JP2002342482A - System and program for compiling medication directory - Google Patents

Abstract

PROBLEM TO BE SOLVED: To prove a medication directory editing system for reducing a cost which is required for generating a medication directory and also to provide a program for editing the medication directory. SOLUTION: When an IC card stored with prescription information is inserted (Yes in S1), prescription information is read (S2) and prescription information where a prescription date is not entered is made to be a prescription data to be newly prepared (S3). Then the number of times of prescription data with contents being the same as those of prescription data to be newly prepared are calculated in prescription information (S4). When the number of times are six or more (Yes in S5), an editing mode is made to be a simple mode (S10). When those are three or more and less than six (Yes in S6), a standard mode is adopted (S11). In the case of less than three (No in S6), a minute mode is adopted (S7). The medication directory is generated based on the determined editing mode and the prescription information (S8) and printed out (S9).

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medication instruction book editing apparatus and a medication instruction book editing program for editing a medication instruction book provided to a patient when a pharmacist sells or administers a drug.

[0002]

2. Description of the Related Art Pharmacists are obliged to provide necessary information to patients and the like for proper use of drugs under the 1999 Pharmacists Act (Article 25-2 of the Pharmacists Act). . In recent years, medication instruction manuals have been given to patients for the purpose of facilitating the explanation of such drugs. This is because the patient himself / herself recognizes the efficacy and side effects of the drug and the precautions before taking the drug, which may lead to problems with proper administration and medication (such as the occurrence of an accident due to some drowsiness). This is being done to promote reduction.

In order to prepare such a medication instruction book,
For example, in a medicine taking support system disclosed in Japanese Patent Application Laid-Open No. 10-91700, a medicine taking guide is created by printing an external appearance image of a medicine in addition to the contents of a prescription issued by a doctor. Furthermore, in addition to this, the indication of the effect is printed together, and informed consent (informed consent)
consent).

[0004]

However, if the same prescription is repeated at each visit, such as when treatment takes a long time, the same medication instruction book is given to the patient many times with the same medicine. However, patients are often familiar with the medicine they receive each time without having to ask for a detailed explanation. In such a case, the medication instruction book is not read, and the paper, toner, and the like required for creating the medication instruction book are wasted.

[0005] The present invention has been made in view of the above problems, and provides a medication instruction book editing apparatus and a medication instruction book editing program that can reduce the cost required for preparing a medication instruction book. The purpose is to:

[0006]

In order to achieve the above object, a medication instruction book editing apparatus according to the present invention is a medication instruction book editing apparatus for creating a medication instruction book, and a receiving means for receiving prescription data; A recording means for recording prescription data for each patient received in the past, and comparing the received prescription data and the past prescription data recorded by the recording means for one patient, and describing the medication instruction book. And a description item determining means for determining an item.

[0007] In particular, when the prescription data having the same content as the received prescription data is recorded in the recording means for one patient, the patient can recognize the prescribed medicine to some extent. Therefore, if the number of items described in the medication instruction book is set to be smaller than that in the last time, it is possible to reduce the amount of recording paper, toner, and the like required for preparing the medication instruction book, thereby saving resources.

[0008] In addition, the above described item determining means may omit the color-printed items from the medication instruction book.
Generally, it is expensive and can save a lot of color toners such as cyan, yellow and magenta as compared with the consumption of only black toner in monochrome. Further, the above described item determining means, if not omitting at least the description items of designation, usage, and dose of the drug related to the prescription data, considers the significance of the medication instruction book when saving resources as described above. At a minimum, it does not hurt.

[0009] In addition, the described item determining means may reduce the number of items described in the medication instruction book in accordance with the number of times the prescription data having the same content as the prescription data received this time is received. Since items can be reduced step by step according to importance, detailed services can be provided according to the degree of memory of the patient. In addition, even if the same prescription has been received many times in the past, if the interval between them is large, the dosage and the like concerning the prescription may be forgotten. Means are
The prescription data recorded in the recording means for one patient, according to the elapsed time from the reception of the prescription data having the same content as the prescription data received this time,
It is even more preferable if the number of items described in the medication instruction book is smaller than the previous one.

