JP6897225B2 - Dosing management system, dosing management program - Google Patents

Description

The present invention relates to a dosing management system and a dosing management program capable of supporting the dosing business of an anticancer drug.

Generally, there is known a system capable of managing the dosing history of an anticancer drug according to a predetermined therapy (regime) (see, for example, Patent Document 1). By using this type of system, users such as pharmacists can easily grasp the medication history of anticancer drugs for patients.

JP-A-2007-280423

By the way, in the therapy of an anticancer drug, it may be stipulated that a plurality of courses of drug administration are performed, with the drug administration at a plurality of predetermined administration times (administration times) as one course. Then, when administering the drug to the patient, the user may want to refer to the dosing history corresponding to the same administration time (administration times) in the previous course.

An object of the present invention is to provide a dosing management system and a dosing management program that can easily refer to a dosing history corresponding to the same dosing time (dosing times) in the previous course.

In the medication management system according to the present invention, the acquisition processing unit that acquires the therapy history data related to the administration history of the anticancer drug and the target prescription data to be processed from the therapy history data are the same as the patient and the therapy. An extraction processing unit that extracts specific history data corresponding to the prescription data of the immediately preceding course whose administration time in one course is the same as the target prescription data, and an output processing unit that outputs the target prescription data and the specific history data. And.

The medication management system according to the present invention includes a test evaluation processing unit that evaluates test data related to a patient's test result based on standard data set in advance for each administration time in one course of an anticancer drug, and the test evaluation. It is provided with an evaluation output processing unit that outputs the evaluation result by the processing unit. Then, the test evaluation processing unit obtains the test data corresponding to the test performed within a preset period from the administration date shown in the prescription data based on the reference data corresponding to each administration time. evaluate.

In the medication management program according to the present invention, the administration in one course in which the target prescription data, the patient and the therapy are the same from the acquisition step of acquiring the therapy history data regarding the administration history of the anticancer drug and the therapy history data. It is a medication management program for causing the processor to execute an extraction step for extracting specific history data of the previous course whose timing is the same as the prescription data and an output step for outputting the prescription data and the specific history data. ..

The medication management program according to the present invention includes a test evaluation step for evaluating test data related to a patient's test result based on standard data set in advance for each administration time in one course of an anticancer drug, and the test evaluation process. It includes an evaluation output step that outputs the evaluation result by the unit. Then, in the test evaluation step, the test data corresponding to the test performed within a preset period from the administration date shown in the prescription data is evaluated based on the reference data corresponding to each administration time. Will be done.

According to the present invention, there is provided a dosing management system and a dosing management program that can easily refer to the dosing history corresponding to the same dosing time (dosing times) in the previous course.

FIG. 1 is a block diagram showing a configuration of a medication management system according to an embodiment of the present invention. FIG. 2 is a diagram showing an example of drug history data used in the medication management system according to the embodiment of the present invention. FIG. 3 is a diagram showing an example of test data used in the medication management system according to the embodiment of the present invention. FIG. 4 is a diagram showing an example of test evaluation data used in the medication management system according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of therapy history data used in the medication management system according to the embodiment of the present invention. FIG. 6 is a flowchart showing an example of a medication management process executed by the medication management system according to the embodiment of the present invention. FIG. 7 is a diagram showing an example of a display screen displayed by the medication management system according to the embodiment of the present invention. FIG. 8 is a diagram showing an example of a checklist output by the medication management system according to the embodiment of the present invention.

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings for the purpose of understanding the present invention. It should be noted that the following embodiment is an example embodying the present invention and does not limit the technical scope of the present invention.

[Dosing management system 10]
As shown in FIG. 1, the medication management system 10 according to the embodiment of the present invention includes a medication management device 1, a drug history reference device 2, a printer 3, and the like. In the present embodiment, the medication management device 1 is an example of the first information processing device, and the drug history reference device 2 is an example of the second information processing device. The medication management device 1, the drug history reference device 2, and the printer 3 are connected wirelessly or by wire via a communication network 4. The communication network 4 is a LAN, WAN, Internet, intranet, or the like. Further, the host system 5 is connected to the medication management device 1 via the communication network 4.

The host system 5 is, for example, an electronic medical record system, an ordering system, a receipt system, or the like. Then, the higher-level system 5 inputs prescription data regarding the prescription of a drug to the patient, test data regarding the test results of various tests performed on the patient, patient data indicating the personal information of the patient, and the like into the medication management device 1. To do. The medication management device 1 may be configured to actively read the prescription data, the test data, the patient data, and the like from the higher-level system 5.

For example, the prescription data includes prescription ID, patient ID (patient identification information), patient name (patient identification information), drug name (drug identification information), ward, usage / dose, administration date, regimen number, and the like. Includes information such as therapy name, cool information, DAY information, dosage, height, weight, and body surface area.

[Printer 3]
The printer 3 is a color printer capable of executing a printing process of recording information included in print data input from the medication management device 1 or the drug history reference device 2 via the communication network 4 on a sheet such as paper. Alternatively, it is an image forming apparatus such as a monochrome printer. More specifically, in the present embodiment, the printer 3 is used for printing a check sheet (see FIG. 8) described later by the medication management device 1. The printer 3 is also used for printing a prescription or a prescription based on the prescription data.

[Dosing management device 1]
The medication management device 1 is a computer including a control unit 11, a storage unit 12, a communication I / F 13, a display device 14, an operation device 15, a drive device 16, and the like. The medication management device 1 is provided inside or outside a medical institution such as a hospital or pharmacy where the medication management system 10 is used. Further, the medication management device 1 may be an information processing device such as a smartphone, a tablet terminal, or a laptop computer.

