JP6027510B2 - Drug registration device and program - Google Patents

Description

  Embodiments described herein relate generally to a drug registration apparatus and a program.

  Conventionally, in the medicine audit, several systems have been proposed in order to prevent the occurrence of errors such as medicine mistakes. For example, in the system described in Patent Document 1, the medicine information specified by the barcode attached to the container of the medicine to be administered is collated with the information on the medicine to be administered to prevent misuse of the medicine. ing.

  On the other hand, in the registration of used drugs, the nurse collects empty containers of drugs used in the operation after the operation and manually fills in the slips on the used drugs and then submits the voucher to the medical department. I was doing work. Therefore, it is conceivable to introduce a device for performing registration using a barcode attached to the medicine even during the counting work.

  However, even when drug registration is performed using a bar code attached to a drug, a doctor may mistakenly ask for a medication instruction, or the drug may be mistakenly taken out of the shelf. Or, if the barcode indicating another drug is read from the barcode book of the drug or if the barcode of the drug to be read is mistaken, the totaling operation cannot be performed correctly.

  The problem to be solved by the present invention is to provide a drug registration apparatus and program capable of registering a genuine drug.

The medicine registration apparatus according to the embodiment includes an input unit, an identification unit, a determination unit, a notification unit, a registration unit, and an output unit. The input means inputs identification information for identifying a medicine. The identification unit identifies a drug from identification information input from the input unit. The determination unit determines a degree of association indicating that the drug identified by the identification unit is a suitable drug with reference to patient information about a patient and information about a predetermined drug. To do. The notification means notifies the reason for reaching the degree indicated in the association degree together with the association degree determined by the determination means. The registration means registers an agent said identification means has identified. The output means displays a list of registered medicines, adds a first mark to the medicine notified by the notifying means, and outputs a list of medicines. The output means is newly registered on the condition that the registration means has registered the newly input medicine when registration by the registration means is canceled for the medicine notified by the notification means. A second mark is added to the medicine and output.

FIG. 1 is a block diagram illustrating a schematic configuration of a medicine management system according to an embodiment. FIG. 2 is a front view showing an appearance of the medicine registration device. FIG. 3 is a block diagram illustrating a hardware configuration of the medicine registration device. FIG. 4 is an explanatory diagram of an example of a data format of electronic medical record information. FIG. 5 is a block diagram showing a functional configuration of the medicine registration device. FIG. 6 is a flowchart showing the flow of the used medicine registration process executed by the MPU of the medicine registration apparatus according to the control program. FIG. 7 is an explanatory diagram illustrating an example of a login screen. FIG. 8 is an explanatory diagram illustrating an example of a patient registration screen. FIG. 9 is an explanatory diagram illustrating an example of a medicine registration start screen. FIG. 10 is an explanatory diagram illustrating an example of a manual input screen. FIG. 11 is an explanatory diagram illustrating an example of a medicine selection screen. FIG. 12 is an explanatory diagram illustrating an example of a notification screen. FIG. 13 is an explanatory diagram illustrating an example of a medicine registration screen. FIG. 14 is a front view showing a used product slip on which drug information is printed.

  FIG. 1 is a block diagram illustrating a schematic configuration of a medicine management system 10 according to the embodiment. As shown in FIG. 1, the medicine management system 10 includes an electronic medical record server 11, a doctor information processing terminal device 12, a nurse information processing terminal device 13, a medicine inspection device 14, and a radio base station 15. And a doctor's portable information processing terminal device 18 connected to the communication network 17 through the public communication network 16, a medicine unit server 19, and a medicine registration device 20.

