JP7360010B2 - Information management system, information management program - Google Patents

Description

The present invention relates to an information management system and an information management program that support information management such as drug type, therapy type, or adverse event type corresponding to a patient.

A system is known that can support information management such as drug type, therapy type, or adverse event type for a patient (see, for example, Patent Document 1). More specifically, in this type of system, a management screen may be displayed in which information regarding items such as drug type, therapy type, or adverse event type is arranged in chronological order by date.

Japanese Patent Application Publication No. 2018-185636

By the way, on the management screen, among the information regarding items such as drug type, therapy type, or adverse event type, the information corresponding to the target date that the user wants to refer to is displayed in a position far from the area where each item is displayed. In such cases, there is a problem in that it is difficult to understand the correspondence between information and items.

The purpose of the present invention is to manage information that allows the user to easily check information on items such as drug type, therapy type, or adverse event type that corresponds to the target date while easily understanding the relationship with the item. Its purpose is to provide systems and information management programs.

In the information management system according to the present invention, first information indicating a drug type, therapy type, or adverse event type is displayed side by side in a first direction, and second information indicating a date is displayed in a second direction perpendicular to the first direction. a display processing unit capable of displaying a management table that is displayed in chronological order and in which third information related to the first information is displayed in a first area corresponding to a combination of the first information and the second information; A selection processing unit that selects the target date in response to a date selection operation. The display processing section then displays the third information corresponding to the target date selected by the selection processing section in a second area adjacent to the first information in the second direction, which is different from the first area. Display separately.

In the information management program according to the present invention, first information indicating a drug type, therapy type, or adverse event type is displayed side by side in a first direction, and second information indicating a date is displayed in a second direction perpendicular to the first direction. a display step of displaying a management table arranged in chronological order and displaying third information related to the first information in a first area corresponding to the combination of the first information and the second information; This information management program causes a computer to execute a selection step of selecting the target date in accordance with a selection operation. The display step displays the third information corresponding to the target date selected in the selection step in a second area adjacent to the first information in the second direction, separately from the first area. let

According to the present invention, information management allows the user to confirm information on items such as drug type, therapy type, or adverse event type corresponding to the target date that the user wants to refer to while easily understanding the relationship with the item. A system and information management program is provided.

FIG. 1 is a block diagram showing the configuration of an information management system according to an embodiment of the present invention. FIG. 2 is a diagram showing an example of an adverse event master used in the information management system according to the embodiment of the present invention. FIG. 3 is a diagram showing an example of drug history data used in the information management system according to the embodiment of the present invention. FIG. 4 is a diagram showing an example of therapy history data used in the information management system according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of test data used in the information management system according to the embodiment of the present invention. FIG. 6 is a diagram showing an example of adverse event data used in the information management system according to the embodiment of the present invention. FIG. 7 is a flowchart illustrating an example of information management processing executed by the information management system according to the embodiment of the present invention. FIG. 8 is an example of a display screen displayed by the information management system according to the embodiment of the present invention. FIG. 9 is an example of a confirmation sheet printed by the information management system according to the embodiment of the present invention. FIG. 10 is a diagram showing an example of a display screen displayed on the information management system according to the embodiment of the present invention. FIG. 11 is an example of a display screen displayed by the information management system according to the embodiment of the present invention.

Embodiments of the present invention will be described below with reference to the accompanying drawings to provide an understanding of the present invention. Note that the following embodiments are examples of embodying the present invention, and are not intended to limit the technical scope of the present invention.

[Information management system 10]
As shown in FIG. 1, an information management system 10 according to an embodiment of the present invention includes a server 1, a client terminal 2, a printer 3, and the like. The server 1, the client terminal 2, and the printer 3 are connected via a communication network 4 so that they can communicate wirelessly or by wire. The communication network 4 is a LAN, WAN, the Internet, an intranet, or the like. Further, a host system 5 is connected to the server 1 via the communication network 4. Note that the users of the information management system 10 are, for example, doctors, pharmacists, technicians, medical clerks, or facility managers in medical institutions such as hospitals, nursing care insurance facilities for the elderly, or pharmacies.

In the information management system 10, the server 1 causes the client terminal 2 to display various information such as drug history, therapy history, and adverse events for each patient in response to the user's operation of the client terminal 2. is possible. The client terminal 2 controls the display screen based on display data transmitted from the server 1, or controls the display screen by referring to various data stored in the server 1. Further, the server 1 is capable of accepting operation input from a user to the client terminal 2. Specifically, in this embodiment, the server 1 and the client terminal 2 constitute a server-client system, and the server 1 performs various processes such as display and printing in response to user operations on the client terminal 2. We will explain when to execute it. Therefore, in this embodiment, "display", "operation", "selection", "input", etc. described below will be described as being performed using the client terminal 2. Note that similar displays and operations may be performed on the server 1.

The upper system 5 is, for example, an electronic medical record system, an ordering system, or a receipt system. The host system 5 inputs into the server 1 prescription data regarding drug prescriptions or medications for patients, test result information regarding the test results of various tests conducted on the patient, patient data regarding the patient's physical information, etc. do. Note that the server 1 may be configured to actively read out the prescription data, the test result information, the patient data, etc. from the host system 5. Note that the prescription data also includes preparation data for administering drugs such as anticancer drugs according to a preset therapy (regimen). Further, the patient data includes physical information such as height, weight, and body surface area of each patient, and measurement date information indicating the measurement date of each of the physical information. Note that the patient data may be included in the prescription data or the test result information.

The prescription data includes patient identification information (patient ID, patient name), prescription date, preparation date, administration date, drug information (drug code, drug name, etc.), dosage/usage, therapy identification information, and the like. The therapy identification information is, for example, a therapy name (regimen name) or therapy ID that can identify the therapy corresponding to the therapy identification information. Note that the prescription data may include therapy information indicating the content of the therapy corresponding to the therapy identification information. The prescription data also includes doctor information, type of drug container (ampule containing drug solution, vial bottle containing drug solution, vial bottle containing powder drug, or infusion bag, etc.), preparation content information (drug container used for mixed injection work, syringe, It includes information such as the type and number of injection needles), preparation procedure information (work content, dissolving drug, solvent, amount of dissolving drug, amount of solvent, amount extracted), administration date, prescription category, department, ward, etc. It's okay.

[Printer 3]
The printer 3 is a color printer, a monochrome printer, or the like capable of executing a print process of recording information included in print data input from the server 1 or the client terminal 2 via the communication network 4 on a sheet such as paper. This is an image forming apparatus. For example, in a medical institution such as a hospital or a pharmacy, the printer 3 may print a prescription based on the prescription data. The printer 3 is also used in the information management system 10 to print a confirmation sheet P11 (see FIG. 13), which will be described later.

[Client terminal 2]
The client terminal 2 is a personal computer that includes a control section 21, a storage section 22, a communication I/F 23, a display device 24, an operating device 25, a drive device 26, and the like. Each of the client terminals 2 is an operating terminal that is placed in a medical institution where the information management system 10 is used and is operated by a user. For example, the client terminal 2 is used by a pharmacist who prepares medicines to be administered to patients at the medical institution. Note that the client terminal 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 types of arithmetic processing. The ROM is a non-volatile storage section in which information such as control programs for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage section, and the EEPROM is a nonvolatile storage section. The RAM and the EEPROM are used as temporary storage memory (work area) for various processes executed by the CPU. The control unit 21 uses the CPU to execute various processes according to various control programs stored in advance in the ROM, the EEPROM, or the storage unit 22.

The storage unit 22 is a nonvolatile storage unit such as a hard disk or SSD in which various control programs and various data executed by the control unit 21 are stored. Specifically, the storage unit 22 includes a program storage unit 221 that stores application programs such as an operating system (OS) and browser software. The browser software displays various operation screens on the display device 24 by accessing the server 1 via the communication network 4, and performs input operations on the operation screen using the operation device 25. This is application software for transmitting information to the server 1. For example, when address information such as a URL (Universal Resource Locator) corresponding to the server 1 is input to a predetermined position on the operation screen displayed by the browser software, the control unit 21 controls the control unit 21 based on the address information. to access the server 1.

The communication I/F 23 is a network card or the like that performs wireless or wired data communication according to a predetermined communication protocol between the server 1 and external devices such as the printer 3 via the communication network 4. It is a communication interface with

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 control instructions from the control unit 21. The operating device 25 is an operating unit operated by a user to input various information to the client terminal 2. Specifically, the operating device 25 includes a keyboard and a mouse (pointing device) that accept input operations on various operating screens displayed on the display device 24. Further, the operating device 25 may include a touch panel that accepts touch operations on various operating screens displayed on the display device 24, or a voice input device that accepts input of various information through voice recognition. Then, the control unit 21 receives a user operation on the operating device 25 and inputs the content of the user operation to the server 1.