The medication management device 1 can be communicated with a client terminal having an operation unit and a display unit such as a smartphone, a tablet terminal, or a laptop computer as an operation terminal of the medication management device 1 via the communication network 4. It is possible to be connected to. In this case, the control unit 11 displays information on the display unit of the client terminal instead of the display device 14, and receives an operation on the operation unit of the client terminal instead of the operation device 15. That is, it is conceivable that the medication management device 1 and the client terminal are configured as a well-known client server system. Information display to the client terminal by the control unit 11 and reception of operations by the client terminal may be performed using well-known browser software or the like, and detailed description thereof will be omitted here.

The control unit 11 includes control devices such as a CPU, ROM, RAM, and EEPROM (registered trademark). The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and EEPROM are used as temporary storage memory (working area) for various processes executed by the CPU. Then, the control unit 11 uses the CPU to execute various processes according to various control programs stored in advance in the ROM, the EEPROM, or the storage unit 12.

The storage unit 12 is a non-volatile storage unit such as a hard disk or SSD that stores various control programs and various data executed by the control unit 11. Specifically, the storage unit 12 includes a program storage unit 121, a master storage unit 122, and an information storage unit 123.

The program storage unit 121 is a storage area for storing a medication management program or the like for causing the control unit 11 to execute a medication management process (see FIG. 6) described later. The program storage unit 121 also stores programs such as an operating system (OS).

The master storage unit 122 is a storage area in which various master information such as a drug master, a patient master, a clinical department master, a pharmacist master, and a regimen master is stored. For example, the drug master has a drug code (YJ code, etc.), a drug name, a JAN code, an RSS code, a drug bottle code, a dosage form, a unit, a specific gravity, a drug type, a formulation change, and an excipient for various drugs. , Notes and other information is included. The patient master includes information about each patient, such as patient name, patient ID, gender, age, alcohol drinking, smoking, and disease name. The clinical department master includes information on various clinical departments of the medical institution in which the medication management system 10 is used.

The regimen master contains therapeutic information indicating the contents of various predetermined therapies (regimes). Specifically, the therapy information relates to the administration plan of the anticancer drug such as the name of the drug to be administered based on the therapy, the dose (per body surface area), the administration time, the administration date, and the length of one course. Contains information. Further, when the prescription data is generated in the higher-level system 5, therapy identification information such as a therapy name for identifying the therapy is added to the prescription data together with information such as a drug corresponding to the therapy.

The control unit 11 can update various master information stored in the master storage unit at any time based on the information acquired from the higher-level system 5. Further, the control unit 11 can edit various master information according to the user operation.

The information storage unit 123 is a storage area for storing various types of information such as the prescription data, drug history data D11, test data D12, and test evaluation data D13. That is, it is an example of a first storage unit in which the storage unit 12 stores the drug history data D11. For example, the control unit 11 acquires the prescription data and the inspection data D12 from the higher-level system 5 and stores them in the information storage unit 123 for storage. Further, the control unit 11 updates the drug history data D11 based on the prescription data. Further, the control unit 11 can edit the inspection evaluation data D13 according to a user operation.

The drug history data D11 is information indicating the contents of prescription data issued for each patient. Here, FIG. 2 is a diagram showing an example of the drug history data D11. The drug history data D11 shown in FIG. 2 has mainly the same contents as the prescription data, and includes a prescription ID, a patient ID (patient identification information), a patient name (patient identification information), and a drug name (drug). Identification information), ward, usage / dose, administration date, regimen number, therapy name, cool information, DAY information, dosage, height, weight, body surface area and other information.

The test data D12 is information including test results (test values) for each test item performed for each patient. Here, FIG. 3 is a diagram showing an example of the inspection data D12. The test data D12 shown in FIG. 3 includes a patient ID (patient identification information), a patient name (patient identification information), a test date, a test ID (test identification information), a test item (test identification information), and a test. Includes information such as results. The control unit 11 is based on the individual examination data for each patient acquired from the higher-level system 5 or the individual examination data for each patient read from a recording medium such as a USB memory or a CD inserted in the medication management device 1. The inspection data D12 is updated.

The inspection evaluation data D13 is information that serves as an index for evaluating the inspection result in the inspection data D12. Here, FIG. 4 is a diagram showing an example of the inspection evaluation data D13. The inspection evaluation data D13 shown in FIG. 4 includes information such as a regimen number, DAY information, inspection ID (inspection identification information), inspection items, upper and lower limits of evaluation criteria, and retroactive days. The control unit 11 can update the inspection evaluation data D13 according to a user operation. For example, the default values of the upper limit value and the lower limit value of the evaluation standard corresponding to each inspection item in the inspection evaluation data D13 are set in advance, and the control unit 11 controls the upper limit value and the lower limit value of the evaluation standard for each inspection item. It is conceivable that the value can be edited according to the user operation.

The regimen number in the test evaluation data D13 is information included in the prescription data and is identification information for identifying the therapy (regime). The regimen number is information that is commonly used with the higher-level system 5. The DAY information in the test evaluation data D13 is information indicating the administration time in one course of the regimen (therapy) corresponding to the regimen number by the number of days elapsed from the implementation start date of the one course. For example, for the therapy corresponding to the regimen number "0000001", the "1" day, the "8" day, and the "15" day are defined as DAY information indicating the administration time, respectively. The number of courses corresponding to each therapy and the DAY information in each course are registered in advance in the regimen master. Further, instead of the DAY information, information on the number of times of administration of the anticancer drug (first, second, third, etc.) in one course of therapy may be used as information indicating the administration time. ..