  The electronic medical record server 11 is a device for managing and storing the electronic medical record. The information processing terminal device 12 for a doctor is a device for filling in an electronic medical record. The information processing terminal device 13 for the nurse is a device for referring to and confirming the electronic medical record managed by the electronic medical record server 11. The medicine inspection apparatus 14 is an apparatus for supporting and auditing medicine arrangement based on instruction information (for example, prescription information) included in the electronic medical record. The medicine part server 19 is an apparatus for managing medicine dispensing and the like arranged in the medicine part. Also, the medicine unit server 19 associates the medicine with the code information of the medicine or the outer surface information of the medicine (features representing the label of the medicine, features representing the state of the surface such as the color of the medicine and the surface irregularities). Drug information (name, amount, etc.) is registered. The drug registration device 20 is an apparatus for providing registration support for a drug placed in an operating room and used by a nurse during an operation, or a drug urgently used by a nurse, a pharmacist, or the like in an emergency room. It is. In the present embodiment, it is assumed that the drug registration device 20 is arranged in an operating room and is used for registration support of a drug used during surgery by a nurse.

  In the above configuration, the electronic medical record server 11, the information processing terminal device 12, the information processing terminal device 13, the medicine inspection device 14, the medicine part server 19, and the medicine registration device 20 are connected to the communication network 17.

  FIG. 2 is a front view showing the appearance of the medicine registration device 20. As shown in FIG. 2, the drug registration device 20 is roughly divided into a device main body 24 that is a control main body of the drug registration device 20, a scanner 22, and a printer 23 for printing out various information. Yes.

  The apparatus main body 24 includes a touch panel display 21 that allows a nurse as an operator to perform various operations and display various information such as a list of used medicines.

  The scanner 22 includes an image sensor such as a color CCD (Charge Coupled Device) image sensor or a color CMOS (Complementary Metal-Oxide Semiconductor) image sensor, and a light source such as an LED (Light Emitting Diode). The scanner 22 captures a nurse ID (IDentification) code symbol, a patient ID code symbol, a drug code symbol, a drug image, and the like. Frame images (captured images) sequentially captured by the scanner 22 at a predetermined frame rate are stored in a RAM (Random Access Memory) 33 (see FIG. 3) described later.

  The scanner 22 is not limited to a shape that is placed on a table as shown in FIG. 2, but may be a stand shape that is erected on the floor.

  Further, the medicine registration device 20 may include a scale for measuring the weight of the medicine, an RFID reader / writer that reads / writes data from / to an RFID (Radio Frequency IDentification) attached to the medicine.

  FIG. 3 is a block diagram showing a hardware configuration of the medicine registration device 20. As shown in FIG. 3, the medicine registration device 20 performs a communication interface operation with an MPU (Micro Processing Unit) 31, a ROM (Read Only Memory) 32, a RAM 33, and an external storage device 34 that control the entire device. A communication interface (I / F) 38 is provided in the apparatus main body 24. The ROM 32 stores various data including a control program in a nonvolatile manner. The RAM 33 functions as a work area and temporarily stores various data. The external storage device 34 is configured by a hard disk drive or SSD (Solid State Drive) capable of storing large-capacity data such as a database or a control program.

  Here, the touch panel display 21, the scanner 22, the printer 23, the speaker 37, and the communication interface 38 are connected to the bus 40 via the input / output I / O 39. An MPU 31, a ROM 32, a RAM 33 and an external storage device 34 are connected to the bus 40. The speaker 37 is used for sound notification and the like.

  The touch panel display 21 is mainly configured by a display 35 and a touch panel 36 which are display units.

  The external storage device 34 as a storage unit includes a used medicine storage table T, a medicine master DB 1, and an electronic medical record information DB 2. The used medicine storage table T stores a total result of used medicines. The drug master DB 1 stores information related to drugs in advance. Specifically, the medicine master DB 1 stores the code information, the medicine name, and the medicine information in association with each other. The code information is an identifier for identifying a drug. For example, the code information is a number assigned to the barcode. Alternatively, for example, the code information may be information on the outer surface of the medicine. The electronic medical record information DB 2 is an electronic medical record that stores information on the patient acquired from the electronic medical record server 11. FIG. 4 is an explanatory diagram of an example of a data format of the electronic medical record information DB2.

