Medication instruction system, medication instruction method, and medication instruction program

Abstract

To provide a medication instruction system capable of providing high-quality medication instructions without depending on the pharmacist in charge.SOLUTION: In a medication instruction system 100, an item display unit 213 displays multiple instruction items related to medication instructions. A prescription change identification unit 113 identifies medications that have been changed from the previous prescription of a patient among the medications prescribed to the patient as changed medications. An item determination unit 112 determines required items that are instruction items that require guidance for patients depending on the changed medications. An emphasis display unit 214 highlights the required items determined by the item determination unit 112 out of the instruction items displayed by the item display unit 213.SELECTED DRAWING: Figure 14

Description

[Technical field]

[0001] The present disclosure relates to a technique for supporting medication instruction. [Background technology]

[0002] Pharmacists not only perform the task of dispensing medicines according to prescriptions, but also perform the task of providing patients with medication instructions. Differences in the experience and knowledge of pharmacists tend to result in differences in the quality of medication instructions. It is desirable to be able to provide high-quality medication instructions regardless of the pharmacist in charge.

[0003] Patent Document 1 describes a method of extracting and displaying a list of medication instruction items according to the type of medication and the number of times the medication has been provided, thereby enabling pharmacists to provide medication instruction without missing any items. [Prior art documents] [Patent documents]

[0004] [Patent Document 1] JP 2014-059675 A Summary of the Invention [Problem to be solved by the invention]

[0005] In the technology described in Patent Document 1, instructions that have already been given, instructions to be carried over to the next time or later (estimated), and the current instruction are displayed with symbols, making it difficult to understand the current instruction at a glance. The present disclosure aims to enable high-quality medication instructions to be provided regardless of the pharmacist in charge by displaying multiple instruction items and highlighting necessary items that require instruction. [Means for solving the problem]

[0006] In the medication instruction system according to the present disclosure, an item display unit that displays a plurality of instruction items related to medication instruction; A prescription change identification unit that identifies, among the drugs prescribed to a patient, at least one of a drug that has been changed from a previous prescription for the patient and a drug that has been changed from a prescription before last in the previous prescription for the patient as a changed drug; an item determination unit that determines a necessary item, which is an instruction item that needs to be instructed to the patient, according to the changed drug identified by the prescription change identification unit; a highlighting unit that highlights the necessary item determined by the item determining unit among the plurality of training items displayed by the item display unit; Equipped with. Effect of the Invention

[0007] In the present disclosure, a plurality of instruction items are displayed, and necessary items, which are instruction items corresponding to at least one of a drug that has been changed since the previous prescription and a drug that has been changed from the previous prescription or the prescription before last, are highlighted. This makes it possible to easily identify instruction items that are highly necessary, and to provide high-quality medication instruction regardless of the pharmacist in charge. [Brief description of the drawings]

[0008] [Figure 1] FIG. 1 is a configuration diagram of a medication instruction system 100 according to a first embodiment. [Diagram 2] FIG. 1 is a configuration diagram of a medication instruction device 10 according to a first embodiment. [Diagram 3] FIG. 2 is a configuration diagram of a pharmacy terminal 20 according to the first embodiment. [Figure 4] FIG. 4 is an explanatory diagram of patient information 131 according to the first embodiment. [Diagram 5] FIG. 4 is an explanatory diagram of medication instruction information 132 according to the first embodiment. [Figure 6] 3 is a flowchart of the overall processing of the medication instruction system 100 according to the first embodiment. [Figure 7] 13 is a flowchart of a guidance information transmission process according to the first embodiment. [Figure 8] 13 is a flowchart of a guidance information display process according to the first embodiment. [Figure 9] FIG. 3 is a diagram showing a first tab according to the first embodiment. [Figure 10] FIG. 4 is a diagram showing a second tab according to the first embodiment. [Figure 11] FIG. 2 is an explanatory diagram of a training badge 41 according to the first embodiment. [Figure 12] FIG. 1 is a configuration diagram of a medication instruction system 100 according to a first modified example. [Figure 13] FIG. 1 is a configuration diagram of a medication instruction system 100 according to a first modified example. [Figure 14] FIG. 11 is a configuration diagram of a medication instruction device 10 according to a second embodiment. [Figure 15] 13 is a flowchart of an item determination process regarding instruction items displayed in a medication instruction guide according to the second embodiment. [Figure 16] 13 is a flowchart of a modified medicine process according to the second embodiment. [Figure 17] FIG. 11 is an explanatory diagram of patient information 131 according to the second embodiment. [Figure 18] FIG. 11 is an explanatory diagram of medication instruction information 132 according to the second embodiment. [Figure 19] 13 is a flowchart of an addition determination process according to the second embodiment. [Figure 20] FIG. 11 is a configuration diagram of a medication instruction device 10 according to a third embodiment. [Figure 21] 13 is a flowchart of an item determination process regarding instruction items displayed in a medication instruction guide according to the third embodiment. [Figure 22] 13 is a flowchart of high-risk drug processing according to the third embodiment. [Diagram 23] FIG. 11 is an explanatory diagram of medication instruction information 132 according to the third embodiment. [Figure 24] FIG. 13 is an explanatory diagram of basic settings of training items according to the third embodiment. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0009] Embodiment 1 ***Configuration Description*** The configuration of a medication instruction system 100 according to the first embodiment will be described with reference to FIG. The medication instruction system 100 includes a medication instruction device 10 and one or more pharmacy terminals 20. The medication instruction device 10 and each pharmacy terminal 20 are connected via a network 90. The medication instruction device 10 is a computer such as a cloud server. The pharmacy terminal 20 is a computer such as a PC that is installed in a pharmacy 30 and operated by a pharmacist. PC is an abbreviation for Personal Computer.

[0010] The configuration of medication instruction device 10 according to the first embodiment will be described with reference to FIG. The medication instruction device 10 is a computer. The medication instruction device 10 includes hardware components including a processor 11, a memory 12, a storage 13, and a communication interface 14. The processor 11 is connected to other hardware components via signal lines and controls the other hardware components.

[0011] The medication instruction device 10 includes, as functional components, a request processing unit 111 and an item determination unit 112. The functions of the functional components of the medication instruction device 10 are realized by software. Storage 13 stores a program that realizes the function of each functional component of medication instruction device 10. This program is loaded into memory 12 by processor 11 and executed by processor 11. In this way, the function of each functional component of medication instruction device 10 is realized.

[0012] The storage 13 stores patient information 131 and medication instruction information 132.

