JP5895592B2 - Electronic medical record device, electronic medical record system, electronic medical record program, computer-readable recording medium recording electronic medical record program, prescription reference amount setting method - Google Patents

Description

  The present invention relates to an electronic medical record system for managing medical information of a patient by converting it into electronic data.

  Generally, a doctor determines the prescription amount of a medicine prescribed to a patient according to a predetermined dose standard for each medicine. In this dose criterion, different derivation methods are used for different pharmaceutical products. That is, a dose standard according to the age of the patient is determined for a certain medicine, and a dose standard according to the weight of the patient is determined for another drug. For example, in the method for deriving the prescription amount according to age, the prescription amount is 20 to 40 μg for the age of 0 to less than 2 years, and the prescription amount is 40 to 60 μg for the age of 2 to under 5 years. Etc. are determined. In the method of deriving a prescription amount according to body weight, a prescription amount per kg body weight may be defined as a dose standard. Such dose criteria are usually found in the package insert of the pharmaceutical product.

  On the other hand, in recent years, in medical facilities such as hospitals, an electronic medical record system (see, for example, Patent Document 1) that manages information related to patient medical care using electronic data called electronic medical records is used. When a doctor inputs a prescription amount of a drug in this type of electronic medical record system, the doctor determines the prescription amount according to the dose standard described in the package insert of the drug. Conventionally, in an electronic medical chart system, it is possible to refer to the contents of a package insert of a medicine on the screen.

Japanese Patent No. 4811383

However, it is a cumbersome task for a doctor to refer to a dose standard determined by a different derivation method for each medicine and derive a prescription amount corresponding to the age and weight of the patient.
Accordingly, the present invention has been made in view of the above circumstances, and an object thereof is to simplify an operation for deriving a prescription amount of a pharmaceutical by a different deriving method for each pharmaceutical.

In order to achieve the above object, the present invention is configured as an electronic medical chart apparatus including physical information acquisition means, derivation method setting means, and prescription reference amount derivation means. The body information acquisition means acquires patient body information. The derivation method setting means arbitrarily sets a derivation method to be used for deriving the prescription reference amount of the drug among a plurality of different derivation methods for deriving the prescription reference amount of the drug for each drug. The prescription reference amount deriving means derives a prescription reference amount of a medicine based on the derivation method corresponding to the medicine input to the electronic medical record and the physical information of the patient corresponding to the electronic medical record.
According to the present invention, for example, by arbitrarily setting a doctor's desired derivation method for each drug, a prescription reference amount of the drug calculated by a different derivation method for each drug can be easily obtained. Therefore, it is possible to simplify the work of a doctor or the like for deriving the prescription amount of a medicine by a different derivation method for each medicine, and the medical efficiency by the doctor can be improved.

In particular, it is desirable to further include a dose criterion setting means for arbitrarily setting a dose criterion for each medicine, which indicates the correspondence between the physical information and the prescription reference amount in the derivation method. In this case, the prescription reference amount deriving means obtains a prescription reference amount of a medicine based on the derivation method corresponding to the medicine input to the electronic medical record, the dose standard, and the physical information of the patient corresponding to the electronic medical record. To derive. Thereby, since the said dose reference | standard can be arbitrarily set for every said pharmaceutical, the prescription reference amount suitable for a patient's physical information can always be obtained easily.
In general, in the package insert attached to a pharmaceutical product, the unit of the prescription amount is described in the drug price or the titer in the information corresponding to the above-mentioned dose standard that determines the prescription amount of the pharmaceutical product. Therefore, it is preferable that the initial setting of the unit for the prescription reference amount is a drug price or a titer, and the unit for the prescription reference amount is arbitrarily changed. Thereby, it is possible to save the user from switching the unit when setting the prescription reference amount.

Further, it is conceivable that the derivation method setting means sets priorities for a plurality of the derivation methods. In this case, the prescription reference amount deriving unit derives the prescription reference amount of the pharmaceutical using the deriving method having the highest priority among the deriving methods satisfying the usage conditions set in advance for each of the deriving methods. Accordingly, it is possible to derive the prescription reference amount of the pharmaceutical using the derivation method having the highest priority as much as possible while preventing the inappropriate derivation method that does not satisfy the use condition from being used.
Specifically, in the initial setting state of the priority, for the derivation method using the same item of the physical information, the value of the item of the patient and the prescription amount reference value corresponding to each of a plurality of preset ranges of the item The method of deriving a prescription reference amount of a pharmaceutical based on the above is prioritized over the method of deriving a prescription reference amount of a pharmaceutical based on the value of the patient's item and the prescription reference amount per unit amount of the item. It is possible that the degree is set high. In the former method, since the types of prescription reference amounts derived as compared with the latter method are narrowed down, management of pharmaceuticals and dispensing work in a pharmacy are facilitated. On the other hand, in the latter method, since a prescription reference amount per unit amount is derived, a fine prescription reference amount can be obtained, but such a fine prescription reference amount is unlikely to be required. Another problem is that it is difficult for pharmacists at pharmacies to dispense when prescriptions of pharmaceuticals are requested as they are with a small prescription reference amount. Therefore, by adopting the former in the initial setting state, it is possible to naturally promote a setting that improves the efficiency of pharmacy operation.
Further, when the derivation method is to derive a prescription reference amount of a medicine based on the physical information and a prescription reference amount corresponding to each of a plurality of preset ranges of the physical information, Is within the range of the minimum amount and the maximum amount in the whole of the plurality of ranges. When this use condition is not satisfied, the patient's physical information is not assumed by the dose standard, and the prescription reference amount cannot be derived according to the dose standard, or the derived prescription reference amount is This is because it may not be appropriate.
Further, when the derivation method is to derive a prescription reference amount of a medicine based on the physical information and a prescription reference amount per unit amount of the physical information, the prescription reference of the patient's physical information It is conceivable that the use condition is that information serving as a reference for deriving the quantity is within a range determined according to other information included in the physical information. This is because, for example, the patient's weight is excessive or small with respect to age, and it may not be appropriate to calculate the prescription reference amount using the derivation method based on the weight.

Furthermore, the structure provided with the re-prescription input means which inputs the prescription same as the prescription performed in the past into the said electronic medical record can be considered. In this case, the prescription reference amount derivation means is based on the derivation method corresponding to each medicine for each medicine inputted by the re-prescription input means and the current physical information of the patient corresponding to the electronic medical record. A prescription reference amount is derived. As a result, when there is a change in the patient's physical information after a long time since the past prescription, it is possible to input the same medicine as the past prescription for the prescription medicine at the same time. The prescription reference amount is suitable for current patient physical information.
Further, the prescription reference amount deriving unit selects the deriving method based on the current physical information of the patient for each drug input by the re-prescription input unit, and the deriving method corresponding to each drug and the It is conceivable that the prescription reference amount is derived based on the current physical information of the patient corresponding to the electronic medical record. As a result, even if the patient's physical information changes and the appropriate derivation method for the physical information changes, the prescription reference amount of the drug can be derived using the appropriate derivation method for the current physical information. it can.
In addition, a configuration including a prescription set input unit that inputs prescriptions of a plurality of medicines included in the prescription set to the electronic medical chart in accordance with a selection operation of one or a plurality of prescription sets including a plurality of medicines is considered. It is done. In this case, the prescription reference amount derivation means derives a prescription reference amount using the derivation method corresponding to each medicine for each medicine included in the prescription set selected by the prescription set input means. is there. Thereby, it is possible to derive the prescription reference amount for all the medicines included in the prescription set at once using the derivation method suitable for each medicine.
The plurality of derivation methods include, for example, deriving a prescription reference amount of a medicine based on the weight of the patient and a prescription reference amount per unit weight of the patient, and a plurality of preset weights of the patient. Deriving a prescription reference amount of a medicine based on a prescription reference amount corresponding to each body weight range, and a pharmaceutical based on the age of the patient and a prescription reference amount corresponding to a plurality of preset age ranges Any one or more of deriving a prescription reference amount is included.
Furthermore, when the prescription amount determination means for determining the prescription reference amount of the drug derived by the prescription reference amount derivation means as the prescription amount of the drug, and when the prescription amount of the drug is determined by the prescription amount determination means, It is conceivable to include a prescription amount conversion means for converting the prescription amount into a predetermined unit and outputting it. Thus, when outputting the prescription amount of a medicine, the prescription amount is always expressed in the same unit, which facilitates dispensing by a pharmacist at a pharmacy.

By the way, the present invention relates to a storage device for storing physical information and electronic medical records of a patient, physical information acquisition means for acquiring the physical information, and a plurality of different derivation methods for deriving a prescription reference amount of the pharmaceutical. The derivation method setting means for arbitrarily setting the derivation method used for deriving the prescription reference amount for each medicine, the derivation method corresponding to the medicine input to the electronic medical record, and the patient corresponding to the electronic medical record It may be understood as an electronic medical record system comprising prescription reference amount deriving means for deriving a prescription reference amount of a medicine based on physical information.
Further, the present invention may be regarded as an invention of an electronic medical record program for causing a computer to function as each means of the electronic medical record apparatus.
Furthermore, a computer-readable recording medium on which the electronic medical record program is recorded may be regarded as the present invention.
Further, the present invention may be regarded as an invention of a prescription reference amount setting method for executing a body information acquisition step, a derivation method setting step, and a prescription reference amount derivation step on a computer. The physical information acquisition step is a step of acquiring patient physical information. The derivation method setting step is a step of arbitrarily setting a derivation method used for deriving the prescription reference amount of the drug among a plurality of different derivation methods for deriving the prescription reference amount of the drug for each drug. The prescription reference amount derivation step is a step of deriving a prescription reference amount of a medicine based on the derivation method corresponding to the medicine input to the electronic medical record and the physical information of the patient corresponding to the electronic medical record.

  ADVANTAGE OF THE INVENTION According to this invention, the operation | work of the doctor for deriving the prescription amount of a pharmaceutical with a different derivation method for every pharmaceutical can be simplified, and the medical treatment efficiency by a doctor can be improved.

The schematic diagram which shows schematic structure of the electronic medical chart system X which concerns on embodiment of this invention. The block diagram which shows schematic structure of the server apparatus Y and the client apparatus Z of the electronic medical chart system X which concerns on embodiment of this invention. The figure which shows the example of a display of the consultation list screen 31. FIG. The figure which shows the example of a display of the medical chart display screen 40. FIG. The flowchart which shows an example of the procedure of a child conversion master setting process. The flowchart which shows an example of the procedure of a setting registration process. The figure which shows the example of a display of pharmaceutical selection screen A11. The figure which shows the example of a display of dose reference | standard setting screen D12. The figure which shows the example of a display of the dose reference | standard setting screen D13. The figure which shows the example of a display of dose reference | standard setting screen D14. The flowchart which shows an example of the procedure of a pharmaceutical order process. The flowchart which shows an example of the procedure of the automatic selection process of a derivation method. The figure which shows the example of a display of keypad 44A. The figure which shows the example of a display of prescription reference amount input screen B11 and dose reference | standard display screen B21. The figure which shows the example of a display of prescription reference amount input screen B11 and dose reference | standard display screen B22. The figure which shows the example of a display of prescription reference amount input screen B11 and dose reference | standard display screen B23. The figure which shows the example of a transition of prescription reference amount input screen B11. The figure which shows the example of a transition of prescription reference amount input screen B11. The figure which shows an example of the reflection result to an electronic medical record. The figure which shows the example of a display of prescription set selection screen C11. The figure which shows the example of a display of prescription reference amount input screen C21 and dose reference | standard display screen C31. The figure which shows an example of the reflection result to an electronic medical record.

