JP6619113B1 - Medication information providing apparatus, medication information providing method, and computer program - Google Patents

Abstract

An object of the present invention is to comprehensively manage information on drugs prescribed for a patient and information on the patient's medication status and provide the information to a doctor or the like. A medication information providing device acquires, from a receipt DB, information on medicines within a predetermined period associated with a designated patient identifier and information on a medical institution that has prescribed the medicines. The acquired medication information including the information on the medicine and the information on the medical institution are transmitted to the pharmacy terminal 110, and the information on the medicine is grouped and displayed for each medical institution that has prescribed the medicine. The edited medication information is received from the pharmacy terminal 110. The edited medication information includes information heard from the patient corresponding to the patient identifier. Based on the medication information, a medication status report including information on medicines prescribed by the medical institution and information heard from patients is generated for each medical institution. [Selection diagram] Fig. 1

Description

  The present invention relates to a medication information providing device, a medication information providing method, and a computer program, and in particular, a medication information providing device for providing medication status information based on a receipt such as a medical receipt, a dispensing receipt, or a dental receipt, and medication information The present invention relates to a providing method, a terminal, a medication information editing method, and a computer program.

  From the viewpoint of extending healthy life expectancy and optimizing medical costs, the combination of multiple drugs is a major problem in the medical field. Multi-drug combination increases drug interactions and adverse drug events, resulting in decreased patient quality of life (QOL), adverse events caused by drugs, secondary illnesses, unnecessary medical expenses, etc. Arise.

  In addition to the above, in the multi-drug combination state, there is a risk that a so-called prescription cascade in which side effects caused by drug interactions or adverse drug events are treated with other drugs will occur and a further multi-drug combination state will occur Even there.

  As a means of eliminating multi-drug combinations, pharmaceutical division of labor and the use of medicine notebooks have been promoted. Traditionally known medicine notebooks record the name, amount, number of days, usage, etc. of medicines used by patients, so there are many information based on the medication history information in the medicine notebook. The combined use state of the agent can be confirmed. For example, by looking at an electronic medicine notebook displayed on a personal computer or the like, it is possible to obtain information such as how medicines have been taken by the patient in the past and how the contents of prescriptions previously issued have been changed. . At present, instead of the paper-based medicine notebook issued by pharmacies up to now, electronic medicine notebooks that record medication history information as electronic data are becoming widespread. In addition, a system for confirming whether or not a medicine containing the same component as an original medicine and a generic medicine has been prescribed has been proposed (see, for example, Patent Document 1).

JP 2010-165159 A Japanese Patent No. 4312757

  However, the medicine notebook has a problem that information necessary for resolving the multidrug combination state cannot be obtained sufficiently for the following reasons. That is, some patients have a plurality of medicine notebooks, and the dispensing pharmacy cannot obtain sufficient information from the medicine notebook presented by the patient. In addition, the information posted in the medicine notebook may be limited to medicines prescribed by insurance pharmacies, and may not be posted for in-hospital prescriptions (medical outpatients) that are medicines received at the health care institution. There are many. Therefore, the medicine notebook, which is a conventional method for providing drug information, has a problem that it is incomplete to collectively collect information on the patient's medication status and provide it to a family doctor or prescription doctor.

  In addition, it is hoped that centralized management of medication history information will provide information on the medical treatments and medicines being taken by patients, and support the work of primary and prescription physicians. It is rare.

  The present invention has been made in view of such a problem, and the object of the present invention is to centrally and comprehensively manage information on medicines prescribed to a patient and information on all the patient's medication status, and a pharmacist. It is to provide a medication information providing apparatus, a medication information providing method, and a computer program that can be provided to doctors and the like.

  In order to solve the above-described problems, the present invention provides a storage unit that stores a patient identifier for identifying a patient, a medical institution identifier, and information on medicines dispensed for the patient, and the storage unit. From the acquisition means for acquiring information on a medicine within a predetermined period associated with the same patient identifier and information on a plurality of medical institutions prescribing the medicine, information on the medicine obtained by the acquisition means and a plurality of information Sending medication information including medical institution information to the terminal, sending the medicine information grouped and displayed for each medical institution prescribing the medicine, and information heard from the patient corresponding to the patient identifier Receiving means for receiving the medication information edited for each medical institution based on the terminal, and for each medical institution based on the edited medication information Provide medication information providing device, wherein the medical institutions and generating means for generating a medication status report containing information you hear the information and the patient's medicines were formulated.

  Here, the edited medication information may include information on the remaining medicine of the medicine heard from a patient corresponding to the patient identifier.

  Further, the edited medication information includes information on a side effect with a subjective symptom heard from a patient corresponding to the patient identifier, and includes information on medicines within a predetermined period associated with the same patient identifier. From the above, it is possible to further include means for specifying information on a medicine corresponding to a side effect having a subjective symptom and means for displaying the information on the specified medicine on the terminal.

  Further, the generation means may generate the medication status report including information on side effects with subjective symptoms heard from a patient corresponding to the patient identifier.

  In addition, the medical device further includes a determination unit that determines duplication of drugs prescribed in different medical institutions for the drug included in the acquired medication information, and the transmission unit transmits the determination result of the duplication of the drug to the terminal. Can be.

Further, the storage means further stores first information in which the information on the medicine and information on the name of the disease are associated with each other, and second information on which the name of the disease on the patient is associated with the medical start date And
In addition, the name of the wound and disease corresponding to the information of the medicine determined to be duplicated by the determination unit based on the first information, the name of the wound and disease specified by the name of the wound and disease The medical start date corresponding to the earliest medical start date among the medical institutions that prescribe the medical start date specifying means for specifying the medical start date corresponding to the medical information based on the second information The information processing apparatus may further include means for notifying a medical institution other than the institution to cancel the prescription of the medicine determined to be duplicated.

  Moreover, the said production | generation means shall be produced | generated including the information of the determination result of the duplication of the said pharmaceutical in the said medication status report.

  In addition, the medicine included in the acquired medication information further includes means for determining the presence or absence of a drug that causes a side effect, and the transmission means transmits a determination result of the presence or absence of the drug that causes the side effect to the terminal. It can be.

In addition, the generation unit may generate the medication status report including information on a determination result of the presence or absence of a drug that causes the side effect.
In addition, the medicine included in the acquired medication information further comprises means for determining the presence or absence of a medicine that requires careful administration, and the transmission means determines whether or not there is a medicine that requires the careful administration on the terminal. The determination result can be transmitted.

  Further, the generation means may generate the medication status report including information on a result of determination on the presence / absence of a drug requiring careful administration.

  The medicine further includes a means for determining the presence or absence of a drug that causes an interaction for the medicine included in the acquired medication information, and the transmission means transmits a determination result of the presence or absence of the medicine that causes the interaction to the terminal. Can be.

  Moreover, the said production | generation means shall be produced | generated including the information of the determination result of the presence or absence of the pharmaceutical which produces the said interaction in the said medication status report.

According to another aspect of the present invention, a medication information providing apparatus according to the present invention stores a patient identifier for identifying a patient, a medical institution identifier, and information on medicines dispensed for the patient in association with each other. Storage means; acquisition means for acquiring information on a medicine within a predetermined period associated with the same patient identifier and information on a medical institution prescribing the medicine from the storage means;
Transmission means for transmitting medication information including information on medicines obtained by the obtaining means and information on medical institutions to the terminal, and the medication information edited based on information heard from the patient corresponding to the patient identifier Receiving means for receiving from a terminal; and generating means for generating a medication status report including information on medicines prescribed by the medical institution and information heard from the patient for each medical institution based on the medication information. The edited medication information includes information on a side effect with a subjective symptom heard from a patient corresponding to the patient identifier, and information on medicines within a predetermined period associated with the same patient identifier. Means for identifying information on a drug corresponding to a side effect having a subjective symptom; means for displaying information on the identified drug on the terminal; Further comprising.

  According to another aspect of the present invention, a medication information providing apparatus according to the present invention stores a patient identifier for identifying a patient, a medical institution identifier, and information on medicines dispensed for the patient in association with each other. Different medical institutions for the storage means, the acquisition means for acquiring the information of the medicines within a predetermined period associated with the same patient identifier from the storage means, and the medicines included in the acquired medication information Determining means for determining duplication of medicines prescribed in the above, and output means for outputting the result of determination by the determining means, wherein the storage means further stores information on the action time of the medicine, The duplication of the medicines is determined based on the action time.

    According to another aspect of the present invention, a medication information providing apparatus according to the present invention stores a patient identifier for identifying a patient, a medical institution identifier, and information on medicines dispensed for the patient in association with each other. A storage unit; an acquisition unit that acquires information on a medicine within a predetermined period associated with the same patient identifier and information on a medical institution that prescribes the medicine from the storage unit; and a medication acquired by the acquisition unit A transmission for transmitting to the terminal the determination means for determining the duplication of the medicine prescribed in different medical institutions and the medication information including the information on the medicine obtained by the acquisition means and the information on the medical institution for the medicine included in the information. The medication information is based on the information received from the patient corresponding to the patient identifier and the transmission means including the determination result of the duplication of the medicine. Receiving means for receiving the collected medication information from the terminal, and a medication status report including information on medicines prescribed by the medical facility and information heard from the patient for each medical facility based on the medication information Generating means for generating the information, wherein the storage means associates the first information in which the information on the medicine and the information on the name of the disease are associated with each other, and the second information in which the name of the disease on the patient is associated with the medical treatment start date. And a medicine that is determined to be duplicated by the judgment means and a judgment means that judges duplication of medicines prescribed in different medical institutions for the medicine included in the acquired medication information. A wound name specifying means for specifying the wound name information corresponding to the information on the basis of the first information, and a medical treatment start date corresponding to the wound name specified by the wound name specifying means Among medical institutions that prescribe a medical start date specifying means to specify based on the second information and the medicine determined to be duplicated, for medical institutions other than the medical institution corresponding to the earliest medical start date, And a means for notifying the prescription of the medicine determined to be duplicated.

  According to another aspect of the present invention, a medication information providing apparatus according to the present invention stores a patient identifier for identifying a patient, a medical institution identifier, and information on medicines dispensed for the patient in association with each other. Acquired from the storage means, from the storage means, acquisition means for acquiring information on a medicine within a predetermined period associated with the same patient identifier and information on a plurality of medical institutions prescribing the medicine, acquired by the acquisition means The display unit displays grouped medicine information including information on a medicinal product and information on a plurality of medical institutions grouped for each medical institution that prescribes the medicinal product, and the information based on information heard from a patient corresponding to the patient identifier Editing means for editing the medication information displayed on the display means for each medical institution, and for each medical institution based on the medication information edited by the editing means And a generating means for generating a medication status report containing information the medical institutions hear the information and the patient's medicines were formulated.

Here, the acquisition means may acquire at least part of the information on the medicine and the information on the medical institution from the patient identifier.
A medication information providing method executed by a computer comprising a patient identifier for identifying a patient, a medical institution identifier, and storage means for storing in the storage unit the information on the medicine dispensed for the patient. Acquiring information on medicines within a predetermined period associated with the same patient identifier and information on a plurality of medical institutions prescribing the medicines from the storage means; and Information on the medical institution is transmitted to the terminal, and the information on the medicine is grouped and displayed for each medical institution that prescribes the medicine, and information received from the patient corresponding to the patient identifier Receiving the medication information edited for each medical institution based on the terminal,
Generating a medication status report including information on medicines prescribed by the medical institution and information heard from the patient based on the edited medication information, for each medical institution. How to provide medication information.

  According to another aspect of the present invention, a medication information providing method according to the present invention relates to a storage unit that associates a patient identifier for identifying a patient, a medical institution identifier, and information on a medicine dispensed to the patient. A medication information providing method executed by a computer having a storage means stored in the information, the medicine information within a predetermined period associated with the same patient identifier and the medical treatment prescribing the medicine from the storage means A step of acquiring information on the institution, a step of transmitting medication information including the information on the acquired medicine and information on the medical institution to the terminal, and the information edited based on the information heard from the patient corresponding to the patient identifier Receiving the medication information from the terminal, and for each medical institution, based on the medication information, information on the medicine prescribed by the medical institution and the previous Generating a medication status report including information heard from a patient, wherein the edited medication information includes information on adverse side effects with subjective symptoms heard from a patient corresponding to the patient identifier, and A step of identifying information on a medicine corresponding to a side effect having a subjective symptom from information on a medicine within a predetermined period associated with a patient identifier; and a step of causing the terminal to display information on the identified medicine Is further provided.