[0010] Further, the medication instruction book editing program according to the present invention includes a receiving step of receiving prescription data from a computer for preparing a dosage instruction book, and a recording step of recording prescription data of each patient received in the past. (1) comparing the received prescription data with the past prescription data recorded by the recording means for one patient, and executing a description item determining step of determining a description item of a medication instruction book; And By doing so, it is possible to cause the computer to execute the same processing as described above to save resources.

[0011]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of a medication instruction book editing apparatus according to the present invention will be described below with reference to the drawings. FIG. 1 is a schematic configuration diagram showing a schematic configuration of a medical support system including a medication instruction book editing device according to the present embodiment. In FIG. 1, a medical support system 1 includes a hospital 2
(Pharmacies 3a, 3b,...) Are connected to a WAN (Wide Area Network) 4 via a router or the like (not shown).
These devices can communicate with each other and exchange data.

In the office room 6 in the hospital 2, a personal computer (hereinafter simply referred to as "PC") 18 has an IC.
Terminal device 1 configured to connect card reader / writer 17
1 is installed. An IC card is issued to each patient who uses the hospital 2, and the staff of the hospital 2 uses the terminal device 11 to write medical data (medical treatment contents, medical treatment history, accounting information related to medical treatment, etc.) on the IC card. Or read them. In addition, the hospital 2
The prescription data created by the doctor is also recorded, and also serves as a prescription.

In the waiting room 5 in the hospital 2, a terminal device 10 for use by the patient himself or his / her attendant is installed. The terminal device 10 includes a display unit 13, an IC card reader / writer 14, a control unit 15, and a printer 16
The patient or the like uses the terminal device 10 to
The medical data recorded on the card can be displayed or printed. Further, the terminal device 10 is an IC
It also provides a service for searching for a pharmacy that can be dispensed according to the prescription data by referring to the prescription data recorded on the card, and for inquiring and displaying the congestion status and the like to each pharmacy via the WAN 4. The terminal devices 10 and 11 in the hospital 2 are connected to a LAN (Local Area Network; not shown).
Are connected to the WAN 4 via a router connected to the LAN, and can communicate with each other via the LAN.

Each of the pharmacies 3a, 3b,... Is provided with a device constituting the medical support system 1. Here, the basic configuration of the equipment of each pharmacy will be described by taking the equipment installed in the pharmacy 3a as an example. In pharmacy 3a, I
PC card reader / writer 19 and printer 21
The terminal device 12 is connected to the WAN 4 via a router (not shown). The terminal device 12 uses the IC card reader / writer 19 to accept the IC card brought by the patient or the like, reads out prescription data from the IC card, and creates a medication instruction book as described later. The terminal device 12 is connected to the printer 21.
Print the medication instruction book using. Further, the terminal device 12 receives the inquiry from the terminal device 10 of the hospital 2, and responds as to whether or not dispensing is possible based on the prescription data related to the inquiry, the congestion status, and the like.

In the medical support system 1, the following database is connected to the WAN 4 in addition to the above-described devices installed in the hospital 2, the pharmacy 3 a, and the like. That is, a hospital DB 7 storing data such as medical subjects and locations of the hospital 2, consultation hours, a pharmacy DB 8 storing data such as stocks and locations of each pharmacy, business hours, and the like, appearance images of drugs, components, effects, The medicine DB 9 stores data such as side effects and notes. Each terminal device such as the hospital 2 or the pharmacy 3a can access these databases via the WAN 4. The location of these databases may be the hospital 2 or the pharmacy 3a, or a separate service center may be provided and installed there. Hospital D
B7 may be installed in the hospital 2 and the pharmacy DB8 and the medicine DB9 may be installed in a pharmacy, and may be distributed and arranged at a plurality of locations.