The drive device 26 can read the OS or the browser software from a computer-readable recording medium 261 on which the OS or the browser software is recorded. The recording medium 261 is a CD, DVD, BD, or USB memory, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. In the client terminal 2, the control unit 21 installs the OS or the browser software read from the recording medium 261 using the drive device 26 into the program storage unit 221 of the storage unit 22.

[Server 1]
The server 1 is a computer that includes a control section 11, a storage section 12, a communication I/F 13, a display device 14, an operating device 15, a drive device 16, and the like. Note that the server 1 may be provided outside a medical institution such as a hospital or pharmacy where the information management system 10 is used. Further, the server 1 may be an information processing device such as a smartphone, a tablet terminal, or a laptop computer.

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 types of arithmetic processing. The ROM is a non-volatile storage section in which information such as control programs for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage section, and the EEPROM is a nonvolatile storage section. The RAM and the EEPROM are used as temporary storage memory (work area) for various processes executed by the CPU. 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 nonvolatile storage unit such as a hard disk or SSD in which various control programs and various data executed by the control unit 11 are stored. Further, the storage section 12 includes a program storage section 121, a master storage section 122, and an information storage section 123.

The program storage unit 121 is a storage area in which an information management program for causing the control unit 11 to execute information management processing (see FIG. 7), which will be described later, is stored. Note that 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 types of master information such as a drug master, a patient master, a clinical department master, a pharmacist master, a therapy master, and an adverse event master D1 are stored. For example, the drug master contains, for various drugs, drug code (YJ code, etc.), drug name, JAN code, RSS code, drug bottle code, dosage form, unit, specific gravity, drug type, combination change, excipient drug. Contains information such as , precautions, etc. The patient master includes information about each patient, such as patient name, patient ID, gender, age, alcohol consumption, smoking status, and disease name. The clinical department master includes information on various clinical departments of the medical institution where the information management system 10 is used.

Here, FIG. 2 is a diagram showing an example of the adverse event master D1. Note that the data structure of the adverse event master D1 is not limited to that described here. For example, the adverse event master D1 may be stored in the master storage unit 122 in a state where it is divided into a plurality of masters and associated with each other.

In the adverse event master D1, an adverse event type indicating an adverse event type including one or both of a test type and a subjective symptom type is associated with information such as the content of the adverse event. Specifically, as shown in FIG. 2, in the adverse event master D1, information such as event ID, event name, test ID, grade condition, numerical flag, changeability flag, related event, and symptom type are associated with each other. remembered. The event ID is adverse event identification information for identifying an adverse event type indicating a preset type of adverse event, and the event name is information indicating the name of each of the adverse event types. The test ID is test identification information for identifying a test item used to determine the grade of the corresponding adverse event. The symptom type is information indicating whether the adverse event is an objective symptom or a subjective symptom. Here, the subjective symptoms are symptoms that can be discovered by the patient himself, and the objective symptoms are objective symptoms that can be discovered according to the results of tests performed on the patient.

The grade condition is a classification index for classifying the grade of the adverse event according to specific predetermined criteria. Specifically, in the present embodiment, the specific criterion is the Common Terminology Criteria for Adverse Events (CTCAE) in which a classification index for the grade of the adverse event is defined. Note that the criteria registered in the adverse event master D1 are not limited to the original text defined in the common terminology criteria for adverse events, but may be in a form that allows the control unit 11 to determine the grade based on the common terminology criteria for adverse events, for example. It may be a standard after being edited.

In the present embodiment, the grade type of the adverse event is determined in five levels from "0" to "4", and the higher the value, the more severe the symptoms are. Note that the CTCAE also stipulates the grade "5", but since the necessity for the grade "5" is low, the information management system 10 according to the present embodiment does not use the grade "5". do.

In the grade condition, a range of numerical values used as an index when determining each of the grades numerically can be registered. For example, it is conceivable that the control unit 11 automatically extracts and registers ranges corresponding to each of the grades from the criteria shown in the CTCAE. Further, the control unit 11 may be able to register ranges corresponding to each of the grades in the adverse event master D1 according to a user operation on a master registration screen (not shown). The changeability flag is information indicating whether or not the grade can be arbitrarily changed in response to a user operation when the grade is automatically set by the control unit 11. In addition, when the numerical value flag is "0", the control unit 11 sets all the changeability flags corresponding to each grade to "1 (possible)".

Further, the numerical value flag is information indicating whether at least a part of the grade of the adverse event can be determined according to a numerical value such as a test value or an arbitrarily input state value. For example, the control unit 11 sets the numerical value flag to "1 (acceptable)" when a numerical value is input as range information in the grade condition. Further, the control unit 11 can set the numerical flag according to user operation. The related event is one or more events for identifying one or more adverse events registered in advance as information to be displayed next to or near the adverse event when the adverse event is displayed. This information includes the event ID.

For example, in the adverse event master D1, regarding the objective symptom "low platelet count" among the adverse events, the patient's adverse event is determined according to the test value of the test whose test ID is "0123455". It is possible to classify grades, and in the grade conditions, the range of the test values corresponding to each grade is defined as a classification index. Specifically, grade "0" means "inspection value ≧158,000," grade "1" means "158,000 > test value ≧75,000," and grade "2" means "75,000 > test value." Grade "3" is "50,000>Inspection value≧25,000" and Grade "4" is "25,000>Inspection value." Note that the control unit 11 can also arbitrarily change the range of test values set as grade conditions for each grade in the adverse event master D1 according to user operations. Further, the range of the test values corresponding to each grade is set in advance for each gender of the patient, and the control unit 11 sets the range of the test values used for determining the grade according to the gender of the patient. It is also possible to change.

In addition, in the adverse event master D1, regarding "fever" which is a subjective symptom among the adverse events, the grade of the patient's adverse event is determined according to the status value (for example, body temperature) indicating the patient's fever status. It is possible to classify them, and in the grade conditions, the body temperature corresponding to each grade is determined as a classification index. On the other hand, in the adverse event master D1, it is not possible to classify the grade of the patient's adverse event according to the numerical value for "numbness in the limbs" which is a similar subjective symptom among the adverse events, and the grade of the adverse event cannot be classified according to the numerical value. In the conditions, the severity of symptoms regarding numbness in the hands and feet corresponding to each grade is determined as a classification index.

The therapy master includes therapy information indicating contents of various therapies predetermined for each therapy identification information. Thereby, the control unit 11 can determine whether or not medication is being appropriately administered to a patient according to a given therapy based on the therapy master. Specifically, the therapy information includes the name of the drug administered based on the therapy, the standard dose (dose per body weight or body surface area), administration time, number of administrations, each administration date (administration interval), and 1 Includes information about dosing regimens such as course length. Further, when the prescription data is generated in the host system 5, therapy identification information such as a therapy ID or a therapy name for identifying the therapy information is added to the prescription data along with information such as drugs corresponding to the therapy. Ru.

Note that the control unit 11 can update various types of master information stored in the master storage unit at any time based on information acquired from the host system 5. Further, the control unit 11 can also edit various types of master information according to user operations using the server 1 or the client terminal 2.

The information storage unit 123 is a storage area in which various information such as the prescription data, drug history data D11, therapy history data D12, test data D13, and adverse event data D14 are stored. Note that the control unit 11 acquires the prescription data from the host system 5 and stores it in the information storage unit 123.

Here, FIG. 3, FIG. 4, FIG. 5, and FIG. 6 are diagrams showing examples of the drug history data D11, the therapy history data D12, the test data D13, and the adverse event data D14, respectively.

The drug history data D11 is information indicating the drug prescription history of each patient. For example, as shown in FIG. 3, the drug history data D11 includes patient ID (patient identification information), patient name (patient identification information), prescription date, drug name (drug identification information), ward, usage/dose, medical treatment, etc. Includes information such as department and attending physician.

The therapy history data D12 is information indicating the drug administration history according to each patient's therapy. For example, as shown in FIG. 4, the therapy history data D12 includes patient ID (patient identification information), patient name (patient identification information), administration date, therapy name (therapy identification information), ward, course information, planned medical treatment. Includes information such as department, planned doctor, etc. Furthermore, the therapy history data D12 includes the dosage of the drug administered according to the therapy, the patient's physical information on the administration date, and the like.