The upper limit value and the lower limit value of the evaluation standard in the test evaluation data D13 can be set in advance corresponding to each DAY information in the therapy corresponding to the regimen number. The retroactive number of days in the test evaluation data D13 is information that determines a period to which each evaluation standard of the test evaluation data D13 is applied based on the administration date shown in the prescription data. For example, for the therapy corresponding to the regimen number in which the retroactive number of days is "2", the upper and lower limits of the evaluation criteria in the test evaluation data D13 are "2" days before the administration date shown in the prescription data. It is effectively used as an evaluation index when evaluating the test results up to. The number of retroactive days may be set individually for each inspection item or for each DAY information.

The communication I / F 13 executes data communication wirelessly or by wire with the drug history reference device 2 and an external device such as the printer 3 via the communication network 4 according to a predetermined communication protocol. It is a communication interface having a network card or the like.

The display device 14 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 11. The operation device 15 is an operation unit operated by a user to input various information to the medication management device 1. Specifically, the operation device 15 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display device 14. Further, the operation device 15 may include a touch panel that accepts touch operations on various operation screens displayed on the display device 14, or a voice input device that accepts input of various information by voice recognition.

The drive device 16 can read the dosing management program from a computer-readable recording medium 161 in which the dosing management program is recorded non-temporarily. The recording medium 161 is a CD, DVD, BD, USB memory, or the like, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. Then, in the medication management device 1, the medication management program read from the recording medium 161 by the control unit 11 using the drive device 16 is installed in the program storage unit 121 of the storage unit 12.

The control unit 11 of the medication management device 1 includes an acquisition processing unit 111, a display processing unit 112, an output processing unit 113, an inspection evaluation processing unit 114, and an evaluation output processing unit 115. Specifically, the control unit 11 executes various processes such as a medication management process (see FIG. 6) described later according to the medication management program, so that the acquisition processing unit 111, the display processing unit 112, and the output processing unit 113 , It functions as an inspection evaluation processing unit 114 and an evaluation output processing unit 115. That is, in the present embodiment, the medication management device 1 alone is the medication management system according to the present invention. Further, the medication management device 1 may constitute a medication management system together with the client terminal operated by the user. A part or all of the acquisition processing unit 111, the display processing unit 112, the output processing unit 113, the inspection evaluation processing unit 114, and the evaluation output processing unit 115 may be composed of electronic circuits.

Further, it is considered as another embodiment that a part or all of the functions of the medication management device 1 are provided in the drug history reference device 2. For example, a part or all of the medication management program is installed in the medication history reference device 2, and the medication management device 1 and the medication history reference device 2 cooperate with each other in the medication management system 10 to be described later. It is also conceivable to carry out the dosing management process (see FIG. 6). It is also conceivable that the control unit 21 of the drug history reference device 2 appropriately acquires necessary information from the medication management device 1 and executes the medication management process (see FIG. 6) described later. In this case. The drug history reference device 2 is an example of a medication management system according to the present invention.

The acquisition processing unit 111 executes a process for acquiring therapy history data regarding the administration history of the anticancer drug. Specifically, the acquisition processing unit 111 acquires the therapy history data D21 (see FIG. 5), which will be described later, stored in the storage unit 22 of the drug history reference device 2 from the drug history reference device 2. For example, the acquisition processing unit 111 transmits a request for acquisition of the therapy history data D21 to the drug history reference device 2, and receives the therapy history data D21 transmitted from the drug history reference device 2. Further, the acquisition processing unit 111 may directly access the storage unit 22 and read out the therapy history data D21. The therapy history data D21 may be stored in the storage unit 12 of the medication management device 1, and the acquisition processing unit 111 may be able to acquire the therapy history data D21 from the storage unit 12. It is also conceivable that the acquisition processing unit 111 extracts the same information as the therapy history data D21 based on the drug history data D11 stored in the storage unit 12.

From the therapy history data D21, the extraction processing unit 112 has the same patient and therapy as the prescription data (hereinafter referred to as target prescription data) to be administered this time, and the administration time in one course is the same as the target prescription data. The process for extracting the specific history data corresponding to the prescription data of the immediately preceding cool that is the same is executed. In the present embodiment, the administration time is assumed to be DAY information indicating the number of days elapsed from the implementation start date. For example, when the target prescription data is the prescription data corresponding to the "DAY8" of the "second course", the extraction processing unit 112 may administer the medication corresponding to the prescription data of the "DAY8" of the "first course". The history information is extracted from the therapy history data D21 as the specific history data. In the therapy history data D21 or the target prescription data, when the number of times information indicating the administration time in one course is used as the information indicating the administration time instead of the DAY information, the extraction processing unit 112 uses the therapy history data. From D21, the specific history data corresponding to the prescription data of the immediately preceding course in which the target prescription data and the patient and the therapy are the same and the number of times information indicating the administration times in one course is the same as the target prescription data is extracted. become.

Further, when the cool corresponding to the target prescription data is the first cool and the cool immediately before that is not present, it is conceivable that the extraction processing unit 112 does not extract the specific history data. On the other hand, when the extraction processing unit 112 stores the medication history information for the same therapy as the target prescription data in the therapy history data D21 before the target prescription data, the target prescription data It is conceivable to extract the information of the medication history for the course immediately before the first course in the above as the specific history data. For example, when a certain therapy includes the first to third courses and the course corresponding to the target prescription data is the first course, the same therapy in the prescription data issued before that is the same therapy. Information on the same administration time in the third course of the above is extracted as the specific history data.

