image displayed on the screen of the display device of the search system when data is created or updated. FIG. 7 is a diagram illustrating an example of an image displayed on the screen of the display device of the search system when data is created or updated. FIG. 8 is a diagram illustrating an example of an image displayed on the screen of the display device of the search system when data is created or updated. FIG. 9 is a diagram illustrating an example of an image displayed on the screen of the display device of the search system when data is created or updated. FIG. 10 is a flowchart schematically showing a data update process according to the present embodiment. FIG. 11 is a diagram illustrating a system configuration example using the search system according to the present embodiment. FIG. 12 is a flowchart showing an electronic medical record creation process using a search system in the system shown in FIG. FIG. 13 is a flowchart showing a receipt creation process using a search system in the system shown in FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Retrieval system 12 Database 14 Retrieval processing unit 16 Data creation / update processing unit 22 Product information master 24 Attached document image file 26 Attached document text file 28 MEDIS dictionary 100 Electronic medical record system 110 Receipt computer system

Claims (11)

Standard disease name for electronic medical records, including a high-level concept word that is a basic word indicating the standard disease name and a low-level concept word that is an index term synonymous with the high-level concept word, and a conversion that includes a receipt computer code A standard disease name master consisting of records having codes, and
And the attached document ID that uniquely identifies the attached document of pharmaceuticals, and the product name, and the standard name of the disease, including the broader term you and the lower concept language, and product information database of records having, and matching keyword,
Referring to character string data obtained by character recognition of the attached document, one or more records in the product information database are specified based on the character string and the product name in the product information database Product name identification means,
By referring to the character string described in the effect or efficacy column in the character string data described in the attached document, by comparing the character string and the matching keyword of the specified one or more records , Disease name extraction means for identifying the added character string,
The added character string is compared with the higher-order concept word and the lower-order concept word in the standard disease name master, and one or more including the higher-order concept word or the lower-order concept word corresponding to the disease name in the standard disease name master A matching execution means for identifying the records of
Standard disease name including the attached document ID, the product name, a matching keyword corresponding to the added character string, and a high-level concept word and a low-level concept word in the standard disease name master record specified by the matching execution unit And a record update means for generating a new record in the product information database and storing the new record in the product information database.   When the matching execution means does not find the higher-order concept word and the lower-order concept word in the standard disease name master for the added character string, the added character string is presented and changed by the operator's input The pharmaceutical data generation system according to claim 1, wherein the new character string is again matched with a higher-order concept word and a lower-order concept word in the standard disease name master. When the matching execution unit does not find the upper concept word and the lower concept word in the standard disease name master for the added character string, the upper concept word and the lower concept word similar to the added character string are obtained. Obtained from the standard disease name master, presenting a list of the similar broader concept words and lower concept words, and configured to select the broader concept word or the lower concept word based on the input of the operator, The pharmaceutical data generation system according to claim 1 or 2 .   The pharmaceutical data generation system according to any one of claims 1 to 3, wherein the standard disease name master includes a record including a standard disease name that conforms to an international disease classification. A product information database generated by the pharmaceutical data generation system according to any one of claims 1 to 4;
Accept input of disease name, product name, or disease name and product name,
For the disease name, refer to the product information database , find a record in which the input disease name matches the broader concept word or the lower conceptual word in the record,
For the product name, refer to the product information database , find a record in which the input product name matches the product name in the record,
For the disease name and product name, referring to the product information database , the input disease name matches the broader concept word or the lower concept word in the record, and the entered product name, And a search means for finding a record that matches the product name in the record. An electronic medical record system that cooperates with the search system according to claim 5,
A medicine name receiving means for receiving a medicine name based on a doctor's diagnosis;
The product name database includes a product name that includes the product name including a character string of the drug name that is transmitted to the search system and is searched for in the search system. A transmission / reception means for receiving records;
List presenting means for presenting a list of broader concept words and lower-order concept words included in the received record;
A selection of a broader concept word or a lower concept word is received from the presented list, an electronic medical record record including the drug name and the selected higher concept word or lower concept word is generated, and the electronic medical record is stored in a medical record database. An electronic medical record system, comprising: A receipt computer system cooperating with the search system according to claim 5 and the electronic medical record system according to claim 6,
Record receiving means for receiving records stored in the medical record database from the electronic medical record system;
A combination of at least a disease name and a drug name in the record is transmitted to the search system, and a product name including a character string of the drug name searched in the search system, and a high-level concept word corresponding to the disease name or A transmission / reception means for receiving a record of the product information database , including a subordinate concept word;
And a receipt creation means for creating a receipt based on the received record. Standard disease name for electronic medical records, including a high-level concept word that is a basic word indicating the standard disease name and a low-level concept word that is an index term synonymous with the high-level concept word, and a conversion that includes a receipt computer code and the standard disease name master consisting of a record having a code, and the attached document ID that uniquely identifies the attached document of pharmaceuticals, and the standard name of the disease, including the product name, the broad term you and the lower concept language, and matching keyword A pharmaceutical data generation program readable by a computer comprising an updatable product information database consisting of records having:
Referring to character string data obtained by character recognition of the attached document, one or more records in the product information database are specified based on the character string and the product name in the product information database Product name identification means,
By referring to the character string described in the effect or efficacy column in the character string data described in the attached document, by comparing the character string and the matching keyword of the specified one or more records , Disease name extraction means for identifying the added character string,
The added character string is compared with the higher-order concept word and the lower-order concept word in the standard disease name master, and one or more including the higher-order concept word or the lower-order concept word corresponding to the disease name in the standard disease name master Matching execution means for identifying the record, and
Standard disease name including the attached document ID, the product name, a matching keyword corresponding to the added character string, and a high-level concept word and a low-level concept word in the standard disease name master record specified by the matching execution unit And generating a new record in the product information database and functioning as a record updating means for storing the new record in the product information database. When the computer functions as a matching execution unit, the computer is
For the added character string, when the higher-order concept word and the lower-order concept word in the standard disease name master were not found, the added character string is presented, and the new character string changed by the operator's input, The pharmaceutical data generation program according to claim 8, wherein the pharmaceutical data generation program is operated so as to execute matching with the higher-order concept words and the lower-order concept words in the standard disease name master again. When the computer functions as a matching execution unit, the computer is
For the added character string, when the higher-order concept word and the lower-order concept word in the standard disease name master are not found, the higher-order concept word and the lower-order concept word similar to the added character string are obtained from the standard disease name master. 9. The method according to claim 8, wherein the operation is performed so as to obtain, present a list of the similar high-order concept words and low-order concept words, and select a high-order concept word or a low-order concept word based on an operator input. Drug data generation program. A program readable by a computer having a product information database generated by executing the program according to any one of claims 8 to 10,
The computer,
Accept input of disease name, product name, or disease name and product name,
For the disease name, refer to the product information database , find a record in which the input disease name matches the broader concept word or the lower conceptual word in the record,
For the product name, refer to the product information database , find a record in which the input product name matches the product name in the record,
For the disease name and product name, referring to the product information database , the input disease name matches the broader concept word or the lower concept word in the record, and the entered product name, A search program that functions as search means for finding a record that matches the product name in a record.

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