  The electronic medical record information DB 2 that is patient information includes at least a patient ID, disease information, drug information, and special notes. The patient ID is information for identifying a patient. The disease information is a record of the disease that the patient has and the progress of medical treatment. The drug information is information related to a drug scheduled to be administered. Special notes are patient precautions that should be noted when formulating a drug to be administered. For example, special mention items include allergy information, pregnancy information, religious information, doping information, and the like.

  Allergy information is information about drugs that cause allergies in patients. Pregnancy information is information indicating whether a patient is pregnant or breastfeeding. Religious information is information indicating whether or not there is a drug that a patient is prohibited for religious reasons. Doping information is information indicating whether or not there is a drug prohibited to prevent doping such as when the patient is an athlete.

  With such a configuration, the MPU 31 of the medicine registration device 20 performs registration support for the medicine used by operating according to the control program stored in the ROM 32 or the external storage device 34.

  Next, characteristic functions of the drug registration device 20 according to the embodiment will be described. FIG. 5 is a block diagram showing a functional configuration of the medicine registration device 20. The MPU 31 operates in accordance with a control program stored in the ROM 32 or the external storage device 34, thereby, as shown in FIG. 5, a registration unit 311, a display control unit 312, a reading unit 313, an identification unit 314, a print It functions as a control unit 315, a communication unit 316, a determination unit 317, and a notification unit 318.

  The reading unit 313 reads identification information for identifying a medicine from a captured image scanned by the scanner 22. Specifically, the reading unit 313 reads the code information of the code symbol attached to the medicine to be used or the outer surface information of all or part of the medicine to be used. Since processing for detecting code information from a code symbol such as a bar code or a two-dimensional code is a conventional technique, a description thereof is omitted here. As the identification information for identifying the medicine, the code number described in the code symbol attached to the medicine used may be manually input.

  The identification unit 314 identifies the drug based on the identification information (code information or outer surface information) obtained as a result of reading by the reading unit 313 and extracts the drug information. The method of identifying a medicine based on the external information of the medicine is to store the external information of the medicine in advance as a table in association with the code information, and extract the medicine information of the medicine based on the external information from the table. do it.

  The display control unit 312 controls the display of the medicine information identified by the identifying unit 314 on the display 35 which is a display unit.

  The print control unit 315 controls the printer 23 as a printing unit to print the medicine information identified by the identification unit 314.

  The communication unit 316 acquires the electronic medical record information DB 2 of the registered patient ID from the electronic medical record server 11.

  The determination unit 317 refers to the electronic medical record information DB2 and the drug master DB1 with reference to the electronic medical record information DB2 and the drug master DB1 to determine the degree of association indicating the degree of appropriate drug. The degree of association is determined in three stages. Specifically, the degree of relevance is a low level where the use of the medicine identified by the identification means 314 is prohibited, a medium level that requires confirmation of use of the medicine identified by the identification means 314, and a medicine identified by the identification means 314 It has a high degree with no problem in use. The determination unit 317 determines that notification is necessary when the degree of association indicating the degree of being an appropriate medicine is low or medium. And the determination means 317 determines from a viewpoint of a patient's disease, the medicine to be administered, and a combined contraindication. The determination means 317 can notify the contents according to the risk of administering the medicine by determining the degree of association in a plurality of stages of two or more.

  The determination unit 317 determines that the degree of association is low when the medicine identified by the identification unit 314 is prohibited from being used for a patient's disease. The determination unit 317 determines that the degree of association is medium when the drug identified by the identification unit 314 is not a drug normally used for a patient's disease. For example, a tuberculosis drug is administered to a patient with heart disease. The determination unit 317 determines that the medicine identified by the identification unit 314 is high when the medicine is not low or medium.

  The determination unit 317 determines that the degree of association is medium when the drug identified by the identification unit 314 is not included in the drug scheduled to be administered. The determination unit 317 determines that the degree of association is high when the drug identified by the identification unit 314 is included in the drug scheduled to be administered.