  Embodiments of the present invention will be described below with reference to the accompanying drawings for understanding of the present invention. In addition, the following embodiment is an example which actualized this invention, Comprising: The thing of the character which limits the technical scope of this invention is not.

[Electronic medical chart system X]
As shown in FIG. 1, an electronic medical record system X according to an embodiment of the present invention includes a server device Y and a plurality of client devices Z. The server device Y and the client device Z are communicably connected via a communication network 20 such as a LAN or the Internet. Here, each of the client apparatuses Z corresponds to an electronic medical chart apparatus according to the present invention.
The electronic medical chart system X may include a plurality of the server devices Y for backup. Further, the electronic medical chart system X may include only one server device Y and one client device Z. Further, the client device Z may also serve as the function of the server device Y. In this case, the client device Z corresponds to the electronic medical record system according to the present invention. In addition, what is necessary is just to employ | adopt a conventional structure (for example, refer patent document 1) about the point which is not demonstrated in this Embodiment.

[Server device Y]
As shown in FIG. 2, the server device Y includes a communication interface 11 and a storage device 12. The communication interface 11 and the storage device 12 are connected by a bus 13. The server device Y is also provided with a control device such as a CPU for controlling the server device Y.
The communication interface 11 includes a communication modem that performs data communication with the client device Z via the communication network 20. Further, the communication interface 11 executes, for example, authentication control and exclusive control for access from the external device such as the client device Z to the server device Y through the communication network 20.

The storage device 12 is a non-volatile storage device such as a hard disk or a flash memory that accumulates and stores an electronic medical record in which medical information about medical care of each patient is recorded, patient information (such as physical information), and the like. In the electronic medical record system X, the electronic medical record and patient information input in the client device Z are accumulated and stored in the storage device 12 of the server device Y. The electronic medical record and patient information stored in the storage device 12 are referred to and edited by the doctor using the client device Z.
Note that medical information classified into each item of “S”, “O”, “A”, “P”, and “instruction” is recorded in the electronic medical record relating to one (one day) examination. Here, “S” is subjective information (Subjective Information), which is information relating to symptoms that the patient feels subjectively. “O” is objective information, which is information related to the doctor's clinic and examination findings. “A” is evaluation information (Assessment Information), which is information relating to the evaluation and judgment of the doctor. “P” is plan information, which is information related to medication and treatment plans. “Guidance” is guidance information, and is information related to education and guidance for patients.

Further, the storage device 12 stores various databases such as a medicine master 121, a child conversion master 122, a priority master 123, a disease name master 124, and a medical practice master 125. Various databases stored in the storage device 12 can be referred to or edited by the client device Z. The various databases may be stored in each of the client devices Z.
The drug master 121 includes information such as a drug name, a drug code, a drug effect, and a package insert corresponding to each drug. The child conversion master 122 includes information used in deriving a prescription reference amount (also referred to as a normal dose) of a medicine when the patient is a child under 15 years old. The prescription reference amount is information that is applied as it is when a doctor determines the prescription amount of a medicine or is used as a reference for determining the prescription amount. The priority master 123 includes information on priorities of a plurality of derivation methods that can be used when calculating a prescription reference amount based on the child conversion master 122. The disease name master 124 includes information related to symptoms of each disease name. The medical practice master 125 includes information on how to take each medicine and which part of the body is a symptom.

Here, specific examples of the medicine master 121, the child conversion master 122, and the priority master 123 will be described.
Table 1 below shows a main part of information corresponding to “caronal syrup 2%” among the medicines registered in the medicine master 121. As shown in Table 1 below, the pharmaceutical master 121 stores a conversion titer, a conversion prescription, a conversion package, a drug price unit, a titer, a prescription, and a packaging in association with each drug. The data of the pharmaceutical master 121 is registered, changed, or deleted by an initial setting operation or a version upgrade operation.
In Table 1 above, “medicine” indicates the name of the drug. “Conversion titer” is a conversion factor for converting drug price to titer unit, “Conversion prescription” is a conversion factor for converting drug price to prescription unit, and “Conversion packaging” converts drug price to packaging unit The conversion factor for is shown. Specifically, “converted titer” and “converted prescription” are values of “titer” and “prescription” when “drug price” is 1. “Conversion packaging” is the value of the drug price when the value of “packaging” is 1. In addition, the “price unit” is the unit for expressing the drug price, which is the basis for calculating the drug score, the “titer” is the unit for expressing the value of the medicinal component contained in the drug, and the “prescription” is for prescribing the drug. The unit of “packaging” indicates a unit for prescribing pharmaceutical products in packaging units.
For example, in the data of Table 1 above, the drug price unit of “caronal syrup 2%” is “ml”, and when the drug price of 1 “ml” is converted to a titer unit, 1 × “20” is 20 “mg”, prescription When converted into a unit, 1 × “1” indicates 1 “ml”, and when converted into a packaging unit, 1 / “500” indicates 0.002 “book”.

Table 2 below shows a main part of information corresponding to “caronal syrup 2%” among the medicines registered in the child conversion master 122. As shown in Table 2 below, the child conversion master 122 stores a registration unit, a type, a lower limit, an upper limit, and a converted value in association with each drug. Each data of the child conversion master 122 is registered, changed, or deleted in a child conversion master setting process (see FIGS. 5 and 6) to be described later, and in a medicine order process (see FIGS. 11 and 12) to be described later. Used.
In Table 2 above, “medicine” indicates the name of the drug. “Registered unit” indicates the type of unit corresponding to “converted value”, and includes “drug price”, “titer”, “prescription”, “packaging”, and the like. “Type” indicates the type of derivation method used when deriving the prescription reference amount of the pharmaceutical. Examples of the derivation method include “per body weight”, “weight frame”, “age frame”, and the like. . Note that specific contents of the plurality of derivation methods are stored in advance in the storage device 12 of the server device Y. “Lower limit” and “upper limit” are used when “type” is “weight frame” or “age frame”, and define the weight range in “weight frame” or the age range in “age frame”. The “converted value” indicates the value of the prescription reference amount of the drug registered in the “registration unit”.
For example, the uppermost data in the above table 2 shows that when the prescription reference amount of “caronal syrup 2%” is determined using the “weight frame” derivation method, the weight of the patient is “0 kg” or more and less than “5 kg”. In this case, the value of “medicine price” is “2.3 ml”. In addition, the lowermost data in Table 2 shows that when determining the prescription reference amount of “caronal syrup 2%” using the derivation method of “per kg body weight”, per kg patient body weight (per unit body weight). It shows that the value of “medicine price” is “0.5 ml”. As described above, the child conversion master 122 can set a plurality of types of derivation methods and dose criteria different for each medicine.
Hereinafter, in the present embodiment, as an example of a method for deriving a prescription reference amount of a pharmaceutical, three cases of “per body weight”, “weight frame”, and “age frame” are predetermined. As will be described, the derivation method is not limited to this. For example, a derivation method using various patient body information such as “height”, “weight”, “body surface area”, “sex”, “age”, and “BMI” of the patient may be employed. In addition, a derivation method using a combination of a plurality of physical information is also conceivable.

Table 3 below shows a main part of information corresponding to “caronal syrup 2%” among the medicines registered in the priority master 123. As shown in Table 3 below, the priority master 123 stores a type and a priority in association with each drug. Each data of the priority master 123 is set or changed in a child conversion master setting process described later and used in a drug order process described later (see FIGS. 11 and 12).
In Table 3 above, “medicine” indicates the name of the drug. “Type” indicates the type of derivation method, and is “per weight 1 kg”, “weight frame”, or “age frame”. “Priority” indicates a priority order in which a derivation method corresponding to “type” is used. For example, in Table 3 above, in the derivation method used to determine the prescription reference amount of “caronal syrup 2%”, “weight frame” has a priority “1” and “per kg body weight” has a priority “2”. It is shown that. That is, by determining the priorities, it is determined which derivation method is used when deriving a prescription reference amount for a medicine for which a plurality of types of derivation methods are set.

[Client device Z]
On the other hand, as shown in FIG. 2, the client device Z is a computer including a CPU 1, a ROM 2, a RAM 3, a data storage unit 4, a communication interface 5, an operation input device 6, a display device 7, and the like. Each component provided in the client device Z is connected by a bus 10. The communication interface 5 includes a communication modem that performs data communication with the server device Y via the communication network 20.

  The CPU 1 is a processor that executes various arithmetic processes according to various control programs. The ROM 2 is a non-volatile memory in which programs such as BIOS executed by the CPU 1 are stored in advance. The RAM 3 is a volatile memory or a non-volatile memory used for development of various control programs and temporary storage of data by the CPU 1.

The data storage unit 4 is a non-volatile hard disk, a flash memory, or the like in which various application programs executed by the CPU 1 and various data are stored. Specifically, the data storage unit 4 causes the CPU 1 to execute each processing procedure such as a child conversion master setting process (see FIGS. 5 and 6) and a medicine order process (see FIGS. 11 and 12) described later. An electronic medical record program is stored. For example, the electronic medical record program is written in C language (such as C / C ++ and Visual C / C ++ (registered trademark) of Microsoft Corporation).
The electronic medical record program is installed in the client device Z from a recording medium such as a CD, DVD, BD, or flash memory. Here, a recording medium such as a CD, a DVD, a BD, or a flash memory in which the electronic medical record program is recorded corresponds to the recording medium according to the present invention. The data storage unit 4 after the electronic medical record program is installed also corresponds to the recording medium according to the present invention. By the way, the present invention can also be understood as an invention of an electronic medical record display method in which each processing step is executed by the client terminal Z in order to realize each function of the client terminal Z.

  The operation input device 6 is a user interface used by a user such as a doctor for inputting various information to the client device Z. Specifically, the operation input device 6 has a touch panel disposed on the display device 7 so as to accept input of various information with a finger or a touch pen. The operation input device 6 includes a keyboard and a mouse (pointing device) used for inputting various information. Hereinafter, “selection” and “operation” on the display screen of the display device 7 are performed using a touch panel, a mouse, or a keyboard of the operation input device 6 by a user such as a doctor, a nurse, a technician, and an office worker. Means work to be done. The operation input device 6 may include a voice operation input device that accepts input of various information by voice recognition.

