JP6562501B2 - Drug history information providing apparatus and program - Google Patents

Description

  The present invention relates to a drug history information providing apparatus and a program that allow an attending physician or a cooperating physician to list a patient's drug history.

  When a doctor examines a patient, he / she fills in a medical record, and when a medicine is prescribed, the contents are also written in the medical chart. The medical record is added at each medical examination and stored at the medical institution where the patient was examined. Then, the history of the doctor examining the patient and the history of the medicine prescribed in the past are confirmed by referring to the medical record entered in the past. In addition, small-scale medical institutions often leave medicines to patients by using out-of-hospital prescriptions to pharmacies. Many pharmacies are managing and introducing systems for management. As an existing prescription management system, for example, one described in Patent Document 1 can be cited.

JP 2014-102707 A

  When a doctor confirms a patient's past medical history, the most reliable and detailed means is to trace back the medical record. However, since medical charts are added every time a medical examination is performed, it is necessary to follow the description to obtain information in time series. In particular, in the case of a plurality of pages, it takes time and effort to confirm. In addition, in the case where the attending physician is absent and other doctors examine the patient's past medical history, in addition to the above-described problems, it may take time to decode the medical records described by others. Furthermore, the existing prescription management system is basically used in pharmacies to confirm swallowing, long-term continuous use, etc., and for the purpose that doctors quickly grasp past medical history from patient's medical history. Not optimized.

  In view of the fact that when a patient visits a medical institution, a medicine according to the medical condition at that time is generally prescribed, the present invention generates and outputs a medicine history table that can list the medicine history of the patient. It is an object of the present invention to provide a medicine history information providing apparatus and a program for making it possible to quickly grasp a past medical history from a medicine history of a patient.

  The drug history information providing device of the present invention is prescriptions given to a patient in the past from a drug history storage means for storing medicines prescribed to the patient, a prescription date, and prescription contents, and information stored in the drug history storage means. And a medicine history table generating means for generating a medicine history table capable of listing prescription dates and prescription contents in time series for one or more medicines and outputting the medicine history table to an output means. This allows doctors to have an overview of the patient's medication history, and can generally estimate what disease they have been suffering from, based on the overview of the medication history, so that the patient's past medical history can be quickly grasped without referring to a medical record. be able to.

  The medicine history table is formed in a matrix, for example, and is configured to display the prescription contents of the same medicine in time series in the same row or the same column. Thus, the prescription history of each medicine, the continuity of the prescription, and the medicines prescribed at the same time can be easily confirmed simply by shifting the line of sight to the left and right or up and down or scrolling the screen.

  In the medicine history table, when there is a change in prescription content from the previous prescription date for the same medicine, the display of the prescription content that has changed may be highlighted. Thereby, it can prevent overlooking that there was a change in the state of the disease of the patient as the reason for prescribing the medicine.

  The medicine history table may display the prescription contents of the medicine prescribed most recently at the top of the row or the leftmost part of the column. Because the current state of the patient is likely to depend on the patient's recent state, by placing the prescription content of a recently prescribed drug in a position that is easy to enter the eyes of the medication history table, It is possible to quickly grasp the recent state of the patient and use it for diagnosis of the current state of the patient.

  The medicine history table may display the prescription contents of medicines having the same medicine and different active ingredient contents in the same row or the same column. Even if the contents are different, since the disease that is the basis of the prescription is generally the same, the misrecognition of prescription continuity and the oversight of past prescription history can be prevented by displaying them in the same row or the same column.

  In the medicine history table, the prescription contents of medicines having the same medicine and different active ingredient contents may be displayed in adjacent rows or adjacent columns. Even if the content is different, generally the disease on which the prescription is based is the same, and depending on the dose prescribed, the same drug with different active ingredient content may be prescribed simultaneously on the same day, In such a case, it will not fit in the same row or the same column, so it is possible to prevent misrecognition of prescription continuity and oversight of past prescription history by displaying in adjacent rows or adjacent columns. it can.

