JP5638203B2 - Medical support device - Google Patents

Description

  The present invention relates to a medical assistance device capable of inputting a specific prescription drug (starter drug) by replacing it with a cheaper effective drug called generic drug or generic product when inputting a patient's prescription.

  For example, in Patent Document 1, when the name of a specific drug to be searched is input, a drug database is searched, and a drug having the same general name, that is, a drug with the same effect is read out. A pharmaceutical search information providing system for displaying a list together with a medicine category indicating whether or not there is disclosed.

  Patent Document 2 discloses a medicine determination support system that automatically searches for a generic medicine that is effective and inexpensive from a database when a medicine is designated, and displays the list together with the drug price.

  Here, generic drugs are drugs that have the same ingredients and the same medicinal properties as the original drugs, are related to the original drugs, are released later than the original drugs, and have a drug price that is markedly lower than the original drugs, that is, an insurance score. It means what was done.

JP 2004-118351 A JP 2004-126894 A

  In this way, conventionally, the names (product names) of individual drugs that can be used in medical institutions and their general names or drug effects are registered in the database in advance, and when the name of the drug to be prescribed by the doctor is entered, Since generic drugs with the same effect are searched and displayed in the list, generic drugs can be selected and entered there. However, it is troublesome to search by inputting a name, and there has been a demand for a device that can be easily replaced with a generic product when inputting prescriptions.

The present invention displays a drug database in which original drugs and generic drugs are registered so as to be identifiable, a prescription database that records patient prescription information, display means, input means, and a list of drugs read from the drug database The prescription selection unit and the prescription editing unit that displays the drug selected by the prescription selection unit are displayed on the display means, and the contents displayed on the prescription editing unit according to the instructions are displayed on the patient's prescription information. Control means for registering in the prescription database as a prescription drug, when the drug selected by the prescription selection unit is an original drug, a plurality of searches set according to the degree of association between the drug and the generic drug user selects calling pharmaceuticals after being associated with a said medicament in the specified search range by the user to search from pharmaceutical database within the scope Lists the ability, by displaying to input generic drugs selected from the list by the user in the formulation editing unit, is intended to solve the above problems.

According to the diagnosis support device of the present invention, in the formulation such as an input process, the user is retrieved automatically is generic drugs accordingly Selecting original drug from the list, if the rear originating pharmaceuticals only one,
Replaced to the rear outgoing goods in the direct its generic is input replacement is made easy. In addition, since the corresponding generic drugs are automatically displayed in a list, the original product can be easily replaced with the generic product and input. Further, when selecting an instruction for a medicine, the user has only to select the product without worrying about whether it is a starting product or a generic product, so there is no burden. Then, whether to automatically list generic drugs in this way, or if there is only one generic product, replace it with generic product without letting the user select it, or register its operation according to user settings It can be left.

  In addition, once entered as a prescription, the medicine can be individually or later replaced with generic or original products, and the user only has to select the desired medicine from the displayed list. Therefore, it is very easy to replace the original product and the generic product, and it is easy to redo later.

It is a block diagram which shows the structure of embodiment apparatus. It is a figure which shows the record structure of a pharmaceutical master database. It is a figure which shows the record structure of a medical practice master database. It is a figure which shows the record structure of a patient headline database. It is a figure which shows the example of a display of prescription etc. input screens of embodiment. It is a figure which shows the example of a display of the setting registration screen of embodiment. It is a figure which shows the example of a display of the generic drug search result of embodiment. It is a figure which shows the example of a display of the context menu of embodiment. It is a flowchart explaining operation | movement of this embodiment. It is a flowchart explaining operation | movement of this embodiment.

  FIG. 1 shows a configuration of a medical assistance device 100 according to the embodiment of the present invention. The apparatus mainly includes a control device 10 constituted by a CPU and an internal memory, an external storage device 20 constituted by a hard disk device and the like, and a display device 31 and an input device 32 which are external interfaces. The medical information including the patient's prescription information input by the doctor using the display device 31 is stored in the patient's prescription information database 25 and the medical information database 26 while the control device 10 refers to various databases in the storage device 20. It is recorded electronically as information.