The output processing unit 113 executes a process for outputting the target prescription data and the specific history data. Specifically, the output processing unit 113 transmits the print data including the target prescription data and the specific history data to the printer 3 and causes the printer 3 to print. Further, the output processing unit 113 can display the target prescription data and the specific history data on the display device 14 of the medication management device 1 or the display unit of the client terminal. In particular, the output processing unit 113 displays or prints the target prescription data and the specific history data on the same screen or the same paper surface. The output processing unit 113 can output information on one or more preset items in the target prescription data and the specific history data, and sets the output target items in advance according to the user operation. It is possible.

The test evaluation processing unit 114 executes a process for evaluating the test data D12 regarding the test result of the patient based on the reference data set in advance for each DAY information indicating the administration time in one course of the anticancer drug. To do. Specifically, the inspection evaluation processing unit 114 is set in advance from the administration date indicated in the target prescription data based on the reference data corresponding to each DAY information with reference to the evaluation reference data D13. The inspection data D12 corresponding to the inspection performed within the retroactive days period is evaluated. When the number of times information indicating the administration time in one course is used as the dosing time instead of the DAY information, the test evaluation processing unit 114 uses the test data D12 based on the reference data preset for each number of times information. Will be executed to evaluate.

The evaluation output processing unit 115 executes a process for outputting an evaluation result by the inspection evaluation processing unit 114. Specifically, the evaluation output processing unit 115 displays the evaluation result on the display device 14 of the medication management device 1 or the display unit of the client terminal. Further, the evaluation output processing unit 115 can transmit the print data including the evaluation result to the printer 3 and have the printer 3 print the data.

[Drug history reference device 2]
The drug history reference device 2 is a personal computer including a control unit 21, a storage unit 22, a communication I / F 23, a display device 24, an operation device 25, a drive device 26, and the like. Each of the drug history reference devices 2 is an operation terminal arranged in a medical institution where the medication management system 10 is used and operated by a user such as a pharmacist. For example, the drug history reference device 2 is used by a pharmacist or the like who prepares a drug such as an anticancer drug to be administered to a patient. The drug history reference device 2 may be an information processing device such as a smartphone, a tablet terminal, or a laptop computer.

The control unit 21 includes control devices such as a CPU, ROM, RAM, and EEPROM. The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and EEPROM are used as temporary storage memory (working area) for various processes executed by the CPU. Then, the control unit 21 uses the CPU to execute various processes according to various control programs stored in the ROM, the EEPROM, or the storage unit 22 in advance.

The storage unit 22 is a non-volatile storage unit such as a hard disk or SSD that stores various control programs and various data executed by the control unit 21. Specifically, the storage unit 22 includes a program storage unit 221 and an information storage unit 222.

The program storage unit 221 is a storage area in which various control programs such as an operating system (OS), browser software, and a drug history reference program are stored. The browser software displays various operation screens and the like on the display device 24 by accessing the medication management device 1 via the communication network 4, and inputs an operation to the operation screen using the operation device 25. Is application software for transmitting to the medication management device 1. For example, when the control unit 21 inputs address information such as a URL (Universal Resource Locator) corresponding to the medication management device 1 at a predetermined position on the operation screen displayed by the browser software, the address information The dosing management device 1 is accessed based on the above. The drug history reference program is application software for referencing the therapy history data D21, which will be described later, stored in the information storage unit 222.

The information storage unit 222 stores information such as therapy history data D21 regarding the medication history of the anticancer drug according to the therapy for each patient. That is, it is an example of a second storage unit in which the storage unit 22 stores the therapy history data D21. Here, FIG. 5 is a diagram showing an example of the therapy history data D21. The therapy history data D21 shown in FIG. 5 includes a prescription ID, a patient ID (patient identification information), a patient name (patient identification information), a drug name (drug identification information), a ward, an administration date, a regimen number, and a therapy. Includes information such as name, cool information, DAY information, dosage, height, weight, body surface area. The therapy history data D21 includes information on administration of an anticancer drug in the drug history data D11, and information on taking other drugs other than the anticancer drug is omitted. It may contain information about taking other medications.

The communication I / F 23 is a network that executes data communication wirelessly or by wire with the medication management device 1 and an external device such as the printer 3 via the communication network 4 according to a predetermined communication protocol. A communication interface that has a card or the like.

The display device 24 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 21. The operation device 25 is an operation unit operated by a user to input various information to the drug history reference device 2. Specifically, the operation device 25 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display device 24. Further, the operation device 25 may include a touch panel that accepts touch operations on various operation screens displayed on the display device 24, or a voice input device that accepts input of various information by voice recognition.

The drive device 26 can read the dosing reference program from a computer-readable recording medium 261 in which the dosing reference program is recorded non-temporarily. The recording medium 261 is a CD, DVD, BD, USB memory, or the like, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. Then, in the drug history reference device 2, the drug history reference program read from the recording medium 261 by the control unit 21 using the drive device 26 is installed in the program storage unit 221 of the storage unit 22. To.

The control unit 21 of the drug history reference device 2 includes a history acquisition processing unit 211 and a history reference processing unit 212. Specifically, the control unit 21 functions as the history acquisition processing unit 211 and the history reference processing unit 212 by executing various processes according to the medication reference program.

