JP7417057B2 - Business support system, business support program - Google Patents

Description

The present invention relates to a business support system and a business support program that support examination of the suitability of prescription contents.

In hospitals and the like, prescription data is issued by inputting medical examination records and prescription details into an electronic medical record system or the like. Furthermore, a system is known that can execute a prescription check that automatically determines the suitability of the prescription data (for example, see Patent Document 1).

Japanese Patent Application Publication No. 2013-125377

By the way, there are drug therapy guidelines that are used to examine the suitability of prescriptions for the elderly, such as the "Guidelines for Safe Drug Therapy for the Elderly 2015" published by the Japan Geriatrics Society. However, it takes time and effort for a medical professional such as a pharmacist or a doctor to refer to the drug therapy guidelines and examine the suitability of prescriptions for elderly people, resulting in a decrease in work efficiency.

An object of the present invention is to provide a business support system and a business support program that can support examination of the suitability of prescription contents in consideration of the patient's age.

The business support system according to the present invention includes: a first determination processing section that determines whether the age of a patient corresponding to prescription data including information on prescription drugs is a first specific age or above; and the first determination processing section. first determination data in which a combination of a drug group to be notified and a combination of target patient conditions is set in advance. a second determination processing section that determines whether or not the patient belongs to an all-target drug group in which the target patient condition is set to include all patients among the drug groups; a first notification process capable of reporting first specific notification information including a determination result by the second determination processing unit or notification information based on the determination result when it is determined that the prescription drug belongs to the all target drug group; It is equipped with a section and a section.

The business support program according to the present invention includes a first determination step in which the processor determines whether or not the age of a patient corresponding to prescription data including information on prescription drugs is a first specific age or above; If the patient's age is determined to be equal to or higher than the first specific age in the step, the prescription drug of the patient is a first determination device in which a combination of a drug group to be notified and a target patient condition is set in advance. a second determination step of determining whether or not the drug belongs to an all-target drug group in which the target patient condition is set to include all patients among the drug groups in the data; a first notification step of notifying first specific notification information including the determination result of the second determination step or notification information based on the determination result when it is determined that the prescription drug belongs to the all target drug group; This is a business support program for execution.

The business support system according to the present invention is configured to meet the target patient conditions set in the second determination data in which the combination of the drug group and target patient conditions to be considered for the start of administration for patients over a second specific age is set in advance. a second display processing unit capable of displaying selection candidates; a second reception processing unit that receives a selection operation of the target patient condition from the selection candidates displayed by the second display processing unit; 2 If the patient is over a specific age, the second reception processing unit determines whether the prescribed medicine of the patient includes a medicine belonging to the medicine group corresponding to the target patient condition accepted by the second reception processing unit. a fourth determination processing unit that makes a determination based on the determination data; and at least the fourth determination processing unit determines that the patient's prescribed medicine does not include a drug belonging to the drug group corresponding to the target patient condition. and a third notification processing unit that notifies third specific notification information including a determination result by the fourth determination processing unit or notification information based on the determination result.

The business support program according to the present invention allows the processor to set the target drug group using second determination data in which a combination of drug groups and target patient conditions for which patients over a second specific age should start taking the drug is set in advance. a second display step capable of displaying selection candidates for patient conditions; a second reception step for accepting a selection operation for the target patient condition from the selection candidates displayed by the second display step; and a prescription including prescription drug information. If the age of the patient corresponding to the data is above the second specific age, the patient's prescription drugs include a drug belonging to the drug group corresponding to the target patient condition accepted in the second reception step. a fourth determination step of determining based on the second determination data whether or not the patient's prescription drug includes a drug belonging to the drug group corresponding to the target patient condition; a third notification step of notifying third specific notification information that includes the determination result of the fourth determination step or notification information based on the determination result when it is determined that it is not included; It is.

According to the present invention, a business support system and a business support program are provided that can support determining the suitability of prescription contents in consideration of the patient's age.

FIG. 1 is a block diagram showing the configuration of a business support system according to an embodiment of the present invention. FIG. 2 is a diagram showing an example of the data structure of first determination data used in the business support system according to the embodiment of the present invention. FIG. 3 is a diagram showing an example of the data structure of the second determination data used in the business support system according to the embodiment of the present invention. FIG. 4 is a flowchart showing an example of the procedure of elderly person alert processing executed by the business support system according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of a display screen displayed on the business support system according to the embodiment of the present invention. FIG. 6 is a diagram showing an example of a display screen displayed on the business support system according to the embodiment of the present invention. FIG. 7 is a diagram showing an example of a display screen displayed on the business support system according to the embodiment of the present invention. FIG. 8 is a diagram showing an example of a display screen displayed on the business support system according to the embodiment of the present invention. FIG. 9 is a diagram showing an example of a display screen displayed on the business support system according to the embodiment of the present invention. FIG. 10 is a diagram showing an example of a display screen displayed on the business support 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.

[Business support system 10]
As shown in FIG. 1, a business support system 10 according to an embodiment of the present invention is an example of a business support system according to the present invention, and includes a business support device 1, a dispensing device 2, and the like. The business support device 1 and the dispensing device 2 are connected to be able to communicate wirelessly or by wire via a communication network 3 such as a LAN, WAN, the Internet, or an intranet. Note that the business support system according to the present invention may be a receipt system used in a medical institution or a dispensing pharmacy, or an electronic drug history system that electronically manages drug history.

The business support device 1 generates dispensing data for dispensing medicine using the dispensing device 2 or the like based on prescription data input to the business support device 1, and transmits the data to the dispensing device 2. . Then, the dispensing device 2 executes a drug dispensing process based on the dispensing data input from the business support device 1.

The prescription data includes information corresponding to a prescription issued by a medical institution. Specifically, in this embodiment, the prescription data includes prescription identification information (prescription ID, etc.), prescription issue date, patient identification information (name, patient ID, etc.), patient gender, patient age, drug identification information. It includes information such as (drug name, drug code, YJ code, etc.), dosage, usage, doctor in charge, department, etc.

Note that the prescription data only needs to include at least patient identification information, drug identification information, dosage, and usage information. For example, the patient's age may be input separately from the prescription data through a user operation on the business support device 1, and may be stored as part of the prescription data, or may be stored in association with the prescription data.

By the way, there are drug therapy guidelines that are used to examine the suitability of prescriptions for the elderly, such as the "Guidelines for Safe Drug Therapy for the Elderly 2015" published by the Japan Geriatrics Society. However, it takes time and effort for a medical professional such as a pharmacist or a doctor to refer to the drug therapy guidelines and examine the suitability of prescriptions for elderly people, resulting in a decrease in work efficiency. In contrast, as described below, the business support system 10 according to the present embodiment can support examination of the suitability of prescription contents in consideration of the patient's age.

