JP5817178B2 - Medication management system, method of providing medication management service, and medication management program - Google Patents

Description

  The present invention relates to a medication management system, a method for providing a medication management service, and a medication management program.

  In medical institutions such as hospitals and pharmacies, side effects may occur due to interaction between prescribed drugs, leading to death. Therefore, when a doctor or pharmacist prescribes a drug to a patient, the doctor or pharmacist performs a check (hereinafter referred to as a combined contraindication check) as to whether or not a side effect due to the interaction between the drugs to be prescribed occurs. In addition to the combined contraindication check when prescribing the drug, check whether the prescription amount of the drug has exceeded the limit (hereinafter referred to as extreme amount check), whether the same drug has not been prescribed twice Checks (hereinafter referred to as “multiple dose check”) are also performed (hereinafter, these checks are collectively referred to as drug prescription check).

  In recent years, a combined contraindication check by a computer is performed for drugs prescribed independently by a plurality of departments or pharmacies in one medical institution (for example, prior document 1). However, the drug prescription check including the combined contraindication check needs to be performed not only within one medical institution but also between a plurality of medical institutions. Today, drug prescription checks between a plurality of medical institutions are performed via, for example, a “medicine notebook” or “medicine notebook” provided by a medical institution. However, the current situation is that it is not functioning effectively due to non-portability or loss of the notebook.

  On the other hand, in recent years, regional medical cooperation has been proposed in which a plurality of medical institutions cooperate to treat patients, and the introduction of a local medical cooperation system has been started. The regional medical cooperation system aims at reducing duplicate examinations and effective treatment by sharing patient test results and progress information among multiple medical institutions. According to the local medical cooperation system, by prescribing drug prescription data of each medical institution, it becomes possible to check the prescription of the drug among a plurality of medical institutions. For example, Hospital B prescribes a drug so that it does not fall under the combined use contraindication with a drug prescribed in Hospital A for a certain patient based on prescription data by a plurality of medical institutions shared by the regional medical cooperation system. be able to.

JP-A-8-57021

  However, since the introduction of the regional medical cooperation system requires a server for managing the medical information of a plurality of medical institutions and costs are required for each medical institution, the introduction thereof has not progressed much. In addition, the regional medical cooperation system shares prescription data for each medical institution's medication, but does not share medication history information that indicates when and how much the prescribed medication is actually being taken by the patient. . Therefore, drug prescription check is insufficient.

  Accordingly, the present invention provides a medication management system, a medication management service providing method, and a medication management program that enable prescription check of appropriate medication between different medical institutions.

The first aspect includes a first server of a first medical institution,
A second server of a second medical institution;
A medication management system having a terminal device capable of communicating with each of the first and second servers,
The first server is
Management information transmitting means for transmitting medication management information having medication identification information of a medication prescribed in the first medical institution and schedule information related to a medication schedule to the terminal device;
The terminal device
Communication means for communicating with the first server or the second server;
A memory for storing the medication management information received from the first server via the communication means;
When receiving medication history information related to medication taking from a user, in association with the schedule information included in the medication management information is stored in the memory, based on the medication history information and the medication management information, Medication management means for transmitting information on non-medication related to the presence or absence of medications that have not been taken among the prescribed medications to the second server via the communication means;
The second server is
Receiving means for receiving the medication information from the terminal device;

  According to the first aspect, it is possible to check the prescription of an appropriate drug between different medical institutions.

It is a figure showing an example of the medication management system in this embodiment. It is a figure showing an example of a structure of the server of A hospital. It is a figure showing an example of a structure of a mobile telephone terminal. It is a general | schematic flowchart figure of the medication management system in this embodiment. It is a figure showing an example of the medication management provided with a chemical | medical agent, and a chemical | medical agent identification barcode. It is a flowchart figure which concerns on provision of the chemical | medical agent based on prescription information, and a barcode. It is a figure showing an example of the medication management information which medication management information DB has. It is a figure showing an example of the medication management information memorize | stored in a mobile telephone terminal. It is a flowchart figure explaining the detail of the process which concerns on the input of medication history information. It is an example figure showing the screen transition of the mobile telephone terminal at the time of the medication history information input of an internal medicine. It is a figure showing an example of the medication history information memorize | stored linked | related with medication management information. It is an example figure showing the screen transition of the mobile telephone terminal at the time of the medication history information input of an overdose medicine.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings. However, the technical scope of the present invention is not limited to these embodiments, but extends to the matters described in the claims and equivalents thereof.

[Configuration of medication management system]
FIG. 1 is a diagram illustrating an example of a medication management system in the present embodiment. The medication management system in FIG. 1 includes, for example, a server (first server) 10 owned by a hospital A, which is a medical institution, and a server (second server) 80 owned by a hospital B HB different from the hospital A HA. And a mobile phone terminal (terminal device) 30. The mobile phone terminal 30 can communicate with the servers 10 and 80 of the hospitals HA and HB. In this example, the mobile phone terminal 30 is capable of two-way wireless communication and non-contact communication with the server 10 of the hospital A HA, the Internet, a communication network unique to the mobile phone company, a non-contact IC card, and the like. (N1) At least information can be transmitted to the server 80 of hospital B HB in the same manner (n2, n3).

  Next, configurations of the server 10 and the mobile phone terminal 30 of the hospital A HA will be described.

[Configuration of server 10 of hospital A]
FIG. 2 is a diagram illustrating an example of the configuration of the server 10 of hospital A. The hospital A server 10 includes, for example, an electronic medical record system S1, a dispensing system S2, a medication management information DB 11, and a medication management information interface S3. The electronic medical record system S1 is a system in which a doctor inputs patient medical treatment result information and drug prescription information. The doctor in hospital A inputs the patient's medical treatment result information and drug prescription information PX1 and PX2 via the electronic medical record system interface A1 of the computer terminal C1. Then, the prescription information PX1 and PX2 of the medicine input to the electronic medical record system S1 is converted into the medication management information format and stored in the medication management information DB11.

  In addition, the electronic medical record system S1 outputs prescription information PX1 and PX2 of the medicine and the medication management barcode information BC for identifying the medication management information to be managed from the medication management information DB 11 to the dispensing system S2 of the server 10. . Then, the pharmacist at the hospital A, based on the information output from the electronic medical record system S1 via the dispensing system interface A2 of the computer terminal C2, along with the medicine, the medication management barcode BC and the medicine corresponding to the printed medicine An identification bar code BD is provided to the patient. The medication management information interface S3 of the server 10 carries the medication management information of the target acquired from the medication management information DB 11 in response to a medication management information transmission request based on the medication management barcode BC from the mobile phone terminal 30. It transmits to the telephone terminal 30.

