Medication instruction assisting system and medication instruction assisting method

Abstract

To provide a medication instruction assisting system for displaying an appropriate medication instruction display screen for a prescription pattern of a patient, or a medication instruction assisting system for displaying a medication instruction display screen on which optimal past prescription information is displayed.SOLUTION: A medication instruction assisting system S including display means for displaying prescribed medicine information on a medicine prescribed this time, has storage means that stores display designation information in which information to be displayed among display items composed of a plurality of pieces of information included in patient identification information on the patient, current prescription information on the medicine prescribed this time, and past prescription information related to medicines prescribed to the patient in the past, is designated in association with each type of a prescription pattern. A prescription pattern is determined for a current prescription from the plurality of pieces of information included in the current prescription information and the past prescription information, information to be displayed is determined on the basis of the determined prescription pattern and the display designation information, and a medication instruction display screen is generated and displayed on display means.SELECTED DRAWING: Figure 1

Description

[Technical field]

[0001] The present invention relates to a medication instruction support system and a medication instruction support method for displaying a medication instruction display screen on a display means according to the type of prescription pattern of a patient when providing medication instruction by displaying prescription drug information on the display means, and also to a medication instruction support system and a medication instruction support method for displaying a medication instruction display screen on the display means showing optimal past prescription information even when there are multiple past prescription information with different prescription dates when providing medication instruction by displaying prescription drug information on the display means. [Background technology]

[0002] A medication history (hereafter referred to as a medication history) is a document used by insurance pharmacies to manage patient information. Items to be recorded include basic patient information (name, date of birth, etc.), prescription and dispensing details, as well as constitution, lifestyle, etc. as stipulated by the Ministry of Health, Labour and Welfare. In addition, they must be stored for three years from the date of the last entry. There are electronic medication history systems that electronically store this type of medication history, and these systems must satisfy the "Guidelines for the Security Management of Medical Information Systems" and other standards.

[0003] The electronic medical history system allows insurance pharmacies to store and view patient information. When a patient brings in a prescription, the pharmacy's reception desk work roughly follows the steps below. 1) Based on the prescription brought in, the contents of this prescription (prescription information) are entered into the electronic medical history system (generally this is done on the administrative system receipt computer and then automatically transferred to the electronic medical history system). 2) View and confirm the patient's head (information on constitution, etc.) and past prescription information history to check that there are no problems with the contents of the current prescription (prescription audit). 3) Dispensing (collecting and dispensing medicines for patients, etc.) 4) Confirm that the dispensed medicine is correct according to the prescription (prescription audit) 5) Explain precautions to take and collect information from the patient, such as asking if there are any problems, before handing out the medication (medication administration and drug use instructions). 6) Accounting 7) Enter the collected information and a summary of medication instructions into the electronic medical history system. Of the above, 2), 5), and 7) are the main situations in which an electronic medical history system is used. As such, the electronic medical history system must be realized with viewing and storage functions that meet various guidelines.

[0004] However, in the management of insurance pharmacies, a major theme is how to reduce the time spent per patient. This has given rise to needs for electronic medication history systems, such as "how quickly can information requiring attention be collected?" and "how quickly can recording be completed?" when viewing and saving, and this has gradually led to specific requests such as "I want the electronic medication history system to suggest 'items requiring attention and guidance'" and "I want the medical history entry to be completed simply by selecting them." In existing electronic medication history systems, in response to the need for "I want the electronic medication history system to suggest 'items requiring attention and guidance'" for each drug, the contents of cautions and guidance for "each drug" are digitized and loaded into the electronic medication history system.

[0005] The "items to be warned about and instructed about" for each drug are mainly provided by drug data manufacturers and are installed in each company's electronic medical history system. Drug data manufacturers create "items to be warned about and instructed about" for patients taking the drug based on the information (drug package insert) that each pharmaceutical manufacturer creates for medical professionals as instructions for the drug. Drug package inserts are written in such a way that even if there is a very small possibility, they are written if there is a possibility that a problem will occur. Similarly, drug data manufacturers often create "items to be warned about and instructed about" with the policy that the contents written on the drug package insert are basically the contents that should be conveyed to patients. Therefore, there are 5 to 10 "items to be warned about and instructed about" for each drug, and some even exceed that. There are cases where only one drug is prescribed, but if three types of drugs are prescribed, for example, 15 to 30 or more pieces of information may appear.

[0006] As such, there is a problem of there being too many "items requiring caution and guidance," and currently, pharmacists and other medication instructors at insurance pharmacies do not thoroughly instruct patients on the "items requiring caution and guidance." This is an area where the thinking of pharmaceutical data manufacturers and on-site medication instructors is fundamentally at odds. As a result, the original need, "how to gather information requiring caution in as short a time as possible," which in turn was to have the electronic medication history system suggest "items requiring caution and guidance," has not been met. In response to this question of "how to narrow down the excessive information that is displayed," various electronic medication history system developers have devised their own methods, such as "randomly," "presenting items that have never been instructed before," and "user-configured."

[0007] Patent Document 1 discloses a medication instruction book creation device that creates a medication instruction book issued to a patient. This device includes a RAM that stores prescription contents for a patient inputted by an input unit as prescription information, and a medication instruction database that accumulates image information showing the appearance of each medicine and precautions for each medicine. The detection unit extracts image information of the medicine administered to the patient based on the prescription information, and the printing unit outputs the extracted image information, the method of taking the medicine shown in the prescription information, and precautions corresponding to the image information on the medication instruction book. According to this conventional technology, a medication instruction book that clearly shows the correspondence between the medicine and the method of taking the medicine can be quickly issued, and a pharmacist can verbally explain the medication instruction book by looking at it. [Prior art documents] [Patent documents]

[0008] [Patent Document 1] Japanese Patent Application Publication No. 8-63519 Summary of the Invention [Problem to be solved by the invention]

[0009] However, the medication instruction sheet created by this medication instruction sheet creation device also requires the pharmacist to extract the medication instruction sheet suitable for the patient from the vast amount of "medication instruction sheet" for each drug stored in the device. In addition, the extraction of medication instruction sheet suitable for the patient ultimately varies greatly depending on the pharmacist's experience and technical ability, and it is difficult for an inexperienced pharmacist to extract medication instruction sheet suitable for the patient, and there is a possibility that appropriate medication instruction will not be provided. In addition, even for an experienced pharmacist, extracting medication instruction sheet suitable for each of a large number of patients is a time-consuming and labor-intensive task, which places a heavy burden on the pharmacist.

[0010] Furthermore, in addition to the information that must be conveyed "for each drug" as described above, pharmacists and other medication instructors must also confirm the patient's constitution, allergy information, disease and medical history, and whether the patient is taking any medications prescribed at other pharmacies or over-the-counter medications. They must also check the remaining amount of medications prescribed in the past, and check for any problems or changes in physical condition that may have arisen while taking the medication. Medication instructors must select the appropriate information for each patient who visits the pharmacy from the patient and drug information displayed on the screen obtained by accessing the electronic medical history system, and provide medication instructions.

[0011] However, selecting information to instruct patients from a wide variety of information varies greatly depending on the experience and technical ability of the medication instructor, and it is difficult for an inexperienced medication instructor to select information appropriate for a patient, and appropriate medication instruction may not be provided. Even for an experienced medication instructor, selecting information appropriate for each patient from a wide variety of information for each patient places a heavy burden on the medication instructor, and it is required to provide appropriate medication instruction to patients efficiently and easily.

[0012] The present invention has been made in consideration of the above-mentioned circumstances, and aims to provide a medication instruction support system and a medication instruction support method that can display an appropriate medication instruction display screen and provide appropriate medication instruction efficiently and easily. [Means for solving the problem]

[0013] The medication instruction support system of the present invention includes a display means for displaying patient identification information for identifying a patient and prescription drug information for a currently prescribed drug in association with the patient identification information, and further includes a storage means for storing the patient identification information, patient information for the patient, current prescription information for the currently prescribed drug, and past prescription information for a drug previously prescribed for the patient in association with each other, and storing information on at least one display block to be displayed on the display means out of a plurality of display blocks formed based on a plurality of pieces of information included in the patient information, the current prescription information, and the past prescription information, in association with the patient identification information, the current prescription information, and the past prescription information, in association with the patient identification information, the current prescription information, and the past prescription information. the storage means for storing display specification information specified in association with each prescription; prescription pattern determination means for determining a prescription pattern for the current prescription by referring to the plurality of pieces of information stored in the storage means; and display screen generation means for determining a display block to be displayed based on the prescription pattern determined by the prescription pattern determination means and the display specification information stored in the storage means, and generating a medication instruction display screen for displaying the display block, the patient identification information, and the prescription drug information on the display means in association with each other, wherein the display means displays the medication instruction display screen generated by the display screen generation means.

[0014] The display designation information may include display state designation information which designates a display state of a display block to be displayed on the display means in correspondence with a type of prescription pattern, and the display screen generating means may generate the medication instruction display screen for displaying on the display means the display block to be displayed, the patient information, and the prescription drug information in correspondence with each other in accordance with the display state designation information.

[0015] The display specification information may include display order information that specifies the display order of display blocks to be displayed on the display means, and the display screen generating means may generate the medication instruction display screen for displaying on the display means, in correspondence with the display blocks to be displayed, the patient information, and the prescription drug information, in accordance with the display order information.

[0016] The storage means may have a first determination means for determining whether or not the number of days from a last day of a prescription period of a drug prescribed in the past to the current prescription date is a first predetermined number of days or more, based on a current prescription date included in the current prescription information stored in the storage means and a past prescription date and prescription date information included in the past prescription information stored in the storage means, when the past prescription information is stored in association with the patient information. When the first determination means determines that the number of days from the last day of a prescription period of a drug prescribed in the past to the current prescription date is a first predetermined number of days or more, the prescription pattern determination means may determine the prescription pattern for the current prescription as a one-time prescription pattern that is not a first prescription and is not a repeated prescription of the same drug as the drug prescribed in the past or a drug that can be regarded as the same drug, when the first determination means determines that the number of days from the last day of a prescription period of a drug prescribed in the past to the current prescription date is a first predetermined number of days or more. The display screen generation means may refer to the storage means, and based on the display designation information designated in association with the one-time prescription pattern, determine the display block to be displayed, and generate the medication instruction display screen for displaying the display block, the patient information, and the prescribed drug information on the display means in association with each other.

