JP2004078519A - Prescription operation support system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a prescription operation support system constructed by connecting a computer owned by a medical institution, a center computer for supporting prescription operation and a computer owned by a dispensing pharmacy with an electronic network. <P>SOLUTION: Computer systems of a medical institution 2, an Internet data center 3, the dispensing pharmacy 4, a health insurance society 6 and a national health insurance society 7 of a local authority are connected by the Internet 5 and the like. Data recorded in an insurance IC card 9 are read by using an IC card read-writer and the like and qualification of a patient is authenticated at the Internet data center 3 by using the data and electronic prescription data are sent and received between the computer systems of the medical institution 2 and the like. Hence, operation for storing data in the dispensing system 30 by data input operation with a computer at the dispensing pharmacy 4 can be omitted, and thus incorrect input and the like can be eliminated. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a dispensing service support system configured by connecting an electronic network between a computer owned by a medical institution, a center computer for dispensing service support, and a computer owned by a dispensing pharmacy.
[0002]
Problems to be solved by the prior art and the invention
When a patient consults a hospital, clinic, or other medical institution, and a doctor prepares a prescription that requires a drug, the patient goes to a dispensing pharmacy with the prescription, and the pharmacist writes the prescription at the dispensing pharmacy. It is the flow of dispensing work in medical care that is currently widely practiced to dispense the medicine as specified, input it to the dispensing receipt computer, and deliver the medicine to the patient.
[0003]
However, in the above-described system, when viewed from a medical institution, it is generally unclear whether or not a patient has obtained a drug. As a result, the dispensing pharmacies may have errors in transcribing patient data and prescription data when inputting to the dispensing receipt computer, which makes the checking work cumbersome and costly. From the patient's point of view, there is a problem that the waiting time when receiving a prescription at a medical institution becomes very long, especially when obtaining from a plurality of medical institutions.
[0004]
The present invention has been made to solve the above-described conventional problems, and connects a computer owned by a medical institution, a center computer, and a computer owned by a dispensing pharmacy by an electronic network to perform dispensing at the dispensing pharmacy. It is an object of the present invention to provide a dispensing operation support system capable of performing accurate and efficient operations.
[0005]
In addition, the present invention is capable of performing all medical-related activities from qualification of patients, physicians, and medical providers, including dispensing and testing, including computer systems owned by clinical testing companies, under a common authentication base. The purpose is to provide a dispensing operation support system.
[0006]
[Means for Solving the Problems]
In order to achieve the above object, the dispensing service support system according to claim 1 relates to a portable recording medium for a patient such as an IC card which records patient information relating to the patient in order to achieve the object. Using a center computer system, one or more medical institution computer systems and one or more pharmacy computer systems connected by an electronic network, a system that supports the dispensing business using the one or more pharmacy computer systems, The center computer system examines and certifies the patient information, and has an examination and authentication means for accepting and recording and sending and transmitting electronic prescription data created by the one or more medical institution computer systems for the patient, The one or more medical institution computer systems are Means for reading the patient information recorded on the portable recording medium for patient, means for transmitting the read patient information to the examination and authentication means of the center computer system, and receiving an authentication result from the examination and authentication means Means for generating, recording, and sending electronic prescription data relating to the patient, wherein the one or more pharmacy computer systems reads the patient information recorded on the portable recording medium for the patient, Means for transmitting the read patient information to the examination / authentication means of the center computer system, receiving an authentication result from the examination / authentication means, and transmitting the patient information to the center computer system based on the read patient information. Means for requesting transmission of at least data relating to dispensing for the patient; And having a means for receiving data relating 該調 agent from the computer system.
[0007]
According to the second aspect of the present invention, in order to achieve the above-mentioned object, a portable computer-readable recording medium such as an IC card that records patient information relating to a patient is used for a center computer system, A computer system for connecting a plurality of medical institution computer systems and one or more pharmacy computer systems by an electronic network to support a dispensing operation using the one or more pharmacy computer systems, wherein the center computer system comprises the patient Examination / authentication means for examining and authenticating information, and means for receiving, recording, and sending electronic prescription data created by the one or more medical institution computer systems for the patient, the one or more medical institution computers The system is recorded on the portable recording medium for patient. Means for reading the patient information, sending the read patient information to the examination / authentication means of the center computer system, receiving an authentication result from the examination / authentication means, and generating electronic prescription data relating to the patient. , Recording and sending means, and means for writing the electronic prescription data on the portable recording medium for patients, wherein the one or more pharmacy computer systems are recorded on the portable recording medium for patients. It has a means for reading patient information and a means for sending the read patient information to the examination and authentication means of the center computer system and receiving an authentication result from the examination and authentication means.
[0008]
According to the third aspect of the present invention, in order to achieve the above object, in the dispensing business support system according to the first or second aspect, the electronic prescription data from the one or more medical institution computer systems by the center computer system is transmitted. It is characterized by being able to always take in.
[0009]
According to a fourth aspect of the present invention, there is provided the dispensing service support system according to the first or second aspect, wherein the electronic prescription data is transmitted from the one or more medical institution computer systems by the center computer system. It is characterized in that capture can be performed based on a request from the center computer system.
[0010]
According to a fifth aspect of the present invention, in order to achieve the above object, in the dispensing business support system according to any one of the first to fourth aspects, the electronic system is provided from the one or more medical institution computer systems by the center computer system. It is characterized in that prescription data can be taken in based on a request from the one or more pharmacy computer systems.