  The external storage device 20 has a standard master 21 that records information such as the master code, names, classifications, units, drug prices, brand name products, and generic information that represents the relationship between generic products for all drugs that can be used in medical institutions. , Both databases of a medical record master 22 which is a subset of the standard master 21, a master code of medical practice such as treatment and examination, a medical practice master 23 in which information such as a name and insurance points is recorded, and a patient code for identifying an individual patient And patient title (Kanjia Tamagaki) database 24, which records the patient's personal information such as name, date of birth, insurer number, symbol number, address, telephone number, etc. Prescription information database 25 that records prescription information for each day, that is, prescription information for each patient, and information on medical practice performed on the patient is recorded for each patient and each medical day. Stores and clinical information database 26. The prescription information and the medical information may be recorded together in one database without being separated.

  Here, the chart master 22 is constructed by copying a part from the standard master 21 in order to improve the efficiency of the search process, and selectively selects codes for drugs, treatments, tests, etc. often used in the medical institution. I remember it. FIG. 2 shows the record structure of the standard master 21 and the chart master 22. The master code consists of 12 alphanumeric characters and is unique to each other, but by searching for the same code from the first 7 digits, the drug that has the same medicinal effect classification and administration route as the original / generic drug Can be extracted. Furthermore, if the same code is used up to the first 8 digits, the same pharmaceutical product up to the dosage form can be searched, and the same pharmaceutical product up to the 9th digit can be searched up to the standard unit. 3 and 4 show the record structures of the medical practice master and the patient headline database, respectively.

  The control device 10 includes a prescription input unit 11 and a setting registration unit 15. The prescription input unit 11 inputs and registers treatments, prescriptions, and the like for a patient. The predecessor search unit 12 for searching the database, the replacement processing unit 13 for replacing the original drug with the generic drug, and the input prescription data are registered in the prescription information database 25 and / or the medical care information database 26. A prescription registration unit 14 is included. The setting registration unit 15 is used by the user to set and register setting information that prescribes the handling of the generic drug at the time of inputting a prescription or the like.

  The display device 31 of the external interface is configured by a liquid crystal display or the like, and displays and outputs a prescription etc. input screen, a medicine list as a search result, and a list of generic products. The input device 32 is constituted by a keyboard or the like, and includes a mouse device that is a position indicating means.

  Next, the operation of the present embodiment will be described with reference to the screen display examples of FIGS. 5 to 8 and the flowcharts of FIGS. FIG. 5 is a display example of a prescription input screen displayed on the screen of the display device 31 when a doctor inputs patient prescription data on the medical assistance device 100 in a medical institution. The left side is a content selection unit, which displays a list of medicines as an input aid such as prescription. Therefore, the doctor operates the input device 32 mouse cursor to search for a medicine to be administered from the list of medicines displayed hierarchically on the left side of the prescription input screen, and selects / inputs it by clicking with the mouse. In response to this, the prescription input unit 11 displays the medicine in the edit area on the right side of the screen, and displays an input column for prompting the input of the amount and the number of times. When the amount and the number of times are input, the prescription input unit displays the name of the medicine, the amount and the number of times as shown on the right side of FIG.

  In this apparatus, when the list of medicines is displayed in a hierarchy, it is displayed so that it can be seen whether there is a generic medicine for the medicine. That is, the prescription input unit reads out the drug information from the medical record master 22 and refers to the previous generic information, and the second color (green in this example) for the generic drug and the third color (in this example) for the generic drug. (Orange) to display a list. Other drugs that are not related to the first and last names are displayed in the normal color. Thereby, it can be easily determined that a generic drug is present in the drug.

  Then, in this apparatus, when an original drug is selected at the time of inputting a prescription or the like, it is possible to automatically search and display a list of generic drugs associated with the drug. It is also possible to automatically replace the original medicine designated by the user with the searched generic medicine for input. In addition, for the already entered medicine displayed once in the prescription editing area after the prescription and the like input process, it is possible to search and display the generic drug / starter medicine individually associated with the medicine. Furthermore, it is also possible to sequentially display the generic drug / original drug for all of the inputted drugs displayed in the prescription editing area.

