WO2000072217A1 - Systeme pharmaceutique - Google Patents

Systeme pharmaceutique Download PDF

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Publication number
WO2000072217A1
WO2000072217A1 PCT/JP2000/003303 JP0003303W WO0072217A1 WO 2000072217 A1 WO2000072217 A1 WO 2000072217A1 JP 0003303 W JP0003303 W JP 0003303W WO 0072217 A1 WO0072217 A1 WO 0072217A1
Authority
WO
WIPO (PCT)
Prior art keywords
patient
information
drug
name
data
Prior art date
Application number
PCT/JP2000/003303
Other languages
English (en)
Japanese (ja)
Inventor
Yoshiro Mizuno
Original Assignee
104.Com Co., Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 104.Com Co., Ltd filed Critical 104.Com Co., Ltd
Publication of WO2000072217A1 publication Critical patent/WO2000072217A1/fr

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Classifications

    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q30/00—Commerce
    • G06Q30/06—Buying, selling or leasing transactions
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00—ICT specially adapted for the handling or processing of medical references
    • G16H70/40—ICT specially adapted for the handling or processing of medical references relating to drugs, e.g. their side effects or intended usage

Definitions

  • the present invention relates to a dispensing pharmacy business support system, and in particular, to a dispensing support system that efficiently performs such documents and processes in which various documents and various processes are frequently generated in association with dispensing.
  • Pharmacy information includes medication history (age, gender, weight, insurance, address and telephone number, medical history, side effects, allergies, concomitant medications, lifestyle habits, preferences, family history, patient psychology, compliance, etc.
  • medication history ages, gender, weight, insurance, address and telephone number
  • drug information pharmaceutically package insert, side effect information, interaction information, drug price information, product standard information
  • legal information related to dispensing Documents Pubmacist Law, Pharmaceutical Affairs Law, Health Care Regulations, Health Insurance Law, Drug Psychotropic Drug Control Law, Stimulant Drug Control Law).
  • the conventional dispensing support system was designed to be used by non-pharmacists, with the main purpose of performing administrative tasks. Therefore, it can be said that the function to support the pharmacist's pharmacy design was insufficient.
  • Dispensing design work requires a variety of information to be used, and pharmacists to input based on their professional judgment skills.
  • the conventional dispensing support system has a function of information retrieval and reference input, each task is not organically linked and can perform the necessary tasks in real time in pharmacy practice. Did not.
  • dispensing is performed from the prescription, but a system that can support the information activities necessary for patient interviewing and dispensing design in a short time and efficiently can be achieved.
  • pharmacies ages, gender, weight, insurance, address phone number, past medical history, side effects, allergies, concomitant medications
  • Lifestyle preferences, family history, patient psychology, compliance, etc., patient's personal information, medication history, medication coaching history, dispensing related records
  • Pharmaceutical information pharmaceutical package inserts, side effects information, interaction information, drug price information, product specification information
  • legal documents related to dispensing Pharmacist Law, Pharmaceutical Affairs Law, Health Care Regulations, Health Insurance Law, psychotropic drug control
  • the prescription created by the doctor at the medical institution describes the name of the drug as either a product name or a component name.
  • quantitative points are described in terms of either product unit quantities or principal component quantities.
  • dispensing support system it is possible to centralize dispensing design input and information provision, and perform management and operation.
  • dispensing design entry tasks it has been desired to select or freely input information to be provided to patients from multiple types of information, using prescription contents, past drug history, patient information, etc. as judgment materials. By doing so, the most appropriate information can be provided to the patient.
  • the required information is automatically selected, so that information can be created quickly, and the information provided in the past is stored as a drug history.
  • Such a system would be able to refer to and transcribe when inputting a dispensing design, so that it would be possible to achieve continuous and reliable information provision.
  • the conventional system was not enough for searching drug history.
  • the drug history must be stored in two-dimensional drug history-detailed drug history-compressed drug history.
  • Preservation in a form should satisfy all requirements of the drug history.
  • a two-dimensional drug history should be able to achieve a high level of listing, a detailed drug history should be reproducible, and a compressed drug history should be able to achieve long-term storage. It is also required that these drug histories can be switched and displayed and printed immediately according to the necessity in the prescription design work and the drug history reference work.
  • Medication history is a type of medical record, and it is required to ensure its authenticity. For example, revisions must be deleted with a double line so that the contents before the revision can be checked, and then revised. It has been pointed out that conventional general drug history computers can rewrite and delete information, and have problems with authenticity.
  • Drug picking work that does not require pharmacological (professional) judgment in dispensing work is expected to be a non-pharmacist's work in the future. From the viewpoint of the Pharmaceutical Affairs Law, it is necessary for a pharmacist to instruct and supervise the picking work in order to have a non-pharmacist perform the picking work. That is, from the dispensing design data There is a need for a system that automatically gives work instructions to the picking staff.
  • the present invention employs the following method. First, the part that helps each input is explained.
  • the system of the present invention comprises a terminal for inputting and outputting necessary information and a patient information database.
  • a dispensing design work screen is constructed in which the pharmacist plans how to make dispensing using various information related to prescriptions.
  • medication use history patient's personal information, medication history, medication counseling history, and records related to dispensing
  • drug information pharmaceutical package insert, side effect information, interaction information, drug price information, product specification information
  • legal documents related to dispensing Pharmacist Law, Pharmaceutical Affairs Law, rules on medical treatment, Health Insurance Law, Narcotics Drug Control Law, Stimulants Control Law.
  • Patient's personal information includes age, sex, weight, insurance, address and telephone number, medical history, side effects history, allergy history, concomitant medications, lifestyle habits, preferences, family history, patient psychology, and compliance.
  • the cursor position is always recognized, and when a predetermined key operation is performed on an item where this cursor exists, switching to another input screen without returning to the menu each time, or copying a predetermined part It is sufficient to provide a user interface that can directly realize necessary functions such as a user interface.
  • a user interface that can directly realize necessary functions such as a user interface.
  • a pharmacist uses the information related to prescriptions to plan dispensing.
  • I / O devices that input and output information necessary for dispensing design in order to support dispensing design work, a pharmaceutical information database, a doctor information database, It consists of a patient information database overnight and an inventory information database.
  • the above-mentioned patient search is performed with at least one item table selected from the patient name (Kanji, English, Katakana), alias of patient name, insurance number, patient's date of birth, gender, patient's phone number, and patient's address Create the patient name
  • the search for this patient is one or more selected from the patient name (Kanji, English characters, Ryuka Kana), the patient's alias, insurance number, patient's date of birth, gender, patient's phone number, patient's address
  • the target patient data may be displayed in the list box.
  • the search condition may be narrowed down by inputting the items of the search condition and ANDing each item, and the patient data resulting from the search condition may be displayed in a list box.
  • the input screen of the predetermined items is directly called without stopping the search.
  • the prerequisites to be registered are: insurance benefit ratio, insurance number, insurance symbol, dependent / non-dependent, patient name (Kanji, English, Ryuka Kana), alternate name of patient name, insurance number, patient At least one item selected from the date of birth, gender, patient's phone number, and patient's address should be displayed in the list box.
  • the patient information in this patient information reference means is at least one piece of information selected from drug use history information, patient-specific information, and drug use history management guidance content information. More preferably, the drug use history information is displayed on a two-dimensional matrix screen of the date and the type of drug, and data obtained from the latest date to a predetermined number of times may be read out from the patient database and displayed. The medicine taking history information before the predetermined number of dates may be displayed by scrolling back by inputting a key. In the matrix of the drug taking history information, the necessary information is selected to display the detailed information of the drug taking history, that is, the selected past dispensing design information, and is transferred to a new dispensing design and used as necessary. System.
  • the patient's unique information is the insurance benefit ratio, insurance number, insurance symbol, whether the patient is dependent or non-dependent, the patient's name (Kanji, English, Ryuka Kana), the patient's alias, the insurance number, and the patient's date of birth. At least one selected from day, gender, patient's phone number, and patient's address.