[0011]
According to a sixth aspect of the present invention, in order to achieve the above object, in the dispensing service support system according to any one of the first to fifth aspects, the one or more pharmacy computer systems are provided by the medical institution by the center computer system. The electronic prescription data can be fetched from a computer system based on a request from a patient holding the portable storage medium for a patient whose patient information has been read by the reading means.
[0012]
According to a seventh aspect of the present invention, there is provided a dispensing service support system according to any one of the first to sixth aspects, wherein the one or more medical institution provided with the one or more medical institution computer systems is provided. At least one of the above-mentioned patients is configured to be able to select one or a plurality of pharmacies including the one or a plurality of pharmacy computer systems by reading the patient information recorded in the portable storage medium for the patient held by the patient. It is characterized by.
[0013]
According to an eighth aspect of the present invention, in order to achieve the above object, in the dispensing business support system according to any one of the first to seventh aspects, the one or more pharmacy computer systems are read by the reading means so that the patient can use the patient. When reading the patient information recorded in the portable storage medium, the patient who is the holder of the portable storage medium for the patient, one of the one or more medical institutions included in the read patient information Is selectable.
[0014]
According to a ninth aspect of the present invention, in order to achieve the above object, in the dispensing business support system according to any one of the first to eighth aspects, the medical institution computer system orders a clinical test to an external clinical test company. Including a test ordering means, the test ordering means records on a portable storage medium for a doctor or the like and a portable storage medium for a patient for specifying a doctor or a medical provider when ordering a clinical test to the clinical test company. It is characterized by having means for reading the information that has been authenticated and performing authentication.
[0015]
According to a tenth aspect of the present invention, in the dispensing service support system according to the ninth aspect, the test ordering means includes means for referring to a test result in the clinical test company; It is characterized in that it has means for reading information recorded on the portable storage medium for doctors and the portable storage medium for patients at the time of reference and performing authentication.
[0016]
According to the eleventh aspect, in order to achieve the above object, in the dispensing business support system according to any one of the first to eighth aspects, the medical institution computer system orders a clinical test to an external clinical test company. Including a test ordering means, the test ordering means records on a portable storage medium for a doctor or the like or a portable storage medium for a patient for specifying a doctor or a medical provider when ordering a clinical test to the clinical test company. It is characterized by having means for reading the information that has been authenticated and performing authentication.
[0017]
According to a twelfth aspect of the present invention, in order to achieve the above object, in the dispensing service support system according to the eleventh aspect, the test ordering means refers to a test result of the clinical test company; It is characterized in that it has means for reading information recorded in the portable storage medium for doctors or the like or the portable storage medium for patients at the time of reference and performing authentication.
[0018]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments of the present invention will be described with reference to the drawings.
FIG. 1 is a system configuration diagram showing one embodiment of a dispensing operation support system according to the present invention. In the figure, 1 is a patient who is an insured person, 2 is a medical institution, 3 is an Internet data center, 4 is a dispensing pharmacy, and 5 is the Internet. Although detailed illustrations and explanations are omitted, the Internet 5 is connected to the health insurance union 6 of the insurer's company, the national health insurance union 7 of the municipalities, the clinical testing company 8 and the like, and the patient 1 owns it. A health insurance card for a patient as a health insurance card / medical examination ticket or insurance card information recorded on an insurance card IC card 9 as a medical examination ticket can be used as a bearer confirmation key.
[0019]
It should be noted that the storage medium for the insurance card, the consultation ticket, and the like only needs to be portable so that the patient or the like can carry it, and not only an IC card but also various storage media such as a magnetic card and an optical card can be used. Of course, the card type is convenient for carrying, but it is needless to say that other types may be used. Medical institutions 2, Internet data centers 3, dispensing pharmacies 4, health insurance unions 6 (including mutual aid associations and seafarers' insurance), national health insurance 7 (municipalities / unions), clinical testing companies 8, etc. are all computer systems. The Internet data center 3 is a center computer system in this computer system.
[0020]
Each of the medical institutions 2... Comprises a medical accounting receipt computer 12, a computer 13 as an examination request ordering and examination result reference terminal, a computer 14 as a qualification examination terminal, and an insurance card IC card 9. IC card readers / writers (hereinafter referred to as card RWs) 15 and 16 capable of reading information and writing information on the insurance card IC card 9, and a terminal adapter (TA: or router) 17 for connection to the Internet 5. It is provided with a connection device, and can transmit an electronic prescription to a computer system of a predetermined department or company via the Internet 5. Note that this type of computer system usually also includes peripheral devices such as a printer, but these are not shown or described.
[0021]
The Internet data center 3 includes a dispensing information server 10 and a qualification examination / management server 11, both of which are connected to the Internet 5 via a router 19 and a firewall 20. The dispensing information server 10 includes a WWW server 21. The qualification examination / management server 11 includes a qualification database server 22, a WWW server 23, a secure communication server 24, a printer 25, terminal computers 26 and 27, and a hub 28.
[0022]
Each of the dispensing pharmacies 4 is also connected to the Internet 5 via a router 29 and includes a dispensing system computer 30 and a computer 32 as a terminal to which an IC card RW 31 is connected.