FIG. 2 is a table showing the structure of medical data stored in the IC card issued by the hospital 2 to the patient. As shown in FIG. 2, each medical data stored in the IC card is classified into respective storage items of basic information, emergency information, adult information, and medical information. For example, when and what kind of medical treatment was received are recorded in the medical treatment history column and the medical treatment content column of the medical information. The prescription issued at which hospital and at which pharmacy was prescribed is recorded in a medication history column and a medication information column.

FIG. 3 is a diagram showing the detailed contents of the medication history column and the medication information column of the medical information.
FIG. 3A shows the contents of the medication history column, and FIG. 3B shows the contents of the medication information column. In FIG. 3A, the medication history column further includes items of a dispensing date, a name of a dispensed pharmacy, and a date of issuance of a prescription relating to the dispensing. The prescription is issued to the patient who owns the IC card. Data is added each time. By referring to this list, it is possible to know when and where the prescription issued and when and by which pharmacy dispensed it.

In FIG. 3 (b), the medication information column includes items of dispensing date and medication information, and the medication information further includes the type of drug to which the patient who is the owner of the IC card has received medication. Dosage and usage are recorded. By referring to this list, it is possible to know when and what medicine should be dispensed and how to use it. next,
The function of the PC 20 of the pharmacy 3a will be described. FIG.
It is a functional block diagram showing the functional configuration of PC20 of pharmacy 3a. As described above, the PC 20 has an IC card reader
The writer 19 and the printer 21 are connected. Also, P
The C20 can access the hospital 2 and the medicine DB 9 via the WAN 4.

The PC 20 is connected to the communication processing unit 30 and the customer D
The communication processing unit 30 executes communication processing for accessing the hospital 2 and the medicine DB 9. The printer control unit 35
The printer 21 is controlled to print a medication instruction book.
The IC card reader / writer control unit 36 controls the IC card reader / writer 19 to read the above-mentioned data from the IC card inserted in the IC card reader / writer 19.

The business management unit 33 reports the congestion status of the pharmacy 3a in response to a request from the hospital 2 transmitted via the WAN 4 or the communication processing unit 30. The business management unit 33
It monitors data from the IC card inserted into the C card reader / writer 19 and receives time information from the clock unit 34 to grasp the congestion status and the like. The editing unit 32
While accessing the medicine DB 9 via the N4 and the communication processing unit 30, the medicine history of the patient corresponding to the IC card is obtained from the customer DB 31, the entry items in the medicine instruction book are determined,
Create a medication instruction book. The editing unit 32 causes the printer 21 to print the created medication instruction book by the printer control unit 35.

FIGS. 5 to 7 show examples of the medication instruction book created by the editing unit 32. FIG. The editing unit 32 creates a medication instruction book in one of three editing modes according to the amount of print content, that is, one of a detailed mode, a standard mode, and a simplified mode. FIG. 5 is an example of a medication instruction book created in the detailed mode. As shown in the figure, the medication instruction manual describes the name, appearance, dosage, usage, efficacy, side effects, and precautions for each drug. The appearance image is printed in full color.

When a patient receives medication based on new prescription data, such as in the case of a first consultation, in the detailed mode, the patient is thoroughly informed of the correct dosage and administration related to the medication.
Enhance the so-called informed consent. FIG.
Is an example of a medication instruction book created in the standard mode.
In the standard mode, the name, dose, usage, indication, side effects, and precautions are described. If the dosage and the like are understood to some extent about the prescription, even such a medication instruction book can make the patient take the correct medication. Also, for the pharmacy, it is possible to save the recording paper by making the medication instruction book compact by omitting the appearance printing, and to save the color toner by printing in monochrome.

