WO2021199280A1 - Système. programme et procédé pour calculer la quantité de médicaments à administrer à un patient animal - Google Patents

Système. programme et procédé pour calculer la quantité de médicaments à administrer à un patient animal Download PDF

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Publication number
WO2021199280A1
WO2021199280A1 PCT/JP2020/014806 JP2020014806W WO2021199280A1 WO 2021199280 A1 WO2021199280 A1 WO 2021199280A1 JP 2020014806 W JP2020014806 W JP 2020014806W WO 2021199280 A1 WO2021199280 A1 WO 2021199280A1
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WIPO (PCT)
Prior art keywords
drug
unit
animal
dose
animal patient
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PCT/JP2020/014806
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English (en)
Japanese (ja)
Inventor
岡崎 純
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株式会社Peco
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Priority to PCT/JP2020/014806 priority Critical patent/WO2021199280A1/fr
Priority to JP2021533753A priority patent/JPWO2021199280A1/ja
Publication of WO2021199280A1 publication Critical patent/WO2021199280A1/fr
Priority to JP2022004154A priority patent/JP7075699B2/ja

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT 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

Definitions

  • the present invention particularly relates to an animal patient dosage calculation system, an animal patient dosage calculation program and an animal patient drug for calculating the optimal dose of an animal patient drug to be administered and prescribed to an animal patient.
  • an animal patient dosage calculation system an animal patient dosage calculation program and an animal patient drug for calculating the optimal dose of an animal patient drug to be administered and prescribed to an animal patient.
  • the quantity calculation method Regarding the quantity calculation method.
  • Patent Document 1 a list of drug names is displayed when a doctor prescribes on an electronic medical record, and if detailed information on the drug is registered by a pharmaceutical company, a link for accessing the information is provided.
  • the display technology is disclosed.
  • Patent Document 2 discloses a technique for automatically calculating an appropriate prescription amount determined for each drug based on the age or body weight of a patient.
  • An object of the present invention is to provide a dosage calculation system for animal patients capable of optimally administering a drug in such a field of veterinary medicine.
  • a dosage calculation system for animal patients that calculates the dose of medicines to animal patients.
  • a storage unit that stores a drug database in which the drug and a reference amount determined per predetermined body weight for each animal species are associated and stored.
  • the weight acquisition unit that acquires the weight information of the animal patient,
  • a calculation unit that calculates the dose of the drug based on the body weight information,
  • a display unit that displays the drug and the calculated dose,
  • a dosage calculation system for animal patients is obtained.
  • This is a configuration example of an animal patient database. It is a figure which shows a part of the drug database included in the dose calculation system for an animal patient. This is an example of the calculation result by the dosage calculation system for animal patients. This is an example of the recalculation result by the dosage calculation system for animal patients.
  • [Item 1] It is a dosage calculation system for animal patients that calculates the dose of medicines to animal patients.
  • a storage unit that stores a drug database in which the drug and a reference amount determined per predetermined body weight for each animal species are associated and stored.
  • the weight acquisition unit that acquires the weight information of the animal patient,
  • a calculation unit that calculates the dose of the drug based on the body weight information,
  • a display unit that displays the drug and the calculated dose,
  • a dosage calculation system for animal patients [Item 2] The dosage calculation system for animal patients according to item 1.
  • the drug database further stores standard unit information.
  • the calculation unit calculates the standard unit amount based on the dose, and then The display unit displays the calculated standard unit amount.
  • [Item 3] The dosage calculation system for animal patients according to item 1.
  • the drug database further stores standard unit information.
  • the calculation unit calculates the dose based on the standard unit amount,
  • the display unit displays the calculated standard unit amount and the dose.
  • [Item 4] The animal patient dosage calculation system according to item 2 or item 3. It also has an editing operation unit that accepts editing operations for the displayed standard unit amount.
  • the calculation unit recalculates the dose based on the standard unit amount for which the editing operation has been performed.
  • the display unit displays the standard unit amount for which the editing operation has been performed and the recalculated dose.
  • Dosage calculation system for animal patients [Item 5] The animal patient dosage calculation system according to any one of items 2 to 4. It also has an editing operation unit that accepts editing operations for the displayed dose.
  • the calculation unit recalculates the standard unit amount based on the dose for which the editing operation has been performed.
  • the display unit displays the dose for which the editing operation has been performed and the recalculated standard unit amount.