[0013] The configuration of pharmacy terminal 20 according to the first embodiment will be described with reference to FIG. Pharmacy terminal 20 is a computer. Pharmacy terminal 20 includes the following hardware components: processor 21, memory 22, storage 23, and communication interface 24. Processor 21 is connected to other hardware components via signal lines and controls these other hardware components.

[0014] Pharmacy terminal 20 includes, as functional components, prescription processing unit 211 and guidance processing unit 212. Guidance processing unit 212 includes item display unit 213, highlighting unit 214, input receiving unit 215, end receiving unit 216, display determination unit 217, and notification unit 218. The functions of the functional components of pharmacy terminal 20 are realized by software. Storage 23 stores programs that realize the functions of each functional component of pharmacy terminal 20. These programs are loaded into memory 22 by processor 21 and executed by processor 21. In this way, the functions of each functional component of pharmacy terminal 20 are realized.

[0015] The processors 11 and 21 are ICs that perform processing. IC stands for Integrated Circuit. Specific examples of the processors 11 and 21 are a CPU, a DSP, and a GPU. CPU stands for Central Processing Unit. DSP stands for Digital Signal Processor. GPU stands for Graphics Processing Unit.

[0016] The memories 12 and 22 are storage devices that temporarily store data. Specific examples of the memories 12 and 22 are SRAM and DRAM. SRAM is an abbreviation for Static Random Access Memory. DRAM is an abbreviation for Dynamic Random Access Memory.

[0017] The storages 13 and 23 are storage devices that store data. A specific example of the storages 13 and 23 is an HDD. HDD is an abbreviation for Hard Disk Drive. The storages 13 and 23 may also be portable recording media such as an SD (registered trademark) memory card, CompactFlash (registered trademark), NAND flash, a flexible disk, an optical disk, a compact disk, a Blu-ray (registered trademark) disk, or a DVD. SD is an abbreviation for Secure Digital. DVD is an abbreviation for Digital Versatile Disk.

[0018] The communication interfaces 14 and 24 are interfaces for communicating with external devices. Specific examples of the communication interfaces 14 and 24 are ports for Ethernet (registered trademark), USB, and HDMI (registered trademark). USB is an abbreviation for Universal Serial Bus. HDMI is an abbreviation for High-Definition Multimedia Interface.

[0019] In Fig. 2, only one processor 11 is shown. However, there may be a plurality of processors 11, and the plurality of processors 11 may cooperate to execute a program that realizes each function. Similarly, in Fig. 3, only one processor 21 is shown. However, there may be a plurality of processors 21, and the plurality of processors 21 may cooperate to execute a program that realizes each function.

[0020] ***Explanation of Operation*** The operation of the medication instruction system 100 according to the first embodiment will be described with reference to FIGS. The operation procedure of medication instruction system 100 according to embodiment 1 corresponds to the medication instruction method according to embodiment 1. Moreover, the program for realizing the operation of medication instruction system 100 according to embodiment 1 corresponds to the medication instruction program according to embodiment 1.

[0021] With reference to FIG. 4, the patient information 131 according to the first embodiment will be described. The patient information 131 is information about each patient. The patient information 131 includes information about each patient, such as personal information, prescription drug information, contact information, basic confirmation information, and medication instruction history. Personal information is information about the patient, such as the insurer number, name, sex, date of birth, height, and weight. Prescription drug information is historical information about drugs prescribed to the patient. Contact information includes comments and previous instruction handovers. Comments are information that should be noted about the patient regarding dispensing or medication instructions, etc. Previous instruction handovers are items handed over from the pharmacist who provided the previous instruction. Basic confirmation information is information about items that require confirmation about the patient regarding dispensing or medication instructions, etc. Medication instruction history is historical information about medication instructions that have been provided in the past.

[0022] With reference to FIG. 5, the medication instruction information 132 according to the first embodiment will be described. The medication instruction information 132 is information to be instructed about each drug. The medication instruction information 132 includes conditions, instruction information, and necessary items for each drug. The conditions are determined based on frequency, sex, age, and the like. The frequency is the frequency at which the instruction is given. For example, the frequency can be set to the first time, every month, every three months, every time, and the like. If the frequency is the first time, the condition is met only when the target drug is prescribed to the target patient for the first time, and the drug is subject to instruction. The instruction items include instruction contents to be displayed by the medication instruction system 100. The necessary items are flags indicating whether or not the instruction items that require instruction in the current medication instruction are to be displayed as necessary items. In FIG. 5, 1 indicates a necessary item, and 0 indicates a non-necessary item.

[0023] With reference to FIG. 6, the overall processing of the medication instruction system 100 according to the first embodiment will be described. (Step S1: Reception display process) The prescription processing unit 211 of the pharmacy terminal 20 displays a prescription reception screen. The pharmacist inputs prescription information received from the target patient, who is the patient he or she is currently treating, into the reception screen. The prescription information includes the insurer number and name of the target patient, and information on the prescribed drug.

[0024] (Step S2: Request transmission process) The prescription processing unit 211 of the pharmacy terminal 20 transmits request information for requesting transmission of medication instruction information to the medication instruction device 10. The request information includes the insurer number of the target patient and information on the prescribed drug, which were input in step S1.

[0025] (Step S3: Training information transmission process) The request processing unit 111 of the medication instruction device 10 accepts the request information transmitted in step S2. The request processing unit 111 extracts necessary information from the patient information 131 and the medication instruction information 132 based on the request information, and transmits the extracted information to the pharmacy terminal 20 that transmitted the request information.

[0026] (Step S4: Guidance information display process) The instruction processing unit 212 of the pharmacy terminal 20 displays the information transmitted in step S3 on the display device. The pharmacist provides medication instruction to the patient by referring to the information displayed on the display device.

[0027] (Step S5: Training result registration process) When the medication instruction is completed, the instruction processing unit 212 of the pharmacy terminal 20 transmits an instruction result indicating the result of the medication instruction to the medication instruction device 10. The instruction result includes the items on which the instruction was given and the information collected during the instruction. The medication instruction device 10 writes the instruction result in the patient information 131.

[0028] The instruction information transmitting process (step S3 in FIG. 6) according to the first embodiment will be described with reference to FIG. (Step S31: Request acceptance process) The request processor 111 accepts the request information transmitted in step S2.

[0029] (Step S32: Information extraction process) The request processing unit 111 extracts information necessary for medication instruction from the patient information 131 and medication instruction information 132 based on the request information. Specifically, the request processing unit 111 extracts information on the target patient from the patient information 131 based on the insurer number included in the request information. Also, the request processing unit 111 extracts information on which guidance should be given regarding the prescribed drug from the medication instruction information 132 based on the prescribed drug information included in the request information. At this time, the request processing unit 111 refers to the information on the target patient extracted from the patient information 131, and extracts only guidance items that satisfy the conditions from the medication instruction information 132.