The display device 7 is a display unit such as a liquid crystal display or an organic EL display that displays various types of information in accordance with control instructions from the CPU 1. For example, FIG. 3 shows an example of a consultation list screen 31 that the CPU 1 displays on the display device 7. The consultation list screen 31 is an operation screen on which a patient list 32 for selecting a patient to be examined by a doctor is arranged. The consultation list screen 31 is generated by the CPU 1 based on consultation list information that is input from a reception terminal (not shown) connected to the electronic medical chart system X and stored in the storage device 12 of the server device Y. The
Then, for example, when a patient 33 is selected from the patient list 32 and the chart display key 34 displayed on the consultation list screen 31 is operated, the CPU 1 reads the electronic chart of the patient 33 from the server device Y. The image is displayed on the display device 7. At this time, the CPU 1 generates drawing data of a chart display screen 40 (see FIG. 4) in which various types of information including the electronic chart are arranged according to a predetermined screen layout, and the drawing data is stored in the display device 7. Output. Thereby, the display device 7 displays a medical chart display screen 40 in which various information including the electronic medical chart is arranged at a predetermined position based on the drawing data input from the CPU 1.

<Chart display screen>
Here, the medical chart display screen 40 displayed on the display device 7 will be described with reference to FIG. As shown in FIG. 4, the CPU 1 divides the display screen of the display device 7 into four parts, and includes a past chart display unit 41, a current chart display unit 42, a patient information display unit 43, and an operation key display unit 44. Display on the same screen. Specifically, the CPU 1 equally divides the upper stage of the chart display unit 40 into left and right (width direction), and displays the past chart display unit 41 and the current chart display unit 42 side by side in the left-right direction. Further, the CPU 1 divides the lower part of the chart display unit 40 equally in the left and right (width direction), and displays the patient information display unit 43 and the operation key display unit 44 side by side in the left and right direction.

  The past medical chart display unit 41 is a screen on which medical information stored in past electronic medical charts read from the storage device 12 of the server device Y by the CPU 1 is arranged. The current medical chart display unit 42 is a screen on which medical information of the electronic medical record currently input is arranged. As shown in FIG. 4, the interior of each of the past chart display section 41 and the present chart display section 42 is further divided into left and right, and “S”, “O”, “A”, “P” on the left side. "Instruction" items are displayed in this order, and information such as prescription reference amounts of medicines and treatment details necessary for calculation of the number of insurance medical treatment points and the like is displayed on the right side. This is the same as the conventional chart No. 2.

  The patient information display unit 43 displays personal information, medical history information, physical information, and the like of the patient selected on the consultation list screen 31. For example, the patient's physical information includes the patient's weight, age, height, BMI, sex, body surface area, and the like. At this time, the CPU 1 acquires the patient's personal information, medical history information, physical information, and the like from the storage device 12 of the server device Y, and displays them on the patient information display unit 43. Here, the CPU 1 when executing the process for reading out and acquiring the physical information of the patient from the storage device 12 corresponds to physical information acquisition means. The physical information of the patient acquired here is also used in a medicine order process (see FIGS. 11 and 12) described later. The patient physical information is not limited to the information read from the storage device 12 by the CPU 1. For example, the CPU 1 may acquire the CPU 1 in response to a user operation of the operation input unit 6 performed at the time of medical examination.

The operation key display unit 44 displays a keypad 44A used for inputting various medical information to the electronic medical chart displayed on the current medical chart display unit 42. The keypad 44 </ b> A has a plurality of operation keys that are operated by a user such as a doctor using the touch panel of the operation input device 6, a mouse, a numeric keypad of the keyboard, and the like.
Specifically, the keypad 44A includes a plurality of editing operation keys 441 used for editing an electronic medical record, and items “S”, “O”, “A” to be edited among medical information of the electronic medical record. ”And“ P ”, a plurality of item selection keys 442 used for selecting. The keypad 44A has a matrix structure in which the editing operation keys 441 and the item selection keys 442 are arranged in a grid pattern vertically and horizontally. Then, the CPU 1 changes the display contents of each of the editing operation keys 441 in accordance with a preset display order in accordance with the operations of the editing operation key 441 and the item selection key 442. Thereby, in the client device Z, all the operation functions necessary for editing the medical information displayed on the current chart display unit 42 are collected on the keypad 44A. Accordingly, in the client device Z, it is possible to edit medical information of all items using only the keypad 44A.

<Children conversion master setting process>
The client device Z configured as described above has a child conversion master setting that arbitrarily sets the child conversion master 122 and the priority master 123 stored in the storage device 12 of the server device Y according to a user operation. It has a function. Specifically, according to the pediatric conversion master setting function, the derivation used for deriving the prescription reference amount of the drug among a plurality of different derivation methods for deriving the prescription reference amount of the drug based on the patient's physical information The method can be arbitrarily set for each medicine.
In the client device Z, the CPU 1 executes the child conversion master setting process (FIGS. 5 and 6) described later according to the electronic medical record program, thereby realizing the child conversion master setting function. Here, the CPU 1 when executing such processing corresponds to a derivation method setting means and a dose reference setting means.

  Hereinafter, an example of the procedure of the child conversion master setting process executed by the CPU 1 according to the electronic medical record program will be described with reference to the flowcharts of FIGS. 5 and 6. S101, S102,... And S201, S202,... Shown in the figure indicate processing procedure (step) numbers executed by the CPU 1. 7 to 10 show examples of display screens of the display device 7 during execution of the child conversion master setting process.

(Step S101)
As shown in FIG. 5, first, in step S101, the CPU 1 waits for a maintenance start operation of the child conversion master 122 (No in S101). For example, the CPU 1 performs the maintenance start operation when the initial setting screen of the electronic medical record program is opened by the operation of the operation input unit 6 by the user and “pediatric conversion master maintenance” is selected on the initial setting screen. Judge that it was done. And if the operation input for starting the maintenance of the said child conversion master 122 is performed (Yes side of S101), the said CPU1 will transfer a process to step S102.

(Step S102)
Next, in step S <b> 2, the CPU 1 causes the display device 7 to display a medicine selection screen A <b> 11 (see FIG. 7) for displaying a list of medicine information already registered in the child conversion master 122. The CPU 1 reads the child conversion master 122 and the priority master 123 stored in the storage device 12 of the server device Y, and the medicine selection screen based on the child conversion master 122 and the priority master 123. A11 is displayed.
Specifically, on the initial screen of the drug selection screen A11, as shown in FIG. 7, for each drug already registered in the child conversion master 122, “registration”, “name”, “maker”, “weight” Setting data D11 including information on "per kg", "weight frame", and "age frame" is displayed. In the setting data 11, “name” indicates the name of the drug and “maker” indicates the manufacturer of the drug. “Registration” indicates whether or not the child conversion master 122 has already been registered. A flag is displayed in the “Registration” column of the already registered medicine, and “ No flag is displayed in the “Register” column. Each column of “per body weight”, “weight frame”, and “age frame” indicates the priority of the derivation method for each medicine set in the priority master 123. For example, in the data in the third row from the top of the setting data D11 shown in FIG. 7, the priority of the method for deriving the prescription reference amount of “Renibase Tablet” is “1” for “weight frame” and “per kg of body weight”. It shows that “2” and “annual frame” are “3”.

Further, as shown in FIG. 7, operation parts K11 to K15 for accepting an operation input by the user are displayed on the medicine selection screen A11.
The operation unit K11 is an operation unit in which an operation input for searching for a medicine is performed. Specifically, when a search condition is input by a user's operation input to the operation unit K11 and a search is requested, the CPU 1 sends a drug that satisfies the search condition from the drug master 121 and the child conversion master 122. Extracted and displayed on the drug selection screen A11. At this time, the CPU 1 sets the search range to the medicine master 121 and the child conversion master 122 if “display of unregistered items” is checked, and sets the search range to the child conversion master 122 if the check is not checked. Only.
The operation units K12 to K14 are operation units for selecting edited contents of the child conversion master 122. The operation unit K12 is “new”, the operation unit K13 is “correct”, and the operation unit K14 is “ Corresponds to “delete”. The operation unit K15 is an operation unit for closing the drug selection screen A11, and the CPU 1 closes the drug selection screen A11 according to the operation of the operation unit K15.

(Step S103)
Subsequently, in step S103, the CPU 1 determines whether any of the medicines displayed on the medicine selection screen A11 has been selected. And when said CPU1 judges that the pharmaceutical was selected (Yes side of S103), it will transfer a process to step S104, and while it judges that it has not been selected (No side of S103), a process will be said step In step S103, the process waits.

(Step S104)
In step S <b> 104, the CPU 1 determines whether or not the drug determined to be selected in step S <b> 103 is a drug already registered in the child conversion master 122. Here, when it is determined that the medicine is already registered (Yes side in S104), the CPU 1 displays the operation unit K12 in a gray-out manner and shifts the process to step S131. Specifically, FIG. 7 shows a state where the registered drug “Remeron Tablets 15 mg” displayed at the bottom of the drug selection screen A11 is selected and the operation unit K12 is grayed out. On the other hand, when it is determined that no medicine is registered (No side in S104), the CPU 1 displays the operation unit K13 and the operation unit K14 in a gray-out manner, and shifts the processing to step S105.

(Step S105)
In step S105, the CPU 1 determines whether or not a new registration start operation has been performed by the operation of the operation unit K12. Here, when the operation unit K12 is operated (Yes side of S105), the CPU 1 shifts the process to step S106, and when the operation unit K12 is not operated (No side of S105), the CPU 1 performs the process. The process proceeds to step S103.

(Step S106)
In step S106, the CPU 1 newly registers the medicine determined to be selected in step S103 in the child conversion master 122. Specifically, the CPU 1 copies a part of the medicine information stored in the medicine master 121 to the child conversion master 122. For example, when the medicine master 121 includes information corresponding to the registration unit, type, lower limit, upper limit, conversion value, etc. of the medicine in the child conversion master 122, the information is registered in the child conversion master 122. Is done. On the other hand, when the medicine master 121 does not include information corresponding to the registration unit, type, lower limit, upper limit, conversion value, etc. of the medicine of the child conversion master 122, the CPU 1 determines that the information is blank data. Is registered in the child conversion master 122.

(Step S131)
On the other hand, in step S131, the CPU 1 determines whether or not a correction start operation has been performed by the operation of the operation unit K13. Here, when the operation unit K13 is operated (Yes side of S131), the CPU 1 shifts the process to Step S107, and when the operation unit K13 is not operated (No side of S131), the CPU 1 performs the process. The process proceeds to S132.

(Step S132)
In step S132, the CPU 1 determines whether or not a deletion start operation has been performed by the operation of the operation unit K14. Here, when the operation unit K14 is operated (Yes side of S132), the CPU 1 shifts the process to Step S133, and when the operation unit K14 is not operated (No side of S132), the CPU 1 performs the process. The process proceeds to step S103.

(Step S133)
In step S133, the CPU 1 executes a process for deleting the medicine determined to be selected in step S103 from the child conversion master 122. In the deletion process, the CPU 1 displays a confirmation screen for confirming whether or not the registered medicine is really deleted from the child conversion master 122. When the confirmation operation is performed on the confirmation screen, the CPU 1 deletes the registered medicine from the child conversion master 122. After the deletion of the medicine, the CPU 1 shifts the processing to step S102.

