JPH09258803A - Method for supporting chinese medicine formulation and its system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To prepare a herd medicine with stable quality without special knowledge by unnecessitating the stock of a crude drug and medicine preparing machine parts. SOLUTION: When a patient comes, a pharmacist accesses to a computer 3 by a terminal equipment 2 provided in agents T1-Tn, executes the question examination of general symtoms and main symptoms and tongue examination as against the patient in accordance with a prescribed format and input its result and medical card data such as the medicine history of the patient, etc. A host computer generates symptom result data and a medicine preparation list indicating plural medicine preparation candidates based on crude drug effect data, medicine preparation data and medical card data and the pharmacist of a medicine preparation center CC prescribes the crude drug based on the medicine preparation list and delivers the packed medicine to the agents T1-Tn or the place of the patient.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a Chinese medicine prescription support method and system, and more particularly to a technique effective when applied to a Chinese medicine formulation.

[0002]

2. Description of the Related Art At a pharmacy, a drug store, or any other agency that deals with herbal medicine, after conducting an interview and seeing the condition of the patient's tongue, a so-called tongue examination, etc., each agent responded to the patient's symptoms. It is widely known that a crude drug is dispensed.

[0003]

However, the inventor of the present invention has found that the above-mentioned handling of Chinese herbs has the following problems.

That is, since the Chinese medicines are dispensed at each agency, it is necessary to stock various Chinese medicines.
There is also a problem that dispensing equipment for dispensing those Chinese medicines is also required, and the inventory cost and the cost of the dispensing equipment become high and become a burden.

Further, the preparation of Chinese herbal medicines requires specialized knowledge, and there is a variation in the preparations due to the knowledge and experience of the operator who performs the preparations, and the quality is not stable at each agency. There is also a risk that the effects will differ.

An object of the present invention is to provide a Chinese medicine prescription support method and system which can dispense a stable quality of Chinese herbs without the need for crude drug stocks, dispensing equipment and the like, and without deep specialized knowledge. .

[0007] The above and other objects and novel features of the present invention will become apparent from the description of the present specification and the accompanying drawings.

[0008]

SUMMARY OF THE INVENTION Among the inventions disclosed in the present application, the outline of a representative one will be briefly described.
It is as follows.

That is, the herbal prescription support method of the present invention comprises the steps of inputting medical chart data of a patient according to a predetermined format, and selecting a crude drug effective for the medical condition of the patient based on the input medical chart data, The method has a step of generating a list of directions of the selected crude drug and a step of outputting the generated list of directions.

With this, only by inputting the chart data of a patient according to a predetermined format, it is possible to generate the optimal herbal medicine list for the symptom of the patient.

Further, the Chinese medicine prescription support method of the present invention comprises a step of judging whether or not the generated list of medicines is a pharmacy preparation, and it is judged that the prescription of the medicine list is other than a medicine preparation. Then, there is a step of generating a medicine list which matches a pharmacy preparation similar to a medicine list other than the pharmacy preparation.

[0012] Thus, even if the optimal drug for the patient is a drug other than the pharmacy formulation, the drug list that matches the pharmacy formulation similar to the drug is regenerated, so that it is optimal for the patient's symptoms. It is possible to generate a list of medicines that matches the pharmacy formulation.

The pharmacy formulation described in this specification is
In the provisions of the Pharmaceutical Affairs Law, it refers to an item of a pharmaceutical product contained in the Japanese Pharmacopoeia that can be manufactured by a manufacturing plant that is licensed to manufacture pharmaceutical products, so-called a pharmaceutical manufacturing license, with the approval of the Minister of Health. To do.

Furthermore, the method for supporting prescription of Chinese medicine of the present invention is as follows:
What has a step of comparing the generated crude drug on the list of the above-mentioned herbal medicines with the medicines that the patient is taking and detecting a crude drug that may have side effects, and a step of warning of the herbal medicine containing the detected crude drug Is.

Thus, it is possible to prevent the patient from using the medicine being used side by side and the crude drug having side effects.