[Dispensing equipment 2]
Each of the dispensing devices 2 is used for dispensing medicine at a medical institution or dispensing pharmacy where the business support system 10 is used. For example, each of the dispensing devices 2 is a tablet packaging machine, a powder medicine packaging machine, a liquid medication dispensing machine, a PTP sheet dispensing device, a picking support device, etc. For example, the tablet packaging machine has a plurality of drug cassettes containing a plurality of types of tablets, and dispenses the tablets from the drug cassettes for each dose according to dispensing data input from the business support device 1. Execute the packaging operation of wrapping the product with packaging paper. The powder medicine packaging machine executes a packaging operation in which each dose of the loaded powder medicine is wrapped in packaging paper in accordance with the dispensing data inputted from the business support device 1. The liquid medicine dispensing machine has a plurality of medicine bottles each containing a plurality of types of medicines, and dispenses the necessary amount of liquid medicine from the medicine bottles according to dispensing data inputted from the business support device 1. pay out. The PTP sheet dispensing device has a plurality of sheet cassettes in which tablets are prepackaged in PTP sheets or heat seals. Dispense the sheet or the heat seal. The picking support device supports picking work in which a worker assembles medicines from a medicine shelf or the like, and displays various information such as the medicine name and the location of the medicine shelf for the medicines to be stocked. Furthermore, the picking support device may be capable of executing various processes such as a process of comparing the medicines to be stocked with the dispensing data.

[Business support device 1]
The business support device 1 is a computer that includes a control section 11, a storage section 12, a communication I/F 13, a display section 14, an operation section 15, a drive device 16, a prescription input section 17, and the like. Note that the business support device 1 according to the present embodiment may be regarded as an example of the business support system according to the present invention. Further, the business support device 1 may be a mobile terminal such as a smartphone or a tablet terminal.

The communication I/F 13 is a communication interface that performs wireless or wired data communication with an external device such as the dispensing device 2 via the communication network 3 according to a predetermined communication protocol.

The display section 14 is a display section such as a liquid crystal display or an organic EL display that displays various information according to control instructions from the control section 11. The operation unit 15 is an operation unit operated by a user to input various information to the business support device 1.

Specifically, the operation unit 15 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display unit 14. Further, the operation unit 15 may include a touch panel that accepts touch operations on various operation screens displayed on the display unit 14, or a voice input device that accepts input of various information through voice recognition.

The drive device 16 can read the dispensing support program from a computer-readable recording medium 161 on which the dispensing support program including the business support program according to the present invention is recorded. The business support program is a control program for causing the control unit 11 to execute various processes such as an elderly person alert process (see FIG. 4), which will be described later.

The recording medium 161 is a CD, DVD, BD, USB memory, etc., and the drive device 16 is a CD drive, DVD drive, BD drive, USB port, etc. that can read information from the recording medium 161. . In the business support device 1 , the control section 11 reads the dispensing support program from the recording medium 161 using the drive device 16 and installs it in the storage section 12 . Further, the control unit 11 uses the drive device 16 to read first determination data D11 and second determination data D21, which will be described later, from the recording medium 161 and stores them in the storage unit 12.

The prescription input unit 17 is used to input the prescription data corresponding to a prescription issued by a medical institution into the business support device 1. Specifically, the prescription input unit 17 is a barcode reader used to read the prescription data corresponding to the prescription from a code such as a one-dimensional code or a two-dimensional code printed on the prescription. The control section 11 causes the prescription data read by the prescription input section 17 to be stored in the information storage section 12B. Further, the prescription input unit 17 can also receive manual input of the prescription data in response to a user operation on the business support device 1.

Note that the prescription input unit 17 reads the prescription data from a recording medium such as an IC tag or an IC chip attached to a prescription, as long as the prescription data corresponding to the prescription can be input. Good too. Further, the prescription input unit 17 may read prescription identification information from the prescription and download the prescription data corresponding to the prescription identification information from a server device connectable via the communication network 3.

The control unit 11 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 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. Specifically, the storage section 12 includes a program storage section 12A, an information storage section 12B, and a master storage section 12C.

The program storage unit 12A is a storage area in which control programs such as the business support program are stored. The information storage section 12B is a storage area in which various information such as the prescription data is stored. The master storage unit 12C is a storage area in which various types of master information such as a drug master, a disease name master, a drug group master, first judgment data D11, and second judgment data D21 are stored.

The drug master contains the 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, and cautions for various drugs. Contains information such as matters. Note that the drug master also stores, for each drug, the contents of the package insert of the drug in association with each other. Further, in the disease name master, a receipt computer code, a disease name, etc. are registered as information for identifying diseases such as diseases or injuries.

In the drug group master, for each type of drug, the drug group to which the drug belongs is stored in association with the drug group. Note that the drug group master may be included in the drug master. Further, the drug group master stores information that allows identification of the drug group to which the drug belongs based on the drug code (YJ code, etc.) of the drug registered in the drug master, and the control unit 11 The drug group of each of the drugs may be specified based on the drug group master. For example, in the drug group master, information corresponding to the number of digits indicating drug efficacy in the drug code may be associated with the drug group corresponding to the information. Thereby, the control unit 11 can specify the drug group to which each drug belongs based on the drug group master. Note that the drug group master is data in a format that allows the control unit 11 to identify the drug group to which the prescription drug included in the prescription data belongs based on the drug group master and the prescription data. The data structure is not particularly limited.

The first judgment data D11 is based on the "list of drugs that require particularly careful administration" (hereinafter referred to as the "first list of guidelines") in the "Guidelines for safe drug therapy for the elderly 2015" published by the Japan Geriatrics Society. This is a database generated in response to Specifically, the first guideline list includes information on drugs that require caution when used by patients over a first specified age. In this embodiment, the first specific age is 75 years old.

Here, FIG. 2 is a diagram showing an example of the first determination data D11. As shown in FIG. 2, the first judgment data D11 includes "drug group", "target patient conditions", "main side effects/reasons", "recommended usage", and "quality of evidence". , "Recommendation level of evidence", etc. are stored in association with each other. Note that the first determination data D11 may be data in which at least a combination of the drug group to be notified and the target patient condition is set in advance.

The "drug group" in the first determination data D11 corresponds to the "drug (class or common name)" in the first guideline list. Furthermore, the "target patient conditions" in the first judgment data D11 correspond to the "target patient group (anonymous if all targets are included)" in the guideline first list, and are the patient's disease. and conditions regarding at least one of the patient's medication status. The first determination data D11 indicates that caution is required when a drug belonging to the drug group corresponding to the target patient condition is prescribed to a patient who satisfies the target patient condition.