[0017] The present invention may further comprise: a drug identification information comparison means for comparing, when the past prescription information is stored in the storage means in association with the patient information, drug identification information identifying a drug included in the current prescription information stored in the storage means with drug identification information identifying a drug included in the past prescription information stored in the storage means; and a re-prescription determination means for determining, based on a result of the comparison by the drug identification information comparison means, whether or not the drug currently prescribed is a re-prescription that is a repeated prescription of the same drug as a drug prescribed in the past or a deemed same drug that can be deemed to be the same drug, and when the re-prescription determination means determines that the prescription is a re-prescription, the prescription pattern for the current prescription may be determined as a re-prescription pattern, and the display screen generation means may determine the display block to be displayed based on the display designation information designated in association with the re-prescription pattern stored in the storage means, and generate the medication instruction display screen for displaying the display block to be displayed, the patient identification information, the prescribed drug information, and information based on the past prescription information in association with each other on the display means.

[0018] The drug identifying information comparison means, when a plurality of drugs have been currently prescribed and there is a plurality of pieces of drug identifying information identifying the drug included in the current prescription information stored in the storage means, compares each of the plurality of pieces of drug identifying information with the drug identifying information identifying the drug included in the past prescription information stored in the storage means, and the re-prescription determination means determines whether or not each of the plurality of drugs currently prescribed is a re-prescription based on a result of the comparison by the drug identifying information comparison means, and the prescription pattern determination means may determine the prescription pattern as the re-prescription pattern when the number of drugs determined by the re-prescription determination means to be not re-prescribed among the plurality of drugs currently prescribed is equal to or less than a predetermined number, or when the proportion of drugs determined to be not re-prescribed is equal to or less than a predetermined proportion.

[0019] The drug identifying information comparison means, when a plurality of pieces of the past prescription information with different prescription dates are stored in the storage means, compares the drug identifying information identifying the drug included in the current prescription information with the drug identifying information identifying the drug included in the most recent past prescription information among the plurality of pieces of the past prescription information, in order, and the re-prescription determination means determines whether the drug currently prescribed is a re-prescription, starting from the most recent past prescription information, based on a result of the comparison by the drug identifying information comparison means. When there is past prescription information for which the re-prescription determination means has determined that the drug currently prescribed is a re-prescription, the prescription pattern determination means determines the past prescription information as the past prescription information to be compared and displayed, and the prescription pattern as the re-prescription pattern. The display screen generation means may determine the display block to be displayed, based on the display designation information designated in correspondence with the re-prescription pattern stored in the storage means, and generate the medication instruction display screen for displaying the display block to be displayed, the patient information, the prescribed drug information, and information based on the past prescription information to be compared and displayed on the display means in correspondence with each other.

[0020] The re-prescription determining means further includes a re-prescription count determining means for determining the number of re-prescriptions when the re-prescription determining means determines that the re-prescription is a re-prescription, and the prescription pattern determining means determines the prescription pattern as the first re-prescription pattern when the number of re-prescriptions determined by the re-prescription count determining means is the second, and determines the prescription pattern as the second re-prescription pattern when the number of re-prescriptions determined by the re-prescription count determining means is the third or subsequent re-prescription, and the display screen generating means generates the display block to be displayed based on the display designation information designated in correspondence with the first re-prescription pattern stored in the storage means when the prescription pattern determining means determines the prescription pattern as the first re-prescription pattern. and generating the medication instruction display screen for displaying on the display means the display block, the patient information, the prescription drug information, and information based on the past prescription information in association with each other, and when the prescription pattern determination means has determined the prescription pattern as the second re-prescription pattern, determining the display block to be displayed based on the display designation information designated in association with the second re-prescription pattern stored in the storage means, and generating the medication instruction display screen for displaying on the display means the display block, the patient information, the prescription drug information, and information based on the past prescription information in association with each other.

[0021] The prescription pattern determination means may determine the prescription pattern as an initial prescription pattern when the past prescription information corresponding to the patient information is not stored in the storage means, and the display screen generation means may determine the display block to be displayed based on the display designation information designated in association with the initial prescription pattern stored in the storage means, and generate the medication instruction display screen for displaying the display block, the patient information, and the prescription drug information on the display means in association with each other.

[0022] The medication instruction support system of the present invention includes patient identification information for identifying a patient and a display means for displaying prescription drug information for a currently prescribed drug in association with the patient identification information, the medication instruction support system further comprising: a storage means for storing the patient identification information, patient information for the patient, current prescription information for the currently prescribed drug, and past prescription information for a drug previously prescribed for the patient in association with each other; and a drug identification information comparison means for comparing the drug identification information for identifying a drug included in the current prescription information stored in the storage means with the drug identification information for identifying a drug included in the past prescription information stored in the storage means, and when a plurality of past prescription information with different prescription dates are stored in the storage means, the drug identification information for identifying a drug included in the current prescription information and the drug identification information for identifying a drug included in the past prescription information are compared with each other. the drug identification information comparison means comparing the drug identification information identifying the drug included in the past prescription information in order, starting with the most recent one; a re-prescription determination means determining whether the drug currently prescribed is a re-prescription that is a repeated prescription of the same drug as a drug prescribed in the past or a deemed-to-be-the-same drug that can be deemed to be the same drug, based on a result of the comparison by the drug identification information comparison means; and, when there is past prescription information for which the re-prescription determination means has determined that the currently prescribed drug is a re-prescription, a display screen generation means generating a medication instruction display screen for displaying the past prescription information as the past prescription information to be compared and correlating information based on the past prescription information to be compared and the prescribed drug information and the patient information on the display means, wherein the display means displays the medication instruction display screen generated by the display screen generation means.

[0023] The medication instruction support method of the present invention is a medication instruction support method executed by a computer included in a medication instruction support system that displays patient identification information for identifying a patient and prescription drug information related to a currently prescribed drug in association with the patient identification information on a display means, the method comprising the steps of: determining a prescription pattern for a current prescription by referring to a storage means that stores the patient identification information, patient information related to the patient, current prescription information related to the currently prescribed drug, and past prescription information related to a drug previously prescribed for the patient, in association with each other; and determining a prescription pattern for a current prescription based on a plurality of pieces of information included in the patient information, the current prescription information, and the past prescription information. The method comprises a display screen generating step of generating a medication instruction display screen for displaying on the display means information on at least one of a plurality of display blocks by referring to the storage means which stores display designation information corresponding to each type of prescription pattern, determining a display block to be displayed based on the prescription pattern determined in the prescription pattern determination step and the display designation information stored in the storage means, and corresponding the display block, the patient identification information, and the prescription drug information to be displayed on the display means; and a display step of displaying on the display means the medication instruction display screen generated by the display screen generating step.

[0024] The medication instruction support method of the present invention is a medication instruction support method executed by a computer included in a medication instruction support system including patient identification information for identifying a patient and a display means for displaying prescription drug information related to a currently prescribed drug in association with the patient identification information, the medication instruction support method comprising a drug identification information comparison step of referring to a storage means for storing the patient identification information, patient information related to the patient, current prescription information related to the currently prescribed drug, and past prescription information related to a drug previously prescribed for the patient in association with each other, and comparing drug identification information identifying a drug included in the current prescription information stored in the storage means with drug identification information identifying a drug included in the past prescription information stored in the storage means, and when a plurality of past prescription information with different prescription dates are stored in the storage means, a drug identification information comparison step of comparing the drug included in the current prescription information with drug identification information identifying a drug included in the current prescription information the drug specifying information is compared with the drug specifying information identifying the drug included in the most recent past prescription information among the plurality of past prescription information; a re-prescription determination step is for determining whether the currently prescribed drug is a re-prescription that is a repeated prescription of a drug prescribed in the past based on a result of the comparison in the drug specifying information comparison step; if there is past prescription information for which the currently prescribed drug is determined to be a re-prescription in the re-prescription determination step, the past prescription information is used as the past prescription information to be compared and a medication instruction display screen is generated for displaying the past prescription information as the past prescription information to be compared and corresponding information based on the past prescription information to be compared and the prescribed drug information and the patient information on the display means; and a display step is for displaying the medication instruction display screen generated by the display screen generation step on the display means. Effect of the Invention

[0025] According to one medication instruction support system of the present invention, a prescription pattern for a current prescription is determined by referring to patient information, current prescription information, and past prescription information, and information regarding at least one or more display blocks to be displayed on the display means out of a plurality of display blocks constituted based on a plurality of pieces of information contained in the patient information, current prescription information, and past prescription information is generated based on display designation information corresponding to each type of prescription pattern and the determined prescription pattern, and the medication instruction display screen generated is displayed on the display means. Therefore, a medication instruction display screen consisting of display blocks appropriate for the patient's prescription pattern can be displayed on the display means, and the medication instructor can provide appropriate medication instruction to the patient efficiently and easily.

[0026] According to one medication instruction support method of the present invention, a prescription pattern for a current prescription is determined by referring to patient information, current prescription information, and past prescription information, and information regarding at least one or more display blocks to be displayed on the display means among a plurality of display blocks formed based on a plurality of pieces of information contained in the patient information, current prescription information, and past prescription information is generated based on display designation information corresponding to each type of prescription pattern and the determined prescription pattern, and the generated medication instruction display screen is displayed on the display means. Therefore, a medication instruction display screen consisting of display blocks appropriate for the patient's prescription pattern can be displayed on the display means, and the medication instructor can provide appropriate medication instruction to the patient efficiently and easily.

[0027] According to another medication instruction support system of the present invention, when comparing drug identification information identifying the drug included in current prescription information for a currently prescribed drug with drug identification information identifying the drug included in past prescription information for a previously prescribed drug, even if multiple past prescription information with different prescription dates are stored, a medication instruction display screen can be displayed that displays information based on the past prescription information with a nearby prescription date that is optimal for displaying in association with the currently prescribed drug information, allowing the medication instructor to provide appropriate medication instructions to the patient efficiently and easily.

[0028] According to another medication instruction support method of the present invention, when comparing drug identification information identifying the drug included in current prescription information for a currently prescribed drug with drug identification information identifying the drug included in past prescription information for a previously prescribed drug, even if multiple past prescription information with different prescription dates are stored, a medication instruction display screen can be displayed that includes information based on past prescription information with a close prescription date that is optimal for displaying in association with the current prescribed drug information, allowing the medication instructor to provide appropriate medication instructions to the patient efficiently and easily. [Brief description of the drawings]

[0029] [Figure 1] 1 is a schematic diagram showing an example of the configuration of a medication instruction support system S in this embodiment. [Diagram 2] 13 shows an example of patient information stored in the storage means 12 in association with patient identification information, current prescription information relating to a currently prescribed drug, and past prescription information relating to a drug prescribed in the past for the patient. [Figure 3A] 11 is an example of display specification information. [Figure 3B] 11 is an example of display specification information. [Figure 3C] 11 is an example of display specification information. [Figure 4A] 13 is an example of a medication instruction display screen. [Figure 4B] 13 is an example of a medication instruction display screen. [Figure 4C] 13 is an example of a medication instruction display screen. [Diagram 5] 2 is a sequence diagram showing an example of the operation of the medication instruction support system S. [Figure 6] 13 is an example of a flowchart showing a “prescription pattern determination process” executed by the control unit 11 of the medication instruction support server 1. [Figure 7] 13 is an example of a flowchart showing a "non-applicability determination process" executed by the control unit 11 in step S1. [Figure 8]13 is an example of a flowchart showing a “prescription pattern determination process” executed by the control unit 11 of the medication instruction support server 1. [Figure 9] 13 is an example of a flowchart showing a "prescription re-determination process" executed by the control unit 11 in step S33. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0030] An embodiment of the present invention will be described with reference to the drawings. However, the embodiment described below is merely an example, and there is no intention to exclude the application of various modifications and technologies not specified below. That is, the present invention can be implemented by various modifications (combining each embodiment, etc.) as long as the effect of the present invention is exhibited. In addition, in the following description of the drawings, the same or similar parts are represented by the same or similar symbols. The drawings are schematic and do not necessarily match the actual dimensions, ratios, etc. The drawings may also include parts with different dimensional relationships and ratios. In addition, in order to avoid the following description becoming unnecessarily redundant and to facilitate understanding by those skilled in the art, detailed descriptions of already well-known matters and duplicate descriptions of substantially identical configurations may be omitted.