Note that the control unit 11 updates the drug history data D11 and the therapy history data D12 based on the prescription data. Further, the control unit 11 can edit the drug history data D11 or the therapy history data D12 in response to a user operation using the server 1 or the client terminal 2. That is, the control unit 11 can record the drug history or therapy history of each patient by editing the drug history data D11 or the therapy history data D12 in accordance with user operations. Therefore, the drug history data D11 may include information on future medication schedules and past drug history, and the therapy history data D12 may include information on future therapy schedules and past therapy history.

The test data D13 is information including test results such as test values for each test item performed on each patient. For example, as shown in FIG. 5, the test data D13 includes a patient ID (patient identification information), patient name (patient identification information), test date, test ID (test identification information), test item (test identification information), Contains information such as test results. The control unit 11 controls the patient's test result information obtained from the host system 5 or the patient's test result read from a recording medium such as a USB memory or a CD inserted into the server 1 or the client terminal 2. The inspection data D13 is updated based on the information. Note that the test result information corresponding to each patient may be stored in the information storage section 123 as the test data D13.

The adverse event data D14 is information indicating adverse event data such as subjective symptoms and objective symptoms for each patient. For example, as shown in FIG. 6, the adverse event data D14 includes a patient ID (patient identification information), patient name (patient identification information), date, adverse event ID (adverse event identification information), and event name (adverse event identification information). information), grade, and other information. The control unit 11 receives the test result information (or the test data D13) obtained from the host system 5, or information on the patient's subjective symptoms that is arbitrarily input to the server 1 or the client terminal 2. The adverse event data D14 is updated based on. Further, the control unit 11 can also update the adverse event data D14 in response to a user operation on the management screen P1, which will be described later.

Specifically, for objective symptoms that can be classified into grades according to the test results of preset test items among the adverse events, the control unit 11 determines the grade based on the patient's test data. It is registered in the adverse event data D14. That is, the control unit 11 can automatically determine the grade of objective symptoms among the adverse events of each patient based on the test data D13 and the adverse event master D1. The update timing of the adverse event data D14 by the control unit 11 is set in advance such that when the test data D13 is updated, when there is a request to display the management screen P1 to be described later, and when a preset time has arrived. For example, when a specified time interval has elapsed, or when an update operation is performed by the user.

In addition, the control unit 11 may control the first subjective symptoms of the adverse event, which can be classified into grades according to numerical input such as a status value indicating the patient's condition, to be classified by a user such as a pharmacist. The grade is registered in the adverse event data D14 according to the numerical value input. That is, the control unit 11 can determine the grade based on the numerical value of the first subjective symptom and the adverse event master D1. The control unit 11 also controls the user's control on a management screen P1 (see FIG. 8), a subjective symptom registration screen (not shown), etc., which will be described later, regarding second subjective symptoms excluding the first subjective symptoms among the subjective symptoms. It is possible to register the grade of each of the second subjective symptoms in the adverse event data D14 according to the operation. For example, the first subjective symptoms include "fever" and "diarrhea," and the second subjective symptoms include "vomiting" and "numbness in the hands and feet."

The communication I/F 13 is a network card that performs wireless or wired data communication with the client terminal 2 and external devices such as the printer 3 via the communication network 4 according to a predetermined communication protocol. It is a communication interface with etc.

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 control instructions from the control unit 11. The operating device 15 is an operating unit operated by a user to input various information to the server 1. Specifically, the operating device 15 includes a keyboard and a mouse (pointing device) that accept input operations on various operating 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 through voice recognition.

The drive device 16 can read the information management program from a computer-readable recording medium 161 on which the information management program is non-temporarily recorded. The recording medium 161 is a CD, DVD, BD, or USB memory, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. In the server 1, the control unit 11 installs the information management program read from the recording medium 161 using the drive device 16 into the program storage unit 121 of the storage unit 12.

The control unit 11 of the server 1 includes an acquisition processing unit 111, a display processing unit 112, a selection processing unit 113, and a print processing unit 114. Specifically, the control unit 11 executes various processes such as an information management process (see FIG. 7) described below according to the information management program, thereby controlling the acquisition processing unit 111, display processing unit 112, and selection processing unit 113. , and functions as various processing units such as the print processing unit 114. That is, in this embodiment, the server 1 alone is an information management system according to the present invention. Note that the control unit 11 may include a plurality of processors, and any one of the plurality of processors may function as the various processing units. Further, a part or all of the various processing units may be formed of an electronic circuit.

In another embodiment, part or all of the functions of the server 1 may be provided in the client terminal 2. For example, part or all of the information management program is installed in the client terminal 2, and the control unit 21 of the client terminal 2 appropriately acquires necessary information from the server 1, and obtains the information described below. It is also conceivable to execute management processing (see FIG. 7). In this case, the client terminal 2 is an example of an information management system according to the present invention. Furthermore, in the information management system 10, the server 1 and the client terminal 2 may cooperate to execute information management processing (see FIG. 7), which will be described later.

The acquisition processing unit 111 is capable of acquiring the grade of an adverse event for each date of the patient according to a specific standard such as the CTCAE in which a classification index for the grade of an adverse event is defined. Specifically, the acquisition processing unit 111 can acquire, from the adverse event data D14, the grade of the adverse event of each patient recorded in the adverse event data D14.

The display processing unit 112 displays drug type, therapy type, Or execute processing for displaying type information indicating the type of adverse event. Specifically, the display processing unit 112 displays the type information side by side in a first direction D21, which is the vertical or horizontal direction, and the date information indicating the date, which is displayed side by side in the horizontal or vertical direction perpendicular to the first direction D21. It is possible to display a management table that is displayed in chronological order in the second direction D22, and in which related information regarding the type information is displayed in a first area corresponding to the combination of the type information and date information. In this embodiment, the type information corresponds to first information, the date information corresponds to second information, and the related information corresponds to third information. Particularly, the display processing unit displays both the date information in which the corresponding related information exists and the date information in which the related information does not exist among the combinations of the type information and the date information. Thereby, the user can easily understand the transition of the related information. Furthermore, the display processing unit 112 can display a management screen P1 (see FIG. 8) that includes one or more of the management tables. Note that the management screen P1 will be described in detail later.

The selection processing unit 113 selects a target date in response to a selection operation of the target date, which is a date that the user wants to pay attention to. Specifically, the selection processing unit 113 accepts the selection of the target date by a user operation for selecting a specific date in the management table displayed on the management screen P1. Further, the selection processing unit 113 may receive the selection of the target date by inputting the target date in text or by specifying the target date from a calendar. Then, the display processing unit 112 transfers the related information corresponding to the target date selected by the selection processing unit 113 to the first area and the second area adjacent to the type information in the second direction D22. will be displayed separately.

The print processing unit 114 can output print data corresponding to the management table. Specifically, the print processing unit 114 can print the management table based on the print data on the printer 3 by transmitting the print data to the printer 3. For example, the print processing unit 114 generates print data corresponding to the management table displayed on the management screen P1 in response to a user's print request operation on the management screen P1, and outputs the print data. Incidentally, the print data may be data for printing the management screen P1 as is, but may be data that has a different display content or display mode from the management screen P1. For example, the print data includes the date information in which the corresponding related information exists among the combinations of the type information and the date information, and the management table does not include the date information in which the related information does not exist. This is data for printing the included confirmation sheet P11 (see FIG. 9). Note that the confirmation sheet P11 will be described in detail later.

By the way, in the management table displayed on the management screen P1 by the display processing unit 112, among the information regarding items such as drug type, therapy type, or adverse event type, information corresponding to the target date that the user wants to refer to is If the item is displayed in an area far from the displayed area, it becomes difficult to understand the relationship between the information and the item. In contrast, in the information management system 10 according to the present embodiment, information regarding items such as drug type, therapy type, or adverse event type corresponding to the target date that the user wants to refer to can be easily grasped. It is possible to confirm this.

[Information management processing]
Hereinafter, an example of the information management process executed by the control unit 11 of the server 1 will be described with reference to the flowchart of FIG. 7. The control unit 11 selects an arbitrary patient as a processing target and executes the information management program when a preset specific start operation for executing the information management program is performed on the client terminal 2. Execute processing. Note that, when the specific start operation is performed on a plurality of client terminals 2, the control unit 11 may execute the information management process substantially in parallel for each of the client terminals 2. It is possible. Further, the information management process may be terminated in response to a predetermined termination operation performed on the client terminal 2 even while the information management process is being executed. Note that the present invention may be regarded as an invention of an information management method in which a computer such as the server 1 executes some or all of the steps of the information management process.