The "main side effects/reasons" in the first judgment data D11 correspond to the "main side effects/reasons" in the first list of guidelines, and are those that may occur due to the use of the drug. It includes information on side effects and reasons why caution is required when using the drug. The "recommended usage" in the first judgment data D11 corresponds to the "recommended usage" in the first guideline list, and is the recommended usage when the drug is used. It contains information on

The "quality of evidence" and "recommendation level of evidence" in the first judgment data D11 correspond to the "quality of evidence and recommendation level" in the first guideline list, and are based on the drug group and the target. This is information regarding evidence of combinations with patient conditions. For example, "quality of evidence" is preset in multiple levels such as "high," "medium," and "low," and "level of recommendation for evidence" is preset in multiple levels such as "strong" and "weak." Set.

In the first determination data D11, the drug group for which no target patient condition is set in the "target patient condition" column indicates that the target patient condition is all patients. For example, as shown in FIG. 2, among the drug groups in the first determination data D11, for the drug group "tricyclic antidepressants," target patient conditions are set in the "Target patient conditions" column. Therefore, it is an all-target drug group where the target patient condition is all patients. Note that information on "all patients" may be set as the target patient condition in the "target patient condition" column corresponding to the drug group whose target patient condition is all patients.

On the other hand, in the first judgment data D11, for drug groups for which target patient conditions are set in the "Target patient conditions" column, patients who are over the first specific age and meet the target patient conditions are This is a drug group in which care must be taken when using a drug belonging to the drug group. For example, as shown in FIG. 2, in the first determination data D11, for the drug group "SSRI", "gastrointestinal bleeding" is set as the target patient condition in "target patient condition". This drug group is targeted at patients whose disease meets the criteria of "gastrointestinal bleeding." In addition, as shown in FIG. 2, in the first judgment data D11, for the drug group "digoxin", "use at >0.125 mg/day" is included in "target patient condition". Since this has been set, this drug group is targeted at patients whose medication status satisfies the condition of "use at >0.125 mg/day." Note that "Use at >0.125 mg/day" indicates that more than 0.125 mg of a drug belonging to the digoxin drug distribution group is used per day.

The second judgment data D21 is based on the "list of drugs to be considered for initiation" (hereinafter referred to as the "second list of guidelines") in the "Guidelines for safe drug therapy for the elderly 2015" published by the Japan Geriatrics Society. This is a database created in response to the Specifically, the second guideline list includes information on drugs that patients over a second specific age should consider starting to take. In this embodiment, the second specific age is 65 years old.

Here, FIG. 3 is a diagram showing an example of the second determination data D21. As shown in FIG. 3, the second judgment data D21 includes "drug group", "target patient conditions", "main side effects/reasons", "recommended usage", and "quality of evidence". , "Recommendation level of evidence", etc. are stored in association with each other. Note that the second determination data D21 may be data in which at least a combination of the drug group and the target patient condition to be considered for the patient's initiation of administration is set in advance.

The "drug group" in the second determination data D21 corresponds to the "drug (class or common name)" in the second guideline list. Further, the "target patient condition" in the second judgment data D21 is information extracted and determined from the "recommended usage (target pathology/disease name)" in the second guideline list. Note that the target patient conditions include conditions related to at least one of the patient's disease and the patient's medication status. The second determination data D21 indicates the drug group to which the drug to which patients who meet the target patient conditions should consider starting to take the drug belongs.

The "main side effects/reasons" in the second judgment data D21 are extracted and determined from the "recommended usage (target pathology/disease name)" or "precautions" in the second guideline list. This information includes information on side effects that may occur due to the use of the drug, as well as information on the reasons why caution is required when using the drug. The "recommended method of use" in the second judgment data D21 is information extracted from the "recommended method of use" in the second guideline list, and is the information that is determined when the drug is used. It contains information on how to use it.

The "quality of evidence" and "recommendation level of evidence" in the second judgment data D21 correspond to the "quality of evidence and recommendation level" in the second guideline list, and are based on the drug group and the target. This is information regarding evidence of combinations with patient conditions. For example, "quality of evidence" is preset in multiple levels such as "high," "medium," and "low," and "level of recommendation for evidence" is preset in multiple levels such as "strong" and "weak." Set.

In the second judgment data D21, the drug group to which the drug to which the initiation of administration should be considered belongs is associated with the target patient condition set in the "Target patient condition" column. is set. For example, as shown in FIG. 3, in the second determination data D21, "pneumococcal vaccine" for which "basic respiratory/circulatory system disease" is set as a target patient condition in the "target patient condition" column. The drug group is a drug group to which drugs that patients with "basic respiratory/circulatory system diseases" should consider starting to take.

In the business support system 10, the control unit 11 of the business support device 1 includes a first determination processing unit 111, a second determination processing unit 112, a first notification processing unit 113, a first display processing unit 114, a first 1 reception processing section 115, third judgment processing section 116, second notification processing section 117, second display processing section 118, second reception processing section 119, fourth judgment processing section 120, third notification processing section 121, etc. includes a processing section. Specifically, the control unit 11 functions as the various processing units by executing various processes according to the business support program. Note that the various processing units described above may be realized by distributing and executing various processes by a plurality of processors. Furthermore, one or more of the various processing units may be an electronic circuit such as an ASIC or a DSP.

The first determination processing unit 111 determines whether the age of the patient corresponding to prescription data including information on prescription drugs is equal to or higher than the first specific age. Specifically, the first determination processing unit 111 determines whether the age of the patient included in the prescription data read from the prescription by the prescription input unit 17 is equal to or higher than the first specific age. Note that, as described above, in this embodiment, the first specific age is 75 years old. The first determination processing unit 111 also determines whether or not the age of the patient corresponding to the prescription data manually input into the operation unit 15 by the user in the business support device 1 is equal to or higher than the first specific age. It may be determined whether

When the first determination processing unit 111 determines that the patient's age is equal to or higher than the first specific age, the second determination processing unit 112 determines whether the prescribed medicine of the patient is based on the first determination data. It is determined whether or not the drug belongs to an all target drug group in which the target patient condition is set to be all patients among the drug groups. Specifically, the target patient conditions include at least conditions regarding at least one of the patient's disease and the patient's medication status.

When at least the second determination processing section 112 determines that the patient's prescription medicine belongs to the all target drug group, the first notification processing section 113 transmits the determination result by the second determination processing section 112 or the corresponding First specific broadcast information including broadcast information based on the determination result can be broadcast. Note that the first notification processing unit 113 only needs to be able to notify the first specific notification information according to the determination result of the second determination processing unit 112; The presence/absence may be settable by the control unit 11 in response to a user's operation during initial settings or the like. Further, the notification method by the first notification processing unit 113, the second notification processing unit 117, and the third notification processing unit 121 is display, data transmission, printing, or the like.

