JP2014059922A - System, server device, terminal device and program for assuring suitable prescription of medicine - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a technology capable of assuring prescription for medicine according to a correct prescription for a right patient.SOLUTION: Prescription information issued by a hospital X or a hospital Y is stored to a server 20. A medical institution name and a patient ID recorded on a registration card of a patient and an insurer number and an insured person number recorded on an insurance card for the patient are included in the prescription information. The patient presents the registration card and the insurance card to a pharmacy A or a pharmacy B. The medical institution name, the patient ID, the insurer number and the insured person number are inputted to a pharmacy terminal 30 by a pharmacist, etc., and patient authentification information including the information is transmitted from a pharmacy terminal 30 to the server 20. The server 20 transmits the prescription information corresponding to the patient authentification information to a pharmacy terminal 30 of a transmission source of the patient authentification information. The pharmacy terminal 30 displays the prescription information received from the server 20. The pharmacist, etc., fills out the prescription for the medicine for the patient presenting the registration card and the insurance card according to the displayed prescription information.

Description

  The present invention relates to a medicine prescription information management technique.

  Patent Document 1 below discloses a system for automatically searching whether or not a medicine prescribed for a patient is compatible. This system stores personal information such as medication history of the patient's medication, medication instruction information, component information for each medication, side effects, and contraindications with other medications in a computer installed at the dispensing pharmacy. ing. Each time a patient visits a pharmacy, a pharmacist or the like adds the drug described in the patient's prescription to the personal information as a medical history, and automatically searches the computer for whether or not the drug is incompatible with the patient.

JP 2001-273366 A

By the way, the medicine prescribed according to the prescription needs to be prescribed to the patient (legitimate patient) to whom the prescription is issued. In addition, a drug prescribed to a patient needs to be prescribed according to a correct prescription issued to the patient.
The present invention provides a technique that enables a medicine prescription according to a correct prescription for a legitimate patient to be reliably performed.

  In order to solve the above problems, the present invention includes, as one embodiment, one or more first terminal devices, a server device, and one or more second terminal devices, and the one or more first terminal devices. Each of the terminal devices includes prescription drug information indicating a prescribed drug, medical institution identification information for identifying a medical institution from which the prescription drug information is issued, and a patient to whom the prescription drug information is issued in the medical institution. Obtain prescription information including patient identification information to be identified, insurance institution identification information for identifying the health insurance institution to which the patient has joined, and insured person identification information for identifying the patient at the health institution An acquisition unit; and a transmission unit configured to transmit prescription information acquired by the acquisition unit to the server device, wherein the server device includes a prescription indicating a prescription medicine from each of the one or more first terminal devices. Drug information and relevant Medical institution identification information that identifies the medical institution from which the medicine information is issued, patient identification information that identifies the patient to whom the prescription drug information is issued at the medical institution, and health insurance insurance that the patient has joined Receiving means for receiving prescription information including insurance institution identification information for identifying an institution and insured person identification information for identifying the patient at the health institution; storage means for storing prescription information received by the receiving means; The receiving means identifies medical institution identification information for identifying a medical institution, patient identification information for distinguishing a patient in the medical institution, and an insurance institution from each of the one or more second terminal devices. Patient authentication information including insurance institution identification information and insured person identification information for identifying an insured person in the health institution is received, and the receiving means is one of the one or more second terminal devices. When the patient authentication information is received from the patient, the prescription drug information included in the prescription information including the patient authentication information among the prescription information stored in the storage means is sent to the second source of the patient authentication information. Each of the one or more second terminal devices includes medical institution identification information for identifying a medical institution used by the patient, and patient identification for identifying the patient at the medical institution. Acquisition means for acquiring patient authentication information including information, insurance institution identification information for identifying an insurance institution of the health insurance to which the patient has joined, and insured person identification information for identifying the patient at the health institution A transmitting unit that transmits the patient authentication information acquired by the acquiring unit of the own device to the server device, and the server device as a response to the transmission of the patient authentication information by the transmitting unit of the own device. And a receiving means for receiving prescription drug information indicating a prescription drug transmitted from a device.

  Moreover, this invention is medical institution identification which identifies the prescription medicine information which shows the prescribed medicine, and the medical institution which issued the said prescription medicine information from each of one or more 1st terminal devices as one embodiment. Information, patient identification information for identifying the patient to whom the prescription drug information is issued at the medical institution, insurance institution identification information for identifying the insurance institution of the health insurance to which the patient has joined, and the patient for the health A receiving means for receiving prescription information including insured person identification information to be identified at an institution; and a storage means for storing prescription information received by the receiving means, wherein the receiving means includes one or more second terminals. From each of the devices, medical institution identification information for identifying a medical institution, patient identification information for identifying a patient in the medical institution, insurance institution identification information for identifying an insurance institution, and an insured person in the health institution Receiving patient authentication information including separate insured person identification information, and when the receiving means receives patient authentication information from any of the one or more second terminal devices, the storage means stores There is provided a server device comprising transmission means for transmitting prescription drug information included in prescription information including the patient authentication information to a second terminal device that is a transmission source of the patient authentication information.

  In a preferred embodiment of the above server device, when the transmitting means transmits prescription drug information to any one of the one or more second terminal devices, the storage means includes a prescription including the prescription drug information. The transmission means stores the transmission information indicating the transmission completion in association with the information, and the transmission means associates the prescription information including the patient authentication information received by the reception means with the transmission information indicating the transmission completion by the storage means. If stored, prescription drug information included in the prescription information may not be transmitted to the second terminal device that is the transmission source of the patient authentication information received by the receiving unit.

  Further, according to the present invention, as one embodiment, medical institution identification information for identifying a medical institution used by a patient, patient identification information for identifying the patient at the medical institution, and health insurance to which the patient has joined Server means for acquiring patient authentication information including insurance institution identification information for identifying an insurance institution and insured person identification information for identifying the patient at the health institution, and patient authentication information acquired by the acquisition means And a receiving means for receiving prescription drug information indicating a prescription medicine transmitted from the server apparatus as a response to the transmission of patient authentication information by the transmission means. .

  In a preferred embodiment of the above terminal device, the acquisition means comprises magnetic information reading means for reading information recorded magnetically on a recording medium, and medical institution identification information is recorded from the recording medium by the magnetic information reading means. And the patient identification information may be read and acquired.

  In a preferred embodiment of the terminal device, the acquisition unit includes a character information reading unit that performs character recognition processing by reading an image formed on a recording medium, and the character information reading unit reads the character information from the recording medium. A configuration may be adopted in which the insurance institution identification information and the insured person identification information are read and acquired.