  • the above-mentioned unregistered prescribed items are a few items selected from doctor names, medical institutions, and department names.
  • At least one prescription physician-related item drug name, dosage form, Ministry of Health and Welfare code, Pharmacopeia name, drug name (English), drug name (read), manufacturer, packing condition of drug, drug price, use condition, use condition history , Packaging amount, potency, NHI price list, maximum administration days, at least one drug selected from preformulations, ingredients, usage, cautions, aliases, pharmacy name, drug name, bar code, dosage form, Potency, packaging, capacity, manufacturer, wholesaler infusion warehouse, current warehouse volume, order volume, order point (minimum quantity to place an order), storage location, last withdrawal date, ordering schedule, ordering (whether or not ordering) At least one inventory-related item selected from the memo.
  • the unregistered predetermined item input means always recognizes the position of the cursor on each screen, and if a list corresponding to the item exists in the database due to the item where this cursor exists, the list is stored in the database.
  • the list box display means to be displayed in the call list box and the selection means for selecting necessary items from the list box may be used to input data of the necessary items.
  • Dispensing design requirements include patient name, patient's date of birth, patient address, patient phone number, prescription issuance date, reception date, reception hours, prescribing physician name, prescription medical institution name, department name, insurance symbol, insurance number, and payment At least one item selected from method, delivery date, presence or absence of information paper, drug name, dosage form, potency, packaging condition, packaging unit, drug unit, drug amount, usage, and number of days.
  • the dispensing design predetermined item input means always recognizes the position of the cursor on each screen, and if a list corresponding to the item exists in the database based on the item where the cursor exists, the list is displayed on an overnight basis.
  • a list box display means for displaying in the call list box and a selection means for selecting necessary items from the list box may be used to input necessary data.
  • Pharmaceutical information search means includes drug name, dosage form, Ministry of Health and Welfare Code, Pharmacopoeia name, drug name (English), drug name (read), manufacturer, packaging condition of drug, drug price, usage status, usage history, packaging amount, Enter at least one selected from the titer, NHI price list, longest administration days, pre-formulation, ingredients, usage, caution, and other names. Display means is provided.
  • the device that inputs and outputs the dispensing design necessary information on the GUI screen consists of a keyboard and a screen, and the change to the required field screen can be switched directly without using a pointing device. Good.
  • This system has a stock information database, and when a drug is selected, if this drug is referred to and the stock information of the drug is displayed, the dispensing design work becomes more efficient.
  • a frequently used information text is registered in each field in advance, and a field content determinator that can determine the content of the field is input on an arbitrary field screen.
  • the information list is called up when necessary and the necessary information text is selected to copy and input the necessary portion of the registered text information. If the index of the field content determinator for calling this information text is arranged in a hierarchical structure, the necessary information text can be called quickly.
  • the pharmacist plans how to use the information related to the prescription to plan dispensing.Pharmaceuticals corresponding to a given patient are input for the purpose of dispensing design work. specific When a name of an arbitrary attribute of a drug is input, a drug list searched from the attribute corresponding to the input is displayed by the name of the attribute, or a predetermined name different from the attribute is input.
  • Display means for displaying with the attribute of the above, selection and determination means for selecting and confirming the drug from the list, and registering the determined and identified drug with a unique ID or registering with the name of a predetermined attribute Establishing a specific drug registration means, an attribute recording means for registering the attribute of the name identifying the inputted drug, or an input name registering means for registering an input name for recording the name identifying the inputted drug deep.
  • the attribute of the name of the drug includes the product name (Japanese name), and at least one attribute selected from the product name (English name), the component name (Japanese name), the component name (English name), and the alias. I just need.
  • the predetermined attribute is a product name or a component name or both. That is, usually, a list of product names is displayed regardless of the attribute input as a selection candidate, and if necessary, for example, if the attribute of the input name is a component name, the attribute is selected as the component name list May be displayed as candidates. Alternatively, not only the product name but also the component name may be displayed as selection candidates.
  • the system displays the list of drugs corresponding to this input in the list box. It becomes possible, and the drug is uniquely determined by selecting the drug from among them.
  • the product name, the component name, or both of them may be displayed as necessary.
  • the type to be input may be displayed as necessary.
  • the input unit for inputting the amount of the drug corresponding to the predetermined patient has a conversion table for the prescription amount and the component amount, and the drug amount input means for inputting the prescription amount or the component amount, and the prescription amount is input using the conversion table.
  • Conversion means is provided to convert the prescription amount to the component amount when the amount is input, and to convert the component amount to the prescription amount when the component amount is input, and display control means to display the converted component amount at a predetermined location. It should be left.
  • a support system that will streamline the provision of information to patients, which will become increasingly important in the future. It consists of a terminal that inputs and outputs necessary information, a patient information database, and provides information to patients in a system for supporting pharmacy design work in which pharmacists use the information related to prescriptions to plan dispensing.
  • An information provision content storage means to be stored in the patient information database is provided.
  • the above-mentioned information provision contents storage means is provided with information provision contents reference means for referring to a necessary portion of the information provision contents stored by the information provision contents storage means as needed at the time of dispensing design work. At times, it is sufficient to provide a registration means for registering in the information provision content item part by utilizing a necessary part of the information provision content reference means as described above.
  • This registration means inserts the information provision content into the information provision content item section preferentially when the information provision content related to the drug in the corresponding patient information database is provided, and the information provision content related to the drug is the patient information. If not on the overnight basis If there is only one candidate for information provision content registered in advance for the drug, the information provision content is directly inserted and if there are multiple candidates for information provision, each candidate is displayed and each Information provision content insertion means in which the information provision content selected by selecting from the candidates is inserted, and when the pharmacist determines that the information provision content inserted by this information provision content insertion means needs to be changed Change part or all It is sufficient to provide a registration means for performing registration.
  • the registered information provision content may be printed on an information provision paper and / or a medicine bag as necessary. If the registered information provision content needs to be corrected in a patient interview, a correction registration means for registering the correction content in the patient information database may be provided. In this way, it is possible to cope with any correction that occurs when meeting the patient. Conventionally, a new information provision sheet was created for each interview because the content of information provision must be different for each patient. According to this system, the information provided in the past is stored in the database, and this can be easily used to reduce the burden on pharmacists.
  • a method for improving the efficiency of drug history search which is important in the design of dispensing, is described. It consists of a terminal that inputs and outputs necessary information, a patient information database, and a dispensing design screen in a dispensing design work support system where a pharmacist uses the information related to prescriptions to plan dispensing. Is selected, and a predetermined key operation is performed to provide a drug use history display means for directly displaying the drug use history display screen of the relevant patient without returning to the menu by a key event driven. It will be easier to understand if the information is displayed on a two-dimensional matrix screen.
  • the range of this medication history information may be read out and displayed a predetermined number of times from the latest date. Of course, if necessary, you can select the number of times that fits on one screen. Also, the medication history information before the specified number of times You can scroll the display backwards by pressing it. In this case, it is called back from the patient information database.
  • a selection screen display means for displaying a specific condition drug use history selection screen for selecting a past specific drug use history of the relevant patient, and a selection means for selecting necessary items on the use history selection screen A predetermined medicine taking history display means for displaying the selected medicine taking history described above may be provided.
  • the selection items on this medication history selection screen are at least one item selected from the name of medical institution, medical department name, drug name, drug group name, and date.Do you select and enter from the contents displayed in the list box?
  • an input means for directly inputting or copying and inputting an item already input on the dispensing design screen are provided.
  • the selected drug use history may be information selected from prescribed dispensing design information for each prescribed medical institution, dispensing design information for each clinical subject, dispensing design information for each drug, dispensing design information for each drug group, and dispensing design information for a prescribed period. I just need.
  • the pharmacist uses the information related to the prescription to plan dispensing.
  • the input unit for inputting the prescribed items corresponding to the prescribed patient for the purpose of supporting the dispensing design work, or the patient is face-to-face with the patient
  • Item content determinator input means for inputting an item content determinator that can determine the content of an item on an arbitrary screen, and a text registered corresponding to the item required by the input item content determinator.
