JP5365042B2 - Data selection support program, data selection support method, and data selection support device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To easily, surely and quickly show the combination of medicine which can be determined to bring about effective results. <P>SOLUTION: A selection means 2 selects the combination of medicine including selected medicine names from a storage means 6 for storing the past prescription history. A first determination means 3 determines whether there exists the several combination of medicine selected by the selection means 2 in the past prescription history. A second determination means 4 determines whether the combination of medicine determined to exist by the first determination 3 has been continuously prescribed for the patient. When the combination of medicine selected by the selection means 2 is displayed, a display means 5 displays the combination of the medicine determined to be continuously prescribed by the second determination means 4 in such configurations that it is discriminated from the combination of the other medicine. <P>COPYRIGHT: (C)2010,JPO&amp;INPIT

Description

  The present invention relates to a data selection support program, a data selection support method, and a data selection support device, and more particularly to a data selection support program, a data selection support method, and a data selection support device that support selection of data related to medicines to be administered to a patient.

  It has a function to assist these actions when performing medical examinations to record the patient's main symptoms, progress, etc., and instructing various prescriptions (internal use, external use, injection, etc.), surgery, treatment, etc. Electronic medical record systems are known.

In this system, in particular, simplification of operation when a doctor prescribes a medicine according to a patient is required.
Therefore, a technique for narrowing down drug names by displaying a list of drug names including the abbreviations when a drug name abbreviation is input is known (see, for example, Patent Document 1). Further, a technique for narrowing down drug names by storing a combination of a disease name and a drug name in a storage unit in advance and referring to the storage unit using a patient's disease name is known (for example, Patent Documents). 2).
JP 2004-318520 A JP 2007-272751 A

  However, it is not always possible to determine whether or not a drug that meets the narrowing-down conditions is an effective drug. An effective drug can be selected based on the doctor's own memory and experience, or written in an electronic medical record. It was necessary to go back and check the contents and select a medicine.

However, in the former case, it is not always possible to select an effective medicine, and in the latter case, there is a problem that it takes time to select the medicine.
The present invention has been made in view of such points, and a data selection support program, a data selection support method, and a data selection support program that can easily, reliably, and show a combination of medicines that can be determined to have a proven track record. It is an object to provide a data selection support device.

  In order to achieve the above object, a disclosed data selection support program is provided. This program causes the computer to function as selection means, first determination means, second determination means, and display means.

The selecting means selects a combination of medicines including the selected medicine name from a storage means for storing a prescription history including information on a date when the combination of medicines was prescribed to the patient .
First determining means, a combination of drugs selected by the selection means, determines whether there exist a plurality of the prescription history.

The second determining means determines, based on the prescription history, whether or not a combination of medicines determined to be present by the first determining means is continuously prescribed for the patient.
When displaying the combination of medicines selected by the selection means, the display means gives priority to the combination of medicines determined to be continuously prescribed by the second judgment means over the combination of other medicines. indicate.

According to such a data selection support program, a combination of medicines including the selected medicine name is selected from the storage means by the selection means. Next, the first determining means determines whether or not there are a plurality of combinations of medicines selected by the selecting means in the prescription history. Next, the second determination means determines whether or not a combination of medicines determined to be present by the first determination means is continuously prescribed for the patient based on the prescription history. Then, when the combination of medicines selected by the selection means is displayed by the display means, the combination of medicines determined to be continuously prescribed by the second judgment means has priority over the combination of other medicines. Is displayed.

  According to the disclosed data selection support program, data selection support method, and data selection support apparatus, it is possible to easily, reliably, and quickly select a combination of medicines that can be determined to have a proven track record.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.
First, an outline of the present invention will be described, and then an embodiment will be described.
FIG. 1 is a diagram showing an outline of the present invention.

The disclosed data selection support program causes the computer 1 to function as the selection unit 2, the first determination unit 3, the second determination unit 4, and the display unit 5.
The selection means 2 selects a combination of medicines including the selected medicine name from the storage means 6 that stores past prescription history.

The first determination means 3 determines whether or not there are a plurality of combinations of medicines selected by the selection means 2 in the past prescription history.
The second determination means 4 determines whether or not a combination of medicines determined to be present by the first determination means 3 is continuously prescribed for the patient.

  When the display means 5 displays the combination of medicines selected by the selection means 2, the combination of medicines determined to be continuously prescribed by the second determination means 4 is selected by the combination of other medicines (selection). A combination of medicines selected by the means and a combination of medicines judged by the first judgment means).

  As a result, the combination of medicines determined to be prescribed continuously is displayed in a manner that can be distinguished from the combination of other medicines. Judgment can be made.

In addition, it is preferable to make the computer 1 function as third determination means (not shown) for determining whether or not the number of subsequent medication days has increased.
At this time, for the combination of medicines for which the number of days for subsequent administration is determined to have increased by the third judging means, the combination of other medicines (the combination of the medicine selected by the selecting means and the first judging means and It is preferable to display in a manner that can be distinguished from the combination of medicines determined by the second determination means.

By such a display, it is possible to easily, reliably, and quickly show a combination of medicines that can be determined to have a higher effect on the patient.
In FIG. 1, the storage unit 6 is illustrated as being external to the computer 1, but is not limited thereto, and may be provided inside the computer 1.

Embodiments of the present invention will be described below.
FIG. 2 is a diagram illustrating the electronic medical record system according to the embodiment.
The electronic medical record system 300 includes a server device 100 and a plurality of (two in FIG. 2) client devices 200, 200,.

The server device 100 stores a medication (prescription) pattern for each patient, data for identifying a patient and a doctor (user), and the like, and sends the data to the client device 200 as necessary.
The client device 200 includes an electronic medical record application (described later) used when a doctor creates a prescription or explains a medical condition to a patient. The electronic medical record application displays an electronic medical record on the attached monitor according to the operation of the doctor and a medication pattern prescribed in the past in order to support the creation of the medical chart.

FIG. 3 is a diagram illustrating a hardware configuration example of the client device.
The entire client apparatus 200 is controlled by a CPU (Central Processing Unit) 201. A random access memory (RAM) 202, a hard disk drive (HDD) 203, a graphic processing device 204, an input interface 205, and a communication interface 206 are connected to the CPU 201 via a bus 207.

  The RAM 202 temporarily stores at least part of an OS (Operating System) program and application programs to be executed by the CPU 201. The RAM 202 stores various data necessary for processing by the CPU 201. The HDD 203 stores an OS and application programs. A program file is stored in the HDD 203.

  A monitor 11 is connected to the graphic processing device 204. The graphic processing device 204 displays an image on the screen of the monitor 11 in accordance with a command from the CPU 201. A keyboard 12 and a mouse 13 are connected to the input interface 205. The input interface 205 transmits a signal transmitted from the keyboard 12 or the mouse 13 to the CPU 201 via the bus 207.