  Further, according to the present invention, as one embodiment, the computer identifies prescription drug information indicating a prescribed drug and a medical institution that issues the prescription drug information from each of the one or more first terminal devices. Medical institution identification information, patient identification information for identifying the patient to whom the prescription drug information is issued at the medical institution, insurance institution identification information for identifying the insurance institution of the health insurance to which the patient has joined, and the patient A medical institution is identified from each of one or more second terminal devices, a process of receiving prescription information including insured person identification information for identifying the health institution at the health institution, a process of storing the received prescription information Medical institution identification information, patient identification information for separating patients at the medical institution, insurance institution identification information for identifying an insurance institution, and insured person identification information for identifying an insured at the health institution When the patient authentication information is received from any one of the one or more second terminal devices, the prescription information including the patient authentication information is stored in the stored prescription information. A program for executing the process of transmitting the included prescription drug information to the second terminal device that is the transmission source of the patient authentication information is provided.

  In one embodiment of the present invention, medical institution identification information for identifying a medical institution used by a patient, patient identification information for identifying the patient in the medical institution, and the patient are subscribed to the computer. Processing for acquiring patient authentication information including insurance institution identification information for identifying an insurance institution of health insurance and insured person identification information for identifying the patient at the health institution, and the acquired patient authentication information in the server device A program for executing a process of transmitting and a process of receiving prescription drug information indicating a prescribed drug transmitted from the server device as a response to transmission of patient authentication information is provided.

  According to the present invention, a patient who has received a prescription from a medical institution in which the first terminal device is disposed receives a medicine prescribed in accordance with the prescription at any pharmacy in which the second terminal device is disposed. be able to. At that time, for example, medical institution identification information (for example, medical institution name) and patient identification information (for example, patient ID) recorded on a medical examination ticket, for example, insurance institution identification information (for example, insurance) recorded on an insurance card And the correct prescription drug information for the legitimate patient specified based on the insured person identification information (for example, the insured person number) is transmitted from the server device to the second terminal device. Accordingly, inappropriate prescription drug information is not transmitted to the second terminal device arranged in the pharmacy, and an inappropriate prescription for the patient is used, or a prescription is used for the inappropriate patient. This can be surely prevented.

It is a figure showing the whole prescription judgment system composition concerning a 1st embodiment. It is a block diagram showing the structure of the processing apparatus which concerns on 1st Embodiment. (A) And (b) is a figure which shows the structural example and data example of patient information DB which concern on 1st Embodiment. (A) And (b) is a figure which shows the structural example and data example of prescription DB which concern on 1st Embodiment. It is a figure which shows the structural example and data example of server address information which concern on 1st Embodiment. It is a block diagram showing the structure of the server which concerns on 1st Embodiment. (A) is a figure which shows the structural example and data example of medical information DB which concern on 1st Embodiment. (B) is a figure showing composition and data example of medicine history DB concerning a 1st embodiment. (C) is a figure which shows the structure and data example of terminal address information which concern on 1st Embodiment. It is a block diagram showing the structure of the pharmacy terminal which concerns on 1st Embodiment. It is a figure which shows the operation | movement flow of the processing apparatus and server which concern on 1st Embodiment. It is a figure which shows the operation | movement flow of the check process of the prescription medicine which concerns on 1st Embodiment. It is a figure which shows the operation | movement flow of the pharmacy terminal which concerns on 1st Embodiment. It is a figure showing the whole prescription judgment system composition concerning a 2nd embodiment. It is a figure which shows the operation | movement flow of the check process of the prescription medicine which concerns on 2nd Embodiment. It is a figure which shows the operation | movement flow of the output process of the prescription information which concerns on 2nd Embodiment. It is a figure which shows the structural example and data example of commercial medicine DB which concern on a modification (3). It is a figure which shows the operation | movement flow of the pharmacy terminal which concerns on a modification (3), and a server.

<First Embodiment>
(overall structure)
FIG. 1 is a diagram illustrating an overall configuration of a prescription determination system according to the present embodiment. In the prescription determination system 1 according to this embodiment, the processing device 10 (first processing device) of the hospital X and hospital Y and the server 20 (second processing device) on the pharmacy side are connected via the communication line 2. Has been. Further, the server 20 and the pharmacy terminal 30 (third processing device) of the pharmacy A and the pharmacy B are communicatively connected via the communication line 3.
Each processing apparatus 10 of hospital X and hospital Y is used by a doctor of each hospital to create a medical chart and a prescription for each patient at the time of examination of each patient. In this embodiment, the server 20 is installed for every predetermined area. The server 20 is communicatively connected to each processing apparatus 10 of a predetermined hospital, and is also communicatively connected to a pharmacy terminal 30 installed in a pharmacy in the district where the server 20 is installed.

  The prescription determination system 1 transmits prescription data for each patient generated in each processing apparatus 10 of the hospital X and hospital Y to the server 20 in the same district as the pharmacy designated by the patient. In the server 20, information (prescription information) related to a medicine prescribed for a patient who uses a pharmacy in the same district as the server 20 is accumulated as a medicine history for each patient. In addition, the server 20 determines whether or not the prescription of the prescription medicine instructed by the prescription issued from each hospital to the patient is appropriate. If the prescription is not appropriate, the prescription issuer is requested to correct the prescription. To do. Hereinafter, the detail of each structure of the prescription determination system 1 is demonstrated.

(Processing device 10)
FIG. 2 is a block diagram showing the configuration of each processing apparatus 10 installed in hospital X and hospital Y. The processing apparatus 10 includes a control unit 101, an operation unit 102, a storage unit 103, a display unit 104, and a communication unit 105. The control unit 101 includes a CPU (Central Processing Unit), a ROM (Read Only Memory), and a RAM (Random Access Memory). The CPU controls each unit connected to the control unit 101 by executing a control program stored in the ROM. Specifically, the control unit 101 has a function as a generation unit that generates prescription information including prescription information such as a medicine name and quantity prescribed by a doctor for each patient and patient identification information for identifying the patient, 2 has a function as a prescription transmission means for transmitting prescription information to the server 20 in the district where the pharmacy designated in (2) is installed, and a function as a correction request reception means for receiving a correction request for the transmitted prescription information.

  The operation unit 102 includes a keyboard, a mouse, and the like. The operation unit 102 receives an input operation of data such as a prescription or medical chart by a doctor, and sends information indicating the received input operation to the control unit 101. The storage unit 103 includes storage means such as a hard disk. The storage unit 103 stores various data such as patient information, prescription information, and server 20 address information for each patient.

  Here, data stored in the storage unit 103 will be described. 3A shows a configuration example and data example of a patient information DB (Database) 100x in which patient information of patients in hospital X is stored. FIG. 3B shows patient patients in hospital Y. The structural example and data example of patient information DB100y in which information is stored are shown. In addition, when not distinguishing patient information DB100x and patient information DB100y, it calls patient information DB100.

  The patient information DB 100 transmits a patient ID, a patient name, a date of birth, an insurer number and an insured number written on an insurance card, a latest consultation date, a doctor in charge, and a pharmacy that transmits prescription information. Store patient information with the previous pharmacy as an item. The patient ID is printed on an examination ticket issued for each patient in the hospital, and is a number uniquely given to each patient in the hospital. The patient information DB 100 is read by the control unit 101 when a doctor creates an electronic medical record or creates a prescription.