  • Text information list calling means for calling up the information list, display control means for displaying the text information list in a list box at a predetermined position, and information text for selecting necessary information text from the text information list Selection means, and input means for copying a necessary portion of the information text and inputting the copied portion to a predetermined portion are provided.
  • This list of text information is grouped corresponding to each item, and it is more convenient to provide a hierarchical structure corresponding to the above-mentioned group and provide an index for each hierarchical structure.
  • the content determinator registers an arbitrary word set in advance in correspondence with the text information, and is determined by selecting or directly inputting the registered word from a list box. I just need.
  • each text information shall be a system that can be arbitrarily registered. By doing so, the amount of input work related to pharmacist design for dispensing can be reduced, and work efficiency can be improved.
  • a system for maintaining the authenticity of dispensing-related records consists of a terminal that inputs and outputs necessary information, a patient information database, and the dispensing design data in the dispensing design work support system where the pharmacist uses the information related to the prescription to plan dispensing.
  • a determination flag indicating whether or not the dispensing design data is determined; setting a determination flag indicating that the dispensing design data is determined as a determination flag at a stage when the determination is made; and, after the determination, confirming the patient information database.
  • a predetermined item portion of each information item is set to be uncorrectable.
  • the patient dispensing design data is an identifier for recognizing the individual patient, Name (Kanji, English, Ryuka Kana), alias of patient name, insurance number, patient's date of birth, gender, patient's phone number, patient's address, drug name, doctor's name, medical institution name, drug name, Prescription amount, usage, volume, days of administration
  • Patient record Information from patient: other departments, past illness, allergy history, alcohol, tobacco, constitution, living environment, occupational environment, pregnancy status, physical condition, etc.
  • medication instruction The content and the information that the pharmacist records and confirms at the time of dispensing should be at least one day selected from all information (special notes on dispensing, efficacy, safety assurance, and other necessary items).
  • dispensing design data is to register that the dispensing design by the pharmacist and the dispensing action based on the dispensing design are finalized on the system when the final confirmation is made from the pharmacist's final audit and patient interview. If necessary, certify your pharmacist for further assistance.
  • the dispensing design data is validated to be changed or corrected before the drug is determined, ie before the drug is delivered to the patient.
  • the modification of the drug history in particular may be falsified, so it is necessary to prevent this from being falsified. It had been. This is a mechanism to deal with this.
  • the above-mentioned patient dispensing design data has a cancellation flag to determine whether the data has been canceled.If there is an error or change in the specified item section, the cancellation flag of the dispensing design data is added to the flag.
  • Information that has a cancellation flag that sets a flag indicating that the information is cancellation information and has a cancellation flag is set-No change is possible, and all the canceled information should be saved as a drug history. I just need.
  • one cancellation flag may be provided for the entire dispensing design data, or may be set for each item of each dispensing design data. Either one may be selected as necessary.
  • the above-mentioned prescribed items are patient name, drug name, prescription amount, usage, volume, administration days, patient record (Information from the patient: other departments, medical history, allergy history, alcohol, tobacco, constitution, living environment, occupation Environment, presence or absence of pregnancy, physical condition, etc., other necessary information), medication instructions, all information recorded and confirmed by the pharmacist at the time of dispensing (items related to dispensing characteristics, drug efficacy, safety assurance, other necessary items) ) Should be at least one item selected from.
  • predetermined items may be provided with a definite authentication means for performing definite authentication at the time of confirmation. If this authentication is performed by performing a checksum of specified items, the accuracy of the authentication will be further improved.
  • a log storage means is provided to store the history of changes in the dispensing design data in the patient information database as a log.
  • the content of this log shall be at least one selected from the content before the item change, the content after the change, the reason for the change, the person in charge of the change, the date, and the date and time.
  • the patient dispensing design data is the identifier that recognizes the individual patient, the patient name (Kanji, English character, Rikiyu Kana), the alias of the patient name, the insurance number, the patient's birth date, gender, Phone number, patient's address, name of medicine, name of doctor, name of medical institution, name of medicine, amount of prescription, usage, volume, number of days of administration
  • Patient record Information from patient: other medical department, medical history, allergy history, alcohol, Tobacco, constitution, living environment, occupational environment, pregnancy status, physical condition, etc.), medication instructions, and all information that the pharmacist has recorded and confirmed at the time of dispensing (special disclaimer, drug efficacy, safety related matters, Other necessary items) at least one day selected from.
  • Index creation means for creating an index of a prescription issued by a medical institution, index scan code storage means for encoding this index into a two-dimensional code and storing it, and encoding the prescription document as described above.
  • Scanning means for scanning a prescription document with a two-dimensional code attached with a dimensional code or printed simultaneously with the prescription, image analysis means for separating and extracting the two-dimensional barcode from the prescription document, and Index decoding means for decoding the two-dimensional code separated by image analysis and extracting the necessary index, and data storage means for storing the image scanned based on the decoded index in the database as an image database. What is necessary is just to comprise.
  • the index of the prescription issued by the medical institution is stored in a two-dimensional code, and this two-dimensional code is attached Scanning means for scanning the extracted prescription document, image analysis means for separating and extracting a two-dimensional bar code from the prescription document, and an index for extracting the necessary index by decoding the two-dimensional code which has been analyzed and separated and extracted.
  • the decoding means may be configured as a database storage means for storing the scanned image based on the decoded index as an image database on an overnight basis.
  • the prescription issued by the medical institution is such that the physician digitally signs the digital signature, stores the digital signature in the two-dimensional code at the same time as the index, authenticates the digital signature through the network after decoding the two-dimensional code. If there is no problem of authenticity.
  • the prescription index is an identifier that identifies the individual patient, the patient's name (Kanji, English, Ryuka Kana), the patient's alias, insurance number, patient's date of birth, gender, patient's phone number, patient's address, medicines At least one selected from the names of doctors, doctors, and medical institutions.
  • the contents of the prescription may be converted into a two-dimensional code.
  • the contents of the prescription issued by the medical institution are stored in the two-dimensional code, and the prescription document attached with the two-dimensional code is scanned.
  • Image analysis means for separating and extracting the two-dimensional code from the prescription document, extracting the two-dimensional code, decoding the two-dimensional code separated and extracted from the prescription document, and retrieving the prescription contents
  • prescription content registration means for registering the decoded prescription. What is necessary is just to comprise from a registration means.
  • the prescription issued by the medical institution is digitally signed by a doctor
  • the digital signature is stored in the two-dimensional code at the same time as the index, and after decoding the two-dimensional code, the digital signature is transmitted through a network.
  • the contents stored in this two-dimensional code are the identifier that identifies the individual patient, the patient name (Kanji, English, Kana), the alias of the patient name, the insurance number, the patient's birth date, gender, and the patient's telephone. At least one selected from a number, patient address, drug name, doctor name, and medical institution name.
  • this 2D code can be obtained by encoding and storing the contents of the prescription and then decrypting it after decoding the 2D code to prevent information leakage.
  • efficient picking will be described.
  • the pharmacist conducts pharmaceutical and prescription audits using information related to the prescriptions, plans how to dispense, generates picking data for picking up medicines for a given patient, and generates this picking data. If picking is performed under specific conditions, picking by non-pharmacists becomes possible.
  • the above-mentioned prescribed items must include the insurance type, the prescribing physician, the patient's name, the drug name described in the component name or the product name, and the amount of the drug described in the prescription amount or the component amount. .
  • Encoding means for encoding the picking data into a two-dimensional code printing out means for printing out the encoded two-dimensional code, display means for displaying picking data on a display device, and picking.
  • At least one picking data output means for outputting data may be provided to support picking.
  • this picking data must have at least one item selected from the information that can identify the drug, the location of the drug, the quantity, and the picking order. More preferably, the picking work instructing means is provided with calculating means for optimizing at least one of the place where the medicine is placed, the movement of the worker, and the order of picking.If the result of the calculation is output, the picking work is further performed. Be more efficient.
