JP7369391B1 - Medical support system, medical support method, and medical support program - Google Patents

Abstract

[Problem] To enable information regarding drug prescriptions to be grasped more appropriately. A medical support system 1 includes a prescription information acquisition section 152, an information identification section 153, and presentation sections 155 and 253. Furthermore, there are a plurality of different reference values each defined by a plurality of different entities. In this case, the prescription information acquisition unit 152 acquires prescription information indicating the reference value on which the medical professional who prescribed the drug based the diagnosis and the patient's test value. The information specifying unit 153 specifies which of the plurality of reference values is the reference value on which the diagnosis is based. The presentation units 155 and 253 present the test value as well as the reference value specified by the information specifying unit 153 as the basis for the diagnosis and other reference values to the person to be presented so that they can be compared. [Selection diagram] Figure 3

Description

The present invention relates to a medical support system, a medical support method, and a medical support program.

Usually, a doctor makes a diagnosis based on comparing test values of a patient with reference values in various tests or on the results of an interview with the patient. A prescription is then issued based on the diagnosis results.
Further, the issued prescription is brought to a dispensing pharmacy by the patient, and the prescription is inspected by the pharmacist. If the pharmacist has any doubts about the contents of the prescription, he or she can refer the doubts to the doctor, thereby preventing problems such as duplicate administration or contraindications to administration.
An example of a technique for supporting such medical practice is disclosed in Patent Document 1. In the technique disclosed in Patent Document 1, the contents of the attached document, which is the basis for a suspicion inquiry, are electronically transmitted to a doctor in response to a pharmacist's operation. This makes it possible to support pharmacists who make inquiries and doctors who respond to inquiries.

JP2022-067763A

As mentioned above, prescription auditing is a very important medical practice in order to prevent problems such as duplicate administration and administration contraindications. Therefore, in order to perform more accurate prescription audits, it is desirable that medical professionals such as pharmacists and patients be able to more appropriately grasp information regarding drug prescriptions. From this point of view, there is still room for improvement in the general technology disclosed in Patent Document 1.

An object of the present invention is to enable information regarding drug prescriptions to be grasped more appropriately.

In order to solve the above problems, a medical support system according to one embodiment of the present invention includes:
When there are multiple different standard values defined by multiple different entities,
Prescription information acquisition means for acquiring prescription information indicating reference values used as basis for diagnosis by a medical professional who prescribed the drug and test values of the patient;
Identification means for specifying which of the plurality of reference values is the reference value on which the diagnosis is based;
Presentation means for presenting the test value as well as the reference value that is the basis for the diagnosis specified by the identification means and other reference values to the person to be presented so that they can be compared;
It is characterized by having the following.

According to the present invention, information regarding drug prescriptions can be grasped more appropriately.

1 is a diagram showing a system configuration of a medical support system 1 according to an embodiment of the present invention. It is a diagram showing the hardware configuration of an information processing device 800 that constitutes the medical support device 10 (including a patient terminal 20 in a modified example). It is a diagram showing the hardware configuration of an information processing device 800 that configures each device. 3 is a table showing a specific example of comparison information generated by the comparison information generation unit 154. FIG. 3 is a flowchart showing the flow of comparison information presentation processing executed by the medical support device 10. FIG. 3 is a diagram showing a system configuration of a medical support system 1a according to Modification 1. FIG. 2 is a block diagram showing the functional configuration of a patient terminal 20. FIG. 3 is a flowchart showing the flow of comparison information presentation processing executed by the patient terminal 20. FIG.

Embodiments of the present invention will be described below with reference to the drawings.

[System configuration]
FIG. 1 is a diagram showing the system configuration of a medical support system 1 according to an embodiment of the present invention.
The medical support system 1 in this embodiment is a system that more appropriately supports medical practices by medical personnel. In the following, as an example for explanation, it is assumed that the medical worker to be supported is a pharmacist who works at an insurance pharmacy. Further, as an example for explanation, it is assumed that the medical practice to be supported is a prescription audit performed at the time of dispensing.
However, this is only an example for explanation, and is not intended to limit the scope of application of this embodiment. In addition to this, the present embodiment also covers various medical or pharmaceutical treatments performed by various medical professionals such as pharmacists, doctors, nurses, and physical therapists in various medical facilities such as hospitals and clinics. It is possible to support medical procedures.

As shown in FIG. 1, the medical support system 1 includes a medical support device 10, a hospital terminal, a pharmacy computer, and an external server. Further, these devices that make up the medical support system 1 are configured to be able to communicate with each other via the network N. This network N is realized, for example, by the Internet, a LAN (Local Area Network) installed at an insurance pharmacy, or the like.

Note that although each device and each terminal are illustrated one by one in the figure, the present invention is not limited to this. For example, there may be a plurality of medical support devices 10 and pharmacy computers corresponding to each of a plurality of insurance pharmacies. In addition, for example, there may be a plurality of hospital terminals corresponding to each medical worker who performs medical treatment using the hospital terminal. In addition, for example, there may be a plurality of external servers corresponding to various functions.

A pharmacy computer is an information processing device such as a server computer that executes processing related to insurance pharmacy operations, and has functions such as a receipt computer function to create medical fee statements (receipt computer function) and a function to manage patients' drug history. (medication history management function).

The external server is an information processing device such as a server computer that cooperates with the pharmacy computer, and is a server that stores various medical information related to electronic medicine notebooks, electronic prescriptions, MID-NET (Medical Information Database Network), etc. as a database. It also has the functions of a server that realizes various medical systems that utilize this information.