  The determination unit 317 determines that the degree of association is low when the drug identified by the identification unit 314 falls under the combined contraindication with a drug scheduled to be administered. The determination unit 317 determines that the degree of relevance is medium when the drug identified by the identification unit 314 falls under a combination precaution with a drug scheduled to be administered. The determination unit 317 determines that the degree of association is high when the drug identified by the identification unit 314 has no problem in combination with the drug scheduled to be administered.

  The notification unit 318 notifies the degree of association determined by the determination unit 317. Specifically, the notification unit 318 notifies when the determination is medium or low. The notification unit 318 notifies that attention is necessary when the determination unit 317 determines that the level is medium. The notification means 318 notifies that it is prohibited when the determination means 317 determines that the level is low. The notification unit 318 performs notification by screen display and notification by voice. When notifying by the screen display, the notifying unit 318 displays the reason for reaching the degree indicated in the degree of association together with the degree of association determined by the determining unit 317. The reason is, for example, a notification that the combined use is prohibited or a notification that the use is prohibited for the patient's disease.

  Next, the used medicine registration process executed by the MPU 31 of the medicine registration apparatus 20 according to the above-described embodiment according to the control program will be described. The medicine registration device 20 according to the embodiment scans a code symbol of a medicine used, a medicine image, and the like, and executes a medicine registration process.

  FIG. 6 is a flowchart showing the flow of the used medicine registration process executed by the MPU 31 of the medicine registration apparatus 20 according to the control program. As shown in FIG. 7, the MPU 31 of the medicine registration device 20 displays a login screen on the display 35 as an initial state (step S1). Each operator (nurse) who is permitted to operate the medicine registration device 20 has an ID card, and the medicine registration device 20 can be operated by authentication of the ID card.

  FIG. 7 is an explanatory diagram illustrating an example of the login screen G1. As shown in FIG. 7, a guide comment “Please let me read the ID card” is displayed on the login screen G1. The login screen G1 displays a guide image that prompts the scanner 22 to read the code symbol of the nurse ID attached to the ID card.

  Therefore, the operator (nurse) holds the nurse ID code symbol attached to his / her ID card in front of the scanner 22 to read the nurse ID in order to perform the login process.

  When the MPU 31 of the medicine registration device 20 authenticates the nurse ID by the login process (step S2; Yes), the patient registration screen is displayed on the display screen of the display 35 (step S3). In addition, when the nurse ID cannot be authenticated (Step S2; No), the MPU 31 of the medicine registration apparatus 20 returns to Step S1 and displays the login screen G1 again.

  FIG. 8 is an explanatory diagram showing an example of a patient registration screen G2. As shown in FIG. 8, a guide comment “Please read patient ID” is displayed on the patient registration screen G2. The patient registration screen G2 displays a guide image that prompts the scanner 22 to read the code symbol of the patient ID attached to the patient wristband.

  Therefore, the operator (nurse) holds the patient ID code symbol attached to the patient wristband in front of the scanner 22 and reads the patient ID in order to perform the patient registration process.

  When the MPU 31 of the medicine registration device 20 registers the patient ID by the patient registration process (step S4; Yes), the MPU 31 acquires the electronic medical record information of the patient ID from the electronic medical record server 11 (step S5). When the patient ID cannot be registered (Step S4; No), the MPU 31 of the medicine registration device 20 returns to Step S3 and displays the patient registration screen G2 again.

  Next, the MPU 31 of the medicine registration device 20 displays the medicine registration start screen G3 on the display screen of the display 35 (step S6). Here, FIG. 9 is an explanatory diagram showing an example of the medicine registration start screen G3. The medicine registration start screen G3 displays how to read the code symbol of the medicine, as shown in FIG. The medicine registration start screen G3 includes a stop button B1 and a manual input button B2. The cancel button B1 is a button for canceling drug registration. The manual input button B2 is a button to be pressed when manually registering the code number assigned to the code symbol of the medicine.