[0031] The medication instruction support system S according to this embodiment is a medication instruction support system S including patient identification information for identifying a patient and a display means for displaying prescription drug information regarding a currently prescribed drug in association with the patient identification information. The medication instruction support system S has: a storage means for storing the patient identifying information, patient information on the patient, current prescription information on the drug currently prescribed, and past prescription information on the drug previously prescribed for the patient in association with each other, the storage means for storing display designation information that designates, in association with each type of prescription pattern, information on at least one or more display blocks to be displayed on the display means among a plurality of display blocks formed based on a plurality of pieces of information included in the patient information, the current prescription information, and the past prescription information; a prescription pattern determination means for determining a prescription pattern for the current prescription by referring to the plurality of pieces of information stored in the storage means; and a display screen generation means for determining a display block to be displayed based on the prescription pattern determined by the prescription pattern determination means and the display designation information stored in the storage means, and generating a medication instruction display screen for displaying the display block, the patient identifying information, and the prescription drug information in association with each other on the display means, and the display means is configured to essentially display the medication instruction display screen generated by the display screen generation means.

[0032] In this embodiment, an example will be described in which a prescription for which medication instructions are given through the medication instruction support system S is to be determined from among four types of prescription patterns: an initial prescription pattern, which is a first-time prescription; a repeat prescription pattern, in which the same drug as a previously prescribed drug or a drug that can be considered to be the same drug is repeatedly prescribed; a one-off prescription pattern, which is neither an initial prescription nor a repeat prescription; and a non-applicable pattern, which should be treated as an exceptional measure.

[0033] The medication instruction support system S is a medication instruction instructor that provides medication instruction for prescribed drugs to patients, and is a useful system when medication instruction is provided by pharmacists, doctors, nurses, medical staff, etc. in pharmacies, hospitals, nursing homes for the elderly, etc. In this embodiment, as an example, a case will be described in which the system is used in a pharmacy (inside or outside a hospital) and medication instruction is provided by a pharmacist at the pharmacy. The medication instruction support system S of this embodiment can determine which prescription pattern the current prescription is, among first prescription, one-off prescription, repeat prescription, and non-applicable, and display a medication instruction display screen generated according to the prescription pattern to provide appropriate medication instruction.

[0034] 1 is a schematic diagram showing an example of the configuration of a medication instruction support system S in this embodiment. The medication instruction support system S in this embodiment is composed of a medication instruction support server 1, and terminal devices 2A to 2D and a prescription computer 3 connected to the medication instruction support server 1 so as to be able to send and receive information via a network 100. The network 100 includes a LAN (Local Area Network), a WAN (Wide Area Network), the Internet, an intranet, or the like.

[0035] A plurality of terminal devices 2A to 2D are present in the medication instruction support system S, and are configured as, for example, personal computers, tablet computers, smartphones, etc. that can access the medication instruction support server 1 and the prescription computer 3 via the network 100. The users who operate the terminal devices 2A to 2D in this embodiment are pharmacists, who are an example of medication instruction instructors who provide medication instruction for prescribed medicines to patients. As an example in this embodiment, the terminal devices 2A to 2D are used in a pharmacy, and the pharmacists at the pharmacy are the users of the terminal devices 2A to 2D. When the pharmacists operate the terminal devices 2A to 2D to access the medication instruction support server 1, the processing of each step is executed by the workflow control by the control unit 11 of the medication instruction support server 1. In the following description, a case will be described in which a pharmacist operates the terminal device 2A to access the medication instruction support server 1 and displays a medication instruction display screen transmitted from the medication instruction support server 1 on the display means 23.

[0036] The receipt computer 3 is configured to be able to communicate with external devices including the medication instruction support server 1 and the terminal devices 2A to 2D via the network 100. When a new prescription is issued for a patient, the receipt computer 3 transmits patient identification information capable of identifying the patient, prescription information indicating the contents of the new prescription, and patient information to the medication instruction support server 1 via the network 100. When the medication instruction support server 1 receives this information from the receipt computer 3, which is a higher-level device, it stores it as medication history information in the medication history information database of the storage means 12. In the medication history information database of the storage means 12, the medication history information of the patient is newly registered or updated based on the prescription information indicated by the new prescription contents.

[0037] The patient identification information may be any information that can identify the patient. For example, it may be a patient ID assigned to each patient, or a combination of the name and date of birth, or a combination of this and the health insurance card number.

[0038] The medication instruction support server 1 is a device provided by a system provider who sets up the medication instruction support system S. It may be provided outside a medical institution such as a hospital or a pharmacy. The medication instruction support server 1 may also be an information processing device such as a laptop computer or a tablet terminal.

[0039] The medication instruction support server 1 is configured with a control unit 11 as a computer composed of a CPU (Central Processing Unit) having a calculation function, a working RAM (Random Access Memory), a ROM (Read Only Memory) or a hard disk drive for storing various data and programs, a storage means 12 equipped with a hard disk drive or the like, a display unit 13 equipped with a display screen such as a monitor, an input unit (e.g., a keyboard, a mouse, an operation panel (including a touch panel), etc.) 14 that receives instructions from a business operator operating the medication instruction support system S and gives instruction signals corresponding to the instructions to the control unit 11, and a communication unit 15 for communicating with the terminal devices 2A to 2D and the prescription computer 3 via various networks (including a LAN (Local Area Network)). Each component is connected to each other via a bus. The control unit 11 realizes various functions by, for example, a processor executing a program stored in a memory. The processor may include an MPU (Micro Processing Unit), a CPU, a DSP (Digital Signal Processor), a GPU (Graphical Processing Unit), etc.

[0040] The storage means 12 stores a medication history information database, display specification information, etc. In the medication history information database, prescription history from the past to the present for a patient is accumulated and stored. When a new prescription is issued, patient identification information, patient information, and prescription information are transmitted from the receipt computer 3 to the medication instruction support server 1 via the network 100, and the medication instruction support server 1 receives them via the communication unit 15 and accumulates and stores them in the database. Also, when a pharmacist provides medication instruction while looking at the display screen displayed on the display means 23 of the terminal devices 2A to 2D and inputs information from the terminal devices 2A to 2D, the input information is transmitted to the medication instruction support server 1 via the network 100, and the medication instruction support server 1 receives them via the communication unit 15 and accumulates and stores them in the database.

[0041] The medical history information database accumulates and stores prescription histories of patients from the past to the present. Specifically, prescription information indicating the contents of prescriptions issued to patients and medical history information, which is a history of medication instructions given based on the prescription information, are stored in association with patient information. The patient information is associated with patient identification information that can identify the patient, and includes various information about the patient, such as the patient's name, health insurance card number, date of birth, etc., as well as the patient's age, sex, disease / medical history, constitution, allergies, side effects, whether the patient has received medication prescribed by another pharmacy, over-the-counter medications or supplements that the patient normally takes, whether the patient wishes to use generic drugs, information about the patient's lifestyle pattern, whether the patient drinks alcohol, whether the patient smokes, information about pregnancy, family information, and physical information such as the patient's height, weight, blood type, etc., test results from various tests conducted on the patient, any unique constitutions the patient has, and any matters that require special attention regarding the patient.

[0042] The medical history information is information that records prescription information and the contents of medication instructions given by a pharmacist based on the prescription information. Specifically, it includes prescription identification information (e.g., prescription ID) for identifying the prescription, the doctor in charge, the pharmacist in charge, the medical department, the ward, drug information, dispensing record information, and billing information such as additional information. In addition, the medical history information may record, for example, the date and time and contents of a telephone call, information on the purchase of over-the-counter drugs, a visiting plan for home medication instructions, and a visiting report after home medication instructions.

[0043] The drug information includes, for each prescribed drug, information such as a YJ code, which is an example of drug identification information for identifying the drug, drug name, drug type (including oral medication and injectable medication), quantity, usage, prescription date, daily supply information, number of prescriptions, drug image information, dosage form, unit, specific gravity, compounding changes, excipient drug, precautions, allergy information, and package insert information based on multiple package inserts issued by pharmaceutical companies. For example, if the prescribed drug is a "7-day supply of oral medication," the information "7-day supply" is stored as the daily supply information. The number of prescriptions is the number of times the drug has been prescribed to a patient, and if it is determined to be a re-prescription in the re-prescription determination described below, the number of prescriptions is incremented.

[0044] Furthermore, the storage means 12 stores patient information, current prescription information on the currently prescribed drug, and past prescription information on the drug previously prescribed for the patient, in association with the patient identification information. Specifically, when a new prescription is issued and new information is accumulated and stored in the drug history information database, the control unit 11 of the medication instruction support server 1 extracts patient information and drug history information from the drug history information database in order to determine a prescription pattern for the new prescription, classifies them into current prescription information and past prescription information, and stores them in the storage means 12 in association with the patient information and the patient identification information, respectively.

[0045] FIG. 2 is an example of patient information stored in the storage means 12 in association with patient identification information, current prescription information regarding the drug prescribed this time, and past prescription information regarding the drug prescribed in the past for the patient. According to the current prescription information shown in the figure, three types of drugs 1, 2, and 3 are prescribed this time. The current prescription information is extracted from the extracted medical history information, and the prescription drug information for each drug is stored as the current prescription information in association with the patient information and the patient identification information. In addition, the patient has been prescribed drugs three times in the past (March 29, 2023, December 29, 2022, and May 1, 2022), and for each prescription date, prescription information including the prescription drug information for each prescribed drug from the extracted medical history information, and information regarding the content of the medication instruction given by the pharmacist based on the prescription information are stored as past prescription information in association with the patient information and the patient identification information.