The first specific notification information includes identification information of the prescription drug, main side effects and reasons for the prescription drug, recommended usage of the prescription drug, or a combination of the drug group and the target patient condition. One or more of the predetermined recommendation levels are included. The predetermined recommendation level for the main side effects and reasons for the prescription drug, the recommended usage of the prescription drug, or the combination of the drug group and the target patient conditions is based on the recommendation level to which the prescription drug belongs. This is information stored in the first determination data D11 in association with a drug group.

The first display processing unit 114 is capable of displaying selection candidates of the target patient conditions set in the first determination data D11. The first reception processing unit 115 receives an operation for selecting the target patient condition from the selection candidates displayed by the first display processing unit 114.

When the first determination processing section 111 determines that the age of the patient is at least the first specific age, the third determination processing section 116 is configured to transmit the prescribed medicine of the patient to the first reception processing section. Based on the first determination data D11, it is determined whether the drug belongs to the drug group corresponding to the target patient condition accepted in step 115.

The second notification processing unit 117 controls the third judgment processing unit 116 when at least the third judgment processing unit 116 judges that the prescription drug of the patient belongs to the drug group corresponding to the target patient condition. It is possible to broadcast second specific broadcast information including the determination result or broadcast information based on the determination result. Note that the second notification processing unit 117 only needs to be able to notify the second specific notification information according to the determination result of the third determination processing unit 116; The presence/absence may be settable by the control unit 11 in response to a user's operation during initial settings or the like.

The second specific notification information includes identification information of the prescription drug, main side effects and reasons for the prescription drug, recommended usage of the prescription drug, or a combination of the drug group and the target patient condition. One or more of the predetermined recommendation levels are included. The predetermined recommendation level for the main side effects and reasons for the prescription drug, the recommended usage of the prescription drug, or the combination of the drug group and the target patient conditions is based on the recommendation level to which the prescription drug belongs. This is information stored in the first determination data D11 in association with a drug group.

Further, the content of the first specific notification information or the second specific notification information notified in the business support system 10 is not limited to the information described in this embodiment. For example, the content of the first specific notification information or the second specific notification information may be only the determination result by the second determination processing section 112 or the third determination processing section 116. Further, the content of the first specific broadcast information or the second specific broadcast information may be other information based on the determination result, as long as it is other information that allows the user to understand the determination result. For example, the first specific broadcast information or the second specific broadcast information may be part or all of the first determination data D11.

The second display processing unit 118 is capable of displaying selection candidates for the target patient conditions set in the second determination data D21. The second reception processing section 119 receives an operation for selecting the target patient condition from the selection candidates displayed by the second display processing section 118. Note that the first display processing unit 114 and the second display processing unit 118 display the selection candidates of the target patient condition set in the first judgment data D11 and the second judgment data D21 on the same screen. The selection candidates for the target patient conditions may be displayed. For example, the first display processing unit 114 and the second display processing unit 118 display the target set in the first determination data D11 on the same screen when the patient's age is above the second specific age. It is conceivable to display selection candidates for the patient condition and selection candidates for the target patient condition set in the second determination data D21.

The fourth determination processing unit 120 causes the patient's prescription medicine to correspond to the target patient condition accepted by the second reception processing unit 119 when the patient's age is equal to or higher than the second specific age. It is determined whether or not a drug belonging to the drug group is included based on the second determination data D21. In this manner, in the work support system 10, when the age of the patient is equal to or higher than the first specific age, the second determination processing section 112, the third determination processing section 116, and the fourth determination processing section 120 is executed, and if the patient's age is equal to or higher than the second specific age and less than the first specific age, the fourth determination processing unit 120 executes the determination.

The third notification processing unit 121 is configured to notify the third notification processing unit 121 of the third notification processing unit 121 when at least the fourth determination processing unit 120 determines that the patient's prescription drug does not include a drug belonging to the drug group corresponding to the target patient condition. 4. It is possible to broadcast third specific broadcast information including the determination result by the determination processing unit 120 or broadcast information based on the determination result. Note that the third notification processing unit 121 only needs to be able to notify the third specific notification information according to the determination result of the fourth determination processing unit 120, and the third notification processing unit 121 may be The presence/absence may be settable by the control unit 11 in response to a user's operation during initial settings or the like.

Moreover, the content of the third specific notification information notified by the business support system 10 is not limited to the information described in this embodiment. For example, the content of the third specific notification information may be only the determination result by the fourth determination processing section 120. Further, the content of the third specific notification information may be other information based on the determination result, as long as it is other information that allows the user to understand the determination result. For example, the third specific notification information may be part or all of the second determination data D21.

The third specific notification information includes identification information of the drug group corresponding to the target patient condition accepted by the second reception processing unit 119 in the second determination data D21, and main side effects and side effects for the drug group. The information includes one or more of a reason, a recommended usage method for the drug group, and a predetermined recommendation level for the combination of the drug group and the target patient condition. In addition, the predetermined recommendation level for the main side effects/reasons for the drug group, the recommended usage for the drug group, or the combination of the drug group and the target patient conditions is associated with the drug group. This is information stored in the second determination data D21.

In addition, as another embodiment, one or more client terminals may be connected to the business support device 1 via the communication network 3 to configure a server-client system. In this case, the business support device 1 executes processing such as inputting and displaying various information in response to user operations on the client terminal. That is, even if each of the client terminals is used as an operating terminal for the business support device 1, and the "operations" and "displays" described below are performed using the operating section and display section of the client terminal. good. Further, in this embodiment, the business support device 1 alone operates as a business support system according to the present invention, but the business support device 1 and the client terminal cooperate with each other to operate the business support device described in this embodiment. Processing similar to 1 may be executed.

[Elderly alert processing]
The elderly alert process executed by the control unit 11 of the business support device 1 will be described below with reference to FIG. 4. For example, the elderly alert process may be performed at a timing when the prescription data is input to the business support device 1, a timing before the business support device 1 transmits a dispensing start instruction regarding the prescription data to the dispensing device 2, or It is executed by the control unit 11 at an arbitrary timing such as when a user performs an operation requesting execution of the elderly alert process regarding the prescription data. In addition, below, the said prescription data used as the target of the said elderly person alert process may be called target prescription data.

In addition to the elderly alert processing, the control unit 11 also handles various information such as "interaction", "duplication (same drug effect, same drug, same ingredient)", "dosage", "formulation change", etc. It may be possible to execute a prescription check process for determining whether or not the target prescription data is appropriate for the check items, but since this prescription check process is conventionally well known, the description thereof will be omitted here.