  • the two-dimensional code that stores the picking data can be read by the handy terminal, displayed on the handy terminal, and the picking staff can perform the picking work based on it.
  • medicines may be automatically collected based on information captured by a two-dimensional code storing picking data or output picking data.
  • a mechanism for checking that the picking result is correct is described because a wrong drug can jeopardize the life of the patient.
  • the pharmacist uses the information related to the prescription to plan how to make the dispensing.
  • For the purpose of dispensing design work refer to the dispensing design data generated by the input means for inputting the prescribed items corresponding to the prescribed patient.
  • the picking data is at least one selected from the information that can identify the drug, the location of the drug, the quantity, and the order.
  • the picking data is converted into a two-dimensional code and output, and the output two-dimensional code is output.
  • the picking day may be read on the handy terminal, and when the picker picks the read content, the picking act may be compared with the code to check whether there is any abnormality.
  • This audit means calculates and outputs at least one selected from the picking error rate for each worker, the picking error rate for each drug, the work efficiency for each worker, and the work efficiency for each drug. By providing an output means, it is possible to reduce the mistake of the picking staff.
  • the auditing means includes a total weight calculating means for calculating a total weight based on the work instruction, a total weight measuring means for measuring a total weight picked, and a total weight measured by the total weight measuring means calculated by the calculating means. It becomes more certain if there is a coincidence comparison means for comparing the degree of coincidence with the calculated total weight.
  • a dispensing pharmacy consists of a device that records a meeting with the patient using a camera and / or a microphone, and a patient information database to record and record the meeting with the patient, and collects images and / or voices of the dialogue with the patient. Collection means for generating an index for generating an index on the collected data. And a registration means for registering data collected based on the index on a patient information basis.
  • a method of checking the medicine and amount of the powder medicine will be described.
  • the pharmacist uses the information related to the prescription to plan how to make the dispensing.
  • For the purpose of dispensing design work refer to the dispensing design data generated by the input means for inputting the prescribed items corresponding to the prescribed patient.
  • the above-mentioned predetermined items may include the name of the patient, the name of the medicine, and the amount of the medicine.
  • the above-mentioned weighing data includes a printed bar code or two-dimensional code that identifies the medicine attached to the medicine container to determine whether the weighed medicine is the correct medicine.
  • Tablet package data generation means for generating tablet package data for a predetermined patient with reference to the dispensing design data generated by the input means for inputting predetermined items.
  • Means may be provided. And the above-mentioned prescribed items need only include the patient name, the drug name, the amount of the drug, and the usage.
  • Voice data collecting means for recording the contents of guidance to a pharmacist patient for the purpose of recording and recording at the pharmacy when meeting with the patient, index generating means for generating an index on the voice data, and based on the index
  • a registration means for registering the collected voice data in the patient information database may be provided. In this way, it is possible to easily search for the interaction with the patient later.
  • This index generation means may be automatically extracted from the dispensing design data of a predetermined patient database. If necessary, the voice data may be converted into text by voice recognition means, and the converted text data may be registered in the patient database as described above.
  • the index relates to a patient, a time, and an information item, and includes a display unit that converts data registered in the patient information database using the index into a table of the time and the information item for each patient and displays the table. It is efficient because business can be performed while looking at the screen with a list.
  • Patient information database with dictionary of terms related to time and information items PT / JP00 / 0 303
  • the information items may be confirmation items regarding the patient's condition and guidance contents for the patient.
  • the above confirmation items regarding the patient's situation are effective because they are consistent with tasks such as the status of medication, changes in physical condition during medication, the occurrence of side effects, consultation at other departments, and the calculation of guidance fees for taking drugs as food and drink. Is
  • An image recording device for recording a medicine bag to be delivered to a patient at the pharmacy at the time of delivery of the medicine by an image acquisition device for the purpose of image preservation, a patient information database, and an image collecting means for collecting an image of the delivered medicine, Index generating means for generating an index for the collected data, and registration means for registering the collected data on a patient information data base based on the index are provided.
  • the index generation means may be automatically extracted from the dispensing design data of a predetermined patient database. By doing so, it is possible to leave evidence on drug delivery, and this can be easily searched later.
  • the system will be described as a whole dispensing support system. It consists of a terminal that inputs and outputs necessary information, a drug information database, a doctor information database, a patient information database, and an inventory information database.
  • dispensing design data registration means for registering dispensing design data input by the dispensing design module in the patient information database
  • Drug information data registration means for registering drug information data in the drug information database
  • E Pharmaceutical inventory manager who refers to and updates the pharmaceutical inventory database
  • F Accounting processing means for performing accounting processing with reference to dispensing design data in the patient information database
  • K Include each unit of insurance claim processing means that performs insurance claim processing with reference to the patient information database.
  • the dispensing design module includes a prescribed information input screen for the pharmacist to input using prescriptions and various information, an input means, and a prescribed information reference display module for assisting the input.
  • Reference display means is provided for searching and displaying predetermined items by referring to at least one database selected from a drug information database, a doctor information database, a patient information database, and an inventory information database.
  • This prescribed information includes the package insert information of the drug, the information provided to the patient edited for each drug, the drug combination information, the patient's drug history (past prescription information, past dispensing design information), the drug and patient combination information, It should be at least one piece of information selected from the combination information of drug and stock, stock information, ingredient name and product name information, and drug shape information.
  • This dispensing design module captures and displays prescription data via digital data or fax.
  • the digital prescription data may be obtained by at least one method selected from a method of reading a two-dimensional bar code with a sheet scanner, analyzing and capturing the data, or a method of capturing the data via a communication line.
  • the prescription used for dispensing design outputs a two-dimensional code created from the design information in the form of a label, attaches the two-dimensional code label, reads it all at once with a scanner, and reads the two-dimensional code data. May be stored as image information as an index on an overnight basis.
  • the drug information data registration means is provided with an input screen and provided with input frames so that the person in charge can enter the name of each drug (ingredient name, product name), drug price, Ministry of Health and Welfare code, product standard, and manufacturer name. Keep it.
  • the physician information data overnight registration means has an input screen, and fills in each input box so that the input person can input the name, address, telephone number, medical treatment subject, and doctor name data of each physician. It should be provided.
  • Pharmaceutical inventory management means has the function of inputting incoming medicines at the time of acceptance inspection and updating and registering the quantity of medicines in the pharmaceutical inventory database.Furthermore, the medicine inventory management means can withdraw the relevant medicines from the specified quantity inventory after finalizing the dispensing design. I just need.
  • the medicine inventory management means only needs to have a stocktaking output means for outputting necessary information on inventory at an arbitrary time.
  • the above-mentioned accounting means can issue multiple receipts when there is uncertainty in the calculation standard, and this uncertainty issues an information provision sheet, and it is unclear whether the patient will receive the information provision form
  • the information providing paper is issued, and the patient does not receive the information providing paper.
  • This accounting means can issue a receipt after the dispensing design data confirmation processing that eliminates uncertainties in the calculation standard.
  • the accounting processing means is provided with a payment means for performing payment by at least one processing means selected from prepaid card processing means, receivables processing means, credit card processing means, and debit processing means. I do.
  • the picking work instruction means includes a picking work instruction screen displaying means for displaying picking work instruction data on an instruction screen or a work instruction printing means for printing a picking work instruction, and, if necessary, the picking work instruction means.
  • a picking work audit system that determines whether the contents of the picking work are in accordance with the picking work instructions.
  • This audit system is provided with a judging means for judging whether the picking is consistent with the picking data of the work instruction. Then, this audit system calculates and outputs at least one selected from the picking error rate for each worker, the picking error rate for each medicine, the work efficiency for each worker, and the work efficiency for each medicine as needed. Efficiency can be further improved by providing a work situation grasp calculation output means.