FIG. 7 is a medication instruction book prepared in the simplified mode, in which the items of efficacy and side effects are further omitted as compared with the standard mode. When the same prescription is continued for a long time, the patient can execute the correct medication even with the minimum necessary instruction content. Also, the pharmacy can save monochrome toner. 5 to 7 mainly show examples of tablet prescriptions. However, not only tablets, but also notations such as powders, drenches, or coating agents are shown in the drawings as shown in the figures. it can. The usage column may also describe the usage for drugs that are taken on an irregular basis, such as a one-time medication.

Now, in the PC 20 according to the present embodiment, the editing mode is properly used as follows. FIG. 8 is a flowchart showing the operation of the editing unit 32 of the PC 20. Referring to FIG.
First checks whether an IC card has been inserted into the IC card reader / writer 19. If an IC card has not been inserted (No in step S1), the process waits for an IC card to be inserted. When the IC card is inserted (Yes in Step S1), the editing unit 32 reads the medication information from the medical information from the inserted IC card (Step S2). Subsequently, the medication information in which the dispensing date is blank in the read medication information is searched, and the found medication information is set as prescription data to be newly dispensed (step S3).

Next, by searching for prescription data having the same content as the prescription data to be newly dispensed and having no blank dispensing date, the prescription data having the same content as the prescription data to be newly dispensed is searched. The number N of times the data has been issued is calculated (step S4). If N is 6 or more (Yes in step S5), it is considered that the patient who has received the prescription is familiar with the usage and the like related to the prescription, so the edit mode is set to the simple mode (step S10). When N is 3 or more and less than 6 (No in step S5 and Yes in step S6), it is considered that the patient knows the dosage required for the prescription well. The mode is set (step S11). Further, if N is less than 3 (No in step S6), it is considered that the patient is not sufficiently used to the prescription and there is a risk of misusing the medicine, so the detailed mode is set (step S7).

When the editing unit 32 determines the editing mode as described above, the editing unit 32 creates a medication instruction book based on the determined editing mode and the medication information (step S8), and sends the created medication instruction book to the printer 21. And print (step S9). As described above, when medication with the same prescription is repeated, by selecting the edit mode based on the number of times the prescription is issued, the toner and paper required for printing the medication instruction book, and consequently, Since it is possible to save power and the like, it is possible to reduce the cost for preparing the medication instruction book.

Although the present invention has been described based on the embodiments, it is needless to say that the present invention is not limited to the above-described embodiments, and the following modifications can be made. (Modifications) (1) In the above embodiment, the editing mode is selected according to the number of times the prescription data having the same content is repeated. However, instead of this, the editing mode may be selected as follows. That is, the editing mode may be selected based on the time elapsed since the last time the prescription of the same content was made.
FIG. 9 is a flowchart showing the processing contents of the editing unit 32 in the case of the present modification.

Referring to FIG. 9, the editing unit 32 first
It is checked whether an IC card has been inserted into the card reader / writer 19. If an IC card has not been inserted (No in step S20), the process waits for an IC card to be inserted. When the IC card is inserted (Yes in step S20)
s), the editing unit 32 reads the medication information from the medical information from the inserted IC card (step S2).
1). Subsequently, the medication information in which the dispensing date is blank in the read medication information is searched, and the found medication information is set as prescription data to be newly dispensed (step S22).

Next, by searching for prescription data having the same content as the prescription data to be newly dispensed and having the latest dispensing date, the previous prescription data having the same content as the prescription data to be newly dispensed is retrieved. Specify (Step S2
3). If no previous prescription data having the same content is found (No in step S24), the patient needs to be given a detailed description of the first received prescription, so the edit mode is set to the detailed mode (step S28).

If the previous prescription data having the same content is found (Yes in step S24), the elapsed time T from the dispensing date is calculated with reference to the dispensing date (step S25). If the calculated elapsed time T is less than one month (Yes in step S26), it is considered that the patient who received the prescription naturally stores the dosage and the like related to the prescription. (Step S
31). Even when the elapsed time T is one month or more and less than two months (No in step S26 and Ye in step S27)
s) Although it is considered that the patient memorizes the dosage of the prescription well, if he or she makes a mistake, it may cause a serious situation. Therefore, the editing mode is set to the standard mode just in case (step S32). ). Further, when the elapsed time T is two months or longer (No in step S27), the patient forgets the dosage and the like according to the prescription and is considered to have a high possibility of misusing the drug. (Step S28).