[0023]
The health insurance union 6 and the national health insurance union 7 are also connected via a hub 35 so as to connect to the Internet 5 via a router 33 and a firewall 34, an insurer business system 36, a database server 37, a secure communication server 38, The system includes terminal computers 39 and 40, card RWs 41 and 42, and a printer 43, and further includes a card printer 44 for printing the insurance card IC card 9.
[0024]
The clinical test company 8 also includes an FTP server 48, a DNS server 49, a test request conversion system computer 50, and a printer 51 connected via a hub 47 so as to connect to the Internet 5 via a router 45 and a firewall 46. .
[0025]
FIG. 2 is a functional block diagram of the system of the embodiment of FIG. 1. In addition to the configuration of FIG. The drawing includes the authentication base 60. As is well known, the functional blocks described below are configured by combining software resources and hardware resources relating to a computer, and include various functions, such as an activation function and a transmission function. Used. Further, data transmission / reception may or may not be accompanied by encryption, but it goes without saying that it is generally desirable to transmit / receive encrypted data from the viewpoint of security.
[0026]
The doctor / medical provider authentication base 60 issues and authenticates a doctor / card IC card 61 held by a doctor / medical provider (hereinafter referred to as a doctor unless otherwise required). It has a card issuing function 62, a new insured person registration function 63, a qualification management system 64 for doctors, etc., an attribute authentication server 65, and an institution authentication server 66, and transmits and receives information to and from the various computer systems described above. The transmission and reception of this information may be via the Internet 5 or via a dedicated line or the like.
[0027]
As shown, the computer system of the medical institution 2 has four functions of an immediate qualification examination function 2A, a qualification information automatic transfer function 2B, a prescription transmission function 2C, and a clinical test automatic order function 2D.
[0028]
The immediate qualification examination function 2A includes a qualification examination activation function 2A1, a qualification examination transmission function 2A2, a qualification examination result confirmation function 2A3, and a transfer qualification information file generation function 2A4. The qualification information automatic transfer function 2B has a qualification information automatic transfer function 2B1, and handles the latest qualification information file 2B2 among the medical accounting system 121, the prescription database 122, and the prescription creation system 123 by the medical accounting receipt computer 12. Things.
[0029]
The prescription transmission function 2C is a function of transmitting prescription data information taken from the receipt computer 12 to the dispensing information server 10 of the Internet data center 3, and includes a common prescription data creation function 2C1, a dispensing pharmacy selection function 2C2, and prescription data transmission. It has a function 2C3 and a common format prescription database 2C4, and creates a transmission prescription file 2C5.
[0030]
The clinical test automatic ordering function 2D has a test request function 2D1 and a test result reference function 2d1, and the test request function 2D1 has a test request database 2D2, a test request function 2D3, an order information automatic transcription function 2D4, and a form output function 2D5. , And also outputs a test slip 2D6 and a sample label 2D7. The inspection result reference function 2d1 has an inspection result database 2d2.
[0031]
The computer system of the Internet data center 3 includes a qualification information storage / update processing function 111, a qualification screening database 112, a qualification screening function (medical institution) 113, and a qualification screening function (dispensing pharmacy) in the qualification screening / management server 11. The dispensing information server 10 has a patient information database 101, a common prescription database 102, and a prescription data transmission function 103.
[0032]
The computer system of the dispensing pharmacy 4 includes a qualification examination result confirmation function 41, a transcription qualification information file generation function 42, a prescription data request function 43, a dispensing pharmacy accounting system 44, a qualification examination activation function 45, a qualification examination transmission function 46, and a prescription data reception. It has a function 47 and a common format prescription database 48.
[0033]
The health insurance union 6 and the national health insurance union 7 include an insurer business system 671, qualification master database 672, updated qualification data 673, updated qualification information extraction function 674, qualification information transmission function 675, new insured person registration function 676, insurance It has a certificate IC card issuing function 677. Further, the clinical test company 8 has a test request database 81, a test request registration function 82, a test request = reporting system 83, a test result database 84, and a test result report function 85.
[0034]
Next, the operation of the present embodiment will be described. In the operation described below, transmission / reception, storage, extraction, and the like of various data are performed using the authentication of the insurance card IC card 9 as a starting point of the operation. For example, a resident dispensing support application for a medical institution starts a communication resident program or the like on a computer and puts it in a standby state. If data is transmitted, the data is imported to the computer, and the confirmation of the import result and the import is normal. It is checked whether the communication has been performed, and if a communication error occurs, data transmission / reception or the like is performed by a method used for normal computer data communication such as checking from a communication log.
[0035]
The immediate qualification screening function 2A and the automatic qualification information transfer function 2B of the medical institution 2 are functions for coordinating with the medical checkup computer 12 and the qualification screening / management server 11 of the Internet data center 3. The health insurance card IC card 9 submitted by the patient 1 is read at the counter of the medical institution 2 and the operation related to the qualification examination is activated by the qualification examination activation function 2A1, and the qualification examination data is transmitted to the Internet data by the qualification examination transmission function 2A2. It is sent to the qualification screening function (medical institution) 113 of the center 3. The qualification screening database 112 of the qualification screening / management server 11 is updated by the qualification information storage / update processing function 111 with reference to the updated qualification data 673 of the health insurance union 6 and the national health insurance union 7, and the latest data Qualification examination based on the information of the insurance card IC card 9 sent from the medical institution 2 and the result is returned to the qualification examination result confirmation function 2A3 of the medical institution 2 via the qualification examination function (medical institution) 113. . In response to the result, the transfer qualification information file generation function 2A4 generates the latest qualification information file 2B2. The automatic qualification information transfer function 2B1 sends the latest qualification information file 2B2 to the medical accounting system 121 for reading. Further, the latest qualification information file 2B2 is stored in the prescription database 122 and is used for prescription creation by the prescription creation system 123. Although illustration and detailed description are omitted, it is obvious that a conventional system that outputs a prescription as a hard copy of paper or the like may be used.