The medical support device 10 cooperates with each device included in the medical support system 1 to more appropriately support medical practice, and is configured by an information processing device such as a PC (Personal Computer) or a server computer. . The medical support device 10 is connected to a pharmacy computer (each pharmacy computer if there is more than one) or an external server (if there is more than one, each external server) and hospital terminals (or each hospital terminal if there is more than one). Furthermore, the medical support device 10 manages the received various data using a database group (including a drug history database) similar to a pharmacy computer, an external server, and a hospital terminal. That is, the medical support device 10 acquires some or all of the various information managed by the pharmacy computer, external server, and hospital terminal.

In such a configuration, the medical support device 10 executes "comparison information presentation processing". Here, the comparison information presentation process is a series of steps in which various information, including information used by a medical professional (for example, a doctor) as the basis for diagnosis, is presented as information that can be compared (hereinafter referred to as "comparison information"). It is processing.

Specifically, when there are a plurality of different reference values prescribed by a plurality of different entities, the medical support device 10 uses the reference value on which the medical professional who prescribed the drug based the diagnosis and the patient's Obtain test values and prescription information indicating.
Furthermore, the medical support device 10 identifies which of the plurality of reference values is the reference value on which the diagnosis is based.
Furthermore, the medical support device 10 presents the reference value that is the basis for the specified diagnosis and other reference values to the person to be presented, along with the test values so that they can be compared.

In this way, the medical support system 1 presents the reference value, which is the basis of the diagnosis for which a medical professional (for example, a doctor) prescribes a drug, and the patient's test value so that they can be compared. Therefore, the person to whom the information is presented (for example, a pharmacist) who refers to this can appropriately grasp the perspective from which the doctor made the diagnosis.

In addition, medical personnel compare test values with reference values in diagnosis, but reference values are not uniformly defined in the first place. For example, a plurality of reference values exist corresponding to each organization such as a medical society, a hospital, a university, etc., and each reference value has a different value. Therefore, in addition to the reference value used as the basis for diagnosis, the medical support system 1 also presents other reference values for comparison. Therefore, the person who is presented with this reference may also wonder what kind of values are used as the standard for other standard values, and what other standard values are more important than the standard values that medical professionals used as the basis for diagnosis. It is possible to appropriately understand whether it is desirable to adopt the following.
Therefore, according to the medical support system 1 according to the embodiment of the present invention, information regarding drug prescriptions can be grasped more appropriately.

[Hardware configuration]
Next, the hardware configuration of the medical support device 10 in the medical support system 1 will be explained.
As described above, the medical support device 10 in the medical support system 1 is configured by a PC, a server computer, or an information processing device such as a tablet terminal or a smartphone that communicates with these. It should be noted that a patient terminal 20, which will be described later as a modified example, is similarly configured by general information processing, and its basic hardware configuration is also the same as that of the medical support device 10.

FIG. 2 is a diagram showing the hardware configuration of an information processing device 800 that constitutes the medical support device 10 (including the patient terminal 20 of a modified example).
As shown in FIG. 2, the information processing device 800 that constitutes each device includes a CPU (Central Processing Unit) 811, a ROM (Read Only Memory) 812, a RAM (Random Access Memory) 813, a bus 814, and an input It includes a section 815, an output section 816, a storage section 817, a communication section 818, and a drive 819.

The CPU 811 executes various processes according to programs recorded in the ROM 812 or programs loaded into the RAM 813 from the storage unit 817.
The RAM 813 also appropriately stores data necessary for the CPU 811 to execute various processes.

The CPU 811, ROM 812, and RAM 813 are interconnected via a bus 814. An input section 815, an output section 816, a storage section 817, a communication section 818, a drive 819, and an imaging section 820 are connected to the bus 814.

The input unit 815 is composed of various buttons and the like, and inputs various information according to instruction operations.
The output unit 816 is configured with a display, a speaker, etc., and outputs images and audio.
The storage unit 817 is configured with a hard disk, a DRAM (Dynamic Random Access Memory), or the like, and stores various data managed by each server.
The communication unit 818 controls communication with other devices via the network N.

A removable medium 831 such as a magnetic disk, an optical disk, a magneto-optical disk, a semiconductor memory, etc. is attached to the drive 819 as appropriate. The program read from the removable medium 831 by the drive 819 is installed in the storage unit 817 as necessary.

Note that when the information processing device 800 is configured as a tablet terminal, for example, the input unit 815 may be configured with a touch sensor, and the input unit 815 may be arranged to overlap the display of the output unit 816 to provide a touch panel. is also possible.

[Functional configuration]
Next, the functional configuration of the medical support device 10 in the medical support system 1 will be explained.

[Functional configuration of medical support device 10]
FIG. 3 is a block diagram showing the functional configuration of the medical support device 10.
As shown in FIG. 3, the CPU 811 of the medical support device 10 includes a user interface information generation unit (UI information generation unit) 151, a prescription information acquisition unit 152, an information identification unit 153, a comparison information generation unit 154, A presentation unit 155 and a database management unit (DB management unit) 156 function.

As shown in FIG. 3, the storage unit 817 of the medical support device 10 includes a patient attribute database (patient attribute DB) 171, a prescription database (prescription DB) 172, and a drug history database (medication history DB) 173. , a reference value database (reference value DB) 174, and a comparison information database (comparison information DB) 175 are formed.