The history acquisition processing unit 211 acquires the history data corresponding to the administration of the anticancer drug from the drug history data D11 stored in the storage unit 12 of the medication management device 1, and uses the therapy history data D21 as the therapy history data D21. The acquisition process to be stored in the storage unit 22 is executed. Specifically, the history acquisition processing unit 211 accesses the storage unit 12 of the medication management device 1 at a preset timing, and extracts data corresponding to the administration of the anticancer drug from the drug history data D11. To do. Further, the history data is appropriately transmitted from the medication management device 1 to the drug history reference device 2 at an arbitrary timing such as an input timing of the prescription data from the higher-level system 6 to the medication management device 1. It is also conceivable that the history acquisition processing unit 211 receives the history data. The timing at which the history acquisition processing unit 211 acquires the history data is not limited to the timing described here, for example, when the drug history reference device 2 is activated or when the execution of the drug history reference program is started. May be good.

The history reference processing unit 212 executes a process of outputting the therapy history data D21 in response to a user operation of the drug history reference device 2. Specifically, the history reference processing unit 212 causes the therapy history data D21 to be displayed on the display device 24 of the drug history reference device 2. Further, the history reference processing unit 212 can also transmit the therapy history data D21 to the printer 3 and have the printer 3 print it.

Further, the drug history reference program is stored in the storage unit 12 of the medication management device 1, and the control unit 11 executes various processes according to the drug history reference program to perform the history acquisition processing unit 211 and the history acquisition processing unit 211. Another embodiment may be considered to function as the history reference processing unit 212. Further, in this case, it is conceivable that the medication history reference device 2 functions as a client terminal (operation terminal) of the medication management device 1 by communicating with the medication management device 1. For example, the user can refer to the therapy history data D21 by using the browser software or the like on the drug history reference device 2.

By the way, in the therapy of an anticancer drug, it may be stipulated that a plurality of courses of drug administration are performed, with the drug administration at a plurality of predetermined administration times (administration times) as one course. Then, when administering the drug to the patient, the user may want to refer to the dosing history corresponding to the same administration time (administration times) in the previous course. On the other hand, in the medication management system 10, the medication management system 10 can easily refer to the medication history corresponding to the same administration time (administration times) in the previous course.

[Dosing management process]
Hereinafter, an example of the medication management process executed by the control unit 11 of the medication management device 1 will be described with reference to the flowchart of FIG. The present invention may be regarded as an invention of a medication management method in which a part or all steps of the medication management process are executed by a computer such as the medication management device 1.

When a predetermined operation for executing the medication management program is performed, the control unit 11 causes the display device 14 to display a list of the prescription data of the patient before administration of the drug. After that, when any of the prescription data is selected, the control unit 11 selects the prescription data as the target prescription data. The method for selecting the target prescription data is not limited to this, and the target prescription data may be selected, for example, in response to the input of the patient ID or the input of the prescription ID. Further, when the target prescription data selection operation is performed in parallel on the plurality of client terminals, the control unit 11 executes the medication management process corresponding to each of the client terminals substantially in parallel. .. The medication management process may be terminated in response to a predetermined termination operation even while the medication management process is being executed.

<Step S1>
In step S1, the test evaluation processing unit 114 of the control unit 11 is based on the test data D12 of the patient corresponding to the target prescription data and the test evaluation data D13 stored in the storage unit 12. Perform a test evaluation step to evaluate the test results of the patient.

Specifically, the inspection evaluation processing unit 114 has an inspection in which the number of days from the inspection date to the administration date of the anticancer drug in the target prescription data in the inspection data D12 is within the retroactive days in the inspection evaluation data D13. Execute the extraction process to extract the result. Then, the inspection evaluation processing unit 114 reads out the evaluation standard corresponding to the DAY information of the regimen number shown in the target prescription data from the inspection evaluation data D13, and evaluates the inspection result extracted by the extraction process. Evaluate based on criteria.

For example, the inspection evaluation processing unit 114 determines whether or not the inspection value, which is the inspection result, exceeds the upper limit of the evaluation standard corresponding to the DAY information, and whether the inspection value is the evaluation standard corresponding to the DAY information. Determine if it is below the lower limit. That is, even if the test results in the test data D12 are the same, if the DAY information of the target prescription data is different, the evaluation results by the test evaluation processing unit 114 may be different. The evaluation result by the inspection evaluation processing unit 114 is stored in the storage unit 12 in association with the inspection data D12 or the target prescription data.

<Step S2>
In step S2, the control unit 11 causes the display device 14 to display a prescription confirmation screen P1 for confirming the contents of the target prescription data. The control unit 11 may display the prescription confirmation screen P1 on the client terminal by transmitting the display data of the prescription confirmation screen P1 to the client terminal. It is also conceivable that the control unit 11 transmits data necessary for displaying the prescription confirmation screen P1 to the client terminal, and the client terminal displays the prescription confirmation screen P1 based on the data. That is, the generation and update of the prescription confirmation screen P1 may be performed by either the medication management device 1 or the client terminal.

Here, FIG. 7 is a diagram showing an example of the prescription confirmation screen P1. As shown in FIG. 7, information such as the patient information display unit P11, the prescription information display unit P12, the examination information display unit P13, and the calendar display unit P14 is displayed on the prescription confirmation screen P1. Further, on the prescription confirmation screen P1, an operation key K11 for accepting an operation for outputting a checklist P2 (see FIG. 8) for the target prescription data displayed on the prescription confirmation screen P1 is also displayed. .. The entire prescription confirmation screen P1 shown in FIG. 7 may be displayed at the same time, but for example, even if vertical or horizontal scroll display is possible according to a predetermined scroll operation on the prescription confirmation screen P1. Good.