[0036]
The prescription transmission function 2C of the medical institution 2 is a function of coordinating with the medical accounting receipt computer 12 and the dispensing information server 10 of the Internet data center 3. The patient information is obtained from the insurance card IC card 9 of the patient 1 who has completed the medical examination by the doctor and the treatment by the doctor, etc., and the common prescription data creation function 2C1, the dispensing pharmacy selection function 2C2, and the prescription data transmission function 2C3 work. The prescription data creation function 2C1 causes the prescription creation system 123 to function to create a prescription, read the prescription data into the prescription database 122, send the same data to the common format prescription database 2C4, and was selected by the dispensing pharmacy selection function 2C2. The common form prescription data is created and stored together with the dispensing pharmacy name and the like, and transmitted to the patient information database 101 of the dispensing information server 10. Further, a transmission prescription file 2C5 is created from the common format prescription data stored in the common format prescription database 2C4, and transmitted to the common prescription database 102 of the dispensing information server 10 by the prescription data transmission function 103.
[0037]
That is, when the prescription of the medicine is generated from the information of the insurance card IC card 9, the prescription information is selected by the pharmacy pharmacy 4 by the pharmacy selection function 2C2 together with the prescription data fetched from the prescription database 122 of the receipt computer 12. Information on which dispensing pharmacy is to be transmitted is recorded in the common format prescription database 2C4, patient information is transmitted to the patient information database 101 of the dispensing information server 10, and the prescription data transmission function 2C3 is used to transmit the dispensing information server from the transmission prescription file 2C5. The prescription data is transmitted to the ten common prescription databases 102, and the required prescription data is transmitted to the selected dispensing pharmacy by operating the prescription data transmission function 103.
[0038]
In addition, as an actual terminal operation, for example, prescription information is searched, and if there is corresponding data, a search menu screen of the receiving pharmacy is displayed. If there is no corresponding data (no prescription exists), “Prescription is out. Information display screen such as "No". On the search menu screen, search for a pharmacy by pharmacy name, search for a pharmacy by pharmacy phone number, search for a pharmacy by district code, display a district list, display the corresponding pharmacy list by each search method, select the pharmacy To display the details screen, display the receiving information, select the last receiving pharmacy from the receiving pharmacy search menu, display the last receiving pharmacy details screen, and register the receiving pharmacy this time.
[0039]
In the dispensing pharmacy 4, the qualification screening activation function 45 functions by reading the information of the insurance card IC card 9 brought and submitted by the patient 1, and the qualification screening data is transmitted to the Internet data center 3 via the qualification screening transmission function 46. Qualification screening function (dispensing pharmacy) 114. The qualification screening database 112 of the qualification screening / management server 11 performs qualification screening based on the information on the insurance card IC card 9 sent from the dispensing pharmacy 4, and passes the result through a qualification screening function (dispensing pharmacy) 114. And returns to the qualification screening result confirmation function 41 of the dispensing pharmacy 4. In response to the result, the transfer qualification information file generation function 42 generates a qualification information file, and sends this information file to the dispensing pharmacy accounting system 44. The prescription data requesting function 43 functions by the qualification screening result confirmation function 41, transmits information to the patient information database 101 of the dispensing information server 10, requests data transmission to the common format prescription database 102, and sets the prescription data transmission function 103 to The prescription data is received via the prescription data receiving function 47, the prescription data is stored in the common prescription database 48, and the data is sent to the dispensing pharmacy accounting system 44. These data enable dispensing and accounting based on the prescription in the dispensing pharmacy accounting system 44.
[0040]
Next, when the doctor or the like examines and treats the patient and determines that a clinical test is required, the clinical test automatic ordering function 2D is used. That is, the test request function 2D1 is made to function to read the information of the insurance card IC card 9 and the information of the doctor's IC card 61, and the test request function 2D3 is used by the test request function 2D3 via the test request database 2D2. Request a clinical test. Further, it outputs the order information of the clinical examination to the medical accounting system 121 via the order information automatic transfer function 2D4 and records it, and outputs the inspection slip 2D6 and the sample label 2D7 via the form output function 2D5.
[0041]
The clinical test company 8 receiving the clinical test request makes the test request registration function 82 function via the test request database 81, performs a clinical test based on the registered contents, and performs a test request = test result database via the report system 83. The data is registered in 84 and the test result is output to the test result database 2d2 of the automatic clinical test ordering function 2D based on the test result report function 85. The test result is referred to by making the test result reference function 2d1 function by reading the information of the health insurance card IC card 9 and the information of the doctor IC card 61, and referring to the recorded contents of the test result database 2d2.