  The medicine history table may display the prescription contents of medicines having the same active ingredient in different medicines in adjacent rows or adjacent columns. Since generic and generic drugs are generally prescribed for the same disease, they can be displayed in adjacent rows or adjacent columns to prevent misprediction of prescription continuity and oversight of past prescription history. it can.

  The medicine history table may sort or highlight the row arrangement or the column arrangement according to the level of importance set in advance for each medicine. Thereby, it is possible to prevent oversight of the past prescription history of medicines related to important diseases.

  Since the prescription content and the prescription period of the day generally have a problem, the prescription content displayed on the drug history table may be, for example, the dose and / or the number of prescription days.

It is a figure which shows the structural example of the medical history information provision apparatus of this invention. It is a figure which shows an example of a medical history table. FIG. 3 is a diagram showing an example in which a row is shared by a plurality of medicines in the medicine history table of FIG. 2. It is a figure which shows the example which emphasizes the display of the part which prescription changed in the medicine history table | surface of FIG. It is a figure which shows the example sorted by the latest prescription in the medicine history table | surface of FIG. FIG. 3 is a diagram showing an example in which products having the same medicine and different contents are displayed on the same line in the medicine history table of FIG. 2. FIG. 3 is a diagram illustrating an example in which products having different contents with the same medicine are displayed in adjacent rows in the medicine history table of FIG. 2. In the medicine history table of FIG. 2, it is a figure which shows the example which displayed the chemical | medical agent with which an active ingredient is the same mutually with a different chemical | medical agent on the mutually adjacent line. It is a figure which shows the example sorted by the importance of the chemical | medical agent in the medicine history table | surface of FIG.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

  The drug history information providing apparatus 10 of the present invention is, for example, a computer system, and includes input means such as a keyboard, a mouse, and a touch panel, a calculation unit such as a CPU (Central Processing Unit), a RAM (Random Access Memory), and a ROM (read only). memory) and other output means such as various displays and printers.

  As shown in FIG. 1, the drug history information providing apparatus 10 includes at least a drug history storage unit 11 and a drug history table generation unit 12, and displays a drug history table on an output unit 13 such as various displays or a printer. When the medicine history information providing apparatus 10 is made available via the network 20 such as the Internet from an external terminal device 30 having communication means, the medicine history information providing apparatus 10 further comprises communication means 21, and the terminal device 30 displays the medicine history table and the like in the output means provided in itself. The communication method is arbitrary regardless of wired or wireless.

  The medicine history storage means 11 stores medicines, prescription dates, and prescription contents inputted by doctors who have examined patients and their cooperating doctors at each examination. In general, the content of the prescription is a prescription day and a daily prescription dose, that is, a prescription dose, that is, a prescription dose, a daily dosing frequency, and a dosing timing.

  Based on the information stored in the drug history storage unit 11, the drug history table generation unit 12 generates a drug history table that can list prescription dates and prescription contents in time series for one or more drugs prescribed to the patient in the past. Generate and output to output means. The medicine history table is formed in a matrix as shown in FIG. 2, for example, and is configured to display the prescription contents of the same medicine in the same row or the same column in time series. FIG. 2 is an example in which prescription contents of the same medicine are displayed in time series on the same line. In this example, in the past four formulations, drugs A to F with different active ingredients and granules of drug G are prescribed, and two drugs with different active ingredient contents are included for drug B. The case where it is prescribed is shown. Arrangement of medicines in each line is arbitrary. In each column, medicines prescribed on the same day are displayed, and medicines that were prescribed last time but were not prescribed on that day are blank.

  By creating such a medical history table and making it possible to refer to it, doctors can have an overview of the patient's medication history and can generally estimate what disease they have suffered from, so they do not have to refer to medical records. Can quickly grasp the patient's past medical history. In addition, by forming a drug history table in a matrix and displaying the prescription contents of the same drug in the same row or column in chronological order, the prescription history of each drug, the continuity of the prescription, and the prescription at the same time It is possible to easily check the chemicals that are being used by simply shifting the line of sight or scrolling them.