  When the cancel button B1 is pressed (step S7; Yes), the MPU 31 of the medicine registration device 20 displays a medicine registration stop screen (not shown) (step S8) and ends the medicine registration. On the other hand, when the cancel button B1 is not pressed (step S7; No), the MPU 31 of the medicine registration device 20 determines whether or not the manual input button B2 is pressed (step S9). When the manual input button B2 is not pressed (step S9; No) and the medicine is held in front of the scanner 22, the MPU 31 of the medicine registration device 20 reads the code symbol (step S10).

  On the other hand, when the manual input button B2 is pressed (step S9; Yes), the MPU 31 of the medicine registration device 20 displays the manual input screen G4 (step S11). Here, FIG. 10 is an explanatory diagram illustrating an example of the manual input screen G4. The manual input screen G4 is a screen for manually inputting the code number assigned to the medicine. The manual input screen G4 requests the input of the code number by displaying a guide message “Please enter the drug code”. The manual input screen G4 includes a numeric input button B3, a search button B4, a cancel button B5, a confirmation button B6, a code number display area R1, and a guide display area R2.

  The number input button B3 is a button for inputting a code number. The number input button B3 includes a button for inputting numbers from 0 to 9, and a one-character deletion button for deleting one character. The search button B4 is a button for searching for a code number that matches the code number input by the numeric input button B3. The cancel button B5 is a button for canceling the input of the code number by manual input. The confirmation button B6 is a button for confirming a medicine when a desired medicine is selected. In the manual input screen G4, the confirmation button B6 cannot be selected. The code number display area R1 is an area for displaying a numerical value input by the number input button B3. The guide display region R2 is a screen that displays a guide message “Please enter the number of the barcode attached to the medicine” and prompts the operator to enter the code number.

  The MPU 31 of the medicine registration device 20 determines whether or not the cancel button B5 is pressed (Step S12). When the cancel button B5 is not pressed (Step S12; No), the MPU 31 of the medicine registration device 20 proceeds to Step S13. On the other hand, when the cancel button B5 is pressed (step S12; Yes), the MPU 31 of the medicine registration device 20 deletes the manual input screen G4 and returns to step S7.

  Next, the MPU 31 of the medicine registration device 20 determines whether or not the search button B4 is pressed (step S13). When the search button B4 is not pressed (Step S13; No), the MPU 31 of the medicine registration device 20 proceeds to Step S14. When the search button B4 is pressed (step S13; Yes), the MPU 31 of the drug registration device 20 searches the drug master DB 1 using the input code number (step S15). Using the search result, the MPU 31 of the medicine registration device 20 displays the medicine selection screen G5 (step S16).

  Here, FIG. 11 is an explanatory diagram illustrating an example of the medicine selection screen G5. As shown in FIG. 11, the drug selection screen G5 is a screen for searching for the corresponding drug candidate from the matched drug candidates by searching with the code number input in the code number display area R1. The medicine selection screen G5 displays a guide message “Select the drug from the drug candidates and [confirm]” to request selection of the corresponding medicine from the drug candidates. The medicine selection screen G5 includes a number input button B3, a search button B4, a cancel button B5, a confirmation button B6, a code number display area R1, and a medicine candidate area R6.

  Here, description of portions common to the manual input screen G4 is omitted. The confirmation button B6 can be pressed when a medicine is selected. In the drug candidate region R6, drug candidates and search results are displayed. The drug candidates are displayed with drug names partially matching the code numbers input in the code number display area R1. The search result displays the number of drugs that match the search condition. FIG. 11 shows a state in which there are three drugs that match the search condition and the BBBB injection solution is selected.