[0042]
Note that, in addition to the above functions, actual operation functions in the computer system of each unit of the present embodiment include a login function, a prescription input function, a prescription printing function, a prescription data correction function, a drug history search function, a prescription statistics function, a The first and second medicine statistics functions, the password change function, the master management function, the surplus medicine registration function, the surplus medicine change function, the surplus medicine deletion function, and the surplus medicine list function may be selectively provided.
[0043]
The login function is a function corresponding to an operation in the medical institution 2... And the dispensing pharmacy 4. For example, when a login is performed from the client computer of the medical institution 2, the main screen is displayed, and a log-in screen is displayed by clicking a basic approval button on the client computer side. From the login screen, the user ID as the medical institution 2 is displayed. If a password is entered and a correct user ID and password are entered and login is successful, the menu button is enabled. If an incorrect user ID and password is entered, an error message is displayed as login failure.
[0044]
The prescription input function is a function in the medical institution 2 and enables electronic prescription data to be created by inputting various items of prescription data. For example, when the prescription input function button is clicked on the client computer of the medical institution 2 and the prescription input submenu is clicked, a screen display such as “Please insert an insurance card IC card” is displayed, and the insurance card IC card 9 is displayed. Set on the RW16, when the execution button is clicked, a patient confirmation screen is displayed. When the display contents of the patient confirmation screen are confirmed to be correct and the confirmation button is clicked, a new personal information input item menu is displayed. Information, medical information, insurance information, comment information, and prescription information are input.
When the operator clicks the registration button, if there is an error in the registered contents, an error is displayed.
[0045]
The prescription printing function is a function corresponding to the operation in the medical institution 2 and the dispensing pharmacy 4, and selects prescription data and prints electronic prescription data on paper. For example, when the prescription input function button is clicked and the prescription printing submenu is clicked, a screen display such as "Please insert an insurance card IC card" is executed, and the insurance card IC card 9 is set on the cards RW16 and RW31. When the execution button is clicked, a patient confirmation screen is displayed. When the confirmation button is clicked by confirming that the display contents of the patient confirmation screen are correct, a prescription record list is displayed. The operator can click the prescription date and time in an arbitrary line to display a prescription content screen, and if necessary, click the print button to print the prescription content.
[0046]
The prescription data correction function is a function in the medical institution 2 and is a function that enables selection of prescription data and correction of any item of the electronic prescription data. For example, when the prescription input function button is clicked, a screen display such as "Please insert an insurance card IC card" is displayed, the insurance card IC card 9 is set on the card RW16, and when the execution button is clicked, a patient confirmation screen is displayed. When the confirmation button is clicked by confirming that the display contents of the patient confirmation screen are correct, a correction contents selection screen is displayed, and basic information update, medicine information update, insurance information update, comment information update, prescription information update, deletion processing, One of deletion cancellation can be selected. The operator clicks on a prescription date and time in an arbitrary line to display a prescription correction screen, corrects any item on the prescription correction screen, clicks an update button, and confirms that no error occurs.
[0047]
The drug history search function is a function corresponding to an operation in the medical institution 2 and the dispensing pharmacy 4, and makes it possible to search a patient's past drug history. For example, when the drug history search function button is clicked and the drug history search submenu is clicked, a screen such as "Please insert an insurance card IC card" is displayed, and the insurance card IC card 9 is displayed on the cards RW16 and RW31. When the button is set and the execution button is clicked, the patient confirmation screen is displayed. When the confirmation button is clicked by confirming that the display contents of the patient confirmation screen are correct, the prescription record list is displayed. The operator clicks on a prescription date and time in an arbitrary row of the prescription record list to display a past prescription content screen and confirm the display content.
[0048]
The prescription statistics function is also a function corresponding to operations in the medical institution 2 and the dispensing pharmacy 4, and makes it possible to search past prescription statistics of a patient. For example, when the statistic management function button is clicked and the prescription statistic submenu is clicked, a prescription statistic search condition input screen is displayed. The operator inputs search conditions, clicks a statistics button, displays a prescription statistics screen, and confirms the displayed contents.
[0049]
The first medicine statistics function is also a function corresponding to operations in the medical institution 2 and the dispensing pharmacy 4, and makes it possible to retrieve medicine statistics from past prescription dates and medicine codes. For example, when the statistics management function button is clicked and the drug statistics submenu is clicked, a drug statistics search condition input screen is displayed. The operator inputs search conditions and clicks a statistics button to display a drug statistics screen.
[0050]
The second medicine statistics function is a function corresponding to the operation in the dispensing pharmacy 4, and makes it possible to search the medicine statistics from the past prescription date, the dispensing pharmacy code, and the medicine code. For example, when the statistics management function button is clicked and the drug statistics submenu is clicked, a drug statistics search condition input screen is displayed. The operator inputs search conditions and clicks a statistics button to display a drug statistics screen.
[0051]
The password change function is also a function corresponding to the operation in the medical institution 2 and the dispensing pharmacy 4, and enables the change of the login password. For example, when the operation management function button is clicked and the password change submenu is clicked, a password change screen is displayed. The operator inputs a new password and clicks an update button. When the operator clicks the update button, if there is an error in the registered contents, an error is displayed.