<Step S11>
In step S11, the control unit 11 determines, based on the target prescription data, whether the age of the patient corresponding to the target prescription data is equal to or higher than a first specific age. Note that in this embodiment, the first specific age is 75 years old. The step S11 is an example of a first determination step according to the present invention, and is executed by the first determination processing section 111 of the control section 11. Then, when it is determined that the age of the patient is equal to or higher than the first specific age (S11: Yes), the process moves to step S12, and it is determined that the age of the patient is not equal to or higher than the first specific age. Then (S11: No), the process moves to step S17.

<Step S12>
In step S12, the control unit 11 controls, for each prescription drug included in the target prescription data, the all-target drug group to which all patients are targeted among the drug groups set in the first determination data D11. Determine whether the drug belongs to the . The step S12 is an example of a second determination step according to the present invention, and is executed by the second determination processing section 112 of the control section 11.

Specifically, the control unit 11 specifies the drug group of each prescription drug included in the target prescription data, based on the target prescription data and the drug group master. Thereafter, when the drug group of each of the prescription drugs matches the all target drug groups set in the first judgment data D11, the control unit 11 controls whether the prescription drug is It is determined that the drug belongs to the all target drug groups set in D11. Then, when it is determined that at least one of the prescription drugs included in the target prescription data belongs to the all target drug group (S12: Yes), the process moves to step S13, and all of the prescription drugs If it is determined that the drug does not belong to the all-target drug group (S12: No), the process moves to step S14.

<Step S13>
In step S13, the control unit 11 executes a storage process of storing first alert information for notifying the first specific notification information set in advance in the storage unit 12 in association with the target prescription data. . Note that the first alert information is stored in association with each prescription drug included in the target prescription data.

For example, the first alert information includes first flag information indicating that the first alert information is to be notified for the prescription drug of the target prescription data, and content of the first specific notification information. In the present embodiment, the first specific notification information includes identification information of the prescription drug, main side effects and reasons for the prescription drug, recommended usage of the prescription drug, and the drug group and target patient conditions. It includes a predetermined recommendation level for the combination. In the present embodiment, the first specific notification information is information regarding the prescription drug determined to belong to the all-target drug group in step S12, the drug group to which the prescription drug belongs, and the like.

<Step S14>
In step S14, the control unit 11 selects a target patient condition that is estimated to apply to the patient corresponding to the target prescription data from among the target patient conditions set in the first determination data D11. Execute target patient condition selection processing for Specifically, the control unit 11 displays on the display unit 14 a selection screen P11 for selecting the target patient condition set in the first determination data D11.

Here, FIG. 5 is a diagram showing an example of the selection screen P11. As shown in FIG. 5, the selection screen P11 displays an operation section K11 and an operation section K12. When the operating section K11 is operated using the operating section 15, the control section 11 selects each of the target patient conditions set in the first determination data D11, as shown in FIG. Executes display processing to display candidates in a pull-down menu. Note that the display processing is executed by the first display processing section 114 of the control section 11.

Then, the control unit 11 executes a reception process in which the operation unit 15 receives an operation for selecting one of the target patient conditions from the pull-down menu. Note that the reception processing is executed by the first reception processing section 115 of the control section 11. For example, at a dispensing pharmacy, a pharmacist performs an operation to select the target patient condition based on information obtained through an interview from a patient or a patient's family. In addition, if the pharmacist is permitted to access medical information such as the patient's disease stored in an external server device etc. that can be connected via the communication network 3, the pharmacist can view the medical information. The target patient condition may be selected. Thereafter, when the operating section K12 is operated, the control section 11 stores the target patient condition selected at the operating section K11 in the storage section 12 in association with the patient.

Note that the control unit 11 may receive input of a plurality of the target patient conditions. For example, the control unit 11 may display a plurality of operation units K11 on the selection screen P11, and may accept an operation for selecting the target patient condition on each of the operation units K11. In addition, as shown in FIG. 6, an operation section K13 such as a check box that can individually switch the selection state of the plurality of target patient conditions is displayed, and the selection state of the plurality of target patient conditions can be changed depending on the operation of the operation section K13. A selection of conditions may be accepted.

Furthermore, the control unit 11 may be able to omit the target patient condition selection process in step S14 in response to a user operation. For example, it is conceivable to omit the target patient condition selection process in response to the operation of the operating section K14 displayed on the selection screen P11 in FIG. 5 or 6. Note that when the target patient condition selection process is omitted, the processes of steps S15 and S16, which will be described later, are also omitted.

<Step S15>
In step S15, the control unit 11 determines whether the patient corresponding to the target prescription data corresponds to the careful administration target patient set in the first determination data D11. The step S15 is an example of a third determination step according to the present invention, and is executed by the third determination processing section 116 of the control section 11.

Specifically, the control unit 11 determines that the combination of the drug group of the prescription drug included in the target prescription data and the target patient condition selected in step S14 is set in the first determination data D11. When the combination of the drug group and the target patient condition match, it is determined that the patient corresponds to the patient to be carefully administered. Here, if it is determined that the patient corresponds to the patient who is subject to careful administration (S15: Yes), the process moves to step S16, and if it is determined that the patient does not correspond to the patient who is subject to careful administration (S15). :No), the process moves to step S17.

In this embodiment, after determining whether the prescription drug belongs to the all-target drug group in step S12, the control unit 11 determines whether or not the prescription drug belongs to the all-target drug group, regardless of the determination result in step S12. The processes of steps S14 to S15 are executed. With this, for example, even after any one of the plurality of prescription drugs included in the prescription data is determined to belong to the all target drug group in step S12, the prescription data is It is possible to target all included prescription drugs to be processed in steps S14 to S15. On the other hand, as another embodiment, the control unit 11 may notify the first specific notification information etc. when it is determined in step S12 that any of the prescription drugs belongs to the all target drug group. The elderly person alert process may be terminated.

<Step S16>
In step S16, the control unit 11 executes a storage process of storing second alert information for notifying the second specific notification information set in advance in the storage unit 12 in association with the target prescription data. . Note that the second alert information is stored in association with each prescription drug included in the target prescription data.

For example, the second alert information includes second flag information indicating that the second alert information is to be notified for the prescription drug of the target prescription data, and contents of the second specific notification information. In the present embodiment, the second specific notification information includes identification information of the prescription drug, main side effects and reasons for the prescription drug, recommended usage of the prescription drug, and the drug group and target patient conditions. It includes a predetermined recommendation level for the combination. Note that the second specific notification information is information regarding the prescribed drug that caused the patient to be determined to fall under the cautious administration target patient in step S15, the drug group to which the prescribed drug belongs, and the like. Further, in this embodiment, the control unit 11 can identify the first alert information and the second alert information based on the first flag information and the second flag information, but in other embodiments , the first alert information and the second alert information may be common information.