[Configuration of mobile phone terminal 30]
FIG. 3 is a diagram illustrating an example of the configuration of the mobile phone terminal 30. A cellular phone terminal 30 in the figure is an example of a terminal device in the present embodiment. The cellular phone terminal 30 shown in the figure includes, for example, a processor 31, a display unit 32, an operation unit 33, a control unit 34, a communication unit 35, a camera unit 36, a speaker unit 37, and a memory 38. The communication unit 35 realizes wireless communication and non-contact communication with the base station, the camera unit 36 performs image and bar code reading processing, and the speaker unit 37 outputs ringtones, received voices, and the like. In addition, the display unit 32 outputs an operation screen, alert information, and the like to the display screen, and the operation unit 33 accepts input operations such as characters and menu selection operations. And the control part 34 controls operation | movement of the mobile telephone terminal 30 whole.

  The memory 38 also stores a medication management application program (hereinafter referred to as a medication management application) 21, medication management information PD, and medication history information PH. The medication management application 21 implements the medication management means in the present embodiment by cooperating with the mobile phone terminal 30. Details of the processing of the medication management application 21, medication management information PD, and medication history information PH will be described later. Although not shown, the memory 38 also stores a control program for each unit of the mobile phone terminal 30 and user information such as a telephone directory and a mail address.

  In addition, in FIG. 3, although the mobile telephone terminal 30 is illustrated as an example of the terminal device in this embodiment, it is not limited to this example. The terminal device according to the present embodiment may be a portable information terminal (PDA: Personal Digital Assistant), a mobile computer with a camera, or the like.

[Outline of the medication management system of this embodiment]
Then, the outline | summary of the process of the medication management system in this embodiment is demonstrated. In this embodiment, a case where a patient who has received a drug prescription at Hospital A HA receives a drug prescription at Hospital B HB during the period of taking the drug is illustrated. The medication management system in the present embodiment stores medication management information PD, which is medication information prescribed at Hospital A, and medication history information PH indicating the medication status in the patient's mobile phone terminal 30 to manage medication. Based on the information PD and the medication history information PH, non-medication information regarding the presence or absence of medications that have not been taken is supplied to the B hospital server 80 at the time of medical treatment at the B hospital HB. Thereby, the medication management system enables a prescription check (such as a combined contraindication check, an extreme amount check, and a double administration check) of an appropriate drug at the time of drug prescription by a doctor at hospital B HB.

  As described above, concomitant contraindications are combinations of drugs that have adverse effects such as side effects, enhancement of action, and attenuation when taking drugs in combination. In addition, the extreme amount is a quantification in which danger is caused by overdose. Duplicate administration is the repeated prescription of the same drug. When a patient taking a drug prescribed at Hospital A HA receives a new drug prescription at Hospital B HB, a drug prescription check such as a combined contraindication check with the drug being taken, an extreme dose check, a double dose check, etc. Needs to be done appropriately.

  FIG. 4 is a flow chart for explaining the outline of the medication management system in the present embodiment. First, when a patient receives a prescription of a medicine at Hospital A, a doctor at Hospital A inputs information PX1 and PX2 of the medicine to be prescribed into the electronic medical record system S1 (FIG. 2) (S11). As a result, prescription drug information is converted into the medication management information PD format and stored in the medication management information DB 11. In addition, the electronic medical record system S1 provides the dispensing system S2 with the information on the prescribed medicine and the medicine management barcode information for identifying the medicine management information PD corresponding to the information on the prescribed medicine from the medicine management information DB11. Output. Then, the dispensing system S2 provides the patient with the medication management barcode and the medication identification barcode along with the medication based on the prescribed medication information and medication management barcode information (S12). Details of the process of step S12 will be described later. Here, an example of a medication management barcode and a medication identification barcode is presented.

  FIG. 5 is a diagram illustrating an example of a medication management barcode and a medication identification barcode provided to a patient together with a medication. The drug is provided together with, for example, a drug bag En, Et, and a drug instruction (for example, drug instruction) Md in which a detailed description regarding the drug is described. In the medicine bags En and Et, for example, the name of the prescribed medicine, the start date and usage of the medicine, the number of medicines taken (hereinafter referred to as a medicine unit quantity), and the like are described. In the present embodiment, the medication management barcode BC and the medication identification barcodes BD1 to BD5 are printed on the medicine bags En and Et and the medicine manual Md.

  The medication management barcode BC corresponds to the entire medicine prescribed at one time from the hospital A, and has information for specifying the medication management information corresponding to all the medicines prescribed at one time from the medication management information DB 11. As will be described later, the medication management bar code BC is used to identify and receive medication management information of a prescribed medicine in the medication management information DB 11 from the server 10 of the A hospital. On the other hand, the drug identification barcodes BD1 to BD5 have information for specifying the medication management information corresponding to each drug prescribed from the hospital A or the packaged drugs m1 to m4. As will be described later, the drug identification bar codes BD1 to BD5 are used when the drug target drug identification check is performed and information on the drug target drug information is input. In addition, although the example of FIG. 5 illustrates the case where each barcode is a two-dimensional barcode, it may be a one-dimensional barcode or the like.

  Here, the premise knowledge of a medicine is explained. In the present embodiment, the drugs are mainly classified into internal medicines and non-medication medicines. Oral medication is a medication that is prescribed and scheduled to be taken on a regular basis, and a non-compliance medication is a medication that is taken when a symptom occurs and the schedule information is not prescribed. The schedule information indicates, for example, the date when the medicine is taken, the date and time when the medicine is taken. In the example of FIG. 5, the medicine bag En contains internal medicines, and the medicine bag Et contains internal medicines.

  In addition, internal medicine and non-compliance medicine are examples of the type of medicine, and are not limited to this example. The medication management system in the present embodiment may include a medicine for external use, a medicine for use such as injection, etc. as a medicine to be managed.

  In FIG. 5, specifically, the medicine bag En contains the internal medicine (medicine A, medicine B, medicine C, medicine D) for which the schedule information is defined for 14 days. Medicine A (ma) is 1 tablet before each meal (before breakfast, lunch, and dinner), Medicine B (mb) is 1 tablet before dinner, Medicine C (mc) is 2 tablets before bedtime, Medicine D ( md) is taken 1 tablet before each meal for 14 days. That is, before breakfast and before lunch, the patient takes 1 tablet of Medicine A (ma) and Medicine D (md), and 1 meal of Medicine A (ma), Medicine B (mb), and Medicine D (md) before dinner Take 2 tablets of C (mc) before going to bed. Thus, schedule information is prescribed for internal medicine.