[0030] (Step S33: Item determination process) The item determination unit 112 determines, from among a plurality of instruction items, a necessary item that is an instruction item for which instruction is required in the current medication instruction. "Instruction is required" means that instruction is absolutely necessary or that instruction should be given priority in the current medication instruction. Specifically, the item determination unit 112 determines whether or not an item is to be a necessary item using a method according to the instruction item. The item determination unit 112 mainly determines pre-specified instruction items as necessary items, and also determines necessary items according to the target patient. Determining necessary items according to the target patient includes the following (1) to (3). (1) Determining necessary items according to the drug prescribed for the target patient. (2) Determining necessary items according to the target patient's medication status at the time of the previous dispensing or the results of past medication instructions including the previous one. (3) Determining necessary items according to the period of time since the target patient's previous dispensing. Details of the determination of necessary items will be described later.

[0031] (Step S34: Information transmission process) Request processing unit 111 transmits the extracted information extracted in step S32 and the item information indicating the necessary items determined in step S33 to pharmacy terminal 20 which is the transmission source of the request information.

[0032] The instruction information display process (step S4 in FIG. 6) according to the first embodiment will be described with reference to FIG. (Step S41: Information reception process) The instruction processing unit 212 receives the extraction information and item information transmitted in step S34.

[0033] (Step S42: Item display process) The item display unit 213 displays a plurality of instruction items related to medication instruction. At this time, the item display unit 213 displays a plurality of instruction items in a state in which the plurality of instruction items are grouped and arranged hierarchically. When the instruction items are displayed on the screen, the screen display information is composed of a markup language such as HTML (Hyper Text Markup Language) or XML (Extensible Markup Language). Since the screen display information composed of the markup language has a hierarchy, hierarchical information including necessary items can be displayed.

[0034] This will be described in detail with reference to FIG. 9 and FIG. The item display unit 213 displays the corresponding training items on a display screen on which the training items are grouped in advance. The item display unit 213 displays a plurality of instruction items, divided into instruction items to be instructed before dispensing and instruction items to be instructed after dispensing. That is, the instruction items to be instructed before dispensing and the instruction items to be instructed after dispensing are divided into different groups. In the first embodiment, the instruction items to be instructed before dispensing and the instruction items to be instructed after dispensing are displayed in different tabs (different screens). The first tab shown in FIG. 9 is a screen that displays the instruction items to be instructed before dispensing. The second tab shown in FIG. 10 is a screen that displays the instruction items to be instructed after dispensing. Note that some instruction items may be instructed either before or after dispensing, and therefore may be displayed in both tabs. Specifically, these include basic patient information and items handed over last time.

[0035] As shown in FIG. 9, the instruction items to be given before dispensing are divided into a group of contact items and basic patient confirmation. The message items in the patient information 131 are displayed in the message items. Each of the comments and previous instruction handover included in the message items in the patient information 131 is an instruction item. The basic patient confirmation displays basic confirmation information in the patient information 131. Each confirmation item in the basic confirmation information is an instruction item.

[0036] As shown in FIG. 10, the instruction items to be given after dispensing can be divided into the following groups: previous instruction handover, prescription changes, medication instruction guide, health advice, and basic patient confirmation. The previous instruction handover displays the previous instruction handover included in the communication items in the patient information 131. The previous instruction handover is a confirmation item. The prescription change displays the difference between the previous prescription drug indicated in the prescription drug information in the patient information 131 and the current prescription drug. The difference is a guidance item. The difference may be configured to be calculated by the request processing unit 111, or may be registered in advance in the patient information 131. The medication instruction guide displays information extracted from the medication instruction information 132. Each piece of extracted information is a guidance item. The health advice displays health-related advice extracted by any method. Each piece of advice is a guidance item. The patient basic confirmation displays the basic confirmation information in the patient information 131. Each confirmation item in the basic confirmation information is a guidance item. In the example of FIG. 10, the medication instruction guide is hierarchical information generated from medication instruction information 132, so the following description will be given regarding the medication instruction guide.

[0037] (Step S43: Highlighting process) The highlighting unit 214 highlights the necessary items, which are training items that require training, among the training items displayed in step S42. Here, the highlighting unit 214 highlights the necessary items by displaying training badges 41. The training badges 41 are marks such as figures and letters. In the first embodiment, the training badges 41 are black circles. At this time, the highlighting unit 214 highlights the required items and also highlights the upper hierarchical level of the required items. That is, the highlighting unit 214 not only displays the instruction badges 41 for the required items, but also displays the instruction badges 41 for the upper hierarchical level of the required items. Displaying the instruction badges 41 for the upper hierarchical level means, for example, displaying the instruction badges 41 near the group names of the upper hierarchical level. Specifically, when one or more required instruction items are included, the instruction badge 41 is also displayed in the display field corresponding to the medication instruction guide in the higher hierarchical level. The above-mentioned markup language is used to include initial information regarding the display of the instruction badge 41 together with the hierarchical information. The initial information for displaying the instruction badge 41 is information on whether or not to display the instruction badge 41.

[0038] Further, a specific example of the first tab will be described with reference to FIG. The necessary items in the communication section include the previous instruction to be handed down, and the medication status and changes in physical condition in the basic patient confirmation section. In this case, the highlighting unit 214 displays the instruction badge 41 in the previous instruction handover in the contact information and in the medication status and changes in physical condition in the patient basic confirmation. Furthermore, the highlighting unit 214 also displays the instruction badge 41 in the contact information field, which is a higher level than the previous instruction handover. Furthermore, the highlighting unit 214 also displays the instruction badge 41 in the patient basic confirmation field, which is a higher level than the medication status and changes in physical condition. Furthermore, the highlighting unit 214 also displays the instruction badge 41 in the first tab, which is a higher level than the contact information and patient basic confirmation. In FIG. 11, since the training badge 41 is displayed for any of the training items included in the second tab, the training badge 41 is also displayed on the second tab. In the example of Fig. 11, the first tag is the topmost hierarchical level, the message is the second highest hierarchical level, and the previous transfer item is the third highest hierarchical level. In other words, the first tag is the parent hierarchical level, the message is the child hierarchical level, and the previous transfer item is the grandchild hierarchical level.