  • Dosage calculation system for animal patients [Item 6] The animal patient dosage calculation system according to any one of items 1 to 4.
  • the drug includes a drug obtained by mixing a plurality of material drugs.
  • a plurality of the material drugs and a mixed reference amount thereof are stored in the drug in association with each other.
  • the calculation unit calculates the mixed amount of each of the material drugs based on the body weight information and the plurality of mixed reference amounts.
  • the display unit displays the mixed amount for each of the plurality of the material drugs.
  • Dosage calculation system for animal patients are described by using a plurality of material drugs.
  • the animal patient dosage calculation system according to any one of items 1 to 5.
  • the acquisition unit further acquires prescription information and The calculation unit calculates the required total dose of the drug based on the prescription information and the calculated dose.
  • the display unit displays the drug and the total dose.
  • the animal patient dosage calculation system according to claim 6. The animal patient dosage calculation system calculates the required standard unit amount of the drug based on the prescription information and the total dose.
  • the display unit displays the drug and the standard unit amount.
  • the reference amount is an amount per 1 kg of body weight.
  • the calculation unit calculates the dose by multiplying the body weight information by the reference amount.
  • Dosage calculation system for animal patients [Item 10] The animal patient dosage calculation system according to any one of items 1 to 9.
  • the acquisition unit stores administration history information including the drug previously administered to the animal patient and the calculated dose. Further equipped with a reading unit for reading the administration history, The calculation unit recalculates the dose of the drug in the read administration history information based on the current body weight information.
  • Dosage calculation system for animal patients [Item 11] An animal patient dosage calculation program for calculating the dose of a drug to an animal patient.
  • Mobile terminal A storage unit that stores a drug database in which the drug and a reference amount determined per predetermined body weight for each animal species are associated and stored.
  • a weight acquisition unit that acquires weight information of the animal patient, A calculation unit that calculates the dose of the drug based on the body weight information.
  • a display unit that displays the drug and the calculated dose.
  • a dosage calculation program for animal patients that functions as. [Item 12] The dose of the drug to an animal patient using a mobile terminal equipped with a storage unit that stores a drug database in which the drug and a reference amount determined per predetermined body weight for each animal species are associated and stored. It is a dosage calculation method for animal patients to calculate The weight acquisition step for acquiring the weight information of the animal patient, and A calculation step for calculating the dose of the drug based on the body weight information, A display step displaying the drug and the calculated dose. Dosage calculation method for animal patients, including.
  • the dosage calculation system for animal patients (hereinafter referred to as “system”) according to the embodiment of the present invention is particularly operated by a portable terminal that can be operated by a veterinarian or other veterinary medical worker or other worker in a veterinary hospital. Is configured to accept and execute the veterinary dosage calculation program.
  • the system is mainly for calculating the appropriate dosage at the time of dosing and prescribing performed in a veterinary hospital.
  • the amount that may be administered per 1 kg of body weight is determined.
  • the dose to be administered may end depending on the species, body weight, and individual differences, and conventionally, the dose was calculated manually.
  • the amount of each drug in the breakdown also changes, so if the dose is mistaken due to complicated manual calculation, the animal patient may die.
  • the system according to the embodiment of the present invention knows the appropriate amount of the drug to be administered, especially even when the body weight changes.
  • FIG. 1 is a functional block diagram of a veterinary hospital terminal 300 in which the system according to the embodiment of the present invention is executed. This system is displayed via a display or the like of one or more veterinary hospital terminals.
  • the animal hospital terminal 300 is an information processing device managed by the animal hospital and used by the above-mentioned user, for example, a personal computer, a tablet terminal, etc., but may be configured by a smartphone, a mobile phone, a PDA, or the like.
  • a so-called tablet terminal is preferable in consideration of the fact that it can be easily carried in the hospital and the environment in which the hair of an animal patient or the like touches.
  • the input operation is possible by the voice recognition function.
  • the voice recognition function is particularly specialized in recognizing technical terms and abbreviations in the field of veterinary medicine.
  • the system according to the present embodiment describes that the function is completed only by the veterinary hospital terminal 300, some functions may be executed by the server device or the terminal of the owner of the animal patient. In this case, the entire system may be logically configured and executed by a plurality of terminals by installing a part of the program executed by the animal hospital terminal 300 on the server terminal or the owner's terminal.