When the editing unit 32 determines the editing mode as described above, the editing unit 32 creates a medication instruction book based on the determined editing mode and the medication information (step S29), and sends the created medication instruction book to the printer 21. And print (step S30). In this way, the preparation mode of the medication instruction book is changed according to the degree of the patient's memory regarding the dosage and the like for the previous prescription of the same content. The cost of creating a document can be reduced rationally.

(2) The above modification (1) may be used in combination with the above embodiment. In other words, even when a prescription having the same content is issued many times, if the elapsed time from the previous prescription is long, the edit mode may be set to the detailed mode to supplement the patient's memory. In addition, even if the elapsed time from the previous prescription of the same content is small, if the number of times the same prescription has been received is small, it is considered that the patient has not yet become accustomed to the dosage and the like according to the prescription. Therefore, the misuse of the medicine may be prevented in the detailed mode.

If the time interval between the previous prescription and the previous prescription is large, the patient may not remember the dosage or the like very well, so that the medication instruction book may be set in a more detailed mode. It is preferable to create (3) In the above embodiment, the medication instruction manual is simplified as the number of times the same prescription data is received increases, but the following may be used instead. That is, when the number of times of receiving the same prescription data reaches a predetermined value, the counter may be reset to set the number N to zero. If the medication instruction book in the simplified mode continues, the patient's memory of the effects and side effects may become ambiguous, but in this case, the medication instruction book created in the detailed mode every predetermined number of times Is delivered, the patient's knowledge about the dosage and the like of the drug can be updated, and the patient can be maintained in the correct medication state.

Also in the above modified example (1), the number of times that the medication instruction book prepared in the simple mode is issued is counted, and every time the number of times reaches the predetermined value, the detailed mode is executed regardless of the elapsed time. The same effect can be obtained if the prepared medication instruction book is issued. (4) The threshold of the number of times in the above embodiment is 6 or 3
The times may be another numerical value. For example, since there is a difference in memory between patients, if the threshold is small for patients with good memory, and the threshold is large for patients who do not remember, without impairing the significance of issuing a medication instruction book,
Further, cost reduction can be promoted.

Further, the threshold value may be set according to the number of types of drugs to be administered with the same prescription. That is, it is difficult to memorize the dosage and the like as the number of types of the drug is large, and it is easy to memorize the amount of the type as the number of the types of the drug is small. As described above, the cost can be reduced.

Even in the case where the elapsed time is used as a reference as described in the above modified example (1), it is preferable to set the threshold value in accordance with the ability of the patient, the number of types of medicine, the complexity of usage, and the like. . (5) In the above description, the prescription is replaced by recording the medication information on the IC card. However, even in the case where the prescription data is sent from the hospital to the pharmacy via the network, the present invention is not limited to this. According to this, it is possible to reduce the cost for preparing the medication instruction book.

(6) The present invention can provide an effect by causing a computer to execute the above-described processing. Even if the computer is a PC in a pharmacy, a terminal in the pharmacy can be used. It may be a server accessed from a device via a network. Therefore, the present invention may be a program for causing these computers to execute the above processing.

In the case where a service for preparing a medication instruction book is provided by the server as described above, and the terminal device in the pharmacy receiving the service is printed,
It is not necessary to arrange the customer DB in the pharmacy, and it is sufficient to arrange the customer DB on the server side, so that customer information can be centrally managed. (7) In the above description, the edit mode has three stages: the detailed mode, the standard mode, and the simple mode. However, the present invention is not limited to this. The effects of the invention can be obtained.