  • this inspection means is calculated by the gross weight calculating means for calculating the gross weight based on the work instruction, the gross weight measuring means for measuring the total weight picked, and the gross weight measuring means described above.
  • a coincidence comparison means may be provided for comparing the coincidence between the calculated total weight and the total weight calculated by the calculation means.
  • Operation efficiency can be improved by providing an operation means for optimizing at least one of the picking work instructing means, the location of the medicine, the movement of the worker, and the order of picking, and outputting the result of the operation. It becomes.
  • the medicine bag and the precautionary note creating means described above may have an instruction data generating means for generating an instruction data for using a medicine.
  • the instruction data for use described above may include the use time (time to use the medicine). If the instruction data for use is extracted from the use time of the instruction data, and the instruction data is converted into voice and transmitted to the patient's mobile phone terminal during the use time, forgetting of use can be reduced. Alternatively, the same effect can be obtained by extracting the use time of the instruction data from the instruction data for use and transmitting the instruction data to the portable wireless terminal of the patient during this use time.
  • the instruction data generated by the instruction data generating means may be sent to a medicine bag provided with a display or an instruction data display terminal.
  • the instruction data may be printed by printing a two-dimensional bar code and a medicine bag provided with the display, or the image reading unit of the instruction data display terminal may capture and analyze the two-dimensional bar code and display the instruction data.
  • the instruction data may be sent to a medicine bag provided with a display or an instruction data display terminal by optical communication or radio waves.
  • This system is a system connected via a network, and if necessary, the above-mentioned dispensing design module can be installed independently from multiple windows or adjacent to one window, and has the skill to concentrate requests received at multiple windows. It becomes possible to utilize pharmacists efficiently.
  • the above-mentioned drug information database contains drug names, dosage forms, Ministry of Health and Welfare codes, drug names, drug names (English), drug names (read), manufacturers, packing conditions of drugs, drug prices, usage conditions, usage history, and packaging quantities. , Potency, NHI price list, longest administration days, pre-formulation, ingredients, usage, precautions, at least one of the following:
  • the above-mentioned doctor information database may be composed of medical institution names, medical treatment subjects, and doctor names.
  • the patient information database described above may be composed of treatment information, dispensing design information, dispensing records, and records of interactions with patients. The dispensing design information is provided before the dispensing design is finalized and What is necessary is just to comprise each information after total determination.
  • the record of the interaction with the patient described above may be composed of at least one of image information and audio information.
  • the aforementioned inventory information database contains pharmacy names, drug names, barcodes, dosage forms, potency, packaging, volume, manufacturers, wholesalers, inventories from wholesalers, current quantities, order quantities, and order points (minimum for placing orders). It should consist of at least one of the following: quantity, storage location, final withdrawal date, ordering schedule, ordering (indicating whether ordering is in progress), and notes.
  • An item content determinant input means for registering frequently used text information in each field in advance as necessary and inputting an item content determinant that can determine the content of the item on an arbitrary screen;
  • Text information list calling means for calling a registered text information list corresponding to the above-mentioned items required by the content determinator;
  • display control means for displaying the text information list in a list box at a predetermined position;
  • information text selecting means for selecting necessary information text from the text information list, and input means for transferring a necessary part of the information text and inputting it to a predetermined part.
  • This list of text information is grouped in accordance with each item, and it is more convenient to provide a hierarchical structure corresponding to the above-described group and provide an index for each hierarchical structure.
  • This content determinator may be such that an arbitrary word set in advance corresponding to the text information is registered, and the registered word is determined by selecting or directly inputting the registered word from a list box. Good.
  • each text information shall be a system that can be arbitrarily registered. By doing so, the amount of input work related to pharmacist design for dispensing can be reduced, and work efficiency can be improved.
  • the cursor position is always recognized on each screen, and A user interface means is provided for directly performing a predetermined function corresponding to each item by operating a predetermined key on an item in which a force exists, without returning to the menu.
  • This system can capture the voice data of the person in charge when interacting with the patient as needed, add an index, and store it in the patient information database. Similarly, the system captures the image data of the patient when interacting with the patient An index may be provided and stored in the patient information database. Alternatively, the voice data of the person in charge may be captured at the time of interaction with the patient, converted into text by voice recognition, indexed and stored in the patient information database, or the system may capture the drug to be passed to the patient using an image recording device. It is more effective to assign an index and store it in the patient information database.
  • It consists of a terminal that inputs and outputs necessary information, a patient information database, and a system in which a pharmacist uses the information related to prescriptions to plan dispensing. If there is provided extraction means for extracting instruction data for using the device, and transmission means for transmitting the extracted information to the portable terminal of the patient, forgetting to use the medicine can be reduced.
  • the instruction data includes the usage time, and the transmission time to the portable terminal may be the usage time.
  • the instruction data can also specify the quantity and type of drug used, and include precautions when using the drug, if necessary.
  • This mobile terminal has a display panel in a shape that can be always carried by the patient, and the above-mentioned instruction data may be displayed on this display panel to make the patient.
  • the instruction data may be transmitted to a mobile phone or a PHS which the patient can always carry, and may be transmitted after being converted into a voice. It consists of a terminal that inputs and outputs necessary information, a patient information database, and a pharmacist that uses prescription-related information to plan how to make dispenses.
  • the prescription transmission means for transmitting the prescription to the dispensing design input center in the form of digital image data via fax or network may be provided.
  • extraction means for extracting necessary items from the data registered in the patient information database input at the input center and transmission means for transmitting the extracted data to the pharmacy.
  • the transmitted extracted data is medicine labeling data to be passed to the patient at the time of drug picking for picking up necessary drugs at the pharmacy, and may include information provision content data as needed.
  • the patient-facing support module and the dispensing design support module share a patient database and are connected by a network.
  • the patient-facing support module may be provided with an information providing means that provides information necessary for prescription reception, dispensing, and drug delivery.
  • Figure 1 shows the business screen (cursor: MAGIC item).
  • Figure 2 is a diagram showing the business screen (cursor: reception date item).
  • Fig. 3 is a view showing the dispensing plan (cursor: insurance selection main item).
  • Figure 4 is a diagram showing the dispensing design screen (cursor: one item of public insurance selection).
  • Figure 5 is a view showing the dispensing design screen (cursor: drug item).
  • Figure 6 shows the dispensing plan (cursor: drug item).
  • FIG. 7 is a diagram showing a dispensing design screen (cursor: patient name item).
  • FIG. 8 is a diagram showing a dispensing design screen (power sol: patient name item).
  • Figure 9 is a diagram showing the dispensing design screen (Rikiichisol: date of birth item).
  • Figure 10 shows the dispensing design screen (cursor: date of birth item).
  • Figure 11 is a diagram showing the dispensing design screen (cursor: phone and home item).
  • Figure 12 is a diagram showing the dispensing design screen (cursor: physician name item).
  • Figure 13 shows the dispensing design screen (cursor: physician name item).
  • Figure 14 shows the dispensing design screen (cursor: medical institution item).
  • Figure 15 shows the dispensing design screen (cursor: department name item).
  • FIG. 16 shows a patient information input screen.
  • FIG. 17 is a diagram showing a prescription doctor input reference screen.
  • Fig. 18 is a diagram showing the drug input reference screen.
  • FIG. 19 is a diagram showing a patient drug information input reference screen.
  • FIG. 20 is a diagram showing a drug history forward reference screen.
  • FIG. 21 is a diagram showing a drug history forward reference screen.
  • FIG. 22 is a diagram showing a drug history forward reference screen.
  • FIG. 23 is a diagram showing a medias input reference screen.
  • Figure 24 shows the dispensing design details (prescription input) input reference screen.
  • Fig. 25 is a diagram showing the overnight file maintenance screen.
  • Figure 26 is a diagram showing the data file maintenance screen.
  • Figure 27 is a diagram showing the data file maintenance screen.
  • Figure 28 shows the data file maintenance screen.
  • Figure 29 shows the data file maintenance screen.
  • Figure 30 shows the data file maintenance (delivery) screen
  • Figure 31 shows the data file maintenance (delivery) screen.