Further, the Chinese medicine prescription support system of the present invention is provided at a plurality of specific agency stores, and supports a plurality of data input / output means for registering, updating or referring to the medical chart data for each patient, and prescribing. A first storage unit storing prescription support data, medical chart data input from the data input / output unit, and a list of herbal medicines effective for the medical condition of the patient based on the prescription support data stored in the first storage unit And a second calculation for generating a herbal medicine list based on the herbal medicine list generated by the first calculation processing section and the prescription support data stored in the first storage section. The processing unit and the second storage unit that stores the medical agent data generated by the second arithmetic processing unit and the medical record data input from the data input / output unit, and stores a plurality of data items. Output means and the line connected to the processing means, in which the more an output means for displaying or outputting whichever agent list generated by the processing means.

Thus, the data input / output means only inputs the patient chart data in accordance with a predetermined format, the processing means generates the optimal herbal medicine list for the patient's symptoms, and the output means outputs the herbal medicine list. can do.

Further, in the Chinese medicine prescription support system of the present invention, the processing means stores the pharmacy formulation data in a third manner.
No. 3 storage unit and a third calculation for determining whether or not the direction list produced by the second calculation processing unit is a pharmacy preparation based on the pharmacy preparation data stored in the third storage unit. Based on the prescription support data stored in the first storage unit, the processing unit and the formulation list determined to be other than the pharmacy formulation by the third arithmetic processing unit are similar to the prescriptions of the formulation list other than the pharmacy formulation. And a fourth arithmetic processing unit for generating in the list of medicines of the pharmacy formulation.

As a result, when the third arithmetic processing unit determines that the generated list of the medicines is other than the pharmacy preparation, the fourth arithmetic processing section
Since the arithmetic processing unit of (1) regenerates the drug list that matches the drug formulation similar to that drug, it is possible to generate the drug list that matches the drug formulation optimal for the patient's symptoms.

Further, in the Chinese medicine prescription support system of the present invention, the processing means includes a fourth storage section in which dispensation avoidance data for detecting crude drugs and drugs having side effects are stored, and the fourth storage unit.
A fifth arithmetic processing unit that compares the crude drug in the herbal medicine list generated based on the dispensation avoidance data stored in the storage unit of the drug with the drug that the patient is taking, and detects the crude drug that may have side effects. Is provided.

As a result, the fifth arithmetic processing unit collates the medicine being used by the patient with the crude drug in the list of the herbal medicines, and if there is a side effect, warns the crude drug. It is possible to prevent the use of certain crude drugs.

As described above, it is possible to generate a list of medicines corresponding to the patient's symptoms simply by providing data input / output means at a plurality of specific agents, so that the stock of crude drugs and the preparation equipment are unnecessary. In addition, it is possible to reduce the cost burden and eliminate the need for installing a dispensing equipment.

Further, since the processing means generates the list of Chinese herbs, it is possible to dispense Chinese herbs with stable quality and effect without deep specialized knowledge.

[0024]

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

FIG. 1 is an explanatory view of the configuration of a crude drug prescription support system according to an embodiment of the present invention. FIG. 2 is a block explanatory diagram of a computer in the crude drug prescription support system according to an embodiment of the present invention. FIG. 4 is a diagram showing an example of an interview of general symptoms of medical record data according to one embodiment of the invention, FIG.
FIG. 5 is a diagram showing an example of an inquiry about main symptoms of medical record data according to one embodiment of the present invention, FIG. 5 is a diagram showing an example of tongue diagnosis of medical record data according to one embodiment of the present invention, and FIG. FIG. 7 is a diagram showing an example of outputting symptom result data according to the embodiment.
FIG. 8 is a diagram showing an output example of a herbal medicine list according to one embodiment of the present invention, FIG. 8 is a diagram showing an output example of a usage manual output from a herbal medicine prescription support system according to one embodiment of the present invention, FIG. 9 is a flowchart showing the operation of the herbal medicine prescription support system according to the embodiment of the present invention.

In the present embodiment, the Chinese medicine prescription support system 1 for prescribing herbal medicine prescriptions and storing various medical information is a terminal device to which various medical chart data such as patient's symptoms and drug history are input. (Data input / output means) 2 is provided.

In the Chinese medicine prescription support system 1, a computer (processing means) 3 for prescribing a crude drug based on medical chart data input to the terminal device 2 and data input / output with the computer 3 are performed. An input terminal device 4 such as a personal computer is provided.