  Next, the MPU 31 of the medicine registration device 20 determines whether or not the confirm button B6 is pressed (step S14). When the confirmation button B6 is not pressed (Step S14; No), the MPU 31 of the medicine registration device 20 returns to Step S12 and performs the process again. When the confirmation button B6 is pressed (Step S14; Yes), the MPU 31 of the medicine registration device 20 proceeds to Step S17.

  Next, the MPU 31 of the medicine registration device 20 determines whether or not the relevance degree of the medicine is high (step S17). When it is determined that the relevance level of the medicine is high (step S17; Yes), the MPU 31 of the medicine registration apparatus 20 proceeds to step S18. On the other hand, when it is determined that the relevance level of the medicine is not high (step S17; No), the MPU 31 of the medicine registration apparatus 20 displays the notification screen G6 (step S19).

  Here, FIG. 12 is an explanatory diagram illustrating an example of the notification screen G6. The notification screen G6 includes a notification screen G6 with a low degree of association shown in FIG. 12A and a notification screen G6 with a medium degree of association shown in FIG. The notification screen G6 with a low degree of relevance is displayed to notify that it is prohibited when the degree of relevance of the drug being registered is low. For example, the notification screen G6 with a low degree of association is displayed when trying to register a contraindicated drug. The notification screen G6 with a medium relevance level is displayed to notify that attention is required when the relevance level of the drug being registered is medium. For example, the notification screen G6 with a medium relevance level is displayed when an attempt is made to register a medicine to be used together.

  The notification screen G6 includes a notification level region R7, a message region R8, a target drug region R9, a notification reason region R10, a cancel button B7, and a registration button B8. In the notification level region R7, the content according to the degree of association of the drug being registered is displayed. (A) in FIG. 12 is displayed as “prohibited” because the degree of association of the drug being registered is low. In FIG. 12B, “warning” is displayed because the degree of relevance of the drug being registered is moderate.

  The message area R8 is an area for displaying a message “Please confirm the following drug registration” and requesting confirmation from the operator (nurse). The target drug region R9 is a region for displaying a notification target drug. Notification reason area | region R10 is an area | region which displays the reason which alert | reports a chemical | medical agent. The cancel button B7 is a button for canceling registration of a medicine during registration processing. The registration button B8 is a button for registering a medicine. In addition, the notification screen G6 may be displayed in a different color depending on the notification content. Thereby, the operator (nurse) can visually know the danger and the contents of the notification.

  Next, the MPU 31 of the medicine registration device 20 determines whether or not the cancel button B7 is pressed (step S20). When the cancel button B7 is not pressed (Step S20; No), the MPU 31 of the medicine registration device 20 proceeds to Step S21. On the other hand, when the cancel button B7 is pressed (step S20; Yes), the MPU 31 of the medicine registration device 20 cancels the medicine registration and proceeds to step S7.

  Next, the MPU 31 of the medicine registration device 20 determines whether or not the registration button B8 has been pressed (step S21). When the registration button B8 is not pressed (Step S21; No), the MPU 31 of the medicine registration device 20 returns to Step S20 and waits. When the registration button B8 is pressed (step S21; Yes), the MPU 31 of the medicine registration device 20 performs setting for adding the notification display marks M1 and M2 (see FIG. 13).

  Next, the MPU 31 of the medicine registration device 20 registers the medicine being registered in the used medicine storage table T (step S18).

  Next, the MPU 31 of the medicine registration device 20 registers in the used medicine storage table T and displays the medicine registration screen G7 (step S23). Here, FIG. 13 is an explanatory diagram showing an example of the medicine registration screen G7. The medicine registration screen G7 is a screen that displays a list of medicines registered in the used medicine storage table T as shown in FIG. The medicine registration screen G7 includes a medicine list display area R11, notification display marks M1 and M2, a stop button B1, a manual input button B2, and a print button B9.