  Next, prescription information is demonstrated using FIG. FIG. 4A shows a configuration example and data example of the prescription DB 110x in which prescription information generated for each patient in the hospital X is stored. FIG. 4B illustrates a configuration example and data example of the prescription DB 110y in which prescription information generated for each patient in the hospital Y is stored. Note that the prescription DB 110x and the prescription DB 110y are referred to as a prescription DB 110 when they are not distinguished.

  The prescription DB 110 includes the issue date when the prescription is issued, the patient name of the patient corresponding to the prescription, the insurer number, the insured number, the date of birth, the name of the hospital that issued the prescription, the patient ID of the hospital, The doctor in charge who created the prescription, the prescription drug (1, 2) indicating the name of the medicine indicated in the prescription, the quantity (1, 2), the dose (1, 2) of the prescription drug are stored as items. To do. Each record of the prescription DB 110 is registered by the control unit 101 every time a doctor creates a prescription. In this embodiment, patient identification information includes a patient ID, a patient name, a date of birth, an insurer number, and an insured number.

FIG. 5 shows a configuration example and data example of server address information stored in the processing apparatus 10 of each hospital. As described above, the server 20 is communicatively connected to the pharmacy terminal 30 in the same district. The server address information 120 stores a server address set in the server 20 connected to the pharmacy terminal 30 for each pharmacy name.
Returning to FIG. 2, the description of the configuration of the processing apparatus 10 will be continued. The display unit 104 is realized by a display device such as a liquid crystal display. The display unit 104 displays various data such as patient information and prescription information under the control of the control unit 101. The communication unit 105 establishes communication with the server 20 connected via the communication line 2 under the control of the control unit 101, and performs data communication with the server 20. The above is the configuration of the processing apparatus 10.

(Server 20)
FIG. 6 is a block diagram illustrating the configuration of the server 20. As illustrated in FIG. 6, the server 20 includes a control unit 201, a storage unit 202, and a communication unit 203. The control unit 201 includes a CPU, a ROM, and a RAM memory. The CPU controls each unit connected to the control unit 201 by executing a control program stored in the ROM. Specifically, the function as a determination means for determining whether the prescription of the prescription medicine instructed by the prescription information received from the hospital processing device 10 is appropriate, and the prescription information determined to be appropriate for the prescription Based on the function as an accumulation unit that accumulates drug histories in a drug history DB, which will be described later, and as a transmission unit that transmits prescription information determined to be appropriate for prescription to the pharmacy terminal 30 of the designated destination pharmacy. And a function as correction request transmission means for transmitting correction request information for requesting correction of prescription information determined to be inappropriate for prescription information to the processing device 10 that is the transmission source of the prescription information.

  The storage unit 202 includes a nonvolatile storage medium such as a hard disk. The storage unit 202 stores data such as a medicine information DB, a medicine history DB, and terminal address information. Here, the medicine information DB, the medicine history DB, and the terminal address information will be described with reference to FIG.

  Fig.7 (a) is a figure which shows the structural example and data example of medical information DB. The medicine information DB 210 is a database in which information on medicines that are contraindicated in combination is defined. In this example, α1 to α5 representing drug names are defined in the vertical direction in the figure, and β1 to β5 representing drug names are defined in the horizontal direction in the figure. In the column where the medicines in the vertical direction and the horizontal direction cross each other, x is set as information indicating whether or not the combined use of these medicines is contraindicated (hereinafter referred to as contraindication information). In this example, α1 and β2, α3 and β3, α5 and β1, and α5 and β4 are contraindicated.

  Moreover, FIG.7 (b) is a figure which shows the structural example and data example of medicine history DB. For each prescription information, the medication history DB 220 includes a patient name, date of birth, insurer number and insured number, hospital name / patient ID of the prescription information sender, doctor in charge of issuing prescription information, prescription information A record (hereinafter referred to as drug history information) that stores the prescription date when the information is registered and the drug name, quantity, and dose of the prescription drug specified by the prescription information is stored. In the medical history DB 220, data based on prescription information determined to be appropriate for prescription is registered and accumulated for each patient.

  FIG. 7C is a diagram illustrating a configuration example and data example of terminal address information. The terminal address information 230 stores a pharmacy name representing a pharmacy and a terminal address set in the pharmacy terminal 30 of the pharmacy. The terminal address information 230 is referred to when the prescription information is transmitted to the pharmacy designated by the prescription information.

  Returning to FIG. 6, the description of the configuration of the server 20 will be continued. The communication unit 203 establishes communication with each processing device 10 connected via the communication line 2 under the control of the control unit 201, performs data communication with the processing device 10, and passes through the communication line 3. Data communication is established by establishing communication with the pharmacy terminal 30 installed in each connected pharmacy.

(Pharmacy terminal 30)
FIG. 8 is a block diagram illustrating the configuration of the pharmacy terminal 30. The pharmacy terminal 30 includes a control unit 301, a display unit 302, an operation unit 303, a storage unit 304, an output unit 305, and a communication unit 306. The control unit 301 includes a CPU, a ROM, and a RAM memory. The CPU controls each unit connected to the control unit 301 by executing a control program stored in the ROM. Specifically, the control unit 301 has a function as an output unit that displays prescription information received from the server 20 on the display unit 302 or outputs it to the output unit 305.

The display unit 302 is realized by a display device such as a liquid crystal display. The display unit 302 displays data such as prescription information under the control of the control unit 301. The operation unit 303 includes a keyboard, a mouse, and the like. The operation unit 303 receives an input operation from a pharmacist or the like, and sends information indicating the received input operation to the control unit 101. The storage unit 304 has a nonvolatile storage medium such as a hard disk. The storage unit 304 stores data such as prescription information received from the server 20. The output unit 305 includes a printer or the like. The output unit 305 prints and outputs data such as prescription information on a predetermined sheet under the control of the control unit 301. The communication unit 306 establishes communication with the server 20 connected via the communication line 3 under the control of the control unit 301 and performs data communication with the server 20.
The above is the configuration of the prescription determination system 1 according to the present embodiment. Next, the operation of the prescription determination system 1 according to this embodiment will be described.

<Operation>
FIG. 9 is a diagram illustrating an operation flow of the processing apparatus 10 and the server 20. When data such as patient identification information, prescription drugs, and quantity for a patient examined by a doctor is input via the operation unit 102 (step S11), the control unit 101 of the processing apparatus 10 receives a prescription based on the input data. Information is generated and registered in the prescription DB 110 of the storage unit 103 (step S12).
In addition, the control unit 101 refers to patient identification information (patient ID, patient name, date of birth, insurer number, insured number) included in the generated prescription information, and stores patient information including the patient identification information. Read from the patient information DB 100 in the storage unit 103. And the control part 101 reads the server address corresponding to the transmission destination pharmacy of the patient information read out from the memory | storage part 103 from the server address information 120, The information (henceforth, pharmacy information) which shows the said transmission destination pharmacy to the said server address Is added to the prescription information and transmitted by the communication unit 105 (step S13).