<Step S1>
In step S1, the control unit 11 displays a management screen P1 on the client terminal including one or more management tables showing various information such as drug history, therapy history, or adverse events of the patient selected as the processing target. Display on 2. The present embodiment will be described using an example in which two management tables corresponding to the therapy history and the adverse event are displayed on the management screen P1. Note that the step S1 for displaying the management table is an example of a display step according to the present invention, and the display step is executed by the display processing section 112 of the control section 11.

Specifically, the control unit 11 generates display data for displaying the management screen P1 on the client terminal 2, and transmits the display data to the client terminal 2, thereby controlling the display on the client terminal 2. The management screen P1 is displayed on the device 24. Note that the control unit 11 transmits data necessary for displaying the management screen P1 to the client terminal 2, and the control unit 21 generates the display data and displays the management screen P1 on the display device 24. You may. That is, processing such as generation and updating of display data on the management screen P1 may be performed by either the server 1 or the client terminal 2.

Here, FIG. 8 is a diagram showing an example of the management screen P1. As shown in FIG. 8, the management screen P1 displays a patient information display section A11, a therapy history display section A12, an adverse event display section A13, and the like. In this embodiment, a case will be described in which the entire management screen P1 shown in FIG. 8 is displayed on the display device 24 of the client terminal 2. A part of the management screen P1 is displayed, and vertical or horizontal scrolling may be possible according to a predetermined scrolling operation on the client terminal 2.

In the patient information display section A11, the control section 11 displays information on the target patient whose drug history, therapy history, adverse events, etc. are displayed on the management screen P1 based on the patient master and the like. For example, as the information on the target patient, information such as the patient ID, patient name, age, gender, ward, etc. of the target patient is displayed.

In the therapy history display section A12, the control section 11 displays a management table showing the therapy history of the target patient based on the therapy history data D12 and the like. Specifically, in the management table, the therapy type and the drug type are displayed side by side in the first direction D21, the dates are displayed lined up in chronological order in the second direction D22, and the therapy type or the drug type is displayed side by side in the second direction D22. Individual areas A121 corresponding to each combination of the date and the date are displayed in a matrix. More specifically, the control unit 11 displays a plurality of areas along the first direction D21 in correspondence with each of the dates in the management table of the therapy history display unit A12. Here, each of the regions is displayed at a position corresponding to each of the therapy type or drug type in the first direction D21. Then, the control unit 11 sets each of the areas displayed at a position corresponding to each of the therapy type or drug type in the first direction D21 as the individual area A121, and controls the area related to each of the therapy type or drug type to be the individual area A121. Display related information. That is, in the management table, a virtual line segment parallel to the second direction D22 passes through a position where a specific therapy type or drug type is displayed, and a virtual line segment parallel to the second direction D22 passes through a position where a specific date is displayed. The area displayed at the position where the virtual line segment parallel to D21 intersects is the individual area A121 corresponding to the combination of the specific therapy type or drug type and the specific date. Note that the individual area A121 corresponds to the first area in the present invention.

For example, in the therapy history display section A12 in FIG. "Medicine" is displayed along the first direction D21. Further, in the therapy history display section A12 of FIG. 8, examples of the dates "5/28" to "6/12" are displayed in chronological order along the second direction D22. In addition, the control unit 11 controls the date (“5/28” in FIG. 8) displayed first in the second direction D22 and the month that is displayed in the therapy history display unit A12, except for a specific area A14 (described later). For the date immediately after ("6/1" in Figure 8), the "month" and "day" are displayed, but for other dates, the "month" display is omitted and only the "day" is displayed. .

Further, when the control screen P1 is initially displayed, the control unit 11 displays the date information such that the date corresponding to today is displayed on the rightmost side. The control unit 11 can change the date to be displayed on the management screen P1 in accordance with the operation of the operation unit K12 displayed on the management screen P1. Note that, when the operation section K12 is operated, the control section 11 changes the dates to be displayed in the plurality of management tables displayed on the management screen P1 in conjunction with each other. On the other hand, the operation section K12 is displayed corresponding to each of the management tables, and the date to be displayed in the management table may be changed individually according to the operation of the operation section K12.

Then, the control unit 11 stores the related information regarding the therapy type or the drug type corresponding to the combination of the therapy type or drug type and the date in the drug history data D11 or in each of the individual areas A121. It is displayed based on the therapy history data D12 and the like.

Specifically, the related information corresponding to the therapy type includes information on medication completion, medication schedule information, and medication suitability information indicating whether the medication was properly administered according to the therapy corresponding to the therapy type. etc. In the individual area A121 corresponding to the therapy type, information on the completion of medication is displayed in a pattern such as a filled-in star mark, and information on scheduled medication is displayed in a pattern such as an unfilled star mark. Ru. Further, in the individual area A121 corresponding to the therapy type, information on suitability of medication is displayed in the background pattern, background color, or font color of the individual area A121. For example, when the medication is appropriate, the background color of the individual area A121 is displayed in the same color as the background color of the management screen P1, such as white, and when the medication is inappropriate, the background color of the individual area A121 is displayed in the same color as the background color of the management screen P1. The background color is displayed in a color such as red (the shaded area in FIG. 8) that is different from the background color of the management screen P1.

Note that the control unit 11 can determine whether or not medication to the patient has been appropriately performed according to the therapy corresponding to the therapy type, based on the therapy master and the therapy history data D12. For example, if the interval between each administration date recorded as the therapy history in the therapy history data D12 is different from the interval between each administration date (administration interval) in the therapy defined in the therapy master, the control unit 11 may It is determined that the medication given to the patient is inappropriate. Specifically, when the administration dates of the therapy are set as the 1st and 8th days in the therapy master, and when the administration dates for the patient in the therapy history data D12 are the 1st and 9th days. It is determined that the medication is not appropriate. Furthermore, when recording the therapy history in the therapy history data D12, the control unit 11 determines whether or not the medication to the patient has been appropriately performed according to the therapy corresponding to the therapy type, and transmits the determination result. It may be recorded in the therapy history data D12, and the recorded contents may be referred to when displaying the related information.

In addition, the related information corresponding to the drug type includes the dosage of the drug corresponding to the drug type, and whether the dosage of the drug is within a preset appropriate amount (an example of a criterion). information on appropriateness of dosage, etc. For example, in the individual area A121 corresponding to the drug type, the dosage of the drug is displayed as a numerical value. Further, in the individual area A121 corresponding to the drug type, information on the suitability of the dosage is displayed in the background pattern, background color, or font color of the individual area A121. For example, when the dosage is appropriate, the background color of the individual area A121 is displayed in the same color as the background color of the management screen P1, such as white, and when the dosage is inappropriate, the The background color of the individual area A121 is displayed in a color such as red (hatched portion in FIG. 8) that is different from the background color of the management screen P1.

Note that the control unit 11 determines whether the amount of medicine administered to the patient is an appropriate amount determined by the therapy corresponding to the therapy type, based on the therapy master and the therapy history data D12. Is possible. For example, the control unit 11 may determine whether the dose of the drug recorded as the therapy history in the therapy history data D12 is the reference dose for the therapy defined in the therapy master and the patient's body on the day of administration of the drug. If the dose exceeds the appropriate dose calculated based on the information, it is determined that the dose is inappropriate. That is, the appropriate amount, which serves as a criterion for determining the appropriateness of the dose, changes depending on the patient's physical information on the day of administration of the drug.

For example, in the therapy master, the reference dose per "1 m ² " body surface area is determined to be "95.89 mg", and the patient's body surface area on the day of administration of the drug is "1.46 m ² ". In this case, the appropriate amount is "95.89 mg" x "1.46 m ² ", which is "140 mg". In this case, if the dose of the drug administered to the patient in the therapy history data D12 is, for example, "150 mg" which exceeds the appropriate amount, it is determined that the dose is not appropriate. Similarly, in the therapy master, the reference dose per "1 kg" of body weight is determined to be "9.24 mg", and if the patient's weight on the day of administration of the drug is "56.3 kg", then , the appropriate amount is "9.24 mg" x "56.3 kg", which is "120 mg". In this case, if the dose of the drug administered to the patient in the therapy history data D12 is, for example, "130 mg" which exceeds the appropriate amount, it is determined that the dose is not appropriate. In addition, when recording the therapy history in the therapy history data D12, the control unit 11 determines whether the amount of medicine administered to the patient is an appropriate amount determined by the therapy corresponding to the therapy type. The determination result may be recorded in the therapy history data D12, and the recorded content may be referred to when displaying the related information.