(Steps S107 to S108)
In step S107, the CPU 1 displays a dose criterion setting screen for arbitrarily setting a dose criterion corresponding to the drug determined to be selected in step S103 or the drug newly registered in step S106. 7 is displayed. Here, the dose standard indicates the correspondence between the patient's physical information and the prescription reference amount of the medicine.
Specifically, the CPU 1 displays any of the dose criterion setting screens A12 to A14 shown in FIGS. 8 to 10 in accordance with the type of derivation method used when determining the prescription reference amount of the pharmaceutical. Here, when the derivation method is “per body weight” on the dose criterion setting screen A12, when the derivation method is “weight frame” on the dose criterion setting screen A13, the derivation method is on the dose criterion setting screen A14. Each case corresponds to an “age frame”. The display contents and display forms of the dose standard setting screens A12 to A14 are merely examples. For example, the display contents of the dose criterion setting screens A12 to A14 may be displayed on one screen, and unnecessary areas may be grayed out in accordance with the selection of the derivation method used when determining the prescription reference amount of the drug. It can be considered as an embodiment.

The dose reference setting screen displayed first in step S107 is any one of the dose reference setting screens A12 to A14 corresponding to the derivation method set in advance by initial setting or the like.
For example, it is conceivable that the dose reference setting screen A12 is set as the initial display screen in step S107. However, the CPU 1 displays any one of the dose criterion setting screens A12 to A14 according to the already registered dose criterion when setting the dose criterion of the already registered drug. When there are a plurality of already registered dose criteria, the CPU 1 selects any of the dose criteria according to a predetermined rule, and any of the dose criteria setting screens A12 to A14 according to the dose criteria. Is displayed. Further, when setting a dose standard for an unregistered drug, if the dose standard for the drug is registered in the drug master 121, the CPU 1 sets the dose standard according to the dose standard. Any one of the screens A12 to A14 is automatically selected and displayed.
Thereafter, in the subsequent step S108, the CPU 1 executes a drug dose standard setting registration process according to any of the dose standard setting screens A12 to A14, and ends the infant conversion master setting process. The setting registration process in step S108 will be described in detail later.

  Here, the dose reference setting screens A12 to A14 will be described with reference to FIGS.

<Dose standard setting screen A12>
As shown in FIG. 8, on the upper part of the dose standard setting screen A12, a drug display unit D12 including information such as the name of the drug, manufacturer, usage / dose is displayed. The display content of the medicine display unit D12 is the contents described in the attached document attached to the medicine, and the CPU 1 performs the above operation based on the information on the attached document of each medicine stored in the medicine master 121. The medicine display part D12 is displayed.
An operation unit K31 for registering the setting contents in the dose criterion setting screen A12 in the child conversion master 122 and an operation for closing the dose criterion setting screen A12 are provided at the lower right corner of the dose criterion setting screen A12. Part K32 is displayed.

  In the middle of the dose standard setting screen A12, operation units K21 to K23 for selecting a derivation method used when determining the prescription reference amount of the drug are displayed. Specifically, the operation unit K21 corresponds to “per kg of body weight”, the operation unit K22 corresponds to “weight frame”, and the operation unit K23 corresponds to “age frame”. Since the dose standard setting screen A12 corresponds to the derivation method of “per kg body weight”, the operation unit K21 is displayed in a different color or highlight from the other operation units K22 and K23.

Further, on the right side of the operation units K21 to K23, in the later-described pharmaceutical order processing (see FIG. 11 and FIG. 12), the appropriateness of the prescription reference amount of the medicine is determined according to the normal dosage of the medicine registered in the medicine master 121. An operation unit K24 for selecting whether or not to perform is displayed. The normal dose is predetermined as an appropriate value of the prescription reference amount for each drug.
When the operation unit K24 is checked, the CPU 1 determines whether or not the prescription reference amount of the drug is appropriate according to the normal dose of the drug registered in the drug master 121 in the drug order process described later. Thereby, regardless of the registered contents of the child conversion master 122, it is prevented that a prescription outside the range of the normal dose determined by the pharmaceutical master 121 is executed.

  Further, on the lower left side of the dose criterion setting screen A12, an operation unit K25 for setting a dose criterion corresponding to one day, an operation unit K26 for setting a dose criterion corresponding to one dose, and a prescription An operation unit K27 and an operation unit K28 for setting the effective number of decimal points when calculating the reference amount are displayed. The daily dose standard is referred to when a pharmaceutical product is prescribed as an internal use, and the single dose standard is referred to when a pharmaceutical product is prescribed as an oral dose.

  The operation unit K25 displays a check box CH25, a registration unit selection unit K251, a conversion value input unit K252, an upper limit setting unit K253, and a lower limit setting unit K254. The operation unit K26 also displays a check box CH26, a registration unit selection unit K261, a conversion value input unit K262, an upper limit setting unit K263, and a lower limit setting unit K264, as in the operation unit K25. . The CPU 1 enables editing of information in the operation units K25 and K26 when the check boxes CH25 and CH26 are checked, and grays out the operation units K25 and K26 when there is no check.

The registration unit selection units K251 and K262 are operation units for selecting the registration unit of the converted value of the medicine, and registration of “drug price”, “titer”, “prescription”, “packaging”, etc. by a pull-down menu or the like. Any one of the units can be selected and changed. Here, the CPU 1 determines in advance the selection states of the registration unit selection units K251 and K262 at the initial display of each of the dose criterion setting screens A12 to A14, that is, when setting a dose criterion for a certain medicine for the first time. “Drug price” or “titer”. This is because the prescription reference amount of a pharmaceutical is often determined by a drug price unit or a titer unit in the dose standard described in the package insert of the drug. Accordingly, it is possible to eliminate as much as possible the trouble of the user operating the registration unit selection units K251 and K262 or the registration unit selection units K411, 421, K511, and K521 described later to switch the registration units.
The conversion value input unit K252 is an operation unit for inputting the conversion value of the daily prescription reference amount per kg body weight indicated by the registration unit selected by the registration unit selection unit K251. The conversion value input unit K262 is an operation unit for inputting a conversion value of one prescription reference amount per kg body weight indicated by the registration unit selected by the registration unit selection unit K251. The derivation method sets a prescription reference amount per unit amount “1 kg” of body weight, but the unit amount “1 kg” can be changed to an arbitrary unit amount on the dose standard setting screen A12. May be.
The upper limit value setting unit K253 and the lower limit value setting unit K254 are operation units for setting an upper limit value and a lower limit value as a daily dose of a medicine. The upper limit value setting unit K263 and the lower limit value setting unit K264 are operation units for setting an upper limit value and a lower limit value as a single normal dose of a medicine.

  The operation unit K27 is an operation unit for setting the number of decimal places that are valid when calculating the prescription reference amount of a medicine. In addition, the operation unit K28 is an operation unit for selecting the type of the digit removal process to be executed when calculating the prescription reference amount of the medicine. For example, “rounding off”, “rounding up”, and “rounding down” can be selected. . Then, the CPU 1 calculates the prescription reference amount of the medicine with the number of light rain spots input to the operation unit K27 in the later-described medicine order process (S305 in FIG. 11), and is selected by the operation unit K28. The digit removal process is executed according to any of “rounding off”, “rounding up”, and “rounding down”.

  Furthermore, an operation unit K29 for setting the priority of the derivation method used when calculating the prescription reference amount of the medicine is displayed on the lower right side of the dose standard setting screen A12. Specifically, the operation unit K29 includes a derivation method selection unit K291 for selecting a derivation method, an up key K292 for raising the priority of the derivation method being selected, and a derivation method being selected. A down movement key K293 for lowering the priority by one is displayed.

  For example, in FIG. 8, as a dose standard corresponding to one day of “sexal syrup 0.2%”, the unit of the converted value is the drug price, the converted value per kg body weight is 0.5 ml, and the upper limit is 10 0.0 ml and a lower limit of 1.0 ml are set. Further, in FIG. 8, as the priority of the derivation method used when calculating the prescription reference amount of “Sekitar syrup 0.2%”, “per body weight” is priority “1”, and “weight frame” is priority. The degree “2” and “age frame” are set to the priority “3”.

<Dose standard setting screen A13>
As shown in FIG. 9, on the dose standard setting screen A13, an operation unit K41 and an operation unit K42 are displayed instead of the operation units K25 to K28 on the dose standard setting screen A12. The operation unit K41 is an operation unit for setting a dose standard corresponding to one day, and the operation unit K42 is an operation unit for setting a dose standard corresponding to one dose. Further, since the dose standard setting screen A13 corresponds to the “weight frame” deriving method, the operation unit K22 is displayed in a color or highlight different from those of the other operation units K21 and K23. . In addition, about the location which is not demonstrated here, it is the same as that of the said dose reference | standard setting screen A12.

In the operation unit K41, a check box CH41, a registration unit selection unit K411, and a converted value input unit K412 are displayed. Further, a check box CH42, a registration unit selection unit K421, and a converted value input unit K422 are displayed on the operation unit K42. The CPU 1 enables editing of information in the operation units K41 and CH42 when the check boxes CH41 and CH42 are checked, and grays out the operation units K41 and K42 when there is no check.
The registration unit selection units K411 and K421 are operation units for selecting the registration unit of the converted value of the drug, and registration of “drug price”, “titer”, “prescription”, “packaging”, etc. by a pull-down menu or the like. Any of the units can be selected.
The conversion value input units K412 and K422 are operation units for setting a plurality of weight frames and conversion values corresponding to the respective weight frames. Specifically, in the converted value input unit K412, one row of weight frames is added by operating the operation unit K413, and one row of weight frames is deleted by operating the operation unit K414. Similarly, in the converted value input unit K422, one row of weight frames is added by operating the operation unit K423, and one row of weight frames is deleted by operating the operation unit K424. In each of the weight frames displayed in the converted value input sections K412 and K422, it is possible to individually set the lower and upper limits of the weight and the converted value. Accordingly, in the converted value input units K412, K422, for example, the converted value can be set for each arbitrary weight range by arbitrarily setting the lower limit and the upper limit of the weight in accordance with the description of the package insert.

  For example, in FIG. 9, the unit of the converted value is the drug price as the dose standard corresponding to the daily dose of “caronal syrup 2%”. 0.0 kg or more and less than 10.0 kg is set to 5.0 ml, 10.0 kg or more to less than 20.0 kg is set to 10.0 ml, and 20.0 kg or more is set to 15.0 ml.

<Dose standard setting screen A14>
As shown in FIG. 10, on the dose reference setting screen A14, an operation unit K51 and an operation unit K52 are displayed instead of the operation units K25 to K28 on the dose reference setting screen A12. The operation unit K51 is an operation unit for setting a dose standard corresponding to one day, and the operation unit K52 is an operation unit for setting a dose standard corresponding to one dose. Further, since the dose standard setting screen A14 corresponds to a method for deriving an “age frame”, the operation unit K23 is displayed in a color or highlight different from those of the other operation units K21 and K22. . In addition, about the location which is not demonstrated here, it is the same as that of the said dose reference | standard setting screen A12.