  The communication interface 206 is connected to the network 20. The communication interface 206 transmits / receives data to / from other computers via the network 20.

  With the hardware configuration as described above, the processing functions of the present embodiment can be realized. Although FIG. 3 shows the hardware configuration of the client apparatus 200, the server apparatus 100 can also be realized with the same hardware configuration. In the electronic medical record system 300 having such a hardware configuration, the following functions are provided in the server device 100 and each client device 200.

<Server device>
FIG. 4 is a block diagram illustrating functions of the server device.
The server apparatus 100 includes a data transmission / reception unit 110, a control unit 120, and an electronic medical record processing data storage unit 130.

The data transmission / reception unit 110 has a function of transmitting / receiving data to / from the client device 200.
The control unit 120 has an authentication function when the client device 200 logs in to the electronic medical record application.

  Specifically, authentication is performed in response to a user authentication request from the client device 200, and after authentication, the data stored in the electronic medical record processing data storage unit 130 is transferred to the client in response to a data transmission request from the client device 200. To device 200.

Further, the data stored in the electronic medical record processing data storage unit 130 is updated in response to a data update request from the client device 200.
The electronic medical record processing data storage unit 130 stores data used when the electronic medical record application of the client device 200 is executed. The electronic medical record DB 131, the patient DB 132, the medication order DB (storage means) 133, and the continuous medication The determination allowable days master 134 and the medicine use order number management DB 135 are provided.

The electronic medical record DB 131 stores an electronic medical record (not shown) for each patient in a predetermined format.
The patient DB 132 stores basic patient information.

In the medication order DB 133, information on medicines that have been administered to the patient in the past is stored in association with the doctor who gave the medication instruction, the number of medication days, and the like.
The continuous dosing determination allowable days master 134 stores information for determining whether or not a medicine has been continuously administered to a patient within a predetermined period.

The medicine use order number management DB 135 stores information obtained by extracting only the information on the medicine name from the information on the medicine stored in the medication order DB 133.
Hereinafter, the data structure of each DB will be described.

<Patient DB>
In the patient DB 132, patient data is stored as a table.
FIG. 5 is a diagram illustrating a data structure of a patient data table.

The patient data table 132a has columns of patient ID, patient name, and date of birth, and information arranged in the horizontal direction of each column is associated with each other.
A number (ID) for identifying a patient is stored in the patient ID column.

The name of the patient is stored in the patient name column.
In the birth date column, the date of birth of the patient stored in the patient column is stored.
<Medication Order DB>
In the medication order DB 133, medication order information is tabulated and stored.

6 and 7 are diagrams showing examples of the data structure of the medication order table. 6 and 7 constitute one table.
The medication order table 133a is provided with columns of patient ID, patient name, user code, user name, order date, order number, item attribute, item attribute name, item code, item name, item quantity, and item unit name. The information arranged in the horizontal direction of each column is associated with each other.

A number (ID) for identifying a patient is stored in the patient ID column.
The name of the patient is stored in the patient name column.
In the user code field, a number for identifying the user stored in the user name field is stored.

The user name column stores the name of the user (doctor name) who prescribed the medicine for the patient stored in the patient name column.
In the order date column, the date when the medication order is issued is stored.

  In the order number column, a unique identification number provided for each medication order is stored. Order information with the same order number (information for one column of the medication order table 133a) means that one order unit is configured. A group of order information having a common order number is hereinafter referred to as “Rp information”. In the present embodiment, the order date is newer as the order information has a larger number of order numbers.

  In the item attribute column, an identifier indicating the attribute of the order information is stored. “D” indicates that the attribute of the order information is medicine, and “Y” indicates that the attribute of the order information is usage.

In the item attribute name column, “medicine” is stored when the item name column is a drug name, and “usage” is described when it is a usage.
In the item code column, for an item whose item attribute is “D”, an identification number for identifying a medicine name and prefixed with “D” is stored. For items whose item attribute is “Y”, an identification number prefixed with “Y” for identifying a pattern for each internal use is stored.

  In the item name column, for the item whose item attribute is “D”, the medicine name and the amount of a specific medication order are stored. For items whose item attribute is “Y”, the internal use method is stored.

  In the item quantity column, for items whose item attribute is “D”, the number of oral doses per day is stored, and for items whose item attribute is “Y”, the date indicating the number of days of medication is stored. Yes. Hereinafter, a day obtained by adding the number of medication days to the order date is referred to as “medication completion date”. For example, when the order date is “2007.8.1” and the number of dosing days is 7, the dosing completion date is “2007.8.8”.

  In the item unit name column, “pack” or “lock” is stored for the item whose item attribute is “D”, depending on the drug name of the item name, and for the item whose item attribute is “Y”. , “Day” is stored.

<Continuous medication determination allowable days master>
In the continuous medication determination allowable days master 134, information is tabulated and stored.
FIG. 8 is a diagram showing an example of the data structure of the continuous medication determination allowable number of days master.

The continuous dosing determination allowable days master table 134a is provided with columns of category, category name, and allowable days, and information arranged in the horizontal direction of each column is associated with each other.
In the classification column, an identification number for each record is stored.

In the column of the category name, information for classifying the time when the allowable number of days is applied is stored.
In the column of allowable days, the number of days allowed to consider that continuous medication orders (stored from the order date and medication completion date) are stored in the medication order DB 133 is stored.

  In FIG. 8, since “3” is stored in each of the allowable days column, it is assumed that continuous medication orders are stored in the medication order DB 133 before the 3rd day from the order date and after 3 days from the medication completion date. I reckon.

<Drug use order number management DB>
The medicine use order number management DB 135 stores information in a table form.
FIG. 9 is a diagram showing an example of the data structure of the medicine use order number management table.

The medicine use order number management table 135a is provided with columns of item code, medicine name, and order number, and the information arranged in the horizontal direction of each field is associated with each other.
Each content is the same as that stored in the medication order table 133a, and the description thereof will be omitted.

FIG. 10 is a block diagram illustrating functions of the client device.
The client device 200 includes a data transmission / reception unit 210, an application storage unit 220, and an application execution unit 230.

The data transmission / reception unit 210 has a function of transmitting / receiving data to / from the server device 100.
The application storage unit 220 includes an electronic medical record application storage unit 221 that stores an electronic medical record application, and a medication Rp dictionary application storage unit 222 that stores a medication Rp dictionary application.

  The application execution unit 230 is an electronic medical record application storage unit in response to a request for starting an electronic medical record application via the input interface 205 by an operation with the doctor's keyboard 12 or mouse 13 (hereinafter simply referred to as “doctor's operation”). The electronic medical record application stored in the screen 221 is called and a login screen of the electronic medical record application is displayed on the monitor 11.