  • FIG. 32 is a diagram showing the 2 data file maintenance (inventory management) screen.
  • Figure 33 shows the data file maintenance (inventory management) screen.
  • FIG. 34 shows the assist screen.
  • Figure 35 shows the Assist screen.
  • Figure 36 is a diagram showing the stock medicine change reference screen.
  • Figure 37 is a diagram showing the pharmaceutical inventory ordering status reference screen.
  • FIG. 38 is a diagram showing a feature information reference screen.
  • Figure 39 shows the dispensing design screen (component name input and product name input).
  • Figure 40 shows the dispensing design screen (input of component amount and input of prescription amount).
  • FIG. 41 is a diagram showing a flow of the first embodiment.
  • FIG. 42 is a diagram showing a flow of the second embodiment.
  • FIG. 43 is a diagram showing a flow of the third embodiment.
  • FIG. 44 is a diagram showing a flow of the fourth embodiment.
  • FIG. 45 is a diagram showing a flow of the fifth embodiment.
  • FIG. 46 is a diagram showing a flow of the sixth embodiment.
  • FIG. 47 is a diagram showing a flow of Example 7.
  • FIG. 48 is a diagram showing a flow of the eighth embodiment.
  • FIG. 49 is a diagram showing the flow of the ninth embodiment.
  • FIG. 50 is a diagram showing a prescription with a two-dimensional code.
  • FIG. 51 shows the flow (2) of the ninth embodiment.
  • FIG. 52 is a diagram showing a flow of the tenth embodiment.
  • FIG. 53 is a diagram showing a flow of Example 11;
  • FIG. 54 is a diagram showing a flow of the embodiment 12.
  • FIG. 55 is a diagram showing a flow of the embodiment 13.
  • FIG. 53 is a diagram showing a flow of Example 11;
  • FIG. 54 is a diagram showing a flow of the embodiment 12.
  • FIG. 55 is a diagram showing
  • FIG. 56 is a diagram showing a tip of the example 14;
  • FIG. 57 is a diagram illustrating a DB creation flow according to the fifteenth embodiment.
  • FIG. 58 is a diagram showing a DB display port according to the fifteenth embodiment.
  • Fig. 59 shows the matrix screen.
  • FIG. 60 is a diagram showing a flow of Example 16; 6001 is a dispensing design input 6007 is a dispensing design correction; 6009 is a drug history display, a dispensing design display; 4 is a personal database.
  • FIG. 61 is a diagram showing a flow of the seventeenth embodiment.
  • FIG. 62 is a diagram showing a flow of Example 18. BEST MODE FOR CARRYING OUT THE INVENTION
  • 1 to 40 show screens of the pharmacy system according to the present invention.
  • FIG. 41 is a flowchart of Example 1 of the present invention.
  • the position of the forcesol is monitored on the dispensing design work screen.
  • a predetermined key input is detected, a corresponding process is performed.
  • the patient name list box is open because the cursor is located at the patient name input area.
  • the patient list box is expanded by keying in the prescribed key input contro 1 J.
  • the list box displaying not only the patient name but also the date of birth, telephone number, and gender is displayed. open.
  • the screen of FIG. 8, that is, the patient input reference screen is displayed by key input of cntrro1R, and the cursor is located at the part of the phonetic of the patient name.
  • the cursor is located at the date of birth, and when a predetermined key input contro 1 J is pressed in the same way as described above, not only the birth date but also the patient's name telephone as shown in Fig. 10 A list box showing the number and gender is opened. Similarly, if you move the cursor to the telephone number, the patient telephone number will be displayed as shown in the screen shown in Fig. 11. As described above, when a predetermined key input cntrro1J is input, a list box for displaying the patient name, date of birth, telephone number, and gender is opened as shown in FIG.
  • the cursor is located at the doctor's name, and when the key input of the predetermined key input contro 1 J is made in the same manner as described above, not only the doctor's name but also the medical institution name and department are displayed as shown in Fig. 13. A process is performed to open a list box in which names are displayed.
  • FIG. 422 shows the flow of the screen configuration of the second embodiment.
  • Fig. 1 shows the case where the cursor is located at the MAGIC part and
  • Fig. 2 shows the case where the force cursor is located at the reception date. Sorting is performed for the item where each cursor is located.
  • a dispensing design screen that has not been entered will be displayed.
  • the dispensing design input reference screen 4202 is switched to and the screen specified earlier is displayed.
  • Figure 3 is an example, where the patient name is a new patient. And the new patient's insurance matters are open in the list box as the cursor is mainly on the insurance selection.
  • FIG. Figure 8 shows that the patient's name, date of birth, home phone, and gender are displayed in a list box to make it easier to identify the patient name by typing contro1J.
  • Fig. 9 also shows the case where the cursor is placed on the patient's date of birth, in which case the list box shows the date of birth. If you type Control J here, the list box will also expand, as shown in Figure 10.
  • FIG. 11 shows a case where the cursor is located on the item of telephone and home. In this case as well, when the control J is pressed, the The box opens.
  • Figure 12 shows the case where the cursor is on the physician name item, and the physician name list box is opened. Similarly, if it is not possible to select with this alone, by further inputting control J, not only the doctor's name but also the name of the medical institution and the department are displayed as shown in Fig. 13.
  • Fig. 14 shows the case where the resource is in the name of the medical institution, in which case the list of medical institution is displayed in the list box.
  • Fig. 15 shows the name of the department. Similarly, the name of the department is displayed in the list box.
  • the patient input reference screen of 423, the insurance input reference screen of 424 or the The screen can be switched to the insurance input reference screen shown in Fig. 8, and the input can be performed.
  • the prescriber is unregistered or the registered contents change, the user can switch to the prescription doctor input reference screen of A0205, and the situation at that time is shown in FIG.
  • the user can switch to the drug input reference screen of 406, and the situation at that time is shown in Figure 18. If it is necessary to enter more detailed information on pharmaceuticals, the screen should be switched to the Medis input reference screen 4207, and that screen is shown in Fig. 23. If it is necessary to provide information on pharmaceuticals, it is sufficient to switch to the information provision input reference screen in 409, as shown in Figure 19.
  • the screen may be switched to the forward reference screen of 4201.
  • Figures 20 and 21 show the drug history of the relevant patient for the past seven times in the form of a matrix of each drug and its dispensing date.
  • Figure 22 is a screen showing the same matrix on a weekly basis.
  • Fig. 25 shows the case where the cursor is located on the field of the generic name of a drug on the overnight file maintenance screen, and the drug classification number, English name, and Japanese name are displayed in the list box.
  • FIG. 26 is also a data file maintenance screen, in which there is a cursor in the item name of the drug, and the name of the drug is displayed in the list box.
  • the list box on the screen in Fig. 26 is expanded by inputting the control J key.
  • the drug name, dosage form, manufacturer, and Ministry of Health and Welfare code are displayed.
  • Figure 28 shows the same screen with the cursor at the dosage form item and the dosage form displayed in the listpox.
  • Fig. 29 shows a similar screen with the cursor at the section of the Ministry of Health and Welfare Code item and a list of Ministry of Health and Welfare codes being displayed.
  • Figure 30 shows the data file maintenance screen on the delivery note, where the pharmacy list box is open because the cursor is located at the pharmacy.
  • Fig. 31 shows the list box expanded with the control J key input. The pharmacy name, wholesaler name, slip number, delivery date, and cancellation mark are displayed in the list box.
  • Figure 32 also shows the data file maintenance screen on the delivery note, but the cursor is in the barcode item section and the barcode and chemicals are displayed in the list box.
  • Fig. 33 shows a similar screen. The cursor is located in the item section of the pharmacy for order processing, and the list box shows the pharmacy, the date of order processing, and the wholesaler.
  • FIG. 43 shows the flow of the third embodiment.