On the operation unit K51, a check box CH51, a registration unit selection unit K511, and a converted value input unit K512 are displayed. The operation unit K52 displays a check box CH52, a registration unit selection unit K521, and a converted value input unit K522. The CPU 1 enables editing of information in the operation units K51 and CH52 when the check boxes CH51 and CH52 are checked, and grays out the operation units K51 and K52 when there is no check.
The registration unit selection units K511 and K521 are operation units for selecting the registration unit of the converted value of the drug, and registering “drug price”, “titer”, “prescription”, “packaging”, etc. by a pull-down menu or the like. Any of the units can be selected.
The conversion value input units K512 and K522 are operation units for setting a plurality of age frames and conversion values corresponding to the respective age frames. Specifically, in the converted value input unit K512, one row of age frames is added by operating the operation unit K513, and one row of age frames is deleted by operating the operation unit 514. Similarly, in the converted value input unit K522, one row of age frames is added by operating the operation unit K523, and one row of age frames is deleted by operating the operation unit 524. In each of the age frames displayed in the converted value input sections K512 and K522, the lower and upper age limits and the converted value can be individually set. Therefore, in the conversion value input units K512 and K522, for example, the conversion value can be set for each arbitrary age range by arbitrarily setting the lower limit and the upper limit of the age according to the description of the attached document.

  For example, in FIG. 10, the unit of the converted value is the drug price as the daily dose standard of “Atoc Dry Syrup 40 μg”, and the converted value is 0.5 ml for 1 year and 0 months and less than 1 year and 0 months, 1.0 ml for 0 months and under 4 months and 0 months, 1.5 ml for 4 years and 0 months and under 7 months and 0 months, 2.0 ml for 7 years and 0 months and less than 10 years and 0 months, 10 years and over 0 months and 12 years It is set that 3.0 ml is less than 0 months, and 4.0 ml is 12 years 0 months and less than 15 years 0 months.

<Setting registration process>
Next, an example of the procedure of the setting registration process executed in step S108 will be described with reference to FIG.

(Step S201)
First, in step S201, the CPU 1 determines whether or not the selection of the derivation method has been changed on the dose criterion setting screens A12 to A14. Specifically, the CPU 1 determines whether an operation unit different from the currently selected operation unit among the operation units K21 to K23 is operated. For example, in the state of the dose standard setting screen A12 (see FIG. 8), the CPU 1 determines whether or not the operation unit K22 or the operation unit K23 is operated.
Here, when the selection of the derivation method is changed (Yes in S201), the process proceeds to step S202. If the selection of the derivation method has not been changed (No side in S201), the process proceeds to step S203.

(Step S202)
In step S202, the CPU 1 causes the display device 7 to display any of the dose criterion setting screens A12 to A14 (see FIGS. 8 to 10) corresponding to the selected derivation method.

(Step S203)
In step S203, the CPU 1 determines whether or not the selection of “registration unit” has been changed on any of the dose criterion setting screens A12 to A14. If the CPU 1 determines that the registration unit has been changed (Yes side of S203), the process proceeds to step S204, and if it is determined that the registration unit has not been changed (No side of S203), the process is performed. The process proceeds to step S205.

(Step S204)
In step S204, the CPU 1 displays the “converted value” as the “registration unit” after the change in step S203. Specifically, the CPU 1 displays the converted value input in step S205 described later or the converted value calculated in step S207 described later.

(Step S205)
Next, in step S205, the CPU 1 determines whether or not a conversion value has been input on any of the dose reference setting screens A12 to A14. Note that the input of the converted value includes a new input or a change of the converted value. And when the said CPU1 judges that the said conversion value was input (Yes side of S205), it moves a process to step S206, and when it judges that the said conversion value is not input (No side of S205), The process proceeds to step S251.

(Step S206)
In step S206, the CPU 1 stores the “registration unit” selected when the conversion value is input in step S205 in the child conversion master 122 in association with the medicine being edited. Thereby, CPU1 can confirm the registration unit when the said converted value was input last for every pharmaceutical by referring the said child conversion master 122 after that.
Therefore, when the CPU 1 displays the dose standard setting screens A12 to A14 in the step S107 (see FIG. 5) or the step S202, the registration unit stored in the step S206 and the conversion value corresponding to the registration unit. Is initially displayed. In other words, the CPU 1 is in a state where the registration unit stored in the step S206 is selected by the registration unit selection units K251 and K261, and the conversion value represented by the registration unit is input to the conversion value input units K252 and K262. To display the dose standard setting screen A12. As a result, the user can recognize which registration unit is selected by the registration unit selection units K251 and K261 when the conversion value is finally input to the conversion value input units K252 and K262. That is, the user can discriminate between the converted value input in step S205 and the converted value calculated in step S207 described later.

(Step S207)
In step S207, the CPU 1 calculates a conversion value in another registration unit based on the conversion value input in step S205. Specifically, the CPU 1 extracts values of “converted titer”, “converted prescription”, and “converted packaging” of the target drug from the drug master 121 (see Table 1) of the server device Y. Then, the CPU 1 performs conversion in another registered unit based on the registered unit when the converted value is input in step S205 and the values of “converted titer”, “converted prescription”, and “converted packaging”. Calculate the value. Specifically, each value of the “converted titer”, “converted prescription”, and “converted packaging” of the pharmaceutical master 121 includes the converted unit price of the drug price, “converted potency”, “converted prescription”, The value divided by each value of “conversion packaging” is the conversion value shown in each registered unit of titer, prescription, and packaging. The converted value of each registered unit is temporarily stored in the RAM 3 or the data storage unit 4 and is stored in the child conversion master 122 in step S209 described later.

For example, let us consider a case where the conversion value “2.5 ml” is entered in the registration unit “drug price” for “caronal syrup 2%” shown in Table 1. In this case, the CPU 1 determines 2.5 × 20 = 50 (mg) based on the converted value “2.5 ml” of the registration unit “drug price” and the value “20” stored as the value of “converted titer”. ) As a converted value of the registration unit “titer”. Similarly, the CPU 1 determines 2.5 × 1 = 2.5 (ml) based on the converted value “2.5 ml” of the registration unit “drug price” and the value “1” stored as the value of “converted prescription”. ) As a converted value of the registration unit “prescription”. Further, the CPU 1 calculates 2.5 / 500 = 0.005 based on the conversion value “2.5 ml” of the registration unit “drug price” and the value “500” stored as the value of “conversion packaging”. ) As a converted value of the registration unit “packaging”.
Further, consider the case where the conversion value “50 mg” is input in the registration unit “titer” for “caronal syrup 2%” shown in Table 1. In this case, the CPU 1 calculates 50/20 = 2.5 (ml) based on the converted value “50 mg” of the registration unit “titer” and the value “20” stored as the value of “converted titer”. Is calculated as a converted value of the registered unit “drug price”. On the other hand, the CPU 1 calculates 50/20 × 1 = 2.5 (ml) based on the converted value “50 mg” of the registration unit “titer” and the value “1” stored as the value of “converted prescription”. Is calculated as a conversion value of the registration unit “prescription”. Further, the CPU 1 calculates 50/20/500 = 0.005 (book) based on the converted value “50 mg” of the registered unit “titer” and the value “500” stored as the value of “converted packaging”. Is calculated as the converted value of the registration unit “packaging”.

(Step S251)
On the other hand, in step S251, the CPU 1 determines whether or not an operation for setting the priority of the derivation method used when determining the prescription reference amount of the medicine is performed. Specifically, the CPU 1 determines whether the up movement key K292 or the down movement key K293 is operated in the operation unit K29 in a state where the derivation method is selected by the derivation method selection unit K291. . If it is determined that the priority setting operation of the derivation method has been performed (Yes in S251), the process proceeds to step S252. On the other hand, if it is determined that the priority setting operation of the derivation method has not been performed (No in S251), the process proceeds to step S208.

(Step S252)
In step S252, the CPU 1 changes the priority order of the derivation method according to the operation of the up movement key K292 or the down movement key K293. Specifically, in the operation unit K29 (see FIGS. 8 to 10), the priority is determined by the display position of each of the derivation methods. For example, in FIGS. 8 to 10, in the operation unit K29, the derivation method of “per kg of body weight” at the top is priority “1”, the derivation method of “weight frame” at the middle is priority “2”, The derivation method of the “age frame” in the lower row is set to the priority “3”. When the up movement key K292 or the down movement key K293 is operated, the CPU 1 derives the derivation method by moving the display position of the derivation method currently selected by the derivation method selection unit K291 up or down. Change method priority.
By the way, in the derivation method using the same item of the physical information in the initial setting state, the priority is a value of the item of the patient and a prescription amount reference value corresponding to each of a plurality of preset ranges of the item. The method of deriving a prescription reference amount for a pharmaceutical product based on the value of the item in the patient and the prescription reference amount per unit amount of the item is more It is desirable to set it high. Specifically, in the present embodiment, the derivation method for “per kg body weight” and the derivation method for “weight frame” are both derivation methods using body weight. In general, the difference between the lower limit and the upper limit for each weight range in the derivation method of “weight frame” is set to a value larger than the unit amount “1 kg” in the derivation method of “per kg of body weight”. Therefore, the method of deriving the “weight frame” narrows down the types (values) of prescription reference amounts and derives prescription reference amounts that are patterned to some extent, which facilitates the management and dispensing of pharmaceuticals in a pharmacy. On the other hand, the derivation method of “per kg body weight” can obtain a detailed prescription reference amount because the prescription reference amount per unit amount is derived, but it is necessary to set such a fine prescription reference amount. It is thought that there are few. Another problem is that it is difficult for pharmacists at pharmacies to dispense when prescriptions of pharmaceuticals are requested as they are with a small prescription reference amount. Accordingly, as the initial setting state of the priority, it is desirable that the priority of the “weight frame” is higher than the priority of “per kg of body weight”. That is, in the initial state of the derivation method selection unit K291, “weight frame”, “per kg body weight”, “age frame”, “weight frame”, “age frame”, “per kg body weight” in order from the top, Or “age frame”, “weight frame”, or “per kg body weight” is desirable. Thereby, the setting which aims at the efficiency improvement of operation of a pharmacy can be promoted naturally.

(Step S208)
Thereafter, in step S208, the CPU 1 determines whether or not a registration operation to the child conversion master 122 has been performed by the operation of the operation unit K31. If it is determined that the registration operation has been performed (Yes in S208), the process proceeds to step S209. If it is determined that the registration operation has not been performed (No in S208), the process is The process proceeds to step S201.

(Step S209)
In step S209, the CPU 1 displays the setting contents on any of the currently displayed dose standard setting screens A12 to A14 as the child conversion master 122 (see Table 2) and the priority master 123 (see Table 3). Remember me.

  For example, when a registration operation is performed on the dose standard setting screen A12 (see FIG. 8), the CPU 1 stores “per kg of body weight” in the “type” of the child conversion master 122. That is, “per body weight of 1 kg” is stored as a method for deriving use candidates. Further, the CPU 1 stores the registration unit selected by the operation unit K251 in the “registration unit” of the child conversion master 122. Furthermore, the CPU 1 stores the “converted value” input to the operation unit K252 in the “converted value” of the child conversion master 122.

  On the other hand, when a registration operation is performed on the dose standard setting screen A13 (see FIG. 9), the CPU 1 stores “weight frame” in “type” of the child conversion master 122. That is, “weight frame” is stored as a method for deriving use candidates. Further, the CPU 1 stores the registration unit selected by the operation unit K411 in the “registration unit” of the child conversion master 122. Further, the CPU 1 stores the “lower limit”, “upper limit”, and “converted value” input to the operation unit K412 in the “lower limit”, “upper limit”, and “converted value” of the child conversion master 122, respectively.

