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JP2004206578A - Drug history book system - Google Patents

Drug history book system Download PDF

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Publication number
JP2004206578A
JP2004206578A JP2002377137A JP2002377137A JP2004206578A JP 2004206578 A JP2004206578 A JP 2004206578A JP 2002377137 A JP2002377137 A JP 2002377137A JP 2002377137 A JP2002377137 A JP 2002377137A JP 2004206578 A JP2004206578 A JP 2004206578A
Authority
JP
Japan
Prior art keywords
drug
camera
patient
pharmacy
drug history
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2002377137A
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Japanese (ja)
Inventor
Kenichi Goto
憲一 後藤
Tei Nomoto
禎 野本
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Higashi Nihon Medicom Co Ltd
Original Assignee
Higashi Nihon Medicom Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Higashi Nihon Medicom Co Ltd filed Critical Higashi Nihon Medicom Co Ltd
Priority to JP2002377137A priority Critical patent/JP2004206578A/en
Publication of JP2004206578A publication Critical patent/JP2004206578A/en
Pending legal-status Critical Current

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Abstract

<P>PROBLEM TO BE SOLVED: To create a drug history book useful for appropriate drug diagnosis and drug guidance matching a patient by recording an effect and symptoms of a side effect of a drug observed from an appearance of the patient. <P>SOLUTION: A camera 3 is installed in a counter of a pharmacy 20 for taking pictures of an affected part, a face, the whole body, a skin condition, or the like of the patient receiving the drug, and then, a photographed image is stuck to the drug history book. Especially, the camera 3 is a digital camera, the camera 3 is connected to a pharmacy terminal machine 2 used for recording to the drug history book, and the image or animation data taken by the camera 3 are inputted into the pharmacy terminal machine 2 for pasting the data to the drug history book of the patient. <P>COPYRIGHT: (C)2004,JPO&NCIPI