  According to another aspect of the present invention, a medication information providing method according to the present invention stores a patient identifier for identifying a patient, a medical institution identifier, and information on a medicine dispensed for the patient in association with each other. A medication information providing method executed by a computer comprising the storage means, the step of acquiring information on medicines within a predetermined period associated with the same patient identifier from the storage means, and the acquisition And determining the duplication of drugs prescribed in different medical institutions and outputting the result of the determination, and the drug information includes action time information. The determining step determines the duplication of the medicine based on the action time.

According to another aspect of the present invention, a medication information providing method according to the present invention relates to a storage unit that associates a patient identifier for identifying a patient, a medical institution identifier, and information on a medicine dispensed to the patient. A medication information providing method executed by a computer having a storage means stored in the information, the medicine information within a predetermined period associated with the same patient identifier and the medical treatment prescribing the medicine from the storage means acquiring information of the engine, before the medicines contained in the Quito obtained has been medication information, different determining a duplication of a medicament formulated in medical institutions, information and medical institutions of the obtained pharmaceutical Transmitting medication information including information to a terminal, wherein the medication information includes a determination result of duplication of the medicine, and the patient identifier Receiving the medication information edited based on information heard from a corresponding patient from the terminal, and information on medicines prescribed by the medical institution and the patient for each medical institution based on the medication information Generating a medication status report that includes information heard from the storage device, wherein the storage means associates the information on the medicine with the information on the name of the wound, and the name of the wound on the patient and the start of medical treatment. Further storing second information in which the date is associated, and identifying information on the name of the disease corresponding to the information on the medicine determined to be duplicated based on the first information; Based on the second information, a medical treatment start date corresponding to the specified injury / illness name is identified, and among the medical institutions prescribing the pharmaceuticals determined to be duplicated, the earliest medical treatment opening To medical institutions other than the corresponding medical institution day, further comprising a step of notifying to cancel the determined prescription drugs and the overlap.

  According to another aspect of the present invention, the medication information providing method according to the present invention stores a patient identifier for identifying a patient, a medical institution identifier, and information on a medicine dispensed for the patient in association with each other. A medication information providing method executed by a computer comprising a storage means, wherein a plurality of medical institutions prescribing the information of medicines within a predetermined period associated with the same patient identifier and the medicines from the storage means Corresponding to the patient identifier, the step of acquiring the information of the drug, the medication information including the information of the acquired drug and the information of a plurality of medical institutions, grouped and displayed for each medical institution that prescribes the drug Editing the displayed medication information for each medical institution based on information heard from the patient, and based on the edited medication information , For each of the medical institution, and generating a medication status report containing information the medical institutions hear the information and the patient's medicines were formulated.

  According to another aspect of the present invention, in the medication information providing method according to the present invention, the acquiring step acquires at least a part of the drug information and the medical institution information from the patient identifier. can do.

  According to another aspect of the present invention, a terminal according to the present invention includes an input unit that inputs a patient identifier that identifies a patient, and a transmission unit that transmits the patient identifier input by the input unit to a medication information providing apparatus. Receiving means for receiving medication information including information on medicines within a predetermined period associated with the patient identifier and information on a plurality of medical institutions prescribing the medicines from the medication information providing apparatus; and Display means for displaying received medication information, wherein the medication information display includes displaying the drug information grouped for each medical institution that prescribes the drug; and Editing means for editing the medication information displayed on the display means for each medical institution based on information heard from a patient.

  Here, the medication information edited by the editing means may include a comment for the medical institution.

  According to another aspect of the present invention, a medication information editing method according to the present invention is a medication information editing method executed by a computer, the step of inputting a patient identifier for identifying a patient, and the input patient A step of transmitting an identifier to a medication information providing device; and medication information including information on a medicine within a predetermined period associated with the patient identifier and information on a plurality of medical institutions prescribing the medicine from the medication information providing device. And displaying the received medication information on a display means, wherein the medication information is displayed by grouping the information on the medicines by medical institutions that prescribe the medicines. And editing the medication information displayed on the display means for each medical institution based on the information heard from the patient. Tsu and a flop.

  According to another aspect of the present invention, a computer program according to the present invention causes a computer to function as the above medication information providing apparatus.

  According to another aspect of the present invention, a computer program according to the present invention causes a computer to function as the above terminal.

  According to the present invention, information on a medicine within a predetermined period associated with a designated patient identifier and information on a medical institution prescribing the medicine are obtained from the storage means, and information on the obtained medicine and the medical institution The medication information including the information is transmitted to the terminal, and the edited medication information is received from the terminal. The edited medication information includes information heard from the patient corresponding to the patient identifier, and the medical information is based on the medication information. For each institution, a medication status report including information on medicines prescribed by medical institutions and information heard from patients is generated, so it is possible to appropriately present recent information on prescribed medicines for each medical institution. .

  In addition, by managing centrally information on various medicines prescribed to the patient, it is possible to confirm the latest situation of the patient, and it is possible to cope with the situation of the patient in the medical institution.

  Furthermore, it becomes possible to effectively support the work of a medical institution.

It is a figure which shows roughly the whole image of the medication information provision system which concerns on embodiment of this invention. It is a functional block diagram which shows roughly the functional structure of the medication information provision apparatus which concerns on embodiment of this invention. It is a figure which shows the example of medical receipt data memorize | stored in receipt DB. It is a figure which shows the example of the dispensing receipt data memorize | stored in receipt DB. It is a figure which shows the example of the patient data memorize | stored in patient DB. It is a figure which shows the example of the data memorize | stored in a medical institution master, (a) is a hospital medical institution data, (b) is a figure which shows the example of pharmacy medical institution data. It is a figure which shows the example of the pharmaceutical data recorded on a pharmaceutical master. It is a figure which shows the example of the wound name data recorded on a wound name master. It is a flowchart which shows the procedure of the method performed by the medication information provision system which concerns on this embodiment. It is a flowchart which shows the procedure of the method performed by a medication information provision apparatus. It is a flowchart which shows the procedure of the determination process of a pharmaceutical. It is a figure which shows the example of the similar pharmaceutical data contained in a similar pharmaceutical master. It is a flowchart which shows the procedure of the confirmation process of duplication of a pharmaceutical. It is a figure which shows the example of the interaction data contained in an interaction master. It is a flowchart which shows the procedure of the determination process of interaction. It is a figure which shows the example of the careful administration data contained in the careful administration master. It is a flowchart which shows the procedure of the judgment process of careful administration. It is a figure which shows the example of the side effect data contained in the side effect master. It is a flowchart which shows the procedure of the determination process of a side effect. It is a figure which shows the example of the screen displayed on the terminal for pharmacies. It is a figure which shows the example of the screen displayed on the terminal for pharmacies. It is a figure which shows the example of the screen displayed on the terminal for pharmacies. It is a figure which shows the example of the screen displayed on the terminal for pharmacies. It is a figure which shows the example of the screen displayed on the terminal for pharmacies. It is a figure which shows the example of the screen displayed on the terminal for pharmacies. It is a figure which shows the example of the method of specifying a medical treatment start date. It is a figure which shows the example of the symptom data contained in the symptom master. It is a figure which shows the example of the data contained in medical department receipt data. It is a figure explaining the procedure which specifies the medical treatment start date corresponding to a pharmaceutical code. It is a figure which shows the example of the screen displayed on the terminal for pharmacies. It is a figure which shows the example of the screen displayed on the terminal for pharmacies. It is a figure which shows the example of the screen displayed on the terminal for pharmacies. It is a figure which shows the example of a medication condition report. It is a flowchart which shows the procedure of the determination process of a pharmaceutical. It is a figure which shows the example of the structure of pharmaceutical data. It is a figure which shows the example of the structure of pharmaceutical data. It is a figure which shows the example of the structure of pharmaceutical data. It is a figure which shows roughly the whole image of the medication information provision system which concerns on embodiment of this invention. It is a figure which shows roughly the whole image of the medication information provision system which concerns on embodiment of this invention. It is a figure which shows roughly the whole image of the medication information provision system which concerns on embodiment of this invention. It is a flowchart which shows the procedure of the determination process of the pharmaceutical relevant to a subjective symptom. It is a figure which shows roughly the whole image of the medication information provision system which concerns on embodiment of this invention.

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

(First embodiment)
FIG. 1 is a diagram schematically showing an overall view of a medication information providing system 100 according to an embodiment of the present invention.

  As shown in the figure, the medication information providing system 100 according to the present embodiment includes an insurer server 102, an examination payment organization server 103, a medication information providing device 104, and a doctor terminal 114.

  The insurer server 102 is a server computer that is operated and managed by an insurer such as a municipality or a health insurance association, stores information on a receipt (medical remuneration statement) provided from an examination payment organization, and manages the information. .

  Here, “receipt” is a medical remuneration statement created by a medical institution for insurance treatment received by a patient. The medical receipt created by the medical department, the dental receipt created by the dentist, and the dispensing by the pharmacy And a DPC receipt based on a calculation method in which the medical expenses for the comprehensive medical treatment part per day are determined based on the classification of combinations of wound names and medical treatments.

  In addition, the “medical institution” may include medical departments and dentistries that conduct insurance medical care, and insurance pharmacies that dispense pharmaceuticals based on prescriptions issued by medical institutions.

  The “examination and payment organization” includes the payment fund and the National Health Insurance Association.

  The medication information providing apparatus 104 is a server computer that creates a medication status report 112 based on information on a receipt stored in the insurer server 102 or the examination payment organization server 103. The receipt information stored in the insurer server 102 or the examination / payment institution server 103 is provided by mail to the operator of the medication information providing apparatus 104 and input to the medication information providing apparatus 104 by the operator. Alternatively, the medication information providing apparatus 104 is connected to a general administrative network (LGWAN), and receives receipt information from the insurer server 102 or the examination payment organization server 103 via the LGWAN. Here, “medication” means taking medicine, and includes both internal medicine and external medicine. The medication status report is generated as image data, printed on a printing medium such as paper, and mailed to the doctor 108 who prescribed the medicine, for example. Alternatively, the medication status report may be provided to a patient who is an insured. Further, the image data of the medication status report may be transmitted for display to the doctor terminal 114 owned by the doctor 108, or may be provided for display to the pharmacy terminal 110 of the dispensing pharmacy. .

  The examination / payment institution server 103 is a server computer operated and managed by an examination / payment institution (social insurance medical fee payment fund (payment fund) or National Health Insurance Association Federation (National Health Insurance Federation)), and is provided from a medical institution. Store and manage receipt information. The examination and payment institution server 103 is connected to the insurer server 102 and the medication information providing apparatus 104 through LGWAN. The medication information provision device 104 includes a medication information analysis server 118 and a medication information provision server 120. The medication information analysis server 118 performs analysis processing such as determination of duplication of medicines described later. The medication information providing server 120 generates a medication status report to be described later, creates a screen to be provided to the pharmacy terminal 110, and the like.

  The pharmacy terminal 110 is a computer operated by the pharmacist 115, and for example, information interviewed by the patient and a patient identifier 117 presented by the patient are input. Information input to the pharmacy terminal 110 can be transmitted to the medication information providing apparatus 104.

  Here, the patient identifier 117 may be configured by a two-dimensional barcode and provided to the patient. For example, the patient identifier 117 can be included in the notice 116 provided to the patient by an insurer or the like. In this case, the notification form 116 may be a medication information notification form in which medication information is written for each patient. The patient who has received the notice 116 may present the notice at the pharmacy, and the pharmacy may read the patient identifier 117 in the notice using an input means such as a barcode reader and input it to the pharmacy terminal. .

  Alternatively, other identification information such as a personal identification code may be used as the patient identifier 117.

  All or part of the functions of the pharmacy terminal 110, the doctor terminal 114, the insurer server 102, and the medication information providing device 104 are computer programs for realizing the medication information providing method or the medication information providing device according to the present invention. The program may be recorded on a readable recording medium, and the computer program recorded on the recording medium is read into the computer system and executed.

  Here, the “computer system” may be implemented by a single computer or may be realized by a plurality of computers connected to a network. Computer-readable storage media include both volatile and non-volatile media.

  FIG. 2 is a functional block diagram schematically showing a functional configuration of the medication information providing apparatus 104 according to the present embodiment. The medication information providing apparatus 104 includes at least a communication unit 202, a receipt acquisition unit 204, a report creation unit 206, a display unit 208, an input unit 210, and a storage unit 224 that are electrically connected via a bus 228. Are configured to be able to transmit and receive each other.