Further, in the adverse event display section A13, the control section 11 displays a management table showing adverse events of the target patient based on the test data D13, the adverse event data D14, and the like. Specifically, in the management table, the adverse event types are displayed side by side in the first direction D21, the dates are displayed side by side in chronological order in the second direction D22, and the combination of the adverse event type and the date is displayed. Individual areas A131 corresponding to each area are displayed in a matrix. More specifically, the control unit 11 displays a plurality of areas along the first direction D21 in correspondence with each of the dates in the management table of the adverse event display unit A13. Here, each of the regions is displayed at a position corresponding to each of the adverse event types in the first direction D21. Then, the control unit 11 displays the related information regarding each of the adverse event types by setting each of the areas displayed at a position corresponding to each of the adverse event types in the first direction D21 as the individual area A131. That is, in the management table, a virtual line segment parallel to the second direction D22 passing through a position where a specific adverse event type is displayed, and a virtual line segment parallel to the first direction D21 passing through a position where a specific date is displayed. The area displayed at the intersection of the parallel virtual line segments is the individual area A131 corresponding to the combination of the specific adverse event type and the specific date. Note that the individual area A131 corresponds to the first area in the present invention.

For example, in the adverse event display section A13 of FIG. 8, "white blood cell count", "neutrophil count", and "vomiting", which are examples of the therapy types, are displayed along the first direction D21. Further, in the adverse event display section A13 of FIG. 8, examples of the dates "5/28" to "6/12" are displayed in chronological order along the second direction D22. In addition, the control unit 11 controls the date (“5/28” in FIG. 8) displayed first in the second direction D22 and the month, except for a specific area A15 (described later), in the adverse event display unit A13. For the date immediately after ("6/1" in Figure 8), the "month" and "day" are displayed, but for other dates, the "month" display is omitted and only the "day" is displayed. .

Then, the control unit 11 transmits the related information regarding the adverse event type corresponding to the combination of the adverse event type and the date to the test data D13, the adverse event data D14, etc. in each of the individual areas A131. Display based on.

Specifically, the related information corresponding to the adverse event type includes information on test results corresponding to the adverse event type, information on the grade, the status value indicating the patient's condition, and whether an adverse event has occurred. This includes information on the presence or absence of adverse events, etc. In the individual area A131 corresponding to the adverse event type, a numerical value indicating the test result, a numerical value indicating the grade, a numerical value indicating the status value, etc. are displayed. Further, in the individual area A131 corresponding to the adverse event type, information on the presence or absence of an adverse event is displayed in the background pattern, background color, or font color of the individual area A131. For example, when no adverse event has occurred, the background color of the individual area A131 is displayed in the same color as the background color of the management screen P1, such as white, and when an adverse event has occurred, The background color of the individual area A131 is displayed in a color such as red (hatched portion in FIG. 8) that is different from the background color of the management screen P1. For example, the control unit 11 determines that an adverse event has occurred for the adverse event type whose grade is "1" or higher in the adverse event data D14.

Note that the adverse event display section A13 includes tabs T11, T12, and T13 with different information to be displayed. The control unit 11, in response to a selection operation of any one of the tabs T11 to T13, selects a display target corresponding to the tab from among the patient's adverse event information stored in the adverse event data D14. Information is extracted and displayed on the adverse event display section A13. Specifically, the tab T11 displays information on objective symptoms among adverse events, and the tab T12 displays information on subjective symptoms among adverse events. Further, in the tab T13, information on both objective symptoms and subjective symptoms regarding the adverse event is displayed. Note that FIG. 8 shows a state in which the tab T13 is selected. Furthermore, the tab T13 may be omitted.

Further, the control unit 11 causes the adverse event display unit A13 to display grade determination criteria corresponding to each grade defined in the adverse event master D1. By the way, the content of the grading criteria defined in the common terminology standards for adverse events may be difficult to understand at first glance. Therefore, in the adverse event master D1, as the content of the grade condition corresponding to the grade determination criteria, medical professionals such as doctors, nurses, pharmacists, etc. It is conceivable that a display character string indicating the grade determination criterion in a simple manner that allows the grade determination criterion to be grasped is stored. In the adverse event display section A13, the information on the criteria for the grade of the adverse event may be displayed using the display character string.

By the way, in the management table displayed in the therapy history display section A12 or the adverse event display section A13 displayed on the management screen P1, if the target date that the user wants to refer to is far from the display position of the type information. If so, it is difficult to understand the relationship between the related information and the type information on the target date. In contrast, on the management screen P1, the control unit 11 stores the related information corresponding to the target date selected by the user operation not only in the individual area A121 corresponding to the target date but also in the type information. It is also possible to display in adjacent positions.

Specifically, the control unit 11 causes the related information corresponding to the target date to be displayed in the therapy history display unit A12, and the type information to be displayed separately from the individual area A121 corresponding to the target date. It is also displayed in a specific area A14 (an example of a second area) between the area and the area where the oldest date is displayed. In addition, the control unit 11 causes the related information corresponding to the target date to be displayed in an area where the type information is displayed, in addition to the individual area A131 corresponding to the target date, in the adverse event display unit A13. It is also displayed in a specific area A15 (an example of a second area) between the area where the oldest date is displayed. That is, the control unit 11 copies the related information regarding the target date on the management screen P1 without changing the display position of the related information regarding the target date and other dates in the management table. and is displayed in the specific area A14 or the specific area A15. As a result, the user can confirm the related information related to type information such as drug type, therapy type, or adverse event type corresponding to the target date that the user wants to refer to while easily understanding the relationship with the type information. It is.

Furthermore, when starting the display of the management screen P1, the control unit 11 may not display the specific area A14 and the specific area A15, or may display them blank, but may set today's date as the target date. The specific area A14 and the specific area A15 may be automatically selected and displayed. Thereafter, the control unit 11 updates the display contents in the specific area A14 and the specific area A15 in accordance with the selection of the target date in step S9, which will be described later.

In this embodiment, a case will be described in which the specific area A14 and the specific area A15 are areas between the type information and the oldest date in the second direction D22 and on the right side of the type information. However, the specific area A14 and the specific area A15 may be an area on the left side of the type information that is opposite to the oldest date with respect to the type information in the second direction D22.

More specifically, the specific area A14 includes specific areas A141 to A145 in which various types of information are displayed. The target date is displayed in the specific area A141. Here, when displaying the target date in the specific area A141, the control unit 11 displays both the "month" and "day" of the target date. In the specific area A142 and the specific area A143, weight and body surface area are displayed as the patient's physical information on the target date. That is, the control unit 11 displays the patient's weight and body surface area, which are used when calculating the appropriate amount, in the specific area A142 and the specific area A143. Further, the control unit 11 similarly displays the patient's weight and body surface area for each of the dates on the management screen P1.

In the specific area A144, the related information similar to each of the individual areas A121 corresponding to the target date is displayed. That is, the specific area A144 corresponding to the therapy type includes, as the related information, information on whether the medication has been administered, information on the medication schedule, and whether or not the medication was properly performed in accordance with the therapy corresponding to the therapy type. Information such as the suitability of medication is displayed. Further, in the specific area A144 corresponding to the drug type, the related information includes the dosage of the drug corresponding to the drug type and whether the dosage of the drug is within a preset appropriate amount range. Information such as whether the dose is appropriate or not is displayed. Thereby, the user can confirm the related information regarding the therapy type and the drug type corresponding to the target date that the user wants to refer to while easily understanding the relationship with the therapy type and the drug type. In addition, in the specific area A145, as described above, the appropriate amount is the determination criterion for determining whether the amount of medicine administered to the patient is the appropriate amount determined by the therapy corresponding to the therapy type. will be displayed as . Thereby, the user can easily compare the related information and the determination criteria.

Further, the specific area A15 includes specific areas A151 and A152 in which various types of information are displayed. The target date is displayed in the specific area A151. Here, when displaying the target date in the specific area A151, the control unit 11 displays both the "month" and "day" of the target date. In the specific area A152, the related information similar to each of the individual areas A131 corresponding to the target date is displayed. That is, the specific area A152 includes, as the related information, information on test results corresponding to the type of adverse event, information on the grade, the status value indicating the patient's condition, and whether or not an adverse event has occurred. Information about the presence or absence of adverse events is displayed. Thereby, the user can confirm the related information regarding the adverse event type corresponding to the target date that the user wants to refer to while easily understanding the relationship with the adverse event type.