[0046] The storage means 12 further stores display designation information. The display designation information is information that designates information on at least one or more display blocks to be displayed on the display means 23 of the terminal device 2 operated by the pharmacist, among a plurality of display blocks configured based on a plurality of pieces of information (FIG. 2) included in the patient information, current prescription information, and past prescription information stored in the storage means 12, in association with each type of prescription pattern. When the prescription pattern determination means of the control unit 11 determines a prescription pattern by a "prescription pattern determination process" to be described later, the display screen generation means of the control unit 11 refers to the display designation information, determines a display block to be displayed on the display means 23 based on the determined prescription pattern, among a plurality of display blocks configured based on the above-mentioned plurality of pieces of information (FIG. 2), and generates a medication instruction display screen. FIGS. 3A to 3C are examples of display designation information stored in the storage means 12.

[0047] In the display designation information of FIG. 3A, for eight display blocks of display orders 1 to 8, which are examples of a plurality of display blocks configured based on a plurality of pieces of information (FIG. 2) included in the patient information, current prescription information, and past prescription information stored in the storage means 12, block names and display states (an example of display state designation information) are stored in association with prescription patterns. The display order is an example of display order information. For example, the display blocks of display orders 1, 2, 7, and 8 are display blocks that are displayed in all prescription patterns regardless of the type of prescription pattern. Also, for example, the block name "Confirmation of interval between previous and current visits" in the display order 3 is a display block that is displayed when the determined prescription pattern is "Re-prescription (second time) pattern" which is an example of a re-prescription pattern, or "Re-prescription (third or later) pattern" which is an example of a re-prescription pattern. Furthermore, for example, the block name "Confirmation sub-block" in the display order 5 is a display block that is displayed when the determined prescription pattern is "Non-corresponding pattern".

[0048] The display state indicates the state when the display block is displayed on the display means 23, and in this embodiment, it is configured with three types of display states: fixed open (no close operation), open (close operation possible), and closed (open operation possible). The "operation" is an operation in which, in a state where a medication instruction display screen consisting of each display block is displayed on the display means 23 of the terminal device 2 operated by the pharmacist, the pharmacist operates the input unit 24 to click an open display instruction button (e.g., an "expand arrow" button (>), a "+" plus button, etc.) in the displayed display block to set the display block to a detailed display state (open), or to click a close display instruction button (e.g., a "downward arrow" button, a "-" minus button, etc.) to set the display block to a detailed non-display state (close). In this embodiment, the display order 1 block name "Patient specific information" and display order 2 "Prescribing drug information prescribed this time", which are relatively important information, are configured to be displayed as a fixed open display block.

[0049] In the display designation information of FIG. 3B, for 11 subblocks (examples of display blocks) related to the block names "recommended subblock", "other subblock", and "confirmation subblock" of the display designation information shown in FIG. 3A, the subblock name and the display block (block name) shown in FIG. 3A corresponding to the subblock are stored in association with the prescription pattern. In the example of FIG. 3B, the subblock corresponding to the block name "recommended subblock" of the display designation information shown in FIG. 3A is shown as "recommended", the subblock corresponding to the block name "other subblock" of the display designation information shown in FIG. 3A is shown as "other", and the subblock corresponding to the block name "confirmation subblock" of the display designation information shown in FIG. 3A is shown as "confirm".

[0050] In this embodiment, information recommended to be confirmed / input according to the type of prescription pattern is specified in the display specification information as a "recommended sub-block." In the display specification information in Fig. 3C, display priority information, which is an example of display order information that specifies the display order of the sub-blocks in Fig. 3B, is stored in association with the prescription pattern. Note that the "block names" and "sub-block names" in Figures 3A to 3C indicate the contents of multiple pieces of information contained in the patient information, current prescription information, and past prescription information stored in the storage means 12, which are the basis for configuring these display blocks.

[0051] For example, when the prescription pattern is determined to be the “initial prescription pattern” in the “prescription pattern determination process” described later, among the display blocks in the display order 1 to 8 (FIG. 3A), the display blocks in the display order 1, 2, 4, 6, 7, and 8 are determined to be the display blocks to be displayed. That is, on the medication instruction display screen generated by the display screen generating means of the control unit 11, the display blocks of display orders 1 and 2 are displayed in the order of display from the top in a fixed open state, and then the "recommended sub-block", which is the display block of display order 4, is displayed in an open state. In the example shown in Fig. 3B, the "recommended sub-block" is six sub-blocks, No. 3 "Constitution, allergies, side effects" to No. 7 "Generic drug preference" and No. 11 "Patient basic information update confirmation", which are displayed in the display order according to the display priority information (Fig. 3C). Next, the "Other sub-blocks", which is the display block with the sixth display order, is displayed in a closed state. In the example shown in Fig. 3B, the "Other sub-blocks" display three sub-blocks, No. 8 "Lifestyle patterns" to No. 10 "Consultation topics", in the display order according to the display priority information (Fig. 3C).

[0052] Each means and function of the control unit 11 is executed according to a program stored in a ROM or the like, but may be configured as an independent device or may be configured by cloud computing. Also, the storage means 12 may be configured by a cloud service. Also, the function of the medication instruction support server 1 may be provided to the terminal devices 2A to 2D in a SaaS (Software as a Service) format. The control unit 11 cooperates with other members to function as a prescription pattern determining means, a prescription refill determining means, a medicine specifying information comparing means, a first determining means, a second determining means, a prescription refill count determining means, and a display screen generating means of the present invention.

[0053] <Example of medication instruction display screen> Figures 4A to 4C are examples of medication instruction display screens displayed on the display means 23 of the terminal device 2A. The medication instruction display screens shown in Figures 4B and 4C are sequentially illustrated in a state in which the medication instruction display screen shown in Figure 4A is scrolled downward. The medication instruction display screen is an example of a medication instruction display screen generated by the display screen generating means of the control unit 11 based on a prescription pattern determined in a prescription pattern determination process described later, and is an example of a medication instruction display screen when the prescription pattern determined in the prescription pattern determination process is a "single prescription pattern." The medication instruction display screen (FIGS. 4A to 4C) will be described with reference to the display designation information in FIG. 3A to FIG. 3C.

[0054] In the case of the medication instruction display screen for the "single prescription pattern" (FIGS. 4A to 4C), the following display blocks are displayed from the top in accordance with the display designation information in FIG. 3A: patient identification information 71 in display order 1, currently prescribed prescription drug information 72 in display order 2, recommended sub-block 73 in display order 4, other sub-block 74 in display order 6, image 75 in display order 7, and completion 76 in display order 8. According to the example in the figure, from the currently prescribed prescription drug information 72, five types of drugs (tablets A to E) have been prescribed, and prescription drug information for each drug is displayed.

[0055] The sub-blocks displayed in the recommended sub-block 73 are the sub-block names "Constitution, allergies, and side effects," "Disease and medical history," and "Confirmation of update of basic patient information," which are specified as "recommended sub-blocks" in the display specification information in Fig. 3B. These three sub-blocks are displayed in an open state in the recommended sub-block 73 on the medication instruction display screen in the display order according to the display priority information (Fig. 3C) (Constitution, allergies, and side effects 79).

[0056] In addition, the Other sub-block 74 and Image 75 are display blocks that are displayed in a closed state (Fig. 3B), and the contents of the display blocks are opened and displayed by clicking the open display instruction button ">" in Fig. 4B. The sub-blocks displayed in the Other sub-block 74 are the sub-block names "Concomitant medications (other departments / other hospitals)", "OTC / supplements", "Generic drug preferences", "Lifestyle patterns", "Test results", and "Consultation items" that are specified as "Other sub-blocks" in the display specification information in Fig. 3B. When these six sub-blocks are opened by clicking the open display instruction button ">", they are displayed in the Other sub-block 74 in the display order according to the display priority information (Fig. 3C).

[0057] <Operation of Medication Instruction Support System S> An example of the operation of the medication instruction support system S will be described. The operation of the medication instruction support system S is the operation exchanged between the components of each device included in the system S. The following describes an example of a procedure for displaying a medication instruction display screen for supporting the medication instruction on the display screen of the display means 23 of the terminal device 2A operated by a pharmacist when the pharmacist provides medication instruction to a patient.

[0058] In the operation of the medication instruction support system S described below, communication is performed between the medication instruction support server 1, the terminal device 2A, and the prescription computer 3 via the network 100 and the communication units 15 and 25. However, in the following, unless otherwise specified, the explanations "via the network 100," "via the communication unit 15," and "via the communication unit 25" will be omitted.

[0059] Fig. 5 is a sequence diagram showing an example of the operation of the medication instruction support system 1. Figs. 6 to 9 are examples of a flowchart showing the "prescription pattern determination process" executed by the control unit 11 of the medication instruction support server 1. When a new prescription is issued, the receipt computer 3 transmits patient identification information, patient information, and prescription information to the medication instruction support server 1 via the network 100 (S101), and the medication instruction support server 1 receives them via the communication unit 15 and accumulates and stores them in the medication history information database of the storage means 12 (S102). The processes of steps S101 and S102 are repeated every time a new prescription is issued. When new information is accumulated and stored in the medication history information database, the control unit 11 of the medication instruction support server 1 extracts patient information and medication history information from the medication history information database, classifies them into current prescription information and past prescription information, and stores them in the storage means 12 in association with the patient information and the patient identification information, respectively (FIG. 2). The control unit 11 of the medication instruction support server 1 executes the "prescription pattern determination process" shown in FIGS. 6 to 9 (S103). The flowchart shown in FIG. 6 and the flowchart shown in FIG. 8 are connected by a connector A and a connector B.

[0060] First, the control unit 11 performs a "non-applicable determination process" (step S1). FIG. 7 is an example of a flowchart showing the "non-applicable determination process" executed by the control unit 11 in step S1. In the "non-applicable determination process", based on the patient information stored in the storage means 12, it is confirmed whether the patient is a case of care designation (step S21) or a home patient (step S22). If the patient is a case of care designation (step S21: Yes) or if the patient is a home patient (step S22: Yes), it is determined to be "non-applicable", and if the patient is not a case of care designation (step S21: No) and is not a home patient (step S22: No), it is determined to be "applicable".

[0061] Here, a "case designated as requiring special care" is, for example, a case in which the pharmacist adds information such as "I would like to make my own decision for this patient without relying on the support of the medication instruction support system S" to matters requiring special attention in the patient's patient information. By setting a "case designated as requiring special care," it is possible to meet the request that relatively careful medication instruction should be given to some patients.

[0062] "At home" refers to, for example, a case where information indicating that the patient is at home is added to the items of special attention for the patient in the patient information of the patient. In particular, for elderly people and people with incurable diseases who use nursing care insurance, a pharmacist brings the prescribed medicine to the patient's home (or facility) and provides medication instructions for the prescribed medicine while listening to the patient's condition. In the case of a patient at home, the medication instructions by the pharmacist also focus on collecting and confirming information on the patient's lifestyle and nursing care, and often involve navigation different from that of normal prescription reception and issuance work, so the medication instruction support system S of this embodiment is configured to determine the patient as "not applicable," which should be an exceptional measure.