The patient attribute DB 171 includes the patient's address, name, date of birth, age, gender, underlying disease, regularly used drugs (including quasi-drugs), language used, insurance card number, and emergency contact information. Data on patient attributes are stored in association with information for identifying each patient. This patient attribute consists of information obtained by the pharmacist through dialogue with the patient, information provided by the patient in response to questionnaires, etc., and observations by the doctor.For example, the patient's hobbies, work content, family, etc. Includes information such as composition, favorite foods, etc. In addition, patient attributes include information regarding lifestyle habits, such as whether the patient consumes alcoholic beverages, drives a vehicle, and exercises regularly. . In addition, patient attributes also include information such as test values for various items tested during health checkups, and changes in test values (for example, changes such as recent weight gain). .

In the prescription DB 172, data on prescriptions issued to patients (name of the insurance medical institution that prescribed the prescription, name of the insurance doctor, date of prescription, prescription details, etc.) corresponds to information that identifies each patient and the date of delivery of the prescription. It is attached and memorized. Here, in this embodiment, the prescription includes, in addition to the contents of these general prescriptions, the reference value that the medical professional (for example, a doctor) who prescribed the drug used as the basis for diagnosis. Therefore, the prescription DB 172 also stores, as information specifying the reference value on which this diagnosis is based, information indicating, for example, an organization such as a medical society, hospital, or university that has defined this reference value.

The drug history DB 173 contains data on the history (medication history) of drugs prescribed to patients (prescription history, information on medical history including complications, presence or absence of visits to other departments, etc.), information that identifies each patient. and information identifying each pharmacist who prescribed the prescription. In addition, the medication history also stores data on the history of medication guidance provided by the pharmacist to the patient (medication instructions, etc.).

The reference value DB 174 stores a plurality of reference values defined by a plurality of organizations such as various medical societies, hospitals, and universities. For example, a reference range of the reference value is determined in relation to a disease or the like corresponding to each organization. For example, if a single reference value is defined, a patient's test value is within the reference range if it exceeds (or falls below) that reference value; If it falls below (or exceeds) the value, it is determined that it is outside the standard range. In addition, for example, if multiple reference values indicating upper and lower limits are defined, a patient's test value is within the reference range if it is below the upper limit and above the lower limit, Conversely, if it exceeds the upper limit or falls below the lower limit, it is determined that it is outside the reference range.

Generally, medical professionals (e.g., doctors) compare a patient's test values with some standard value selected as the basis for a diagnosis, and find out if there are many test items that are outside the standard range. , if the deviation from the reference value is large, the patient is diagnosed as having an abnormality (that is, suffering from a disease). On the other hand, if there are few test items that are outside the reference range or the deviation from the reference value is not large, the patient is considered to be normal (that is, not suffering from a disease and in good health). Diagnose.

In addition, multiple standard values may be specified depending on gender and age. In this case, a reference value suitable for the patient's gender and age is selected. Furthermore, in this embodiment, it is assumed that the reference value includes prescription conditions such as the maximum dose determined by the organization that defined the reference value and the combination of drugs that are contraindicated for administration.

The comparison information DB 175 stores comparison information generated by the comparison information generation unit 154 based on the prescription information included in the prescription, the reference value included in the reference value DB 174, the identification result by the information identification unit 153, etc. There is. More specific contents of the comparison information will be described later with reference to FIG. 4 when explaining the comparison information generation unit 154.

The UI information generation unit 151 generates various information (hereinafter referred to as "UI information") for the medical support apparatus 10 (including the medical support apparatus 10 in modified examples) to display a user interface screen (hereinafter referred to as "UI screen"). ), it is possible to display various input/output screens that function as user interfaces. The UI information generation unit 151 includes, as a UI screen, a display area for displaying various information such as a prescription and a patient's drug history, and a display area for displaying icons for accepting various operations from a pharmacist in the comparative information presentation process, for example. A screen including a display area for comparison information is output and displayed on a display included in the output unit 816. In addition, the UI information generation unit 151 outputs music, sound effects, voices, etc. from a speaker included in the output unit 816 along with these displays, as necessary.

To this end, for example, the UI information generation unit 151 generates, as UI information, the format of a frame for displaying a UI screen and the substantive content to be inserted into the format. Substantive content to be inserted into the format includes, for example, various information such as prescriptions and patient's drug history stored in each database in the comparison information presentation process.
Further, the UI information generation unit 151 receives various information and contents of operation instructions based on input from the pharmacist on the UI screen generated corresponding to the UI information.

The prescription information acquisition unit 152 acquires prescription information from the prescription brought by the patient. For this purpose, the contents of the prescription are first input into a pharmacy computer having a function as a receipt computer or into the medical support device 10. As an input method, a medical professional (for example, a counter clerk at a pharmacy or a pharmacist) may manually input the contents of a prescription printed on a paper medium using an input device such as a keyboard included in the input unit 815. Alternatively, at least a portion of the prescription data may be acquired and input by reading a two-dimensional code or the like that complies with the QR code (registered trademark) standard printed on the prescription. Alternatively, the information may be input by acquiring an electronic prescription from an external server.

In this way, the prescription information acquisition unit 152 acquires prescription information from the contents of the prescription input into the pharmacy computer or the medical support device 10. In the present embodiment, the prescription information includes, for example, a patient's test value and a reference value (hereinafter referred to as "base reference value") that is the basis for a diagnosis made by a medical professional (e.g., a doctor) to prescribe a drug. This includes information for identifying the organization (for example, organization name and organization identification code) and drug prescription details.
The prescription information acquisition unit 152 outputs the acquired prescription information to the information identification unit 153.