Description

【0001】
【発明の属する技術分野】
本発明は、処方薬剤の調剤を行う薬局において作成される薬歴簿に関するものであり、薬歴簿に、薬歴や調剤記録に加えて、視覚的に確認できる患者の症状を撮影して記録するシステムに関するものである。
【0002】
【従来の技術】
病院や診療所等の医療機関で診察を受けた患者は、医師によって薬剤を処方され、院内または院外の薬局で薬剤が与えられる。
【0003】
薬剤には、通常、効能と副作用とがあり、医師または薬剤師は、処方薬剤の傷病に対する作用と、起こりうる副作用の初期症状や対処等について、患者に適切な説明をしなければならない。従って、従来より、薬剤師が、薬剤の使用法や副作用、注意事項などの薬剤情報を記載した服薬指導書を患者に渡すとともに口頭で服薬指導を行い、患者が自己監視しながら正しく服薬し、危険を回避できるようにすることが行われている。
【0004】
【発明が解決しようとする課題】
しかしながら、専門的な医学知識を有しない患者にとって、毎日少しずつ変わっていく症状の変化や副作用の初期症状を自覚することは困難であった。また、薬剤師が個々の患者の症状に合った薬剤診断や服薬指導を行うために、薬剤の作用や副作用に関する症状を客観的に判断する手段が必要とされていた。
【0005】
本発明は、上記の問題点を解決するためになされたものであり、患者の外見上現れる薬剤の作用や副作用の症状を記録して、患者に合わせた適正な薬剤診断および服薬指導を行うために役立つ薬歴簿の作成手段を提供するものである。
【0006】
【課題を解決するための手段】
そこで、本発明は、薬局の窓口にカメラを設置し、薬剤を受け取る患者の患部や顔色、全身、皮膚の状態等を撮影して、その画像を薬歴簿に貼り付けることとした。
【0007】
患者が来局した際に患部等を撮影し、その画像を薬歴簿に記録しておけば、前回と比較して薬剤の効果が現れているかどうか、症状が進行していないかどうか、または発疹等の副作用が発現していないかどうかを視覚的且つ客観的に確認することができる。
【0008】
そして、カメラをデジタルカメラとし、端末機とカメラとを接続することによって、画像データの貼り付けが迅速且つ容易に行えるうえ、静止画像だけでなく動画も容易に薬歴簿に組み込むことができる。
【0009】
また、薬剤情報を統括する機関に設けられたサーバに薬歴簿データベースが格納されていて、医療機関や患者自身が有するパソコン等の端末機からインターネットを介してサーバへ接続し、薬歴簿を閲覧することができるようにすれば、患部等の画像や動画を記録した薬歴簿の情報を医師や患者自身も共有することができる。
【0010】
【発明の実施の形態】
本発明の実施の形態を図面に基づいて説明する。
【0011】
図1は、本発明を実施する設備構成の一例を示すものである。
【0012】
薬局20には薬局用端末機2が設置され、窓口に設けられたカメラ3と接続されている。薬局用端末機2としては、制御装置、通信装置、入力装置、表示装置を備えた通常のパソコン等が用いられ、この薬局用端末機2によって、患者の薬歴簿が作成される。カメラ3は、少なくとも短時間の動画が撮影できるデジタルカメラとされ、一台または窓口の数に応じて複数台設けられて、撮影した画像や動画のデータを薬局用端末機2へ送信できるようにされている。
【0013】
また、薬剤情報等を統括管理する機関に設置されたサーバ9には、患者毎の薬歴簿が記憶された薬歴簿データベースが格納されていて、薬局用端末機2からインターネットを介してサーバ9へ接続することができるようになっている。そして、薬局用端末機2で患者毎の薬歴簿を作成してサーバ9へ送信すると、その薬歴簿をサーバ9内の薬歴簿データベースへ記録させることができるとともに、薬局用端末機2を用いて、薬歴簿データベースに記憶された内容を閲覧することができる。更に、医療機関40に設置された医療用端末機4、または医療関係者や患者自身が有するパソコン51や移動体端末機器52等の端末機5を用いて、インターネットを介してサーバ9に接続し、薬歴簿データベースを閲覧することができる。この場合、それぞれの利用者は、ID記号やパスワード等の認証手段を有し、サーバ9が各利用者を識別することによって、利用者毎の権限に応じた範囲のデータのみに接続できるようにされる。
【0014】
図2は、本発明の実施手順を示すものである。
【0015】
患者が薬局20を訪れて処方箋を提出すると、薬剤師は、処方薬剤の適合性を薬剤診断し、調剤を行うとともに、患部や顔色、全身、顔や手足等の皮膚の状態、手足の形状等、患者の傷病の種類や薬剤の性質に応じた部位をカメラ3で撮影する。患者の症状が身体の動きに関する場合等には、動画による撮影を行う。
【0016】
撮影した画像または動画のデータは、カメラ3から薬局用端末機2へ送信され、患者の保険証情報や薬歴、調剤記録等が記録された薬歴簿の所定個所へ貼り付けられる。
【0017】
こうして作成された薬歴簿は、インターネットを介してサーバ9へ送信され、サーバ9内の薬歴簿データベースへ記録される。
【0018】
そして、サーバ9に記録された薬歴簿データベースの内容は、医療機関40に設置された医療用端末機4や、回診や往診等を行う医師或いは患者自身が保有するパソコン51または移動体端末機器52等、インターネットに接続可能な端末機5を用いて閲覧することができるので、例えば患者が自分の薬歴簿を閲覧して、症状の変化を自覚したり副作用出現の有無を確認したりすることができる。また、薬局20や医療機関40において、画像または動画を貼り付けた薬歴簿を閲覧することによって、薬剤師および医師によって、患者の傷病に対する回復具合や進行状況を経時的且つ客観的に診断することができる。
【0019】
尚、本発明で用いられるカメラ3はデジタルカメラに限らず、フィルムを用いたカメラやインスタントカメラ等でもよく、その場合には、プリントした写真を、紙等に印刷した薬歴簿に貼り付けたり、或いはプリントした写真をスキャナで読み込んでデジタル化したデータを電子薬歴簿へ組み込んだりしてもよい。
【0020】
また、薬歴簿データベースが、外部機関のサーバ9ではなく薬局用端末機2の記憶装置に蓄積される場合には、撮影した画像または動画を、医療機関40で電子カルテの作成等に用いられている医療用端末機4へ送信することによって、データを共有するようにしてもよい。
【0021】
【発明の効果】
本発明によると、薬剤によって患者の外見上に現れる症状の変化や副作用出現の有無を客観的且つ経時的に記録できるので、薬剤師による薬剤診断や服薬指導を有効に行うことができる。
【0022】
また、デジタルカメラを用いて撮影することによって画像または動画を電子化すれば、医療機関や患者等の間で容易に情報を共有することができる。
【図面の簡単な説明】
【図1】本発明を実施するためのハードウェア構成を示す概略図である。
【図2】本発明の実施手順を示す流れ図である。
【符号の説明】
2 薬局用端末機、3 カメラ、4 医療用端末機、5 端末機、9 サーバ、20 薬局、40 医療機関、51 パソコン、52 移動体端末機器
[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a drug history book created in a pharmacy that dispenses prescription drugs, and in addition to a drug history and a dispensing record, a drug history sheet is created by photographing and recording symptoms of a patient that can be visually confirmed. It is related to the system that performs.
[0002]
[Prior art]
A patient who is examined at a medical institution such as a hospital or a clinic is prescribed a medicine by a doctor, and given the medicine at a pharmacy inside or outside the hospital.
[0003]
Drugs usually have efficacy and side effects, and a physician or pharmacist must give a proper explanation to the patient about the effects of prescription drugs on injuries and illnesses, and the initial symptoms and management of possible side effects. Therefore, conventionally, a pharmacist handed a medication instruction book describing drug information such as how to use the drug, side effects, and precautions to the patient, and gave oral guidance on the medication. It has been done to be able to avoid.
[0004]
[Problems to be solved by the invention]
However, it has been difficult for patients who do not have specialized medical knowledge to be aware of changes in symptoms that gradually change every day and initial symptoms of side effects. In addition, in order for a pharmacist to perform drug diagnosis and medication guidance according to individual patient's symptoms, there is a need for a means for objectively judging symptoms related to the action and side effects of the drug.
[0005]
The present invention has been made in order to solve the above-mentioned problems, and to record the symptoms of the action and side effects of the drug apparently appearing on the patient, and to perform appropriate drug diagnosis and medication instruction tailored to the patient. It provides a means of creating a drug history book that is useful for:
[0006]
[Means for Solving the Problems]
Therefore, according to the present invention, a camera is installed at the counter of the pharmacy, the affected part, the complexion, the whole body, the condition of the skin, and the like of the patient receiving the medicine are photographed, and the image is pasted on the medicine log.
[0007]
When the patient comes to the office, take an image of the affected area, etc., and record the image in the drug history record, if the effect of the drug has appeared compared to the previous time, whether the symptoms have not progressed, or It is possible to visually and objectively check whether or not a side effect such as a rash has occurred.
[0008]
By connecting the terminal to the camera, the image data can be quickly and easily pasted, and not only a still image but also a moving image can be easily incorporated into the medicine log.
[0009]