  When receiving the prescription information to which the pharmacy information is added from the processing device 10 (step S21: YES), the control unit 201 of the server 20 reads the drug history DB 220 and the medical information DB 210 from the storage unit 202, and designates with the received prescription information. It is checked whether or not the prescribed prescription is appropriate (step S22). In addition, the control part 201 waits, without starting a process until it receives prescription information (step S21: NO).

Here, the prescription drug check process in step S22 will be described with reference to FIG. The control unit 201 of the server 20 refers to the patient identification information included in the received prescription information, and determines whether or not the drug history information corresponding to the patient identification information is registered in the drug history DB 220 (step S221). When the drug history information corresponding to the patient identification information is registered in the drug history DB 220 (step S221: YES), the control unit 201 has drug history information satisfying a predetermined condition (step S222: YES). Whether or not the medicine indicated by the medicine history information and the prescription medicine instructed by the received prescription information can be used together is confirmed using the medicine information DB 210 (step S223).
Here, the predetermined condition is that the received date of the received prescription information is included in the period of use of the drug determined from the prescription date in the drug history information and the dose of the drug. That is, whether or not the combination of these medicines is contraindicated when the prescription medicine indicated in the received prescription information and the medicine already prescribed based on another prescription information are used together to decide. For example, in the case of the drug history information 220a of the patient T in the drug history DB 220 of FIG. 7B, the prescription date is 2010/1/30, and the dose of the drug in the drug history 1 and the drug history 2 is 5 days. In this case, the period of use of these pharmaceutical products is from 2010/1/30 to 2010/2/3. When the prescription information is newly received within this period of use, it is determined whether or not the prescription medicine of the received prescription information and the medicines of medicine history 1 and medicine history 2 can be used in combination.

When contraindication information is stored in the combination of the medicine name in the medicine history information and the prescription medicine in the prescription information in the medicine information DB 210 (step S223: NO), the control unit 201 is instructed by the prescription information. It is determined that the prescription drug cannot be prescribed, and the drug name (hereinafter referred to as combined drug information) that is determined to be used together with the prescription drug is stored in the RAM (step S224).
In step S223, if no contraindication information is stored in the medical information DB 210 (step S223: YES), the control unit 201 determines whether or not a plurality of prescription drugs are instructed in the received prescription information ( Step S225).

  When the control unit 201 determines that a plurality of prescription drugs are instructed in the prescription information (step S225: YES), contraindication information is stored in the drug information DB 210 for each combination of the plurality of prescription drugs. It is determined whether or not the plurality of prescription drugs can be used in combination according to whether or not they are used (step S226).

  When no contraindication information is stored in the medical information DB 210 for each combination of the plurality of prescription drugs (step S226: YES), the control unit 201 determines that the plurality of prescription drugs can be prescribed. (Step S227). Further, when contraindication information is stored in the medical information DB 210 for each combination of the plurality of prescription drugs (step S226: NO), the control unit 201 determines that the plurality of prescription drugs cannot be prescribed. (Step S224).

In step S225, when the control unit 201 determines that a plurality of prescription drugs are not instructed in the prescription information (step S225: NO), the prescription drug in the prescription information and the registered medicine history information medicine It is determined that the combination can be used together with the prescription drug (step S227).
In step S221, the control unit 201 determines that the medicine history information corresponding to the patient identification information of the received prescription information is not registered in the medicine history DB 220 (step S221: NO), or registered medicine in step S222. In the history information, when there is no drug history information that satisfies a predetermined condition (step S222: NO), the process proceeds to the above-described step S225 and it is determined whether or not prescription drug prescription information can be prescribed. .

  Returning to FIG. 9, the description of the operation is continued. If the control unit 201 of the server 20 can prescribe the prescription drug of the received prescription information as a result of performing the process of step S22, the control unit 201 determines that the prescription of the prescription drug is appropriate ( Step S23: YES), the data of the prescription information corresponding to the item in the drug history DB 220 is registered as the drug history information (step S24). Further, the control unit 201 specifies a terminal address corresponding to the pharmacy indicated by the pharmacy information received together with the prescription information from the terminal address information 230 of the storage unit 202, and the prescription information is transmitted to the communication unit 203 with respect to the terminal address. (Step S25).

  Further, as a result of checking the prescription drug in step S22, if the prescription drug prescription in the received prescription information is not possible, the control unit 201 determines that the prescription drug is not appropriate (step S23: NO) ), Correction request information including the prescription information and the combination drug information stored in the RAM is transmitted to the processing device 10 that is the transmission source of the prescription information via the communication unit 203 (step S26).

  When receiving the correction request information from the server 20 via the communication unit 105 (step S14: YES), the control unit 101 of the processing device 10 displays information indicating that the correction request information has been received on the display unit 104, and a prescription. The doctor or the like is notified that there has been a request for correction (step S15). By this processing, the doctor who issued the prescription uses the processing device 10 to check the combined drug information included in the correction request information and correct it to another drug that can be used together with the drug in the combined drug information. Can do. The processing device 10 and the server 20 similarly perform the above-described processes for the prescription corrected by the doctor. If the control unit 101 does not receive the correction request information from the server 20, the control unit 101 ends the process (step S14: NO).

The operations of the processing device 10 and the server 20 are as described above. Next, the operation of the pharmacy terminal 30 to which prescription information is transmitted from the server 20 will be described with reference to FIG.
When the control unit 301 of the pharmacy terminal 30 receives the prescription information from the server 20 via the communication unit 306 (step S31: YES), the control unit 301 displays information indicating that the prescription information has been received on the display unit 302 to the pharmacist or the like. Notification is made and the prescription information is stored in the storage unit 304 (step S32). When the control unit 301 receives an operation for outputting prescription information via the operation unit 303 by a pharmacist or the like (step S33: YES), the output unit 305 prints and outputs the prescription information on a predetermined sheet (step S34). . Moreover, until the prescription information is transmitted from the server 20 (step S31: NO), the control unit 301 stands by without starting the process. In step S33, when the operation for outputting the prescription information is not performed via the operation unit 303 (step S33: NO), the control unit 301 ends the process.

  When a patient receives a prescription drug at a pharmacy, the patient presents a medical institution's examination ticket that prescribes the prescription drug and the patient's insurance card at the pharmacy. The pharmacist of the pharmacy collates the presented examination ticket and insurance card, and the medical institution name, patient ID, name, date of birth, insurer number, insured person number printed on the examination ticket and insurance card The prescription information including the same content is selected from the outputted prescription information, and a prescription drug is prescribed based on the selected prescription information. By the processing of the pharmacy terminal 30, the pharmacist can confirm the medical history for the patient who came to the pharmacy to receive the medicine, based on the prescription information corresponding to the presented examination ticket and the insurance card. And can safely prescribe drugs. The timing for outputting the prescription information may be when the prescription information from the server 20 is received as described above, or the name of the medical institution and the patient printed on the examination ticket and the insurance card presented by the patient. When a pharmacist performs an operation to input patient authentication information such as ID, name, medical institution name, insurance card number, and insured person number, prescription information corresponding to the patient authentication information is automatically selected and output. It may be.