  The application execution unit 230 performs an authentication process when a doctor's user code, a unique password, and the like are input by a doctor's operation and a login button (not shown) is selected (pressed).

  Specifically, the application execution unit 230 transmits an authentication request together with the login name and password to the server device 100 via the data transmission / reception unit 210. If authenticated by the control unit 120 of the server apparatus 100, it is possible to log in to the electronic medical record application.

  The doctor can cause the monitor 11 to display a medication order screen for dispensing medicine by operating a cursor or the like displayed on the electronic medical record screen displayed on the monitor 11 by the electronic medical record application.

  When a medicine is selected by a doctor's operation on the medication order screen, the application execution unit 230 calls a medication Rp dictionary application stored in the medication Rp dictionary application storage unit 222 to perform a medication Rp dictionary screen display process (described later). I do.

  In this process, a medication Rp that includes a list of medication Rp patterns (a combination of medications to be administered and an internal use method) including medications specified this time from medication orders previously issued by the doctor in the medication order DB 133. A dictionary screen (described later) is displayed on the monitor 11.

FIG. 11 is a block diagram illustrating functions of the application execution unit.
The application execution unit 230 includes a data acquisition unit 231, a medication order processing unit 232, and a data transmission unit 233.

  The data acquisition unit 231 acquires data from the server device 100 via the data transmission / reception unit 210 and displays the acquired data on the screen of the monitor 11 or stores it in a work table (described later).

  The medication order processing unit 232 has a function of performing various processes according to the operation of the doctor on the displayed medication order screen, and a medication Rp pattern extraction unit (first determination unit, second determination unit, 3 determination means) 232a, a work table 232b, and a screen display unit (display means) 232c.

The medication Rp pattern extraction unit 232a extracts the aforementioned medication Rp pattern based on the medicine selected by the operation of the doctor and the data stored in the server device 100.
The work table 232b constitutes an area for temporarily storing data when the medication Rp pattern extraction unit 232a extracts the medication Rp pattern.

The screen display unit 232c displays on the monitor 11 a medication Rp dictionary screen that summarizes the medication Rp patterns obtained by the extraction of the medication Rp pattern extraction unit 232a.
The data transmission unit 233 transmits the medication order made by the doctor this time to the server device 100 when storing the electronic medical record.

Next, the medication order screen will be described.
FIG. 12 is a diagram showing a medication order screen.
On the medication order screen 21, a patient ID display unit 21a, a patient name display unit 21b, a user display unit 21c, an order date display unit 21d, a search unit 21e, and an end button 21f are displayed. In addition to this, a button or the like for selecting an in-hospital prescription or an out-hospital prescription may be provided.

The patient ID acquired from the patient DB 132 is displayed on the patient ID display unit 21a.
The patient name obtained from the patient DB 132 is displayed on the patient name display unit 21b.
The user display unit 21c displays the name of the doctor who operates the medication order screen 21 (the name of the doctor who has logged into the electronic medical record application and the user code of this doctor name).

In the order date display unit 21d, the date for prescription of the medicine is called from a timer provided in the client device 200 and displayed.
The search unit 21e includes a drug search tab 211e for searching for drugs, a drug search tab 212e for searching for drug effects, and a frequently used drug search tab 213e for searching for frequently used drugs (drugs that are frequently used).

When the medicine search tab 211e is selected by a doctor's operation, a medicine search screen 214e is displayed.
On the medicine search screen 214e, a medicine name input unit 215e, a search button 216e, and a search result display unit 217e are displayed.

The medicine name input unit 215e accepts an input of part or all of the medicine name to be searched.
The search button 216e is searched by the content input to the medicine name input unit 215e by being selected by a doctor's operation.

  When the search button 216e is selected by a doctor's operation, the search result display unit 217e displays the drug name and the amount (search drug list) that at least partially matches the drug name input to the drug name input unit 215e. indicate. These pieces of information are acquired from a pre-registered medicine master (not shown).

  In FIG. 12, “mucoda” which is a part of the drug name “mucodyne” is input to the drug name input unit 215e by the operation of the doctor, and the search button 216e is selected. As a result, “mucodyne DS 33” is displayed on the search result display unit 217e. 3% "," mucodyne syrup 33.3% "and" mucodyne tablets 500mg "are displayed.

  Then, when the cursor is placed on a part where any one of the search medicines in the list of search medicines is displayed by the operation of the doctor (the part where “Mucodyne Tablets 500 mg” is displayed in FIG. 12), the medication Rp dictionary application is displayed. The medication Rp dictionary screen 218e is displayed.

  On the medication Rp dictionary screen 218e, the physician (Doctor A) displayed on the user display unit 21c dispenses the medication Rp pattern (seven medication Rp in FIG. Pattern) is displayed.

  That is, the medication Rp dictionary screen 218e is not limited to the patient name displayed on the patient name display unit 21b (hereinafter referred to as “the patient”), and the doctor A stored in the medication order table 133a has dispensed. The medication Rp pattern for all patients is displayed.

  Each medication Rp pattern has a priority (which is highly likely to be recommended based on past trends). For example, for each patient Rp pattern, it is continuously within a predetermined period of time (hereinafter simply “continuously”). The dosing Rp pattern with the second dosing days and the later dosing days has the highest priority, the past dosing results for the patient twice in succession, and The dosing Rp pattern having the same dosing days before and after or the dosing Rp pattern having the most dosing days is the second highest priority, and the dosing Rp pattern that has not been consecutive to the patient but has been administered multiple times is 3 The medication Rp pattern that has the second highest priority and has a history of having administered the patient once has the fourth highest priority and the medication Rp pattern that has never been administered to the patient has the highest priority. Is low.

  Each medication Rp pattern is color-coded according to this priority. For example, the column with the highest priority is displayed in orange, the column with the second highest priority is displayed in light blue, and the third is the third. The column with the highest priority is displayed in red, and the column with the fourth highest priority is displayed in pink. Thereby, the doctor can easily determine the priority. In addition, this color is not specifically limited, It can change freely according to a doctor's liking.

When the close button 219e is selected, the medication order processing unit 232 ends the display of the medication Rp dictionary screen 218e.
When the end button 21f is selected, the medication order processing unit 232 terminates the display of the medication order screen 21.

Next, data temporarily stored in the work table 232b will be described.
In the work table 232b, a display medication Rp pattern storage area and an order number management area are prepared.

The display medication Rp pattern storage area stores data obtained by extracting information necessary for creating the medication Rp dictionary screen 218e from the medication order DB 133 of the server device 100.
The order number management area stores the order number of the medicine name searched by the doctor who has logged in to the electronic medical record application on the medication order screen 21.