Further, the Chinese medicine prescription support system 1 is provided with a data output device 5 for outputting various data output from the computer 3 by printing out or faxing.

The input terminal device 4 and the data output device 5 constitute output means.

Further, the above-mentioned terminal device 2 is provided at a predetermined installation place in the agency T1 to Tn such as a pharmacy or a drug store under a specific contract, and the computer 3 is installed in the dispensing center CC such as the head office. Has been done.

The terminal device 2 and the computer 3 are online connected by a communication line 6 such as a telephone line or a dedicated line.

Next, as shown in FIG. 2, the computer 3 stores a medicine data storage unit (first, third, and second medicine data storage units in which medicine data, crude drug efficacy data, drug repellent data, pharmacy formulation data, and the like are stored. A storage unit 4) 7 is provided.

Further, the computer 3 stores a book data storage section 8 in which Chinese medicine data, Kampo literature data, etc. are stored.
Is provided.

Here, the book data storage unit 8 stores, for example, the contents of Chinese medicine books and the like, and the terminal device 2 accesses the computer 3 as necessary to select the information to be browsed, so that the terminal A display is made on the display unit of the device 2 so that the device 2 can be browsed.

Further, the computer 3 includes the terminal device 2
The medical record data storage unit that stores the medical record data that is necessary data about the patient, such as the patient's symptom output, the medical history such as the drug that was previously taken or the type of drug that is currently being used, and prescription data ( A second storage unit 9 is provided.

Further, the computer 3 is provided with a server 10 for managing the network of the communication line 6 and accessing the necessary line.

Further, the computer 3 is provided with a host computer (first to fifth arithmetic processing units) 11 which controls predetermined arithmetic processing and all controls of the computer 3 to support prescription, and the server 10 is provided with the host computer 10. It is connected. The input terminal device 4 described above is connected to the host computer 11, and the data output device 5 is connected to the input terminal device 4.

Next, the operation of the present invention will be described with reference to FIGS.
Also, description will be made with reference to the flowchart shown in FIG.

For example, if a patient visits the agency T1, the pharmacist at the agency T1 accesses the computer 3 by means of the terminal equipment installed and inputs the above-mentioned medical chart data such as the medication history of the patient. (Step S101).

In this step S101, if the medical record data has already been created due to a previous visit to the store, etc., by operating the terminal device 2,
The chart data will be called from the computer 3.

Next, as shown in FIG. 3, the pharmacist asks the patient about general symptoms according to a predetermined format,
The inquiry result is selected by the terminal device 2 and input (step S102).

Thereafter, similarly, an inquiry about the main symptoms as shown in FIG. 4 is performed, and the inquiry result is selected by the terminal device 2 and input (S103).

Next, the pharmacist performs a so-called tongue examination to see the symptoms of the tongue, and similarly inputs the findings of the tongue examination using the terminal device 2 as shown in FIG. 5 (step S104).

Then, these data inputted to the terminal device 2 are outputted to the computer 3 as medical chart data via the server 10 and stored in the medical chart data storage section 9 (step S105).

Next, the host computer 11 performs a predetermined process based on the herbal drug efficacy data stored in the direction data storage section 7 and the above-mentioned medical record data (step S106), and outputs the symptom result data as the process result. It is stored in the medical chart data storage unit 9 (step S107).

Here, the symptom result data, as shown in FIG. 6, is assumed to include, for example, the estimation of the affected area causing the main symptom and a description of the estimated symptom.

Then, the symptom result data stored in the medical chart data storage unit 9 is output to the terminal device 2 and the input terminal device 4 and displayed on the respective display units (step S108).

Further, this symptom result data is used for the terminal device 2
Alternatively, an arbitrary printout can be made by operating the input terminal device 4.

Next, the pharmacist operates the terminal device 2 to select a command for treating the medicine.

When the command for the processing of the agent is selected, the host computer 11 inputs the agent data stored in the agent data storage 7 and the steps S101 to S104 stored in the chart data storage 9. As shown in FIG. 7, based on the obtained medical chart data and the symptom result data processed and output in step S106, a list of directions for a plurality of directions is displayed (step S109).