The information specifying unit 153 generates comparison information based on the prescription information input from the prescription information acquisition unit 152, a plurality of reference values included in the reference value DB 174, the patient's drug history included in the drug history DB 173, etc. Identify the information needed to The information necessary to generate the comparison information is, for example, the value itself of the basis standard value corresponding to the information for specifying the basis standard value (for example, the organization name or the identification code of the organization). The information specifying unit 153 can specify the value of the corresponding basis reference value itself by searching the reference value DB 174 using the information for specifying the basis reference value as a search key. In this case, the information specifying unit 153 further specifies the value itself of the reference value other than the basis reference value (hereinafter referred to as "other reference value").

In addition to this, for example, when a reference range related to any disease is defined by reference values, the information specifying unit 153 determines whether the test value is within the reference range for each of the plurality of reference values. and where it is outside the standard range.
In addition, the information specifying unit 153 further specifies which of the plurality of reference values is the reference value that the medical professional used as the basis for diagnosis when a drug was prescribed to the patient in the past. do. In addition, when prescription conditions for a drug are determined by reference values, the information specifying unit 153 further specifies whether the prescribed drug satisfies the prescription conditions for each of the plurality of reference values. do.
The information specifying unit 153 outputs the identified information necessary for generating the acquired comparison information to the comparison information generating unit 154.

The comparison information generation unit 154 generates comparison information based on the information input from the information specifying unit 153 and necessary for generating comparison information. A specific example of the comparison information generated by the comparison information generation unit 154 will be described with reference to FIG. 4. FIG. 4 is a table showing a specific example of the comparison information generated by the comparison information generation unit 154.

As shown in FIG. 4, in the comparison information, rows (columns) are provided corresponding to a plurality of test items used in a diagnosis for which a medical professional prescribes a drug. In the figure, test items A to N are illustrated as an example. Furthermore, in the last line, a line corresponding to prescription conditions rather than test items is provided. In the figure, as an example, the prescription conditions include the usage and dosage of the prescribed drug. Furthermore, columns (records) are provided corresponding to patient test values, basis reference values, and a plurality of reference values.
Corresponding information is stored in each field (cell) where the rows and columns intersect.

Such comparison information shows the basis reference value and the patient's test value so that they can be compared. Therefore, the person to whom the information is presented (for example, a pharmacist) who refers to this can appropriately understand from what point of view the medical professional (for example, a doctor) has made the diagnosis.
Further, in such comparison information, in addition to the basis reference value, other reference values are also shown for comparison. Therefore, the person being presented with this reference may also wonder what kind of values are used as the standard for other standard values, and whether it is appropriate to adopt other standard values rather than the diagnostic standard values. It is possible to properly understand that.
Therefore, according to the medical support system 1 according to the embodiment of the present invention, information regarding drug prescriptions can be grasped more appropriately.

Moreover, such comparison information indicates whether the test value is within the reference range or outside the reference range for each of the plurality of reference values in a comparative manner. This makes it possible to more appropriately understand which test values are within the reference range and are considered normal, and which test values are outside the reference range and are considered abnormal. Furthermore, such a relationship between normality and abnormality can be more appropriately understood not only with respect to the basis reference value but also with respect to other reference values. In particular, in this example, by making the background color of the corresponding field (cell) different from the background color of other fields (cells) when the test value is outside the standard range, it is easier to understand. I can do it. Note that the same effect can be achieved not only by changing the display mode of the corresponding field (cell) by using other methods such as changing the text size or color.

Furthermore, with this comparison information, it is possible to compare which of multiple reference values the medical professional used as the basis reference value when a drug was prescribed to a patient in the past. It shows. For example, as shown in the figure as "history number of times," the number of times the patient has been adopted as a basis reference value in the past is shown for comparison. Thereby, it is possible to more appropriately grasp whether or not the evidence reference value for the current prescription matches the evidence reference value for the past prescription.

Furthermore, such comparison information indicates whether the prescribed drug satisfies the prescription conditions for each of the plurality of reference values in a comparable manner.
Thereby, it is possible to more appropriately grasp whether or not the drug prescription conditions (in this case, usage and dosage) defined by the basis standard values are met. Furthermore, when other reference values are used as the basis, it is possible to more appropriately understand whether or not the prescription conditions for the drug defined by the other reference values are met.
The comparison information generation unit 154 outputs the generated comparison information to the presentation unit 155 and stores it in the comparison information DB 175.

The presentation unit 155 presents the comparison information input from the comparison information generation unit 154 to the person to be presented. Here, the person to be presented is a pharmacist who operates the medical support device 10. The presentation may be, for example, by displaying the comparison information in the table format shown in FIG. 4 on a display included in the output unit 816, or by printing it on a paper medium or the like from a printer (not shown) connected to the communication unit 818. This is also achieved by transmitting comparison information to another terminal (not shown) and displaying the comparison information on this other terminal. When such presentation is performed, only the comparison information may be presented as a standalone item, or may be presented as a part of other information. For example, it may be presented as part of the information included in an "instruction sheet" issued to the pharmacist from a pharmacy computer that functions as a reception desk. Here, the instruction sheet is a document that instructs the pharmacist to dispense the drug.

Note that if there are multiple drugs to be prescribed this time, the information identification unit 153 specifies information, the comparison information generation unit 154 generates comparison information, and the presentation unit 155 performs comparison for each of the multiple drugs. Information is presented.