  The communication unit 202 is connected to a communication network such as a LAN (Local Area Network), a WAN (Wide Area Network), and the Internet, and transmits / receives information to / from an external computer.

  The communication unit 202 is connected to the printing apparatus and has a function of sending image data of a medication status report created by the medication information providing apparatus 104 to the printing apparatus and printing it. Specifically, the communication unit 202 includes a communication interface that conforms to a predetermined communication protocol.

  The receipt acquisition unit 204 is configured to acquire a receipt and various information related to the receipt from the storage unit 224.

  The report creation unit 206 is configured to create a medication status report based on the information acquired by the receipt acquisition unit 204.

  Specifically, the receipt acquisition unit 204 and the report creation unit 206 are configured as an arithmetic processing unit. The arithmetic processing unit can include, for example, a CPU (Central Processing Unit), an MCU (Micro Control Unit), and the like, but is not limited thereto.

  The display unit 208 generates and displays an image created by the arithmetic processing unit of the medication information providing apparatus 104, and includes a liquid crystal display or the like.

  The input unit 210 is used for inputting information by an operator, and includes a keyboard, a mouse, a touch panel display, and the like.

  The storage unit 224 stores a reception DB (Data Base) 212 that stores various types of receipt data, a patient DB 214 that stores patient data, a medical institution master 216 that stores hospital medical institution data and pharmacy medical institution data, and medicinal data. Drug master 218, wound name master 220 storing wound name data, symptom master 230 storing general name code and classification code for each symptom, program storage unit 222 storing a computer program for realizing functions related to the present invention And a data storage unit 226 for storing data used for information processing.

  Hereinafter, details of data stored in the storage unit 224 will be described.

  FIG. 3 is a diagram illustrating an example of medical receipt data stored in the receipt DB 212. The medical receipt data is data in which a category, a name, and a value are associated with each other.

  The classification can include information on the heading, the name of the disease, and a summary.

  The headline is information about the patient. Date of medical treatment, prefecture code, hospital medical institution code, score table code, insurance type, principal / family, insurer number, insured ID symbol, insured ID number, name, Can include gender, year of birth, month of birth, date of birth.

  The date of medical care indicates the year and month when the patient received medical care. When a medicine is dispensed in a hospital, the date of medical treatment is the date of dispensing.

  The prefecture code identifies the prefecture where the medical institution is located.

  The hospital medical institution code identifies a medical institution where the patient has received medical care.

  The score table code indicates the number of the score table used to calculate the score, for example, “1” for the medical reception, “3” for the dental reception, and “4” for the dispensing reception. If medical and dentistry coexist in the same hospital, different codes will be given.

  The insurance type specifies the type of insurance, such as national health insurance and late-stage elderly medical care.

  Personal information about the patient who received medical care is recorded for the person / family, the insurer number, the insured ID code, the insured ID number, name, gender, year of birth, month of birth, and date of birth.

  The wound name includes a wound name code. The wound name code can include, for example, a receipt computer processing code or an ICD10 classification code.

  The summary includes a medical practice record including calculation date information, a pharmaceutical record, a specific equipment record, and a comment record. The medical practice record includes information related to the medical practice identification (medical practice identification code), the medical practice code, the quantity, the score, the number of times, and the like of the medical care received by the patient. Here, the medical treatment identification of the medical receipt is associated with the following code numbers.

  As shown in the above table, the 20th level of medical identification indicates that hospital prescription has been performed, and the 30th level indicates that in-hospital administration of pharmaceuticals has been performed. The medical identification number 14 identifies a home patient medical treatment and the like, and may be included in the hospital prescription as in the 20th range. In the present embodiment, this medical identification is used to determine in-hospital prescription and in-hospital administration, and specific processing will be described later.

  The medicine record includes medical identification, medicine code, amount used, points, number of times, calculation date information, and the like. Here, the calculation date information is associated with information from 1st to 31st for each drug code. As the information for each day, the number of prescriptions of the medicine corresponding to the medicine code is recorded. Therefore, by referring to the calculation date information associated with the drug code of the drug record, the date on which the drug corresponding to the drug code is prescribed can be confirmed. Furthermore, in the case of in-hospital prescription, it can be determined that the day on which the medicine is prescribed is the day of dispensing.

  The specific equipment record includes information on medical identification, specific equipment code, usage amount, points, number of times, and the like. The comment record includes information on medical identification, comment code, character data, and the like. As various codes included in the summary, for example, a receipt computer processing code can be used.

  FIG. 4 is a diagram illustrating an example of dispensing receipt data stored in the receipt DB 212. The data structure of the dispensing receipt is almost the same as the medical receipt for the category “headline”, but the pharmacy medical institution code of the pharmacy is set in addition to the hospital medical institution code that issued the prescription, and It is different in that there is no category “Injury / Disease Name”.

  The category “summary” includes a prescription basic record, a dispensing information record, a pharmaceutical record, a specific equipment record, a comment record, a summary column record, a basic fee / pharmaceutical management record, and a divided technical fee record. The prescription basic record records information on the dosage form and usage of pharmaceutical products (dosage form code, usage code, etc.). The prescription date, the dispensing date, the dispensing quantity, and the dispensing action code are recorded in the dispensing information record. Here, the dispensing action code includes a family pharmacist guidance fee and a family pharmacist comprehensive management fee. The drug code and the amount used are recorded in the drug record. Information on specific equipment is recorded in the specific equipment record. Comments are recorded in the comment record. Summary information is recorded in the summary column record. The basic fee / pharmaceutical management fee record records the dispensing basic fee and the pharmaceutical management fee. The division technology fee record records the number of division target points and the division technology fee.

  The prescription date of the dispensing information record specifies the date of prescription of the medicine. The dispensing date specifies the date on which the pharmaceutical was dispensed. Therefore, by referring to the information on the dispensing date associated with the summary drug code, the date when the drug corresponding to the drug code is dispensed can be confirmed.

  FIG. 5 is a diagram illustrating an example of patient data stored in the patient DB 214. As shown in the figure, patient data is associated with an insured person's card symbol, an insured person's card number, and a name. The insured person identification symbol and the insured person identification number are the symbols and numbers written on the health insurance card. A character string of the patient's name is recorded in the name.

  FIG. 6 is a diagram illustrating an example of hospital medical institution data and pharmacy medical institution data stored in the medical institution master 216. As shown in FIG. 6A, the hospital medical institution data is recorded by associating a hospital medical institution code with a hospital name. In the hospital medical institution code, a medical institution code such as a hospital, a clinic, and a dentist performing medical care is recorded. In the hospital name, a character string indicating the name of a medical institution that performed medical care is recorded. In the pharmacy medical institution data, as shown in FIG. 6B, a pharmacy medical institution code and a pharmacy name are associated with each other. In the pharmacy medical institution code, the medical institution code of the pharmacy that performs dispensing is recorded. In the pharmacy name, a character string indicating the name of the pharmacy that has dispensed is recorded.

  FIG. 7 is a diagram illustrating an example of drug data recorded in the drug master 218. In the drug data, a drug code, a generic name code, a drug name, and a remark are associated with each other. The drug code is either the receipt computer processing system code, the drug price standard listed drug code set in the price unit, or the individual drug code (YJ code) assigned to each product of the unified name listed item. However, it is not limited to these. In the drug name, a character string indicating the name of the drug is recorded. The generic name code is a code that classifies medicines by component or dosage form. In the generic drug (generic drug) area, a flag indicating whether the corresponding drug is a generic drug is recorded. Specifically, 0 is set for generic products and 1 is set for non-generic drugs. Information such as dosage form is recorded in the remarks.

  FIG. 8 shows an example of wound name data recorded in the wound name master 220. The wound name data is recorded in association with the wound name code, the wound name, and the classification code. As the wound name code, a receipt computer code can be used. In the wound name, a character string indicating the wound name is recorded. The classification code is a code for classifying the names of wounds.

  Next, the procedure of the method executed by the medication information providing system 100 according to the present embodiment will be described with reference to the flowchart shown in FIG. In the following description, the medication information providing apparatus 104 acquires information on a medicine within a predetermined period associated with the same patient identifier designated from the receipt DB 212 and information on a medical institution that prescribes the medicine. The medication information providing apparatus 104 transmits medication information including the acquired drug information and medical institution information to the pharmacy terminal 110. Next, the edited medication information is received from the pharmacy terminal 110. Here, the edited medication information includes information heard from the patient corresponding to the patient identifier. Then, the medication information providing device 104 generates a medication status report including information on the medicine prescribed by the medical institution and information heard from the patient for each medical institution based on the medication information.

  On the other hand, the pharmacy terminal 110 inputs a patient identifier for identifying a patient. Next, the pharmacy terminal 110 transmits the patient identifier input from the input unit to the medication information providing apparatus 104. Next, the medication information including the information on the medicine within a predetermined period associated with the patient identifier and the information on the medical institution prescribing the medicine is received from the medication information providing apparatus 104. Next, the medication information received by the receiving unit is displayed on the display unit. Then, the medication information displayed on the display unit is edited based on the information heard from the patient.

  Specifically, in step S902, the pharmacy terminal 110 receives an input of a patient identifier. As a patient identifier, for example, a combination of an insured card symbol and an insured person card number can be used, but the present invention is not limited to this, and any information for identifying a patient is used. Can do. Here, the patient identifier may be configured as a two-dimensional barcode. For example, the postcard on which the two-dimensional barcode is printed is mailed from the insurer to the patient, the patient brings the paper to the pharmacy, and the pharmacy reads the two-dimensional barcode on the paper with a barcode reader. It is good also as inputting into the terminal 110. FIG.

  In step S904, the patient identifier is transmitted from the pharmacy terminal 110 to the medication information providing apparatus 104. The medication information providing apparatus 104 generates information related to the patient's medication (medication information) based on the received patient identifier, and returns the information to the pharmacy terminal 110. The pharmacy terminal 110 displays the received medication information.

  The pharmacy terminal 110 stores a table that associates the personal identification code (first patient identifier) with the combination of the insured card symbol and the insured person card number (second patient identifier). In addition, a second patient identifier corresponding to the case where the input of the first patient identifier is received may be acquired and transmitted to the medication information providing apparatus 104.

  In steps S <b> 906 to S <b> 910, the pharmacist listens to the medication information from the patient while browsing the medication information displayed on the display unit of the pharmacy terminal 110, and inputs the heard information to the pharmacy terminal 110. First, in step S <b> 906, the pharmacist operates the pharmacy terminal 110 to display a recent prescription editing screen on the display unit, listens to the latest prescription from the patient, and inputs it to the pharmacy terminal 110. Next, in step S908, the pharmacist operates the pharmacy terminal 110 to display the remaining medicine editing screen on the display unit and listen to the remaining medicine status. The remaining medicine may include information on the type or number of leftovers that occur when a patient forgets to take a medicine or when a patient is prescribed various kinds of medicines and cannot take them properly.

  Next, in step S910, the pharmacist operates the pharmacy terminal 110 to display an edit screen for side effects on the display unit, listens to the patient for complaints about subjective symptoms including side effects, and uses the received information for the pharmacy terminal. 110 is entered. The information on complaints related to subjective symptoms includes symptoms such as wandering and falling that are noticed with the patient's medication, regardless of whether or not the symptoms are recognized as side effects by the patient.

  Here, the information on the subjective symptoms heard from the patient is transmitted from the pharmacy terminal 110 to the medication information providing device 104, and the medication information providing device 104 is based on the received information, and may be related to the subjective symptoms. May be determined and presented to the pharmacy terminal 110. A specific example of this process will be described later.

  Next, in step S912, the pharmacist operates the pharmacy terminal 110 to display a drug duplication confirmation screen on the display unit, and inputs a comment to the pharmacy terminal 110 as necessary. Next, in step S914, the pharmacist operates the pharmacy terminal 110 to display an interaction confirmation screen on the display unit, and inputs a comment to the pharmacy terminal 110 as necessary. Next, in step S916, the pharmacist operates the pharmacy terminal 110 to display a careful administration status confirmation screen on the display unit, and inputs a comment to the pharmacy terminal 110 as necessary. In step S918, a finding input screen is displayed, and the finding is input to the pharmacy terminal 110 as necessary. The information input to the pharmacy terminal 110 is transmitted to the medication information providing apparatus 104 in step S920. The medication information providing device 104 generates a medication status report based on the received information, and performs an output process such as sending the medication status report to a printing device connected to the pharmacy terminal 110 to perform printing. Here, the medication information providing apparatus 104 causes the pharmacy terminal 110 to display a list in which the departments and doctor names of the medical institutions targeted for the medication status report are associated with the output buttons of the medication status report. The pharmacist presses a desired output button to instruct generation of a corresponding medication status report. The medication information providing device 104 generates a medication status report file in response to an instruction from the pharmacy terminal 110 and returns the file to the pharmacy terminal 110. The pharmacist opens the medication status report file, prints it, and sends it to the medical institution by facsimile. Alternatively, the pharmacist sends a medication status report by email to the medical institution.