Hereinafter, an example of the structure of data stored in the display medication Rp pattern storage area and the order number management area will be described.
<Medication Rp pattern management table>
Information is tabulated and stored in the display medication Rp pattern storage area.

FIG. 13 is a diagram showing an example of the data structure of the display medication Rp pattern management table.
The display medication Rp pattern management table 2321b includes a pattern number, item attribute, item attribute name, item code, item name, item quantity, item unit name, order date, and priority flag (in FIG. 13, simply indicated as “flag”). Column), and information arranged in the horizontal direction of each column is associated with each other.

  In the pattern number column, a number for identifying the medication Rp pattern is stored. This number is set in ascending order each time a new medication Rp pattern is added to the display medication Rp pattern management table 2321b by the medication Rp dictionary screen display process.

Note that the item attribute, item code, item name, item quantity, item unit name, and order date are the same as those in the medication order table 133a, and thus description thereof is omitted.
In the priority flag column, a number for identifying the priority is stored. The meaning of the numbers will be described later.

<Order number management table>
Information is tabulated and stored in the order number management area.
FIG. 14 is a diagram illustrating an example of the data structure of the order number management table.

An order number is stored in the order number management table 2322b.
Next, processing of the electronic medical chart system 300 (electronic medical chart system processing) will be described.
<Electronic medical chart system processing>
FIG. 15 is a flowchart showing the electronic medical chart system process.

  First, the application execution part 230 calls an electronic medical record application according to a doctor's operation. The application execution unit 230 performs an authentication process in response to the input of the login name and password by the operation of the doctor and selection of the login button (step S1).

  After the login, the application execution unit 230 activates the electronic medical record of the patient and displays it on the screen of the monitor 11 (step S3) according to the patient's designation by the operation of the doctor (step S2). .

Next, when a medication order menu in the electronic medical record is selected by a doctor's operation, the medication order screen 21 is activated (step S4).
Next, when the medicine search tab 211e in the medication order screen 21 is selected by a doctor's operation, the medicine search screen 214e is activated (step S5).

  Next, the application execution unit 230 determines whether another operation has been selected by the operation of the doctor, that is, whether another tab or the end button 21f has been selected (step S6).

  When the other tab or the end button 21f has not been selected (No in step S6), the cursor is placed on the part where the search drug in the search drug list displayed on the search result display unit 217e is displayed. It is determined whether or not it has been made (step S7).

If not applied (No in step S7), the process proceeds to step S6, and the processes after step S6 are performed.
When it is hit (Yes in step S7), the application execution unit 230 calls the medication Rp dictionary application and performs a medication Rp dictionary screen display process (step S8).

  On the other hand, when another tab or the end button 21f is selected in step S6, the application execution unit 230 closes the medicine search screen 214e. When another tab is selected (tab in step S6), the process proceeds to step S9. When the end button 21f is selected (end button in step S6), the process proceeds to step S10.

  When another tab is selected and another operation is performed on the medication order screen 21 by the doctor, the application execution unit 230 performs a process corresponding to the operation (step S9).

When the end button 21f is selected by the operation of the doctor, the application execution unit 230 ends the display of the medication order screen 21 (step S10).
Thereafter, the data transmission unit 233 transmits the electronic medical record of the patient to the server device 100 (step S11).

  When log-off of the electronic medical record application is selected by the operation of the doctor, the application execution unit 230 logs off the doctor from the electronic medical record application. Thereby, the process is terminated.

<Medication Rp dictionary screen display process>
Next, the medication Rp dictionary screen display process in step S8 will be described.
16 to 19 are flowcharts showing the medication Rp dictionary screen display process.

  First, the medication Rp pattern extraction unit 232a initializes the display medication Rp pattern management table 2321b and the order number management table 2322b. Also, the parameter k is set to “k = 1” (step S21).

Next, the medication Rp pattern extraction unit 232a receives the name of the medicine on which the cursor is placed (step S22).
Next, the data acquisition unit 231 reads the continuous medication determination allowable days master table 134a (step S23).

  Next, the data acquisition unit 231 acquires the order number of the Rp information including the drug name from the drug use order number management DB 135 (step S24), and the medication Rp pattern extraction unit 232a descends in descending order of the order number. And stored in the order number management table 2322b.

Next, the medication Rp pattern extraction unit 232a sets the number of order numbers stored in the order number management table 2322b in the parameter N (step S25).
Next, the medication Rp pattern extraction unit 232a determines whether or not the kth order number exists in the order number management table 2322b (step S26). Specifically, it is determined whether or not the value of parameter k is equal to or less than the value of parameter N.

  When the value of the parameter k is equal to or smaller than the value of the parameter N, that is, when there is an unprocessed order number (Yes in step S26), the data acquisition unit 231 has the Rp information of the medication order table 133a corresponding to the order number. Is acquired from the medication order DB 133 (step S27).

Next, the medication Rp pattern extraction unit 232a increments the parameter k (step S28).
The following processing is performed on the acquired Rp information. When a plurality of pieces of Rp information are acquired, the following processing is performed on all of the acquired Rp information.

  First, the medication Rp pattern extraction unit 232a determines whether or not Rp information having the same medication Rp pattern as the medication Rp pattern of the Rp information acquired by the data acquisition unit 231 exists in the display medication Rp pattern management table 2321b. Judgment is made (step S29 in FIG. 17).

  If present (Yes in step S29), the medication Rp pattern extraction unit 232a matches the patient ID included in the extracted Rp information with the patient ID displayed on the patient ID display unit 21a of the medication order screen 21. Whether or not (step S30).

If they do not match (No in step S30), the process proceeds to step S26, and the processes after step S26 are continued.
If they match (Yes in step S30), the medication Rp pattern extraction unit 232a determines whether the priority flag value of the matched Rp information (stored in the display medication Rp pattern management table 2321b) is “0”. Is determined (step S31).

  When the value of the priority flag is “0” (Yes in step S31), the medication Rp pattern extraction unit 232a sets (updates) the value of the priority flag to “1”, and the predetermined item of the Rp information Is overwritten on the corresponding item of the matched Rp information (step S32).

The items to be overwritten are the item attribute, item attribute name, item code, item name, item quantity, item unit name, and order date shown in FIG. 13 (the same applies hereinafter).
On the other hand, when the same medication Rp pattern does not exist in step S29 (No in step S29), the medication Rp pattern extraction unit 232a newly adds the currently acquired Rp information to the display medication Rp pattern management table 2321b (step S33). ).

The items to be added are the pattern number, item attribute, item attribute name, item code, item name, item quantity, item unit name, and order date shown in FIG.
Next, the medication Rp pattern extraction unit 232a determines whether or not the patient ID included in the acquired Rp information matches the patient ID displayed on the patient ID display unit 21a of the medication order screen 21 ( Step S34).