In addition, a drug history database is stored in a server provided at the institution that supervises drug information, and a terminal such as a personal computer of a medical institution or a patient himself is connected to the server via the Internet, and the drug history is stored. If it can be browsed, doctors and patients themselves can also share the information of the medicine history record that records images and moving images of the affected part and the like.
[0010]
BEST MODE FOR CARRYING OUT THE INVENTION
An embodiment of the present invention will be described with reference to the drawings.
[0011]
FIG. 1 shows an example of a facility configuration for implementing the present invention.
[0012]
The pharmacy terminal 2 is installed in the pharmacy 20, and is connected to the camera 3 provided at the window. As the pharmacy terminal 2, an ordinary personal computer or the like having a control device, a communication device, an input device, and a display device is used. The pharmacy terminal 2 creates a drug history book of a patient. The camera 3 is a digital camera capable of capturing at least a short-time moving image, and one or a plurality of cameras are provided according to the number of windows so that data of the captured image or moving image can be transmitted to the pharmacy terminal 2. Have been.
[0013]
In addition, a drug history database storing drug history data for each patient is stored in a server 9 installed in an organization that manages and manages drug information and the like, and is stored in the server from the pharmacy terminal 2 via the Internet. 9 can be connected. Then, when the pharmacy terminal 2 creates a drug history record for each patient and sends it to the server 9, the drug history record can be recorded in the drug history database in the server 9, and the pharmacy terminal 2 can be recorded. , The contents stored in the drug history database can be browsed. Furthermore, using the medical terminal 4 installed in the medical institution 40, or the terminal 5 such as a personal computer 51 or a mobile terminal device 52 of a medical person or a patient, the server 9 is connected to the server 9 via the Internet. You can browse the drug history database. In this case, each user has an authentication means such as an ID symbol and a password, and the server 9 identifies each user so that the server 9 can connect to only data in a range corresponding to authority of each user. Is done.
[0014]
FIG. 2 shows a procedure for implementing the present invention.
[0015]
When the patient visits the pharmacy 20 and submits a prescription, the pharmacist diagnoses the compatibility of the prescription drug and performs dispensing, as well as the affected part and complexion, the whole body, the state of the skin such as the face and limbs, the shape of the limbs, and the like. The camera 3 captures an image of a part corresponding to the type of injury or illness of the patient and the nature of the medicine. When the patient's symptoms are related to the movement of the body or the like, shooting with a moving image is performed.
[0016]
The data of the captured image or moving image is transmitted from the camera 3 to the pharmacy terminal 2 and is pasted to a predetermined location of a drug history book in which patient's insurance card information, drug history, dispensing record, and the like are recorded.
[0017]
The medicine history book thus created is transmitted to the server 9 via the Internet, and is recorded in the medicine history database in the server 9.
[0018]
The contents of the drug history database recorded in the server 9 include the medical terminal 4 installed in the medical institution 40, the personal computer 51 owned by a doctor who performs round-trip and home visits or the patient, or the mobile terminal device. For example, the patient can browse his or her drug history book to be aware of changes in symptoms or to confirm the presence or absence of side effects, because the user can browse using the terminal 5 that can be connected to the Internet, such as 52. be able to. In addition, the pharmacist and the physician can diagnose the recovery condition and the progress of the patient's injury and illness over time and objectively by browsing the drug history sheet on which the image or the video is pasted at the pharmacy 20 or the medical institution 40. Can be.
[0019]
Note that the camera 3 used in the present invention is not limited to a digital camera, but may be a camera using a film, an instant camera, or the like. In such a case, a printed photo may be pasted on a drug history book printed on paper or the like. Alternatively, a printed photo may be read by a scanner and digitized data may be incorporated into an electronic medication history.
[0020]
In the case where the drug history database is stored in the storage device of the pharmacy terminal 2 instead of the server 9 of the external institution, the photographed image or moving image is used by the medical institution 40 for creating an electronic medical record or the like. The data may be shared by transmitting the data to the medical terminal 4 which is in use.
[0021]
【The invention's effect】
According to the present invention, a change in a symptom or a side effect that appears on a patient's appearance due to a drug can be objectively and temporally recorded, so that a pharmacist can effectively perform a drug diagnosis and a medication instruction.
[0022]
Further, by digitizing an image or a moving image by photographing with a digital camera, information can be easily shared between medical institutions, patients, and the like.
[Brief description of the drawings]
FIG. 1 is a schematic diagram showing a hardware configuration for implementing the present invention.
FIG. 2 is a flowchart showing a procedure for implementing the present invention.
[Explanation of symbols]
2 pharmacy terminal, 3 camera, 4 medical terminal, 5 terminal, 9 server, 20 pharmacy, 40 medical institution, 51 personal computer, 52 mobile terminal