  Next, the specific operation of each step of FIG. 9 described above will be described with reference to FIGS.

  FIG. 10 is a flowchart showing the procedure of the acquisition and display method of the medication information executed by the medication information providing apparatus 104 and the pharmacy terminal 110 in step S904 of FIG. In step S <b> 1002, the medication information providing apparatus 104 acquires information such as a patient name corresponding to the received patient identifier from the patient DB 214. Next, the process proceeds to step S1004, and a patient's receipt corresponding to the patient identifier is issued from the receipt DB 212 within a predetermined period, for example, within one month. Here, referring to the drug master 218, information on the drug corresponding to the drug code included in the patient's receipt is acquired.

  Next, the process proceeds to step S1006, and it is determined whether or not there is duplication of prescribed medicines for the receipts issued at different medical institutions for the patient.

  Next, the process proceeds to step S1008, and it is determined whether there is a drug that causes an interaction with respect to the receipt issued to the patient.

  Next, the process proceeds to step S1010, and the presence or absence of a medicinal product that requires careful administration is confirmed for the receipt issued to the patient.

  In step S1012, the presence or absence of side effects of the prescribed medicine is determined.

Next, with reference to FIG. 11, the determination process of the duplication of the pharmaceutical performed in step S1006 is demonstrated. In the present embodiment, the drug price standard listed drug code is used as the drug code. As an example, the drug price listed drug code of metrate tablet 2 mg is shown below.
3999 016 F 1 02 2

This code is composed of the following information.
Medicinal effect classification: 3999
Ingredients: 016
Dosage form: F
Standard unit number: 1
Number by brand: 02
Check digit: 2

  When this code is adopted, a method of confirming duplication as follows can be adopted.

  The drug price listed drug code identifies the Japanese standard product classification code (medicinal effect) and ingredients by the upper 7 digits, and the dosage form, standard unit number, brand, etc. are identified by the upper 8 digits. Therefore, for receipts issued by different medical institutions, it is determined whether there is an overlap of administration periods, with the period of administration days from the prescription start date of the target pharmaceutical product as the administration period. Furthermore, by comparing only the first seven digits of the code and determining duplication, it is possible to detect pharmaceuticals of different brands with similar components.

  In step S1110, one pharmaceutical code is obtained from the receipt.

  Next, in step S1114, it is determined whether there is an overlap of administration periods, with the period of administration days from the prescription start date of the target drug as the administration period. Further, the acquired drug code is matched with another drug code in the acquired receipt.

  In step S1116, it is determined whether or not a matching pharmaceutical code is found as a result of matching.

  If it is determined in step S1116 that a matching drug code has been found, the process proceeds to step S1118, the drug code is stored in the data storage unit 226, and the process proceeds to step S1320. On the other hand, if it is determined in step S1116 that no matching drug code has been found, the process proceeds directly to step S1120.

  In step S1120, the selected drug code is removed from the next match.

  The above process is repeated for all drug codes included in the patient's receipt (steps S1108 to S1122), and the drug duplication determination process ends.

  In the above-described embodiment, when a drug price listed drug code is used as a drug code, it is possible to detect a drug having the same or similar component by determining whether or not there is a duplicate drug code. . However, when a code other than the drug price listed drug code is used as the drug code, there may be drugs having the same or similar components even with different drug codes. Therefore, the duplication determination process when a code other than the drug price listed drug code is used will be described below.

  The similar medicine master is stored in the storage unit 224 of the medication information providing apparatus 104 according to the present embodiment. FIG. 12 shows an example of similar drug data included in the similar drug master according to the present embodiment. As shown in the figure, in the similar drug master, one drug code (similar drug code) of one or more drugs having the same or similar components is associated with one drug code.

  The data storage unit 226 of the medication information providing apparatus 104 is provided with an area for storing a drug code of a similar drug found in the present embodiment, and this area is used in the following processing.

  FIG. 13 shows a drug duplication confirmation process performed by the medication information providing apparatus 104 configured as described above. This process can be performed in place of the drug duplication determination process shown in FIG. In step S1310, the similar medicine master 1312 is searched, and a similar medicine code corresponding to one medicine code selected from the receipt is selected.

  Subsequently, in step S1314, it is determined whether there is an overlap of administration periods, with the period of administration days from the prescription start date of the target drug as the administration period. Furthermore, the other similar medicine code in the acquired receipt is matched with the acquired similar medicine code.

  In step S1316, it is determined whether or not a matching pharmaceutical code is found as a result of matching.

  If it is determined in step S1316 that a matching drug code has been found, the process proceeds to step S1318, the drug code is stored in the data storage unit 226, and the process proceeds to step S1320. On the other hand, if it is determined in step S1316 that no matching drug code has been found, the process proceeds directly to step S1320.

  In step S1320, the selected drug code is removed from the next match.

  The above process is repeated for all pharmaceutical codes included in the patient's receipt (steps S1308 to S1322).

  According to the processing described above, medication information having the same or similar components can be provided.

  Next, the interaction determination performed in step S1008 of FIG. 10 will be described. An interaction master is stored in the storage unit 224 of the medication information providing device 104 in order to provide information on medicines that can cause an interaction based on information provided from the medication information providing device 104 to the pharmacy terminal 110. FIG. 14 is a diagram illustrating an example of interaction data included in the interaction master according to the present embodiment. As shown in the figure, in the interaction data, the drug code, the interactive drug code, and the remarks are associated with each other. In the interactive drug code, one or more drug codes that can interact with the drug corresponding to the drug code in the left column are recorded. In the remarks in the right column, the details of the specific interaction can be recorded.

  The data storage unit 226 used in the present embodiment is provided with an area for storing a drug code of a drug that can cause an interaction, and is used in the following processing.

  FIG. 15 is a flowchart showing an interaction determination procedure performed by the medication information providing apparatus 104 configured as described above. In step S1702, the interaction master 1704 is searched, and an interaction drug code corresponding to one drug code selected from the receipt is acquired.

  Next, in step S1706, the other drug code in the acquired receipt is matched with the acquired interactive drug code.

  In step S1708, it is determined whether a matching pharmaceutical code is found as a result of matching.

  If it is determined in step S1708 that a matching drug code has been found, the process proceeds to step S1710, the matched drug code is stored in the data storage unit 226, and the process proceeds to step S1712. On the other hand, if it is determined in step S1708 that no matching drug code has been found, the process proceeds directly to S1712.

  In step S1712, the selected drug code is removed from the next match.

  The above process is repeated for all drug codes included in the patient's receipt (steps S1701 to S1714).

  According to the processing described above, it is possible to provide information on a drug that can cause an interaction.

  Next, the careful administration determination performed in step S1010 of FIG. 10 will be described. The medication information providing apparatus 104 uses the information provided from the medication information providing apparatus 104 to the pharmacy terminal 110 to cause the pharmacy terminal 110 to display medicines that require careful administration. Memorize the master. FIG. 16 shows an example of careful administration data included in the careful administration master of the medication information providing apparatus 104 according to this embodiment. As shown in the figure, the carefully administered data according to this embodiment is associated with a carefully administered drug code and remarks. As the carefully administered medicine code, for example, the medicine code of the medicine designated as the carefully administered medicine in “Safety Therapy Guidelines for Elderly People 2015” is recorded. Also, the carefully administered drug code relates to the contents described in the package insert of the drug, such as “Principal contraindications”, “Careful administration”, and “Caution about patients with specific background” such as elderly people, pregnant women and children, etc. The drug code of the drug for which information is described may be recorded.

  Further, the data storage unit 226 used in the present embodiment is provided with an area for storing a medicine code of a medicine that requires careful administration, and is used in the following processing.

  Next, the procedure for careful administration determination will be described with reference to the flowchart of FIG.

  In step S1402, the careful administration master 1404 is searched, and the pharmaceutical code acquired from the receipt information is matched with the careful administration pharmaceutical code stored in the careful administration data. Next, in step S1406, if there is a drug code that matches any carefully administered drug code, the process proceeds to step S1408, and the matched drug code is stored in the data storage unit 226. The above process is repeated for all drug codes included in the patient's receipt (steps S1401 to S1409).

  As described above, according to the present embodiment, it is possible to provide information on medicines that require careful administration.

  Next, the determination of the side effect of the patient performed in step S1012 will be described. A side effect master is stored in the storage unit 224 of the medication information providing apparatus 104 in order to provide information on medicines that may cause side effects based on information provided from the medication information providing apparatus 104 to the pharmacy terminal 110. FIG. 18 is a diagram showing an example of side effect data included in the side effect master according to the present embodiment. As shown in the figure, the side effect data is associated with a side effect drug code, a side effect code for identifying a side effect, and remarks. In the side effect drug code, one or more drug codes that may cause a side effect are recorded. In the remarks in the right column, specific contents of side effects, for example, information such as “decreased appetite”, “flickering / falling”, and the contents described in the package insert of the medicine can be recorded.

  Further, the data storage unit 226 used in the present embodiment is provided with an area for storing a side effect drug code, and is used in the following processing.

  FIG. 19 is a flowchart showing a side effect determination procedure performed by the medication information providing apparatus configured as described above.

  In step S2106, one drug code in the receipt is matched with the side effect drug code specified in the side effect master 2108.

  Next, in step S2110, it is determined whether a matching pharmaceutical code is found as a result of matching.

  If it is determined in step S2110 that a matching drug code has been found, the process advances to step S2112 to store the matching drug code in the data storage unit 226.

  The above process is repeated for all drug codes included in the patient's receipt (steps S2102 to S2114).

  According to the processing described above, it is possible to provide information on medicines that may cause side effects.

  Thus, the medication information providing apparatus 104 returns the patient medication information after performing the process shown in FIG. 10 in step S904 of FIG. At this time, information indicating that there is duplication in the information on the drug included in the medication information, information indicating that the drug that causes interaction is included, and that the drug requires careful administration. An image of the medication information in which the information to be shown and the side effect information are associated is generated and returned to the pharmacy terminal 110. The association of these pieces of information is performed based on the medicine code stored in the data storage unit 226 in the flow shown in FIGS. 11, 13, 15, 17 and 19.

  Next, an example of an image displayed on the display unit of the pharmacy terminal 110 will be described with reference to FIGS.

  FIG. 20 is a diagram illustrating an example of medication information displayed on the pharmacy terminal 110 in step S904.

  As shown in the figure, information acquired from the patient DB 214 is displayed in an area 1802 for displaying patient information.

  Further, in the area 1804 for displaying medication information, information on medicines is displayed for each medical institution that issued a receipt and each medical institution that dispensed. The drug information includes information on the drug name acquired from the drug master 218, the quantity acquired from the drug record, the number of times, the dispensing date, and the dosage form (internal use / external use). Here, the drug information may be displayed grouped for each usage as shown in FIG. In this case, the information on medicines may be grouped for each usage code included in the prescription basic record of the dispensing receipt data, for example. In the example shown in FIG. 20, medicines corresponding to three times a day before meals, three times a day after meals, and twice a day before morning lunches are grouped and displayed.

  Further, in the example shown in FIG. 20, an area 1814 for displaying information indicating that it is a generic drug in association with the name of the drug, an area 1806 for displaying information indicating that there is an overlap, and a drug that causes interaction are displayed. An area 1808 for displaying information indicating that the drug is included and an area 1810 for displaying information indicating that the drug requires careful administration are included. A number indicating the relevance of is displayed.

  Here, the information indicating that it is a generic drug is displayed based on a flag indicating whether it is a generic drug in the drug master 218.

  Further, information such as a circle displayed in the medication information may be configured as a selectable link using the input device of the pharmacy terminal 110 as shown in FIG. In this case, the medication information providing apparatus 104 can return information to be displayed on the pharmacy terminal 110 when this link is selected. In the example shown in FIG. 21, by selecting a link, a window image including corresponding information is displayed.