[0063] In the display specification information of this embodiment (FIGS. 3A to 3C), in the case of a "non-applicable pattern," the display blocks in the display order 1, 2, 5, 7, and 8 shown in FIG. 3A are displayed. The "Confirm" subblock displayed in the non-applicable pattern with display order 5 is configured to display all display items in a closed state. With this configuration, in the case of a "non-applicable pattern" that should be an exceptional measure, by eliminating as much information as possible that is openly displayed and deliberately not creating any information that stands out on the display screen, a medication display screen is generated that allows the pharmacist to check all information widely and evenly.

[0064] Next, if the result of the judgment of the "non-applicable determination process" is "non-applicable" (step S1: non-applicable), the prescription pattern is determined as a "non-applicable pattern" (step S2), and the prescription pattern determination process is terminated. On the other hand, if the result of the judgment of the "non-applicable determination process" is "applicable" (step S1: applicable), it is determined whether or not there is past prescription information associated with the patient information in the storage means 12 (step S3). If the result of the judgment is that there is no past prescription information in the storage means 12 (step S3: No), the prescription pattern is determined as a "first prescription pattern" (step S4), and the prescription pattern determination process is terminated.

[0065] As a result of the judgment in step S3, if there is a past prescription associated with the patient information in the storage means 12 (step S3: Yes), the control unit 11 functions as a first judgment means, and judges whether the number of days from the last day of the prescription period of the past prescribed drug to the current prescription date is equal to or greater than a first predetermined number of days based on the current prescription date included in the current prescription information associated with the patient identification information in the storage means 12 and the past prescription date and prescription date information included in the past prescription information (step S5). If there are multiple pieces of past prescription information, the prescription date of the most recent past prescription, for example, "March 29, 2023" in the example of FIG. 2, is set as the past prescription date. Based on the past prescription date and the day information (0 days) of the drug included in the past prescription information, it is judged whether the first predetermined number of days has passed since the last day of the prescription period. The first predetermined number of days is, for example, 90 days or more. With this configuration, even if a patient has visited the pharmacy in the past and there is past prescription information associated with the patient information in the storage means 12, if a long period of time has passed since the last scheduled day of administration of the drug prescribed on that past prescription date, it is possible to avoid determining that the current prescription is a consecutive "re-prescription" from the past prescription.

[0066] If the result of the judgment in step S5 is that the number of days is equal to or greater than the first predetermined number (step S5: Yes), it is judged whether the day information of the drug included in the current prescription information is equal to or less than the second predetermined number of days (step S6). If it is judged that the day information of the drug included in the current prescription information is not equal to or less than the predetermined number of days (step S6: No), the prescription pattern is determined as a "non-applicable pattern" (step S2). If it is judged that the day information of the drug included in the current prescription information is equal to or less than the second predetermined number of days (step S6: Yes), the prescription pattern is determined as a "single prescription pattern" (step S7). In this embodiment, if the day information is relatively large, such as when the drug prescribed this time is a 60-day drug prescribed for a chronic disease, it is configured to be judged as a "non-applicable pattern", which is an exceptional measure, by the judgment in step S6.

[0067] After the prescription pattern is determined in step S2 or step S7, the prescription pattern determination process ends. The second predetermined number of days may be, for example, 14 days. In this embodiment, in step S6, a process is performed to determine whether the daily information of the drug included in the current prescription information is equal to or less than the second predetermined number of days, but if the result of the determination in step S5 is equal to or more than the first predetermined number of days (step S5: Yes), the determination in step S6 may be omitted, and the prescription pattern may be determined as a "single prescription pattern" to end the process (step S7).

[0068] If the result of the judgment in step S5 is that the number of days from the last day of the prescription period of the previously prescribed drug to the current prescription date is not equal to or greater than the first predetermined number of days (step S5: No), the process proceeds to a past prescription comparison loop process in which the current prescription information is compared with the past prescription information to determine whether or not it is a re-prescription (FIG. 8: steps S31 to S36).

[0069] When multiple pieces of past prescription information with different prescription dates are stored in association with the patient identification information in the storage means 12, the past prescription information is compared in order starting from the most recent past prescription information (steps S31 to S36). In the example of FIG. 2, the past prescription information for "March 29, 2023", the past prescription information for "December 29, 2022", and the past prescription information for "May 1, 2022" are compared in that order. In the following description, the past prescription information to be compared is referred to as "comparison target past prescription information".

[0070] The medicine indicated by the current prescription information is compared with the past prescription information to be compared. In this embodiment, it is assumed that multiple medicines are prescribed this time and the current prescription information contains information regarding multiple medicines, and each of the multiple medicines prescribed this time is compared with the past prescription medicine to be compared in order (prescription medicine confirmation loop: steps S32 to S34). The control unit 11 compares the drug information for one drug among the current prescription information associated with the patient identification information in the storage means 12 with the past prescription information to be compared, and performs "re-prescription judgment processing" (step S33). In steps S32 to S34, when the "re-prescription judgment processing" for one drug included in the current prescription information is completed, the same processing is performed for the next drug, and the "re-prescription judgment processing" is performed for all drugs included in the current prescription information. In the example of FIG. 2, the currently prescribed drug 1, drug 2, and drug 3 are compared in order with the past prescription information to be compared.

[0071] Fig. 9 is an example of a flowchart showing the "repeat prescription determination process" executed by the control unit 11 in step S33. First, the control unit 11 acquires drug information (step S51) for one drug from the current prescription information associated with the patient information in the storage unit 12. In the example of Fig. 2, drug information for drug 1 is acquired. Next, the control unit 11 functions as a drug identification information comparison means and a re-prescription determination means, and compares drug identification information identifying a drug included in the current prescription information with drug identification information identifying a drug included in the past prescription information to be compared (steps S52, S53), and determines whether the drug in the current prescription information is the same drug as a drug prescribed in the past, or a re-prescription drug that is a repeated prescription of a deemed same drug that can be deemed to be the same drug, based on the comparison result.

[0072] Specifically, the drug identification information for identifying the drug included in the drug information for one drug acquired in step S51 is compared with the drug identification information for identifying the drug included in the past prescription information to be compared. For example, when the YJ code, which is an individual drug code represented by 12 alphanumeric characters, is used as the drug identification information, first, it is determined whether the drug in the current prescription information is a repeat prescription of the same drug as the drug prescribed in the past, based on whether the 12-digit YJ code, which is an example of the drug identification information included in the prescription information for one drug acquired in step S51, matches the 12-digit YJ code, which is an example of the drug identification information for the drug included in the past prescription information to be compared (step S52).

[0073] Even if the determination result shows that the 12-digit YJ code does not match (step S52: No), it may be determined that the drug is a repeat prescription drug. First, in step S53, by judging whether or not the seven digits of the YJ code match, it is judged whether or not the ingredients match. It is judged whether or not the drug of the current prescription information is a re-prescription drug based on whether or not the seven digits of the YJ code, which is an example of drug identification information for identifying a drug included in the drug information for one drug acquired in step S51, match with the seven digits of the YJ code, which is an example of drug identification information for a drug included in the past prescription information to be compared (step S53). If it is judged that even the ingredients do not match, that is, in this embodiment, if the seven digits of the YJ code do not match as a result of the judgment in step S53 (step S53: No), it is judged to be "not a re-prescription" (step S54).

[0074] In addition, in steps S52 and 53, if there are multiple drugs included in the past prescription information to be compared, all drugs are compared, and if there is a mismatch with all drugs included in the past prescription information to be compared, the process proceeds to step S54. Explaining using the example of FIG. 2, in the first loop of steps S31 to S36 and the first loop of steps S32 to S34, the drug identification information of drug 1 included in the current prescription information is compared with the drug identification information of drug 4, drug 5, and drug 6 of "March 29, 2023" which is the past prescription information to be compared. If neither the 12-digit YJ code (step S52) nor the 7-digit YJ code (step S53) as the drug identification information of drug 1 matches the 12-digit and 7-digit YJ code as the drug identification information of drug 4, drug 5, and drug 6, it is determined that the drug 1 prescribed this time is not in a re-prescription relationship with drug 4, drug 5, and drug 6 of "March 29, 2023" which is the past prescription information to be compared.

[0075] If the result of the judgment in step S53 is that the 7-digit YJ code matches (step S53: Yes), it is judged whether or not the drug is interchangeable with the drug included in the matching comparison target past prescription information (step S55), and if the drug is not interchangeable (step S55: No), it is judged to be "not a repeat prescription" (step S54). An interchangeable relationship is, for example, the relationship between an original drug and a generic drug.

[0076] If the result of the judgment in step S52 is that the 12-digit YJ code matches (step S52: Yes), and if the result of the judgment in step S55 is that there is an interchangeable relationship (step S55: Yes), it is determined whether or not the drug information included in the compared past prescription information, which has the same 12-digit YJ code in step S52 or which is determined to be interchangeable in step S55, contains day information (step S56).

[0077] In the following explanation, "drug information contained in the compared past prescription information, which has a matching 12-digit YJ code in step S52, or which is determined to be interchangeable in step S55" is referred to as "past drug to be re-prescribed." If the past drug to be re-prescribed is an oral medication, the drug information includes date information such as "x number of days." If the determination result is that the drug information of the past drug to be re-prescribed does not include date information (step S56: No), the process proceeds to step S57.

[0078] In step S57, it is determined whether or not there is "deemed day information". When the past drug to be re-prescribed is not an oral drug, for example, when it is an external drug such as a quick-acting drug, a poultice, or an ointment, the drug information of the past drug to be re-prescribed may include information such as "xx doses", but does not include day information such as "xx days". However, when there is a drug with day information among other drugs prescribed at the same time as the past drug to be re-prescribed, the day information of the other drug is used as the "deemed day information" of the past drug to be re-prescribed that is currently being compared. For example, in the example of FIG. 2, when drug 4 is a past drug to be re-prescribed, if the drug 4 is an oral drug, the drug information does not include day information (No in step S56), but when drug 5 prescribed at the same time as the past drug 4 is an oral drug, the day information included in the drug information of the drug 5 is used as the "deemed day information" of drug 4 (past drug to be re-prescribed).

[0079] If the result of the judgment in step S57 is that there is no information on the number of days in the drug information of the past drug to be re-prescribed (step S57: No), it is judged whether the number of days from the past prescription date to the current prescription date is less than or equal to a third predetermined number of days based on the current prescription date included in the current prescription information and the past prescription date included in the comparison past prescription information (step S58). If the result of the judgment in step S58 is that the number of days from the past prescription date to the current prescription date is not less than or equal to the third predetermined number of days (step S58: No), it is judged as not being a re-prescription (step S54). Even if the same drug or a drug with the same ingredients was prescribed in the past and is a re-prescription, it is possible to avoid judging the current prescription as a continuous "re-prescription" from the past prescription if a long period has passed since the past prescription date, based on the judgment in step S58.