  By the way, as described above, when there are a plurality of internal medicines to be taken, the quantity and type of the medicines to be taken differ depending on the scheduled medication date based on the schedule information or the scheduled medication date and time, and erroneous medication or medication leakage is likely to occur. Therefore, as shown in the balloon mp of the medicine bag En in FIG. Thereby, since a patient should just take the encapsulated medicine m1-m4 corresponding to every medication opportunity based on schedule information, it can prevent a wrong medication and a medication omission.

  On the other hand, in FIG. 5, the medicine bag Et contains five doses of medication E. In this example, the non-medication E is taken as needed during a headache. However, a dose limit may be set for a certain period of time (hereinafter referred to as the limit period for taking medicine), and a dose exceeding the limit limit must be avoided. In the present embodiment, it is assumed that the dose limit quantity for the dose limit E is 3 tablets per day (24 hours). In addition, since the unit dose of the dose medicine E in the present embodiment is one tablet, there is no need for the package, but the dose medicine may be packaged in the same manner.

  In FIG. 5, the medication management barcode BC printed on each of the medicine bags En and Et medicine instructions Md is the same, and the whole medicine prescribed by the patient on June 30 at the hospital A (drug A to drug E) Corresponding to medication management information. Further, in the same figure, the drug identification barcodes BD1 to BD4 correspond to the encapsulated drugs m1 to m4, respectively, and the drug identification barcode BD5 corresponds to the incompetent drug E.

  Returning to the schematic flowchart of FIG. 4, the process after the barcode is provided to the patient together with the medicine (S12) will be described. The subsequent steps S13 to S16 are operations or processes on the mobile phone terminal 30 side of the patient. In step S13, the patient reads the medication management barcode BC printed on the medication bags Ec and Et and the medication instruction Md in FIG. 5 by the camera unit 36 of the mobile phone terminal 30, and the medication specified by the barcode BC. The medication management information PD corresponding to the medicine prescribed on June 30 is received by the person in the management information DB 11 (FIG. 2) (S13). The received medication management information PD is stored in the memory 38 of the mobile phone terminal 30.

  After receiving the medication management information PD (S13), the medication management application 21 of the mobile phone terminal 30 is ready to accept input of medication history information PH. Therefore, the medication management application 21 receives medication history information PH related to medication medication from the patient, and stores it in the memory 38 in association with the schedule information included in the medication management information PD (S14). Details of the process of step S14 will be described later. Thus, the medication management system stores the medication management information PD and the medication history information PH in the memory 38 of the mobile phone terminal 30. Since the mobile phone terminal 30 is always carried by a patient and enables immediate input of information, the mobile phone terminal 30 always stores the latest medication history information PH.

  When the patient next visits B Hospital HB and receives a prescription for medicine (YES in S15), the patient receives the medicine management information PD and the medication stored in the mobile phone terminal 30 via the medication management application 21. The medication information based on the history information PH is transmitted to the server 80 of hospital B (S16). The medicine management information PD and the medication history information PH are transmitted to the server 80 of the hospital B via, for example, an information receiving device (not shown) installed at the reception of the hospital B HB. The medication information transmitted to the hospital 80's server 80 is printed, for example, on paper or the like and delivered to the doctor together with the medical record. Thereby, when prescribing a medicine, the doctor of Hospital B HB can perform a prescription check of the medicine more appropriately based on at least the medicine information of the medicine that remains in the patient's hand.

  Next, the processes of step S12, step S14, and step S16 described above with reference to the schematic flowchart of FIG. 4 will be described in more detail.

[Providing Drugs and Bar Codes Based on Prescribed Drug Information (Step S12 in FIG. 4)]
FIG. 6 is a flowchart for explaining the details of the processing (S12 in FIG. 4) related to provision of medicines and barcodes based on medicine information PX1 and PX2 prescribed in Hospital A HA. When prescribing a drug to a patient, a doctor at hospital A registers prescription information of the drug in the electronic medical record system S1 (S21). The doctor inputs, for example, a drug name, a unit dose, a usage, a medication start date, and the like as the drug prescription information PX1 and PX2. One example is drug prescription information PX1 and PX2 on the right side of the figure.

  In the example of FIG. 6, the patient visits the internal medicine department and the neurology department at the hospital A, and receives prescriptions of medicines in each department. According to the prescription information PX1, an internal medicine (drugs A to C) and an internal medicine (drug E) for headache are prescribed in internal medicine, and an internal medicine (drug D) is prescribed in neurology according to the prescription information PX2. Then, the prescription information PX1 and PX2 of the medicine input to the electronic medical record system S1 is converted into the medication management information format and stored in the medication management information DB 11 (S22). Subsequently, the medication management information DB 11 will be exemplified.

  FIG. 7 is a diagram showing an example of a list of medication management information PD held in the medication management information DB 11 of the server 10 of hospital A. The medication management information DB 11 of the server 10 stores, for example, medication management information PD of all patients who have received a medicine prescription at Hospital A. In the example of the figure, the medication management information PD prescribed by the patient on June 30 is shown.

  In FIG. 7, the medication management information PD of the present embodiment includes at least drug identification information and schedule information related to a medication schedule. For example, the drug identification information corresponds to the drug name or drug code in the figure, and the schedule information corresponds to the scheduled drug date, usage, time (medication time), and a combination of the information. Specifically, the medication management information PD1 in the figure has “drug A” or “drug identification code (drug code): 00000001” as the drug identification information, and “2010/07/01 (scheduled medication date)” as the schedule information. , “Before lunch (usage)”, “12:00 (hours)”, and the like. The medication management information PD in the present embodiment further includes the medical institution where the medicine is prescribed, the patient's name, the order (prescription) issue date, the medication start date, the medication type, the number of times of administration (hereinafter referred to as the medication unit quantity). ) Etc.

  In FIG. 7, the medication management information PD for non-medication medication has no schedule information, and at least medication identification information, the medication unit quantity, and the medication limit quantity within the medication limit period. For example, as shown in FIG. 5, the medication management information PD2 for the non-medication E shown in FIG. 5 is “1 tablet” as the medication unit quantity (unit quantity), and “24: 00/3” as the medication limit quantity within the medication limit period. "Lock" information. In addition, the number of overdose in the figure is the number of overdose in the prescription amount, and the overdose of the overdose medicine E in the present embodiment is 5 times (1 tablet × 5 times).