<Operation example>
Next, an operation example of the prescription determination system 1 according to the present embodiment using the examples of FIGS. 3 to 5 and 7 will be described according to the operation flows of FIGS. 9 to 11. In the following operation example, the prescription information of the patient T is generated in the processing device 10 of the hospital X, and the prescription medicine instructed by the prescription information is already prescribed, and then the patient T is examined at the hospital Y. The case will be described.

  When the patient T receives a medical examination at the hospital Y, when the operation unit 102 of the processing apparatus 10 accepts the input of prescription data for the patient T by the doctor (step S11), the control unit 101 determines that the patient is using the input data. T prescription information is generated, and the generated prescription information 111 is registered in the prescription DB 110y of FIG. 4B (step S12). And patient information 1000 including patient identification information (patient ID, patient name, date of birth, insurer number, insured person number) included in the prescription information 111 is read from the patient information DB 100y, and from the patient information 1000 The destination pharmacy “Pharmacy A” is read out.

  The control unit 101 reads the server address corresponding to “pharmacy A” from the server address information 120, and transmits the prescription information to which the pharmacy information indicating “pharmacy A” is added to the server address by the communication unit 105 (step 105). S13).

  When the prescription information transmitted from the processing device 10 of the hospital Y is received by the communication unit 203 of the server 20 (step S21: YES), the control unit 201 of the server 20 stores the medicine history DB 220 and the medicine information DB 210 from the storage unit 202. To check whether the prescription of the prescription medicine instructed by the received prescription information is appropriate (step S22).

  Specifically, the control unit 201 confirms that the registered medicine history information 220a corresponding to the patient identification information of the patient T of the received prescription information is stored in the medicine history DB 220 (step S221: YES). ). Based on the registration date “2010/1/30” of the medication history information 220a and the dose “5 days” of the medication history 1 and medication history 2, the control unit 201 uses these medicines for the usage period “2010 / 1/30 to 2010/2/3 ". Then, it is determined that the reception date “2010/2/1” when the prescription information is received from the processing device 10 of the hospital Y is included in this use period (step S222: YES), the medical history information 220a and the received prescription are received. Whether or not the information medicine can be used together is confirmed using the medicine information DB 210 (step S223).

  That is, the control unit 201 combines each combination (α1 and β1, α1 and β2) of the drug names “β1” and “β2” registered in the drug history information 220a and the prescription drugs “α1” and “α2” of the prescription information. , Α2 and β1, α2 and β2), in the medical information DB 210, when it is confirmed that the combined use of α1 and β2 is contraindicated (step S223: NO), it is determined that the prescription medicine indicated by the prescription information cannot be prescribed. Then, “β1” and “β2” are stored in the RAM as the combined drug information (step S224).

  When the control unit 201 determines that the prescription medicine instructed by the prescription information cannot be prescribed by the process of step S22 (step S23: NO), the combination drug information “β1” stored in the RAM and the prescription information is stored. And correction request information including “β2” is transmitted to the processing apparatus 10 of the hospital Y that is the transmission source of the prescription information by the communication unit 203 (step S26).

  When receiving the correction request information transmitted from the server 20 by the communication unit 105 (step S14: YES), the processing device 10 of the hospital Y displays information indicating that the correction request information has been received on the display unit 104. The doctor or the like is notified that there has been a request for correction of prescription information (step S15).

  The server 20 of the prescription determination system 1 according to the present embodiment determines whether or not the combination of the prescription drug of the prescription information issued from each hospital and the drug already prescribed for the same patient is contraindicated. If it is determined that the combination is contraindicated, correction request information including prescription information and combination drug information is transmitted to the processing apparatus 10 as an issuer. Based on the correction request information received by the processing device 10, the doctor who issued the prescription information can check the medicine that has already been prescribed for the patient. Prescription information can be reissued. In this manner, before the drug is prescribed to the patient at the pharmacy, the server 20 determines whether or not the prescription drug prescription in the prescription information is appropriate. For each patient receiving the drug at each pharmacy, the pharmacy or other It is possible to prevent the provision of drugs that are contraindicated for use in combination with drugs already prescribed by other pharmacies.

Second Embodiment
In the first embodiment, the server 20 is provided between each medical institution and the pharmacy, and the example in which the prescription of each patient issued by each medical institution is transmitted to the pharmacy desired by the patient in advance has been described. In the prescription determination system of the present embodiment, the server 20 (second processing apparatus) is installed in a predetermined specific medical institution. The server 20 manages prescriptions issued by other medical institutions that cooperate with the medical institution. Moreover, in this embodiment, it is comprised so that a patient can receive a prescription medicine anywhere if the pharmacy terminal 30 (3rd processing apparatus) connected with the server 20 is installed.

  FIG. 12 is a diagram illustrating the overall configuration of the prescription determination system according to the present embodiment. As shown in FIG. 12, in the prescription determination system 1A, the hospital X has the same processing apparatus 10 (10A... 10N) and the server 20 as in the first embodiment, and the hospital Y is also the first. A processing apparatus 10 similar to that of the embodiment is installed. In pharmacy A and pharmacy B, the same pharmacy terminal 30 as in the first embodiment is installed. The server 20 is configured to be able to communicate not only with the processing device 10 in the hospital X but also with each pharmacy terminal 30 of the hospital Y, the pharmacy A, and the pharmacy B via the communication network 4.

  Hospital X is a medical institution in which a plurality of departments such as internal medicine, respiratory department, and surgery are installed, and hospital Y is a medical institution in which one department is installed and cooperates with hospital X. Each hospital department has a processing device 10 installed therein, and the server 20 has a drug history DB 220 in which the drug history information of each patient in the hospital Y is stored together with the drug history information of each patient in the hospital X. In addition to being stored, prescription information issued from each hospital and each department is stored. The patient information DB 100x and the prescription DB 110x in the hospital X may be stored in the server 20.

  In the present embodiment, the server 20 determines whether or not a prescription drug can be prescribed for a patient who has visited each department in the hospital X, and whether or not a prescription drug can be prescribed for the patient who has been examined at the hospital Y. Judge whether or not. Moreover, in this embodiment, since the pharmacy where a patient receives prescription medicine is not preset, the prescription information issued in each hospital and each department is temporarily stored in the server 20. When a patient receives a prescription drug at a desired pharmacy, the medical examination ticket and insurance card of the hospital that prescribes the prescription drug are presented at the pharmacy, and patient authentication information based on the examination ticket and the insurance card is authenticated by the server 20 . As a result of authentication in the server 20, if the patient authentication information is appropriate, the prescription information of the patient is transmitted to the pharmacy terminal 30 of the pharmacy, and the prescription drug is prescribed at the pharmacy based on the prescription information.

  Hereinafter, the operation of the present embodiment, which is different from the first embodiment, will be mainly described. In addition, the process similar to 1st Embodiment mentioned above is demonstrated using the same step number as the operation | movement flow of 1st Embodiment. FIG. 13 is an operation flow showing a prescription drug check process according to this embodiment. The control unit 101 of each processing apparatus 10 receives prescription input and generates prescription information (steps S11 and S12), and then transmits prescription information to which pharmacy information is not added to the server 20 (step S131).