In this embodiment, a case will be described in which the control section 11 displays the therapy history display section A12 on the management screen P1. A drug history display section in which a management table showing a patient's drug history is displayed may be displayed on the management screen P1 based on the drug history data D11. In this case, the control unit 11 causes the drug types to be displayed side by side in the first direction D21, the dates to be displayed in chronological order in the second direction D22, and to correspond to the combination of the drug type and the date. A management table in which individual areas are displayed in a matrix is displayed on the drug history display section. In the drug history display section, in each of the individual areas in the management table, the prescribed amount of the drug corresponding to the drug type and information regarding the appropriateness of the prescribed amount are displayed as the related information. Also in the drug history display section, in the management table, the related information corresponding to the target date is the oldest in the area where the type information is displayed, apart from the individual area corresponding to the target date. It is also displayed in a specific area (an example of a second area) between the area where the date is displayed. Note that the control section 11 may display any one or more of the drug history display section, the therapy history display section A12, and the adverse event display section A13 on the management screen P1. .

<Step S2>
In step S2, the control section 11 determines whether a switching operation has been performed on any of the tabs T11 to T13 in the adverse event display section A13. Here, if it is determined that the switching operation has been performed (S2: Yes), the process moves to step S3, and if the switching operation has not been performed (S2: No), the process moves to step S4. .

<Step S3>
In step S3, the control unit 11 updates the display in the adverse event display unit A13 according to the tab determined to have been operated in step S2. Specifically, when the tab T11 is operated, the control unit 11 causes the adverse event display unit A13 to display information about only objective symptoms among the adverse events. Further, when the tab T12 is operated, the control unit 11 causes the adverse event display unit A13 to display information about only subjective symptoms among the adverse events. Further, when the tab T13 is operated, the control unit 11 causes the adverse event display unit A13 to display information regarding both objective symptoms and subjective symptoms among the adverse events.

<Step S4>
In step S4, the control unit 11 determines whether a deployment switching operation has been performed for any of the adverse event types displayed in the adverse event display unit A13. Specifically, in the adverse event display section A13, operation keys K13 are displayed in association with each of the adverse event types. Then, when the operation key K13 is operated, the control unit 11 determines that a deployment switching operation has been performed for the adverse event type corresponding to the operation key K13. Here, if it is determined that the expansion switching operation has been performed (S4: Yes), the process moves to step S5, and if the expansion switching operation has not been performed (S4: No), the process moves to step S6. Transition.

<Step S5>
In step S5, the control section 11 switches whether or not to display the expanded display for the adverse event for which the expanded switching operation has been performed among the adverse event types displayed in the adverse event display section A13. Specifically, as shown in FIG. 8, if "+" is displayed on the operation key K13, the adverse event type corresponding to the operation key K13 is not expanded and displayed. state. On the other hand, when "-" is displayed on the operation key K13, it is an expanded state in which the adverse event type corresponding to the operation key K13 is expanded and displayed. When the operation key K13 is operated in the expanded state, the display of an adverse event corresponding to the operation key K13 is switched to the non-deployed state, and when the operation key K13 is operated in the non-deployed state, , the display of the adverse event corresponding to the operation key K13 is switched to the expanded state.

More specifically, when the adverse event type is in a non-deployed state, the control unit 11 causes the adverse event display section A13 to display an event area A133 corresponding to each combination of the adverse event type and the date. . In the event area A133, the individual area A131 is displayed in two stages, the upper individual area A131 displays the test value or status value used for determining the grade, and the lower individual area A131 displays the individual area A131. Grade is displayed. Note that the control unit 11 changes the background pattern, background color, or font color of the lower individual area A131 in the event area A133 to a background pattern, background color, or font color set in advance corresponding to the grade. to display it.

Further, when the adverse event type is in the expanded state, the control unit 11 causes the adverse event display section A13 to display an event area A134 corresponding to each combination of the adverse event type and the date. In the event area A134, a plurality of individual areas A131 are displayed, and in the individual area A131 at the top, test values or status values used for determining the grade are displayed, and below the individual area A131. Each of the individual areas A131 is an area corresponding to each of the grades. Then, the control unit 11 changes the background pattern, background color, or font color of the individual area A131 corresponding to the grade corresponding to the adverse event type among the individual areas A131 corresponding to each of the grades to Display with a preset background pattern, background color, or font color corresponding to the . Thereby, the user can grasp the transition of the grade of the adverse event type at a glance.

<Step S6>
In step S6, the control unit 11 determines whether a synchronization/non-synchronization switching operation has been performed to switch between synchronization and non-synchronization of the selection of the target date in the plurality of management tables displayed on the management screen P1. Specifically, on the management screen P1, an operation key K14 is displayed as an operation unit that accepts an operation for switching whether or not to synchronize the selection of the target date. Then, when the operation key K14 is operated, the control unit 11 determines that the synchronization/non-synchronization switching operation has been performed. Here, if it is determined that the synchronization presence/absence switching operation has been performed (S6: Yes), the process moves to step S7, and if the synchronization presence/absence switching operation has not been performed (S6: No), the process moves to step S7. The process moves to S8.

<Step S7>
In step S7, the control section 11 switches whether or not the selection of the target date is synchronized in the therapy history display section A12 and the adverse event display section A13. Specifically, if the synchronization of the selection of the target date is set to Yes, the synchronization of the selection of the target date is changed to No, and the synchronization of the selection of the target date is set to No. If it is, the synchronization of the target date selection is changed to Yes. Note that when the management screen P1 starts displaying, synchronization of the target date selection is in a preset state with or without synchronization.

<Step S8>
In step S8, the control unit 11 determines whether an operation for selecting the target date has been performed in the therapy history display section A12 or the adverse event display section A13. Note that the step S8 in which the target date is selected is an example of a selection step according to the present invention, and the selection step is executed by the selection processing section 113 of the control section 11. When it is determined that the target date has been selected (S8: Yes), the process moves to step S9, and when it is determined that the target date has not been selected (S8: No), the process moves to step S10. to move to.

Specifically, as shown in FIG. 8, the control unit 11 sets the position of either the selection area A122 or the selection area A132 corresponding to each date in the therapy history display area A12 or the adverse event display area A13. The selection operation is accepted as an operation of selecting the date as the target date, and the selected target date is displayed in an identifiable display manner. For example, the display mode may be displaying the background color or text color of a part or all of the selection area A122 in reverse, or displaying a thick frame surrounding the selection area A122. Note that the control unit 11 performs only the operation of selecting the date and the day of the week of the date in the therapy history display section A12 or the adverse event display section A13, and the operation of selecting the date as the target date. may be accepted as Thereby, the control unit 11 may receive, for example, an operation of the individual area A121 or the individual area A131 corresponding to the date as an operation for displaying detailed information of the related information corresponding to the individual area A131. is possible.

<Step S9>
When the selection of the target date is accepted in the step S8 (S8: Yes), in the subsequent step S9, the control section 11 controls the selection of the target date in either or both of the therapy history display section A12 and the adverse event display section A13. A process for changing the target date is executed.

Here, if the synchronization of the selection of the target date is set to Yes, the control unit 11 displays the information in the therapy history display section A12 and the adverse event display section A13 in accordance with the selection operation of the target date. A process for changing the target date is executed for the plurality of management tables. For example, as shown in FIG. 8, when "6/10" is selected as the target date in the therapy history display section A12, "6/10" is also selected as the target date in the adverse event display section A13. selected as. Specifically, the control unit 11 causes the specific area A14 of the therapy history display area A12 and the specific area A15 of the adverse event display area A13 to display the information corresponding to the target date selected in step S8. Display related information. That is, the selection processing section 113 of the control section 11 selects the target date in any of the plurality of management tables displayed in the therapy history display section A12 and the adverse event display section A13. It is accepted as a selection operation of the target date in a plurality of management tables.

On the other hand, when the selection of the target date is set to no synchronization, the control unit 11 causes the control unit 11 to display the information in the therapy history display section A12 and the adverse event display section A13 in accordance with the selection operation of the target date. A process for changing the target date is executed for only one of the management tables in which the target date selection operation has been performed among the plurality of management tables. Specifically, the control unit 11 displays only one of the specific area A14 of the therapy history display area A12 and the specific area A15 of the adverse event display area A13 in which the target date selection operation was performed. The related information corresponding to the target date selected in step S8 is displayed. That is, the selection processing section 113 of the control section 11 selects the target date in any of the plurality of management tables displayed in the therapy history display section A12 and the adverse event display section A13. The selection operation for the target date is accepted only in the management table on which the selection operation has been performed.