[0080] If the result of the judgment in step S56 is that the drug information of the past drug to be re-prescribed includes day information (step S56: Yes), or if the result of the judgment in step S57 is that the drug information of the past drug to be re-prescribed includes assumed day information (step S57: Yes), it is judged whether the absolute value of the difference in the number of days from the last day of the prescription period of the past prescribed drug indicated by the day information (or assumed day information) to the current prescription date is equal to or less than a fourth predetermined number of days based on the current prescription date included in the current prescription information, the past prescription date included in the comparison past prescription information, and the day information (or assumed day information) of the past prescription (step S59). If the absolute value of the difference in the number of days from the last day of the past prescription theory to the current prescription date is not equal to or less than the fourth predetermined number of days (step S59: No), it is judged to be "not re-prescribed" (step S54).

[0081] If the judgment in step S59 indicates that a long period of time has passed since the last scheduled administration date of the drug prescribed on the past prescription date, it is possible to avoid judging the current prescription as a consecutive "re-prescription" from the past prescription.

[0082] If the result of the judgment in step S58 is that the number of days from the previous prescription date to the current prescription date is less than or equal to a third specified number of days (step S58: Yes), or if the result of the judgment in step S59 is that the absolute value of the difference in the number of days from the theoretical last date of the previous prescription to the current prescription date is less than or equal to a fourth specified number of days (step S59: Yes), the drug information obtained in step S51 is judged to be a “re-prescription” of the past drug to be re-prescribed (step S60).

[0083] After one drug in the current prescription is determined to be "not a re-prescription" in step S54, or determined to be "re-prescription" in step S60, the process returns to step S34 in Fig. 8, and steps S32 to S34 are executed for the next drug currently prescribed. When the "re-prescription determination process" has been executed for all drugs included in the current prescription information, the process proceeds to step S35.

[0084] In step S35, it is determined whether the number of drugs determined to be not re-prescriptions among the drugs prescribed this time (number of drugs not determined to be re-prescriptions) is a predetermined number or less and the proportion of drugs determined to be not re-prescriptions (proportion of drugs not determined to be re-prescriptions) is a predetermined proportion or less.If the number of drugs determined to be not re-prescriptions among the drugs prescribed this time (number of drugs not determined to be re-prescriptions) is a predetermined number or less and the proportion of drugs determined to be not re-prescriptions (proportion of drugs not determined to be re-prescriptions) is not a predetermined proportion or less (step S35: No), proceed to step S36 and compare with the next past prescription information.

[0085] In step S35, for example, if the specified percentage is set to 20%, the number of drugs prescribed this time is 10, and 9 drugs are determined to be "not re-prescribed" in the processing loop from step S32 to step S34, the percentage of drugs determined to be not re-prescribed is 90%, which is not below the specified percentage (20%), so the process will proceed to step S36.

[0086] On the other hand, if the number of drugs determined not to be re-prescriptions (number of drugs not determined to be re-prescriptions) among the drugs prescribed this time is equal to or less than a predetermined number, and the ratio of drugs determined not to be re-prescriptions (ratio of drugs not determined to be re-prescriptions) is equal to or less than a predetermined ratio (step S35: Yes), the process loop of steps S31 to S36 is exited, and the current past prescription information to be compared is determined as the past prescription information to be displayed for comparison (step S37). Information based on the past prescription information to be displayed for comparison is displayed in correspondence with the prescription drug information and patient information on the subsequent medication instruction display screen.

[0087] Then, in step S37, the control unit 11 functions as a re-prescription count determination means and determines how many times the current prescription has been prescribed based on the number of prescriptions included in the current prescription information. If the number of prescriptions is the third or more (step S38: Yes), the prescription pattern is determined as a "re-prescription (third or more) pattern" as a second re-prescription pattern (step S39), and the prescription pattern determination process is terminated. If the number of prescriptions is not the third or more (step S38: No) but the second (step S40: Yes), the prescription pattern is determined as a "re-prescription (second) pattern" as a first re-prescription pattern (step S41), and the prescription pattern determination process is terminated.

[0088] In steps S39 and S41, when the prescription pattern is determined as a re-prescription pattern and a medication instruction display screen is generated, information based on the past prescription information of the comparison display target determined in step S37 is displayed in association with the prescription drug information and the patient information. Information based on the past prescription information of the comparison display target is, for example, information such as the drug name, remaining drug status, and medication status. In the example of this embodiment, a medication instruction display screen is generated and displayed in an open state as a sub-block named "Remaining Drugs / Medication Status", and is displayed on the display means 23.

[0089] On the other hand, if the past prescription comparison loop processing (steps S31 to S36) has been completed for all past prescription information stored in the storage means 12, in other words, if all past prescription information has been compared but no re-prescription has been made or if the processing in step S35 returns No, the process proceeds to step S6 in FIG. 6.

[0090] In this embodiment, in step S35, "the number of drugs determined to not be re-prescriptions (the number of drugs not determined to be re-prescriptions) is a predetermined number or less" and "the proportion of drugs determined to not be re-prescriptions (the proportion of drugs not determined to be re-prescriptions) is a predetermined proportion or less", but if "the number of drugs determined to not be re-prescriptions (the number of drugs not determined to be re-prescriptions) is a predetermined number or less" or "the proportion of drugs determined to not be re-prescriptions (the proportion of drugs not determined to be re-prescriptions) is a predetermined proportion or less", the process may proceed to step S37.

[0091] In this embodiment, in addition to determining whether the re-prescription is the third or later, in step S38, it is also determined whether the current prescription date of the re-prescription has passed a predetermined period from the first prescription date based on the past prescription information. For example, if the re-prescription is the third, if about 80% of the number of days obtained by adding the day information of the first prescription (first time) and the day information of the second prescription have passed, it is determined to be the third consecutive re-prescription. If the predetermined period has not passed (step S38: No) and it is also determined in the subsequent step S40 that it is not the second time (step S40: No), the prescription pattern is determined to be a "non-corresponding pattern" (step S42), and the prescription pattern determination process is terminated.

[0092] In this way, in this embodiment, when the same drug is prescribed three or more times in a short period of time, that is, when the daily information shows that the drug is prescribed much earlier than the scheduled end date of the drug, the system treats the case as a "non-applicable pattern" as an exceptional measure, and generates a drug-taking display screen that allows the pharmacist to check all the information broadly and evenly. This can prevent unnecessary over-prescription.

[0093] In the example of the flowchart in FIG. 9, if the result of the judgment in step S52 is that the 12-digit YJ code matches (step S52: Yes), and if the result of the judgment in step S55 is that there is an interchangeable relationship (step S55: Yes), and if the judgments in steps S56 to S59 are cleared, then a judgment of "re-prescription" is made in step S60, but the judgments in steps S56 to S59 may be omitted.

[0094] For example, if the result of the determination in step S52 is that the 12-digit YJ code matches (step S52: Yes), it may be determined that the prescription is a "repeat prescription" that is a repeated prescription of the same drug as the drug prescribed in the past (step S60). Also, if the result of the determination in step S55 is that the relationship is interchangeable (step S55: Yes), it may be determined that the prescription is a "repeat prescription" that is a repeated prescription of the same drug that can be considered to be the same drug as the drug prescribed in the past (step S60).

[0095] Also, when the processing loop of steps S31 to S36 is exited and the current past prescription information to be compared is determined as the past prescription information to be compared and displayed (step S37), the process of "determining whether a predetermined period has passed since the first prescription date" in step S38 may be omitted, and the prescription pattern may simply be determined as the "re-prescription pattern." At this time, the number of prescriptions may be determined by the re-prescription number determination means, and either the "re-prescription (second time) pattern" or the "re-prescription (third time or later) pattern" may be determined according to the determination result. When displaying as "Represcription (second time) pattern" or "Represcription (third time or later) pattern", a medication instruction display screen is generated in which information based on the past prescription information to be compared and displayed determined in step S37 is open-displayed as a sub-block named "Remaining medication / medication status", and is displayed on the display means 23.

[0096] As described above, the control unit 11 of the medication instruction support server 1 functions as a prescription pattern determining means and executes the "prescription pattern determining process" shown in Fig. 6 to Fig. 9 (Fig. 5: step S103) to determine a prescription pattern. Then, when patient identification information for identifying a patient is input from the terminal device 2A operated by the pharmacist and a request for displaying a medication instruction display screen is made (step S104), the control unit 11 functions as a display screen generating means and determines a display block to be displayed among a plurality of display blocks configured based on a plurality of pieces of information included in the patient information, current prescription information, and past prescription information stored in the storage means 12 based on the determined prescription pattern and the display designation information of the storage means 12, and generates a medication instruction display screen for displaying the display block, the patient identification information, and the prescription drug information on the display means 23 of the terminal device 2A in association with each other (step S105). Then, the control unit 11 of the medication instruction support server 1 transmits the generated medication instruction display screen to the terminal device 2A (step S106), and the display means 23 of the terminal device 2A displays the received medication instruction display screen (step S107), and the processing is terminated.

[0097] The medication instruction support system S according to this embodiment is further configured so that the pharmacist operating the terminal device 2A can easily input information via the input unit 24 on the medication instruction display screen displayed on the display means 23. In the case of the example of the medication instruction display screen for the "single prescription pattern" shown in Figures 4A to 4C, if the pharmacist judges that the constitution, allergies, and side effects 79 in the recommendation sub-block 73 need to be reconfirmed next time, the "reconfirm next time" button is clicked by operating the input unit 24. As a result, an instruction to add a next reconfirmation flag to the "constitution, allergies, and side effects" information of the patient information of the patient is transmitted to the medication instruction support server 1 together with the patient identification information that identifies the patient.

[0098] Based on the received patient identification information, the medication instruction support server 1 assigns a next reconfirmation flag to the "constitution, allergies, and side effects" information of the patient information associated with the patient identification information in the medication history information database.

[0099] Then, for information to which a next recheck flag has been assigned, the display priority is raised. For example, in the case of a "single prescription pattern," according to the display designation information in FIG. 3C, the display priority of the subblock name "Constitution, allergies, and side effects" is "3," but for information to which a next recheck flag has been assigned among the patient information extracted from the storage means 12, the display priority designated in the display designation information is raised and the information is displayed preferentially. For example, the display priority of "Constitution, allergies, and side effects" is treated as "1," and the display priority of "2" and onward is lowered. The same applies when the "Next recheck" button of other patient basic information update confirmation 77 and disease and medical history 78 is input.