[0039] The pharmacist provides medication instruction while checking the screens displayed in steps S42 and S43. In the first embodiment, medication instruction is provided by referring to the first tab before dispensing, and medication instruction is provided by referring to the second tab after dispensing. In addition, by checking whether the instruction badge 41 is displayed on the first tab, it is possible to check whether there is an instruction item that requires medication instruction before dispensing. Similarly, by checking whether the instruction badge 41 is displayed on the second tab, it is possible to check whether there is an instruction item that requires medication instruction after dispensing. In addition, by checking whether the instruction badge 41 is displayed in the column for each group, it is possible to check whether the instruction items for that group include any instruction items that require medication instruction. Therefore, even if a group has many instruction items set, it is possible to easily check whether any instruction items include any instruction items that require medication instruction.

[0040] (Step S44: Input determination process) The input receiving unit 215 judges whether or not the input of an instruction item for which medication instruction has been completed has been received. Specifically, while providing medication instruction, the pharmacist checks the instruction completed check box for the instruction item for which medication instruction has been completed. When a check box is checked, the input receiving unit 215 recognizes that an input indicating that medication instruction has been completed for that instruction item has been received. The end accepting unit 216 also judges whether or not an input for the end of medication instruction has been accepted. Specifically, when the pharmacist has completed all medication instruction for the patient, he or she presses an instruction end button. When the instruction end button is pressed, the end accepting unit 216 recognizes that an input for the end of medication instruction has been accepted. When the input receiving unit 215 receives an input of an instruction item for which medication instruction has been completed, the process proceeds to step S45. When the end receiving unit 216 receives an input of the end of medication instruction, the process proceeds to step S46.

[0041] (Step S45: Highlighting and erasing process) The highlighting unit 214 stops highlighting the training item whose input was accepted in step S44. That is, the highlighting unit 214 erases the training badge 41 corresponding to the training item whose input was accepted in step S44. Furthermore, the highlighting unit 214 stops highlighting the hierarchical level where the highlighting for the lower hierarchical level is no longer displayed as a result of stopping the highlighting for the instruction item. In other words, the highlighting unit 214 hides the instruction badge for the hierarchical level where the instruction badge 41 displayed for the lower hierarchical level is no longer displayed as a result of deleting the instruction badge 41. For example, in FIG. 11, when medication instruction for the previous instruction transfer is completed, the instruction badge 41 for the previous instruction transfer is deleted. Then, the instruction badge 41 displayed for the lower hierarchical level of the message is no longer displayed. Therefore, the highlighting unit 214 deletes the instruction badge 41 for the message column. In addition, if the instruction items displayed in both the first and second tabs are input to end the medication instruction in one tab, they will not be highlighted in either tab. The instruction items displayed in both the first and second tabs are "Previous Instruction Transfer" and "Patient Basic Confirmation."

[0042] (Step S46: Display determination process) The display determination unit 217 determines whether or not any highlighted instruction items remain. That is, the display determination unit 217 determines whether or not any instruction items for which an instruction badge 41 is displayed remain. Specifically, the display determination unit 217 determines whether or not any instruction items for which input for the end of medication instruction has not been accepted remain among the necessary items indicated by the item information. If there is any training item with the training badge 41 displayed thereon, the display determination unit 217 advances the process to step S47. On the other hand, if there is no training item with the training badge 41 displayed thereon, the display determination unit 217 ends the process.

[0043] (Step S47: Notification process) The notification unit 218 notifies that the highlighted instruction item remains. That is, the notification unit 218 notifies that an instruction item for which medication instruction is required remains. Specifically, the notification unit 218 displays a message or the like indicating that an instruction item for which medication instruction is required remains on the display device. Then, the notification unit 218 returns the process to step S44.

[0044] The item determination process (step S33 in FIG. 7) according to the first embodiment will be described. The method of determining whether or not a training item is a necessary item varies depending on the group to which the training item belongs or the training item itself. Specifically, whether or not a training item is a necessary item is determined as follows.

[0045] With reference to FIG. 9, the training items in the first tab will be described. Regarding the comments in the communication, whether or not they are required items depends on the content of the comments. Therefore, whether or not they are required items is determined depending on whether or not they are specified by the pharmacy or pharmacist. Regarding the handover of previous instruction in the communication items, it is a required item. This is because the handover of previous instruction is a matter handed over from the pharmacist who provided the previous instruction, and is an item that the pharmacist who provided the previous instruction believes needs to be confirmed by the next pharmacist who will provide instruction. Each instruction item included in the patient basic confirmation is determined as a required item if it is specified by a pharmacy or a pharmacist. Of the instruction items included in the patient basic confirmation, whether or not it is a required item is determined according to the target patient if it is not specified by a pharmacy or a pharmacist. In other words, whether or not it is a required item is determined by at least one of the above-mentioned (1) to (3). Note that, if the target patient is a patient visiting the store for the first time, all of the instruction items included in the patient basic confirmation are confirmed by having the patient fill out a questionnaire, etc. Note that since the instruction items displayed in the first tab are information related to the patient information 131, it may be configured to hold information on whether or not it is a required item for each piece of information in the patient information 131. Whether or not it is a required item may be determined for each instruction item as described above, or may be determined by receiving an individual designation from a pharmacist, etc. The item determination unit 112 determines the required item based on the information on whether or not it is a required item.

[0046] With reference to FIG. 10, the training items in the second tab will be described. The previous guidance transfer and basic confirmation information are the same as the previous guidance transfer and basic confirmation information in the contact information of FIG. A prescription change is considered a required item if it is specified by a pharmacy or a pharmacist. If it is not specified by a pharmacy or a pharmacist, whether or not it is a required item may be determined based on the drug prescribed to the target patient. In this case, whether or not it is a required item may be determined based on the combination of the drug previously prescribed and the drug currently prescribed. Each item included in the medication instruction guide is considered to be a required item if it is specified by the pharmacy or pharmacist. For example, the pharmacy or pharmacist sets in advance whether or not it is to be a required item when extracted into each record of the medication instruction guide. If the extracted record is set as a required item, the instruction item corresponding to that record is considered to be a required item. Health advice is an instruction item provided as additional information to the target patient and is therefore not considered a required item. The display items displayed in the second tab are information related to patient information 131 and medication instruction information 132. Information related to patient information 131 is as explained using FIG. 9. As described above, medication instruction information 132 has information indicating whether it is a required item. The value of the required item is determined by designation by the pharmacy or pharmacist, or by designation by the drug. The item determination unit 112 determines the required item based on the information on whether it is a required item. Alternatively, the item determining unit 112 may be configured to determine the necessary items each time based on the above conditions (1) to (3).