  • 4302 is a drug database, which creates an index in which product names, ingredient names, and aliases are associated with each drug for search. First, when a drug is input by an arbitrary name, the corresponding list is called in 4301 by referring to the above-mentioned index of the drug database 4302. If the input is a component name, 4
  • a list of component names is displayed. If the input is a product name or an alias, a list of product names is displayed.
  • Reference numeral 4307 denotes a patient information database, which is registered in this database at 4305 with a unique ID that uniquely identifies a drug. In this case, you may register with a product name.
  • the attribute of the input name may be similarly registered at 430 in the patient information database of 430.
  • the drug database can be called from the unique ID of the drug registered in the patient information database, and the product name, component name, and other names can be called as needed. Good. With such a system configuration, even if the input of a drug is entered under the name of an arbitrary attribute regardless of the attribute, the drug is uniquely determined and the necessary name can be displayed.
  • Figure 39 shows the screen for entering the product name and the component name. If the name of the drug is “diflupine exfoliated capsule”, which is the ingredient name, “Separate — R—CAP10” is displayed in the name of the drug. Similarly, when Sepamitsuto R-CAP 10 is entered as the drug name, the drug name 2 will be displayed as a drug release-free capsule.
  • FIG. 40 shows the product unit amount and the contained main component amount. When 150 MG is input in the product unit quantity input section in the upper part of FIG. 40, the converted actual weighing amount is displayed as 1.5 G as shown in the lower part of FIG.
  • FIG. 44 shows the flow of the fourth embodiment.
  • the name of the drug is “diflupine exfoliated capsule”, which is the ingredient name
  • Sepamitsuto R-CAP 10 is entered as the drug name
  • the drug name 2 will be displayed as a drug release-free capsule.
  • FIG. 40 shows the product unit amount and the contained main component amount.
  • 150 MG is input in
  • the conversion table in 4440 is converted to the prescription amount if the input is the component amount, and to the component amount if the input is the processing amount. Perform conversion with reference to. The result is entered into the specified part at 443 in terms of the component amount and the prescribed amount.
  • FIG. 45 shows the flow of the fifth embodiment.
  • This section describes the flow for creating an information provision sheet when the patient is confirmed and the dispensing design is tentatively determined.
  • the past information provision contents of the same patient are called from the patient information database 4503 and displayed in the list box. Then select from this list and enter. If there is no suitable candidate in the list box, you can enter it directly.
  • the information provision content is provisionally determined, and the information provision paper is output at A0505.
  • the information providing paper is output here, it may be printed on a medicine bag. If there is any explanation and correction to the patient, return to 4502 and re-enter the information provided. If there is no correction, an information provision sheet is issued, and the determined information provision content is registered in the patient information database 4503 in 4507.
  • FIG. 46 shows the flow of the screen configuration of the sixth embodiment.
  • a predetermined key operation is performed from the dispensing design work screen of 4601, and the screen of the 460 two-dimensional medicine taking history screen is obtained.
  • Fig. 20 and Fig. 21 show the results of the past seven drugs and their preparation. Drug information is displayed in a two-dimensional matrix.
  • Figure 21 shows the period during which the drug and its drug are dispensed
  • Figure 22 shows the dispensing of the drug and its drug on a weekly basis. Indicates where the period is displayed.
  • the user can go to the front medicine taking history selection screen by a predetermined key operation.
  • a specific date can be selected to call a dispensing design screen of the specific date and time of the patient corresponding to 460 from the link.
  • Figure 47 shows the flow of Example 7. If there is an item for which information text is to be entered in the item on the dispensing design work screen, the system detects whether the cursor is located at that item in 4701, and stores the information text that has been registered in advance on the data base. Called from 0 2 Displayed in 4 7 0 3 From this list, the operator copies necessary information text at 4704 to a predetermined portion at option 475. Then, if correction is necessary in 4706, it is corrected, and if no correction is required, it is registered in the corresponding item as it is.
  • Fig. 48 shows the contents of the patient information of Example 8 after the dispensing design data was determined.
  • (B) shows the content of the dispensing design data at the stage before finalization of the dispensing design data. After the dispensing design data is determined, that is, after the drug is delivered to the patient, the determination flag is set to Y and change is prohibited. If a change is absolutely necessary, register the cancellation in the cancellation flag and save it. And create and register the same patient information with the newly changed contents I do. If necessary, electronically authenticate the person in charge at the time of confirmation.
  • the determination flag is set to N and changes and modifications are permitted.
  • the change log is recorded in the log recording unit.
  • the log record contains the details of the change, the reason for the change, the person in charge, the date and time, and the reason for the change is not automatically modified unless the input screen is automatically entered and entered.
  • Figure 49 shows the flow of Example 9.
  • an index is extracted from the above-described dispensing design data at 4901.
  • the extracted data is the items of patient name, doctor name, medical institution name, and department name date.
  • the extracted data is encoded into a two-dimensional code at 4902, and a label is printed at 4903.
  • this label is affixed to the prescription, and is read by a scanner at 904, and is taken in as an image. This is shown in FIG.
  • the index is decoded by separating and decoding the two-dimensional code from the image captured in 495. Then, using this index, the prescription image is registered in the 4907 database at 4906.
  • the index information here was patient reading, patient name, patient birth date, insurance form, insurance code, and reception date.
  • the authentication data is stored in the database of the medical institution or the database A09-202 of the authentication center.
  • the index information of the prescription and the digital Tal signature is converted to 2D code.
  • the medical institution issues the prescription with the two-dimensional code, and the dispensing pharmacy accepts it.
  • the prescription with the two-dimensional code is scanned.
  • the two-dimensional code is separated and the index is decoded.
  • authentication of the electronic signature is performed with the database of 5102 through the network at 5106. The result is registered in the database of 5108 at 5107.
  • FIG. 52 shows the flow of the tenth embodiment.
  • the picking data is extracted from the dispensing design data at 520 1.
  • the extracted data is the type, dosage form, and quantity of the drug.
  • the extracted data is encoded into a two-dimensional code at 522.
  • this picking instruction with the two-dimensional code is output.
  • the picking data is decoded from the two-dimensional code.
  • the picker scans a 2D code or bar code provided in the box to be picked. Alert picking personnel if picking data does not match. Log the correctness of the error at the handy terminal.
  • the picking order and the location of the drug are optimized by data mining, along with records of the location of the drug. In the picking audit, if the weight of the medicine to be picked is registered, the total weight of the medicine to be picked is calculated, the weight is combined with the weight of the medicine bag, and the weight is measured after the picking is completed.
  • Fig. 53 shows the flow of Example 11.
  • the image and sound of the patient and the person in charge of interviewing the patient are collected with a microphone and a camera.
  • speech recognition is performed, and the speech of the patient interviewer is converted to text.
  • an index is extracted from the above-described dispensing design data.
  • the index is a patient name, a drug name, and date and time.
  • a text and voice of the image and the voice based on the above-described index are registered in the patient information database 530-5. In this way, the dialogue with the patient can be easily searched using the aforementioned index.
  • FIG. 54 illustrates the method of checking the amount and the amount of the powdered medicine, and is Example 12 of the present invention.
  • the weighing data for weighing the powdered medicine of a predetermined patient is created with reference to the above, and the checklist paper is output. That paper is the powder weighing checklist, and the QR code, which is a two-dimensional code, is at the lower right of this checklist.
  • the QR code is taken into the scanner and image processing is performed to take in the weighing data.
  • the actual amount of powdered medicine is measured and the data is transmitted to the judgment part.
  • the weighing data captured by the scanner 1 is transmitted and the judgment is made by the judgment part.
  • the QR code storing the name of the medicine attached to the medicine container is image-captured, captured and decoded, and the name of the medicine is sent to the judgment unit, and the name of the medicine is checked in the same manner.
  • Fig. 55 This is a description of a method of processing an automatic packaging machine offline for a corresponding patient, and is embodiment 13 of the present invention.
  • the pharmacist uses the information related to the prescription to plan dispensing.