At this time, the host computer 11
In step S109, it is determined whether or not there is a drug other than the drug product prescribed by the Pharmaceutical Affairs Law in the generated drug list based on the drug product data stored in the drug data storage unit 7. If there is a drug other than the pharmacy formulation, the host computer 11 regenerates a drug of a drug formulation similar to the drug other than the drug formulation based on the drug data stored in the drug data storage unit 7. Shall be listed and displayed.

After that, the host computer 11 executes step 1 based on the dispensation avoidance data for detecting the combination drug having the side effect which is stored in the medicine data storage unit 7.
The medicine being taken by the patient entered in 01 and step S
Collation with the crude drug used in the medicine list in 109 is performed (step S110).

Then, if there is a crude drug which may cause side effects with the drug being used by the patient in the list of herbal medicines, the crude drug is detected (step S111).

Next, the cartilage list generated by the host computer 11 is stored in the medical chart data storage unit 9 (step S112), and then output to the terminal device 2 and the input terminal device 4 for display thereof. Is displayed (step S113).

At this time, in step S111, if a crude drug that may have side effects is detected,
For example, a prescribed mark or the like is added to the medicine containing the crude medicine in the medicine list to display the medicine, and the prescription is prohibited.

Next, the pharmacist selects the most suitable drug from the drug list shown in FIG. 7 by the terminal device 2 or the input terminal device 4 installed at the dispensing center CC, and is the chart data correct? Is confirmed (step S11
4) If there is no error, the medical chart data including the carrot list is stored in the chart data storage unit 7, and the carrot list is printed out from the data output device 5 (step S115).

At the same time, the selling price table of the Chinese medicine for each prescription day calculated based on the raw material unit price data is displayed on the display unit of the terminal device 2 and the input terminal device 4, and is printed out from the data output device 5. .

After that, the terminal device 2 and the input terminal device 4
In the display section, as shown in FIG. 8, a prescription amount of the herbal medicine to be prepared, prescription days, precautions for use and indication of efficacy are displayed, and this manual is also output as data. It is printed out from the device 5.

Here, the medicine list stored in the medical chart data storage unit 7 includes not only the herbal medicine preparation but also various information relating to the medicine such as the prescribed amount, the number of prescription days, precautions for use and manufacturing records. It shall be included at the same time.

Further, by operating the terminal device 2, it is possible to print out the direction list.

Then, the pharmacist of the dispensing center CC prescribes the crude drug based on the list of the medicines printed out from the data output device 5, attaches the above-mentioned instruction manual to the prescribed package, and then packages it. Perform and ship to the agency T1 or the location of the patient.

As a result, in the present embodiment, the stock of crude drugs at each agency T1 to Tn can be dispensed with, and the cost for each store can be greatly reduced.

Further, according to the present embodiment, the dispensing equipment can be dispensed with, so that the cost for each store can be greatly reduced and the installation place of the dispensing equipment can be dispensed with.

Although the invention made by the present inventor has been specifically described based on the embodiments of the present invention, the present invention is not limited to the above-mentioned embodiments, and various modifications can be made without departing from the scope of the invention. It goes without saying that it can be changed.

[0065]

Advantageous effects obtained by typical ones of the inventions disclosed by the present application will be briefly described as follows.
It is as follows.

(1) According to the present invention, only by inputting the chart data of a patient according to a predetermined format, it is possible to generate an optimal herbal medicine list suitable for the symptom of the patient.

(2) Further, in the present invention, even if the optimal drug for the patient is a drug other than the pharmacy formulation, the drug list that matches the drug formulation similar to the drug is regenerated. It is possible to generate a list of medicines that is matched to the optimal pharmacy formulation for the patient's condition.

(3) Further, according to the present invention, it is possible to prevent the patient from using the medicine being supplemented and the crude drug having side effects.

(4) According to the present invention, the above (1)
According to (3), each agent does not need to store herbal medicines, dispensing equipment, and the installation place of the dispensing equipment. Therefore, the cost burden of the agency can be reduced and even without deep professional knowledge, It is possible to prepare Chinese herbs with stable quality and effect.

[Brief description of drawings]

FIG. 1 is a configuration explanatory diagram of a Chinese medicine prescription support system according to an embodiment of the present invention.