<Step S10>
In step S10, the control unit 11 determines whether a grade registration operation has been performed to register a grade corresponding to a specific date for the adverse event type displayed in the adverse event display unit A13. . Specifically, in the adverse event display section A13, the control section 11 displays a first subjective symptom in the upper row of the event area A133 for the first subjective symptom whose grade can be classified according to the numerical input among the adverse event types. A numerical value input into the individual area A131 is accepted as the grade registration operation for registering the grade corresponding to the numerical value. Further, in the adverse event display section A13, for a second subjective symptom other than the first subjective symptom among the adverse event types, the selection operation of the individual area A131 in the event area A134 corresponds to the individual area A131. It is accepted as the grade registration operation for registering the grade. Here, if it is determined that the grade registration operation has been performed (S10: Yes), the process proceeds to step S11, and if the grade registration operation has not been performed (S10: No), the process proceeds to step S12. Transition.

<Step S11>
In step S11, the control unit 11 registers the grade for the adverse event type in the adverse event data D14 in response to the grade registration operation. Specifically, the control unit 11 determines the grade to which the numerical input belongs according to the numerical input for a first subjective symptom that can be classified into the grade according to the numerical input among the adverse event types, The grade is displayed in the individual area A131 at the bottom of the event area A133, and is also registered in the adverse event data D14. In addition, for a second subjective symptom excluding the first subjective symptom among the subjective symptoms, the control unit 11 controls the individual area A131 corresponding to the individual area A131 in the event area A134 in response to a selection operation of the individual area A131 in the event area A134. The grade is registered in the adverse event data D14 as the grade corresponding to the date.

<Step S12>
In step S12, the control unit 11 determines whether a request to print the confirmation sheet P11 has been made. Specifically, the control unit 11 determines that a request to print the confirmation sheet P11 has been made when the operation unit K11 displayed on the management screen P1 is operated. Here, if it is determined that the printing request for the confirmation sheet P11 has been made (S12: Yes), the process moves to step S13, and if it is determined that the printing request for the confirmation sheet P11 has not been made ( S12: No), the process moves to step S14.

<Step S13>
In step S13, the control unit 11 executes processing for printing the confirmation sheet P11. Specifically, the control unit 11 generates print data for printing the confirmation sheet P11 including the contents of one or more management tables displayed on the management screen P1, and sends the print data to the printer. 3, the printer 3 is caused to print the confirmation sheet P11. Here, the control unit 11 may print the content displayed on the management screen P1 as is as the confirmation sheet P11, but the control unit 11 may print the content displayed on the management screen P1 as is, but the control unit 11 may print the content displayed on the management screen P1 as is. The confirmation sheet P11 may be printed in a specific format with different content or display mode. For example, the confirmation sheet P11 is used for prior confirmation of the medication when administering medication, such as an anti-cancer drug, to a patient based on the therapy.

Specifically, the control unit 11 includes the related information of the date on which the related information is input in the individual area A121 in one or more management tables displayed on the management screen P1, and Print data for the confirmation sheet P11 is generated in which information on dates on which the related information is not input in the individual area A121 is omitted.

Here, FIG. 9 is a diagram showing an example of the confirmation sheet P11 printed in the step S13. As shown in FIG. 9, in the confirmation sheet P11, for each of the management tables displayed in the therapy history display section A12 and the adverse event display section A13 of the management screen P1, An area A21 and an area A22 are printed in which the related information corresponding to the date on which the related information is input is displayed for a preset number of days going back from the target date.

Specifically, in the therapy history display section A12 shown in FIG. 8, the dates on which the related information is input in the individual area A121 are "5/28," "5/29," and "5/29." 30'', ``5/31'', ``6/5'', ``6/10'', ``6/11'', and ``6/12''. Furthermore, in the therapy history display section A12, "6/10" is selected as the target date. In this case, in the confirmation sheet P11, as shown in FIG. 9, in each of the area A21 and the area A22, the data is gradually traced back from the target date "6/10" toward the second direction D22. Dates for six days are displayed, and the related information corresponding to each of the dates is displayed.

That is, in the area A21 of the confirmation sheet P11 shown in FIG. 9, the therapy type and the drug type are printed side by side in the first direction D21, such as "6/10" and "6/5". , "5/31," "5/30," "5/29," and "5/28" are printed side by side in the second direction D22. The related information corresponding to the date is printed in each area A221 corresponding to the therapy type or drug type and the date. Further, in the area A221, similarly to the individual area A121 in the management screen P1, whether or not the medication is appropriate is indicated by the background pattern, background color, text color, etc. in the area A221.

Similarly, in the area A22 of the confirmation sheet P11 shown in FIG. 9, the adverse event types are printed side by side in the first direction D21, such as "6/10", "6/5", " Dates ``5/31'', ``5/30'', ``5/29'', and ``5/28'' are printed side by side in the second direction D22. In each area A222 corresponding to the adverse event type and the date, information on the test results of the test items corresponding to the adverse event type is printed as the related information corresponding to the date. In addition, in the area A222, similarly to the individual area A131 in the management screen P1, whether or not an adverse event has occurred for the adverse event type is determined by the background pattern, background color, or font color in the area A222. Indicated by

Further, on the management screen P1, the control unit 11 displays the dates in order from the oldest date to the newest date along the second direction D22, but on the confirmation sheet P11, the dates are displayed in the second direction D22. Print from the newest date to the oldest date. As a result, the user can refer to the changes in drug history, therapy history, adverse events, etc. in chronological order on the management screen P1, and on the confirmation sheet P11, the user can refer to the changes in the drug history, therapy history, adverse events, etc. It is possible to preferentially refer to drug history, therapy history, adverse events, etc. that are close to the target date. Note that in the confirmation sheet P11 as well, the dates may be arranged in chronological order from oldest to oldest along the second direction D22, similarly to the management screen P1.

Note that the date to be printed on the confirmation sheet P11 by the control unit 11 may be a predetermined number of days back from the target date, or may be a predetermined number of days back from today. Further, the control unit 11 may print a drug history on the confirmation sheet P11, as shown in FIG. 9. For example, it is determined based on the drug history data D12 whether or not there is a drug history that includes the date to be printed on the confirmation sheet P11 in the dosing period, and if the drug history exists, It is conceivable to print the drug history on the confirmation sheet P11. In addition, in the said confirmation screen P1, when the said medication history display part is displayed instead of the said therapy history display part A12, the said confirmation sheet P11 is similar to the management table displayed in the said medicine history display part, for example. The drug history for the date on which the information or the management information exists is printed.

<Step S14>
In step S14, the control unit 11 determines whether or not an operation to end the execution of the information management process has been performed, and if the operation to end the execution has been performed (S14: Yes), terminates the information management process, If the execution termination operation has not been performed (S14: No), the process returns to step S2.

As explained above, in the information management system 10 according to the present embodiment, on the management screen P1, the relevant information regarding the target date and other dates in the management table is not changed. The related information regarding the target date is duplicated and displayed in the specific area A14 or A15. Therefore, the user can check the related information regarding type information such as drug type, therapy type, or adverse event type corresponding to the target date that the user wants to refer to while easily understanding the relationship with the type information. be.

[Inspection support function]
By the way, in medical institutions such as pharmacies and hospitals, after a drug is prepared based on the prescription data, a final inspection is performed by a pharmacist or the like to inspect the suitability of the preparation. In the information management system 10, the control unit 11 may have an inspection support function that causes the client terminal 2 to display an inspection support screen P2 for supporting the final inspection work. Specifically, when a target patient and prescription data are selected and a user operation to start final inspection is received from the client terminal 2, the control unit 11 controls the control unit 11 to select the target patient and prescription data to inspect the prescription data. An inspection support screen P2 is displayed on the client terminal 2.

Here, FIG. 10 is a diagram showing an example of the inspection support screen P2. As shown in FIG. 10, on the inspection support screen P2, patient information and information such as the name, usage, and dose of the prescribed drug are displayed based on the prescription data. Then, when the code information corresponding to the prescription drug is read using a barcode reader (not shown) while the inspection support screen P2 is being displayed, the control unit 11 controls whether the prescription drug is After determining that the drug was appropriately dispensed, the final inspection of the prescribed drug will be completed.

By the way, in the information management system 10, the control unit 11 determines the suitability of various preset check items for the prescription data input from the host system 5, using preset judgments for each check item. A prescription check process that makes a determination based on determination information indicating conditions may be executed. In the prescription check process, if any of the check items is determined to be inappropriate, a notification process is executed to notify the user of the error.