  When a link indicating that there is a duplicate drug is selected, the information displayed in the window can be a pre-registered message. Moreover, when the link which shows that the pharmaceutical which produces interaction is contained, the information displayed on a window can be used as the information of the remarks contained in the interaction master. In addition, when a link indicating that the medicine requires careful administration is selected, the information displayed in the window can be the remark information included in the careful administration master.

  Next, the screen display operation executed in step S906 in FIG. 9 will be described. When the button 1812 displayed on the pharmacy terminal 110 in FIG. 20 is selected, the pharmacy terminal 110 requests the medication information providing apparatus 104 to generate a recent prescription editing screen. In response to this request, the medication information providing apparatus 104 generates an edit screen for the latest prescription and returns it to the pharmacy terminal 110. As a result, the pharmacy terminal 110 displays the screen shown in FIG. In the example shown in the figure, in the information displayed in FIG. 20, the point that the grouping by usage / dose is not performed and the presence / absence of the recent prescription is input instead of the areas 1814, 1806, 1808 and 1810. This is different in that a check box 2002 is displayed. Since the image shown in FIG. 22 is generated based on the information accumulated in the medication information providing apparatus 104, a check mark indicating that a medicine is prescribed is displayed in all the check boxes. This information may differ from the latest medication information prescribed for the patient. For this reason, the pharmacist listens to the patient about the latest prescription and selects the check box corresponding to the medicine not recently prescribed from the displayed check boxes 2002 to remove the check mark. When the button 2004 is selected, the pharmacy terminal 110 stores information on the presence / absence of the recent prescription in association with the drug information in the internal storage device, and displays the remaining medicine interview screen of FIG. . As shown in the figure, the pharmacy terminal 110 displays, in a list format, only information on medicines for which the check box has been selected, that is, recently prescribed medicines, in an area 2202.

  Next, the screen display operation performed in step S908 of FIG. 9 will be described. When the button 2004 is selected in FIG. 22, the pharmacy terminal 110 requests the medication information providing apparatus 104 to generate a residual medicine input screen. In response to this request, the medication information providing apparatus 104 generates an input screen for the remaining medicine and returns it to the pharmacy terminal 110. As a result, the pharmacy terminal 110 displays the screen shown in FIG. In the example shown in the figure, information on medicines is displayed in an area 2202 for each medical institution that prescribes medicines and for each medical institution that dispenses medicines. Further, an area 2204 for inputting the amount of remaining medicine (remaining number) is displayed in the area 2202.

  Specifically, the process of generating an image in which information on medicines is collected for each medical institution is performed as follows. In the case of a dispensing receipt, as shown in FIG. 4, since the “headline” includes a pharmacy medical institution code and a hospital medical institution code, information on medicines is grouped based on these two codes.

  In addition, a comment input area 2206 directed to the medical institution is displayed below the area 2202. The pharmacist operates the pharmacy terminal 110, listens to the status of the remaining medicine from the patient while viewing the screen shown in the figure, and inputs information on the remaining number corresponding to the displayed medicine name in the area 2204 and a comment. Each area is entered into an area 2206. Here, the standard sentence of the comment to be input may be registered in the storage device of the pharmacy terminal 110. In this case, a registered standard sentence may be called by selecting a button 2210 corresponding to a medical institution and input to the input area 2206. Or it is good also as newly registering the comment which the pharmacist input as a fixed sentence. In this case, it is good also as registering in the terminal 110 for pharmacies by selecting the button 2208 corresponding to a comment.

  Further, when the medical institution and the medicine corresponding to the remaining medicine heard from the patient are not in the medical institution and the medicine displayed in the area 2202, the medical institution and the medicine may be added. For example, as shown in the rightmost area of the area 2202, a button 2216 is provided corresponding to the name of the medical institution, and information such as the drug name, quantity, number of times, dispensing date, dosage form, etc., according to the operation of the button It may be possible to add.

  Further, a button 2214 may be displayed on the screen, and medical institution information may be added according to the operation of the button.

  Next, the screen display operation performed in step S910 in FIG. 9 will be described. When the button 2212 is selected on the screen shown in FIG. 23, the pharmacy terminal 110 requests the medication information providing apparatus 104 to generate a side effect editing screen. In response to this request, the medication information providing apparatus 104 generates a side effect edit screen and returns it to the pharmacy terminal 110. As a result, the pharmacy terminal 110 displays the screen shown in FIG. In the example shown in the figure, a subjective symptom area 2506, a medical institution name area 2508, and a pharmaceutical name area 2510 are displayed in the area 2502 for displaying drug information. In addition, a check box for selecting the specific content of the side effect is displayed in the first column (leftmost column) of the area 2502. In the medical institution name area 2508, the name of a medical institution that prescribes a drug that causes a side effect is displayed. In the drug name area 2510, the drug name corresponding to the subjective symptom is displayed.

  Specifically, this screen is generated in the medication information providing apparatus 104 as follows. First, it is determined whether or not there is a pharmaceutical code stored in the data storage unit 226 in the process shown in FIG. When a drug code that causes a side effect is stored, the information in the remarks column of the side effect master for the associated drug is set as the information in the first column (leftmost column) of the area 2502. Next, referring to the receipt, for the medicine with which the side effect information is associated, the medical institution code of the medical institution prescribing the medicine is obtained, and the medical institution name corresponding to the medical institution code is obtained from the medical institution master 216. get. Next, the drug name corresponding to the drug code of the drug causing the side effect is acquired from the drug master 218.

  The pharmacist listens to the subjective symptom from the patient while browsing the screen displayed in FIG. 24, and selects the check box in the area 2504 that corresponds to the corresponding subjective symptom. In addition, among the check boxes in the area 2510, a check box for a drug that is considered to have a problem among the actually prescribed drugs is selected.

  In addition, as shown in the area | region 2514 of the area | region 2502, it is good also as displaying the content described in the package insert of a pharmaceutical. In this case, as shown in the figure, a link is set to the character string of the attached document description content such as “flickering”, and when the link is selected, a window including a more detailed attached document description content is newly displayed. It can be constituted as follows.

  Next, the screen display operation performed in step S912 in FIG. 9 will be described. When the button 2512 is selected on the screen of FIG. 24, the pharmacy terminal 110 requests the medication information providing apparatus 104 to generate a duplication status confirmation screen. In response to this request, the medication information providing apparatus 104 generates a duplication status confirmation screen and returns it to the pharmacy terminal 110. As a result, the pharmacy terminal 110 displays the screen shown in FIG. In the example shown in the figure, a medical institution name area 2604 and a duplicate medicine name area 2606 of a medical institution prescribing a duplicate medicine are displayed. Specifically, based on the drug name acquired from the drug master 218 based on the drug code stored in the data storage unit 226 in the processing shown in FIGS. 11 and 13, and the medical institution code of the medical institution that prescribes the drug. The medical institution name acquired from the medical institution master 216 is displayed in association with each other.

  A comment input area 2608 is displayed on the screen shown in FIG. The pharmacist can input a comment for the medical institution in the input area 2608. Here, the standard sentence of the comment to be input may be registered in the storage device of the pharmacy terminal 110. In this case, the registered fixed phrase may be called by selecting a button 2610 corresponding to the medical institution and input to the input area 2613. Or it is good also as newly registering the comment which the pharmacist input as a fixed sentence. In this case, it is good also as registering in the terminal 110 for pharmacies by selecting the button 2612 corresponding to a comment.

  In addition, it is possible to select a medical institution from medical institutions prescribing duplicate drugs and input a comment to request a change in prescription. For example, by selecting an option button corresponding to a medical institution requesting a change in prescription from the option buttons 2614 displayed in the area for selecting a medical institution, a standard comment for switching the request destination is input in the area. 2613 may be input.

  Here, when a duplicate drug is prescribed by a plurality of medical institutions, it is necessary to determine which medical institution should stop prescribing the drug. As information for this determination, a medical treatment start date 2615 may be displayed as shown in FIG. With this display process, the pharmacist can notify the medical institution that the medical treatment start date is the earliest while the prescription of the drug by another medical institution is stopped.

  By the way, the information on the medical treatment start date is included in the medical receipt, but is not included in the dispensing receipt. Therefore, the medical treatment start date is specified for each of the duplicate drugs as follows.

  In the disease column included in the medical receipt, information on the medical treatment start date corresponding to the name of the wound is described. Therefore, as shown in FIG. 26, by using the drug code of the duplicate drug, the information on the subject patient's receipt is referred to, and the medical receipt including the drug code and the corresponding drug code in the medical receipt. Identify the name of the disease and start date of medical treatment.

  FIG. 26 shows an example of a method for specifying a medical treatment start date when it is determined that the medicine X dispensed at the dispensing pharmacy a and the dispensing pharmacy b is duplicated. In the example shown in the figure, a receipt search is performed using the drug code of the drug X, and the medical records issued by the medical institution A and the medical institution B are specified. Further, for these two medical receipts, the wound name Y corresponding to the medicine X and the medical treatment start dates 2010/4/1 and 2010/10/1 for the disease name Y are specified. Specifically, this method can be performed by applying the method of referring to the symptom master described in Patent Document 2. FIG. 27 is a diagram illustrating an example of symptom data stored in the symptom master 230. The symptom data is associated with a general name code and an injury and disease name classification code. The generic name code is a value obtained by encoding the generic name of the drug described in the package insert of the drug, and corresponds to the generic name code included in the above-described drug data.

  FIG. 28 is a diagram illustrating a part of data included in medical receipt data. In the medical receipt, the injury and illness name code is associated with the medical treatment start date.

  Thus, the symptom master 230 plays a role of associating the information on the medicine stored in the medicine master 218 with the information on the wound name stored in the wound name master. Further, the medical receipt data includes data in which the name of the patient's injury and disease is associated with the start date of medical treatment.

  Next, with reference to FIG. 29, a procedure for specifying the medical treatment start date corresponding to the drug code determined to be duplicated will be described.

  First, the target drug code is checked against the drug code of the drug master 218, and the generic name code corresponding to the matched drug code is extracted from the drug master 326 (1).

  Next, the symptom master 230 is searched using the extracted general name code, and the wound name classification code corresponding to the corresponding general name code is read (2).

  Next, the read wound name classification code is compared with the classification code of the wound name master 220, and the wound name code corresponding to the matched classification code is read from the wound name master 220 (3).

  Then, medical receipt data is searched and the medical treatment start date associated with the wound name code read in (3) is specified (4).

  In this way, information on the names of wounds and diseases corresponding to the information of the drugs determined to be duplicated is specified based on the drug master 218, the symptom master 230, and the names of wounds and diseases master 220, and the medical treatment corresponding to the specified names of wounds and diseases is started. The date can be specified based on the medical receipt data.

  Next, the screen display operation performed in step S914 in FIG. 9 will be described.

  When the button 2616 is selected on the screen of FIG. 25, the pharmacy terminal 110 requests the medication information providing apparatus 104 to generate an interaction confirmation screen. In response to this request, the medication information providing apparatus 104 generates an interaction confirmation screen and sends it back to the pharmacy terminal 110. As a result, the pharmacy terminal 110 displays the screen shown in FIG. In the example shown in the figure, a medical institution name 2704 and a medicine name 2706 of a medical institution prescribing a drug that causes interaction are displayed in an area 2702 in association with each other. Specifically, in the process shown in FIG. 15, the medical name is obtained from the pharmaceutical master 218 based on the pharmaceutical code stored in the data storage unit 226 and the medical institution code of the medical institution that prescribes the pharmaceutical is used. The medical institution name acquired from the institution master 216 is displayed in association with it.

  A comment input area 2708 is displayed on the screen shown in FIG. The pharmacist can input a comment for the medical institution in the input area 2708. Here, a comment to be input may be registered in the storage device of the pharmacy terminal 110 as a fixed sentence. In this case, a registered standard sentence may be called by selecting a button 2710 corresponding to the medical institution and input to the input area 2708. Or it is good also as newly registering the comment which the pharmacist input as a fixed sentence. In this case, it is good also as registering in the terminal 110 for pharmacies by selecting the button 2712 corresponding to a comment.

  In addition, it is possible to select a medical institution from medical institutions prescribing a drug that causes interaction and input a comment to request a change in prescription. For example, by selecting an option button corresponding to a medical institution requesting a change in prescription from option buttons 2714 displayed in the area for selecting a medical institution, a standard comment for switching the request destination is input in the area. It is good also as inputting into 2708.