The person to be presented (here, the pharmacist) who has referred to the comparison information thus presented can obtain various information indicated by the comparison information, as described with reference to FIG. 4. Thereby, the person being presented can more appropriately grasp information regarding the prescription of the drug. For example, when the comparison information is presented as part of the information included in the prescription sheet as described above, the pharmacist can audit the prescription while also taking into account the information grasped by the comparison information. Therefore, it is possible to more reliably discover that there is a question about a prescription and to make inquiries regarding the question.

In such a situation, the comparison information is utilized as follows, for example.
Maximum doses and combinations of drugs that are contraindicated for administration differ from academic society to academic society. Therefore, for example, if the standard value of Society A is adopted, the pharmacist should check whether the dose is within the maximum dosage prescribed by Society A and whether there are any contraindications to administration as specified by Society A. be able to. For example, we discovered an error such as when Society A's standard values were adopted, but the maximum dose prescribed by Society B was to be administered (a dose higher than Society A's regulations). can do.

Furthermore, some academic societies have multiple standard values depending on gender and age. Therefore, for example, if the patient is a "female", it is possible to discover errors such as whether the reference value for "male" of Society A is erroneously adopted.
Furthermore, in Society A's standard values, test values are outside the standard range for multiple test items, but in Society B's standard values, test values are outside the standard range for a larger number of test items. There is. Therefore, it is possible to discover doubts about whether the standard values of Society B, rather than Society A, should be used for diagnosis in the first place.

Furthermore, when it is possible to refer to a patient's past drug history, the multiple hospitals he had previously visited had all adopted Society A standard values; Although the standard values of Society B (an academic society dealing with a completely different disease than Society A) are adopted, there may be doubts as to whether this is correct.

In particular, whether or not a patient's test values are within the standard range is a "dot" data based on the results of a single prescription, but as the number of prescriptions increases, the data becomes a "line" like a graph. , it is possible to make inquiries from a broader perspective. For example, it becomes possible to consider which reference value was used as the basis reference value for test values that were outside the reference range in the past. In addition, it is possible to understand that the basis reference value is not constant and that a different reference value is used each time as the basis reference value. Furthermore, by printing such data on a print medium for the patient or transmitting it to the patient's terminal, it is also possible to share information regarding past diagnosis history with the patient.
By presenting comparative information in this way, it is possible to support pharmacists in making inquiries from various viewpoints.

The DB management unit 156 performs management to synchronize data in various databases managed by the pharmacy computer, external server, and hospital terminal with data in various databases provided in the medical support device 10. For example, the DB management unit 156 updates various databases managed by the medical support device 10 at a preset time (for example, a time such as 3 a.m. when each server is used less frequently) or at a timing when various databases are updated. By sending updated data in the database to the pharmacy computer, external server, or hospital terminal, and receiving data in various databases updated in the pharmacy computer, external server, or hospital terminal from the pharmacy computer or external server. , updates various databases included in the medical support device 10. As a result, the contents of data in various databases provided in the medical support device 10 are appropriately updated to the latest contents.

In addition to synchronizing with the pharmacy computer and external server, the DB management unit 156 may update the contents of various databases using other methods. For example, the contents of various databases may be updated in response to input operations by a pharmacist or a data manager to the medical support device 10. Alternatively, the contents of various databases may be updated based on data acquired through communication from a computer other than the pharmacy computer or an external server, or data read from the removable medium 831. In addition, the DB management unit 156 may update the contents of various databases based on this information when each functional block acquires or generates information in the comparison information presentation process. .

[motion]
Next, the operation of the medical support device 10 in the medical support system 1 during comparison information presentation processing will be described.

[Operation of medical support device 10]
FIG. 5 is a flowchart showing the flow of comparison information presentation processing executed by the medical support device 10.
The comparison information presentation process in the medical support device 10 is started when the power of the medical support device 10 is turned on, and is repeatedly performed while the power is turned on. Note that the explanation is based on the premise that while the comparison information presentation process is being executed, the UI information generation unit 151 constantly generates UI information and displays a UI screen.

In step S11, the prescription information acquisition unit 152 determines whether or not the contents of a new prescription have been input to the medical support device 10. If the contents of a new prescription have been input, a determination of Yes is made in step S11, and the process proceeds to step S12. On the other hand, if the contents of a new prescription are not input, the determination in step S11 is No, and the process repeats the determination in step S11.

In step S12, the prescription information acquisition unit 152 acquires prescription information from the contents of the input prescription.
In step S13, the information specifying unit 153 specifies information necessary to generate comparison information.

In step S14, the comparison information generation unit 154 generates comparison information based on information necessary to generate comparison information.
In step S15, the presentation unit 155 presents the generated comparison information to the person to be presented. The presentation is realized, for example, by presenting the comparison information as part of the information included in the instruction sheet issued to the pharmacist as described above.

In step S16, the DB management unit 156 determines whether the pharmacist who referred to the comparison information has made a suspicion inquiry. This determination can be made, for example, based on whether or not an instruction operation related to the question inquiry has been received from the pharmacist. If the pharmacist makes a suspicion inquiry, the determination in step S16 is Yes, and the process proceeds to step S18. On the other hand, if the pharmacist does not make a question, the determination in step S16 is No, and the process proceeds to step S17.