(8) In the above embodiment, only the hospital 2 constitutes the medical support system 1. However, the effect of the present invention can be obtained even if the hospital is constituted by a plurality of hospitals. Further, the name of the hospital or doctor who has given the prescription data may be stored in the medication history information of the medical information.

[0040]

As described above, according to the present invention,
Since the form of the medication instruction book is simplified according to the patient's medication history, the cost required for preparing the medication instruction book can be reduced.

[Brief description of the drawings]

FIG. 1 is a schematic configuration diagram showing a schematic configuration of a medical support system including a medication instruction book editing device according to the present embodiment.

FIG. 2 is a diagram showing a configuration of medical data stored in an IC card issued to a patient by a hospital 2.

3A and 3B are diagrams showing detailed contents of a medication history column and a medication information column in medical information, wherein FIG. 3A shows the content of a medication history column, and FIG. Indicates the content.

FIG. 4 is a functional configuration diagram showing a functional configuration of a PC 20 of the pharmacy 3a.

FIG. 5 is a diagram showing an example of a medication instruction book created by an editing unit 32 in a detailed mode.

FIG. 6 is a diagram showing an example of a medication instruction book created in a standard mode by an editing unit 32;

FIG. 7 is a diagram showing an example of a medication instruction book created by an editing unit 32 in a simplified mode.

FIG. 8 is a flowchart showing the operation of the editing unit 32;

FIG. 9 is a flowchart showing an operation content of an editing unit 32 according to a modified example (1).

[Explanation of symbols]

Reference Signs List 1 medical support system 2 hospital 3a, 3b pharmacy 4 WAN 5 waiting room 6 office 7 hospital DB 8 pharmacy DB 9 drug DB 10, 11, 12 terminal device 13 display unit 14, 17, 19 IC card reader / writer 15 control unit 16 , 21 printer 18, 20 personal computer 30 communication processing unit 31 customer DB 32 editing unit 33 business management unit 34 clock unit 35 printer control unit 36 IC card reader / writer control unit

 ──────────────────────────────────────────────────続 き Continuing on the front page (72) Katsuyoshi Kobayashi 2-13-13 Azuchicho, Chuo-ku, Osaka-shi, Osaka Inside Osaka International Building Minolta Co., Ltd. (72) Daisetsu Toyama Azuchi, Chuo-ku, Osaka-shi, Osaka Osaka International Building Minolta Co., Ltd. 3-3-1, Machicho

Claims (7)

[Claims] 1. A medication instruction book editing apparatus for preparing a medication instruction book, a receiving means for receiving prescription data, a recording means for recording prescription data for each patient received in the past, and receiving for one patient. A medication instruction book editing device, comprising: a prescription data which is compared with past prescription data recorded by the recording means to determine an entry item of the medication instruction book. 2. When the prescription data of the same content as the received prescription data is recorded in the recording means for one patient, the description item determination means reduces the number of description items in the medication instruction book from the previous time. The medication instruction book editing device according to claim 1, wherein: 3. The medication instruction book editing apparatus according to claim 2, wherein the description item determination means eliminates the entry items to be printed in color from the medication instruction book. 4. The medication instruction book editing device according to claim 2, wherein the description item determination means does not omit at least each of description items of designation, usage, and dose of a drug related to prescription data. 5. The description item determining means according to claim 2, wherein the number of the description items in the medication instruction book is reduced according to the number of times that the prescription data having the same content as the prescription data received this time is received. Medication Instruction Book Editing Device. 6. The description item deciding means is a prescription data recorded in the recording means for one patient, the prescription data having the same content as the prescription data received this time being received. 2. The medication instruction book editing apparatus according to claim 1, wherein the number of items described in the medication instruction book is reduced as compared with the previous time. 7. A receiving step of receiving prescription data, a recording step of recording prescription data of each patient received in the past, and a prescription data received for one patient with respect to a computer for preparing a medication instruction book. And a description item determining step of determining a description item of the medication instruction book by comparing the past prescription data recorded by the recording means.