<Step S17>
In step S17, the control unit 11 determines whether the patient's age is equal to or higher than the second specific age based on the target prescription data. Note that in this embodiment, the second specific age is 65 years old. If it is determined that the patient's age is equal to or higher than the second specific age (S17: Yes), the process moves to step S18, and if it is determined that the patient's age is not equal to or higher than the second specific age. (S17: No), the process moves to step S21. Further, if it is determined in the step S11 that the age of the patient is equal to or higher than the first specific age (S11: Yes), the processes from step S18 onwards are executed after the execution of the step S16, and the process in the step S17 is performed. May be omitted.

<Step S18>
In step S18, the control unit 11 selects target patient conditions that are estimated to apply to the patient corresponding to the target prescription data from among the target patient conditions set in the second determination data D21. Execute target patient condition selection processing for Specifically, the control unit 11 displays on the display unit 14 a selection screen P21 for selecting the target patient condition set in the second determination data D21. That is, the target patient conditions displayed as selection candidates are different between the selection screen P11 displayed in step S14 and the selection screen P21 displayed in step S18.

Here, FIG. 7 is a diagram showing an example of the selection screen P21. As shown in FIG. 7, an operating section K21 and an operating section K22 are displayed on the selection screen P21. When the operating section K21 is operated using the operating section 15, the control section 11 selects each of the target patient conditions set in the second determination data D21, as shown in FIG. Executes display processing to display candidates in a pull-down menu. Note that the display processing is an example of a second display step according to the present invention, and is executed by the second display processing section 118 of the control section 11.

Then, the control unit 11 executes a reception process in which the operation unit 15 receives an operation for selecting one of the target patient conditions from the pull-down menu. Note that the reception process is an example of a second reception step according to the present invention, and is executed by the second reception processing unit 119 of the control unit 11. For example, at a dispensing pharmacy, a pharmacist performs an operation to select the target patient condition based on information obtained through an interview from a patient or a patient's family. Thereafter, when the operating section K22 is operated, the control section 11 stores the target patient condition selected at the operating section K21 in the storage section 12 in association with the patient. Note that, in step S18, the control unit 11 may receive input of a plurality of target patient conditions as described in step S14.

Further, the control unit 11 may be able to omit the target patient condition selection process in step S18 in accordance with a user operation. For example, it is possible to omit the target patient condition selection process in response to the operation of the operating section K23 displayed on the selection screen P21 in FIG. Note that when the target patient condition selection process is omitted, the processes of steps S19 and S20, which will be described later, are also omitted.

In another embodiment, when the control unit 11 determines that the patient is over the first specific age, in step S14, the target patient condition set in the first determination data D11 is When displayed, the first-term target patient conditions set in the second determination data D21 may be displayed at the same time to accept the selection, and step S18 may be omitted.

<Step S19>
In step S19, the control unit 11 determines whether the patient corresponding to the target prescription data corresponds to the patient to be considered for starting administration set in the second determination data D21. The step S19 is an example of a fourth determination step according to the present invention, and is executed by the fourth determination processing section 120 of the control section 11.

Specifically, the control unit 11 determines, in the second determination data D21, that a drug belonging to the drug group associated with the target patient condition selected in step S18 is included in the target prescription data. If the patient is not included in the list, it is determined that the patient corresponds to the patient to be considered for starting treatment. Here, if it is determined that the patient corresponds to the patient to be considered for initial administration (S19: Yes), the process moves to step S20, and if it is determined that the patient does not correspond to the patient for initial consideration for administration (S19: Yes). (S19: No), the process moves to step S21.

<Step S20>
In step S20, the control unit 11 executes a storage process of storing third alert information for notifying the third specific notification information set in advance in the storage unit 12 in association with the target prescription data. .

For example, the third alert information includes third flag information indicating that the third alert information is to be notified for the target prescription data, and content of the third specific notification information. In the present embodiment, the third specific notification information includes identification information of the drug group, main side effects/reasons for the drug group, recommended usage for the drug group, and , includes a predetermined recommendation level for the combination of the drug group and the target patient condition. Note that the third specific notification information is information regarding the drug group and the like that caused the patient to be determined to fall under the starting consideration administration target patient in step S19.

<Step S21>
In step S21, the control unit 11 executes a notification process to notify any one or more of the first specific notification information, the second specific notification information, and the third specific notification information as necessary. In addition, if it is necessary to display a plurality of pieces of information among the first specific broadcast information, the second specific broadcast information, and the third specific broadcast information, each of the pieces of information can be individually displayed on the broadcast screen that is sequentially displayed. will be displayed. For example, when broadcasting all of the first specific broadcast information, the second specific broadcast information, and the third specific broadcast information, the first specific broadcast information, the second specific broadcast information, and the third specific broadcast information The notification information is displayed individually on the notification screen in the order of the notification information.

In addition, when the control unit 11 does not need to notify the first specific notification information, the second specific notification information, and the third specific notification information, the second determination processing unit 112 regarding the target prescription data; Although the determination results by the third determination processing unit 116 and the fourth determination processing unit 120 may be reported, they do not need to be reported. Note that the control unit 11 determines whether or not the first specific notification information, the second specific notification information, and the third specific notification information are notified based on the first alert information, the second alert information, and the third specific notification information. Make decisions based on alert information.

Specifically, when the first flag information indicating that the first specific notification information is to be notified is associated with the target prescription data, the control unit 11 determines whether the first specific notification information is to be notified. It is determined that it is necessary, and a notification screen P31 for notifying the first specific notification information is displayed on the display unit 14. The notification of the first specific notification information is an example of a first notification step according to the present invention, and is executed by the first notification processing unit 113 of the control unit 11.

FIG. 8 is a diagram showing an example of the notification screen P31. As shown in FIG. 8, on the notification screen P31, for example, as information indicating the determination result by the second determination processing unit 112, "The patient's prescribed medicine is based on the ``Guidelines for Safe Medication Therapy for the Elderly 2015''. It falls under the drug group of ``tricyclic antidepressants'' in the established ``List of Drugs that Require Particular Care in Administration,'' and this drug group applies to all patients. ' message is displayed. Then, on the notification screen P31, the first specific notification information includes identification information (drug name) of the prescription drug, main side effects and reasons for the prescription drug, recommended usage of the prescription drug, and A predetermined recommendation level for the combination of the drug group and the target patient condition is displayed. Note that if the first specific notification information is stored for a plurality of prescription drugs included in the prescription data, the first specific notification information for the plurality of prescription drugs is displayed on the notification screen P31. .