In step S17, the DB management unit 156 stores the contents of the doubt inquiries made in each DB as history information. For example, by linking prescription information in the prescription DB 172, drug history information in the drug history DB 173, and the content of the suspicion inquiry, the information is stored in each DB as history information. Note that, in order to support doubt inquiries, it may be possible to transmit the content of the doubt inquiry by the pharmacist from the medical support device 10 to the hospital terminal in the form of an email, a videophone call, or the like.

In step S18, the DB management unit 156 stores the comparison information presented in the current process in the comparison information DB 175. This completes the process once. However, as long as the medical support device 10 is powered on, the process is repeated again.

By performing the comparison information presentation process described above, the medical support system 1 presents the comparison information, and the person to whom the information is presented is able to more appropriately understand information regarding drug prescriptions. .

[Modified example]
Although the embodiment of the present invention has been described above, this embodiment is merely an example and does not limit the technical scope of the present invention. The present invention can take various other embodiments and can make various modifications such as omissions and substitutions without departing from the gist of the invention. In this case, these embodiments and their modifications are included within the scope and gist of the invention described in this specification etc., as well as within the scope of the invention described in the claims and its equivalents.
As an example, the embodiment of the present invention described above may be modified as follows. Further, the following modifications may be combined.

[Modification 1]
In the above-described embodiment, for example, when a pharmacist performs a prescription audit, the medical support device 10 presents comparison information to the pharmacist. In other words, real-time support for medical procedures such as prescription audits was realized. The present invention is not limited to this, and the comparison information may be presented at other timings. For example, the comparison information may be presented after the medicine has been dispensed to the patient, for example, at a time when the patient is taking the medicine at home.

FIG. 6 is a diagram showing a system configuration of a medical support system 1a according to this modification. This medical support system 1a is basically the same as the medical support system 1 in the embodiment described above, but differs in that it further includes a patient terminal 20.

The patient terminal 20 is configured by an information processing device owned by the patient, such as a PC, a smartphone, or a tablet terminal. Furthermore, the patient terminal 20 has the same hardware configuration as the information processing device 800 as the medical support device 10. Furthermore, the patient terminal 20 is capable of communicating with the medical support device 10 and the like via the network N.

In this modification, the patient terminal 20 presents comparison information at an arbitrary timing in response to the patient's operation. For example, comparative information is presented at the timing when a patient takes medicine at home. This allows the patient to check the comparison information and take the medication appropriately even after the pharmacist gives medication instructions. That is, it becomes possible to support the medical practice of medication guidance even at the patient's home.

[Functional configuration of patient terminal 20]
FIG. 7 is a block diagram showing the functional configuration of the patient terminal 20.
As shown in FIG. 7, in the CPU 811 of the patient terminal 20, a user interface display control section (UI display control section) 251, a comparison information acquisition section 252, and a presentation section 253 function.

Further, as shown in FIG. 7, in the storage unit 817 of the patient terminal 20, a user interface information storage unit (UI information storage unit) 271 and a comparison information storage unit 272 are formed.

The UI display control unit 251 controls the display of the UI screen in the comparison information presentation process on the patient terminal 20 based on the UI information. For example, in the comparative information presentation process on the patient terminal 20, the UI display control unit 251 provides a display area for displaying various information such as a prescription and a patient's drug history, a display area for displaying icons, etc. that accept various operations from the patient. A screen including a display area for comparison information is output and displayed on a display included in the output unit 816. Further, the UI display control unit 251 outputs music, sound effects, audio, etc. from a speaker included in the output unit 816 along with these displays as necessary.

In order to display such a UI screen, the UI display control unit 251 transmits, as a UI information acquisition request, an acquisition request including information that identifies the patient to the medical support apparatus 10. Then, as a response, the UI display control unit 251 obtains UI information suitable for this patient by receiving it from the medical support device 10. Further, the UI display control unit 251 causes the UI information storage unit 271 to store the acquired UI information. Then, the UI display control unit 251 appropriately reads out the UI information stored in the UI information storage unit 271 and displays the UI screen. That is, the UI information storage unit 271 functions as a storage unit that stores UI information.
Furthermore, the UI display control unit 251 outputs various information input from the patient on the UI screen and the contents of operation instructions input from the patient to other functional blocks or transmits them to the medical support device 10. .

The comparison information acquisition unit 252 acquires comparison information. For this purpose, the comparison information acquisition unit 252 transmits an acquisition request including information for identifying the patient to the medical support device 10 as a comparison information acquisition request. In response, the comparison information acquisition unit 252 receives, from the medical support device 10, comparison information suitable for this patient, which is generated based on the prescription prescribed for this patient.
Further, the comparison information acquisition unit 252 causes the comparison information storage unit 272 to store the acquired comparison information. That is, the comparison information storage section 272 functions as a storage section that acquires comparison information.

The presentation unit 253 presents the comparison information stored in the comparison information storage unit 272 to the patient. The presentation method is the same as that of the presentation unit 155 of the medical support device 10, and is realized by displaying on a display included in the output unit 816, printing on a paper medium, etc.

[Operation of patient terminal 20]
FIG. 8 is a flowchart showing the flow of comparison information presentation processing executed by the patient terminal 20.
The comparison information presentation process in the patient terminal 20 is started when the power of the patient terminal 20 is turned on, and is repeatedly performed while the power is turned on. Note that, as a premise of the explanation, while the comparison information presentation process is being executed, the UI display control unit 251 always displays the UI screen. In this case, the UI information for display may be obtained in advance from the medical support device 10 and stored in the UI information storage unit 271, or may be obtained in real time at the time of display.