Claims (3)

薬局の窓口にカメラを設置し、薬剤を受け取る患者の患部や顔色、全身、皮膚の状態等を撮影して、その画像を薬歴簿に貼り付けることを特徴とする薬歴簿システム。A drug history system, in which a camera is installed at the pharmacy window, the affected part, complexion, whole body, skin condition, etc. of the patient receiving the drug are photographed and the image is pasted on the drug history book. 前記カメラがデジタルカメラであり、薬歴簿の記録に用いられる薬局用端末機と前記カメラとを接続し、前記カメラで撮影した画像または動画のデータを前記薬局用端末機に取り込んで、患者の薬歴簿に前記データを貼り付ける請求項1記載の薬歴簿システム。The camera is a digital camera, a pharmacy terminal used for recording of a drug history book and the camera are connected, the image or moving image data taken by the camera is taken into the pharmacy terminal, 2. The medicine history record system according to claim 1, wherein the data is pasted on a medicine history record. 薬剤情報を統括する機関に、薬歴簿データベースが格納されたサーバが設置されていて、インターネットを介して端末機から前記サーバへ接続可能であり、前記薬局用端末機で作成され前記サーバへ送信された患者毎の薬歴簿が前記薬歴簿データベースへ記録されるとともに、医療機関や患者自身が有する端末機を用いて前記薬歴簿データベースを閲覧することができる請求項2記載の薬歴簿システム。A server in which a drug history database is stored is installed at an organization that supervises drug information, and can be connected to the server from a terminal via the Internet, and is created by the pharmacy terminal and transmitted to the server. The medicine history according to claim 2, wherein the medicine history record for each patient is recorded in the medicine history database, and the medicine history database can be browsed using a terminal provided by a medical institution or a patient. Book system.
JP2002377137A 2002-12-26 2002-12-26 Drug history book system Pending JP2004206578A (en)

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