Further, on the notification screen P31, an operation section K31 for recording the fact that a suspicion inquiry is to be made to a doctor of a medical institution regarding the target prescription data or that a suspicion inquiry has been made is displayed. Then, when the operation section K31 is operated, the control section 11 causes the storage section 12 to store information to the effect that a suspicion inquiry has been made in association with the target prescription data.

Further, the notification screen P31 displays an operation section K32 that accepts an operation to continue dispensing for the target prescription data, and an operation section K33 that accepts an operation to cancel dispensing for the target prescription data. . Then, when the operation section K32 is operated, the control section 11 generates the dispensing data based on the target prescription data and transmits it to the dispensing device 2. Note that even if the operation section K32 is operated, the control section 11 does not transmit the dispensing data to the dispensing device 2 if an error occurs in the prescription check process. On the other hand, when the operating section K33 is operated, the control section 11 does not generate the dispensing data based on the target prescription data, and ends the elderly alert process.

Similarly, when the second flag information indicating that the second specific notification information is to be notified is associated with the target prescription data, the control unit 11 determines that notification of the second specific notification information is necessary. Then, a notification screen P32 for notifying the second specific notification information is displayed on the display unit 14. Notification of the second specific notification information is executed by the second notification processing section 117 of the control section 11.

FIG. 9 is a diagram showing an example of the notification screen P32. As shown in FIG. 9, on the notification screen P32, for example, as information indicating the determination result by the third determination processing unit 116, "The patient's prescribed medicine is based on the ``Guidelines for Safe Medication Therapy for the Elderly 2015''. This drug falls under the "SSRI" drug group on the established "List of Drugs Requiring Particular Care," and the patient has "gastrointestinal bleeding," which is a patient condition for the drug group. ' message is displayed. In the notification screen P32, the second specific notification information includes identification information (drug name) of the prescription drug, main side effects and reasons for the prescription drug, recommended usage of the prescription drug, and A predetermined recommendation level for the combination of the drug group and the target patient condition is displayed. Further, when the second specific notification information is stored for a plurality of prescription drugs included in the prescription data, the second specific notification information for the plurality of prescription drugs is displayed on the notification screen P32. . Note that the operation units K31 to K33 are also displayed on the notification screen P32, similarly to the notification screen P31.

Furthermore, when the third flag information indicating that the third specific notification information is to be notified is associated with the target prescription data, the control unit 11 determines that the third specific notification information needs to be notified. It is determined that there is such information, and a notification screen P41 for notifying the third specific notification information is displayed on the display unit 14. The notification of the third specific notification information is an example of the third notification step according to the present invention, and is executed by the third notification processing unit 121 of the control unit 11.

FIG. 10 is a diagram showing an example of the notification screen P41. As shown in FIG. 10, on the notification screen P41, for example, as information indicating the determination result by the fourth determination processing unit 120, "the patient has been diagnosed as This applies to patients with ``underlying respiratory or circulatory system diseases'' in the ``List of drugs that should be considered for initiation.'' ' message is displayed. Then, on the notification screen P41, regarding the drug group to be considered for initiation, the third specific notification information includes identification information of the drug group, main side effects/reasons for the drug group, and recommendations for the drug group. A predetermined recommendation level for the usage method and the combination of the drug group and the target patient condition is displayed. Furthermore, if there are a plurality of drug groups that should be considered for initiation for the patient corresponding to the prescription data, the third specific notification information regarding the plurality of drug groups is displayed on the notification screen P41. Note that the operation units K31 to K33 are also displayed on the notification screen P41, similarly to the notification screen P31.

Here, a case has been described in which the control unit 11 sequentially displays the first specific notification information, the second specific notification information, and the third specific notification information on different notification screens. On the other hand, as another embodiment, the control unit 11 may display the first specific broadcast information, the second specific broadcast information, and the third specific broadcast information on the same screen. Note that even when displaying the first specific notification information, the second specific notification information, and the third specific notification information on the same screen, the control unit 11 controls the first specific notification information, the second specific notification information, and the second specific notification information. information and the third specific broadcast information are displayed in an identifiable manner.

As described above, in the business support system 10, the notification screen P31, the notification screen P32, the notification screen P41, etc. are displayed as necessary. Therefore, by viewing the notification screen P31, the notification screen P32, or the notification screen P41, users such as pharmacists can easily examine the appropriateness of the prescription content in consideration of the patient's age regarding the target prescription data. This makes it possible to increase work efficiency. That is, according to the business support system 10, it is possible to support examination of the suitability of prescription contents in consideration of the patient's age. More specifically, by viewing the notification screen P31 and the notification screen P32, the user can view the main side effects, reasons, and recommendations for prescription drugs included in the target prescription data for elderly people over the first specific age. It is possible to easily understand the usage etc. In addition, by viewing the notification screen P41, the user can easily understand that the prescribed drugs in the target prescription data do not include drugs recommended for use by elderly people over the second specific age. is possible.

In addition, as another embodiment, in the work support system 10, in the elderly person alert processing, the determination processing in steps S11 to S16 is based on the first determination data D11, and the determination processing in steps S11 to S16 is based on the second determination data D21. Only one of the determination processes in steps S17 to S20 may be executed. Even in this case, in the work support system 10, it is possible to easily examine the suitability of prescription contents in consideration of the patient's age, thereby increasing work efficiency.

Further, as another embodiment, the control unit 11 displays the first specific notification information in the step S13 instead of the step S21, displays the second specific notification information in the step S16, and displays the second specific notification information in the step S16. It is also possible to display the third specific notification information in step S20.

Furthermore, the control unit 11 controls the prescription data in which the operation unit K31 is operated on any of the notification screen P31, the notification screen P32, and the notification screen P41, and the execution history of the doubt inquiry is recorded. When corrected prescription data is input, it may be possible to count the number of prescription data at predetermined intervals and to display or print out the count value. Thereby, the user can grasp the number of prescription data that may have been modified due to doubtful inquiries in the elderly alert process. Note that whether or not the prescription data has been modified is determined based on, for example, prescription identification information included in the prescription data. Specifically, when prescription data with the same prescription ID and different branch numbers is input, the control unit 11 determines that the prescription data is data after correction of other prescription data with the same prescription ID. It is possible to do so. In addition, as another embodiment, the early control unit 11 executes the elderly alert process only when the prescription data is new prescription data, and executes the elderly alert process only when the prescription data is corrected prescription data. It is also conceivable that the elderly alert process is not executed.