  When the control unit 201 of the server 20 receives prescription information to which pharmacy information is not added from each processing device 10 (step S21: YES), the same check process as in the first embodiment is performed on the prescription drug of the received prescription information. This is performed (step S22). As a result of the check process in step S22, the control unit 201 registers prescription drug information based on prescription information in the prescription information in the drug history DB 220 when prescription drug prescription information is possible (step S23: YES). The prescription information and the transmission information indicating that the prescription information has not been transmitted are associated with each other and stored in a predetermined area in the storage unit 202 (step S241).

  On the other hand, if the prescription drug prescription in the prescription information is not appropriate as a result of the check process in step S22 (step S23: NO), the control unit 201 performs the first implementation on the processing device 10 that is the transmission source of the prescription information. The correction request information similar to the form is transmitted (step S26).

  Next, processing when a patient receives a prescription drug at a pharmacy will be described with reference to FIG. The patient is present in the same area as the hospital X, and presents an examination ticket and an insurance card at a desired pharmacy from among the pharmacy A, pharmacy B,. The pharmacist at the pharmacy where the patient's examination ticket and insurance card are presented is the name, patient ID, medical institution name, name printed on the insurance card, insurer number, insurance card, etc. printed on the presented examination ticket. Patient authentication information including the insurer number and date of birth is input via the operation unit 303 (step S311: YES), and the patient authentication information is transmitted to the server 20 (step 312). In addition, the control part 301 of the pharmacy terminal 30 waits until patient authentication information is input (step S311: NO).

  When the control unit 201 of the server 20 receives the patient authentication information transmitted from the pharmacy terminal 30 (step S210: YES), the prescription information associated with the untransmitted transmission information is read from the storage unit 202, and the read prescription is read out. The patient authentication information received using the information is authenticated (step S211). That is, if there is prescription information including the same data as the received patient authentication information, the control unit 201 determines that the patient authentication information is valid and permits the output of the prescription information. Further, the control unit 201 determines that the patient authentication information is not valid if there is no prescription information including the same data as the patient authentication information. In step S210, the control unit 201 stands by until patient authentication information is received (step S210: NO).

  As a result of the authentication in step S211, when the control unit 201 determines that the received patient authentication information is valid (step S212: YES), the untransmitted prescription information including the patient authentication information is given to the pharmacy terminal 30. Send. Furthermore, the control unit 201 stores transmission information indicating that transmission has been completed, such as information indicating the transmission date and time and the pharmacy terminal 30, for example, in a predetermined area of the storage unit 202 in association with the prescription information (step S213). ).

On the other hand, if the control unit 201 determines that the received patient authentication information is not valid as a result of the authentication in step S211, the pharmacy terminal 30 indicates error information indicating that the patient authentication information is not valid (step S212: NO). (Step S214).
When receiving the prescription information for the patient authentication information transmitted in step S312 from the server 20 (step S313: YES), the control unit 301 of the pharmacy terminal 30 displays the received prescription information on the display unit 302 (step S314). If the prescription information for the patient authentication information transmitted in step S312 has not been received from the server 20, that is, if error information has been received from the server 20 (step S313: NO), the process ends.
When the prescription information received from the server 20 is displayed on the display unit 302, a pharmacist at the pharmacy prescribes a prescription drug to the patient based on the prescription information. Further, when error information is displayed on the display unit 302, the above-described processing of the pharmacy terminal 30 is performed again by requesting re-presentation of a medical examination ticket and an insurance card.

  From the above, the prescription determination system 1A according to the present embodiment has the server 20 installed in a predetermined medical institution, and is the prescription drug prescription for the same patient who consulted the medical institution and another medical institution linked with the medical institution appropriate? Since it is determined whether or not, it is possible to prevent prescription drugs that cannot be used together from being prescribed to the patient. In addition, for the prescription for the same patient issued in each medical department at one medical institution, the server 20 determines whether or not the prescription drug is appropriate. Therefore, for patients who have received a plurality of medical departments at the same medical institution You can even prescribe prescription drugs safely.

  In addition, when the patient receives the prescription drug at the pharmacy, the server 20 can authenticate the patient by using the patient authentication information based on the examination ticket and the insurance card. The patient's prescription information is not transmitted to the pharmacy terminal 30, and the patient's prescription information can be transmitted to the pharmacy terminal 30 reliably and appropriately. A patient who has visited a medical institution where the server 20 is installed or another medical institution linked with the medical institution can receive prescription drugs at any pharmacy where the pharmacy terminal 30 is installed. , You can freely choose the pharmacy that receives prescription drugs.

<Modification>
As mentioned above, although embodiment of this invention was described, this invention is not restricted to embodiment mentioned above, The following modifications are also contained.

(1) In the first embodiment described above, information on prescription drugs that are contraindicated for use in combination is an example where the information is defined in the medical information DB 210. However, the information is inappropriate in relation to the patient's age, disease name, and constitution. Information such as the amount of prescription drugs that can be used and the amount of prescription drugs that can be used may be defined. Information such as the patient's age, disease name, and constitution may be input when the doctor creates a prescription in the processing apparatus 10 and may be included in the prescription information. The server 20 determines whether or not the prescription drug can be prescribed in the prescription information based on the prescription drug information instructed by the prescription information, the patient constitution and disease name information, and the drug history DB 220 and the drug information DB 210. Like that.

(2) In the first embodiment described above, prescription information and combination drug information are transmitted as correction request information from the server 20 to the processing apparatus 10, but can be used in combination with prescription drugs in the prescription information. You may comprise so that the alternative information which shows another pharmaceutical can be transmitted with combined pharmaceutical information. In this case, the medicine information DB 210 is configured to store information indicating other medicines that can be used for medicines for which contraindication information is defined in association with each other. In addition, when the combination of the prescription drug in the received prescription information and the medicine in the drug history information is contraindicated in the medical information DB 210, the server 20 stores other usable information stored in association with the prescription drug. Drug information is read as alternative information.

(3) In the first embodiment described above, it is an example in which whether or not the combined use of drugs is contraindicated is defined in the drug information DB 210, but the supplement is contraindicated in relation to the disease name and constitution. Stored in the server 20 is a commercially available drug DB as shown in FIG. 15 in which information on quasi-drugs such as quasi-drugs and marketed drugs (hereinafter referred to as drug use information) is defined in advance. You may comprise so that the quasi-drug and over-the-counter medicine which are contraindications can be searched. Hereinafter, an example in which such a configuration is applied will be described.

  In this modification, quasi-drugs and over-the-counter medicines are sold at pharmacies, and each of the quasi-drugs and over-the-counter medicines is provided with drug identification information such as a barcode for identifying these drugs. The pharmacy terminal 30 of each pharmacy reads the drug identification information of the drug that the patient wishes to purchase. The server 20 determines whether or not the patient can use these drugs, and notifies the pharmacy terminal 30 of the determination result. In the storage unit 202 of the server 20, drug history information including information such as the disease name and constitution of the patient to be determined is registered in the drug history DB 200, and the pharmacy terminal 30 stores quasi-drugs and commercially available products. It is assumed that reading means for reading a barcode or the like for identifying a medicine is provided. Hereinafter, description will be given according to the operation flow of FIG.