[0052]
The master management function is also a function corresponding to operations in the medical institution 2 and the dispensing pharmacy 4, and is a function that enables a master file in the master database to be changed. For example, when a master management function button is clicked and an arbitrary master maintenance submenu is clicked, a maintenance screen of the selected master file is displayed. The operator inputs the contents of the correction and clicks a registration / update button. When the operator clicks the registration / update button, an error is displayed if there is an error in the registered contents. The master database and the master file may be set in any manner. However, in the illustrated embodiment, the common prescription database 102 may be, for example, the WWW server 23, or may be configured in the illustrated embodiment. It is also possible to adopt a configuration in which an external company outside the system holds the master database and the master file and connects via the Internet 5. The same applies to the case where the master database is simply referred to in the following description.
[0053]
The surplus drug registration function is a function corresponding to the operation in the dispensing pharmacy 4, and enables the surplus drug to be registered in the master file of the master database. For example, when the medicine information function button is clicked and the surplus medicine registration submenu is clicked, the surplus medicine registration screen is displayed. The operator inputs registration contents and clicks a registration button. When the operator clicks the registration button, if there is an error in the registered contents, an error is displayed.
[0054]
The surplus medicine changing function is also a function corresponding to the operation in the dispensing pharmacy 4, and enables the contents of the master file of the master database for the surplus medicine to be changed. For example, when the medicine information function button is clicked and the surplus medicine change submenu is clicked, a changeable data list screen is displayed. The operator clicks an arbitrary line in the changeable data list to display a change content input screen, inputs the change content, and clicks the change button. When the operator clicks the register button, if there is an error in the changed content, an error is displayed.
[0055]
The surplus drug deleting function is also a function corresponding to the operation in the dispensing pharmacy 4, and makes it possible to delete the contents of the master file of the master database for the surplus drug. For example, when the medicine information function button is clicked and the surplus medicine deletion submenu is clicked, a deleteable data list screen is displayed. The operator clicks an arbitrary line in the list of deleteable data to display a deletion content input screen, confirms the content, and clicks the delete button. When the operator clicks the delete button, if there is an error in the content of the deletion, an error is displayed.
[0056]
The surplus medicine list function is also a function corresponding to the operation in the dispensing pharmacy 4, and can display the contents of the master file of the master database for the surplus medicine. For example, when the medicine information function button is clicked and the surplus medicine list submenu is clicked, a search condition input screen is displayed. When the operator inputs search conditions and clicks a search button, a list of drug stock information is displayed.
[0057]
Further, a processing function in the dispensing pharmacy 4 by the dispensing operation support application will be described. The functions include a function of acquiring prescription information, a function of acquiring prescription information, and a function of linking with an existing dispensing system. These functions are achieved by combining the prescription processing in the dispensing pharmacy 4 and the information processing function in the Internet data center 3.
[0058]
As for the function of acquiring prescription information in the dispensing pharmacy 4, the patient information is acquired from the insurance card IC card 9 as described above, and the electronic prescription data is retrieved from the common prescription database 102 of the Internet data center 3, and If the prescription data is received (patient arrival) and the prescription data is present and the medical institution 2 is selecting the dispensing pharmacy, the “prescription data selection menu” is displayed and the patient 1 dispenses. The arrival at the pharmacy 4 may be confirmed. Also, the function of acquiring prescription information can acquire patient information from the insurance card IC card 9 and fetch electronic prescription data from the common prescription database 102 of the Internet data center 3 into the dispensing system computer 30 of the dispensing pharmacy. I do. For example, the patient information is obtained from the insurance card IC card 9 submitted by the patient 1, the common prescription database 102 of the Internet data center 3 is searched, and the corresponding pharmacy 4 is selected by the medical institution 2 with the corresponding prescription data. Is not performed, the "prescription data selection menu" is displayed, and by selecting the dispensing pharmacy 4, the electronic prescription information can be obtained. In this case, the electronic prescription information is transmitted from the common prescription database 102 of the Internet data center 3 to the dispensing pharmacy 4. The dispensing pharmacy 4 combines the acquired electronic prescription data files. Specifically, the dispensing pharmacy 4 enters the prescription data into the database of the medical accounting system.
[0059]
In the above-described embodiment, a system in which the insurance card IC card 9 is read at the counter of the dispensing pharmacy 4 to perform qualification screening, a prescription transmission request, and the like is used. Can be adopted. In any case, under the current system, prescriptions are limited to paper, and it is not permitted to transfer drugs only by electronic data.Therefore, it is necessary to consider the existing dispensing system and the transition from this existing system. The embodiment system can cope with the point that the patient 1 needs to present both the paper prescription and the insurance card IC card 9 at the dispensing pharmacy 4.
[0060]
Also, in the dispensing pharmacy 4, after the data of one patient is transferred from the insurance card IC card 9, a list of the medical institutions 2 consulted within 3 days is displayed on the screen, and the medical institution 2 that issued the medical institution after viewing the paper prescription is displayed. It is also possible to select and download the corresponding prescription data from the medical institution 2.
[0061]
Furthermore, a system in which the patient 1 itself transmits data from the exit terminal of the medical institution 2 to the target dispensing pharmacy 4 can also be adopted. At present, in a medical institution where the dispensing waiting time of the patient 1 is shortened, such as a hospital that provides a facsimile transmission service of a prescription, the patient himself operates the touch panel at an exit terminal of the medical institution, It is preferable to perform an operation of transmitting the prescription data to its own dispensing pharmacy. In a clinic where a facsimile service is provided at the counter, only the card RW may be installed so that the pharmacy can be designated and transmitted on behalf of the patient at the counter terminal.