  The medicine list display area R11 is an area for displaying a medicine name, a quantity, and a total score. The drug name is the name of the drug registered in the used drug storage table T. The quantity is the quantity of the corresponding drug. The total score is the sum of the quantities of drugs registered in the used drug storage table T. The notification display marks M1 and M2 include a notification display mark M1 indicating prohibition and a notification display mark M2 indicating warning. The notification display mark M1 indicating prohibition is a mark displayed when the degree of association of the corresponding medicine is low. The notification display mark M2 indicating a warning is a mark displayed when the degree of association of the corresponding drug is medium. The stop button B1 and the manual input button B2 are buttons having the same functions as the stop button B1 and the manual input button B2 on the medicine registration start screen G3. The print button B9 is a button for printing a list of medicines registered in the used medicine storage table T as a used product slip.

  Next, the MPU 31 of the medicine registration device 20 determines whether or not the print button B9 is pressed (step S24). When the print button B9 is not pressed (step S24; No), the MPU 31 of the medicine registration device 20 returns to step S7 to continue the medicine registration process. When the print button B9 is pressed (step S24; Yes), the MPU 31 of the medicine registration device 20 prints the used product slip D and ends the medicine registration process (step S25).

  Here, FIG. 14 is a front view showing a used product slip D on which medicine information is printed. As shown in FIG. 14, the used product slip D includes a header D1, basic information D2, used medicine data D3, waste product data D4, and an approval seal column D5. The header D1 is an area for printing a slip name. The basic information D2 is an area for printing the output date and time, the target period, the issue location, the workers, and the number of patients.

  The used drug data D3 is printed with a No column, a drug name column, a unit column, a number column, and a constant column. In the No column, item No. is printed. Item No. is a series of numbers assigned to each medicine type. The medicine name column is printed with notification print marks M3 and M4, a medicine name, and a code number of the medicine. The notification print marks M3 and M4 include a notification print mark M3 indicating prohibition and a notification print mark M4 indicating warning. The notification print mark M3 indicating prohibition is a mark printed when the degree of association of the corresponding medicine is low. The notification print mark M4 indicating a warning is a mark printed when the degree of relevance of the corresponding medicine is medium. The drug name is the name of the drug. The drug code number is a number assigned to the code symbol of the drug. The unit column indicates the standard of the amount of the target drug used. The number column indicates the amount of the target drug used. The constant column indicates the amount that the target drug is always available. As a result, the medicine unit replenishes the medicine.

  The waste product data D4 is an area where a discarded medicine is printed. The approval mark column D5 is an area where a column for marking the approval mark is printed.

  As described above, according to the present embodiment, the medicine master DB 1 and the patient's electronic medical record information DB 2 are provided. Further, the determination unit 317 can determine the degree of association indicating the degree that the drug being registered is an appropriate drug by referring to the drug master DB 1 and the electronic medical record information DB 2. And the alerting | reporting means 318 alert | reports the reason which came to the degree shown to a relevance degree with the relevance degree which the determination means 317 determined. Therefore, since it is notified that an inappropriate medicine is to be registered, it is possible to register a genuine medicine.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

  In the above-described embodiment, the drug registration process is described as an example. However, it may be used in addition to drug registration processing. For example, you may use at the time of the audit process of the chemical | medical agent which confirms whether the chemical | medical agent which the doctor etc. instructed is prepared appropriately.

  In the above embodiment, it is described that a mark is added to the notified medicine. However, if the registration is canceled due to the notification and another medicine is registered instead, a mark may be added to the changed medicine. Thereby, since the medicine whose registration has been changed becomes clear, the doctor can easily confirm.

  In the above embodiment, it is described that the medicine master DB 1 and the electronic medical record information DB 2 are stored in the external storage device 34. However, the medicine master DB 1 and the electronic medical record information DB 2 may be stored in the electronic medical record server 11 or the medicine part server 19. In this case, what is necessary is just to access the electronic medical record server 11 and the chemical | medical agent server 19 via the communication interface 38 and the communication network 17 as needed.