In the patient information display unit P11, patient information such as date of birth, age, gender, ward, ward, clinical department, doctor name, etc., as well as patient identification information such as patient ID and patient name, are stored in the target prescription data or It is displayed based on the patient master and the like. The calendar display unit P14 can display a calendar for a preset period, and the control unit 11 can accept selection of a date on the calendar display unit P14. In the calendar, information such as the registration date of the scheduled order, the registration date of the deletion order, the input date of the patient comment, the registration date of the execution order, and the implementation period for internal use / external use is displayed in an identifiable manner.

The prescription information display unit P12 includes two left and right display areas P121 and P122. In the display area P121 on the left side, the content of the target prescription data selected as the processing target this time is displayed. Further, in the display area P122 on the right side, the contents of the past prescription data stored in the therapy history data D21 are displayed. Specifically, the control unit 11 extracts the content of the prescription data corresponding to the date selected by the selection operation in the calendar display unit P14 from the therapy history data D21 and displays it in the display area P122. The prescription confirmation screen P1 displays not only the medication history of the anticancer drug stored in the therapy history data D21 but also information on the prescription of other drugs stored in the drug history data D11. It may be possible.

The test information display unit P13 displays information related to a preset number of tests among the test data D12 of the patient corresponding to the target prescription data displayed on the patient information display unit P11. The evaluation output step for displaying the inspection information display unit P13 is executed by the evaluation output processing unit 115 of the control unit 11.

In particular, the evaluation output processing unit 115 causes the inspection information display unit P13 to display the evaluation result in the step S1 in an identifiable manner. Specifically, the control unit 11 displays characters or a background in a preset color scheme such as red for items for which the inspection result is determined to exceed the upper limit value of the evaluation standard in step S1. Attention is drawn to the user by letting them do it. Further, the control unit 11 displays characters or a background in a preset color scheme such as blue for items for which the inspection result is determined to be below the lower limit value of the evaluation standard in step S1. Attention to the user. For items for which the inspection result is determined to be within the range of the evaluation standard in step S1, characters or a background are displayed in a preset color scheme indicating that the evaluation result is normal.

Further, in the test information display unit P13, the control unit 11 determines that the number of days from the test date to the administration date in the target prescription data in the test data D12 is within the retroactive days in the test evaluation data D13. Display information (inspection value). On the other hand, regarding the display of the test data D12 on the test information display unit P13, the control unit 11 obtains a test result in which the number of days from the test date to the administration date in the target prescription data exceeds the retroactive number of days in the test evaluation data D13. You want to hide. For example, the control unit 11 may display the first non-display information such as a preset symbol such as "-" in the display column corresponding to the inspection result exceeding the retroactive days in the inspection evaluation data D13. Conceivable. On the other hand, the control unit 11 causes the display column corresponding to the item for which the inspection result does not exist to display the second non-display information different from the first non-display information. For example, the second hidden information may be blank. As a result, when the user refers to the inspection information display unit P13, the display is hidden because the number of retroactive days in the inspection evaluation data D13 is exceeded, and when the inspection result does not actually exist. Can be distinguished.

In addition, the control unit 11 corresponds to the information of the inspection result of each inspection day in the inspection information display unit P13 for each DAY information in which the number of days between the inspection date and the administration date is within the retroactive days. It may be displayable together with the evaluation result based on the evaluation criteria. For example, a test result in which the number of days from the administration date to the test date corresponding to the DAY information of "DAY1" is within the retroactive days is displayed together with the evaluation result based on the evaluation standard corresponding to "DAY1", and the "DAY8" is displayed. The test result in which the number of days from the administration date corresponding to the DAY information to the test date is within the retroactive number of days is displayed together with the evaluation result based on the evaluation standard corresponding to "DAY8". In addition, the control unit 11 administers the test result included in the test data D12 in either the target prescription data or the past prescription data within the retroactive days from the test date in the test information display unit P13. It is conceivable to display the test result having a day and to display the first non-display information in the display column corresponding to the test result having no administration date within the retroactive days.

<Step S3>
In step S3, the control unit 11 determines whether or not there is an output request for the checklist P2. The checklist P2 is a list showing check items for the target prescription data displayed on the prescription confirmation screen P1 to be confirmed by the pharmacist before administration of the anticancer drug based on the target prescription data. The check items include, for example, the height, weight, body surface area, and drug dose of the patient.

For example, the control unit 11 determines that the output request of the checklist P2 has been made when the operation key K11 displayed on the prescription confirmation screen P1 is operated. The output request of the checklist P2 may be accepted on an operation screen different from the prescription confirmation screen P1. Then, when the output request of the checklist P2 is made (S3: Yes), the process proceeds to step S4, and if the output request of the checklist P2 is not made (S3: No), the process is stepped. Wait at S3. The control unit 11 accepts various operations on the prescription confirmation screen P1 and executes a predetermined process even in the state of waiting for the process in step S3, but the description of this point will be omitted.

<Step S4>
In step S4, the acquisition processing unit 111 of the control unit 11 executes an acquisition step of acquiring the therapy history data D21 from the storage unit 22 of the drug history reference device 2 as described above. More specifically, the acquisition processing unit 111 acquires data regarding the patient corresponding to the target prescription data from the therapy history data D21. It is also conceivable that the therapy history data D21 is stored in the storage unit 12 of the medication management device 1, and the therapy history data D21 is read out from the storage unit 12.

As described above, in the step S4, the acquisition processing unit 111 refers to the therapy history data D21 in which only the medication history of the anticancer drug has already been extracted from the drug history data D11. Therefore, in step S4, the processing speed of step S4 is improved as compared with the case where the therapy history data D21 is extracted from the drug history data D11. However, another embodiment may be considered in which the acquisition processing unit 111 extracts the therapy history data D21 from the drug history data D11 in the step S4.