[0062]
FIG. 3 is a functional block diagram of another embodiment of the dispensing operation support system according to the present invention. In this embodiment, the prescription data is stored in the common prescription database 102 of the Internet data center 3 and also in the insurance card IC card 9 so that the prescription data can be read out also in the dispensing pharmacy 4. .
[0063]
Therefore, in the present embodiment, the prescription transmission function 2C of the medical institution 2 is provided with a prescription data writing function 2C6, and the dispensing pharmacy 4 is provided with a prescription data reading function 47a.
[0064]
Since the basic operation is substantially the same as that of the previous embodiment, a duplicate description will be omitted. However, in the medical institution 2, when the prescription of the medicine is generated from the information of the insurance card IC card 9, the prescription of the receipt computer 12 The dispensing pharmacy 4 is selected by the dispensing pharmacy selection function 2C2 together with the prescription data fetched from the database 122, and the information on which dispensing pharmacy the prescription information relates to is recorded in the common format prescription database 2C4, and the patient information is dispensed. The prescription data is transmitted to the patient information database 101 of the information server 10, and the prescription data is transmitted from the transmission prescription file 2C5 to the common prescription database 102 of the dispensation information server 10 by the prescription data transmission function 2C3. The prescription data writing function 2C6 causes the common prescription database 102 to write prescription data to the insurance card IC card 9.
[0065]
Also, the dispensing pharmacy 4 does not have a function of receiving prescription data from the common prescription database 102 of the Internet data center 3 and reads the information on the insurance card IC card 9 brought and submitted by the patient 1 to activate the qualification screening function 45. Performs the same operation related to the qualification examination as in the previous embodiment, and receives the result, the prescription data reading function 47a functions by the qualification examination result confirmation function 41, and the prescription data recorded on the insurance card IC card 9 Is read out, the data is stored in the common format prescription database 48, and the data is sent to the dispensing pharmacy accounting system 44 so that dispensing and accounting based on the prescription in the dispensing pharmacy accounting system 44 can be performed.
[0066]
Note that, in the embodiment of FIG. 3, a part related to the clinical test and a part related to the authentication base of a doctor or the like in the previous embodiment are not illustrated, but it is needless to say that these may be included in the present embodiment. .
[0067]
【The invention's effect】
As described above, the dispensing service support system according to the present invention is configured by connecting a computer owned by a medical institution, a center computer for dispensing service support, and a computer held by a dispensing pharmacy via an electronic network. Therefore, a series of actions from patient certification to dispensing at a dispensing pharmacy can be performed accurately and efficiently, while reducing costs related to prescription processing at dispensing pharmacies and improving patient convenience. There is an effect that can be achieved.
[Brief description of the drawings]
FIG. 1 is a configuration diagram showing an embodiment of a dispensing operation support system according to the present invention.
FIG. 2 is a block diagram showing an internal configuration of a dispensing information center and a dispensing pharmacy included in the system of FIG.
FIG. 3 is a functional block diagram of another embodiment of the dispensing operation support system according to the present invention.
[Explanation of symbols]