[0047] ***Advantages of the First Embodiment*** As described above, the medication instruction system 100 according to the first embodiment displays a plurality of instruction items, and highlights the necessary items, which are instruction items that require instruction. Since the instruction badge is displayed, it is easy to see at a glance which instruction items require instruction. This is expected to prevent pharmacists from missing out on medication instructions, and allows appropriate medication instructions to be given regardless of the pharmacist's skill level. In addition, since instruction items other than the required items are also displayed, it is easy to notice when there are other instruction items that require instruction. This allows for better medication instructions.

[0048] The medication instruction system 100 according to the first embodiment displays instruction items in a hierarchical structure. This allows related instruction items to be displayed together. Therefore, while instructing a certain instruction item, it is easy to notice that it would be better to instruct a related instruction item.

[0049] The medication instruction system 100 according to the first embodiment also highlights the upper hierarchical levels of the necessary items. This makes it easy to identify where the necessary items are. Since it is possible to present the instruction items that should be given priority from among the displayed instruction items, it is possible to improve the efficiency of medication instruction by pharmacists.

[0050] When there are still any instruction items with instruction badges displayed, the medication instruction system 100 according to the first embodiment notifies the user of the fact and does not terminate the process. This makes it possible to reliably instruct the user on the necessary items.

[0051] The medication instruction system 100 according to the first embodiment determines necessary items according to the patient who is the subject of medication instruction. This makes it possible to appropriately determine necessary items. As a result, appropriate medication instruction becomes possible.

[0052] The medication instruction system 100 according to the first embodiment displays instruction items that should be given before dispensing and instruction items that should be given after dispensing separately, thereby making it possible to give instructions at an appropriate timing. For example, some of the instruction items that should be given before dispensing include instruction items related to the decision on the dosage form, etc. Therefore, as a result of giving instruction items that should be given before dispensing after dispensing, it may happen that the dosage form of the prepared medicine must be changed. Therefore, it is desirable to give instruction on appropriate instruction items at the appropriate time.

[0053] ***Other configurations*** <Variation 1> In the first embodiment, medication instruction device 10 includes item determination unit 112, and pharmacy terminal 20 includes instruction processing unit 212. However, it is sufficient that medication instruction system 100 includes these functional components, and either medication instruction device 10 or pharmacy terminal 20 may include these functional components.

[0054] For example, as shown in Fig. 12, the pharmacy terminal 20 may include an item determination unit 112. In this configuration, the medication instruction device 10 can be regarded as a database server for storing data. In this case, in the guidance information transmission process (step S3 in FIG. 6), the process of step S33 in FIG. 7 is omitted, and only the extracted information is transmitted in step S34. In the guidance information display process (step S4 in FIG. 6), the process of step S33 is executed before the process of step S43 in FIG. 8.

[0055] 13, the medication instruction device 10 may include an instruction processing unit 212. In this configuration, the pharmacy terminal 20 can be regarded as a terminal that only serves as an interface with the pharmacist. In this case, the instruction information transmission process (step S3 in FIG. 6) and the instruction information display process (step S4 in FIG. 6) are executed by the medication instruction device 10. Therefore, transmission and reception of information between the medication instruction device 10 and the pharmacy terminal 20 becomes unnecessary.

[0056] In addition, among the functional components included in the instruction processing unit 212, some may be provided in the medication instruction device 10, and the rest may be provided in the pharmacy terminal 20.

[0057] Furthermore, the medication instruction system 100 may be configured with one computer. In other words, the functions of both the medication instruction device 10 and the pharmacy terminal 20 may be provided in one computer.

[0058] <Variation 2> In the item display process (step S42 in FIG. 8), as shown in FIG. 9, the item display unit 213 may display, as an initial display, a state in which all the guidance items included in each group are shown (open state). Also, as shown in FIG. 10, the item display unit 213 may display, as an initial display, a state in which the guidance items included in each group are hidden (closed state). Whether the initial display is an open state or a closed state may be changed between the first tab and the second tab. Note that the open state indicates a state in which all information is displayed while retaining hierarchical information from the top layer to the bottom layer. The closed information indicates a state in which only the information in the top layer is displayed, and information in the second layer and subsequent layers is displayed by screen operation by the pharmacist, etc. When displayed in an open state, it is easy to check which instruction items require specific medication instructions, whereas when displayed in a closed state, it is easy to check which groups have instruction items that require medication instructions.

[0059] The item display unit 213 may initially display only the necessary items for each group, hiding the remaining training items. In this case, the necessary items can be checked efficiently. On the other hand, other training items related to the necessary items are not visible to the pharmacist, so that it is difficult to notice training items other than the necessary items that should be taught.

[0060] The item display unit 213 may display the number of lower required items near the instruction badge 41 in the higher hierarchical level. For example, in the example of FIG. 11, "1" is displayed near the instruction badge 41 in the message column because there is a previous instruction transfer at a lower level. "2" is displayed near the instruction badge 41 in the patient basic confirmation column because there are medication status and changes in physical condition. "3" is displayed near the instruction badge 41 in the first tab, as a total for the message column and the patient basic confirmation column. <Variation 3> In the input determination process (step S44 in FIG. 8), the pharmacist recognizes that medication instructions have been completed by checking the check box. As a third modification, the input receiving unit 215 may recognize that medication instructions have been completed by recognizing that instruction items have been displayed. Specifically, this can be realized by the input receiving unit 215 detecting that the display has changed from the closed state described in the second modification to the open state.

[0061] <Variation 4> In the first embodiment, each functional component is realized by software. However, as a fourth modification, each functional component may be realized by hardware. The following describes the fourth modification, focusing on the differences from the first embodiment.

[0062] When each functional component is realized by hardware, the medication instruction device 10 includes an electronic circuit instead of the processor 11, the memory 12, and the storage 13. The electronic circuit is a dedicated circuit for realizing the functions of each functional component of the medication instruction device 10, the memory 12, and the storage 13.

[0063] Similarly, when each functional component is realized by hardware, pharmacy terminal 20 includes an electronic circuit instead of processor 21, memory 22, and storage 23. The electronic circuit is a dedicated circuit for realizing the functions of each functional component of pharmacy terminal 20, memory 22, and storage 23.

[0064] The electronic circuits include single circuits, composite circuits, programmed processors, parallel programmed processors, logic ICs, GAs, ASICs, and FPGAs. GA stands for Gate Array. ASIC stands for Application Specific Integrated Circuit. FPGA stands for Field-Programmable Gate Array. Each functional component may be realized by one electronic circuit, or each functional component may be realized by distributing it among a plurality of electronic circuits.

[0065] <Variation 5> As a fifth modification, some of the functional components may be realized by hardware, and other functional components may be realized by software.

[0066] The processor 11, the memory 12, the storage 13, and the electronic circuitry are collectively referred to as a processing circuit. In other words, the functions of the respective functional components are realized by the processing circuit.