  As shown in the example of FIG. 2, if a line is provided for each type and product, a row and a column are assigned to drugs that are prescribed only at certain times and not prescribed at other times. There is a possibility that the bird's-eye view of information may be impaired due to an increase in the total number of rows and columns. Therefore, for a single prescription, rows and columns may be shared. For example, in the example of FIG. 2, B tablet 330 mg and G granule are each prescription once, so that they are displayed in the same line as shown in the example of FIG. By doing in this way, the increase in the whole number of rows and the number of columns can be suppressed, and the bird's-eye view of information can be secured.

  In the medicine history table, when there is a change in prescription content from the previous prescription date for the same medicine, the display of the prescription content that has changed may be highlighted. The method of highlighting is arbitrary, and examples thereof include a method of changing the character font, size, font, and coloring the background of the column. FIG. 4 is an example in which in the example of FIG. 2, when there is a change in the prescription content from the previous prescription date for the same medicine, the prescription date display of the changed prescription date is highlighted by coloring the background. is there. In this example, for the C tablet, the prescription on January 8 was after the morning and dinner, but the prescription on January 22 changed after every meal, and again in the morning on the February 12 prescription. -Since it has changed after dinner, the display on January 22 and February 12 is highlighted. In addition to the case where there is a change in the prescription content, the display of the date on which a certain medicine is first prescribed may be highlighted.

  By highlighting in this way, it is possible to prevent overlooking that there has been a change in the state of the patient's disease as the reason for prescribing the drug. Further, by highlighting the display of the date of first prescription, it is possible to quickly grasp how long the patient has been affected by the disease related to the drug.

  The medicine history table may display the prescription contents of the medicine prescribed most recently at the top of the row or the leftmost part of the column. FIG. 5 shows an example described in the top six lines of the six drugs from A to F tablets prescribed on February 12, which is the latest in the example of FIG.

  Because the current state of the patient is likely to depend on the patient's recent state, by placing the prescription content of a recently prescribed drug in a position that is easy to enter the eyes of the medication history table, It is possible to quickly grasp the recent state of the patient and use it for diagnosis of the current state of the patient.

  The medicine history table may display the prescription contents of medicines with different active ingredient contents in the same medicine in the same row or the same column. Regarding the tablet B in FIG. 2, it seems that the 250 mg tablet is not prescribed once out of four times (January 22) and the continuity is lost. However, on January 22nd, 330 mg tablets are prescribed instead, so B tablets are prescribed continuously. Therefore, for example, as shown in FIG. 6, the medicine B in which two medicines having different active ingredient contents are prescribed is displayed on the same line.

  In this way, even if the content is different, in general, the disease that is the basis of the prescription is often the same, so by displaying it in the same row or the same column, misprediction of continuity of the prescription or oversight of past prescription history Can be prevented.

  In addition, since the possibility of overlooking that there was a change in content newly appears by displaying in the same line, it is good to highlight the day when the content changed. In the example of FIG. 6, you may highlight both the day of January 22 increased to 330 mg and the day of February 12 returned to 250 mg, and there will be only one change, then return to the same prescription as before. Therefore, only January 22 that is different from the others may be highlighted.

  In the medicine history table, the prescription contents of medicines having the same medicine and different active ingredient contents may be displayed in adjacent rows or adjacent columns. FIG. 7 shows an example in which, in the example of FIG. 2, medicines B in which two medicines having different active ingredient contents are prescribed are displayed in adjacent rows.