1 patient
2 medical institutions
2A Instant qualification screening function
2A1 Qualification screening activation function
2A2 Qualification examination sending function
2A3 Qualification screening result confirmation function
2A4 Posting qualification information file generation function
2B Qualification information automatic posting function
2B1 Qualification information automatic posting function
2B2 Latest certification information file
2C prescription transmission function
2C1 Common prescription data creation function
2C2 Dispensing pharmacy selection function
2C3 prescription data transmission function
2C4 common prescription database
2C5 transmission prescription file
2C6 Prescription data writing function
2D clinical test automatic ordering function
2D1 inspection request function
2D2 inspection request database
2D3 inspection request function
2D4 Order information automatic posting function
2D5 report output function
2D6 inspection slip
2D7 sample label
2d1 Inspection result reference function
2d2 test result database
3 dispensing information center
4 dispensing pharmacies
41 Qualification Review Result Confirmation Function
42 Posting qualification information file generation function
43 Prescription data request function
44 Dispensing Pharmacy Accounting System
45 Qualification Examination Activation Function
46 Qualification Examination Transmission Function
47 Prescription data receiving function
47a Prescription data reading function
48 Common Format Prescription Database
5 Internet
6 Health Insurance Association
7 Municipal health insurance associations
671 Insurer Business System
672 Qualification Master Database
673 Renewal qualification data
674 Update qualification information extraction function
675 Credential information transmission function
676 New Insured Person Registration Function
677 Insurance card IC card issuing function
8 Clinical laboratory companies
81 Inspection request database
82 Inspection request registration function
83 Inspection request = report system
84 Test Result Database
85 Inspection result report function
9 Insurance card IC card
10 Dispensing information server
101 Patient information database
102 Common Prescription Database
103 Prescription data transmission function
11 Qualification screening and management server
111 Credential information storage / update processing function
112 Qualification Examination Database
113 Qualification Examination Function (Medical Institution)
114 Qualification Screening Function (Dispensing Pharmacy)
12 Reception computer
121 Medical Accounting System
122 Prescription Database
123 Prescription System
13 Computer for inspection request ordering and inspection result reference terminal
14 Computer as a qualification screening terminal
15, 16, 31, 41, 42 IC card reader / writer
21, 23 WWW server
22 Qualification database server
24 Secure Communication Server
30 Dispensing system computer
36 Insurer business system
37 Database Server
38 Secure Communication Server
50 Inspection request conversion system computer
60 Doctor / Medical Provider Authentication Platform
61 IC Cards for Doctors
62 IC card issuing function for doctors etc.
63 New Insured Person Registration Function
64 Qualification Management System for Doctors
65 Attribute authentication server
66 Institution authentication server

Claims (12)

In connection with the possession of a patient, a center computer system, one or more medical institution computer systems, and one or more pharmacy computer systems are electronically connected using a portable recording medium for a patient such as an IC card that records patient information on the patient. Connected by a network, a system that supports dispensing operations using one or more pharmacy computer systems,
The center computer system examines and certifies the patient information, and has an examination and authentication means for accepting and recording and sending and transmitting electronic prescription data created by the one or more medical institution computer systems for the patient,
The one or more medical institution computer systems read the patient information recorded on the portable recording medium for the patient, and send the read patient information to the examination / authentication means of the center computer system. And means for receiving an authentication result from the examination and authentication means, and means for generating, recording, and sending electronic prescription data relating to the patient,
The one or more pharmacy computer systems reads the patient information recorded on the portable recording medium for the patient, and sends the read patient information to the examination / authentication means of the center computer system. Means for receiving an authentication result from the examination / authentication means, means for requesting the center computer system to transmit at least data relating to the patient regarding dispensing based on the read patient information, and the center computer system A means for receiving data on the dispensing from a dispensing operation. In connection with the possession of a patient, a center computer system, one or more medical institution computer systems, and one or more pharmacy computer systems are electronically connected using a portable recording medium for a patient such as an IC card that records patient information on the patient. Connected by a network, a system that supports dispensing operations using one or more pharmacy computer systems,
The center computer system examines and certifies the patient information, and has an examination and authentication means for accepting and recording and sending and transmitting electronic prescription data created by the one or more medical institution computer systems for the patient,
The one or more medical institution computer systems read the patient information recorded on the portable recording medium for the patient, and send the read patient information to the examination / authentication means of the center computer system. And means for receiving an authentication result from the examination and authentication means, means for generating, recording, and sending electronic prescription data relating to the patient, and means for writing the electronic prescription data to the portable recording medium for patient,
The one or more pharmacy computer systems reads the patient information recorded on the portable recording medium for the patient, and sends the read patient information to the examination / authentication means of the center computer system. And a means for receiving an authentication result from the examination and authentication means. 3. The dispensing service support system according to claim 1, wherein the center computer system can always take in the electronic prescription data from the one or more medical institution computer systems. . 3. The dispensing service support system according to claim 1, wherein the center computer system can take in the electronic prescription data from the one or more medical institution computer systems based on a request from the center computer system. A dispensing business support system characterized by the following. 5. The dispensing service support system according to claim 1, wherein the incorporation of the electronic prescription data from the one or more medical institution computer systems by the center computer system corresponds to a request by the one or more pharmacy computer systems. A dispensing business support system characterized in that it can be performed on the basis of a dispensing operation. 6. The dispensing service support system according to claim 1, wherein the one or more pharmacy computer systems read the electronic prescription data from the medical institution computer system by the center computer system and read the electronic prescription data from the medical institution computer system by the reading means. A dispensing operation support system characterized in that the operation can be performed based on a request from a patient holding the portable storage medium for a patient whose information has been read. 7. The dispensing service support system according to claim 1, wherein at least one of the one or more medical institutions provided with the one or more medical institution computer systems has the received portable storage for a patient held by the received patient. A dispensing service support system wherein patient information recorded on a medium is read and one or a plurality of pharmacies including the one or a plurality of pharmacy computer systems can be selected. 8. The dispensing service support system according to claim 1, wherein the one or more pharmacy computer systems read the patient information recorded on the patient portable storage medium by the reading means. A dispensing service support system, wherein a patient who is a holder of the portable storage medium for a patient can select any one or a plurality of medical institutions included in the read patient information. 9. The dispensing service support system according to claim 1, wherein the medical institution computer system includes test ordering means for ordering a clinical test from an external clinical test company, and the test ordering means sends the test order to the clinical test company. At the time of ordering a clinical test, comprising means for reading and recording information recorded in a portable storage medium for a doctor or the like for specifying a doctor or a medical provider and the portable storage medium for a patient, Dispensing business support system. 10. The dispensing service support system according to claim 9, wherein said test ordering means refers to a test result of said clinical test company, and said doctor's portable storage medium and said patient's portable storage at the time of referring to said test result. A dispensing service support system comprising means for reading information recorded on a medium and performing authentication. 9. The dispensing service support system according to claim 1, wherein the medical institution computer system includes test ordering means for ordering a clinical test from an external clinical test company, and the test ordering means sends the test order to the clinical test company. When ordering a clinical test, there is provided a means for reading and recording information recorded in a portable storage medium for a doctor or the like for specifying a doctor or a medical provider or the portable storage medium for a patient, and Dispensing business support system. 12. The dispensing service support system according to claim 11, wherein the test ordering means refers to a test result in the clinical test company, and the portable storage medium for the doctor or the patient or the portable storage for the patient when referring to the test result. A dispensing service support system comprising means for reading information recorded on a medium and performing authentication.

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