<Step S5>
In step S5, the extraction processing unit 112 of the control unit 11 corresponds to the prescription data of the previous course in which the target prescription data and the patient, therapy, and DAY information are the same in the therapy history data D21. Perform an extraction step to extract historical data. Further, the extraction processing unit 112 is other prescription data issued between the target prescription data and the prescription data corresponding to the specific history data in the therapy history data D21, and the patient and the therapy Progress history data corresponding to the latest prescription data that is the same as the target prescription data is also extracted.

<Step S6>
In step S6, the output processing unit 113 of the control unit 11 executes an output step of outputting the checklist P2 including at least the target prescription data and the specific history data. The checklist P2 includes various items to be checked in advance regarding the administration of the anticancer drug based on the target prescription data. Specifically, the output processing unit 113 causes the printer 3 to print the checklist P2 by transmitting the print data of the checklist P2 to the printer 3.

Here, FIG. 8 is a diagram showing an example of the checklist P2. As shown in FIG. 8, the checklist P2 includes a current display field P21, a specific display field P22, and one or more progress display fields P23. More specifically, the checklist P2 is configured on the same page with a layout including the current display field P21, the specific display field P22, and the progress display field P23. Then, the target prescription data is shown in the current display field P21, and the specific history data and the progress history data extracted in step S5 are shown in the specific display field P22 and the progress display field P23. Is done.

Specifically, the checklist P2 shown in FIG. 8 includes DAY information, administration date, therapy name, administration interval date, height (cm), body weight (kg), body surface area, navelbine injection (drug to be administered), and the like. Information on each item is shown. In particular, the output processing unit 113 includes the target prescription data shown in the current display field P21, the specific history data shown in the specific display field P22, and the progress history data shown in the progress display field P23. The checklist P2 is output with a layout in which the arrangement of items is aligned.

More specifically, the information of the same item in the target prescription data, the specific history data, and the progress history data is shown side by side, and a user such as a pharmacist can use the target prescription data, the specific history data, and the progress. It is possible to easily compare the contents of each item with the historical data. The items shown in the checklist P2 shown in FIG. 8 are merely examples, and one or a plurality of items preset for the target prescription data and the specific history data may be shown.

Further, in the checklist P2, it is conceivable that the specific history data corresponding to the target prescription data is shown in a manner distinguishable from the progress history data. For example, it is conceivable that the characters or backgrounds in the specific history data and the progress history data are shown in different color schemes. Further, in the checklist P2, the target prescription data, the specific history data, and the progress history data may be shown in a distinguishable manner. Further, in the checklist P2, the DAY information corresponding to each prescription data and the cool information corresponding to the prescription data may be shown.

By the way, the number of display targets of the progress history data in the checklist P2, that is, the number of display targets of the progress display column P23, is the current display column P21, the specific display column P22, and the progress display in the checklist P2. Columns P23 are preset as a number that can be arranged side by side on the same paper surface. For example, in the example shown in FIG. 8, the number of display targets in the progress display column P23 is two, and the checklist P2 shows information on a total of four prescription data including the target prescription data and the specific history data. Has been done.

It is also conceivable that the progress display column P23 is omitted in the checklist P2, and the current display column P21 and the specific display column P22 are shown side by side so as to be adjacent to each other. Further, the current display column P21 and the specific display column P22 are shown side by side so as to be adjacent to each other, and the progress display column P23 is adjacent to either or both of the current display column P21 and the specific display column P22. May be shown. The arrangement direction of each item of the current display field P21, the specific display field P22, and the progress display field P23 is not limited to the horizontal direction but may be the vertical direction. Further, the progress history data shown in the progress display column P23 is prescription data of a preset number of display targets issued after the prescription data corresponding to the specific history data, and the patient and the therapy are the target prescriptions. The data may correspond to the same prescription data as the data.

As described above, in the drug history management system 10, the checklist P2 includes the target prescription data and the specific history data having the same patient, therapy, and administration time on the same paper (on the same screen). Can be output. Therefore, by referring to the checklist P2, a user such as a pharmacist can display the contents of the target prescription data on the same paper (on the same screen) and the specific history corresponding to the same administration time of the previous course. It can be easily compared with the contents of the data. In particular, in the checklist P2, DAY information indicating the administration time is shown for each administration time, so that the user can use the corresponding date of the previous course corresponding to the same administration time as the target prescription data to be processed this time. It is possible to easily grasp the data of (administration time). Therefore, according to the drug history management system 10, for example, it is possible to improve the efficiency of the administration work of the anticancer drug by the user.

[Supplementary note of invention]
Hereinafter, the technical idea of the invention extracted from the above-described embodiment will be added. In addition, it is also possible to select and arbitrarily combine each configuration and each processing function described below.

[Appendix A1]
The acquisition processing department that acquires therapy history data related to the administration history of anticancer drugs,
From the therapy history data, specific history data corresponding to the prescription data of the immediately preceding course in which the target prescription data to be processed and the patient and the therapy are the same and the administration time in one course is the same as the target prescription data is extracted. Extraction processing unit and
An output processing unit that outputs the target prescription data and the specific history data,
Dosing management system with.

[Appendix A2]
The output processing unit displays the target prescription data and the specific history data on the display unit or prints them on the image forming apparatus.
The dosing management system according to Appendix 1.