  Next, the screen display operation performed in step S916 in FIG. 9 will be described.

  When the button 2716 is selected on the screen of FIG. 30, the pharmacy terminal 110 requests the medication information providing apparatus 104 to generate a careful administration status confirmation screen. In response to this request, the medication information providing device 104 generates a careful administration status confirmation screen and sends it back to the pharmacy terminal 110. As a result, the pharmacy terminal 110 displays the screen shown in FIG. In the example shown in the figure, a medical institution name 2804 and a medicine name 2806 of a medical institution prescribing a medicine requiring careful administration are displayed in an area 2802 in association with each other. Specifically, in the process shown in FIG. 17, the medical name is acquired from the pharmaceutical master 218 based on the pharmaceutical code stored in the data storage unit 226, and the medical institution code of the medical institution that prescribes the pharmaceutical is used. The medical institution name acquired from the institution master 216 is displayed in association with it.

  A comment input area 2808 is displayed on the screen shown in FIG. The pharmacist can input a comment for the medical institution in the input area 2808. Here, a comment to be input may be registered in the storage device of the pharmacy terminal 110 as a fixed sentence. In this case, a registered standard sentence may be called by selecting a button 2810 corresponding to a medical institution and input to the input area 2808. Or it is good also as newly registering the comment which the pharmacist input as a fixed sentence. In this case, it is good also as registering in the terminal 110 for pharmacies by selecting the button 2812 corresponding to a comment.

  Next, the operation of inputting the findings performed in step S918 in FIG. 9 will be described. When the button 2814 is selected on the screen of FIG. 31, the pharmacy terminal 110 requests the medication information providing apparatus 104 to generate a finding input screen. In response to this request, the medication information providing apparatus 104 generates a finding input screen and sends it back to the pharmacy terminal 110. As a result, the pharmacy terminal 110 displays the screen shown in FIG. In the example shown in the figure, in the area 2902, an area 2904 of the name of a medical institution prescribing the medicine described in the receipt and an input area 2906 for comments are displayed in association with each other.

  The pharmacist can input a comment for the medical institution in the input area 2906. Here, a comment to be input may be registered in the storage device of the pharmacy terminal 110 as a fixed sentence. In this case, the registered standard sentence may be called by selecting a button 2908 corresponding to the medical institution and input to the input area 2906. Or it is good also as newly registering the comment which the pharmacist input as a fixed sentence. In this case, it is good also as registering in the terminal 110 for pharmacies by selecting the button 2910 corresponding to a comment.

  Next, the operation performed in step S920 in FIG. 9 will be described. When the button 2912 is selected on the screen of FIG. 32, the pharmacy terminal 110 transmits information on the medicine edited in steps S906 to S918 to the medication information providing apparatus 104 and requests creation of a medication status report. The medication information providing device 104 creates a medication status report based on the received information.

  FIG. 33 shows an example of a medication status report. In the figure, the medication status report includes information 3002 regarding side effects, status 3004 of remaining drugs, information 3006 regarding duplication, information 3008 regarding interactions, and information 3010 regarding drugs requiring careful administration. Each information is displayed in association with a comment input by the pharmacist. As described above, the medication information providing apparatus 104 generates a medication status report including information on the medicine prescribed by the medical institution and information heard from the patient for each medical institution based on the medication information received from the pharmacy terminal 110. It becomes possible to do.

(Second Embodiment)
Next, a description will be given of a second embodiment in which a candidate for a generic drug is selected and notified from among information on a drug prescribed to a patient, and a pharmacy or medical institution is supported. In the present embodiment, the medication information providing apparatus 104 acquires information on a medicine within a predetermined period associated with the same patient identifier designated from the receipt DB 212, and about the medicine included in the obtained medication information, Based on the information stored in the medicine master 218, the candidate for the generic medicine is determined, and the result of the determination is output.

  FIG. 34 is a diagram showing a flow of processing according to the present embodiment. The drug master 218 according to the present embodiment employs a drug price standard description drug code as the drug code. Standards such as pharmaceutical ingredients, dosage forms, brands, etc. are allocated to the top nine digits of the drug price listed drug code. Therefore, drugs with the same upper 9 digits of code can be expected to have the same effect.

  The drug master 218 is provided with a generic drug flag for distinguishing whether it is a generic drug.

  The process shown in FIG. 34 is the same as the process in step S904 shown in FIG. 10, but a process (step S1005) for determining whether or not the target drug is a generic drug between steps S1004 and S1006. It differs in that it is added.

  Details of the processing performed in step S1005 will be described. First, the information issued within a predetermined period, for example, within one month among the information on the receipt issued to the patient is acquired from the receipt DB 212. Here, the target receptors can include medical outpatients (those for which a drug information provision fee is issued) and dispensing receipts.

  Next, it is determined in the following procedure whether the target drug is a generic drug.

  1) With reference to the generic drug flag of the pharmaceutical master 218, it is confirmed whether the target pharmaceutical is a generic drug.

  2) In the case of a generic drug, information about the target drug and information (flag) indicating that it is a generic drug are stored in the storage unit 224 in association with each other. This information can be stored in the receipt DB 212, for example.

  The flag stored here is referred to in order to display information indicating that it is a generic drug when a screen to be displayed on the pharmacy terminal 110 is generated. For example, the flag is referred to when the screen shown in FIG. 20 is generated, and if the target drug is a generic drug, a circle mark is displayed in the corresponding cell in the area 1814.

(Third embodiment)
Next, a third embodiment of the present invention relating to a drug duplication determination process will be described. In the determination process described above with reference to FIG. 11, the duplication is determined by matching the drug codes, but in this embodiment, the duplication is determined based on the pharmacological action of the drug. Therefore, for example, even if different ingredients are included in the information of the medicine prescribed for the patient, it is determined that the medicine has the same pharmacological action as a duplicate. This determination process can be performed in addition to the process shown in FIG.

  FIG. 35 shows the structure of pharmaceutical data stored in the storage unit 224 of the medication information providing apparatus 104. In the structure shown in the figure, pharmacological action, ingredient, and product (medicine) are associated with the medicinal effect classification. Here, the classification of the pharmacological action can be set based on, for example, the materials of the Central Social Insurance Medical Council. By referring to this structure, the medication information providing device 104 refers to all the pharmaceuticals included in the HMG-CoA reductase inhibitor, that is, mevalotin tablets 55 mg, mevalotin tablets 10 mg, mevalotin fine granules 0.5%, pravastatin Na Tablets 5 mg and the like can be determined as overlapping medicines. Furthermore, in addition to a drug containing pravastatin sodium, a drug containing simvastatin or fluvastatin sodium can also be determined as a duplicate drug.

(Fourth embodiment)
Next, a description will be given of a fourth embodiment of the present invention relating to a process for determining overlapping medicines. In the present embodiment, in addition to the pharmacological action, other conditions are taken into consideration to determine the duplication of medicines. This determination process can be performed in addition to the process shown in FIG.

  FIG. 36 shows another example of the present embodiment. In the structure shown in the figure, pharmacological action, action time, ingredient, and product (medicine) are associated with the drug efficacy classification. By referring to this structure, the medication information providing apparatus 104 determines that there is a duplication when the drug with the same action time is included in the drug information prescribed to the patient. For example, short-acting hypnotic sedatives, ie Halcyon 0.25 mg tablets, triazolam tablets 0.125 mg, Amoban tablets 7.5, etc. can all be determined to be duplicates. Moreover, even if it is the same pharmacological action, it can be determined that an intermediate-acting drug or a long-acting drug does not overlap with a short-acting drug.

(Fifth embodiment)
Next, a fifth embodiment of the present invention relating to a process for determining the overlap of medicines will be described. In this embodiment, drugs containing the same combination drug are determined to be duplicates regardless of the pharmacological action. This determination process can be performed in addition to the process shown in FIG.

  In the description with reference to FIG. 11, the duplication check based on the components of the drug is performed by matching the upper seven digits of the drug price standard listed drug code. However, in the case of a drug price listed drug code, the drug efficacy classification may be different for the same component. For example, in the case of Exeglan Tablets 100 mg, the drug price standard listed drug code is 1139005 F1023, the component contains zonizamide, and the drug efficacy classification is 113 (antiepileptic agent). On the other hand, the drug price standard listed drug code of Trelief OD Tablet 25 mg is 1169015F2022, which contains zonizamide as an ingredient, but the drug efficacy classification is 116 (anti-parkinsonian). In this embodiment, even if Exeglan Tablets 100 mg and Trelief OD Tablets 25 mg are prescribed, it is determined that they are overlapping drugs.

  FIG. 37 shows another example of the structure of pharmaceutical data stored in the storage unit 224 of the medication information providing apparatus 104. In the structure shown in the figure, the pharmacological action, the component, and the commodity (medicine) are associated with the medicinal effect classification. Here, Cadet combination tablet No. 4 is composed of amlodipine besylate / atorvastatin calcium hydrate, and contains a vasodilator and a hyperlipidemia agent. The medication information providing device 104 refers to this structure, and determines that there is duplication when the same combination drug (component) is included in the information of the medicine prescribed to the patient. For example, when 5 mg of amrodin tablet and 4th carduet combination tablet are prescribed, amlodipine besylate is contained in both agents, and therefore, it is determined that there is duplication.

(Sixth embodiment)
Next, a modified example of the system configuration in the above-described embodiment will be described.

  FIG. 38 is a diagram schematically showing an overall view of a medication information providing system 3900 according to the sixth embodiment of the present invention.

  As shown in the figure, a medication information providing system 3900 according to this embodiment includes an insurer server 3902, an examination payment organization server 103, a report creation server 3904, and a doctor terminal 114.

  The insurer server 3902 includes a medication information analysis server 3918 and a medication information provision server 3920 each having the same functions as the medication information analysis server 118 and the medication information provision server 120 of the medication information provision apparatus 104 according to the first embodiment. . However, the insurer server 3902 does not have the function of creating the medication status report 112, and the report creation server 3904 connected to the insurer server 3902 so as to be communicable has the function.

  The insurer server 3902 is communicably connected to the pharmacy terminal 110 and is configured to generate a screen to be provided to the pharmacy terminal 110.

  In the present embodiment, a medication information providing apparatus is configured by a combination of the insurer server 3902 and the report creation server 3904.

  The function of the report creation server 3904 may be implemented in the insurer server 3902. In this case, the insurer server 3902 functions as a medication information providing device.

(Seventh embodiment)
Next, another modification of the system configuration in the above-described embodiment will be described.

  FIG. 39 is a diagram schematically showing an overall image of a medication information providing system 4000 according to the seventh embodiment of the present invention.

  As shown in the figure, the medication information provision system 4000 according to the present embodiment includes an insurer server 102, an examination payment organization server 4003, a report creation server 3904, and a doctor terminal 114.

  The examination payment institution server 4003 includes a medication information analysis server 4018 and a medication information provision server 4020 each having the same functions as the medication information analysis server 118 and the medication information provision server 120 of the medication information provision apparatus 104 according to the first embodiment. Including. However, the examination / payment institution server 4003 does not have a function of creating the medication status report 112, and a report creation server 3904 connected to the examination / payment institution server 4003 so as to be communicable has the function.

  The examination and payment institution server 4003 is communicably connected to the pharmacy terminal 110 and is configured to generate a screen to be provided to the pharmacy terminal 110.

  In the present embodiment, the medication information providing apparatus is configured by a combination of the examination and payment institution server 4003 and the report creation server 3904.

  Note that the function of the report creation server 3904 may be implemented in the examination / payment institution server 4003. In this case, the examination / payment institution server 4003 functions as a medication information providing apparatus.

(Eighth embodiment)
Next, another modification of the system configuration in the above-described embodiment will be described.

  FIG. 40 is a diagram schematically showing an overall image of a medication information providing system 4100 according to the eighth embodiment of the present invention.

  As shown in the figure, a medication information providing system 4100 according to this embodiment includes an insurer server 102, an examination payment organization server 103, a report creation server 3904, a doctor terminal 114, and a pharmacy terminal 4110. .

  The pharmacy terminal 4110 includes a medication information analysis server 4118 and a medication information provision server 4120 each having the same functions as the medication information analysis server 118 and medication information provision server 120 of the medication information provision apparatus 104 according to the first embodiment. . However, the pharmacy terminal 4110 does not have the function of creating the medication status report 112, and the report creation server 3904 connected to the pharmacy terminal 4110 so as to be communicable has the function.