  Returning to the flowchart of FIG. 6, when prescription information of the prescribed medicine is stored in the medication management DB (S22), the electronic medical record system S1 specifies the medication management information PD of the prescribed medicine from the medication management information DB11. The medication management barcode information is output to the dispensing system S2 together with the prescription information of the medicine (S23). Subsequently, the dispensing system S2 generates drug identification bar code information corresponding to each drug or a packaged drug based on the drug prescription information output from the electronic medical record system S1. Then, the dispensing system S2 generates a medicine identification barcode based on the medicine identification barcode information (S24), a medicine management barcode based on the medicine management barcode information output from the electronic medical record system S1 (S25), and a medicine bag. Print on the medicine instructions and packaged medicine packages. Then, the prescribed medicine is provided to the patient together with the medication management barcode BC and the medicine identification barcodes BD1 to BD5 (S26).

  In this way, the medication management bar code BC and the drug identification bar codes BD1 to BD5 are provided to the patient together with the prescribed drug based on the information of the drug prescribed in the A hospital HA. Then, as described above with reference to the flowchart of the outline of FIG. 4, in the subsequent step (S13 in FIG. 4), the patient reads the medication management barcode BC by the camera unit 36 of the mobile phone terminal 30, and The medication management information PD corresponding to the prescribed medicine is received from the 10 medication management information DB 11 and stored in the mobile phone terminal 30. Subsequently, the medication management information PD stored in the mobile phone terminal 30 is illustrated.

  FIG. 8 is a diagram illustrating an example of medication management information PD stored in the mobile phone terminal 30. In the present embodiment, the medication management information PD is slightly changed from the format of the medication management information PD (FIG. 7) of the server 10 of the A hospital in order to facilitate the association with the medication history information PH. Yes. Specifically, the medication management information PD (FIG. 7) of the server 10 has one medication management information PD2 (FIG. 7) for the medication E prescribed for the number of times of medication 5 times, whereas the mobile phone terminal 30 has five medication management information PD3 (FIG. 8) developed for each medication unit. In addition, the mobile phone terminal 30 separately has information PDt indicating the dose limit period of the dose medicine E and the dose limit quantity “24: 00/3 tablets”.

  As a result, the medication management information PD is developed for each medication unit for the medication, and the association with the medication history information PH is facilitated. However, the medication management information PD of the mobile phone terminal 30 is not necessarily changed as shown in FIG. 8, and may be stored in the same format as the medication management information PD (FIG. 7) of the server 10. In this case, five medication history information PH for each medication unit is stored in association with one medication management information PD of the medication medication E.

  As shown in FIG. 8, when the medication management information PD is received and stored in the memory 38 of the mobile phone terminal 30 (S13 in FIG. 4), the medication management application 21 of the mobile phone terminal 30 subsequently It will be in the state which can receive the input of medication history information PH. At this time, the medication history information PH corresponding to each medication management information PD has information indicating that the medication has not been taken. Next, the process of receiving medication history information PH by the medication management application 21 (S14 in FIG. 4) will be described in detail.

[Reception of medication history information by mobile phone terminal 30 (step S14 in FIG. 4): In the case of internal medicine]
FIG. 9 is a flowchart illustrating the details of the process (S14 in FIG. 4) relating to the reception of the medication history information PH by the mobile phone terminal 30. First, the flow of the reception process of the medication history information PH of internal medication for which schedule information is prescribed will be described.

  When the medicine to be taken is not a taking medicine (NO in S40), that is, when it is an internal medicine, the medication management application 21 of the mobile phone terminal 30 corresponds to the schedule information of the medication management information stored in the memory 38, The medication arousing screen is output on the display screen of the telephone terminal 30 (S41). Specifically, the medication management application 21 is resident and operates on the mobile phone terminal 30, and schedule information or information indicating that the medication is evoked on the display screen of the mobile phone terminal 30 when a predetermined time has passed. Output. The medication management application 21 may also arouse medication by outputting an alert sound or receiving a medication alert email.

  When the medication arousing screen is output (S41), the patient reads the medication identification barcode corresponding to the medication to be taken by the camera unit 36 of the mobile phone terminal 30 (S42). The medicine identification bar code includes information such as medicine schedule information and medicine identification information, for example. Then, the information acquired by reading the medicine identification barcode is collated with the medication management information PD stored in the mobile phone terminal 30 of the medicine that has been aroused (S43).

  As a result of the collation, if the information matches and is determined to be an appropriate drug (YES in S43), the medication management application 21 outputs collation result information indicating that the drug is an appropriate drug on the display screen, Prompt for instructions to complete medication after taking the medication. Upon receiving a medication completion instruction (S48), the medication management application 21 generates medication history information PH indicating that the medication has been taken, and stores it in the memory in association with the schedule information of the medication management information PD (S49). At this time, for example, the medication management application 21 may regard the time when the medication completion instruction is received as the medication implementation date and the medication implementation time, and store them together as medication history information PH.

  On the other hand, as a result of the collation, when it is determined that the information does not match and is not an appropriate drug (NO in S43), the medication management application 21 displays information indicating that the drug is an inappropriate drug on the mobile phone terminal 30. The information is output on the screen (S44), and the reading of the medicine identification bar code of an appropriate medicine is prompted.

  FIG. 10 is an example diagram showing a screen transition of the mobile phone terminal 30 at the time of inputting internal medicine medication history information in the flowchart of FIG. 9. In the screen sc1 in the figure, an example of a medication prompting screen that prompts the user to enter medication history information of medication A and medication D before the lunch on July 1 (in this example, 12:00) is displayed. (S41). Further, on the screen sc1, a medicine identification camera activation button f1 for reading a medicine identification bar code for confirming whether or not the medicine to be taken is appropriate is shown.

  When the medication arousing screen is displayed at 12:00 on July 1, the patient presses the button f1 for starting the drug confirmation camera, and the camera unit 36 of the mobile phone terminal 30 before lunch as shown in the screen sc2. The medicine identification bar code BD2 of the medicine package m2 in which the medicines are packaged is read (S42). In this example, the medicine identification barcode BD2 includes at least usage information “before lunch”. Therefore, the usage information based on the medicine identification barcode BD2 is compared with the medicine management information corresponding to the medicine A and the medicine D before the lunch on July 1 when the medicine was aroused. Then, since the information matches (YES in S43), the medication management application 21 outputs information indicating that the medicine is an appropriate medicine on the display screen as shown in the screen sc3 and prompts the medicine A and medicine D to be taken.