  The pharmacist of the pharmacy reads the drug identification information that the patient wishes to purchase using the reading means of the pharmacy terminal 30, and inputs the patient identification information using the operation unit 303 based on the insurance card presented from the patient (step 303). S41: YES). The control unit 301 of the pharmacy terminal 30 transmits the drug identification information read by the reading unit and the patient identification information input via the operation unit 303 to the server 20, and the quasi-drugs indicated by the drug identification information A determination is made as to whether or not the patient can use the over-the-counter medicine (step S42).

  When the control unit 201 of the server 20 receives the drug identification information and the patient identification information transmitted from the pharmacy terminal 30 (step S51: YES), the drug history information corresponding to the patient identification information is read from the drug history DB 200. At the same time, the drug use information corresponding to the drug identification information is read from the marketed drug DB. And the control part 201 judges whether use of the pharmaceutical of the said pharmaceutical identification information is contraindicated with respect to the patient's disease name and constitution contained in the read medicine history information in the read medicine usage information (step S52). ), And transmits the determination result to the pharmacy terminal 30 (step S53).

When the pharmacy terminal 30 receives the information indicating the determination result transmitted from the server 20 (step S43: YES), the pharmacy terminal 30 displays the information indicating the received determination result on the display unit 302, and the patient wishes to purchase the outside of the medical department The pharmacist or the like is notified whether or not the product or the over-the-counter medicine can be used (step S44).
The control unit 301 of the pharmacy terminal 30 does not input the drug identification information and the patient identification information by the pharmacist in step S41 (step S41: NO) or until the determination result is received in step S43 (step S43). : NO), wait. Moreover, the control part 201 of the server 20 will wait without starting a process, if pharmaceutical identification information and patient identification information are not transmitted from the pharmacy terminal 30 in step S51 (step S51: NO).

  According to the above-described modification, the pharmacist at each pharmacy determines whether or not the patient can use a commercially available drug that the patient wishes to purchase without directly confirming the drug history or constitution to the patient. Since the result can be confirmed, it is possible to appropriately provide a commercially available drug or the like sold at the pharmacy for each patient. In the above example, the example in which the pharmacy terminal 30 reads pharmaceutical identification information such as a marketed drug and inquires of the server 20 whether or not the marketed drug can be used is described. For example, the medicine identification information may be read and the server 20 may be inquired. In this case, the server 20 registers in advance the ID and password of a patient that can be connected for communication, and when the patient makes an inquiry to the server 20 using a portable device, the patient is authenticated by the ID and password of the patient. Configure.

  In the above-described modification (3), the patient does not directly contact the server 20 using the portable device, but makes an inquiry to the server 20 via the processing device 10 used by the doctor in charge of the patient. Also good. In this case, the processing apparatus 10 can be connected to a patient's portable device. The processing apparatus 10 acquires the patient ID and the drug identification information from the portable device of the patient after acquiring the patient ID and the password from the portable device and authenticating the patient. The processing device 10 displays the patient ID and the medicine identification information on the display unit 104 and notifies the doctor in charge of the medicine inquiry from the patient. The doctor in charge transmits the patient ID and the medicine identification information from the processing device 10 to the server 20 after confirming that the patient uses the medicine indicated by the medicine identification information. Similarly to the above, the server 20 determines the use of the medicine or quasi-drug indicated by the medicine identification information based on the patient ID and the medicine identification information, and transmits the patient ID and the judgment result to the processing device 10. . The processing device 10 receives the patient ID and the determination result from the server 20, and transmits the determination result to the mobile device corresponding to the received patient ID. The portable device receives the determination result transmitted from the processing device 10 and notifies the received determination result by displaying it on the display device.

(4) In the first embodiment described above, the patient name, date of birth, insurer number, and insured number were used as patient identification information for identifying a patient. Any combination of patient name, date of birth, telephone number, etc. can be used as long as it can uniquely identify the patient.

(5) In the first embodiment and the second embodiment described above, the processing apparatus 10 is provided for each doctor in charge of each hospital. However, a prescription for one patient is given to a plurality of doctors However, the prescription data respectively created by an apparatus different from the processing apparatus 10 is transmitted to the processing apparatus 10, and each prescription information for the one patient is generated in the processing apparatus 10 based on the transmitted prescription data. It may be.

(6) In the first embodiment and the second embodiment described above, for example, the examination ticket is composed of a magnetic card, and the examination ticket information indicating the patient's name, medical institution name (or medical institution code), and patient ID is examined. It may be stored in the ticket. In this case, the pharmacy terminal 30 is provided with an examination ticket reading means for reading a magnetic card, and an insurance card reading means for reading an image of an insurance card and performing character recognition processing, and an examination ticket reading means and an insurance card reading means, The patient authentication information based on the examination ticket and the insurance card presented by the patient may be generated.

  With this configuration, in the case of the first embodiment, predetermined items (for example, insurer number, insured number, name, year of birth) of the character data read by the insurance card reading means are used. Each character data corresponding to the date) is extracted as insurance card information, the examination ticket information read by the examination ticket reading means and the prescription information corresponding to the insurance card information are selected at the pharmacy terminal 30, and the selected prescription information is output. May be. With such a configuration, a pharmacist at a pharmacy or the like can prescribe a prescription drug based on the prescription information of the patient without performing an operation of selecting prescription information based on the examination ticket and the insurance card.

  Similarly, in the case of the second embodiment, the pharmacy terminal 30 includes the insurance card information extracted from the character data read by the insurance card reading means, and the examination ticket information read by the examination ticket reading means. Patient authentication information may be generated and the patient authentication information may be transmitted to the server 20. With this configuration, the pharmacist or the like of the pharmacy uses the pharmacy terminal 30 to store the patient's prescription information authenticated by the server 20 without performing the operation of inputting the patient authentication information based on the examination ticket and the insurance card. Can be received.

(7) In the first embodiment described above, an example in which the server 20 is provided outside the medical institution will be described. In the second embodiment described above, the server 20 provided in the hospital X and the hospital Y The example in which the processing device and the pharmacy terminal 30 are configured to be communicably connected has been described, but the processing device and the pharmacy terminal 30 may be configured as follows. The hospital X is provided with an in-hospital server having the same function as the server 20 that performs the prescription drug check process in the hospital X, and the server 20 similar to the first embodiment is provided outside the medical institution. Also good. In other words, the server 20 may be provided inside and outside the medical institution.
When a plurality of departments are installed in the hospital X, the prescription information of the patients issued in each department in the hospital X is checked by the in-hospital server to determine whether the prescription drugs are appropriate. In addition, the prescription information on which the prescription drug check process has been performed by the hospital server of hospital X is transmitted to the server 20 provided outside the medical institution, so that the prescription information of the patient of hospital X and the patient The hospital 20 can check each prescription drug of the prescription information issued by the hospital Y after receiving the hospital Y. In this case, the patient information DB 100x and the prescription DB 110x in the hospital X may be stored in the hospital server.