  Similarly, when a registration operation is performed on the dose reference setting screen A14 (see FIG. 10), the CPU 1 stores “age frame” in the “type” of the child conversion master 122. That is, “age frame” is stored as a method for deriving use candidates. Further, the CPU 1 stores the registration unit selected by the operation unit K511 in the “registration unit” of the child conversion master 122. Further, the “lower limit”, “upper limit”, and “converted value” input to the operation unit K512 are stored in the “lower limit”, “upper limit”, and “converted value” of the child conversion master 122, respectively.

  Further, when a registration operation is performed on the dose criterion setting screens A12 to A14 (see FIGS. 8 to 10), the CPU 1 stores the priority setting contents by the operation unit K29 in the priority master 123. . Specifically, when a registration operation is performed in the state illustrated in FIGS. 8 to 10, the CPU 1 determines that the derivation method of “per body weight” is the priority “1” and “weight frame” in the priority master 123. ”Is stored as a priority“ 2 ”, and“ age frame ”is derived as a priority“ 3 ”.

  As described above, in the client device Z, the CPU 1 can execute the child conversion master setting process to arbitrarily set the derivation method and the dose standard for calculating the prescription reference amount for each medicine. . Here, the CPU 1 when executing such processing corresponds to a derivation method setting means and a dose reference setting means.

<Pharmaceutical order processing>
Then, in the client device Z, the CPU 1 performs drug order processing (input of information such as medicines to be prescribed to the patient, prescription amount, dosage method, and number of days taken) in the electronic medical record editing process executed in accordance with the electronic medical record program ( 11 and 12). Here, the CPU 1 when executing such processing corresponds to prescription reference amount deriving means.
Hereinafter, with reference to the flowcharts of FIG. 11 and FIG. 12, an example of the procedure of the pharmaceutical order process executed by the CPU 1 according to the electronic medical record program will be described. S301, S302,... And S401, S402,... Indicate processing procedure (step) numbers executed by the CPU 1. FIGS. 13 to 19 show examples of display screens of the display device 7 during execution of the pharmaceutical order process.

(Step S301)
First, in step S301, the CPU 1 waits for an operation input for starting a pharmaceutical order (No side in S301). And if said CPU1 judges that the operation input for starting a pharmaceutical order was performed (Yes side of S301), it will transfer a process to step S302.
Specifically, in the client device Z, an operation input for starting a pharmaceutical order is performed using the keypad 44A of the operation key display unit 44. FIG. 13 shows the transition of the keypad 44A when an operation input for starting a medicine order is performed by the keypad 44A.

First, FIG. 13A shows a state in which items “S,“ O ”,“ A ”, and“ P ”of the electronic medical record medical information are not selected on the keypad 44A. Here, when the operation key of the item “P” on the keypad 44A is selected, the CPU 1 performs an operation belonging to the item “P” on each of the operation keys of the keypad 44A as shown in FIG. Display the contents. Specifically, each of the operation keys of the keypad 44A shown in FIG. 13B includes “medicine”, “treatment”, “surgery”, “examination order”, “image order”, “anesthesia”, “rehabilitation”.・ Psychology, medical management, home, etc. are displayed.
When the “medicine” operation key on the keypad 44A is operated, the CPU 1 displays the operation contents belonging to “medicine” on each of the operation keys on the keypad 44A as shown in FIG. 13C. Let Specifically, each of the operation keys of the keypad 44A shown in FIG. 13C includes “internal use”, “unsuitable use”, “external use”, “injection”, “self-injection”, “neural block”, “DO” "," Promise "," medicine history order ", etc. are displayed.
Thereafter, when an operation key indicating “internal clothes”, “undressed”, or “external use” on the keypad 44A is operated, the CPU 1 causes each of the operation keys on the keypad 44A, as shown in FIG. In addition, the medicines that belong to the operated “internal use”, “free use”, or “external use” are displayed. For example, FIG. 13D is a diagram showing a display state of the keypad 44A when the “undressing” operation key is operated. Further, as shown in FIG. 13D, the CPU 1 displays a search operation unit 44B for searching for medicines at the upper end of the keypad 44A. Then, when a medicine is input to the search operation unit 44B, the CPU 1 executes a process for searching for the medicine from the medicine master 121, and stores the medicine name obtained as a search result on the display device 7. Display a list.

(Step S302)
In step S302, the CPU 1 determines whether a prescription drug has been selected. Specifically, the CPU 1 determines whether or not a medicine is selected by operating an operation key of the keypad 44A or a medicine is selected in the search result of the search operation unit 44B. If it is determined that a medicine has been selected (Yes in S302), the process proceeds to step S303. Until a medicine is selected (No in S302), the process waits in step S302. .

(Step S303)
Next, in step S303, the CPU 1 determines whether or not the patient prescribing the medicine is a child under 15 years old based on the patient information stored in the electronic medical record. If it is determined that the patient is younger than 15 years (Yes in S303), the process proceeds to step S304. If the patient is determined not to be younger than 15 years (No in S303), the process is performed. Shifts to Step S331.
In addition, when a patient is under 15 years old, since the influence on the body of a pharmaceutical is comparatively large, it is desirable to set a prescription reference amount on a fine dose basis. For this reason, in the present embodiment, the case where the process after step S304 described later is executed when the patient is under the age of 15 will be described as an example, but the present invention is not limited thereto. For example, an age lower than or older than 15 may be used as the determination index in step S303. Another embodiment is also conceivable in that the processing in step 303 is omitted, that is, the processing after step S304 described later is executed regardless of the age of the patient. In this case, the name of the child conversion master 121 may be simply the conversion master 121, for example.

(Step S331)
In step S331, the CPU 1 sets the prescription reference amount based on the pharmaceutical master 121, and then shifts the processing to step S310, which will be described later. To do. For example, the attached document of the medicine registered in the medicine master 121 is displayed on the display unit 7 and the prescription amount of the medicine is set according to the input operation of the prescription amount of the medicine to the operation input unit 6 by the user. When the same information as the child conversion master 122 is set as an initial value in the medicine master 121, the CPU 1 sets the prescription reference amount of the medicine using the information. Further, the CPU 1 also executes a process of determining whether or not the prescription reference amount of the pharmaceutical is appropriate according to the normal dose registered in the pharmaceutical master 121.

(Step S304)
On the other hand, when the patient is younger than 15 years old, in the subsequent step S304, the CPU 1 executes automatic selection processing of a derivation method used for determining the prescription reference amount of the medicine. Here, the automatic selection process of the derivation method will be described with reference to FIG.

(Steps S401 to S402)
As shown in FIG. 12, first, in step S <b> 401, the CPU 1 extracts the setting contents of the medicine selected in step S <b> 302 from the priority master 123. In step S402, the CPU 1 sets the initial value of the variable N to 1 (N = 1).

(Step S403)
Next, in step S403, the CPU 1 determines a derivation method whose priority is the value of the variable N for each derivation method based on the setting contents of the medicine extracted in step S401. It is determined whether or not the usage condition is satisfied. Specifically, since the initial value of the variable N is 1, in step S402 executed for the first time, it is determined whether or not the method for deriving the priority “1” satisfies the use condition. The
Here, when the derivation method corresponding to the priority N does not satisfy the use condition (No side of S403), the process proceeds to step S404, and when the use condition is satisfied (Yes side of S403). The process proceeds to step S405.

For example, as the use conditions set in advance for the derivation method of “weight frame”, the weight of the patient is the minimum weight and the maximum weight in the whole of a plurality of weight ranges set in the dose criteria corresponding to the derivation method. It is considered that it is within the range. Similarly, the usage condition preset for the derivation method of the “age frame” is that the patient's age is the minimum age and the maximum age in the whole of a plurality of age ranges set in the dose criteria corresponding to the derivation method. It may be within the age range. If these conditions are not met, body weight or age is not assumed in the above dose criteria, and the prescription reference amount cannot be derived according to the above dose criteria, or the derived prescription reference amount is not appropriate This is because there is a fear.
Further, as the use condition regarding the method of deriving “per kg of body weight”, it is conceivable that the weight is within an appropriate range with respect to age in the correlation between the weight and age of the patient. For example, a normal weight range is defined for each age, and it is considered as the use condition that the weight of the patient is within the normal weight range at the age of the patient. This is because when the use condition is not satisfied, the body weight is excessive or small with respect to age, and it is not appropriate to calculate the prescription reference amount using the derivation method. Of course, not only the relationship between body weight and age, whether or not the information serving as a reference for calculating the prescription reference amount is within an appropriate range is based on at least two pieces of information of the patient's physical information. Judgment can be made.

(Step S404)
In step S404, the CPU 1 adds 1 to the variable N (N = N + 1), and shifts the processing to step S403. Thus, in the next step S403, it is determined whether or not the usage condition is satisfied for a derivation method with one lower priority.

(Step S405)
In step S405, the CPU 1 confirms selection of the priority N derivation method. Thus, in the automatic selection process of the derivation method, the derivation method that satisfies the usage condition among the plurality of derivation methods and has the highest priority among the derivation methods is automatically selected. Therefore, for example, when it is not appropriate to calculate the prescription reference amount using the derivation method when the weight is excessive or small with respect to the age, the prescription reference amount is calculated using the derivation method as it is. Can be prevented. When there is no derivation method that satisfies the usage conditions, the CPU 1 displays a warning without selecting the derivation method.

(Steps S305 to S306)
When the derivation method is selected in step S304, the process proceeds to step S305. In step S305, the CPU 1 derives a prescription reference amount of the medicine based on the derivation method selected in step S304 and the dose criteria corresponding to the derivation method and the patient's physical information, and the derivation is performed. A prescription input screen B11 showing the prescription reference amount is displayed on the display device 7. At this time, when both the daily dose and the daily dose criteria are set in the dose criterion, the CPU 1 corresponds to the daily dose when the medicine selected in step S302 is an internal use. If it is a dose standard or single dose, calculate the prescription reference amount of the drug according to the dose standard corresponding to one dose.
When the operation unit K24 is checked in any of the drug dose standard setting screens A12 to A14, the CPU 1 determines based on the normal dose registered in the drug master 121 in the step S305. Thus, it is conceivable to determine whether or not the prescription reference amount of the drug is appropriate and to display the determination result. Thereby, when the prescription reference amount derived | led-out according to the dosage standard of the said child conversion master 122 is outside the range of the normal dose defined in the said pharmaceutical master 121, it can notify to that effect.
In step S306, the CPU 1 displays the dose criterion display screens B21 to B23 indicating the dose criteria corresponding to the derivation method selected in step S304, along with the prescription input screen B11, on the display device 7. Note that the processing in step S305 and step S306 is performed in parallel by the CPU1.

  Here, the prescription input screen B11 and the dose reference display screens B21 to B23 will be described with reference to FIGS.