  In the present embodiment, a medication information providing apparatus is configured by a combination of the pharmacy terminal 4110 and the report creation server 3904.

  The report creation server 3904 may be mounted on the pharmacy terminal 4110. In this case, the pharmacy terminal 4110 functions as a medication information providing apparatus.

  The pharmacy terminal 4110 functioning as a medication information providing apparatus according to the present embodiment performs information processing based on medication information provided from the examination / payment institution server 103 or the insurer server 102. That is, the medication information providing device is configured to identify a patient, a medical institution identifier, and a medicine dispensed to the patient based on medication information provided from the examination / payment institution server 103 or the insurer server 102. Is stored in the storage unit, and from the storage unit, information on a medicine within a predetermined period associated with the same designated patient identifier and information on a medical institution prescribing the medicine are obtained and acquired. Medication information including medical information and medical institution information is displayed, the medication information displayed is edited based on the information received from the patient corresponding to the patient identifier, and the medical institution is based on the edited medication information. Each is configured to perform processing such as generating a medication status report including information on medicines prescribed by a medical institution and information heard from a patient.

(Ninth embodiment)
In the above-described embodiment, the medication information providing apparatus performs each process for providing medication information based on the information aggregated by the examination and payment institution server 103. In the ninth embodiment of the present invention, at least a part of drug information and medical institution information related to a patient is obtained from a patient identifier. In this embodiment, information on medicines related to a patient and information on medical institutions are included in the patient identifier 117, and the medication information providing apparatus acquires the information from the patient identifier 117 and provides medication information. Perform each process.

  With reference to FIG. 10, the procedure of the method performed by the medication information providing apparatus according to the present embodiment will be described. First, the patient identifier 117 to be provided to the patient includes information such as a medicine code included in a corresponding patient receipt issued within a predetermined period, for example, within one month.

  In step S <b> 1002, the medication information providing apparatus 104 acquires information such as a patient name corresponding to the received patient identifier from the patient DB 214. Next, the process proceeds to step S1004, and the medicine code included in the corresponding patient receipt issued within one month is acquired from the patient identifier 117. Next, the drug master 218 is referred to, and drug information corresponding to the drug code included in the patient's receipt is acquired. The processing after step S1006 is the same as that in the above-described embodiment.

  Thus, by including information such as a code included in the patient's receipt in the patient identifier, the process of accessing the receipt DB can be omitted.

(10th Embodiment)
Next, an additional embodiment performed in step S910 of FIG. 9 will be described. In the present embodiment, information on subjective symptoms heard from the patient is transmitted from the pharmacy terminal 110 to the medication information providing apparatus 104. Based on the received information, the medication information providing device 104 determines a drug that may be related to the subjective symptom and presents it to the pharmacy terminal 110.

  The medication information providing apparatus 104 according to the present embodiment includes a side effect master 2108 that stores medicinal product information and side effect identification information in association with each other. The medication information providing apparatus 104 receives the side effect code corresponding to the patient identifier, and obtains information on the medicine associated with the received side effect code. And the information of the acquired pharmaceutical is transmitted to the terminal 110 for pharmacies.

  FIG. 41 is a flowchart illustrating a processing procedure according to the present embodiment.

  First, the pharmacist operates the pharmacy terminal 110 to display an edit screen for side effects on the display unit, listen to a complaint about subjective symptoms including side effects from the patient, and input the information received to the pharmacy terminal 110. . Here, the information on the complaint relating to subjective symptoms includes symptoms such as wandering and falling that are noticed with the patient's medication, regardless of whether or not the symptoms are recognized as side effects by the patient.

  The subjective symptom information can be input using a side effect code corresponding to the subjective symptom. For example, the side effect code corresponding to the subjective symptoms heard by the pharmacist may be directly input. Alternatively, a correspondence table between character strings indicating side effects and side effect codes may be stored in the pharmacy terminal 110, and the stored correspondence table may be used. In this case, the pharmacist may display the correspondence table on the pharmacy terminal 110 and input the side effect code corresponding to the subjective symptom from the correspondence table. The side effect code corresponding to the subjective symptoms heard from the patient is transmitted from the pharmacy terminal 110 to the medication information providing apparatus 104. (Step S4202).

  Next, the medication information providing apparatus 104 identifies a drug code of a drug that may be related to the subjective symptom (step S4204). This process is performed with reference to the side effect master 2108.

  As shown in FIG. 18, the side effect data included in the side effect master 2108 is associated with a side effect drug code, a side effect code for specifying a side effect, and remarks. In the side effect drug code, one or more drug codes that may cause a side effect are recorded. In the remarks in the right column, specific contents of side effects, for example, information such as “decreased appetite”, “flickering / falling”, and the contents described in the package insert of the medicine can be recorded. The medication information providing apparatus 104 matches the received side effect code with the side effect code included in the side effect data. As a result of the matching, if there is a matched side effect code, the side effect drug code corresponding to the side effect code is specified.

  Next, the process proceeds to step S4206, and if the matched side effect drug code is not specified, the process ends (No route). On the other hand, when the matched side effect drug code is identified (Yes route), one drug code in the receipt is matched with the side effect drug code identified in the side effect master 2108 in step S4210.

  Next, in step S4212, it is determined whether or not a matching pharmaceutical code is found as a result of matching.

  If it is determined in step S4212 that a matching medicine code has been found, the process proceeds to step S4214, and the matching medicine code is stored in the data storage unit 226.

  The above process is repeated for all drug codes included in the patient's receipt (steps S4210 to S4216). Then, the medication information providing apparatus 104 returns the drug code stored in the data storage unit 226 to the pharmacy terminal 110.

  Next, the process proceeds to step S4216, and information on medicines that may be related to subjective symptoms is displayed. This process is performed by causing the pharmacy terminal 110 to display drug information corresponding to the received drug code. Thereafter, the process proceeds to step S912.

  Note that information on medicines that may be related to subjective symptoms may be included and displayed in the medication status report in step S920.

  According to the processing described above, a patient identifier for identifying a patient, a receipt DB that stores information related to medicines dispensed to the patient in association with each other, and information on medicines and identification information on side effects are stored in association with each other. In a computer having a side effect master, the side effect identification information corresponding to the patient identifier is received, the drug information associated with the received side effect identification information is acquired from the side effect master, and the acquired drug information and The medicine information stored in the receipt DB is matched, and a medication status report including information on the medicine information matched as a result of the matching can be generated. Therefore, it is possible to identify a drug that may be related to the subjective symptom from among the pharmaceuticals prescribed to the patient based on the information about the subjective symptom heard from the patient.

(Eleventh embodiment)
In the embodiment described above, the pharmacy terminal 110 inputs a patient identifier for identifying a patient, transmits the input patient identifier to the medication information providing device 104 and the like, and receives medication information from the medication information providing device 104 and the like. The example in which the received medication information is displayed on the display unit and the medication information displayed on the display unit is edited based on the information heard from the patient has been described. The function of the pharmacy terminal 110 may be implemented in the doctor terminal 114.

  In the present embodiment, the doctor terminal 114 inputs a patient identifier for identifying a patient, transmits the input patient identifier to the medication information providing device 104, and receives and receives the medication information from the medication information providing device 104. The medication information displayed on the display unit is edited, and the medication information displayed on the display unit is edited based on the information heard from the patient.

  Therefore, the doctor can obtain the medication information without going through the process of receiving the medication status report from the pharmacist.

(Twelfth embodiment)
In the above-described embodiment, the example in which the medication status report is created in the medication information providing apparatus 104 or the report creation server 3904 has been described. The function of creating the medication status report may be implemented in the pharmacy terminal 110 or the doctor terminal 114. In the medication information providing method executed by the medication information providing system 100 according to the present embodiment, in step S904 of the flowchart shown in FIG. Information) and display medication information.

(13th Embodiment)
Next, an embodiment will be described in which medication information is provided from a medication information providing apparatus to a pharmacy or a medical institution without providing a patient identifier from the patient.

  FIG. 42 is a diagram schematically showing an overall image of the medication information providing system according to the present embodiment. Since the medication information system 4300 corresponds to a part of the medication information system 100 shown in FIG. 1, detailed description of components having the same reference numerals as those in FIG. 1 is omitted. With reference to FIG. 42, the procedure of the process according to the present embodiment will be described.

  Receipt information stored in the insurer server 102 is provided by mail to the operator of the medication information providing apparatus 104 within a predetermined period, for example, every month, and input to the receipt DB 212 of the medication information providing apparatus 104 by the operator. The Alternatively, the medication information providing apparatus 104 is connected to a general administrative network (LGWAN), and receives receipt information from the insurer server 102 via the LGWAN. The medication information providing apparatus 104 analyzes the information on the receipt stored in the insurer server 102. This analysis includes the above-described determination of drug duplication, determination of the presence or absence of a drug that causes an interaction, confirmation of the presence or absence of a drug that requires careful administration, and the like ((1)).

  Next, an agreement confirmation is received from the medication information providing apparatus 104 to the pharmacy terminal 110 of the pharmacy that prescribes the analysis target medicine to receive the information on the analysis result ((2)). Specifically, this consent confirmation is performed by sending an e-mail or the like. In this case, the medication information providing apparatus 104 stores in advance the e-mail address of the pharmacy terminal of the pharmacy corresponding to the pharmacy medical institution code described in the dispensing receipt. Then, the pharmacy medical institution code is acquired from the dispensing receipt in which the medicine to be analyzed is described, and the e-mail address of the pharmacy terminal 110 corresponding to the acquired pharmacy medical institution code is used as the transmission destination address. Confirmation of consent is, for example, an e-mail containing the contents of the consent with the words “Your pharmacy has a potential polypharmacy patient: Please agree to the following when requesting information”. It is good also as performing by sending to the terminal 110 for pharmacies from the medication information provision apparatus 104. FIG.

  The operator (pharmacist) of the pharmacy terminal 110 transmits information indicating the intention of consent to the received consent content from the pharmacy terminal 110 to the medication information providing apparatus 104 ((3)). Here, the information indicating the intention of consent can be performed using e-mail or the like. The medication information providing device 104 provides the analysis result information in response to the reception of the information indicating the intention of consent ((4)). The analysis result can be information in which a drug identifier is associated with a drug identifier, a drug that causes interaction, or a drug that requires careful administration, and a patient identifier. The operator (pharmacist) of the pharmacy terminal 110 provides medication instruction to the patient 4302 based on the analysis result information received from the medication information providing apparatus 104 ((5)). Alternatively, the pharmacy terminal 110 creates a medication status report or requests the medication information providing apparatus 104 to create a medication status report. The created medication status report may be transmitted to the doctor terminal 114 of the doctor 108, for example.

  Similar processing may be performed on the doctor terminal 114. In this case, confirmation of consent is received from the medication information providing apparatus 104 to the doctor terminal 114 to receive information on the analysis result ((2) '). Specifically, this consent confirmation is performed by sending an e-mail or the like. In this case, the medication information providing apparatus 104 stores in advance the e-mail address of the doctor's terminal for the doctor corresponding to the hospital medical institution code described in the medical receipt. Then, the hospital medical institution code is acquired from the medical receipt in which the medicine to be analyzed is described, and the email address of the doctor terminal 114 corresponding to the acquired hospital medical institution code is used as the transmission destination address. Confirmation of consent is, for example, an electronic document that describes the consent content with the words “Your (medical) institution has 0 patients who may have polypharmacy: If you request information, please agree to the following.” The consent may be confirmed by sending an e-mail or the like from the medication information providing apparatus 104 to the doctor terminal 114.

  The operator (doctor) of the doctor terminal 114 transmits information indicating the intention of consent to the received consent content from the doctor terminal 114 to the medication information providing apparatus 104 ((3) ′). The medication information providing device 104 provides the analysis result information in response to the reception of the information indicating the intention of consent ((4) '). The operator (doctor) of the doctor terminal 114 provides medication instruction to the patient 4302 based on the analysis result information received from the medication information providing apparatus 104 ((5) '). Alternatively, the doctor terminal 114 makes a medication status report or requests the medication information providing apparatus 104 to create a medication status report.

  With this configuration, when providing medication information from a pharmacist or doctor to a patient, it is not necessary to provide patient identifier information from the patient to the pharmacist or doctor.

  Although the embodiments of the present invention have been described above, the present invention is not limited to the above-described embodiments, and various other variations and modifications are possible. In addition, it goes without saying that the plurality of embodiments described above can be used by appropriately combining two or more of the respective forms.