  This is because, in the present embodiment, the medicines to be taken in each packaged use (before breakfast, before lunch, etc.) during the period of taking medicine are the same every day. Therefore, if the usage information of the drug identification bar code matches the usage information of the medication management information to be aroused, the drug to be taken is proved to be appropriate. On the other hand, when the packaged medicine for each usage differs depending on the day, for example, the medicine identification barcode holds information indicating the scheduled medication date in addition to the usage information. Accordingly, it is proved that the medicine to be taken is appropriate by confirming the matching between the scheduled medication date of the medicine to be taken and the usage information. Further, when only the scheduled medication date is defined as the schedule information, the drug identification barcode may have only the scheduled medication date, and may be collated with the scheduled medication date in the medication management information. In addition, for example, when the medicine to be taken is not packaged, the medicine identification barcode has medicine identification information (for example, medicine A, medicine D), and medicine identification of the medicine management information of the medicine that has been aroused. The information may be collated with the medicine identification information included in the medicine identification barcode.

  When the patient presses the medication completion button f3 after taking the medication A and medication D (S48), the medication management application 21 considers that the medication A and medication D scheduled to be taken before lunch is completed, The medication history information PH indicating that the medicine has been taken is generated and stored in the memory in association with the schedule information of the medication management information PD (S49). As a result, as shown in the screen sc5, the drug corresponding to the lunch before July 1 is updated to the already taken state.

  On the other hand, for example, when the medicine identification barcode BD3 of the medicine package m3 in which the medicine before dinner is packaged is read by the camera unit 36 of the mobile phone terminal 30 (S42), the usage information of the medicine identification barcode BD3 As a result of collation with the usage information of the medication management information of the drug aroused, the information does not match (NO in S43). Therefore, the medication management application 21 outputs information indicating that the medicine is inappropriate as shown in the screen sc4 (S44), displays a medicine reconfirmation button f2, and displays a medicine identification barcode of the appropriate medicine. Encourage reading.

  FIG. 11 is a diagram illustrating an example of medication history information PH stored in association with medication management information. In this example, the medicines before breakfast and before lunch on July 1 have been taken. In FIG. 10, the medication history information PHx corresponding to the medication A and the medication D before lunch on July 1 in FIG. 10 is the medication status “done” indicating that the medication has been taken, and the medication for which the medication completion button f3 has been pressed. It has information on the implementation date “2010/07/01” and the medication implementation time “12:03”.

  As described above, the medication management application 21 receives the medication history information PH related to internal medication from the patient, and stores it in the memory 38 in association with the schedule information included in the medication management information. In addition, when the medication management application 21 includes only the scheduled medication date as the schedule information, the medication arousal may be performed at a time designated in advance by the patient on the scheduled medication date.

[Reception of medication history information by the mobile phone terminal 30 (step S14 in FIG. 4): In the case of incompetent medication]
Returning to the flowchart of the medication history information input process of FIG. 9, the flow of the acceptance history information reception process for non-compliance medication will be described next. When the medicine to be taken is a taking medicine (YES in S40), the patient reads the medicine identification bar code of the taking medicine to be taken by the camera unit 36 of the mobile phone terminal 30 at the time of taking the taking medicine (S45). The medication management application 21 recognizes the drug based on the drug identification information included in the read drug identification bar code, and obtains the dose that has been taken within the medication limit period based on the medication history information of the non-compliance medication. Then, the medication management application 21 determines whether the medication exceeds the medication limit quantity within the medication limit period included in the medication management information of the non-compliance medication (S46).

  As a result of the determination, if it is determined that the medication limit quantity is not exceeded (YES in S46), the medication management application 21 prompts input of medication and a medication completion instruction after medication. When a medication completion instruction is received (S48), the medication management application 21 generates medication history information PH indicating that the medication has been taken, and stores the medication history information PH in association with the medication management information PD (S49). On the other hand, when it is determined that the medication limit quantity is exceeded due to the medication (NO in S46), the medication management application 21 outputs warning information indicating that the medication exceeds the medication limit quantity on the display screen (S47).

  FIG. 12 is a diagram illustrating an example of screen transition of the mobile phone terminal 30 when inputting the history information of taking medication in the flowchart of FIG. As shown in the screen sc11 in the figure, when the patient tries to take the medicine E, the patient activates the camera unit 36 and the medicine identification bar of the medicine E printed on the medicine bag Et or the medicine instruction Md. The code BD5 is read (S45). Then, the medication management application 21 recognizes that it is the medication E based on the medicine identification barcode BD5, and based on the medication history information PH related to the medication medication E, how long the medication medication has been taken in what period. Get some information. When the medication management application 21 adds the medication unit quantity “1 tablet” to the dose already taken for the medication E, the medication limit quantity (within 24 hours) within the medication limit period of the medication management information PD of the medication E It is determined whether or not it exceeds 3 tablets (S46).

  When the number of doses of non-medication E within 24 hours is 2 tablets or less, that is, when the dose limit is not exceeded (YES in S46), the medication management application 21 takes medication of non-medication E as shown in screen sc12. Prompt. Although not shown, at this time, the medication management application 21 may display drug information corresponding to the drug identification information barcode on the display screen. Thereby, the patient can recognize the information of the medicine to be taken more clearly.

  When the patient presses the medication completion button f3 after taking the medication E (S48), the medication management application 21 considers that the medication E has been taken and indicates that the medication has been taken. The medication history information PH is generated and stored in association with the medication management information PD (S49). On the other hand, when the number of doses of non-medication E within 24 hours is 3 tablets or more (NO in S46), the medication management application 21 displays warning information indicating that the medication exceeds the medication limit quantity as shown in the screen sc13. Output (S47), and display the contact information of the medical institution as necessary.

  As described above, the medication management application 21 in the present embodiment prompts input of the medication history information PH of the medicine, and stores the inputted medication history information PH in the memory 38 in association with the medication management information PD. In addition, the medication management application 21 outputs a medication alerting screen on the display screen at the date and time when the medication is taken based on the schedule information for the medication for which the schedule information is prescribed (internal medication), and the medication corresponding to the medication to be taken. The identification bar code is read by the camera unit 36 of the mobile phone terminal 30 and checked with the medication management information of the medication aroused to check whether the medication is appropriate. As a result, the medication management application 21 can prompt the user to take an appropriate medicine at the medication date and time based on the appropriate schedule information, and can store the medication history information PH with high accuracy.

  In addition, the medication management application 21 in the present embodiment determines whether or not the medication limit quantity within the medication limit period is exceeded by taking the medication based on the medication history information of the medication when the information on the medication is input. If it does not exceed, prompt the user to enter medication history information for the medication. Thereby, the patient can avoid the taking of the overdose medicine exceeding a medication limit quantity.