  If they do not match (No in step S34), the medication Rp pattern extraction unit 232a sets the value of the priority flag of the newly added Rp information to “0” (step S35). Thereafter, the process proceeds to step S26, and the processes after step S26 are continued.

  If they match (Yes in step S34), the medication Rp pattern extraction unit 232a sets the value of the priority flag of the newly added Rp information to “1” (step S36). Thereafter, the process proceeds to step S26, and the processes after step S26 are continued.

On the other hand, when the value of the priority flag is not “0” in step S31 (step S3
1), the medication Rp pattern extraction unit 232a determines whether or not the value of the priority flag of the matched Rp information is “1” (step S37).

  When the value of the priority flag is “1” (Yes in Step S37), the medication Rp pattern extraction unit 232a refers to the continuous medication determination allowable days master table 134a read in Step S23, and stores the Rp information. It is determined whether the medication completion date is within the allowable number of days stored in the order date of the matched Rp information (step S38).

  If not (No in step S38), the medication Rp pattern extraction unit 232a sets the priority flag value of the matched Rp information to “2”, and the correspondence of the Rp information that matches the predetermined item of the Rp information The item is overwritten (step S39). Thereafter, the process proceeds to step S26, and the processes after step S26 are continued.

  If it has been stored (Yes in step S38), the medication Rp pattern extraction unit 232a compares the number of medication days. Specifically, it is determined whether the value of the usage item quantity of the Rp information is smaller than the value of the usage item quantity of the matched Rp information in the display medication Rp pattern management table 2321b (step S40).

  When the item quantity value of the Rp information is smaller (Yes in step S40), the medication Rp pattern extraction unit 232a sets the priority flag value of the matched Rp information to “4” (step S41). Thereafter, the process proceeds to step S26, and the processes after step S26 are continued.

  When the value of the item quantity of the Rp information is not smaller (the item quantity of the usage of the matched Rp information is equal to or larger than the item quantity of the usage of the Rp information) (No in step S40), the medication Rp pattern extraction unit 232a However, the priority flag value of the matched Rp information is set to “3”, and the predetermined item of the Rp information is overwritten on the corresponding item of the matched Rp information (step S42). Thereafter, the process proceeds to step S26, and the processes after step S26 are continued.

  On the other hand, if the priority flag value is not “1” in step S37 (No in step S37), the medication Rp pattern extraction unit 232a determines that the priority flag value of the matched Rp information is “2” or “3”. Is determined (step S43 in FIG. 18).

When the value of the priority flag is not “2” or “3” (No in Step S43), the process proceeds to Step S26, and the processes after Step S26 are continued.
When the value of the priority flag is “2” or “3” (Yes in Step S43), the medication Rp pattern extraction unit 232a refers to the continuous medication determination allowable days master table 134a read in Step S23, It is determined whether the medication completion date of the Rp information is within the allowable number of days stored in the matching order date of the Rp information (step S44).

  If not (No in step S44), the medication Rp pattern extraction unit 232a overwrites the corresponding item of the matching Rp information with the predetermined item of the Rp information (step S45). Thereafter, the process proceeds to step S26, and the processes after step S26 are continued.

  If it has been stored (Yes in step S44), the medication Rp pattern extraction unit 232a compares the number of medication days. Specifically, it is determined whether or not the value of the usage item quantity of the Rp information is smaller than the value of the usage item quantity of the matched Rp information in the display medication Rp pattern management table 2321b (step S46).

  When the item quantity value of the Rp information is smaller (Yes in step S46), the medication Rp pattern extraction unit 232a sets the priority flag value of the matched Rp information to “4” (step S47). Thereafter, the process proceeds to step S26, and the processes after step S26 are continued.

  When the value of the item quantity of the Rp information is not smaller (the item quantity of the usage of the matched Rp information is equal to or larger than the item quantity of the usage of the Rp information) (No in step S46), the medication Rp pattern extraction unit 232a Then, the priority flag value of the matched Rp information is set to “3”, and the predetermined item of the Rp information is overwritten on the corresponding item of the matched Rp information (step S48). Thereafter, the process proceeds to step S26, and the processes after step S26 are continued.

  When the above processing is repeated and there is no k-th order number in step S26 of FIG. 16, that is, when the processing of step S26 and subsequent steps is performed for all the order numbers in the order number management table 2322b (FIG. 16). No. 16 in step S26), the screen display unit 232c sets the item name, item quantity, and item unit name in the medication Rp dictionary screen 218e among the Rp information stored in the display medication Rp pattern management table 2321b. (Step S49).

  Next, the screen display unit 232c sets a base color according to the value of the priority flag (step S50). The relationship between the priority flag value and the base color is prepared in advance and stored in the HDD 203 or the like.

Next, the screen display unit 232c draws the medication Rp dictionary screen 218e (step S51).
This completes the medication Rp dictionary screen display process.

<Specific example>
Next, a specific example of the medication Rp dictionary screen display process will be described using each table described above.
First, after the login, when the cursor is placed on a part where the search medicine is displayed in the search medicine list displayed on the search result display unit 217e by the operation of the doctor A, the display medication Rp pattern management table 2321b. And the order number management table 2322b is initialized.

Next, the drug name “Marslen S granule 0.5 g packet” to which the cursor is placed is received.
Next, the continuous medication determination allowable days master 134 is read.
Next, the order number in “Marslen S granule 0.5 g packet” prescribed by Dr. A is acquired. In this specific example, the order number shown in FIG. 14 is stored in the order number management table 2322b. That is, the order number in “Marslen S granule 0.5 g packet” prescribed by Dr. B at this time is excluded.

N = 8.
Next, an order number “00000540” is acquired.
Since the display medication Rp pattern management table 2321b has been initialized, at this time, the medication Rp pattern of the Rp information of the order number “000000540” (hereinafter simply referred to as “order number”) is displayed in the display medication Rp pattern management table 2321b. There is no Rp information having the same dosage Rp pattern. Therefore, the corresponding item of the medication Rp pattern is newly added to the display medication Rp pattern management table 2321b as the pattern number “1”.

  Next, the patient ID “37” of the order number “00000540” is compared with the patient ID “37” displayed on the patient ID display unit 21a of the medication order screen 21. Is set to “1”.

Next, the order number “00003000” is acquired.
When it is determined whether or not the same medication Rp pattern as the medication Rp pattern of the order number “000030030” is stored in the display medication Rp pattern management table 2321b, the same medication Rp pattern does not exist. Therefore, the medication Rp pattern is newly added as a pattern number “2” to the display medication Rp pattern management table 2321b. Further, the patient ID “19” of the order number “00000300” is compared with the patient ID “37” displayed on the patient ID display portion 21a of the medication order screen 21, and the pattern ID “2” is not matched. Set the priority flag to “0”.