[0067] Furthermore, the term "part" in the above description may be read as a "circuit," "step," "procedure," "processing," or "processing circuit."

[0068] Embodiment 2 The method of determining which instruction items to highlight from among the instruction items displayed in the medication instruction guide in the second embodiment is different from that in the first embodiment. In the second embodiment, this difference will be described, and the description of the same points will be omitted.

[0069] In the first embodiment, each item included in the medication instruction guide is considered to be a required item if it is specified by a pharmacy or a pharmacist. In other words, among the instruction items displayed in the medication instruction guide, the instruction items specified by the pharmacy or a pharmacist are considered to be required items and are highlighted. In the second embodiment, the required items are determined based on the medicine whose prescription has been changed and are highlighted.

[0070] ***Configuration Description*** The configuration of a medication instruction device 10 according to the second embodiment will be described with reference to FIG. 2 in that the medication instruction device 10 includes a prescription change identification unit 113 as a functional component. The function of the prescription change identification unit 113 is realized by software or hardware, like the other functional components.

[0071] ***Explanation of Operation*** The operation of the medication instruction system 100 according to the second embodiment will be described with reference to Figs. The operation procedure of medication instruction system 100 according to embodiment 2 corresponds to the medication instruction method according to embodiment 2. Moreover, the program for realizing the operation of medication instruction system 100 according to embodiment 2 corresponds to the medication instruction program according to embodiment 2.

[0072] With reference to FIG. 15, an item determination process regarding the instruction items displayed in the medication instruction guide according to the second embodiment will be described. The process shown in FIG. 15 is a process of determining necessary items related to the instruction items displayed in the medication instruction guide, out of the item determination process (step S33 in FIG. 7).

[0073] (Step S101: Changed medicine processing) The item determination unit 112 determines necessary items, which are guidance items for which guidance is required for the patient, according to a changed drug, which is a drug whose prescription has been changed, among the drugs prescribed to the patient.

[0074] (Step S102: Display number determination process) The item determining unit 112 determines whether or not the number of necessary items identified in step S101 is equal to or greater than the minimum number to be displayed. If the number of required items is less than the minimum display number, the item determination unit 112 advances the process to step S103. On the other hand, if the number of required items is not the minimum display number, the item determination unit 112 ends the process.

[0075] (Step S103: Addition decision process) The item determining unit 112 determines necessary items according to the medications prescribed to the patient, including the changed medication, until the number of necessary items reaches the minimum display number.

[0076] The changed medicine process (step S101 in FIG. 15) according to the second embodiment will be described with reference to FIG. (Step S201: Changed drug identification process) The prescription change identification unit 113 identifies, among the drugs prescribed to the patient, drugs that have been changed in the current prescription from the previous prescription as changed drugs. Drugs that have been changed in the current prescription from the previous prescription include drugs that are prescribed this time but were not prescribed last time, and drugs that have been prescribed this time and last time but have had their dosage or the like changed. The prescription change identifying unit 113 can identify information on the previously prescribed drug by referring to the prescription drug information in the patient information 131. Then, the prescription change identifying unit 113 can identify the changed drug by comparing the prescribed drug information transmitted in step S2 of FIG. 6 with the previously prescribed drug information.

[0077] (Step S202: Variable setting process) The item determination unit 112 initializes a specified number a, which is the number of required items that have been specified, to zero.

[0078] (Step S203: End determination process) The item determining unit 112 determines whether or not there is a changed medicine that has not been set as a processing target among the changed medicines identified in step S201. When there is a changed medicine that is not set as a processing target, the item determination unit 112 sets one of the changed medicines that is not set as a processing target as a processing target, and proceeds to step S204. On the other hand, when there is no changed medicine that is not set as a processing target, the process proceeds to step S102 in FIG.

[0079] (Step S204: Instruction performance identification process) The item determination unit 112 sets the instruction item extracted in the information extraction process (step S32 in FIG. 7) for the changed drug to be processed as the target instruction item. The item determination unit 112 refers to the medication instruction history of the patient information 131 to identify past instruction results for the target instruction item. Here, as shown in FIG. 17, the medication instruction history of the patient information 131 records, as history, an instruction item number that is an identification number of the instruction item for which instruction was given for each drug. The item determination unit 112 can identify past instruction results for the target instruction item by referring to the history of this instruction item number.

[0080] (Step S205: Candidate Identification Process) The item determination unit 112 refers to the past training records identified in step S204 and identifies the training item with the least number of training sessions among the target training items as a candidate. At this time, the item determination unit 112 may exclude training items that were taught at the time of the previous prescription and identify the training item with the least number of training sessions as a candidate.

[0081] (Step S206: Candidate number determination process) The item determining unit 112 determines whether the number of training items identified as candidates in step S205 is one or not. If the number of training items specified as candidates is one, the item determining unit 112 advances the process to step S207. On the other hand, if the number of training items specified as candidates is two or more, the item determining unit 112 advances the process to step S208.

[0082] (Step S207: First determination process) The item determining unit 112 determines the training items identified as candidates in step S205 as necessary items. Then, the item determining unit 112 adds 1 to the specified number a, and returns the process to step S203.

[0083] (Step S208: Second determination process) The item determining unit 112 determines, as a necessary item, the training item with the highest priority among the multiple training items identified as candidates in step S205. As shown in Fig. 18, in the second embodiment, the medication instruction information 132 includes, as instruction items, a problem type, a detailed type, an instruction item number, a priority order, and a problem. A problem means an instruction content. As shown in Fig. 18, one or more instruction items are set for each medicine, and a priority order is set for each instruction item. Note that the same priority order may be set for multiple instruction items. The item determination unit 112 determines the priority of each of the multiple instruction items determined as candidates in step S205 by referring to the medication instruction information 132. The item determination unit 112 determines the instruction item with the highest priority as a necessary item. Then, the item determination unit 112 adds 1 to the specified number a, and returns the process to step S203. When the same priority order is set for a plurality of training items, the item determining unit 112 specifies any one of the training items as a necessary item by any method.

[0084] The addition determination process (step S103 in FIG. 15) according to the second embodiment will be described with reference to FIG. (Step S301: Variable setting process) The item determining unit 112 sets the remaining number r to a value obtained by subtracting the specified number a, which is the number of necessary items specified in the changed medicine process (step S101 in FIG. 15), from the minimum display number min.

[0085] (Step S302: Instruction performance identification process) The item determination unit 112 sets, as the target instruction item, an instruction item that has not been specified as a necessary item in the changed medication process (step S101 in FIG. 15) among the instruction items extracted in the information extraction process (step S32 in FIG. 7) for all medications prescribed to the patient, including the changed medication. The item determination unit 112 refers to the medication instruction history of the patient information 131 and specifies the past instruction record for the target instruction item.