  • the veterinary hospital terminal 300 includes a communication unit 310, a display operation unit 320, a storage unit 330, and a control unit 340.
  • the configuration is an example, and other configurations may be provided.
  • the communication unit 310 is a communication interface for communicating with other terminals via a network, and various communication protocols can be adopted.
  • the display operation unit 320 is a user interface used for the user to input an instruction and display text, an image, etc. according to the input data from the control unit 340.
  • the animal hospital terminal 300 is composed of a tablet terminal. If so, it consists of a touch panel and the like.
  • the display operation unit 320 is activated by a control program stored in the storage unit 330 and executed by a veterinary hospital terminal 300 which is a computer (electronic computer).
  • the storage unit 330 stores various control processes, programs for executing each function in the control unit 340, input data, etc., and is composed of RAM, ROM, other storage, and the like. In addition, the storage unit 330 temporarily stores the communication contents with other terminals.
  • the control unit 340 controls the entire operation of the veterinary hospital terminal 300 by executing the program stored in the storage unit 330, and is composed of a CPU, a GPU, and the like.
  • FIG. 2 is a block diagram of a function in which the control unit 340 and the display operation unit 320 according to the present embodiment are jointly realized.
  • the calculation module 200 has an animal patient database 204 and a storage unit 202 including a drug database 206.
  • other information constituting the system may be stored in the storage unit 202.
  • the animal patient database 204 stores the current and past information of the animal patients managed by the system according to the present embodiment.
  • the animal patient information stored in the animal patient database 204 may include information on animal patients not only in the veterinary hospital but also in other veterinary hospitals managed by the group or managed by the group.
  • the drug database 206 includes drug information 2061, standard unit information 2062, animal species information, and standard amount information defined per kg for each drug. From this, by referring to the drug database, it is possible to know how much a drug can be administered per 1 kg when it is administered to a certain animal species (details will be described later).
  • the weight acquisition unit 208 acquires the weight of the animal patient to be calculated.
  • the weight acquisition unit may be acquired by, for example, linking with an external weight scale or simply inputting numerical information of the body weight. Any method may be used for the current method of obtaining weight.
  • the calculation unit 210 calculates the dose of the drug based on the acquired body weight information and the information in the drug database. At this time, the calculation unit calculates a standard unit amount based on the calculated dose (for example, drug A is "20 mg"), and the standard unit amount (10 mg / 10 mg /) to be administered together with (or separately from) the dose. It is also possible to display "2 tablets”) (details will be described later).
  • the display unit 212 constitutes a part of the display operation unit 320 in FIG. 1, and a touch panel is adopted in the present embodiment.
  • the display means 210 displays the calculated dose and the like. Since the system in the present embodiment may be used in various places such as an operating room and an examination room in a veterinary hospital, the information to be presented is not only a visual display but also a sound or a warning. It may be used as an auditory method of providing sound or the like. In this case, the presentation of audio or the like may be performed at the same time as or separately from the visual presentation.
  • the editing operation unit 220 accepts editing operations for the calculated and displayed standard unit amount. For example, if a standard unit amount (for example, "2.1 tablets”) that includes the decimal point is calculated even though it is a tablet, this standard unit amount can be used as a good number of tablets (for example, "2.1 tablets”). It can be changed to "2 tablets”) and the dose can be recalculated based on the changed standard unit dose (details will be described later).
  • a standard unit amount for example, "2.1 tablets”
  • this standard unit amount can be used as a good number of tablets (for example, "2.1 tablets”). It can be changed to "2 tablets”) and the dose can be recalculated based on the changed standard unit dose (details will be described later).
  • Each animal patient information included in the animal patient database 204 according to the present embodiment includes, for example, information as shown in FIG.
  • the animal patient database 204 in the present embodiment is managed by associating the animal patient with the animal patient ID and the owner ID.
  • Medical record data for each animal patient is managed for each consultation date.
  • animal patient basic information 502 such as name, gender, type, size, etc.
  • interview information 503, physical findings information 504 current medical history information 505, examination history information 506, Includes diagnostic history information 507, treatment history information 508, medication history information 509, prescription history information 510, memo 512, and information 513 such as moving images / images of animal patients.