In step S21, the comparison information acquisition unit 252 determines whether an operation instructing the acquisition of comparison information has been received from the pharmacist. If the acquisition instruction operation is received from the pharmacist, the determination in step S21 is Yes, and the process proceeds to step S22. On the other hand, if the acquisition instruction operation has not been received from the pharmacist, the determination in step S21 is No, and the process repeats the determination in step S21.

In step S22, the comparison information acquisition unit 252 transmits an acquisition request including information that identifies the patient to the medical support device 10 as a comparison information acquisition request.

In step S23, the comparison information acquisition unit 252 receives, from the medical support device 10, comparison information suitable for this patient, generated based on the prescription prescribed for this patient, as a response to the acquisition request. Get it with.

In step S24, the comparison information acquisition unit 252 causes the comparison information storage unit 272 to store the acquired comparison information.
In step S25, the presentation unit 253 presents the comparison information stored in the comparison information storage unit 272 to the user of the patient terminal 20. This ends the process.

As a result, the user of the patient terminal 20 who refers to the presented comparative information can more appropriately understand information regarding drug prescriptions, similar to the pharmacist using the medical support device 10. becomes. Note that the users of the patient terminal 20 are, for example, the patient himself/herself, his/her family, or a medical worker related to the patient (for example, a visiting care worker). That is, according to this modification, it becomes possible to share comparison information among various parties.

[Modification 2]
In the embodiment described above, all other reference values stored in the reference value DB 174 are included in the comparison information and presented. The present invention is not limited to this, and only some other reference values may be included in the comparison information and presented. In this case, for example, other reference values for which a predetermined number or more of test items whose test values are outside the reference range may be included in the comparison information. On the other hand, other reference values whose test values are not outside the reference range (or whose test values are few) may not be included in the comparison information as they are not related to the suspected disease.

Alternatively, other reference values that have not been used as basis reference values in the past (or are few) may not be included in the comparison information because they are not related to the suspected disease.
Alternatively, other reference values to be included in the comparison information may be arbitrarily selected based on operational instructions from a person to be presented, such as a pharmacist or a patient.
According to this modification, the other reference values included in the comparison information can be limited to those that are more relevant to the patient, making it easier for the person to refer to them. It becomes possible to do so.

[Configuration example]
As described above, the medical support system 1 according to the present embodiment includes the prescription information acquisition section 152, the information identification section 153, and the presentation sections 155 and 253. Furthermore, there are a plurality of different reference values each defined by a plurality of different entities.
In this case, the prescription information acquisition unit 152 acquires prescription information indicating the reference value on which the medical professional who prescribed the drug based the diagnosis and the patient's test value.
The information specifying unit 153 specifies which of the plurality of reference values is the reference value on which the diagnosis is based.
The presentation units 155 and 253 present the test value as well as the reference value specified by the information specifying unit 153 as the basis for the diagnosis and other reference values to the person to be presented so that they can be compared.

In this way, the medical support system 1 presents the reference value, which is the basis of the diagnosis for which a medical professional (for example, a doctor) prescribes a drug, and the patient's test value so that they can be compared. Therefore, the person to whom the information is presented (for example, a pharmacist) who refers to this can appropriately grasp the perspective from which the doctor made the diagnosis.
In addition, medical personnel compare test values with reference values in diagnosis, but reference values are not uniformly defined in the first place. For example, a plurality of reference values exist corresponding to each organization such as a medical society, and each reference value has a different value. Therefore, in addition to the reference value used as the basis for diagnosis, the medical support system 1 also presents other reference values for comparison. Therefore, the person who is presented with this reference may also wonder what kind of values are used as the standard for other standard values, and what other standard values are more important than the standard values that medical professionals used as the basis for diagnosis. It is possible to appropriately understand whether it is desirable to adopt the following.
Therefore, according to the medical support system 1 according to the embodiment of the present invention, information regarding drug prescriptions can be grasped more appropriately.

The reference value defines a reference range related to any disease.
In this case, the information specifying unit 153 further specifies, for each of the plurality of reference values, whether the test value is within the reference range or outside the reference range.
The presentation units 155 and 253 also present the information further specified by the information specifying unit 153 to which reference value the information corresponds so as to be comparable.
This makes it possible to more appropriately understand which test values are within the reference range and are considered normal, and which test values are outside the reference range and are considered abnormal. Furthermore, such a relationship between normality and abnormality can be more appropriately understood not only for the reference value used as the basis for diagnosis but also for other reference values.

The information specifying unit 153 further specifies which of the plurality of reference values is the reference value that was used as the basis for diagnosis by a medical professional when a drug was prescribed to a patient in the past.
The presentation units 155 and 253 also present the information further specified by the information specifying unit 153 to which reference value the information corresponds so as to be comparable.
Thereby, it is possible to more appropriately grasp whether or not the reference value on which the diagnosis was based on the currently performed prescription matches the reference value on which the diagnosis was based on the prescription performed in the past.

Prescription conditions for drugs are determined by reference values.
In this case, the information specifying unit 153 further specifies whether the prescribed drug satisfies the prescription conditions for each of the plurality of reference values.
The presentation units 155 and 253 also present the information further specified by the information specifying unit 153 to which reference value the information corresponds so as to be comparable.
Thereby, it is possible to more appropriately grasp whether or not the drug prescription conditions (for example, usage, dosage, and administration contraindications) defined by the reference values used as the basis for diagnosis are met. Furthermore, when other reference values are used as the basis, it is possible to more appropriately understand whether or not the prescription conditions for the drug defined by the other reference values are met.