  And the operation | movement at the time of such prescription input can be set by the user. FIG. 6 is a display example of a setting registration screen displayed on the display device 31 by the setting registration unit. If “Search for generic drugs when prescription is entered” is checked, generic drugs will be searched when selecting generic drugs from the drug names listed in the content selection field on the prescription entry screen. This is the setting. In addition, if you check “Automatically replace and enter generic drugs” below, if the result of the search is only one generic drug, the selected generic drug will be replaced with the selected generic drug. It is a setting to input.

  In addition, the number of digits in the search condition is used to specify how many higher digits of the medicine master code are to be extracted when searching for a first-generation product and a subsequent product. Either 7 digits, 8 digits, or 9 digits can be specified, and as described above, the same generic product with the same medicinal properties classification and administration route, the same generic product to the dosage form, and the same generic product to the standard unit are searched. To specify what to do. Therefore, the search can be narrowed down as the number of digits increases, and can be set according to the request of the doctor or the medical department. These set values are recorded in the memory of the prescription setting unit. Of course, you may record as a file not in internal memory but in the external storage device 20. FIG.

  FIG. 5 is a display example (part) of a prescription input screen. There is a content selection section on the left side and an editing area on the right side. When a drug or the like is sequentially selected in the content selection section, it is sequentially input and displayed in the editing area on the right side. Finally, when registration is instructed, the contents input / displayed in the editing area are registered in each database as prescription information and medical information of the patient.

  Here, if the setting registration shown in FIG. 6 is set to search for generic drugs, that is, if “Search for generic drugs at prescription input” is checked in the setting registration screen, the contents When the user selects a generic drug in the selection unit, the prescription etc. input unit 11 searches for the generic drug related to the drug by the generic search unit 12 accordingly, and displays the generic drug search result in a separate window. indicate. An example of the display is shown in FIG. In this example, the list is displayed in such a way that a plurality of corresponding generic drugs are continued, starting with the brand-name drug selected by the user, and whether each is a brand name or generic name. Therefore, when the user selects a desired medicine from the displayed list, the medicine is input to the editing area. If there is no generic drug as a result of the search, the prescription etc. input unit 11 does not display the generic drug search result, and inputs the selected drug as it is in the editing area.

  As described above, in the present embodiment, when the user selects an original drug in the prescription input or the like by setting, the corresponding generic drug is automatically searched and displayed in a list accordingly. You can specify a drug without worrying about whether it is a generic or generic product. And since it is only necessary to select an appropriate medicine from the list of generic medicines displayed automatically, it is possible to easily replace the generic medicine.

  In addition, when “automatically replace and input generic drug” is checked on the setting registration screen, if the result of searching for a generic drug is only one generic drug, the prescription etc. input unit 11 The medicine search result is not displayed, and instead of the original medicine selected by the user, the subsequent medicine obtained by searching and extracting only one is directly entered in the editing area. As a result, replacement with a generic product can be further simplified.

  In the present embodiment, it is also possible to search for and display a generic drug or a generic drug related to the drug already entered in the editing area. Therefore, the user places the mouse cursor on the medicine displayed in the editing area and right-clicks to select. In response to this, the prescription input unit 11 displays a context menu including “retrieval / starter drug search” in the vicinity of the designated drug. An example of the display is shown in FIG. In the example shown in the figure, the selection of the second salicyllon tablet A is instructed.

  When the user designates “later generic drug search-simple substance” in the context menu with the mouse cursor (first instruction), the prescription etc. input unit 11 searches for all the drugs that are related to the medicinal product and the first generic drug. To display a list of generic drug search results. That is, if the medicinal product is a generic product, all the generic drugs are searched. If the medicinal product is a generic product, the generic product is searched and the generic product (including the generic drug selected by the user) is searched. ) And search for a list. When the user instructs to select a desired medicine from there, the medicine is displayed in place of the medicine in the editing area.

  At this time, when the unit of the replaced medicine is changed, for example, when “g (gram)” is changed to “tablet”, for example, in the “unit / time” column of the editing area, Change the display mode, such as changing the background color, and call attention. The medicine to be selected and designated in the editing area is not limited to the original product but may be a generic product. When the starter is selected, the starter is listed after the corresponding starter, and when the starter is selected, the corresponding starter is listed first, followed by the starter. List. If there is no generic / generic drug in the selected drug, the message “No generic or generic drug” is output.