  The medication management application 21 does not urge medication based on the schedule information, and allows the patient to check the medication history information PH by checking the check box corresponding to the schedule information and the drug identification information on the display screen when taking the medication. You may enter. Similarly, the medication management application 21 allows the patient to input the medication history information PH by causing the patient to check a check box corresponding to the medication subject to medication on the display screen at the time of medication. Also good.

  In this way, the medication history information PH is stored in the memory 38 of the mobile phone terminal 30. Subsequently, as described above with reference to the schematic flowchart of FIG. 4, when the patient receives a prescription of medicine from the hospital B, the medication management application 21 prescribes based on the medication history information PH stored in the mobile phone terminal 30. The non-medication information regarding the presence / absence of drugs that have not been taken is transmitted to the server 80 of hospital B (steps S15 and S16 in FIG. 4). The medication information is transmitted in a data format such as CSV. Details of this processing will be described.

[Transmission of information to other medical institutions (step S16 in FIG. 4)]
Specifically, the medication management application 21 transmits, for example, medication information having medication information corresponding to medication history information PH indicating that the medication is not taken to the hospital 80 server 80. Thereby, the doctor of B hospital HB can identify the medicine which is not taken out of the medicine prescribed in A hospital HA, that is, the medicine which is in the hand of the patient and may be taken from now. Thereby, the doctor of B hospital HB can perform a combined contraindication check based on information on a drug that may be taken.

  Specifically, the case where the medication period of 14 days from July 1 is finished and medicine A and medicine D are not taken before lunch on July 10 is illustrated. In this case, when the patient receives medical care at B hospital on July 20, at least medication information including information on medicine A and medicine D remaining at the patient's hand is transmitted to server 80 of B hospital. Thereby, the doctor of B hospital HB can prescribe a medicine so that it may not be contraindicated with medicine A and medicine D.

  In addition, the non-medication information may include quantity information of medicines that are not taken. Thereby, when prescribing the same medicine as the medicine at hand of the patient, the doctor at Hospital B HB can perform an extreme amount check based on the quantity information included in the non-medication information. In this way, the doctor of hospital B HB can more appropriately perform a drug prescription check.

  The medication management application 21 may transmit, for example, medication management information PD and medication history information PH within a certain period to the hospital 80 server B in addition to non-medicine information. This is because drugs that have been taken within a certain period of time and drugs that will be taken in the future are generally subject to a combined contraindication check. As a result, doctors at Hospital B HB will conduct a more appropriate contraindication check based on the medication status of the medication that has schedule information within a certain period of time and the medication information that is at hand of the patient and may be taken in the future. It can be carried out.

  As described above, the medication management system in the present embodiment includes the first server 10 of the first medical institution (A hospital HA) and the second server of the second medical institution (B hospital HB). 80 and a mobile phone terminal 30 that can communicate with each server. Then, the server 10 of the hospital A transmits the medication management information PD having at least the medication identification information of the medication prescribed in the hospital A and the schedule information related to the medication schedule to the mobile phone terminal 30. Then, the mobile phone terminal 30 stores the medication management information PD received from the first server 10 of the hospital A in the memory 38, and when the medication history information PH related to medication medication is received from the user (patient), In association with the schedule information included in the management information and stored in the memory, based on the medication history information PH and the medication management information PD, the non-medication information on the presence or absence of medications that have not been taken among the prescribed medications To the second server 80.

  As a result, the medication management system according to the present embodiment differs from the case of using the medicine notebook or medicine notebook, and the medication history information PH is stored in the mobile phone terminal 30 that is always carried and capable of immediate input of information. And stored in the memory 38 in association with schedule information included in the medication management information PD having drug information prescribed by a medical institution. Therefore, the medication management information PD and the corresponding medication history information PH are always stored in the latest state in the memory 38 of the mobile phone terminal 30 regardless of when and where the patient is.

  As a result, even if the patient visits another medical institution, the doctor of the other medical institution has not yet been based on the latest medication management information PD and medication history information PH stored in the patient's mobile phone terminal 30. Based on the medication information, it is possible to appropriately check the prescription of the medicine. Even if the patient belongs to the target area of the regional medical cooperation system, the patient may be urgently prescribed a drug at a medical institution outside the regional medical cooperation system during a business trip or travel. is there. In addition, if the server of another medical institution has an information receiving means, there is no need for capital investment and management such as setting up a separate shared server. Medication management information PD and medication history information PH can be shared.

  In addition, the medication management system according to the present embodiment stores medication history information PH in addition to medication management information PD in the mobile phone terminal 30, and information on non-medicine information regarding the presence or absence of medications that have not been taken among prescribed medications. To the other medical institution's server. Thereby, doctors of other medical institutions can perform an appropriate combined contraindication check based on a drug that has not been taken, that is, a drug that remains in the patient's hand and may be taken in the future. Further, doctors of other medical institutions can appropriately perform an extreme amount check based on the drug remaining at the patient's hand and its quantity information, and adjust the prescription amount of the drug based on the information.

  Further, the medication management system in the present embodiment may transmit medication management information PD and medication history information PH within a certain period in addition to non-medication information to a server of another medical institution. As a result, doctors from other medical institutions conduct appropriate combination contraindication checks based on information on medications that have been taken within a certain period of time and subject to future medications. be able to. Furthermore, the medication management application 21 in the present embodiment transmits not limited to all medication management information PD and medication history information PH stored in the mobile phone terminal 30 but by sending limited information to the hospital 80 server B. The amount of transmission data can be suppressed.

  Then, the medication management system in the present embodiment outputs medication arousing information on the display screen of the mobile phone terminal 30 on the date and time when the medication is taken based on the schedule information for the medication for which the schedule information is prescribed. Thereby, it is possible to avoid the patient from forgetting to take the medicine and to take the wrong medicine, and to prompt the patient to take the appropriate medicine at the appropriate medication date and time based on the schedule information. In addition, the medication management system further acquires information obtained by causing the camera unit 36 of the mobile phone terminal 30 to read the medication identification barcode provided for each medication or corresponding to the encapsulated medication when outputting the medication arousal information. And the drug information that has been evoked, the drug is determined to be an appropriate drug, and the drug corresponding to the drug identification bar code is requested to be taken. Thereby, the medication management system can avoid the erroneous medication by the patient and can increase the accuracy of the inputted medication history information.

  In this way, the medication management system can store the medication history information PH with higher accuracy in the memory 38 of the mobile phone terminal 30 by prompting the medication to be taken at the appropriate medication date and time. As a result, doctors of other medical institutions (Hospitals B) are based on the medication management information PD and medication history information PH, which are stored in the mobile phone terminal 30 and are always updated to the latest state and information accuracy is high. By referring to, prescription check with a medicine prescribed in another medical institution (Hospital A) can be performed more appropriately and easily.