Next, the order number “00000110” is acquired.
Next, when it is determined whether the same medication Rp pattern as the medication Rp pattern with the order number “00000110” is stored in the display medication Rp pattern management table 2321b, the medication Rp pattern with the pattern number “2” exists.

  Next, the patient ID “37” of the order number “00000110” is compared with the patient ID “37” displayed on the patient ID display portion 21a of the medication order screen 21. Is set to “1”, and the corresponding item is overwritten.

Next, the order number “00000100” is acquired.
Next, when it is determined whether the same medication Rp pattern as the medication Rp pattern with the order number “00000100” is stored in the display medication Rp pattern management table 2321b, the medication Rp pattern with the pattern number “1” exists.

  Next, when the patient ID “37” of the order number “00000100” is compared with the patient ID “37” displayed on the patient ID display portion 21a of the medication order screen 21, the pattern ID “1” is matched. Since the priority flag of “1” is “1”, it is determined whether or not the medication completion date of the order number “00000100” is within the allowable number of days set in the order date of the pattern number “1”. .

  Here, the order date of the medication Rp pattern with the order number “00000100” is “2007.8.8.10”, and the medication date is “7 days” from the item quantity and the item unit name. Therefore, the completion date of medication is “2007.8.17”, and the date “2007.11.6-from the order date“ 2007.11.8 ”of pattern number“ 1 ”is added to the allowable days (3 days before and after). 2007.11.10 ".

Therefore, the priority flag of the pattern number “1” is set to “2”, and the corresponding item is overwritten.
Next, the order number “000000008” is acquired.

  When it is determined whether the same medication Rp pattern as the medication Rp pattern of the order number “000000008” is stored in the display medication Rp pattern management table 2321b, the same medication Rp pattern does not exist. Therefore, the medication Rp pattern is newly added as a pattern number “3” to the display medication Rp pattern management table 2321b.

  Next, the patient ID “37” of the order number “000000008” is compared with the patient ID “37” displayed on the patient ID display unit 21a of the medication order screen 21. Is set to “1”.

Next, the order number “00000070” is acquired.
Next, when it is determined whether the same medication Rp pattern as the medication Rp pattern with the order number “00000070” is stored in the display medication Rp pattern management table 2321b, the medication Rp pattern with the pattern number “3” exists.

  Next, when the patient ID “37” of the order number “00000070” is compared with the patient ID “37” displayed on the patient ID display portion 21a of the medication order screen 21, the pattern ID “3” matches. Since the priority flag of “1” is “1”, it is determined whether or not the medication completion date of the order number “00000070” is within the allowable number of days set in the order date of the pattern number “3”. .

  Here, the order date of the medication Rp pattern of the order number “00000070” is “2007.8.5”, and the medication date is “7 days” from the item quantity and item unit name. Therefore, the medication completion date is “2007.8.12”, and the date “2007.8.11 to 2007.8” including the allowable date of 3 days in the order date “2007.8.13” of the pattern number “3”. .15 ”.

Next, comparing the dosing days, the dosing days “7 000” of the order number “00000070” and the dosing days “7 days” of the pattern number “3” coincide (not small).
Therefore, the priority flag of the pattern number “3” is set to “3”, and the corresponding item is overwritten.

Next, the order number “00000060” is acquired.
When it is determined whether the same medication Rp pattern as the medication Rp pattern with the order number “00000060” is stored in the display medication Rp pattern management table 2321b, the same medication Rp pattern does not exist. Therefore, the medication Rp pattern is newly added as a pattern number “4” to the display medication Rp pattern management table 2321b.

  Next, the patient ID “28” of the order number “00000060” is compared with the patient ID “37” described in the patient chart (medication order?), And the priority flag of the pattern number “4” is not matched. Is set to “0”.

Next, an order number “00000050” is acquired.
Next, when it is determined whether the same medication Rp pattern as the medication Rp pattern with the order number “00000050” is stored in the display medication Rp pattern management table 2321b, the medication Rp pattern with the pattern number “3” exists.

  Next, when the patient ID “37” of the order number “00000050” is compared with the patient ID “37” displayed on the patient ID display portion 21a of the medication order screen 21, the pattern ID “3” matches. Since the priority flag of “3” is “3”, it is determined whether or not the medication completion date of order number “00000050” is within the allowable number of days set in the order date of pattern number “3”. .

  Here, the order date of the medication Rp pattern with the order number “00000050” is “2007.7.31”, and the medication date is “3 days” from the item quantity and the item unit name. Therefore, the medication completion date is “2008.8.3”, and the date “2007.8.3 to 2007.8” including the allowable number of days 3 in the order date “2007.8.5” of the pattern number “3”. .7 ".

Next, comparing the dosing days, the dosing days “3 days” of the order number “00000050” is smaller than the “7 days” of the pattern numbers “3”.
Therefore, the priority flag of the pattern number “3” is set to “4”, and the corresponding item is overwritten.

The process ends here.
Thereby, the medication Rp pattern management table shown in FIG. 20 is obtained.
FIG. 20 is a diagram showing a medication Rp dictionary screen of a specific example.

  Since the priority flag of the pattern number “3” is “4”, “Marslen S granule 0.5 g 3 capsules”, “Loxonin tablets 60 mg 3 tablets”, “Internal use 3 times a day, morning and evening 7 days before dinner” The dosing Rp pattern is displayed in orange.

  Moreover, since the priority flag of pattern number “1” is “2”, “Marslen S granule 0.5 g 3 pills”, “PL granule 3 sachets”, “Loxonin tablets 60 mg 3 pills”, “Internal use 1 day The medication Rp pattern “3 times morning, noon, evening, 7 days before meal” is displayed in red.

  In addition, because the priority flag of pattern number “2” is “1”, “Marslen S granule 0.5 g 3 pills”, “Gaster D tablets 10 mg 3 pills”, “Internal use 3 times a day in the morning, lunch and dinner The “day 7” medication Rp pattern is pink.

  In addition, since the priority flag of pattern number “4” is “0”, the dosage Rp pattern of “Marslen S granule 0.5 g 3 capsules” and “Internal use 3 times a day, morning and evening 7 days before meal” In particular, no color is displayed.

  As described above, according to the electronic medical chart system 300 of the present embodiment, even when a specific disease such as an epidemic is prevalent, a doctor has a high priority obtained by the medication Rp dictionary screen display process. By selecting and prescribing the medication Rp pattern, the patient can receive medication instructions that can be judged to be effective in the past without having to go back through the chart or register an effective combination in advance (in the set master etc.). Can be applied to. Therefore, an efficient medication order can be created.