  In addition, when the user gives an instruction “Next-Generic / Private Drug Search-All Prescriptions” in the context menu (second instruction), a list of all related drugs in the editing area is displayed. Can be replaced. In response to the instruction, the prescription etc. input unit 11 searches for all the pharmaceuticals in the first and second relationships in order from the top for the medicines displayed in the editing area, displays the generic medicine search results, and selects the user Prompt for input. The medicine in the editing area is replaced in accordance with the selection input by the user, and the processing for the next medicine is sequentially advanced and repeated for all the medicines in the editing area. As a result, all of the medicines entered in the editing area can be sequentially replaced with generic medicines or can be replaced with original medicines. Also in this case, when the unit of the replaced medicine is changed, the background color in the “unit / time” column of the editing area is changed and displayed to alert the user.

DESCRIPTION OF SYMBOLS 100 Medical treatment support apparatus 10 Control apparatus 11 Prescription etc. input means 15 Setting registration means 20 External storage device 21 Standard master 22 Medical record master 25 Prescription information database

Claims (4)

A pharmaceutical database in which the original drug and the generic drug having the same efficacy associated with the original drug are identifiable, a prescription database for recording prescription information of the patient, a display means, an input means,
An input screen such as a prescription having a prescription selection unit that displays a list of drugs read from the drug database and a prescription editing unit that displays a drug selected by the prescription selection unit is displayed on the display means, And a control means for registering the contents displayed in the prescription editing unit in the prescription database as patient prescription information,
The control means, when the drug selected by the prescription selection unit is an original drug, a search specified by the user among a plurality of search ranges set according to the degree of association between the drug and the generic drug the generic drugs that are associated with a said medicament in a range to search from the pharmaceutical database user lists to be selected, is displayed by entering the generic drugs selected from the list by a user in the formulation Editorial A medical assistance device characterized by that. The medical assistance device according to claim 1, wherein
Wherein, when medicines selected in the previous SL formulation selector is original drug, searches the generic drugs that are associated with a person the medicament from the medicament database, generic drugs in the case of only one diagnosis supporting apparatus characterized that you displaying the generic drugs enter directly into the formulation editing unit in place of the original drug selected by the formulation selector. A pharmaceutical database in which the original drug and the generic drug having the same efficacy associated with the original drug are identifiable, a prescription database for recording prescription information of the patient, a display means, an input means,
A prescription selection screen that displays a list of drugs read from the drug database and a prescription editing section that displays a drug selected by the prescription selection section is displayed on the display means, and according to instructions Control means for registering the content displayed in the prescription editing unit in the prescription database as patient prescription information,
When the user selects a drug displayed in the prescription editing unit by the user, the control unit displays a drug related to the selected single drug or all prescriptions displayed in the prescription editing unit. For the above, it is provided with an instruction means for instructing to select whether to sequentially display related medicines,
In response to the input of the first instruction (individual), if the selected drug is an original drug, a plurality of search ranges set in accordance with the degree of association between the drug and the generic drug Of these, a generic drug related to the drug in the search range designated by the user is searched from the drug database. On the other hand, if the selected drug is a generic drug, the generic drug associated with the drug and its brand The generic drug related to the drug is searched from the drug database, the searched drug is listed in a selectable manner by the user, and the drug selected by the user from the list is replaced with the drug selected in the prescription editing unit. ,
In response to the second instruction (all formulations) is input, the all medicines displayed in the prescribed editing unit sequentially to a subject, when pharmaceutical products to the subject of the original drug, the with the medicament Search for generic drugs related to the drug in the search range specified by the user from among a plurality of search ranges set according to the degree of association with the generic drug, while the selected drug Is a generic drug, the generic drug related to the drug and the generic drug related to the generic drug are searched from the drug database, and the searched drug is displayed in a list that can be selected by the user. Medical treatment characterized by repeating the process of replacing the drug selected by the prescription editor with the drug selected from the list Assistance devices. The medical assistance device according to any one of claims 1 to 3, wherein the plurality of search ranges are determined based on at least one of medicinal effect classification, administration route, dosage form, and standard unit.

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