(8) In the first embodiment and the second embodiment described above, when the prescription information is transmitted from the processing device 10 to the server 20 or when the prescription information is transmitted from the server 20 to the pharmacy terminal 30, it is determined in advance. The prescription information may be encrypted and transmitted using the encrypted key. In this case, the server 20 and the pharmacy terminal 30 are configured to decrypt the received prescription information using a predetermined decryption key corresponding to the encryption key.

(9) In the first embodiment and the second embodiment described above, the data stored in the drug history DB 220 includes items other than the items described above (for example, patient test results, doctor findings, etc.). May be.

DESCRIPTION OF SYMBOLS 1,1A ... Prescription judgment system, 2, 3, 4 ... Communication line, 10 ... Processing apparatus, 20 ... Server, 30 ... Pharmacy terminal, 101, 201, 301 ... Control , 102, 303 ... operation unit, 103, 202, 304 ... storage unit, 104, 302 ... display unit, 105, 203, 306 ... communication unit, 305 ... output unit

Claims (8)

Including one or more first terminal devices, a server device, and one or more second terminal devices;
Each of the one or more first terminal devices includes:
Prescription drug information indicating the prescribed medicine, medical institution identification information for identifying the medical institution from which the prescription drug information is issued, and patient identification information for identifying the patient to whom the prescription drug information is issued at the medical institution Obtaining means for acquiring prescription information including insurance institution identification information for identifying an insurance institution of the health insurance to which the patient has joined and insured person identification information for identifying the patient at the health institution;
Transmission means for transmitting the prescription information acquired by the acquisition means to the server device,
The server device
Prescription drug information indicating a prescribed drug, medical institution identification information for identifying a medical institution from which the prescription drug information is issued, and a destination of the prescription drug information from each of the one or more first terminal devices Patient identification information for identifying the patient at the medical institution, insurance institution identification information for identifying the insurance institution of the health insurance to which the patient has joined, and insured person identification information for identifying the patient at the health institution Receiving means for receiving prescription information including:
Storage means for storing prescription information received by the receiving means,
The receiving means includes, from each of the one or more second terminal devices, medical institution identification information for identifying a medical institution, patient identification information for identifying a patient in the medical institution, and an insurance institution identification for identifying an insurance institution Receiving patient authentication information including information and insured person identification information for identifying the insured person in the health institution,
When the receiving means receives patient authentication information from any one of the one or more second terminal devices, the prescription information including the patient authentication information is included in the prescription information stored in the storage means. Transmission means for transmitting the prescription drug information to the second terminal device that is the transmission source of the patient authentication information,
Each of the one or more second terminal devices includes:
Medical institution identification information for identifying a medical institution used by the patient, patient identification information for identifying the patient at the medical institution, insurance institution identification information for identifying an insurance institution of the health insurance to which the patient has joined, Obtaining means for obtaining patient authentication information including insured person identification information for identifying the patient at the health institution;
Transmitting means for transmitting patient authentication information acquired by the acquiring means of the own apparatus to the server apparatus;
Receiving means for receiving prescription drug information indicating a prescription medicine transmitted from the server apparatus as a response to transmission of patient authentication information by the transmission means of the own apparatus. From each of the one or more first terminal devices, prescription drug information indicating a prescription drug, medical institution identification information for identifying a medical institution from which the prescription drug information is issued, and an issue destination of the prescription drug information Patient identification information for identifying the patient at the medical institution, insurance institution identification information for identifying the insurance institution of the health insurance to which the patient has joined, and insured person identification information for identifying the patient at the health institution Receiving means for receiving prescription information including;
Storage means for storing prescription information received by the receiving means,
The receiving means includes medical institution identification information for identifying a medical institution, patient identification information for identifying a patient in the medical institution, and insurance institution identification information for identifying an insurance institution from each of the one or more second terminal devices. And patient authentication information including insured person identification information for identifying the insured person at the health institution,
When the receiving means receives patient authentication information from one of the one or more second terminal devices, the prescription information including the patient authentication information is included in the prescription information stored in the storage means. A server apparatus provided with the transmission means which transmits prescription drug information to the 2nd terminal device of the transmission origin of the said patient authentication information. When the transmission means transmits prescription drug information to any one of the one or more second terminal devices, the storage means associates prescription information including the prescription drug information with transmission information indicating transmission completion. Remember,
When the prescription information including the patient authentication information received by the reception means is stored in the storage means in association with the transmission information indicating that the transmission is completed, the transmission means stores the prescription drug information included in the prescription information. The server device according to claim 2, wherein the server is not transmitted to the second terminal device that is the transmission source of the patient authentication information received by the receiving unit. Medical institution identification information for identifying a medical institution used by the patient, patient identification information for identifying the patient at the medical institution, insurance institution identification information for identifying an insurance institution of the health insurance to which the patient has joined, Obtaining means for obtaining patient authentication information including insured person identification information for identifying the patient at the health institution;
Transmitting means for transmitting patient authentication information acquired by the acquiring means to a server device;
A terminal device comprising: receiving means for receiving prescription drug information indicating a prescription medicine transmitted from the server apparatus as a response to transmission of patient authentication information by the transmission means. 5. The acquisition unit includes a magnetic information reading unit that reads information recorded magnetically on a recording medium, and acquires medical institution identification information and patient identification information from the recording medium by the magnetic information reading unit. The terminal device described in 1. The acquisition means includes character information reading means for performing character recognition processing by reading an image formed on a recording medium, and the insurance information identifying information and the insured person identification information are read from the recording medium by the character information reading means. The terminal device according to claim 4 or 5. On the computer,
From each of the one or more first terminal devices, prescription drug information indicating a prescription drug, medical institution identification information for identifying a medical institution from which the prescription drug information is issued, and an issue destination of the prescription drug information Patient identification information for identifying the patient at the medical institution, insurance institution identification information for identifying the insurance institution of the health insurance to which the patient has joined, and insured person identification information for identifying the patient at the health institution Processing to receive prescription information including,
Storing the received prescription information;
Medical institution identification information for identifying a medical institution, patient identification information for identifying a patient in the medical institution, insurance institution identification information for identifying an insurance institution, and the health institution from each of the one or more second terminal devices Receiving the patient authentication information including the insured person identification information for identifying the insured person at
When the patient authentication information is received from any one of the one or more second terminal devices, the prescription drug information included in the prescription information including the patient authentication information is stored in the patient authentication information. A program for executing the process of transmitting to the second terminal device of the transmission source. On the computer,
Medical institution identification information for identifying a medical institution used by the patient, patient identification information for identifying the patient at the medical institution, insurance institution identification information for identifying an insurance institution of the health insurance to which the patient has joined, Processing to obtain patient authentication information including insured person identification information for identifying the patient at the health institution;
Processing for transmitting the acquired patient authentication information to a server device;
A program for executing a process of receiving prescription drug information indicating a prescription drug transmitted from the server device as a response to transmission of patient authentication information.

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