[0100] In addition to the patient basic information update confirmation 77 or constitution / allergies / side effects 79 in the recommendation sub-block 73, the sub-block names “Concomitant medications (other departments / other hospitals)”, “OTC / supplements”, “Generic drug preferences”, “Lifestyle patterns”, “Test results”, and “Consultation items” (not shown) in the other sub-block 74 are also configured to be able to have their display priority increased by a single input of a “Check again next time” button (not shown).

[0101] Although not shown, the medication instruction display screen for the "non-applicable pattern" displays 10 sub-blocks in a closed state as "confirmation sub-blocks" (Fig. 3(A) and Fig. 3(B)). Similarly, the "confirmation sub-blocks" in this case are configured so that the display priority can be increased by simply pressing the "Recheck next time" button on the medication instruction display screen. Furthermore, when checking whether or not the information has changed during the current medication instruction, the last confirmation date can be updated by operating the input unit 24 and clicking the "No changes" button.

[0102] Although the display priority information of the sub-blocks is specified in the display specification information of FIG. 3C, the sub-blocks may be displayed in order of the oldest last check date (those that have not been checked for a while). In addition, in this embodiment, the display state of all the “recommended sub-blocks” is specified as open in the display designation information of FIG. 3B (FIG. 3A), but the display state may be configured to differ depending on the content of the “recommended sub-block” regardless of the designation of the display designation information.

[0103] For example, the display state and display priority information may be changed based on whether or not there is a record of information, or on whether or not reconfirmation is required. For example, in the case of an initial prescription, if there is no record in the medication history information database for each sub-block marked with an asterisk in the display priority information column of Figure 3C (sub-block names: "Constitution, allergies, side effects," "Concomitant medications (other departments, other pharmacy)," "OTC, supplements," "Generic drug preference," and "Patient basic information update confirmation"), there is a request to confirm this information at the time of the initial prescription. Therefore, this information is displayed openly, and the pharmacist is prompted to enter and confirm this information.

[0104] Furthermore, even if this information is stored, for example, if information indicating that reconfirmation is necessary is added, the information is still open and the pharmacist is prompted to confirm in accordance with the display specification information of Figures 3A to 3C. On the other hand, when this information is stored and, for example, information indicating that reconfirmation is unnecessary is added, "recommended" specified in the display specification information in Fig. 3B is read as "other." Then, this information changes from "recommended sub-block" in display order 4 to "other sub-block" in display order 5, and the display state also becomes closed display (Fig. 3A). In this way, the display state and display priority information specified by the display specification information may be changed appropriately depending on the contents of the multiple pieces of information contained in the patient information, current prescription information, and past prescription information stored in the storage means 12, which are the basis for constituting the display block, whether or not they are recorded, the information added, etc.

[0105] In this embodiment, the YJ code is used as the drug specification information, but the drug specification information is not limited to this, as long as it can be determined whether or not the prescription is re-prescribed, that is, whether or not the drugs match, or whether or not the ingredients match, and whether or not there is a replaceable relationship. For example, the drug price standard listed drug code, JAN code, prescription computer processing system code, GTIN (Global Trade Item Number), reference number (HOT code), etc. may be used as the drug specification information. In addition, when the JAN code is used as the drug specification information, the code number may differ depending on the standard packaging unit. Since it is sufficient to be able to determine whether or not the prescription is re-prescribed using the drug specification information, the drug specification information (e.g., JAN code) of the drug is set to the same code group for drugs that are the same drug but have different standard packaging units, regardless of whether the codes are completely the same, and the drug specification information comparison means is configured to determine that the drugs belong to the same code group as the same drug and determine that the prescription is re-prescribed.

[0106] Furthermore, when the current prescription contains a high-risk drug, among the display blocks to be displayed determined from a plurality of display blocks constructed based on the patient information stored in the storage means 12 and a plurality of pieces of information contained in the current prescription information and past prescription information, the information related to the high-risk drug may be configured to be openly displayed as a "recommended sub-block" regardless of the display designation information stored in the storage means 12.

[0107] For example, if the current prescription includes high-risk drugs such as diabetes drugs and pancreatic hormone drugs, the sub-block name "Test Results" is configured to be displayed openly as a "Recommended Sub-Block" regardless of the display designation information stored in the storage means 12. Also, for example, if the current prescription includes high-risk drugs such as anti-HIV drugs, the sub-block name "Lifestyle Pattern" is configured to be displayed openly as a "Recommended Sub-Block" regardless of the display designation information stored in the storage means 12.

[0108] In this embodiment, the medication history information database is provided in the storage means 12 of the medication instruction support server 1, but it may be provided in the receipt computer 3 or another device capable of sending and receiving information via the network 100. In this case, when the medication instruction support server 1 obtains information of a new prescription or when a request for displaying a medication instruction display screen is made from the terminal devices 2A to 2D, the medication instruction support server 1 obtains patient information and medication history information from a device having a medication history information database, and based on the obtained patient information and medication history information, the medication instruction support server 1 may store the information in the storage means 12 in association with each other (FIG. 2).

[0109] In addition, in the present embodiment, an example has been described in which it is determined which of four types of prescription patterns there is, namely, a first prescription pattern which is a first prescription, a repeat prescription pattern in which the same drug as a drug prescribed in the past or a drug that can be considered to be the same drug is repeatedly prescribed, a one-off prescription pattern which is neither a first prescription nor a repeat prescription, and a non-applicable pattern which should be treated as an exceptional measure. However, the prescription pattern is not limited to these, and the present invention can be applied to various prescription patterns that can be determined based on multiple pieces of information contained in patient information and medical history information, i.e., patient information, current prescription information, and past prescription information.

[0110] For example, according to information on the patient's age included in the patient information, if the patient is under a certain age, it can be determined that the patient falls under the "pediatric prescription pattern." Also, if the pregnancy information included in the patient information includes information on pregnancy, it can be determined that the patient falls under the "pregnancy prescription pattern." As shown in this embodiment, the storage means 12 may store information on at least one or more display blocks to be displayed on the display means, among the multiple display blocks configured based on the multiple pieces of information included in the patient information, the current prescription information, and the past prescription information, in association with each type of prescription pattern, as display designation information, so that medication instruction can be provided according to each prescription pattern.

[0111] According to this embodiment, a prescription pattern for the current prescription is determined by referring to the patient information, the current prescription information, and the past prescription information, and information regarding at least one or more display blocks to be displayed on the display means 23 among a plurality of display blocks constituted based on a plurality of pieces of information contained in the patient information, the current prescription information, and the past prescription information is generated based on display designation information corresponding to each type of prescription pattern and the determined prescription pattern, and the generated medication instruction display screen is displayed on the display means. Therefore, a medication instruction display screen consisting of display blocks appropriate for the patient's prescription pattern can be displayed on the display means, and a medication instruction support system S can be realized that enables pharmacists to provide appropriate medication instruction to patients efficiently and easily.

[0112] The medication instruction support system S includes patient identification information for identifying a patient and a display means for displaying prescription drug information related to a currently prescribed drug in association with the patient identification information, a storage means for storing the patient identification information, patient information related to the patient, current prescription information related to the currently prescribed drug, and past prescription information related to a drug previously prescribed for the patient in association with each other, and a drug identification information comparison means for comparing the drug identification information for identifying a drug included in the current prescription information stored in the storage means with the drug identification information for identifying a drug included in the past prescription information stored in the storage means, and when a plurality of the past prescription information having different prescription dates are stored in the storage means, the drug identification information for identifying a drug included in the current prescription information and the most recent drug identification information among the plurality of the past prescription information are stored in the storage means. the drug identification information comparison means for comparing the drug identification information identifying the drug included in the past prescription information in order, re-prescription determination means for determining whether the drug currently prescribed is a re-prescription that is a repeated prescription of the same drug as a drug prescribed in the past or a deemed same drug that can be deemed to be the same drug based on a result of the comparison by the drug identification information comparison means, and when there is past prescription information for which the re-prescription determination means has determined that the currently prescribed drug is a re-prescription, the display screen generation means for generating a medication instruction display screen for displaying on the display means information based on the past prescription information to be compared and associated with the prescribed drug information and the patient information, and the display means may be configured to essentially display the medication instruction display screen generated by the display screen generation means.

[0113] For example, according to this embodiment, when there are a plurality of past prescription information in the storage means 12, when the drug specifying information comparison means compares the drug specifying information included in the current prescription information related to the drug prescribed this time with the drug specifying information included in the past prescription information related to the drug prescribed in the past, the drug specifying information comparison means compares the drug specifying information included in the most recent past prescription information in order, and when there is past prescription information that determines that the drug prescribed this time is the same drug as the drug prescribed in the past or a "re-prescription" that is a repeated prescription of the same drug that can be considered to be the same drug, the past prescription information is used as the past prescription information to be compared and a medication instruction display screen is generated that displays information based on the past prescription information to be compared and displayed in association with prescription drug information related to the drug prescribed this time (for example, a sub-block name "remaining medicine / medication status"), and the generated medication instruction display screen is displayed on the display means.

[0114] For example, we will explain a case in which a patient is prescribed a seven-day supply of gastrointestinal medication for stomach pain (Prescription 1), a few days later suffers from an injury and visits the hospital where they are prescribed topical medication, antibiotics, etc. (Prescription 2), and then returns to the hospital when the gastrointestinal medication runs out and is prescribed the same gastrointestinal medication as Prescription 1 (Prescription 3). Prescription 3 is the current prescription information, and prescriptions 1 and 2 are past prescription information. Of these, the most recent past prescription information is prescription 2. Therefore, first, prescriptions 2 and 3 are compared, but prescription 2 is not the same drug as prescription 3, nor is it deemed to be the same drug, so it is not a "repeat prescription." Next, prescriptions 1 and 3 are compared, and because prescription 1 is the same drug as prescription 3, it is determined to be a "repeat prescription."

[0115] Then, Prescription 1 becomes the past prescription information to be displayed for comparison, and a medication instruction display screen is generated in which, for example, the sub-block name "Remaining medication / medication status" is displayed in correspondence with the prescription drug information of Prescription 3 as information based on the past prescription information to be displayed for comparison. When there is a plurality of pieces of past prescription information, a specific processing procedure for comparing the past prescription information in order from the most recent one is the processing loop performed in steps S31 to S36 of the above-mentioned flowchart.

[0116] In this way, even if multiple pieces of past prescription information with different prescription dates are stored, a medication instruction display screen including information based on the past prescription information with a close prescription date that is optimal for display in association with the current prescription drug information can be displayed on the display means 23, thereby realizing a medication instruction support system S that enables pharmacists to provide appropriate medication instructions to patients efficiently and easily.