102, 3902 Insurer server 103, 4003 Examination and payment institution server 104 Medication information providing device 110, 4110 Terminal for pharmacy 114 Terminal for doctor 202 Communication unit 204 Receipt acquisition unit 206 Report creation unit 208 Display unit 210 Input unit 224 Storage unit 212 Receipt DB
214 Patient DB
216 Medical institution master 218 Drug master 220 Injury name master 222 Program storage unit 226 Data storage unit 228 Bus 230 Symptom master 3904 Report creation server

Claims (27)

A storage means for storing a patient identifier for identifying a patient, a medical institution identifier, and information on medicines dispensed for the patient;
Obtaining means for obtaining information on medicines within a predetermined period associated with the same patient identifier and information on a plurality of medical institutions prescribing the medicines from the storage means;
Transmitting means for transmitting medication information including information on medicines obtained by the obtaining means and information on a plurality of medical institutions to a terminal, and displaying the information on the medicines grouped for each medical institution that prescribes the medicines; ,
Receiving means for receiving, from the terminal, the medication information edited for each medical institution based on information heard from a patient corresponding to the patient identifier;
Generating means for generating a medication status report including information on medicines prescribed by the medical institution and information heard from the patient based on the edited medication information, for each medical institution. To provide medication information.   The medication information providing apparatus according to claim 1, wherein the edited medication information includes information on a remaining drug of the medicine heard from a patient corresponding to the patient identifier. The edited medication information includes information on side effects with subjective symptoms heard from a patient corresponding to the patient identifier,
Means for identifying information on a pharmaceutical product corresponding to a side effect having a subjective symptom from information on a pharmaceutical product within a predetermined period associated with the same patient identifier;
The medication information providing apparatus according to claim 1, further comprising: a unit configured to display information on the specified medicine on the terminal.   4. The medication information providing apparatus according to claim 3, wherein the generation means generates the medication status report including information on a side effect with a subjective symptom of the medicine heard from a patient corresponding to the patient identifier.   The medicine included in the acquired medication information further comprises a judgment means for judging duplication of medicine prescribed in different medical institutions, and the transmission means transmits the judgment result of duplication of the medicine to the terminal. The medication information provision apparatus according to any one of claims 1 to 4. The storage means further stores first information in which the information on the medicine and information on the name of the disease are associated with each other, and second information on which the name of the disease and disease on the patient is associated with the medical start date ,
Information on the name of the disease corresponding to the information on the medicine determined to be duplicated by the determining means based on the first information,
A medical treatment start date specifying means for specifying a medical treatment start date corresponding to the medical name of the medical injury specified by the injury name and disease name specifying means based on the second information;
Means for notifying medical institutions other than the medical institution corresponding to the earliest medical treatment start date among medical institutions prescribing the medicine determined to be duplicated to stop prescribing the medicine determined to be duplicated The medication information providing device according to claim 5, further comprising:   The medication information providing apparatus according to claim 5 or 6, wherein the generation unit generates the medication status report including information on a determination result of duplication of the medicine.   The medicine included in the acquired medication information further includes means for determining the presence or absence of a drug that causes a side effect, and the transmission means transmits a determination result of the presence or absence of the drug that causes the side effect to the terminal. The medication information providing device according to any one of claims 1 to 7.   9. The medication information providing apparatus according to claim 8, wherein the generation unit generates the medication status report including information on a determination result of the presence or absence of a drug that causes the side effect.   The medicine included in the acquired medication information further includes means for judging whether or not there is a medicine that requires careful administration, and the transmission means determines whether or not there is a medicine that requires careful administration in the terminal. The medication information providing device according to any one of claims 1 to 9, characterized in that:   11. The medication information providing apparatus according to claim 10, wherein the generation unit generates the medication status report including information on a result of determination of presence / absence of the medicinal product requiring careful administration.   The medicine included in the acquired medication information further comprises means for determining the presence or absence of a drug that causes an interaction, and the transmission means transmits a determination result of the presence or absence of the drug that causes the interaction to the terminal. The medication information providing device according to any one of claims 1 to 11, wherein:   The medication information providing apparatus according to claim 12, wherein the generation unit generates the medication status report including information on a determination result of the presence or absence of a drug that causes the interaction. A storage means for storing a patient identifier for identifying a patient, a medical institution identifier, and information on medicines dispensed for the patient;
Obtaining means for obtaining information of a medicine within a predetermined period associated with the same patient identifier and information of a medical institution prescribing the medicine from the storage means;
Transmitting means for transmitting medication information including information on medicines obtained by the obtaining means and information on medical institutions to the terminal;
Receiving means for receiving from the terminal the medication information edited based on information heard from the patient corresponding to the patient identifier;
Generating means for generating a medication status report including information on medicines prescribed by the medical institution and information heard from the patient based on the medication information for each medical institution,
The edited medication information includes information on side effects with subjective symptoms heard from a patient corresponding to the patient identifier,
Means for identifying information on a pharmaceutical product corresponding to a side effect having a subjective symptom from information on a pharmaceutical product within a predetermined period associated with the same patient identifier;
And a means for displaying information on the specified medicine on the terminal. A storage means for storing a patient identifier for identifying a patient, a medical institution identifier, and information on medicines dispensed for the patient;
Obtaining means for obtaining information of a medicine within a predetermined period associated with the same patient identifier and information of a medical institution prescribing the medicine from the storage means;
Determination means for determining duplication of medicines prescribed in different medical institutions for the medicines included in the medication information acquired by the acquisition means;
Transmitting means for transmitting medication information including information on medicines obtained by the obtaining means and information on medical institutions to the terminal, wherein the medication information includes a determination result of duplication of the medicines;
Receiving means for receiving from the terminal the medication information edited based on information heard from the patient corresponding to the patient identifier;
Generating means for generating a medication status report including information on medicines prescribed by the medical institution and information heard from the patient based on the medication information for each medical institution,
The storage means further stores first information in which the information on the medicine and information on the name of the disease are associated with each other, and second information on which the name of the disease and disease on the patient is associated with the medical start date. ,
Determination means for determining duplication of medicines prescribed in different medical institutions for the medicines included in the acquired medication information,
Information on the name of the disease corresponding to the information on the medicine determined to be duplicated by the determining means based on the first information,
A medical treatment start date specifying means for specifying a medical treatment start date corresponding to the medical name of the medical injury specified by the injury name and disease name specifying means based on the second information;
Means for notifying the medical institutions other than the medical institution corresponding to the earliest medical treatment start date among medical institutions prescribing the pharmaceutical determined to be duplicated, to cancel the prescription of the pharmaceutical determined to be duplicated; A medication information providing device further comprising: A storage means for storing a patient identifier for identifying a patient, a medical institution identifier, and information on medicines dispensed for the patient;
Obtaining means for obtaining information on medicines within a predetermined period associated with the same patient identifier and information on a plurality of medical institutions prescribing the medicines from the storage means;
Display means for grouping and displaying medication information including information on medicines obtained by the obtaining means and information on a plurality of medical institutions for each medical institution that prescribes the medicines;
Editing means for editing the medication information displayed on the display means based on information heard from the patient corresponding to the patient identifier for each medical institution;
Generating means for generating a medication status report including information on medicines prescribed by the medical institution and information heard from the patient based on the medication information edited by the editing means; A medication information providing device characterized by The medication information providing apparatus according to any one of claims 1 to 16 , wherein the obtaining unit obtains at least a part of information on the medicine and information on the medical institution from the patient identifier. A medication information providing method executed by a computer comprising a patient identifier for identifying a patient, a medical institution identifier, and storage means for storing in the storage unit the information on the medicine dispensed for the patient. And
Obtaining from the storage means information on medicines within a predetermined period associated with the same patient identifier and information on a plurality of medical institutions that prescribe the medicines;
Sending the medication information including the information of the acquired medicine and information of a plurality of medical institutions to the terminal, and displaying the information of the medicine grouped for each medical institution that prescribes the medicine;
Receiving from the terminal the medication information edited for each medical institution based on information heard from a patient corresponding to the patient identifier;
Generating a medication status report including information on medicines prescribed by the medical institution and information heard from the patient based on the edited medication information, for each medical institution. How to provide medication information. A medication information providing method executed by a computer comprising a patient identifier for identifying a patient, a medical institution identifier, and storage means for storing in the storage unit the information on the medicine dispensed for the patient. And
Obtaining from the storage means information on a medicine within a predetermined period associated with the same patient identifier and information on a medical institution prescribing the medicine;
Transmitting medication information including information on the acquired medicine and information on a medical institution to the terminal;
Receiving from the terminal the medication information edited based on information heard from a patient corresponding to the patient identifier;
Generating a medication status report including information on medicines prescribed by the medical institution and information heard from the patient based on the medication information for each medical institution,
The edited medication information includes information on side effects with subjective symptoms heard from a patient corresponding to the patient identifier,
Identifying drug information corresponding to a side effect with a subjective symptom from information of a drug within a predetermined period associated with the same patient identifier; and
And a step of displaying information on the specified medicine on the terminal. A medication information providing method executed by a computer comprising a patient identifier for identifying a patient, a medical institution identifier, and storage means for storing in the storage unit the information on the medicine dispensed for the patient. And
Obtaining from the storage means information on a medicine within a predetermined period associated with the same patient identifier and information on a medical institution prescribing the medicine;
For pharmaceuticals contained in the prior Quito obtained been medication information, determining an overlap of pharmaceuticals that are formulated in different medical institutions,
Transmitting the medication information including the acquired drug information and medical institution information to the terminal, wherein the medication information includes a determination result of duplication of the drug; and
Receiving from the terminal the medication information edited based on information heard from a patient corresponding to the patient identifier;
Generating a medication status report including information on medicines prescribed by the medical institution and information heard from the patient based on the medication information for each medical institution,
The storage means further stores first information in which the information on the medicine and information on the name of the disease are associated with each other, and second information on which the name of the disease and disease on the patient is associated with the medical start date. ,
Identifying the information on the name of the disease corresponding to the information of the medicine determined to be duplicated based on the first information;
Identifying a medical treatment start date corresponding to the specified injury and disease name based on the second information;
Notifying medical institutions other than the medical institution corresponding to the earliest medical treatment start date among medical institutions prescribing the medicine determined to be duplicated to stop prescribing the medicine determined to be duplicated. A method for providing medication information, further comprising: A medication information providing method executed by a computer comprising a patient identifier for identifying a patient, a medical institution identifier, and storage means for storing information relating to medicines dispensed for the patient,
Obtaining from the storage means information on medicines within a predetermined period associated with the same patient identifier and information on a plurality of medical institutions that prescribe the medicines;
Grouping and displaying medication information including information on the acquired medicine and information on a plurality of medical institutions grouped by medical institution that prescribes the medicine; and
Editing the displayed medication information for each medical institution based on information heard from a patient corresponding to the patient identifier;
Generating a medication status report including information on medicines prescribed by the medical institution and information heard from the patient based on the edited medication information, for each medical institution. How to provide medication information. The method for providing medication information according to any one of claims 18 to 21 , wherein the obtaining step obtains at least a part of information on the medicine and information on the medical institution from the patient identifier. An input means for inputting a patient identifier for identifying the patient;
Transmitting means for transmitting the patient identifier input by the input means to the medication information providing device;
Receiving means for receiving, from the medication information providing apparatus, medication information including information on a medicine within a predetermined period associated with the patient identifier and information on a plurality of medical institutions prescribing the medicine;
Display means for displaying the medication information received by the receiving means, wherein the medication information display includes displaying the information of the medicine grouped for each medical institution that prescribes the medicine. Means,
A terminal comprising: editing means for editing the medication information displayed on the display means for each medical institution based on information heard from the patient. The medication information edited by the editing means, the terminal according to claim 2 3, characterized in that it comprises a comment on the medical institution. A medication information editing method executed by a computer,
Entering a patient identifier identifying the patient;
Transmitting the input patient identifier to a medication information providing device;
Receiving, from the medication information providing device, medication information including information on medicines within a predetermined period associated with the patient identifier and information on a plurality of medical institutions that prescribe the medicines;
Displaying the received medication information on a display means, wherein the medication information display includes displaying the information on the medicine grouped by medical institution that prescribes the medicine; and ,
Editing medication information displayed on the display means for each medical institution based on information heard from the patient. A computer program for causing a computer to function as the medication information providing device according to any one of claims 1 to 17 . The computer program for functioning a computer as a terminal of Claim 23 or 24 .

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