  In particular, when the value of the priority flag is “4”, that is, for a medication Rp pattern in which medication is continuously performed and the number of subsequent medication days is increasing, the effect on the patient may be higher. By selecting and prescribing this expected dose Rp pattern, an effective and highly effective dose order can be created.

  In addition, since the screen is displayed in a different color according to the value of the priority flag, the doctor can visually confirm the effective medication Rp pattern and quickly find a medicine suitable for the patient. be able to.

  Further, when the priority flag value is “4”, the flag value is not updated thereafter, and the processing for setting the corresponding item is omitted, so the processing load on the client device 200 is reduced. can do.

  In addition, the medicine use order number management table 135a is provided so that only the order number related to the doctor is stored in the order number management table 2322b, and then the item of the corresponding order number is acquired from the medication order DB 133. Therefore, the load on the client device 200 side can be reduced.

Further, since the medication Rp pattern having the priority flag value “0” is also displayed, the medication instruction applied to other patients can be easily applied to the patient.
In the present embodiment, the medication Rp pattern having a large priority flag value is displayed on the screen of the monitor 11 by color coding. However, the present invention is not limited to this, and for example, an effective priority flag is displayed. The medication Rp patterns may be displayed in ascending order or descending order in descending order. That is, it is only necessary that the priority flag values are displayed in a distinguishable manner.

FIG. 21 is a diagram showing a medication Rp dictionary screen of another specific example.
In the medication Rp dictionary screen 218e shown in FIG. 21, the medication Rp pattern having a high priority flag value is shown at the top. In addition, the value of the priority flag is also illustrated on the left side of the medication Rp pattern in consideration of the case where there are a plurality of medication Rp patterns having the same priority flag value. The same effect can be obtained by such a screen.

  Further, in the present embodiment, the continuous medication determination allowable days master 134 is provided on the server device 100 side, but the present invention is not limited to this, and for example, provided in the client device 200, the doctor can freely change the allowable days. You may do it.

  As described above, the data selection support program, the data selection support method, and the data selection support device of the present invention have been described based on the illustrated embodiment, but the present invention is not limited to this, and the configuration of each unit is as follows. Any structure having a similar function can be substituted. Moreover, other arbitrary structures and processes may be added to the present invention.

  For example, in the present embodiment, the medication Rp dictionary screen display process is performed on the medication order screen launched by a certain application. However, the present invention is not limited to this. For example, the same applies on the screen displayed on the browser (Browser). It is also possible to perform the process.

  Further, for example, a code for identifying a medical department (internal medicine, surgery, etc.) may be prepared in the medication order table and dictionary file, and only the data of the same medical department code may be extracted in the medication Rp dictionary screen display process.

In addition, the present invention may be a combination of any two or more configurations (features) of the above-described embodiments.
The above processing functions can be realized by a computer. In that case, a program describing the processing contents of the functions that the client apparatus 200 should have is provided. By executing the program on a computer, the above processing functions are realized on the computer. The program describing the processing contents can be recorded on a computer-readable recording medium. Examples of the computer-readable recording medium include a magnetic recording device, an optical disk, a magneto-optical recording medium, and a semiconductor memory. Examples of the magnetic recording device include a hard disk device (HDD), a flexible disk (FD), and a magnetic tape. Examples of the optical disc include a DVD (Digital Versatile Disc), a DVD-RAM (Random Access Memory), a CD-ROM (Compact Disc Read Only Memory), and a CD-R (Recordable) / RW (ReWritable). Examples of the magneto-optical recording medium include MO (Magneto-Optical disk).

  When distributing the program, for example, a portable recording medium such as a DVD or a CD-ROM in which the program is recorded is sold. It is also possible to store the program in a storage device of a server computer and transfer the program from the server computer to another computer via a network.

  A computer that executes a data selection support program stores, for example, a program recorded on a portable recording medium or a program transferred from a server computer in its own storage device. Then, the computer reads the program from its own storage device and executes processing according to the program. The computer can also read the program directly from the portable recording medium and execute processing according to the program. In addition, each time the program is transferred from the server computer, the computer can sequentially execute processing according to the received program.

Regarding the above embodiment, the following additional notes are disclosed.
(Supplementary note 1) In a data selection support program that supports the selection of data on drugs to be administered to patients,
Computer
A selection means for selecting a combination of medicines including the selected medicine name from a storage means for storing past prescription history;
First determination means for determining whether or not there are a plurality of combinations of medicines selected by the selection means in the past prescription history;
Second determination means for determining whether or not a combination of medicines determined to be present by the first determination means is continuously prescribed for the patient;
When displaying the combination of medicines selected by the selection means, the combination of medicines determined to be continuously prescribed by the second determination means is displayed in a manner that can be distinguished from other medicine combinations. Display means,
A data selection support program characterized by functioning as

(Supplementary Note 2) Whether or not the computer further has more medication days for the combination of drugs whose date is later than the combination of drugs determined to be continuously prescribed by the second determination means. Function as a third determination means for determining
The display means displays the combination of medicines determined by the third judging means as having a longer number of medication days for the subsequent combination of medicines in a manner that can be distinguished from other combinations of medicines. The data selection support program according to appendix 1.

(Supplementary Note 3) In the prescription history, identification information for identifying a patient is stored,
The data selection support program according to appendix 1, wherein the second determination means determines whether or not the patient is continuously prescribed based on the identification information.

(Supplementary Note 4) The prescription history stores information on the date on which the medicine was prescribed,
The second determination means is continuous when the dates of combinations of medicines determined by the first determination means to exist in the past prescription history are within a predetermined number of days. The data selection support program according to supplementary note 1, wherein the data selection support program is judged to be prescribed.

  (Supplementary note 5) The data selection according to supplementary note 1, wherein the display means displays a combination of medicines determined to be present by the first judgment means in a manner that can be distinguished from other medicine combinations. Support program.

(Supplementary note 6) The data selection support program according to supplementary note 1, wherein the selection means selects a combination of medicines having the same internal use.
(Supplementary note 7) The data selection support program according to supplementary note 1, wherein the display means also displays a combination of medicines determined to be prescribed by other than the patient by the second determination means.

(Supplementary Note 8) The drug name of the past prescription history is sequentially extracted in association with the order number for identifying the time of drug prescription,
The data selection support program according to appendix 1, wherein the selection means selects from the storage means a combination of medicines that match the order number of the selected medicine name.

(Supplementary note 9) The computer further functions as a search unit for selecting and displaying a medicine name including the word from the storage unit in response to an input of the word,
The data selection support program according to appendix 1, wherein the selection unit starts an operation when the medicine name displayed by the search unit is selected.