  • examination history information 506 Includes diagnostic history information 507, treatment history information 508, medication history information 509, prescription history information 510, memo 512, and information 513 such as moving images / images of animal patients.
  • the input contents of the animal patient basic information 502, the interview information 503, and the information 513 such as the moving image / image of the pet may be composed of the data received from the mobile terminal.
  • animal patient information such as physical findings information can be composed of data received from the veterinary hospital terminal 300, and based on information acquired by a person in charge such as a veterinarian from the owner of the animal patient. It can be composed of received data by inputting to the veterinary hospital terminal 300.
  • animal patient basic information 502 includes animal species information to which the animal patient corresponds.
  • animal species information include dogs, foxes, tanukis, phenecks, cats, hamsters, guinea pigs, honeybees, scorpions, taiwan squirrels, prairie dogs, momonga, rabbits, monkeys, mini pigs, ferret, scanks, donkeys, horses (miniature horses, farabella).
  • Questionnaire information 503 is subjective information (chief complaint) obtained from the owner. For example, “I don't eat much rice”, “I have scratches on my legs”, “I'm getting fat”, “I'm not feeling well”, “I have a runny nose”, etc. It is an observed symptom. Questionnaire information 503 may be obtained from the owner using a questionnaire or a medical inquiry terminal when visiting a veterinary hospital, or may be obtained by having the owner enter it in advance using a mobile terminal or the like owned by the owner. May be.
  • Physical finding information 504 is physical information that can be examined by a veterinarian or the like at a veterinary hospital or the like and can be expressed by an objective numerical value. For example, “body weight”, “body temperature”, “heart rate”, “respiratory rate”, etc., which are necessary information for extracting necessary tests together with the current medical history information 505 described below.
  • the current medical history information 505 is subjective information heard by a veterinarian or the like.
  • the current medical history information 505 is often the same as the above-mentioned interview information 503, but includes items that are difficult for the owner to actually confirm, such as "the throat is red”.
  • the current medical history that "bleeding from the anus” may be heard when examined by a veterinarian or the like.
  • the test history information 506 includes at least the history of tests that the animal patient has received in the past.
  • the examination history can include examinations that have been taken in the past visits to the hospital, examinations that have been taken in the examination, and the like.
  • the reaction to the test (information on the acceptability / permissibility of the test itself, such as whether or not it was disliked) may be associated and stored. This information can be an important indicator when recommending a test.
  • Test candidates may be categorized by purpose, such as inflammation test, biochemical test, cardiac function test, endocrine function test, allergy test, infectious disease test, microbiological test, morphological test, or blood.
  • characteristics of the examination such as examination, roentgen examination, ultrasonic examination, cytological examination, endoscopy (gastroscope, rectoscope), CT examination (imaging examination), and pathological examination. May be good.
  • the diagnosis history information 507 includes at least the history of diagnoses received by the animal patient in the past. Information such as the name of a specific disease or injury that has occurred in the past can be included. The diagnosis history may include information about diagnoses suspected in past visits.
  • the treatment history information 508 and the medication history information 509 include the treatment history / medication history information that the animal patient has received in the past.
  • the reaction to the response (information on the acceptability / tolerance of the treatment or the medication itself, such as whether or not the patient disliked it or whether it affected the physical condition) may be associated and stored.
  • Items include anal gland treatment, nail cutting treatment, sole treatment, ear treatment, hair removal, ophthalmic treatment, dental treatment, Elizabeth collar / abdominal band, acupuncture and moxibustion treatment, indwelling, stool removal, thread removal, disinfection, oxygen treatment, emetic treatment.
  • the prescription history information 510 includes information such as drugs prescribed by the animal patient in the past. In this case, information on the acceptability / tolerance of the treatment or the medication itself, such as whether or not the drug prescribed at home could be taken, whether or not it was disliked, and whether or not it affected the physical condition, was provided via the user's mobile terminal. You may also obtain it.
  • the drug database contains information on animal species, drugs, standard amounts, and corporate standard units.
  • the reference amount to be administered per 1 kg of body weight as a single dose is displayed as either 2 mg or 4 mg can be selected. Will be done. In this case, for example, the veterinarian can select any amount in consideration of circumstances such as the intensity of seizures of the animal patient.
  • the target animal patient weighs 10 kg
  • the single dose is 10 mg
  • the number of prescriptions is 21 times (3 times in the morning, noon and night x 7 days), and the total dose. Is 420 mg.