  In the above embodiment, it is described that registration is possible in the used medicine storage table T even when the notification screen G6 is displayed. However, registration may be prohibited when the notification screen G6 is displayed. This makes it possible to perform management more strictly.

  In the embodiment described above, the determination unit 317 determines the degree of association indicating the degree of the drug being an appropriate drug in three stages. However, the degree of relevance may be two stages. In this case, the determination may be made based on whether or not it is prohibited. Alternatively, the degree of association may be four or more. By making it possible to set the relevance level in two stages, setting and determination are facilitated, so that it can be used easily. When the degree of relevance is set to four or more levels, it is possible to make detailed notifications, and thus appropriate notifications are possible.

  In addition, the program executed by each device of the above embodiment is provided by being incorporated in advance in a storage medium (ROM or storage unit) included in each device, but is not limited thereto, and can be installed in a form or executable. Various types of files may be recorded and provided on a computer-readable recording medium such as a CD-ROM, a flexible disk (FD), a CD-R, or a DVD (Digital Versatile Disk). Furthermore, the storage medium is not limited to a medium independent of a computer or an embedded system, but also includes a storage medium in which a program transmitted via a LAN, the Internet, or the like is downloaded and stored or temporarily stored.

  Further, the program executed by each device of the above embodiment may be stored on a computer connected to a network such as the Internet and provided by being downloaded via the network, or via a network such as the Internet. It may be configured to be provided or distributed.

20 Drug Registration Device 34 External Storage Device DB2 Electronic Medical Record Information 317 Judgment Unit 318 Notification Unit G6 Notification Screen M1, M2 Notification Display Mark M3, M4 Notification Print Mark D Used product slip

JP 2002-163357 A

Claims (6)

An input means for inputting identification information for identifying the medicine;
Identification means for identifying a drug from identification information input from the input means;
A determination means for determining a relevance level indicating a degree that the medicine identified by the identification means is a suitable medicine with reference to patient information about a patient and information about a predetermined medicine;
Informing means for informing the reason for reaching the degree indicated in the degree of association together with the degree of association determined by the determining means;
And registration means for registering an agent said identification means has identified,
Both outputs the list of drugs that the registration means has registered, and an output means for the notification means outputs by adding a first mark to the drug notified,
Equipped with a,
The output means, when registration by the registration means is canceled with respect to the medicine notified by the notification means, the newly registered medicine on condition that the registration means has registered the newly inputted medicine Output with the second mark added to
Drug registration device. The determination means determines the degree of association in two or more stages.
The drug registration device according to claim 1. The determination unit determines that notification is necessary when the drug identified by the identification unit is not included in the drug scheduled to be administered to the patient with reference to the patient information and the drug-related information. To
The medicine registration device according to claim 1 or 2. The determination unit determines that notification is necessary when the drug identified by the identification unit is prohibited from being used for a patient's disease with reference to the patient information and the drug-related information. ,
The medicine registration device according to any one of claims 1 to 3. The determination unit is cautioned or prohibited from using the drug identified by the identification unit in combination with a drug scheduled to be administered to a patient with reference to the patient information and information about the drug. If it is determined that notification is necessary,
The chemical | medical agent registration apparatus as described in any one of Claims 1-4. Computer
An input means for inputting identification information for identifying the medicine;
Identification means for identifying a drug from identification information input from the input means;
A determination means for determining a relevance level indicating a degree that the medicine identified by the identification means is a suitable medicine with reference to patient information about a patient and information about a predetermined medicine;
Informing means for informing the reason for reaching the degree indicated in the degree of association together with the degree of association determined by the determining means;
And registration means for registering an agent said identification means has identified,
Both outputs the list of drugs that the registration means has registered, and an output means for the notification means outputs by adding a first mark to the drug notified,
To function as,
The output means, when registration by the registration means is canceled with respect to the medicine notified by the notification means, the newly registered medicine on condition that the registration means has registered the newly inputted medicine Output with the second mark added to
program.

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