For example, the check items include items such as "interaction," "duplication (same drug effect, same drug, same ingredient)," "dosage," "formulation change," and "dosage classification." "Interaction" is a check item regarding whether there are any contraindications or precautions for the drug combination included in the prescription data. "Duplicate (same drug effect, same drug, same ingredient)" is a check item regarding whether or not there is a duplicate of drugs included in the prescription data. “Dose” is a check item regarding whether the dose of the drug included in the prescription data is within a predetermined range. "Changed mixture" is a check item regarding the presence or absence of abnormalities when mixing injectable drugs. "Dose class" is a check item regarding whether or not the time for taking the medicine included in the prescription data matches the time for taking the medicine set in advance for the medicine.

For example, the judgment information includes, as information indicating the judgment conditions corresponding to the check item of "interaction", concomitant drug contraindication information indicating a combination of drugs that are contraindicated for interaction, and information on drugs that are contraindicated for interaction; Contains drug information indicating the combination of certain drugs. In the prescription check process, if a plurality of drugs prescribed to the patient corresponding to the prescription data include a combination of drugs indicated in the contraindicated drug information, the result of the prescription check process becomes an error. , the check result of the prescription check process will include the error content of "concomitant use contraindicated." Similarly, if multiple drugs prescribed to the patient corresponding to the prescription data include a combination of drugs indicated in the concomitant drug information, the result of the prescription check process will be an error, and the prescription check process will be performed as an error. The check results will include the error message "Caution when using in combination." Note that the concomitant contraindicated drug information and the concomitant caution drug information may be stored for each drug in the drug master. In addition, the determination information includes information on the maximum and minimum doses of each drug as early determination conditions corresponding to the check item of "Dose". In the prescription check process, if the dose of the drug prescribed to the patient corresponding to the prescription data exceeds the maximum amount, the result of the prescription check process becomes an error, and the prescription check process is performed. The check result will include the error content "maximum dose exceeded". Furthermore, if the dose is less than the minimum dose, the result of the prescription check process will be an error, and the check result of the prescription check process will include the error content of "exceeds the minimum dose". .

Here, among the check items whose suitability is determined in the prescription check process, the control unit 11 performs the prescription check process in response to a user operation for check items in which errors frequently occur for a specific patient. It is possible to set it so that it is excluded from being notified as an error. This reduces the user's confirmation work due to notification of errors regarding the check items for a specific patient.

However, after a setting is made so that errors in a specific check item are excluded from notification targets in the prescription check process, other users who made the setting must not notice that the setting has been made. For example, there is a possibility that the specific check item may continue to be excluded from the notification target forever. The same applies if the user who made the settings forgets that he or she made the settings.

Therefore, when the check item excluded from the notification target for error notification in the prescription check process is set, the control unit 11 causes the information to be displayed on the inspection support screen P2. Thereby, the user can grasp the existence of the check items excluded from the notification target when performing the final inspection work. Specifically, on the inspection support screen P2, a message "There is data for 'Do not check prescription next time'" is displayed in area A31 as exclusion information indicating that the check item excluded from the notification target exists. ing. Note that the control unit 11 controls the control unit 11 when there is a check item excluded from notification targets for which an error is reported in the prescription check process, and when an error has occurred for the check item in the prescription check process. , the exclusion information is displayed in the area A31. On the other hand, if there is a check item excluded from the notification target for error notification in the prescription check process, the control unit 11 determines whether an error has occurred for the check item in the prescription check process. Regardless, the exclusion information may always be displayed in the area A31.

By the way, when the final inspection work is performed while referring to the inspection support screen P2, the user can check the history of past prescription data issued before the prescription data to be inspected on the inspection support screen P2, or There are cases where it is desired to refer to the drug history or test history of the patient corresponding to the prescription data to be inspected. Therefore, the control unit 11 displays, on the inspection support screen P2, an operation unit K31 for displaying the history of past prescription data and an operation unit K32 for displaying the patient's drug history or test history. do.

Then, when the operation section K31 is operated, the control section 11 displays the contents of past prescription data issued before the prescription data to be inspected, as shown in FIG. The previous prescription screen P3 is displayed on the client terminal 2. Specifically, as shown in FIG. 11, on the previous prescription screen P3, the contents of the past prescription data are displayed with priority in order from the newest prescription data. Further, the control unit 11 can sequentially display the contents of the plurality of past prescription data in accordance with the operation of the operation unit K41 displayed on the previous prescription screen P3. In addition, the control unit 11 can also sequentially display contents of the past prescription data that are not displayed simultaneously on the previous prescription screen P3 in accordance with the operation of the operating unit K42 displayed on the previous prescription screen P3. be. The previous prescription screen P3 may be displayed as a pop-up over a part of the inspection support screen P2, but the previous prescription screen P3 may be displayed on the entire screen instead of the inspection support screen P2. When the previous prescription screen P3 is displayed on the entire screen instead of the inspection support screen P2, the previous prescription screen P3 displays an operation section for returning the display to the inspection support screen P2, and The control unit 11 changes the display from the previous prescription screen P3 to the inspection support screen P2 in accordance with the operation of the operating unit. Thereby, when performing the final inspection work, the user can easily check the contents of past prescription data on the previous prescription screen P3 as needed.

Further, when the operation section K32 is operated, the control section 11 displays the management screen P1 shown in FIG. 8 instead of the examination support screen P2, and displays the patient's information on the management screen P1. Display drug history, test history, etc. Specifically, the control unit 11 may display the drug history display section and the adverse event display section A13 on the management screen P1. Note that instead of the management screen P1, a history screen (not shown) may be separately displayed for displaying the drug history, the test history, or the like in a different display mode. In addition, on the management screen P1 or the history screen, an operation section for returning the display to the inspection support screen P2 is displayed, and the control section 11 controls the management screen P1 or the history screen according to the operation of the operation section. The display changes from the history screen to the inspection support screen P2. Thereby, when performing the final inspection work, the user can easily check the patient's drug history, test history, etc. on the management screen P1 or the history screen as necessary.

1 Server 11 Control unit 111 Acquisition processing unit 112 Display processing unit 113 Selection processing unit 114 Print processing unit 12 Storage unit 13 Communication I/F
14 Display device 15 Operation device 16 Drive device 2 Client terminal 3 Printer 5 Upper system 10 Information management system

Claims (8)

First information indicating drug type, therapy type, or adverse event type is displayed side by side in a first direction, second information indicating date is displayed lined up in chronological order in a second direction perpendicular to the first direction, and a display processing unit capable of displaying a management table in which third information regarding the first information is displayed in a first area corresponding to a combination of the first information and the second information;
a selection processing unit that selects a target date in response to a target date selection operation;
An information management system comprising:
The display processing unit copies the third information corresponding to the target date selected by the selection processing unit, and displays the third information in a second area adjacent to the first information in the second direction with the first area. are displayed separately,
Information management system. The display processing unit displays a plurality of areas along the first direction in correspondence with each piece of the second information in the management table, and displays the areas at positions corresponding to each piece of the first information in the first direction. displaying the third information regarding each of the first information by using each of the areas as the first area;
The display processing unit copies the third information corresponding to the target date selected by the selection processing unit, and displays the third information in a second area adjacent to the first information in the second direction with the first area. is displayed separately, and the display position of the third information regarding the target date and other dates in the management table is not changed;
The information management system according to claim 1. The second area is an area between the area where the first information is displayed and the area where the oldest date of the second information is displayed in the second direction.
The information management system according to claim 1 or 2. The display processing unit is capable of displaying a plurality of the management tables,
The selection processing unit receives a selection operation of the target date in any of the plurality of management tables as a selection operation of the target date in the plurality of management tables.
The information management system according to any one of claims 1 to 3. When the first information is the drug type, the display processing unit displays, in the second area, a criterion for determining the appropriateness of the dosage of the drug corresponding to the drug type.
The information management system according to any one of claims 1 to 4. comprising a print processing unit capable of outputting print data of the management table whose display content or display mode is different from the management table displayed by the display processing unit,
The print processing unit outputs print data of the management table in which information on a date on which the third information is not input in the first area is omitted.
The information management system according to any one of claims 1 to 5. The selection processing unit selects a date indicated by the second information as the target date by a selection operation of an area corresponding to any of the second information displayed in the management table.
The information management system according to any one of claims 1 to 6. First information indicating drug type, therapy type, or adverse event type is displayed side by side in a first direction, second information indicating date is displayed lined up in chronological order in a second direction perpendicular to the first direction, and a display step of displaying a management table in which third information regarding the first information is displayed in a first area corresponding to the combination of the first information and the second information;
a selection step of selecting the target date in response to the target date selection operation;
An information management program for causing a computer to execute
The displaying step copies the third information corresponding to the target date selected in the selection step and displays the third information in a second area adjacent to the first information in the second direction, separately from the first area. display,
Information management program.