  • this is converted into the standard unit amount, it is calculated as 1.68 tablets. Therefore, it can be calculated that 1.68 Ekepla tablets should be made into powders or the like and 21 packets should be prepared.
  • the standard amount per 1 kg of body weight is reduced to 1 per animal. It is also possible to calculate and display the circulation (see FIG. 7), and further to display the standard unit amount by referring to the standard unit information.
  • drip B is a drug that can be prepared by blending 6 mg of drug a, 20 ml of drug b, 5 mg of drug c, and 200 ml of drug d.
  • a standard unit is associated with each of the drugs a to d.
  • the dose is calculated from the reference amount and the body weight, and the administration unit is calculated based on the standard unit. That is, even in the case of a drug obtained by mixing a plurality of drugs (material drugs), the dose can be calculated and displayed for each of the plurality of drugs. An IV drip is made based on this information. At this time, as shown in the upper figure of FIG.
  • the administration unit of the drug a is a fraction such as 1.2.
  • the above-mentioned editing operation unit edits 1.2 of the administration units of the drug a to 1.0.
  • the numerical value of the reference amount is changed from the changed administration unit and standard unit information, and 5 ml is displayed.
  • the veterinarian or the like may confirm this recalculated reference amount and determine that it is within the permissible range.
  • the reference dose should be recalculated after eliminating the fraction and editing the number to be convenient for handling, and the result should be evaluated. Eliminates waste of medicine. Further, especially in the case of tablets, it is possible to formulate more accurately than measuring the amount of 1.2 tablets.
  • ⁇ Screen display example> A screen display example as a user interface for inputting and outputting to the above-mentioned calculation module will be described with reference to FIGS. 7 to 10.
  • the design and configuration layout of the screen display example can be changed as appropriate.
  • the name of the drug to be administered (tablet A) is displayed in the area A of the medical record screen of the animal patient to be calculated. Further, if there is room for selecting the shape of the drug in the region B, any of them can be selected (tablet, powder, syrup). Since tablets are selected in the illustrated example, oral administration (PO) is selected as the route of administration associated with the dosage form. In addition, it is possible to input the timing of administration, the daily dose (number of administrations per day), the prescribed period (number of days), and the like.
  • the drug name (Ekepla) is displayed in the area C, and 2 mg or 4 mg can be selectively displayed as a single dose per 1 kg of body weight.
  • 10 mg is displayed as a single dose for one animal weighing 10 kg, and it is displayed that it is 0.5 tablets.
  • NS the name of the drug to be administered
  • the name of the procedure of subcutaneous injection, the name of the drug to be mixed, and the mixed amount are displayed.
  • the same drug may be called (read out) from the past administration history.
  • the amount to be mixed with the current body weight may be recalculated.
  • the same drug as in the past administration can be recalculated and displayed in an appropriate amount commensurate with the current body weight.
  • the portion displayed in g units may be displayed in a standard unit amount (lock or the like).
  • -Formulation amount unit Tablet, cap, g, P, A, V, bag, etc.
  • -Content ( ⁇ ) 500, 1000, etc.
  • -Content unit mg, ⁇ g, UI, unit, etc.
  • Unit of basic amount of formulation mg, cap, mL, g, etc.
  • variables that require input (or acquisition) when calculating the dosage include the following.
  • Alphabet characters in parentheses are used in the formulas described below. ⁇ One dose per unit (x) ⁇ Weight (w) ⁇ Number of drugs or number of drugs (y)
  • the definitions of the items displayed in FIG. 10 are as follows.
  • the reference arrow icon and the explanation are superimposed on the window F.
  • the two arrows shown in opposite directions mean the conversion of the unit amount.
  • the number in parentheses (ver) is the unit of the displayed numerical value (the same applies hereinafter).
  • ⁇ One dose per unit ⁇ One dose per animal (content unit ver) ⁇ One dose per animal (formation amount unit ver) ⁇ One dose per animal (unit of basic amount of formulation ver) ⁇ Total amount (formulation amount unit ver) ⁇ Total amount (unit of basic amount of formulation ver)
  • the unit of the single dose per unit is the same value as the unit of the content per drug. Further, assuming that the body weight (w) is input (acquired), even if the one-time amount (x) per unit is not input, it is automatically performed if any of the following input values A and C is input. It is calculated.
  • Input value A 1 dose per head (unit of content per drug ver)
  • Input value B 1 dose per head (drug unit ver)
  • Input value C 1 dose per animal (basic unit per drug ver).
  • the person in charge such as a doctor at a veterinary hospital will be able to automate the dosage calculation that has been performed manually.
  • the dose once calculated, it becomes possible to place a more flexible prescription order.
  • the medications and prescriptions that can be applied differ fundamentally depending on the animal species and individual differences, and therefore it is possible to provide a system that reflects these. This makes it possible to provide a system that is simpler and more accurate and can solve problems peculiar to the field of veterinary medicine.