  In addition, the medication management system in the present embodiment responds to the information input of the medication to be taken, and whether or not the medication exceeds the medication limit quantity within the medication limit period by taking medication. Determine based on. The medication management system outputs warning information to that effect on the display screen of the mobile phone terminal 30 if the medication limit quantity is exceeded, and inputs the medication history information PH of the non-compliance medication if the medication limit quantity is not exceeded. At the same time, the inputted medication history information PH is stored in the memory 38 of the mobile phone terminal 30 in association with the medication management information PD. Thereby, the medication management system can avoid taking medications that exceed the medication limit quantity within the patient medication limit period. In addition, the medication management system can increase the accuracy of the medication history information PH to be stored by inputting information on the medication to be taken by reading the medication identification bar code by the camera unit 36.

  In the present embodiment, the case where the medication management information PD and the medication history information PH are shared with different medical institutions is illustrated, but it is also effective in the same medical institution. A case where a patient who is taking a medicine prescribed at Hospital A receives medical care at Hospital A again during the period of medication is illustrated. In this case, the doctor of A hospital refers to the latest medication status of the medicine by transmitting information based on the medication management information and medication history information that is always updated to the latest state to the server 10 of Hospital A. can do. Thereby, the doctor of Hospital A can appropriately perform a prescription check of a newly prescribed medicine based on the medicine that remains in the patient's hand and may be taken in the future and the quantity information thereof. Or, the doctor of Hospital A may perform a combined contraindication check for a newly prescribed drug based on information on drugs that have already been taken within a certain period of time that is subject to a combined contraindication check and information on drugs that will be taken in the future. it can.

  The above embodiment is summarized as follows.

(Appendix 1)
A first server of a first medical institution;
A second server of a second medical institution;
A medication management system having a terminal device capable of communicating with each of the first and second servers,
The first server is
Management information transmitting means for transmitting medication management information having medication identification information of a medication prescribed in the first medical institution and schedule information related to a medication schedule to the terminal device;
The terminal device
Communication means for communicating with the first server or the second server;
A memory for storing the medication management information received from the first server via the communication means;
When receiving medication history information related to medication taking from a user, in association with the schedule information included in the medication management information is stored in the memory, based on the medication history information and the medication management information, Medication management means for transmitting information on non-medication related to the presence or absence of medications that have not been taken among the prescribed medications to the second server via the communication means;
The second server is
A medication management system comprising receiving means for receiving the medication information from the terminal device.

(Appendix 2)
In Appendix 1,
The medication management system in which the medication management means of the terminal device outputs, on the display screen of the terminal device, a medication arousing screen that prompts the medication to be taken at the date and time when the medication is taken based on the schedule information.

(Appendix 3)
In Appendix 2,
An identification image identifying the medication management information is provided to the patient together with the drug when the drug is prescribed by the first server,
The terminal device further includes image reading means,
The medication management means includes the medication management information specified by the identification image acquired by the image reading means at the time of outputting the medication arousal screen, and the medication management of the medication in the schedule information prompting the medication. A medication management system that collates information and displays collation result information on the medication arousing screen.

(Appendix 4)
In Appendix 3,
The identification image is a medication management system for identifying each of the medicines packaged for each schedule information.

(Appendix 5)
In Appendix 1,
The medication management information further includes medication identification information of other medications that are not prescribed in the schedule information prescribed by the first medical institution, a medication unit quantity, a medication limit quantity within a medication limit period, Have
The medication management means of the terminal device responds to input of the medication identification information of the other medication to be taken, and takes the medication by taking medication based on medication history information of the other medication stored in the memory. It is determined whether or not the dose limit quantity within the limit period is exceeded, and if it does not exceed, it is prompted to input the medication history information of the other drug, and the inputted medication history information is associated with the medication management information and the memory Medication management system to remember.

(Appendix 6)
In any one of supplementary notes 1 to 5,
The medication management means of the terminal device is a medication management system that transmits the medication management information and medication history information within a certain period in addition to the non-medicine information.

(Appendix 7)
In any one of supplementary notes 1 to 6,
The first server is a medication management system in which an application program for realizing the medication management means by a computer is transmitted to the terminal device and can be installed in the terminal device.

(Appendix 8)
The first server of the first medical institution provides a medication management service by the second server of the second medical institution and the terminal device capable of communicating with the first and second servers, respectively.
A management information transmitting step in which the first server transmits medication management information including medication identification information of a medication prescribed in the first medical institution and schedule information related to a medication schedule to the terminal device;
Included in the medication management information when the terminal device stores the medication management information received from the first server and receives medication history information related to medication medication corresponding to the schedule information from a user Stored in association with the schedule information, and based on the medication history information and the medication management information, sends non-medication information on the presence or absence of medications that have not been taken to the second server. A medication management process,
A method for providing a medication management service, wherein the second server includes a medication information receiving step of receiving the medication information from the terminal device.

(Appendix 9)
In Appendix 8,
The medication management step provides a medication management service for outputting a medication arousing screen prompting medication to be taken on the display screen of the terminal device on the date and time when the medication is taken based on the schedule information.

(Appendix 10)
In Appendix 8,
The medication management information further includes medication identification information of other medications that are not prescribed in the schedule information prescribed by the first medical institution, a medication unit quantity, a medication limit quantity within a medication limit period, Have
Whether the medication management step exceeds the medication limit quantity within the medication limit period due to medication based on medication history information of the other medication in response to input of the medication identification information of the other medication targeted for medication A method of providing a medication management service for determining whether or not to prompt entry of medication history information of the other drug and storing the inputted medication history information in association with the medication management information.

(Appendix 11)
In the processor-readable medication management program for causing a processor of a terminal device capable of communicating with the first server of the first medical institution and the second server of the second medical institution to execute medication management processing of the medication, respectively. ,
The medication management process includes:
The medication management information including the medication identification information of the medication prescribed by the first medical institution and the schedule information related to the medication schedule is received from the first server and stored, and the medication history information related to the medication medication is stored in the user. Stored in association with the schedule information included in the medication management information, and based on the medication history information and the medication management information, a prescription of a medication that has not been taken out of the prescribed medication. A medication management program comprising a medication management step of transmitting medication information regarding presence / absence to the second server.