[Appendix A3]
The output processing unit displays or prints the target prescription data and the specific history data on the same screen or the same paper surface.
The dosing management system according to Appendix 2.

[Appendix A4]
The extraction processing unit outputs the most recent preset number of therapy history data whose therapy is the same as the target prescription data among the therapy history data together with the target prescription data and the specific history data.
The dosing management system according to any one of Appendix 1-3.

[Appendix A5]
It is equipped with a first information processing device and a second information processing device that are communicably connected.
The first information processing apparatus includes a first storage unit that stores drug history data regarding a history of drugs prescribed or administered to a patient, an acquisition processing unit, an extraction processing unit, and an output processing unit. Including
The second information processing device acquires data on the administration history of the anticancer drug extracted from the drug history data stored in the first storage unit of the first information processing device, and obtains the therapy history data. A history acquisition processing unit that stores the data in the second storage unit and a history reference processing unit that can refer to the therapy history data are included.
The acquisition processing unit acquires the therapy history data stored in the second storage unit of the second information processing apparatus.
The dosing management system according to any one of Supplementary Notes 1 to 4.

[Appendix A6]
A test evaluation processing unit that evaluates test data related to patient test results based on preset standard data for each administration time in one course of anticancer drug.
An evaluation output processing unit that outputs the evaluation result by the inspection evaluation processing unit,
With
The test evaluation processing unit evaluates the test data corresponding to the test performed within a preset period from the administration date shown in the prescription data based on the reference data corresponding to each administration time. ,
The dosing management system according to any one of Supplementary Notes 1 to 5.

[Appendix A7]
A test evaluation processing unit that evaluates test data related to patient test results based on preset standard data for each administration time in one course of anticancer drug.
An evaluation output processing unit that outputs the evaluation result by the inspection evaluation processing unit,
With
The test evaluation processing unit evaluates the test data corresponding to the test performed within a preset period from the administration date shown in the prescription data based on the reference data corresponding to each administration time. ,
Dosing management system.

[Appendix A8]
Acquisition step to acquire therapy history data related to anticancer drug administration history,
From the therapy history data, specific history data corresponding to the prescription data of the immediately preceding course in which the target prescription data to be processed and the patient and the therapy are the same and the administration time in one course is the same as the target prescription data is extracted. Extraction steps and
An output step that outputs the target prescription data and the specific history data,
Dosing management program to get the processor to run.

[Appendix A9]
A test evaluation step that evaluates test data related to patient test results based on preset standard data for each administration time in one course of anticancer drug.
An evaluation output step that outputs the evaluation result by the inspection evaluation processing unit, and
With
In the test evaluation step, the test data corresponding to the test performed within a preset period from the administration date shown in the prescription data is evaluated based on the reference data corresponding to each administration time. ,
Dosing management program.

1 Server 11 Control unit 111 Acquisition processing unit 112 Extraction processing unit 113 Output processing unit 114 Inspection evaluation processing unit 115 Evaluation output processing unit 12 Storage unit 13 Communication I / F
14 Operation device 15 Display device 16 Drive device 2 Dosing management device 21 Control unit 22 Storage unit 23 Communication I / F
24 Operating device 25 Display device 26 Drive device 3 Printer 4 Communication network 5 Upper system 10 Dosing management system

Claims (7)

The acquisition processing department that acquires therapy history data related to the administration history of anticancer drugs,
From the therapy history data, specific history data corresponding to the prescription data of the immediately preceding course in which the target prescription data to be processed and the patient and the therapy are the same and the administration time in one course is the same as the target prescription data is extracted. Extraction processing unit and
An output processing unit that outputs the target prescription data and the specific history data,
Dosing management system with. The output processing unit displays the target prescription data and the specific history data on the display unit or prints them on the image forming apparatus.
The dosing management system according to claim 1. The output processing unit displays or prints the target prescription data and the specific history data on the same screen or the same paper surface.
The dosing management system according to claim 2. The extraction processing unit outputs the most recent preset number of therapy history data whose therapy is the same as the target prescription data among the therapy history data together with the target prescription data and the specific history data.
The dosing management system according to any one of claims 1 to 3. It is equipped with a first information processing device and a second information processing device that are communicably connected.
The first information processing apparatus includes a first storage unit that stores drug history data regarding a history of drugs prescribed or administered to a patient, an acquisition processing unit, an extraction processing unit, and an output processing unit. Including
The second information processing apparatus acquires data relating to the administration history of the anticancer drug among the drug history data stored in the first storage unit of the first information processing apparatus, and uses the therapy history data as the second information processing apparatus. 2 Includes a history acquisition processing unit that stores in the storage unit and a history reference processing unit that can refer to the therapy history data.
The acquisition processing unit acquires the therapy history data stored in the second storage unit of the second information processing apparatus.
The dosing management system according to any one of claims 1 to 4. A test evaluation processing unit that evaluates test data related to patient test results based on preset standard data for each administration time in one course of anticancer drug.
An evaluation output processing unit that outputs the evaluation result by the inspection evaluation processing unit,
With
The test evaluation processing unit evaluates the test data corresponding to the test performed within a preset period from the administration date shown in the prescription data based on the reference data corresponding to each administration time. ,
The dosing management system according to any one of claims 1 to 5. Acquisition step to acquire therapy history data related to anticancer drug administration history,
From the therapy history data, specific history data corresponding to the prescription data of the immediately preceding course in which the target prescription data to be processed and the patient and the therapy are the same and the administration time in one course is the same as the target prescription data is extracted. Extraction steps and
An output step that outputs the target prescription data and the specific history data,
Dosing management program to get the processor to run.

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