[0086] (Step S303: Candidate Identification Process) The item determination unit 112 refers to the past training records identified in step S302 and identifies the training item with the least number of training sessions among the target training items as a candidate. At this time, the item determination unit 112 may exclude training items that were taught at the time of the previous prescription and identify the training item with the least number of training sessions as a candidate.

[0087] (Step S304: Candidate number determination process) The item determining unit 112 determines whether the number of training items identified as candidates in step S303 is one or not. If the number of training items specified as candidates is one, the item determining unit 112 advances the process to step S305. On the other hand, if the number of training items specified as candidates is two or more, the item determining unit 112 advances the process to step S306.

[0088] (Step S305: First determination process) The item determining unit 112 determines the training items identified as candidates in step S303 as necessary items. Then, the item determining unit 112 subtracts 1 from the remaining number r, and the process proceeds to step S307.

[0089] (Step S306: Second determination process) The item determining unit 112 determines, as a necessary item, the training item with the highest priority among the multiple training items identified as candidates in step S303, in the same manner as in step S208 in Fig. 16. Then, the item determining unit 112 subtracts 1 from the remaining number r, and proceeds to step S307. When the same priority order is set for a plurality of training items, the item determining unit 112 specifies any one of the training items as a necessary item by any method.

[0090] (Step S307: End determination process) The item determining unit 112 determines whether the remaining number r is 0 or not. The item determination unit 112 ends the process when the remaining number r is 0. On the other hand, when the remaining number r is not 0, the item determination unit 112 excludes the training items determined as necessary items in step S305 or step S306 from the target training items, and returns the process to step S303.

[0091] ***Effects of the second embodiment*** For newly prescribed drugs or drugs whose dosages have been changed, it is effective for the pharmacist to explain to the patient in order to draw attention to the drug. The medication instruction system 100 according to the second embodiment determines, as necessary items, instruction items corresponding to drugs that have been changed from the previous prescription, and displays them with emphasis. This enables effective, high-quality medication instruction.

[0092] If the pharmacist's instruction becomes uniform when the same drug is prescribed continuously, the instruction will lose its meaning. The medication instruction system 100 according to the second embodiment determines the instruction items that have been instructed less frequently as necessary items and highlights them. This enables effective medication instruction without being biased toward some instruction items.

[0093] If a pharmacist provides too much information at once in the instruction, it may confuse the patient. The medication instruction system 100 according to the second embodiment determines the instruction items for the continuously prescribed medication as necessary items and highlights them only when the instruction items for the changed medication alone do not meet the minimum number of items to be displayed. This makes it possible to avoid providing too much information at once, while also preventing the amount of instruction from being too small. This makes it possible to provide high-quality medication instruction.

[0094] ***Other configurations*** <Variation 6> In the second embodiment, in step S201 of Fig. 16, among the drugs prescribed to the patient, the drugs that have been changed in the current prescription from the previous prescription are identified as changed drugs. However, among the drugs prescribed to the patient, the drugs that have been changed in the previous prescription from the prescription before last may also be identified as changed drugs. In other words, not only the drugs whose prescription has been changed in the current prescription, but also the drugs whose prescription has been changed in the previous prescription may be identified as changed drugs. By identifying drugs whose prescriptions have been changed in the previous prescription as changed drugs, the instruction items for drugs whose prescriptions have been changed in the previous prescription are also determined as necessary items and highlighted. Therefore, instruction will be given for drugs whose prescriptions have been changed in the previous prescription. For drugs whose prescriptions have been changed in the previous prescription, it is effective to follow up to check the progress since then. Therefore, it is effective to always determine drugs whose prescriptions have been changed in the previous prescription as necessary items and highlight them. In addition, there is a possibility that instruction for drugs whose prescriptions have been changed in the previous prescription may not be sufficient, so it is effective to always determine drugs whose prescriptions have been changed in the previous prescription as necessary items and highlight them. In addition, among the medications prescribed to the patient, those that have been changed in the current prescription from the previous prescription may not be identified as changed medications, and only those medications that have been changed in the previous prescription from the prescription before last may be identified as changed medications. <Variation 7> In the second embodiment, after the information extraction process in step S32 shown in the first embodiment, the past instruction record regarding the changed medication is identified in the instruction record identification process in step S204. More specifically, in step S32, information on which instructions should be given regarding the prescribed medication is extracted from the medication instruction information 132, and then only instruction items that satisfy the conditions of the target patient are extracted by referring to the patient information 131. Then, in step S204, the medication instruction history in the patient information 131 is referred to to identify the past instruction record regarding the target instruction item. As a modified example, in step S32, the process may be limited to extracting information on which instructions should be given about the prescribed medication from medication instruction information 132, and in step S204, the medication instruction history in patient information 131 may be referenced to identify past instruction records from medication instruction information 132.

[0095] Embodiment 3 The third embodiment differs from the second embodiment in that guidance items regarding high-risk drugs are also determined as necessary items. In the third embodiment, this difference will be explained, and explanations of the same points will be omitted.

[0096] ***Configuration Description*** The configuration of a medication instruction device 10 according to the third embodiment will be described with reference to FIG. 14 in that the medication instruction device 10 includes a high-risk drug identification unit 114 as a functional component. The function of the high-risk drug identification unit 114 is realized by software or hardware, like the other functional components.

[0097] ***Explanation of Operation*** The operation of the medication instruction system 100 according to the third embodiment will be described with reference to Figs. The operation procedure of medication instruction system 100 according to embodiment 3 corresponds to the medication instruction method according to embodiment 3. Moreover, the program for realizing the operation of medication instruction system 100 according to embodiment 3 corresponds to the medication instruction program according to embodiment 3.

[0098] With reference to FIG. 21, an item determination process regarding the instruction items displayed in the medication instruction guide according to the third embodiment will be described. The process shown in Fig. 21 is a process for determining necessary items related to the instruction items displayed in the medication instruction guide, among the item determination process (step S33 in Fig. 7). The processes in steps S113 and S114 are the same as the processes in steps S102 and S103 in Fig. 15.

[0099] (Step S111: High-risk drug processing) The item determining unit 112 determines necessary items, which are guidance items for which guidance is required for the patient, according to high-risk drugs among the drugs prescribed for the patient.

[0100] (Step S112: Changed medicine processing) The item determination unit 112 determines, from among the drugs prescribed to the patient, other than high-risk drugs, necessary items that are guidance items that require guidance to the patient, according to changed drugs that have undergone a prescription change.