[0117] The scope of application of the present invention is not limited to the above-mentioned embodiment. Although the various means of the medication instruction support system S of the present invention are configured to be provided in the medication instruction support server 1 and the terminal devices 2A to 2D, the present invention may be realized by a system in which a plurality of devices are configured to be accessible to each other. [Explanation of symbols]

[0118] 1. Medication instruction support server 11 Control section 12 Memory means 13 Display section 14 Input section 15 Communications Department 2A~2D Terminal equipment (23 Display means) 3. Receipt computer

Claims

1. A medication instruction support system including patient identification information for identifying a patient and a display means for displaying prescription drug information related to a currently prescribed drug in association with the patient identification information, a storage means for storing the patient identification information, patient information on the patient, current prescription information on a drug currently prescribed, and past prescription information on a drug previously prescribed for the patient in association with each other, the storage means storing display designation information that designates information on at least one display block to be displayed on the display means among a plurality of display blocks configured based on a plurality of pieces of information included in the patient information, the current prescription information, and the past prescription information in association with each type of prescription pattern; a prescription pattern determination means for determining a prescription pattern for a current prescription by referring to the plurality of pieces of information stored in the storage means; a display screen generating means for determining a display block to be displayed based on the prescription pattern determined by the prescription pattern determining means and the display designation information stored in the storage means, and generating a medication instruction display screen for displaying the display block, the patient identification information, and the prescription drug information on the display means in association with each other, The display means displays the medication instruction display screen generated by the display screen generating means.

2. The display designation information includes display state designation information that designates a display state of a display block to be displayed on the display means in association with a type of prescription pattern, The medication instruction support system according to claim 1, characterized in that the display screen generating means generates the medication instruction display screen for displaying on the display means the display block to be displayed, the patient information, and the prescription drug information in correspondence with each other in accordance with the display state designation information.

3. the display designation information includes display order information that designates a display order of display blocks to be displayed on the display means, The medication instruction support system according to claim 1 or 2, characterized in that the display screen generating means generates the medication instruction display screen for displaying on the display means the display blocks to be displayed, the patient information, and the prescription drug information in correspondence with each other in accordance with the display order information.

4. a first determination means for determining whether or not the number of days from the last day of a prescription period of a drug prescribed in the past to a current prescription date is equal to or longer than a first predetermined number of days, based on a current prescription date included in the current prescription information stored in the storage means and a past prescription date and prescription date information included in the past prescription information stored in the storage means, when the past prescription information is stored in the storage means in association with the patient information; When the first determination means determines that the number of days from the last day of the prescription period of the drug prescribed in the past to the current prescription date is equal to or longer than a first predetermined number of days, the prescription pattern determination means determines the prescription pattern for the current prescription as a one-time prescription pattern that is not a first prescription and is not a repeated prescription of the same drug as the drug prescribed in the past or a drug that can be considered to be the same drug, The medication instruction support system according to claim 1 or 2, characterized in that the display screen generating means refers to the storage means, determines the display block to be displayed based on the display designation information designated in association with the single-shot prescription pattern, and generates the medication instruction display screen for displaying the display block, the patient information, and the prescription drug information on the display means in association with each other.

5. a drug identification information comparison means for comparing, when the past prescription information is stored in the storage means in association with the patient information, drug identification information for identifying a drug included in the current prescription information stored in the storage means with drug identification information for identifying a drug included in the past prescription information stored in the storage means; and a repeat prescription determination means for determining whether or not the currently prescribed drug is the same drug as a drug prescribed in the past or a repeat prescription of a drug that can be regarded as the same drug based on a result of the comparison by the drug identification information comparison means, The prescription pattern determination means When the re-prescription determination means determines that the prescription is a re-prescription, the prescription pattern for the current prescription is determined as a re-prescription pattern, 3. The medication instruction support system according to claim 1, wherein the display screen generating means determines the display block to be displayed based on the display designation information designated in association with the re-prescription pattern stored in the storage means, and generates the medication instruction display screen for displaying the display block to be displayed, the patient identification information, the prescription drug information, and information based on the past prescription information on the display means in association with each other.

6. The drug identification information comparison means, when a plurality of drugs are currently prescribed and there is a plurality of pieces of drug identification information identifying the drug included in the current prescription information stored in the storage means, compares each of the plurality of pieces of drug identification information with the drug identification information identifying the drug included in the past prescription information stored in the storage means; The re-prescription determination means determines whether each of the currently prescribed drugs is a re-prescription based on a result of the comparison by the drug identification information comparison means, 6. The medication instruction support system according to claim 5, wherein the prescription pattern determination means determines the prescription pattern as the prescription repeat pattern when, among the multiple drugs currently prescribed, the number of drugs determined by the prescription repeat determination means to be not a prescribed number is equal to or less than a prescribed number, or when the ratio of drugs determined to be not a prescribed ratio is equal to or less than a prescribed ratio.

7. When the storage means stores a plurality of pieces of past prescription information having different prescription dates, the drug identification information comparison means sequentially compares the drug identification information identifying a drug included in the current prescription information with the drug identification information identifying a drug included in the most recent past prescription information among the plurality of pieces of past prescription information, The re-prescription determination means determines whether or not the currently prescribed drug is a re-prescription, starting from the most recent past prescription information, based on a result of the comparison by the drug identification information comparison means, When the re-prescription determination means determines that the currently prescribed drug is a re-prescription, the prescription pattern determination means determines the re-prescription pattern as the re-prescription pattern, using the re-prescription information as the re-prescription information to be compared and displayed. The medication instruction support system according to claim 5, wherein the display screen generating means determines the display block to be displayed based on the display designation information designated in association with the re-prescription pattern stored in the storage means, and generates the medication instruction display screen for displaying on the display means the display block to be displayed, the patient information, the prescription drug information, and information based on the past prescription information to be compared and displayed in association with each other.

8. The re-prescription determining means further includes a re-prescription count determining means for determining the number of times the re-prescription has been made when the re-prescription determining means determines that the re-prescription has been made, The prescription pattern determination means determines the prescription pattern as a first prescription pattern when the number of times of re-prescription determined by the number of times of re-prescription determination means is the second time, and determines the prescription pattern as a second prescription pattern when the number of times of re-prescription is the third time or more. The display screen generating means When the prescription pattern determination means determines the prescription pattern as the first prescription pattern, the prescription pattern determination means determines the display block to be displayed based on the display designation information designated in association with the first prescription pattern stored in the storage means, and generates the medication instruction display screen for displaying the display block, the patient information, the prescribed drug information, and information based on the past prescription information on the display means in association with each other; 6. The medication instruction support system according to claim 5, wherein, when the prescription pattern determination means determines the prescription pattern as the second prescription pattern, the prescription pattern determination means determines the display block to be displayed based on the display designation information designated in association with the second prescription pattern stored in the storage means, and generates the medication instruction display screen for displaying the display block, the patient information, the prescribed drug information, and information based on the past prescription information on the display means in association with each other.

9. The prescription pattern determination means determines the prescription pattern as an initial prescription pattern when the past prescription information corresponding to the patient information is not stored in the storage means, The medication instruction support system according to claim 1 or 2, characterized in that the display screen generating means determines the display block to be displayed based on the display designation information designated in association with the initial prescription pattern stored in the storage means, and generates the medication instruction display screen for displaying the display block, the patient information, and the prescription drug information on the display means in association with each other.

10. A medication instruction support system including patient identification information for identifying a patient and a display means for displaying prescription drug information related to a currently prescribed drug in association with the patient identification information, a storage means for storing the patient identification information, patient information relating to the patient, current prescription information relating to a drug currently prescribed, and past prescription information relating to a drug previously prescribed to the patient in association with each other; a drug identification information comparison means for comparing drug identification information for identifying a drug included in the current prescription information stored in the storage means with drug identification information for identifying a drug included in the past prescription information stored in the storage means, and when a plurality of pieces of past prescription information with different prescription dates are stored in the storage means, the drug identification information comparison means compares the drug identification information for identifying a drug included in the current prescription information with the drug identification information for identifying a drug included in the most recent past prescription information among the plurality of pieces of past prescription information in order; a re-prescription determination means for determining whether or not the currently prescribed drug is the same drug as a drug prescribed in the past or a re-prescription of a drug that can be regarded as the same drug based on a result of the comparison by the drug specification information comparison means; a display screen generating means for generating a medication instruction display screen for displaying, on the display means, information based on the past prescription information to be compared and the prescription drug information and the patient information in association with each other when there is past prescription information for which the re-prescription determining means has determined that the currently prescribed drug is a re-prescription, as past prescription information to be compared and displayed, The display means displays the medication instruction display screen generated by the display screen generating means.

11. A medication instruction support method executed by a computer included in a medication instruction support system that displays patient identification information for identifying a patient and prescription drug information related to a currently prescribed drug in association with the patient identification information on a display means, comprising: a prescription pattern determination step of determining a prescription pattern for the current prescription by referring to a storage means that stores the patient identification information, patient information on the patient, current prescription information on the medicine currently prescribed, and past prescription information on the medicine previously prescribed for the patient in association with each other; a display screen generating step of generating a medication instruction display screen for displaying on the display means information on at least one of a plurality of display blocks constituted based on a plurality of pieces of information included in the patient information, the current prescription information, and the past prescription information, based on the prescription pattern determined in the prescription pattern determining step and the display designation information stored in the storage means, the display screen generating step storing display designation information that is associated with each type of prescription pattern and is used to determine a display block to be displayed on the display means, based on the prescription pattern determined in the prescription pattern determining step and the display designation information stored in the storage means, and for displaying on the display means a medication instruction display screen in which the display block, the patient identification information, and the prescription drug information are associated with each other; a display step of displaying the medication instruction display screen generated by the display screen generation step on the display means; A medication instruction support method comprising the steps of:

12. A medication instruction support method executed by a computer included in a medication instruction support system including patient identification information for identifying a patient and a display means for displaying prescription drug information related to a currently prescribed drug in association with the patient identification information, a drug identification information comparison step of referring to a storage means that stores the patient identification information, patient information related to the patient, current prescription information related to a drug currently prescribed, and past prescription information related to a drug previously prescribed for the patient in association with each other, and comparing the drug identification information identifying the drug included in the current prescription information stored in the storage means with the drug identification information identifying the drug included in the past prescription information stored in the storage means, and when a plurality of pieces of past prescription information with different prescription dates are stored in the storage means, the drug identification information comparison step of comparing the drug identification information identifying the drug included in the current prescription information with the drug identification information identifying the drug included in the past prescription information among the plurality of pieces of past prescription information, starting from the most recent one; a re-prescription determination step for determining whether or not the currently prescribed drug is a re-prescription of a drug prescribed in the past based on a result of the comparison in the drug identification information comparison step; a display screen generating step of generating a medication instruction display screen for displaying, on the display means, information based on the past prescription information to be compared and the prescribed drug information and the patient information in association with each other, the past prescription information being used as the past prescription information to be compared and displayed in correspondence with each other, the prescribed drug information, and the patient information, when the past prescription information is found to be a re-prescription in the re-prescription determination step; a display step of displaying the medication instruction display screen generated by the display screen generation step on the display means; A medication instruction support method comprising the steps of:

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