By the way, in this embodiment, the business support system 10 used to support the work of a pharmacist at a dispensing pharmacy has been described as an example of the business support system according to the present invention. On the other hand, instead of the business support system 10, the business support system according to the present invention may be an electronic medical record system capable of registering a patient's medical examination record, prescription details, etc. in an electronic medical record according to the operation of a user such as a doctor. good. In this case, when a user operation is performed to register prescription data indicating prescription contents corresponding to the patient in the electronic medical record, a control unit such as a computer included in the electronic medical record system responds to the patient. The elderly alert process (FIG. 4) may be executed using the prescription data as a processing target.

1 Business support device 2 Dispensing equipment 10 Business support system 11 Control unit 12 Storage unit 13 Communication I/F
14 Display section 15 Operation section 16 Drive device 17 Prescription input section

Claims (12)

a first determination processing unit that determines whether the age of a patient corresponding to prescription data including prescription drug information is a first specific age or above;
When the first determination processing unit determines that the patient's age is equal to or higher than the first specific age, a combination of a drug group to be notified and a target patient condition is set in advance for the prescribed medicine of the patient. a second determination processing unit that determines whether or not the drug belongs to an all target drug group in which the target patient condition is set to be all patients among the drug groups in the first determination data;
If at least the second determination processing section determines that the patient's prescription drug belongs to the all-target drug group, a first identification that includes a determination result by the second determination processing section or notification information based on the determination result; a first notification processing unit capable of reporting notification information;
A business support system equipped with The first specific age is 75 years old,
The combination of the drug group and the target patient condition of the first determination data corresponds to a list of drugs that require particularly careful administration in guidelines for safe drug therapy for the elderly;
The business support system according to claim 1. The target patient conditions include conditions regarding at least one of the patient's disease and the patient's medication status,
The business support system according to claim 1. The first specific notification information includes information on the identification of the prescription drug, main side effects and reasons for the prescription drug, recommended usage of the prescription drug, or a combination of the drug group and the target patient condition. including one or more of the prescribed recommendation levels;
The business support system according to any one of claims 1 to 3. a first display processing unit capable of displaying selection candidates for the target patient condition set in the first determination data;
a first reception processing unit that receives a selection operation of the target patient condition from the selection candidates displayed by the first display processing unit;
If the first determination processing unit determines that the patient's age is equal to or higher than the first specific age, the prescription drug of the patient corresponds to the target patient condition accepted by the first reception processing unit. a third determination processing unit that determines whether the drug belongs to the drug group based on the first determination data;
If at least the third determination processing section determines that the patient's prescription medicine belongs to the drug group corresponding to the target patient condition, the determination result by the third determination processing section or notification information based on the determination result. a second notification processing unit capable of reporting second specific notification information including;
Equipped with
The business support system according to any one of claims 1 to 4. The second specific notification information includes information on the identification of the prescription drug, main side effects and reasons for the prescription drug, recommended usage of the prescription drug, or a combination of the drug group and the target patient condition. including one or more of the prescribed recommendation levels;
The business support system according to claim 5. A second display capable of displaying selection candidates for the target patient conditions set in the second judgment data in which a combination of drug groups and target patient conditions that should be considered for patients over a specific age to start taking the drug is set in advance. a processing section;
a second reception processing unit that receives a selection operation of the target patient condition from the selection candidates displayed by the second display processing unit;
When the age of the patient is at least the second specific age, the patient's prescription drugs include a drug belonging to the drug group corresponding to the target patient condition accepted by the second reception processing unit. a fourth determination processing unit that determines whether or not there is a person based on the second determination data;
If at least the fourth determination processing unit determines that the patient's prescribed medicine does not include a drug belonging to the drug group corresponding to the target patient condition, the determination result by the fourth determination processing unit or the determination a third notification processing unit that notifies third specific notification information including notification information based on the results;
Equipped with
The second specific age is less than the first specific age,
The business support system according to any one of claims 1 to 6. The second specific age is 65 years old,
The combination of the drug group and the target patient condition of the second determination data corresponds to a list of drugs that should be considered for initiation in guidelines for safe drug therapy for the elderly.
The business support system according to claim 7. The third specific notification information may include identification information of the drug group, main side effects/reasons of the drug group, recommended usage of the drug group, or a combination of the drug group and the target patient conditions in advance. including one or more of the prescribed recommendation levels;
The business support system according to claim 7 or 8. A second display capable of displaying selection candidates for the target patient conditions set in the second judgment data in which a combination of drug groups and target patient conditions that should be considered for patients over a specific age to start taking the drug is set in advance. a processing section;
a second reception processing unit that receives a selection operation of the target patient condition from the selection candidates displayed by the second display processing unit;
When the age of the patient is at least the second specific age, the patient's prescription drugs include a drug belonging to the drug group corresponding to the target patient condition accepted by the second reception processing unit. a fourth determination processing unit that determines whether or not there is a person based on the second determination data;
If at least the fourth determination processing unit determines that the patient's prescribed medicine does not include a drug belonging to the drug group corresponding to the target patient condition, the determination result by the fourth determination processing unit or the determination a third notification processing unit that notifies third specific notification information including notification information based on the results;
Equipped with
Business support system. to the processor,
a first determination step of determining whether the age of a patient corresponding to prescription data including prescription drug information is a first specific age or above;
When the age of the patient is determined to be equal to or higher than the first specific age in the first determination step, a combination of a drug group to be notified and a target patient condition for the prescription drug of the patient is set in advance. a second determination step of determining whether or not the target patient condition belongs to an all target drug group in which the target patient condition is set to be all patients among the drug groups in the first determination data;
If it is determined at least in the second determination step that the patient's prescription drug belongs to the all target drug group, first specific notification information that includes the determination result in the second determination step or notification information based on the determination result. a first notification step of notifying the
A business support program to carry out. to the processor,
A second display capable of displaying selection candidates for the target patient conditions set in the second judgment data in which a combination of drug groups and target patient conditions that should be considered for patients over a specific age to start taking the drug is set in advance. step and
a second reception step of accepting a selection operation of the target patient condition from the selection candidates displayed in the second display step;
If the age of the patient corresponding to the prescription data including prescription drug information is above the second specific age, the prescription drug of the patient corresponds to the target patient condition accepted in the second reception step. a fourth determination step of determining whether a drug belonging to the drug group is included based on the second determination data;
At least in the case where it is determined in the fourth determination step that the prescribed medicine of the patient does not contain a drug belonging to the drug group corresponding to the target patient condition, the determination result in the fourth determination step or the determination result a third notification step of notifying third specific notification information including notification information based on the
A business support program to carry out.