(Additional remark 10) In the data selection support method which supports selection of the data regarding the chemical | medical agent with which a patient is administered,
The selection means selects a combination of medicines including the selected medicine name from the storage means for storing past prescription history,
The first determining means determines whether or not there are a plurality of combinations of medicines selected by the selecting means in the past prescription history,
The second determination means determines whether or not a combination of medicines determined to be present by the first determination means is continuously prescribed for the patient,
When the display means displays the combination of medicines selected by the selection means, the combination of medicines determined to be continuously prescribed by the second determination means is distinguished from other medicine combinations. Display in a manner to obtain,
A data selection support method characterized by the above.

(Additional remark 11) In the data selection assistance apparatus which assists selection of the data regarding the chemical | medical agent to administer to a patient,
A selection unit for selecting a combination of drugs including the selected drug name from a storage unit for storing past prescription history;
A first determination unit that determines whether a plurality of combinations of medicines selected by the selection unit exist in the past prescription history;
A second determination unit that determines whether a combination of medicines determined to be present by the first determination unit is continuously prescribed for the patient;
When displaying the combination of drugs selected by the selection unit, the combination of drugs determined to be continuously prescribed by the second determination unit is displayed in a manner that can be distinguished from other drug combinations. A display unit to
A data selection support device comprising:

It is a figure which shows the outline | summary of this invention. It is a figure which shows the electronic medical chart system of embodiment. It is a figure which shows the hardware structural example of a client apparatus. It is a block diagram which shows the function of a server apparatus. It is a figure which shows the data structure of a patient data table. It is a figure which shows the example of a data structure of a medication order table. It is a figure which shows the example of a data structure of a medication order table. It is a figure which shows the example of a data structure of the continuous medication determination allowable days master. It is a figure which shows the example of a data structure of a chemical | medical agent use order number management table. It is a block diagram which shows the function of a client apparatus. It is a block diagram which shows the function of an application execution part. It is a figure which shows a medication order screen. It is a figure which shows the example of a data structure of the medication Rp pattern management table for a display. It is a figure which shows the example of a data structure of an order number management table. It is a flowchart which shows an electronic medical chart system process. It is a flowchart which shows a medication Rp dictionary screen display process. It is a flowchart which shows a medication Rp dictionary screen display process. It is a flowchart which shows a medication Rp dictionary screen display process. It is a flowchart which shows a medication Rp dictionary screen display process. It is a figure which shows the medication Rp dictionary screen of a specific example. It is a figure which shows the medication Rp dictionary screen of another specific example.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Computer 2 Selection means 3 1st judgment means 4 2nd judgment means 5 Display means 6 Storage means 21 Medication order screen 21a Patient ID display part 21b Patient name display part 21c User display part 21d Order date display part 21e Search part 21f End button 100 Server device 110 Data transmission / reception unit 120 Control unit 130 Electronic medical record processing data storage unit 131 Electronic medical record DB
132 Patient DB
132a Patient Data Table 133 Medication Order DB
133a Medication Order Table 134 Continuous Medication Determination Allowable Days Master Table 134a Continuous Medication Judgment Allowable Days Master Table 135 Drug Use Order Number Management DB
135a Drug use order number management table 200 Client device 210 Data transmission / reception unit 211e Drug search tab 212e Drug effect search tab 213e Common drug search tab 214e Drug search screen 215e Drug name input unit 216e Search button 217e Search result display unit 218e Drug Rp dictionary screen 219e End button 220 Application storage unit 221 Electronic medical record application storage unit 222 Medication Rp dictionary application storage unit 230 Application execution unit 231 Data acquisition unit 232 Medication order processing unit 232a Medication Rp pattern extraction unit 232b Work table 232c Screen display unit 233 Data transmission unit 300 Electronic medical record system 2321b Medication Rp pattern management table for display 2322b Order number management table

Claims (8)

In a data selection support program that supports the selection of data related to drugs to be administered to patients,
Computer
A selection means for selecting a combination of medicines including the selected medicine name from a storage means for storing a prescription history including information on a date when the combination of medicines was prescribed to the patient;
First determination means for determining whether or not there are a plurality of combinations of medicines selected by the selection means in the prescription history;
Second determination means for determining whether or not a combination of medicines determined to be present by the first determination means is continuously prescribed for the patient based on the prescription history;
When displaying the combination of medicines selected by the selection means, the combination of medicines determined to be continuously prescribed by the second determination means is displayed with priority over the combination of other medicines. Display means,
A data selection support program characterized by functioning as The computer further records the prescription history to determine whether or not there are more medication days for a combination of drugs whose date is later than a combination of drugs determined to be continuously prescribed by the second determination means. Function as a third judging means for judging based on
The display means displays a combination of medicines determined by the third determination means as having a longer number of medication days for a subsequent combination of medicines in preference to a combination of other medicines. The data selection support program according to Item 1. In the prescription history, identification information for identifying a patient is stored,
The data selection support program according to claim 1, wherein the second determination unit determines whether or not the patient is continuously prescribed based on the identification information.   The second determination means, when the date of the combination of medicines determined by the first determination means to exist in the prescription history is within a predetermined number of days, continuously The data selection support program according to claim 1, wherein the data selection support program is determined to be prescribed. The data selection support program according to claim 1, wherein the display means displays a combination of medicines determined to be present by the first determination means in preference to other medicine combinations.   The selecting means selects a combination of medicines with a prescription record from a plurality of patient prescription histories including a patient to be administered and other patients,
  The display means displays a combination of medicines with a prescription record for a patient to be administered in preference to a combination of drugs with a prescription record for the other patients.
  The data selection support program according to claim 1, wherein:   In a data selection support method for supporting selection of data on medicines to be administered to a patient,
  Computer
  Selecting a combination of drugs including the selected drug name from a storage means for storing a prescription history including information on the date when the combination of drugs was prescribed to the patient;
  Determining whether there are a plurality of combinations of medicines selected from the storage means in the prescription history;
  Based on the prescription history, it is determined whether a combination of medicines determined to be present is continuously prescribed for the patient,
  When displaying the combination of medicines selected from the storage means, the combination of medicines determined to be continuously prescribed is displayed with priority over the combination of other medicines.
  A data selection support method characterized by the above.   In a data selection support device that supports selection of data related to medicines to be administered to a patient,
  A selection unit for selecting a combination of drugs including the selected drug name from a storage unit storing a prescription history including information on a date when the combination of drugs was prescribed to the patient;
  A first determination unit that determines whether there are a plurality of combinations of medicines selected by the selection unit in the prescription history;
  A second determination unit that determines, based on the prescription history, whether or not a combination of medicines determined to be present by the first determination unit is continuously prescribed for the patient;
  When displaying the combination of drugs selected by the selection unit, the combination of drugs determined to be continuously prescribed by the second determination unit is displayed with priority over the combination of other drugs. A display unit;
  A data selection support device comprising:

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