FIG. 2 is a block diagram of a computer in the Chinese medicine prescription support system according to the embodiment of the present invention.

FIG. 3 is a diagram showing an example of an inquiry about general symptoms of medical chart data according to an embodiment of the present invention.

FIG. 4 is a diagram showing an example of an inquiry about main symptoms of medical record data according to the embodiment of the present invention.

FIG. 5 is a diagram showing an example of tongue diagnosis of medical chart data according to an embodiment of the present invention.

FIG. 6 is a diagram showing an example of symptom result data output according to an embodiment of the present invention.

FIG. 7 is a diagram showing an output example of a direction list according to an embodiment of the present invention.

FIG. 8 is a diagram showing an output example of a usage manual output from the crude drug prescription support system according to the embodiment of the present invention.

FIG. 9 is a flowchart showing the operation of the herbal medicine prescription support system according to the embodiment of the present invention.

[Explanation of symbols]

 1 Chinese medicine prescription support system 2 Terminal equipment (data input / output means) 3 Computer (processing means) 4 Input terminal equipment 5 Data output equipment 6 Communication line 7 Chinese medicine data storage section (first, third, fourth storage section) 8 book data storage unit 9 chart data storage unit (second storage unit) 10 server 11 host computer (first to fifth arithmetic processing units) T1 to Tn agency store CC dispensing center

Claims (6)

[Claims] 1. A step of inputting medical chart data of a patient according to a predetermined format, a step of selecting an effective herbal medicine for a medical condition of the patient based on the input medical chart data, and a list of selected herbal medicines. A herbal medicine prescription support method comprising: a generating step and a step of outputting the generated herbal medicine list. 2. The Chinese medicine prescription support method according to claim 1, wherein the step of determining whether or not the generated list of medicines is a pharmacy preparation, and the prescription of the medicine list is other than a medicine preparation If it is determined, the method further comprises the step of generating a medicine list of a pharmacy preparation similar to the prescription of a medicine list other than the aforementioned pharmacy preparation. 3. The herbal medicine prescription support method according to claim 1, wherein the herbal medicines in the generated herbal medicine list are compared with the medicines the patient is taking to detect herbal medicines that may have side effects. And a step of warning a herbal medicine containing a detected herbal medicine, a method of prescribing herbal medicine. 4. A first data input / output means provided in a plurality of specific agency stores for registering, updating or referring to medical chart data for each patient, and prescription support data for supporting prescription. Storage unit, and a first arithmetic processing unit for generating a herbal medicine list effective for the medical condition of the patient based on the medical record data input from the data input / output unit and the prescription support data stored in the first storage unit. A second arithmetic processing unit for generating a herbal medicine list based on the herbal medicine list generated by the first arithmetic processing unit and prescription support data stored in the first storage unit; and the second arithmetic processing unit. And a second storage unit for storing the medical agent list generated by the arithmetic processing unit and the medical record data input from the data input / output unit, and online with the plurality of data input / output units. Chinese medicine prescription support system comprising a connection to a processing unit, to become more and output means for displaying or outputting whichever agent list generated by the processing means. 5. The Chinese medicine prescription support system according to claim 4, wherein the processing means is based on a third storage section storing pharmacy formulation data and the pharmacy formulation data stored in the third storage section. Then, a third arithmetic processing unit that determines whether or not the medicine list generated by the second arithmetic processing unit is a pharmacy preparation, and the third arithmetic processing unit determines that the pharmaceutical preparation is not a pharmacy preparation. Fourth arithmetic processing for generating the above-mentioned medicine list in a medicine list of a pharmacy preparation similar to the prescription of the medicine list other than the above-mentioned pharmacy preparation, based on the prescription support data stored in the first storage section. A Chinese medicine prescription support system characterized by having a department. 6. The Chinese medicine prescription support system according to claim 4 or 5, wherein the processing means stores a fourth storage unit for storing dispensation avoidance data for detecting crude drugs and drugs having side effects, and the fourth storage unit. A fifth arithmetic processing unit that compares the crude drug in the list of herbal medicines generated based on the dispensation avoidance data stored in the storage unit with the drug the patient is taking, and detects the crude drug that may have side effects. A Chinese medicine prescription support system characterized by the provision of