  As shown in the example of FIG. 6, the prescription contents of drugs having the same drug and different active ingredient contents are displayed in adjacent rows or adjacent columns without being displayed in the same row or column. Misunderstanding of continuity and oversight of past prescription history can be prevented to some extent. Depending on the dose to be prescribed, the same drug with different active ingredient content may be prescribed simultaneously on the same day. Or it does not fit in the same column. For example, when there are 5 mg tablets and 2.5 mg tablets for a certain pharmaceutical tablet, 7.5 mg is prescribed for each one tablet. Thus, in such a case, by displaying in adjacent rows or adjacent columns, it is possible to prevent misrecognition of prescription continuity and oversight of past prescription history. However, when entering the prescription content, it is configured so that drugs with different contents are not treated as separate products but are added after adding the doses and displayed in the same row or column as in the example of FIG. Of course.

The medicine history table may display the prescription contents of medicines having the same active ingredient in different medicines in adjacent rows or adjacent columns. For example, in the example of FIG. 2, the generic tablet H tablet 250 mg is prescribed on January 22 instead of the B tablet 330 mg, and the other day B tablet 250 mg
Is displayed as shown in FIG.

  Since generic and generic drugs are generally prescribed for the same disease, they can be displayed in adjacent rows or adjacent columns to prevent misprediction of prescription continuity and oversight of past prescription history. it can. In addition, you may make it display a generic drug in the line of a generic drug like the example in case the content of FIG. 6 differs. In this case, since the possibility of overlooking that there has been a change to the generic drug is newly generated by displaying on the same line, it is preferable to highlight the day when the change has occurred.

  The medicine history table may sort or highlight the row arrangement or the column arrangement according to the level of importance set in advance for each medicine. The importance of each medicine may be set arbitrarily. The method of highlighting is arbitrary, and examples thereof include a method of changing the character font, size, font, and coloring the background of the column. For example, in the example of FIG. 2 in which the importance level is not set, when a high importance level is set for the F lock, the prescription contents of the F lock are sorted and displayed on the first line as shown in FIG.

  Thereby, it is possible to prevent oversight of the past prescription history of medicines related to important diseases.

  Each function / process in the drug history information providing apparatus of the present invention may be merged, divided, or changed in order as necessary. In addition, modifications can be made as appropriate within the scope of the technical idea expressed in the present invention, and such modified or improved embodiments are also included in the technical scope of the present invention.

DESCRIPTION OF SYMBOLS 10 Drug history information provision apparatus 11 Drug history storage means 12 Drug history table generation means 13 Output means 20 Network 21 Communication means 30 Terminal device

Claims (8)

Medicine history storage means for storing medicines prescribed to patients, prescription dates, and prescription contents;
From the information stored in the medicine history storage means, a medicine history table that can list prescription dates and prescription contents in time series for one or more medicines prescribed to the patient in the past is generated and output to the output means Drug history table generating means;
Equipped with a,
The drug history table is formed in a matrix, and displays the prescription contents of the same medicine in the same row or the same column in time series, and the prescription contents of the same active ingredient in different medicines are adjacent to each other. Display in adjacent column
A medical history information providing device characterized by that . The drug history table, according to claim 1, for the same drug when a change in the prescription from the previous formulation date, and wherein the display of the prescription formulations date there has been a change is one that was highlighted Drug history information providing device described in 1. The medicine history information providing apparatus according to claim 1 or 2 , wherein the medicine history table displays the prescription contents of the medicine prescribed most recently at the top of a row or the leftmost part of a column. The medicine history information according to any one of claims 1 to 3 , wherein the medicine history table displays prescription contents of medicines having the same medicine and different active ingredient contents in the same row or the same column. Providing device. The said medicine history table displays the prescription content of the chemical | medical agent from which the content of an active ingredient from which the same chemical | medical agent differs from each other in the mutually adjacent row | line | column or mutually adjacent column, The any one of Claim 1 to 3 Drug history information providing device. The drug history table, depending on the height of the preset importance for each drug, from claim 1 characterized in that the arrangement of the row or column of the row is sorted or highlighted 6. The medical history information providing device according to any one of 5 above. The medical history information providing apparatus according to any one of claims 1 to 6 , wherein the prescription content is a prescription day and / or a dose. A program for causing a computer to function as the medicine history information providing device according to any one of claims 1 to 7 .

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