<Prescription input screen B11>
First, as shown in FIG. 14, on the prescription input screen B11, for example, height, weight, age, and the like are displayed as patient information as a derivation method for prescribing medicines. The prescription input screen B11 also displays information described in the package insert of the drug such as the basic usage / dose of the drug to be prescribed.
The prescription input screen B11 displays the name of the medicine to be prescribed, the registration unit set based on the dose criterion, and the prescription reference amount calculated according to the dose criterion. Specifically, FIG. 14 shows a state in which prescription of “5 ml” of “Sekitar syrup 0.2%” in “drug price” is input. The prescription reference amount “5 ml” of the drug is set to 0.5 ml per kg body weight on a dose basis, and is a value calculated from the patient's body weight being 10 kg. In addition,
The display content of the prescription input screen B11 changes with the operation on the dose reference display screens B21 to B23 (see FIGS. 14 to 16). In particular, the prescription reference amount of the medicine displayed on the prescription input screen B11 is automatically changed to a value derived by the changed derivation method by changing the derivation method for deriving the prescription reference amount. In FIG. 10, when the “additional” icon displayed next to a medicine is operated, an attached document of the medicine is displayed.

<Dose standard display screen B21>
As shown in FIG. 14, on the dose standard display screen B21, settings are made for operation units K61 to K63 for selecting a derivation method to be used when determining a prescription reference amount of a medicine and the child conversion master 122. An operation unit K64 for displaying is displayed. Specifically, the operation unit K61 corresponds to “per kg of body weight”, the operation unit K62 corresponds to “weight frame”, and the operation unit K63 corresponds to “age frame”. Since the dose standard setting screen A12 corresponds to the derivation method of “per body weight per kg”, the operation unit K61 is displayed in a different color or highlight from the other operation units K62 and K63. The CPU 1 grays out an operation unit corresponding to a derivation method that is not registered in the child conversion master 122 among the operation units K61 to K63 so that it cannot be selected. Accordingly, it is possible to make the user recognize that the derivation method displayed in gray out cannot be selected as the derivation method of the medicine.

In addition, on the dose standard display screen B21, an operation unit K65 including a converted value per day (one time) per 1 kg of body weight and its registration unit is displayed. Specifically, in FIG. 14, it is displayed that the converted value for 1 day (one time) per 1 kg of body weight is “0.5 ml” and the registration unit is “medicine price”. The converted value can be changed in the operation unit K65.
Furthermore, an operation unit K66 for inputting the patient's weight is displayed on the dose reference display screen B21. The weight stored as patient information in the electronic medical record is displayed on the operation unit K66, and the value can be changed on the operation unit K66.
In the dose standard display screen B21, the formula and calculation result of the “current order amount” calculated as the prescription reference amount of the current drug, the upper limit value of the normal dose set in the dose standard setting screen A12, and The lower limit value, the number of decimal places, and the digit processing type are also displayed. Here, when the CPU 1 calculates the prescription reference amount of the pharmaceutical according to the derivation method “per kg of body weight”, the prescription reference amount after the calculation is outside the range of the normal dose determined by the upper limit value and the lower limit value. If so, notify that fact. Thereby, for example, when the body weight is extremely light or heavy, the user can be made aware that the prescription reference amount after the calculation is out of the range of the normal dose.

<Dose standard display screen B22>
As shown in FIG. 15, in the dose reference display screen B22, an operation unit K71 is displayed instead of the operation units K65 and K66 in the dose reference display screen B21. The operation unit K71 is an operation unit on which a dose criterion corresponding to the “weight frame” derivation method is displayed. Further, since the dose reference display screen B22 corresponds to the “weight frame” derivation method, the operation unit K62 is displayed in a color or highlight different from those of the other operation units K61 and K63. . The operation units K61 to K64 are the same as those on the dose reference display screen B21.
The operation unit K71 displays a drug dose standard and its registration unit. Specifically, in FIG. 15, in the operation unit K71, the fact that the patient's weight corresponds to a weight frame of “10.0 kg or more and less than 20.0 kg” is displayed by highlighting the weight frame, It is displayed that the conversion value corresponding to the weight frame is “10.0 ml” and the registration unit is “medicine price”.

<Dose standard display screen B23>
As shown in FIG. 16, on the dose reference display screen B23, an operation unit K81 is displayed instead of the operation units K65 and K66 on the dose reference display screen B21. The operation unit K71 is an operation unit on which a dose criterion corresponding to the “age frame” derivation method is displayed. Further, since the dose reference display screen B23 corresponds to the method for deriving the “age frame”, the operation unit K63 is displayed in a color or highlight different from those of the other operation units K61 and K62. . The operation units K61 to K64 are the same as those on the dose reference display screen B21.
The operation unit K81 displays a drug dose standard and its registration unit. Specifically, in FIG. 16, in the operation unit K81, the fact that the patient's age falls within the age frame of “0 month or more and less than 4 years and 0 months” is displayed by highlighting the age frame. The conversion value corresponding to the age frame is “1.0 g” and the registration unit is “medicine price”.

(Step S307)
In step S307, the CPU 1 determines whether or not the currently selected derivation method has been changed. If it is determined that the currently selected derivation method has been changed (Yes in S307), the process proceeds to step S305. Thereby, in the step S305, the prescription reference amount calculated based on the dose standard corresponding to the changed derivation method in the step S307 is displayed, and in the step S306, the dose corresponding to the changed derivation method in the step S307. The reference settings are displayed. On the other hand, if the currently selected derivation method has not been changed (No in S307), the process proceeds to step S308.

(Step S308)
In step S308, the CPU 1 determines whether or not an operation for confirming the prescription reference amount input on the prescription reference amount input screen B11 has been performed. Specifically, the CPU 1 determines whether or not the “ENTER / determination” operation key displayed on the keypad 44A has been operated. Here, when it is determined that an operation for determining the prescription reference amount has been performed (Yes in S308), the process proceeds to step S309, and an operation for determining the prescription reference amount is performed. If not (No in S308), the process proceeds to step S381.

(Step S381)
In step S381, the CPU 1 determines whether or not the setting request operation of the child conversion master 122 has been performed by the operation of the operation unit K64. If it is determined that the operation unit K64 has been operated (Yes in S381), the process proceeds to step S382, and if it is determined that the operation unit K64 has not been operated (No in S382). The process proceeds to step S307.

(Step S382)
In step S382, the CPU 1 executes a process for changing the setting content of the child conversion master 122 corresponding to the medicine selected in step S302, and after the setting, shifts the process to step S307. . The setting contents of the child conversion master 122 may be changed in the same manner as the setting registration process (see FIG. 6) in the child conversion master setting process described above, and thus the description thereof is omitted here.
Thus, in the medicine order processing, the change processing of the child conversion master 122 corresponding to the medicine can be started by the operation of the operation unit K64 on the dose reference display screens B21 to B23. Therefore, it is not necessary to finish the medicine order processing and start the child conversion master maintenance from the initial setting screen or the like, and the contents of the child conversion master 122 can be easily enhanced in daily operations. is there.

(Steps S309 to 310)
In step S309, the CPU 1 determines the prescription reference amount input on the prescription reference amount input screen B11 as an actual prescription amount, and in the subsequent step S310, sets the method of taking the medicine and the number of days to take it. Execute the process.
FIG. 17 shows an example of a display screen for selecting a method for taking medicines, and FIG. 18 shows an example of a display screen for inputting the number of days for taking medicines. As shown in FIG. 17, when selecting a method for taking a medicine, the keypad 44A displays operation keys for selecting a medicine taking method such as “after every meal” or “after morning / dinner”. ing. As shown in FIG. 18, when inputting the number of days for taking medicines, the keypad 44 </ b> A displays operation keys such as numbers for entering the number of days for taking medicines. In step S310, the CPU 1 sets the medicine taking method and the number of days taken in accordance with the operation of the operation key of the keypad 44A.

(Step S311)
Thereafter, in step S311, the CPU 1 determines whether or not a pharmaceutical order confirmation operation has been performed. Specifically, it is determined whether or not the “ENTER” key (see FIG. 18) displayed on the keypad 44A has been operated. Here, if it is determined that the operation for confirming the pharmaceutical order has been performed (Yes side of S311), the process proceeds to step S312 and the operation for confirming the pharmaceutical order is not performed. (No in S311), the process waits in step S311.

(Step S312)
In step S312, the CPU 1 determines the content of the pharmaceutical order input on the prescription input screen B11 and records it in the item “P” of the medical information of the electronic medical record. FIG. 19 shows a display example of the item “P” of the medical information of the electronic medical record. Specifically, as shown in FIG. 19, in the display column for the item “P”, the prescription amount of “Sekitar syrup 0.2%” for one day is 5 ml, and the dosage method is three times a day. It is input that it is after every meal and that the number of days taken is 7 days. Thus, the CPU 1 when executing the process for determining the prescription reference amount derived in the drug order process as the prescription amount of the drug corresponds to the prescription amount determining means. By the way, when the CPU 1 determines the prescription amount of the medicine, the prescription amount of the medicine is output to a pharmacy in a hospital or an external dispensing pharmacy. At this time, if the prescription amount of the drug is expressed in the registration unit arbitrarily determined by a doctor or the like, and the registration unit is different each time, the pharmacist who dispenses the drug registers the prescription amount It takes time to change the unit to a unit that is easy to understand. Therefore, when the CPU 1 outputs the prescription amount of the medicine, it is desirable to convert the prescription amount into a predetermined unit and output it. For example, it is conceivable that the CPU 1 always outputs the prescription amount of the drug in terms of a price unit. Note that the conversion of the prescription amount by changing the registration unit can be realized by the same processing as in step S207, and thus the description thereof is omitted here.

  As described above, in the client device Z, the CPU 1 executes the drug order process, thereby simplifying the user operation for determining the prescription amount of the drug by a different derivation method for each drug. . In particular, for a child under 15 years old, it is desirable to determine the prescription amount of a medicine according to a fine dose standard. In the client device Z, a derivation in which a prescription reference amount for determining the prescription amount is set for each medicine in advance. It can be done automatically according to technique and dose criteria. Accordingly, the work efficiency of the doctor who examines the child is remarkably improved, and the prescription of the wrong prescription amount of the medicine due to the doctor's calculation error or judgment error is prevented.

[Application to other functions]
In the drug order processing (see FIG. 11), the case where the doctor individually selects the drug to be prescribed for the patient and registers the prescription content has been described as an example.
On the other hand, conventionally, the client device Z selects one or a plurality of prescription sets including a plurality of pre-registered medicines, and thereby, the plurality of medicines included in the prescription set are listed in the electronic medical record. It has a prescription set input function. For example, the prescription set includes a cold set including a plurality of medicines prescribed in the case of a cold, an influenza set including a plurality of medicines prescribed in the case of an influenza.
In addition, the client device Z has a re-prescription input function for inputting the same prescription that has been made in the past into the electronic medical record. The prescription set input function and the re-prescription input function are implemented by the CPU 1 executing the electronic medical record program. Here, the CPU 1 when implementing the prescription set input function corresponds to a prescription set input means, and the CPU 1 when implementing the represcription input function corresponds to a represcription input means.
Hereinafter, an example of processing executed when a medicine is input by the prescription set input function or the re-prescription input function in the pharmaceutical order processing (see FIG. 11) will be described.