  • the purpose of the dispensing design work is to support the dispensing design work. Referring to the required location, a tablet packing machine for packing tablets for a given patient is created and a checklist paper is output. That paper is a tablet packaging checklist, and a QR code that is a two-dimensional code is located at the lower right of this checklist. This QR code is taken into a scanner and image processing is carried out to take in a tablet package. Next, the imported tablet packing data may be transmitted to an automatic packing machine and automatically packed.
  • FIG. 56 shows the flow of the embodiment 14.
  • the camera collects images of the patient and the drug delivered to the patient.
  • an index is extracted from the above-described dispensing design data.
  • the index here is the patient name, drug name, date and time.
  • an image is registered in the patient information database 5604 based on the aforementioned index.
  • An image of this drug may be taken with a CCD camera installed above and used when necessary, or the surface of the counter may be made of transparent glass and a CCD camera may be installed inside the counter.
  • FIG. 57 shows the flow of generating a patient database in the embodiment 15 of the present invention.
  • interview data with the patient 5701
  • the past data entered memoly during the interview with the patient and the data just entered in real time in front of the patient currently interviewing are entered.
  • word recognition 570 analysis is performed with reference to a term dictionary 5703 relating to business, and in item determination 5704, information items and time related to data are extracted. If the judgment is successful, an index is generated based on the extracted information items and time in generating an index 570 6. If the judgment fails, in the reflection input 570, a preset input screen is displayed on the monitor, and the information items input by the operator are sent to the index generation 570.
  • the generated index and the database are associated with each other and registered in the patient database 568.
  • the time used for indexing is the current time if you are interviewing, and a memo of past data. And the date and time described.
  • FIG. 58 shows the flow of calling and displaying patient data in the embodiment 15.
  • a call is made to the past patient data registered in association with the index.
  • the cannabis information is stored using the patient name as a key, and time and information items are added as index information.
  • a matrix screen with time on the horizontal axis and information items on the vertical axis is generated and displayed on the monitor 580 4.
  • Figure 59 shows an example of the matrix screen.
  • FIG. 60 shows the flow of the embodiment 16.
  • a dispensing design is performed at 6001 based on a prescription issued by a medical institution, but the patient's past drug use history information, drug information, stock information, and drug shape information are called from the 6004 database and referenced. Performs dispensing design work.
  • the dispensing design provisional determination processing 6002 is performed and the result is registered in the patient information database of the database 604.
  • Each necessary data is extracted from the aforementioned database.
  • output of information supply paper of 604, output of medicine bag of 605, preparation of picking instructions and preparation of accounting slip (receipt) of 006 are performed.
  • the medicine bag output was printed on a label, and the picking instructions and accounting slips were output on paper.
  • the picking staff performs picking of the medicine in 6006.
  • a picking audit is performed to determine whether the picked drug is the same as the instruction.
  • the processing at the time of the interview with the patient is performed at the step 615.
  • the display of the drug history and the display of the dispensing design data are called and the patient is interviewed.
  • the dispensing design correction of 607 is performed.
  • the patient is given medicine and an information providing paper.
  • an input (with respect to the temporary data of the dispensing design) occurs through an interview with the patient, enter the drug treatment information at 600 and perform the final processing of all the dispensing design information at 6005, and enter the necessary items.
  • Register at base 6 0 1 4. 6 0 12 Odors are withdrawn from the inventory database. At 6 13, the finalized amount is accounted for. Claim processing is performed from this confirmed patient database.
  • the pharmaceutical information database of the database of 614 includes information on the attached text of the pharmaceutical in advance, information on the drug effect adapted to this system, information on the combination of pharmaceuticals, information on the ingredient name and product name, drug price, side effects Items are set so that information on the relationship between prescription and component amounts, drug shape information, etc. can be registered. If new registration is required, it is possible to register each time or collectively.
  • Items for compatibility with patient-specific drugs should be set in the patient information database.
  • the items in the physician information database were the affiliated medical institution, medical department, and physician name.
  • Information related to the stock of the medicine is registered in the stock information database.
  • an item for receipt inspection is set up, and if an entry is made in this part, the number of received goods is added to the quantity in the drug inventory database, and the withdrawal of the stock is performed after all the information on the dispensing design data is confirmed (6). This is done at 6 0 1 3) after the end of 0 1 1. Since each process for the stock database is performed in real time, the stock amount at any time can be output.
  • a process for determining dispensing design data will be described. The dispensing design is entered at 6001 and the dispensing design is tentatively confirmed at 6002, but there is a possibility that it will be changed later due to uncertain factors. It may or may not occur when the information content provision service occurs. Therefore, in the system of this embodiment, an accounting slip in each case is created. In other words, the system outputs two accounting slips.
  • step 6101 processing is performed with the information content providing service.
  • step 613 that effect is registered in 614.
  • the processing without the information content providing service is performed in 551.
  • 613 that effect is registered in 614.
  • the settlement of accounting should just add an electronic settlement system to the system, and it can be processed with a prepaid card, a credit card, and a debit card.
  • a receivables processing function should be added in case payment is not made on the final settlement date due to the patient's circumstances.
  • a receivable item may be provided in the patient database.
  • Fig. 61 (A) shows the tip of the embodiment 17 of the present invention.
  • the drug use data of the relevant patient is extracted from the patient database 610 in 6101.
  • the content here is to take 2 A tablets and 1 B tablet after each meal.
  • the patient's meal time is 7am, 12pm and 7pm.
  • this usage data is transmitted to the pager base center at 5603.
  • this usage data is registered in the Senyuichi database 610.
  • use data is sent to the patient's pager at 610 at each time.
  • the usage information is displayed on the pager of the patient. This is shown in Fig. 61 (B).
  • the pager may only be triggered by a pager sound and / or vibration without display.
  • the above-mentioned instruction data may be voice-synthesized, transmitted to the mobile phone at a time, and the voice may be played.
  • a medicine bag with an LCD display screen or a dedicated display device which is a portable terminal but is not connected wirelessly.
  • the medicine use information is stored in a two-dimensional code and the aforementioned medicine bag with a display screen or a special display device is used.
  • the patient may use a small scanner provided at the site to read and inform the patient when it is time to vibrate or sound and prompt the patient to use it.
  • the use information of the medicine may be read by wire or infrared into the medicine bag with a display screen or a dedicated display device.
  • FIG. 62 shows the flow of the embodiment 18.
  • 5709 is a pharmacy that receives prescriptions and delivers medicines to patients
  • 6210 is an input center that performs dispensing design input work.
  • the received prescription is imaged at 6201 and this image is transmitted at 6202 as input. You may fax the prescription at this time. Alternatively, the image may be read, digitized, and transmitted via a network.
  • an image of the prescription is received at the input sensor side at 6202, and a pharmacist inputs a dispensing design at 6204 based on this image. Then, a predetermined amount of data is extracted at 625 and transmitted at 620.
  • the predetermined data is picking data for drug picking, a medicine bag label, information provision contents, and notes.
  • a system configuration capable of uniformly managing data relating to various dispensing operations in support of dispensing operations enables a person in charge of dispensing operations to quickly search and display necessary information when necessary. Become.
  • the system has an information management function to ensure the authenticity of the information required for medical records, so it is a highly reliable and safe system.

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Abstract

Cette invention concerne un système pharmaceutique permettant d'administrer des médicaments d'une manière simple et efficace. Il s'agit d'un ensemble intégré comprenant des bases de données combinées qui renferment des informations sur les patients, les médicaments, les stocks, les médecins, et un système permettant d'entrer dans les bases de données et d'en extraire de façon uniforme et efficace toutes les informations requises et les prescriptions médicamenteuses sans exception.
PCT/JP2000/003303 1999-05-24 2000-05-24 Systeme pharmaceutique WO2000072217A1 (fr)

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JP11/142602 1999-05-24
JP14260299 1999-05-24
JP2000152189A JP2001043279A (ja) 1999-05-24 2000-05-23 薬局システム
JP2000/152189 2000-05-23

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WO2000072217A1 true WO2000072217A1 (fr) 2000-11-30

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