(Appendix 12)
A first server of a first medical institution;
A second server of a second medical institution;
A medication management system having a terminal device capable of communicating with each of the first and second servers,
The first server is
Management information transmitting means for transmitting medication management information having medication identification information of other medications prescribed by the first medical institution, a medication unit quantity, and a medication limit quantity within a medication limit period to the terminal device Have
The terminal device
Communication means for communicating with the first server or the second server;
A memory for storing the medication management information received from the first server via the communication means;
In response to the input of the medicine identification information of the other medicine, whether or not the medication limit quantity within the medication limit period is exceeded by the medication based on the medication history information related to the medication of the other medication stored in the memory If it does not exceed, it prompts the input of medication history information of the other medicine, stores the inputted medication history information in the memory in association with the medication management information, and stores the medication history information and the medication Based on the management information, and having medication management means for transmitting to the second server via the communication means non-medicine information on the presence or absence of drugs that have not been taken among the prescribed drugs,
The second server is
A medication management system comprising receiving means for receiving the medication information from the terminal device.

(Appendix 13)
In the processor-readable medication management program for causing a processor of a terminal device capable of communicating with the first server of the first medical institution and the second server of the second medical institution to execute medication management processing of the medication, respectively. ,
The medication management process includes:
The medication management information having the medication identification information of other medications prescribed by the first medical institution, the medication unit quantity, and the medication limit quantity within the medication limit period is received from the first server and stored. Then, in response to the input of the drug identification information of the other drug to be taken, it is determined whether or not the dose limit quantity within the dose limit period is exceeded by taking the drug based on the medication history information of the other drug. If it does not exceed, it prompts the input of the medication history information of the other medicine, stores the inputted medication history information in association with the medication management information, and based on the medication history information and the medication management information A medication management program comprising a medication management step of transmitting to the second server information on non-medication related to the presence or absence of medications that have not been taken among the prescribed medications.

10: A hospital server (first server), HA: A hospital (first medical institution), 80: B hospital server (second server), HB: B hospital (second medical institution), 30: mobile phone terminal (terminal device), 11: medication management information DB, S1: electronic medical record system, S2: dispensing system, S3: medication management information interface, 31: processor of mobile phone terminal, 32: display unit, 33: Operation unit, 34: control unit, 35: communication unit, 36: camera unit, 37: speaker unit, 38: memory, 21: medication management application program (medicine management means)

Claims (7)

Medication having a first server of a first medical institution, a second server of a second medical institution different from the first medical institution, and a terminal device capable of communicating with each of the first and second servers A management system,
The first server is
Management information transmission means for transmitting medication management information having drug identification information of a drug based on prescription of the first drug to a user and schedule information related to a medication schedule of the first medical institution to the terminal device,
The terminal device
Communication means for communicating with the first server or the second server;
A memory for storing the medication management information received from the first server via the communication means;
When the medication history information related to the medication is received from the user, the medication history information is stored in the memory in association with the schedule information included in the medication management information, and based on the medication history information and the medication management information. In addition , the non-medication information on the presence or absence of a medicine that has not been taken among the prescribed medicines, and the medication management information and the medication history information within a certain period of the stored medication management information and the medication history information, a and a medication management means for transmitting through said communication means to the second server of a second medical institution performing the formulation of a second agent for said user,
The second server is
Receiving means for receiving from the terminal device the medication information , medication management information and medication history information within the predetermined period ;
An output means for outputting the non-medication information and the medication management information and medication history information within the predetermined period when prescribing the second medicine;
A medication management system comprising: In claim 1,
The said output means is the medication management system which outputs the said non-medication information referred for avoiding the combined use contraindication of the said medicine , the medication management information in the said fixed period, and medication history information . In either claim 1 or 2 ,
The medication management system in which the medication management means of the terminal device outputs, on the display screen of the terminal device, a medication arousing screen that prompts the medication to be taken at the date and time when the medication is taken based on the schedule information. In any one of Claims 1 thru | or 3 ,
The medication management information further includes medication identification information of other medications that are not prescribed in the schedule information prescribed by the first medical institution, a medication unit quantity, a medication limit quantity within a medication limit period, Have
The medication management means of the terminal device responds to input of the medication identification information of the other medication to be taken, and takes the medication by taking medication based on medication history information of the other medication stored in the memory. It is determined whether or not the dose limit quantity within the limit period is exceeded, and if it does not exceed, it is prompted to input the medication history information of the other drug, and the inputted medication history information is associated with the medication management information and the memory Medication management system to remember. The first server of the first medical institution is a medication management service by a second server of a second medical institution different from the first medical institution and a terminal device that can communicate with the first and second servers, respectively. A method of providing
Management in which the first server transmits medication management information including drug identification information of a drug based on prescription of the first drug to the user and schedule information regarding a drug schedule of the first medical institution to the terminal device. An information transmission process;
The terminal device stores the medication management information received from the first server, and is included in the medication management information when the medication history information related to the medication medication corresponding to the schedule information is received from the user and stores in association with the schedule information, the medication history information based rather on said medication management information, and non-compliance information as to whether or not the medication not been drug among prescribed the drug, stored the The medication management information and the medication history information within a predetermined period of the medication management information and the medication history information are transmitted to the second server of the second medical institution that prescribes the second medication to the user. Medication management process;
The second server receives from the terminal device the non-medication information , the medication management information and the medication history information within the predetermined period ,
When the second server prescribes the second medicine, an output step of outputting the non-medication information, medication management information and medication history information within the predetermined period,
A method for providing a medication management service, comprising: Causing a processor of a terminal device capable of communicating with a first server of a first medical institution and a second server of a second medical institution different from the first medical institution to execute a medication management process In a processor-readable medication management program,
The medication management process includes:
The first medical institution receives medication management information including medication identification information of a medication based on prescription of the first medication for a user and schedule information related to a medication schedule from the first server, and stores the medication. when receiving the medication history information on the medication from the user, and stores in association with the schedule information included in the medication management information, based rather on said medication history information to the medication management information, which is formulated Non-medicine information regarding the presence or absence of drugs that have not been taken among the drugs, and the medication management information and the medication history information within a certain period of the stored medication management information and medication history information for the user A medication management program comprising a medication management step of transmitting to the second server of a second medical institution that prescribes a second medication. Receiving and storing medication management information including medication identification information of medication prescribed to the patient at the first medical institution and schedule information regarding the medication schedule from the first server of the first medical institution;
When receiving medication history information indicating the medication status of the medicine from the patient, store in association with the schedule information included in the medication management information,
When an information acquisition request for the medication status of the patient is received from a second server of a second medical institution different from the first medical institution, the first information is obtained from the medication history information and the medication management information. Extracting drug information about drugs that have been taken and not taken within a certain period of time that are prescribed to the patient at medical institutions
A medication management program for causing a computer to execute processing for transmitting the extracted drug information to the second server.

Images