Abstract

Le problème décrit par la présente invention est de fournir un système de dossiers médicaux électroniques permettant d'effectuer une administration optimale de médicaments dans le domaine vétérinaire. La solution de l'invention concerne un système de patients animaux qui est un système de calcul de la quantité de médicaments à administrer à un patient animal permettant de calculer la posologie d'un produit pharmaceutique chez des patients animaux. Ledit système comprend : une unité de stockage stockant une base de données de produits pharmaceutiques dans laquelle des produits pharmaceutiques et des quantités de référence définies par poids corporel prédéterminé pour chaque espèce animale sont associés les uns aux autres et stockés ; une unité d'acquisition de poids corporel pour acquérir des informations de poids corporel d'un patient animal ; une unité de calcul pour calculer la posologie d'un médicament sur la base des informations de poids corporel ; et une unité d'affichage pour afficher un produit pharmaceutique et la posologie calculée.
PCT/JP2020/014806 2020-03-31 2020-03-31 Système. programme et procédé pour calculer la quantité de médicaments à administrer à un patient animal WO2021199280A1 (fr)

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PCT/JP2020/014806 WO2021199280A1 (fr) 2020-03-31 2020-03-31 Système. programme et procédé pour calculer la quantité de médicaments à administrer à un patient animal
JP2021533753A JPWO2021199280A1 (fr) 2020-03-31 2020-03-31
JP2022004154A JP7075699B2 (ja) 2020-03-31 2022-01-14 動物患者用薬量計算システム、動物患者用薬量計算プログラムおよび動物患者用薬量計算方法

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JP2022036273A (ja) * 2020-03-31 2022-03-04 株式会社Peco 動物患者用薬量計算システム、動物患者用薬量計算プログラムおよび動物患者用薬量計算方法

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WO2017135341A1 (fr) * 2016-02-03 2017-08-10 キリン株式会社 Système de diagramme médical électronique

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US20160125146A1 (en) * 2013-06-06 2016-05-05 Timeless Veterinary Systems Inc. Drug formulary application
KR101416710B1 (ko) * 2013-07-19 2014-07-09 (주)인투씨엔에스 동물의 약품 처방용량 및 처방비용을 자동 계산하는 emr 시스템

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JP2022036273A (ja) * 2020-03-31 2022-03-04 株式会社Peco 動物患者用薬量計算システム、動物患者用薬量計算プログラムおよび動物患者用薬量計算方法
JP7075699B2 (ja) 2020-03-31 2022-05-26 株式会社Peco 動物患者用薬量計算システム、動物患者用薬量計算プログラムおよび動物患者用薬量計算方法

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