[Prescription set input function]
(Steps S301 to S302)
The CPU 1 determines that there has been a pharmaceutical order start operation input by operating an operation key for starting input of the prescription set (Yes in S301), and the selection of any of the prescription sets is confirmed It is determined that the medicine has been selected (Yes in S302).
Specifically, as shown in FIG. 13, on the keypad 44A, the “P” operation key (see FIG. 13A) is operated, and then the “medicine” operation key (FIG. 13B). When (see) is operated, an “Promise” operation key is displayed as shown in FIG. This “promise” operation key is an operation key for starting input of the prescription set.
When the “promise” operation key on the keypad 44A is operated (Yes in S301), the CPU 1 displays a prescription set list screen stored in advance for each of the server device Y or the client device Z. C11 (see FIG. 20) is displayed on the display device 7. Specifically, in the list screen C11 shown in FIG. 20, prescription sets such as “Children's Promise 1”, “Kurarisu Children”, “PL / Solon”, “Internal (1)” are displayed.
When one of the prescription sets displayed on the list screen C11 is selected, only the prescription set is displayed in a different color or highlight. FIG. 20 shows a state where the prescription set of “internal use (1)” is selected. When the “OK” key is operated in a state where the prescription set is selected on the list screen C11, the CPU 1 confirms the selection of the prescription set (Yes side of S302).

(Steps S303 to S305)
Thereafter, when it is determined in step S303 that the patient is less than 15 years old (Yes side of S303), the CPU 1 executes each of the processes in steps S304 and S305 for each of a plurality of medicines included in the prescription set. Run on the target.
For example, when the internal medicine (1) shown in FIG. 20 is selected, each of “sexal syrup 0.2%”, “caronal syrup 2%”, and “attocrody syrup 40 μg” contained in the internal medicine (1) is selected. The processes in steps S304 and S305 are performed on the target. That is, the CPU 1 selects a derivation method corresponding to “Sekitar syrup 0.2%” (S304), and determines the prescription reference amount of “Sekitar syrup 0.2%” according to the dose standard corresponding to the derivation method. Derived (S305). In addition, the CPU 1 selects a derivation method corresponding to “caronal syrup 2%” (S304), and derives a prescription reference amount of “caronal syrup 2%” according to a dose standard corresponding to the derivation method (S305). Further, the CPU 1 selects a derivation method corresponding to “Attocrody syrup 40 μg” (S304), and derives a prescription reference amount of “Attocrody syrup 40 μg” according to the dose standard corresponding to the derivation method (S305). That is, when the derivation methods corresponding to the respective medicines are different, the prescription reference amount of each of the medicines is derived according to the derivation method corresponding to each medicine. In addition, these processes are processed in parallel by the CPU 1 or sequentially for each of the medicines.
Then, the CPU 1 causes the display device 7 to display a prescription input screen C21 (see FIG. 21) in which information such as a prescription reference amount of each of a plurality of medicines included in the prescription set is integrated (S305). Specifically, as shown in FIG. 21, in the prescription input screen C21, the prescription reference amount for each of a plurality of medicines “sexal syrup 0.2%”, “caronal syrup 2%”, “attoclodai syrup 40 μg” and The registration unit is displayed in the prescription display part K412.

(Steps S306 to S307)
Further, when any one of the plurality of medicines displayed on the prescription display unit K412 is selected on the prescription input screen C21, the CPU 1 highlights the medicine column and corresponds to the medicine. A dose criterion display screen C31 showing the dose criterion of the derivation method is displayed on the display device 7 (S306). In the dose criterion display screen C31, the operation unit K65, the operation unit K71 of the dose criterion display screens B12 to B14 (refer to FIGS. 14 to 16), or the operation unit K71 according to the derivation method corresponding to the selected medicine Information similar to that of the operation unit K81 is displayed.
The operation units K61 to K64 are displayed on the prescription input screen C21. Then, the CPU 1 changes the derivation method for only the drug selected in the prescription display unit K412 according to the operation of the operation units K61 to K63 (Yes side of S307). The subsequent steps S308 to S312 are not particularly different and will not be described.

  As described above, the client device Z derives a prescription reference amount by a different derivation method for each medicine in the medicine order processing even when a plurality of medicines are input at once by the prescription set function. Easy input to the electronic medical record. FIG. 22 is a diagram illustrating a state in which a plurality of medicines are input to the item “P” by selection of the prescription set. As shown in FIG. 22, in the display column of the item “P”, the prescription amount for 1 day of “sexal syrup 0.2%”, “caronal syrup 2%”, and “attocrody syrup 40 μg” The method and the number of days taken are entered.

[Re-prescription input function]
The re-prescription input function re-executes the same prescription as the pre-examination, so even if the physical information such as the patient's weight, height, age, etc. originally changed, The prescription amount determined according to the patient's condition at the time will be applied. However, when the patient's physical information changes, the prescription amount suitable for the current state also changes.
Therefore, the CPU 1 executes the same process as the pharmaceutical order process even when the re-prescription operation is performed. In addition, since the process is the same as that when a medicine is input by the prescription set input function, only the differences will be described here.
That is, as shown in FIG. 13, on the keypad 44A, the “P” operation key (see FIG. 13A) is operated, and then the “medicine” operation key (see FIG. 13B). Is operated, the “DO” operation key is displayed as shown in FIG. This “DO” operation key is an operation key for starting the input of the re-prescription. When the “DO” operation key of the keypad 44A shown in FIG. 13C is operated, the CPU 1 stores the past of the patient stored in advance for each of the server device Y or the client device Z. A prescription list screen (not shown) is displayed on the display device 7.
When a past prescription is selected from the list screen (not shown), the CPU 1 determines, for each drug included in the past prescription, the derivation method and the dose criterion set for each drug and the current prescription. Based on the patient's physical information, a prescription reference amount of the medicine is calculated (S305). Thereby, even if it is a case where the patient's physical information has changed since a long time has passed since the past prescription, it is possible to calculate the prescription reference amount for each medicine suitable for the current state. Further, even when a plurality of pharmaceutical products are included in the past prescription, the prescription amount of the pharmaceutical product can be determined according to the derivation method and the dose standard suitable for each of the pharmaceutical products.
In particular, in step S304, the derivation method that satisfies the use condition among the plurality of derivation methods based on the current physical information of the patient, and the derivation method having the highest priority among the derivation methods is automatically selected. Will be selected. Therefore, even if a long time has elapsed since the past prescription and the patient's physical information has changed, the prescription reference amount is derived for each medicine using the derivation method suitable for the current state be able to.

1: CPU
2: ROM
3: RAM
4: Data storage unit 5: Communication interface 6: Operation input device 7: Display device 10: Bus 11: Communication interface 12: Storage device 121: Drug master 122: Pediatric conversion master 123: Priority master 124: Disease name master 125: Medical Action master 13: Bus 20: Communication network 31: Reception list screen 40: Chart display screen 41: Past chart display section 42: Current chart display section 43: Patient information display section 44: Operation key display section 44A: Keypads S101 and S102 , ...: Processing procedure (step) numbers S201, S202, ...: Processing procedure (step) numbers S301, S302, ...: Processing procedure (step) numbers S401, S402, ...: Processing procedure (step) number X: Electronic medical record system Y: Server device Z: Client device (electronic cal Te equipment)

Claims (9)

Physical information acquisition means for acquiring physical information of a patient;
A derivation method setting means for arbitrarily setting a derivation method to be used for deriving a prescription reference amount of the drug among a plurality of different derivation methods for deriving a prescription reference amount of the drug;
Prescription reference amount derivation means for deriving a prescription reference amount of a pharmaceutical based on the derivation method corresponding to the pharmaceutical inputted in the electronic medical record and the physical information of the patient corresponding to the electronic medical record;
Equipped with a,
The derivation method setting means sets priorities for a plurality of the derivation methods in advance,
The prescription reference amount deriving means derives a prescription reference amount of a pharmaceutical using the deriving method having the highest priority among the deriving methods satisfying the usage condition set in advance for each of the deriving methods. apparatus. In the initial setting state of the priority, the derivation method using the same item of the physical information is based on the value of the item of the patient and the prescription amount reference value corresponding to each of a plurality of preset ranges of the item. The method of deriving the prescription reference amount of a pharmaceutical has a higher priority than the method of deriving the prescription reference amount of a pharmaceutical based on the value of the patient's item and the prescription reference amount per unit amount of the item The electronic medical chart apparatus according to claim 1 . The derivation method derives a prescription reference amount of a medicine based on the physical information and a prescription reference amount corresponding to a plurality of preset ranges of the physical information,
The electronic medical chart apparatus according to claim 1 or 2 , wherein the use condition is that patient physical information is within a range of a minimum amount and a maximum amount in the plurality of ranges. The derivation method derives a prescription reference amount of a medicine based on the physical information and a prescription reference amount per unit amount of the physical information,
The conditions of use, according to claim 1 or with the scope of serving as a reference information derivation of the formulation reference amount is determined according to other information included in the body information of the patient's body information 2. The electronic medical chart apparatus according to 2. It further comprises re-prescription input means for inputting the same prescription in the past into the electronic medical record,
The prescription reference amount deriving unit selects the deriving method based on the current physical information of the patient for each drug input by the re-prescription input unit, and the deriving method and the electronic medical record corresponding to each drug. The electronic medical chart device according to claim 3 or 4 , wherein a prescription reference amount is derived based on the current physical information of the patient corresponding to. The electronic medical record program for functioning a computer as each means of the electronic medical chart apparatus in any one of Claims 1-5 . A computer-readable recording medium on which the electronic medical record program according to claim 6 is recorded. A storage device for storing the patient's physical information and electronic medical record;
Physical information acquisition means for acquiring the physical information;
A derivation method setting means for arbitrarily setting a derivation method used for deriving a prescription reference amount of the drug among a plurality of different derivation methods for deriving a prescription reference amount of the drug based on the physical information;
A prescription reference amount deriving means for deriving a prescription reference amount of a medicine based on the derivation method corresponding to the medicine input to the electronic medical record and the physical information of the patient corresponding to the electronic medical record;
Equipped with a,
The derivation method setting means sets priorities for a plurality of the derivation methods in advance,
The prescription reference amount deriving means derives a prescription reference amount of a pharmaceutical using the deriving method having the highest priority among the deriving methods satisfying the usage condition set in advance for each of the deriving methods. system. By computer
A physical information acquisition step of acquiring physical information of the patient;
Among a plurality of different derivation methods for deriving a prescription reference amount of a pharmaceutical product, a derivation method setting step for arbitrarily setting a derivation method used for deriving a prescription reference amount of the pharmaceutical product for each pharmaceutical product,
A prescription reference amount derivation step for deriving a prescription reference amount of a medicine based on the derivation method corresponding to the medicine input to the electronic medical record and the physical information of the patient corresponding to the electronic medical record;
Prescription reference amount setting method ,
In the derivation method setting step, priorities are set in advance for a plurality of the derivation methods,
In the prescription reference amount derivation step, a prescription reference amount setting in which a prescription reference amount of a pharmaceutical is derived using the derivation method having the highest priority among the derivation methods satisfying the usage conditions set in advance for each derivation method Method.