The presentation units 155 and 253 present the other medical worker as a presented person when the other medical worker, who is different from the medical worker, attempts to prescribe a drug based on the prescription information.
This allows the medical support system 1 to more appropriately utilize information grasped by the medical support system 1 in situations such as prescription audits by pharmacists.

The presentation units 155 and 253 make a presentation with the patient as the presentation recipient when a drug is dispensed to the patient based on the prescription.
This allows the medical support system 1 to utilize information more appropriately grasped in situations such as when a patient actually takes medication.

It should be noted that the present invention is not limited to the above-described embodiments, and any modifications, improvements, etc. that can achieve the purpose of the present invention are included in the present invention.
For example, in the above-described embodiment, the case where support is provided for prescription audit by a pharmacist has been described as an example, but the present invention is not limited to this. That is, the objects supported in the present invention include various types of medical information.

The series of processes described above can be executed by hardware or software.
In other words, the functional configurations in the embodiments described above are merely examples and are not particularly limited. In other words, it is sufficient that any computer constituting the medical support system 1 is equipped with a function that can execute the series of processes described above as a whole, and it is not particularly important what kind of functional blocks are used to realize this function. It is not limited to the example shown.
Moreover, one functional block may be configured by a single piece of hardware, a single piece of software, or a combination thereof.

Furthermore, the recording medium containing the program for executing the series of processes described above is not only configured as a removable medium that is distributed separately from the device itself in order to provide the program to the user, but also as a removable medium that is pre-installed in the device itself. It consists of recording media, etc. that are provided to users in a state in which they are

Further, the effects described in the embodiment described above are merely a list of the most preferable effects resulting from the present invention, and the effects according to the present invention are not limited to those described in the present embodiment.

Reference Signs List 1, 1a medical support system, 10 medical support device, 20 patient terminal, N network, 151 user interface information generation unit (UI information generation unit), 152 prescription information acquisition unit, 153 information identification unit, 154 comparison information generation unit, 155 Presentation unit, 156 Database management unit (DB management unit), 171 Patient attribute database (patient attribute DB), 172 Prescription database (prescription DB), 173 Medication history database (medication history DB), 174 Reference value database (reference value DB) , 175 Comparison information database (Comparison information DB), 251 User interface display control unit (UI display control unit), 252 Comparison information acquisition unit, 253 Presentation unit, 271 User interface display storage unit (UI information storage unit), 272 Comparison information Storage unit, 800 Information processing device, 811 CPU, 812 ROM, 813 RAM, 814 Bus, 815 Input unit, 816 Output unit, 817 Storage unit, 818 Communication unit, 819 Drive, 831 Removable media

Claims (8)

When there are multiple different standard values defined by multiple different entities,
Prescription information acquisition means for acquiring prescription information indicating reference values used as basis for diagnosis by a medical professional who prescribed the drug and test values of the patient;
Identification means for specifying which of the plurality of reference values is the reference value on which the diagnosis is based;
Presentation means for presenting the test value as well as the reference value that is the basis for the diagnosis specified by the identification means and other reference values to the person to be presented so that they can be compared;
A medical support system characterized by comprising: When a reference range related to any disease is determined by the reference value,
The specifying means further specifies, for each of the plurality of reference values, whether the test value is within the reference range or outside the reference range;
The presentation means presents the information further specified by the identification means to which reference value the information corresponds, in a manner that can be compared.
The medical support system according to claim 1, characterized in that: The specifying means further specifies which of the plurality of reference values is the reference value that the medical professional used as the basis for diagnosis when a drug was prescribed to the patient in the past;
The presentation means presents the information further specified by the identification means to which reference value the information corresponds, in a manner that can be compared.
The medical support system according to claim 1, characterized in that: When the prescription conditions for a drug are determined by the reference value,
The specifying means further specifies, for each of the plurality of reference values, whether the prescribed drug satisfies prescription conditions for the drug;
The presentation means presents the information further specified by the identification means to which reference value the information corresponds, in a manner that can be compared.
The medical support system according to claim 1, characterized in that: When a medical professional different from the medical professional attempts to prescribe the drug based on the prescription information, the presenting means may display the other medical professional as the presented person. make a presentation,
The medical support system according to any one of claims 1 to 4, characterized in that: The presentation means performs the presentation with the patient as the presentationee when a drug is dispensed to the patient based on the prescription.
The medical support system according to any one of claims 1 to 4, characterized in that: When there are multiple different standard values defined by multiple different entities,
a prescription information acquisition step of acquiring prescription information indicating a reference value based on a diagnosis by a medical professional who prescribed the drug and a patient's test value;
a specifying step of specifying which of the plurality of reference values is the reference value on which the diagnosis is based;
a presentation step of presenting the test value as well as the reference value that is the basis for the diagnosis specified in the identification step and other reference values to the person to be presented so that they can be compared;
A medical support method characterized by comprising: When there are multiple different standard values defined by multiple different entities,
a prescription information acquisition function that acquires prescription information indicating the reference values used as the basis for diagnosis by the medical professional who prescribed the drug and the patient's test values;
a specific function that specifies which of the plurality of reference values is the reference value on which the diagnosis is based;
a presentation function that presents a reference value based on the diagnosis specified by the specific function and other reference values together with the test value to a person to be presented so that they can be compared;
A medical support program characterized by making a computer realize the following.

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