[0101] The process of step S111 will be described in detail later, but the specific number a is not counted in the process of step S111. Therefore, the number of required items in step S113 is the number of required items specified in step S112. In other words, the required items according to the high-risk drug determined in step S111 do not affect the determination of the minimum display number condition.

[0102] With reference to FIG. 22, the high-risk drug processing according to the third embodiment (step S111 in FIG. 21) will be described. (Step S401: High-risk drug identification process) The high-risk drug identification unit 114 identifies high-risk drugs among drugs prescribed to a patient. High-risk drugs are drugs that require special attention due to side effects, etc. As shown in FIG. 23, in the third embodiment, the medication instruction information 132 includes a setting as to whether a drug is a high-risk drug or not.

[0103] (Step S402: End determination process) The item determining unit 112 determines whether or not there is any high-risk drug that has not been set as a processing target among the high-risk drugs identified in step S401. If there are high-risk drugs that are not set as processing targets, the item determination unit 112 sets one of the high-risk drugs that are not set as processing targets as a processing target and proceeds to step S403. On the other hand, if there are no high-risk drugs that are not set as processing targets, the item determination unit 112 proceeds to step S112 in FIG.

[0104] (Step S403: Training performance identification process) The item determination unit 112 sets the instruction items extracted in the information extraction process (step S32 in FIG. 7) for the high-risk drug to be processed as the target instruction items. The item determination unit 112 refers to the medication instruction history of the patient information 131 and identifies the past instruction results for the target instruction item.

[0105] (Step S404: Candidate Identification Process) The item determination unit 112 refers to the past training records identified in step S403 and identifies the training item with the least number of training sessions among the target training items as a candidate. At this time, the item determination unit 112 may exclude training items that were taught at the time of the previous prescription and identify the training item with the least number of training sessions as a candidate.

[0106] (Step S405: Candidate number determination process) The item determining unit 112 determines whether the number of training items identified as candidates in step S404 is one or not. If the number of training items specified as candidates is one, the item determining unit 112 advances the process to step S406. On the other hand, if the number of training items specified as candidates is two or more, the item determining unit 112 advances the process to step S408.

[0107] (Step S406: First determination process) The item determining unit 112 determines, as necessary items, the training items identified as candidates in step S404. Then, the item determining unit 112 returns the process to step S402.

[0108] (Step S408: Second determination process) The item determining unit 112 determines, as a necessary item, the training item with the highest priority among the multiple training items identified as candidates in step S404. The item determination unit 112 determines the priority of each of the multiple instruction items determined as candidates in step S404 by referring to the medication instruction information 132. The item determination unit 112 determines the instruction item with the highest priority as a required item. Then, the item determination unit 112 returns the process to step S402. When the same priority order is set for a plurality of training items, the item determining unit 112 specifies any one of the training items as a necessary item by any method.

[0109] ***Effects of the Third Embodiment*** For high-risk drugs, particular attention must be paid to side effects, etc., and pharmacists must call attention to them. The medication instruction system 100 according to the third embodiment determines instruction items according to high-risk drugs as necessary items and displays them in a highlighted manner. This enables effective, high-quality medication instruction. In the third embodiment, the number of instruction items for high-risk drugs is not included in the minimum display number, but the number of instruction items for high-risk drugs may be included in the minimum display number. In that case, it is possible to set the minimum display number to a larger number taking into account the number of instruction items for high-risk drugs.

[0110] ***supplement*** As shown in Fig. 18, one or more instruction items are set for each drug, and a priority order is set for each instruction item. Here, as shown in Fig. 24, the basic settings for the instruction items for each drug are divided into high-risk drugs and non-high-risk drugs. Then, based on this basic setting, instruction items are set for each drug, and the priority order is customized for each pharmacy as necessary.

[0111] Various aspects of the present disclosure are summarized below as appendices. (Appendix 1) an item display unit that displays a plurality of instruction items related to medication instruction; A prescription change identification unit that identifies, among the drugs prescribed to a patient, at least one of a drug that has been changed from a previous prescription for the patient and a drug that has been changed from a prescription before last in the previous prescription for the patient as a changed drug; an item determination unit that determines a necessary item, which is an instruction item that needs to be instructed to the patient, according to the changed drug identified by the prescription change identification unit; a highlighting unit that highlights the necessary item determined by the item determining unit among the plurality of training items displayed by the item display unit; A medication instruction system that includes the following. (Appendix 2) One or more instruction items are set for each drug, The item determination unit determines, as the necessary item, an instruction item for which the number of times of instruction to the patient in the past has been small, from among one or more instruction items set for the changed medication. A medication instruction system as described in Appendix 1. (Appendix 3) The item determination unit determines, as the necessary item, an instruction item that has been instructed on a small number of times and that has not been instructed on previously to the patient. A medication instruction system as described in Appendix 2. (Appendix 4) Priorities are set for the instruction items, When there are a plurality of training items for which the number of training sessions is small, the item determination unit determines, as the necessary item, a training item having a high priority among the training items for which the number of training sessions is small. A medication instruction system as described in appendix 2 or 3. (Appendix 5) The item determination unit determines one of the required items for one of the changed medicines, When the number of the necessary items specified according to the changed drug is less than the minimum display number, the item determination unit determines the necessary items according to drugs prescribed to the patient, including the changed drug, until the number of the necessary items becomes the minimum display number. A medication instruction system according to any one of appendix 1 to 4. (Appendix 6) One or more instruction items are set for each drug, The item determination unit determines, as the necessary item, an instruction item that has not yet been determined as the necessary item and for which the patient has been instructed few times in the past, from among one or more instruction items set for each drug prescribed to the patient. A medication instruction system as described in Appendix 5. (Appendix 7) The item determination unit determines, as the necessary item, an instruction item that has not yet been determined as the necessary item, has been instructed a small number of times, and has not been instructed previously to the patient. A medication instruction system as described in Appendix 6. (Appendix 8) Priorities are set for the instruction items, When there are a plurality of training items for which the number of training sessions is small, the item determination unit determines, as the necessary item, a training item having a high priority among the training items for which the number of training sessions is small. A medication instruction system as described in appendix 6 or 7. (Appendix 9) The medication instruction system further includes: A high-risk drug identification section that identifies high-risk drugs among the drugs prescribed to the patient. Equipped with The item determination unit determines the necessary items according to the high-risk drug identified by the high-risk drug identification unit. A medication instruction system according to any one of appendices 1 to 8. (Appendix 10) The prescription change identification unit identifies the changed drug from among drugs prescribed to the patient other than the high-risk drug. A medication instruction system as described in Appendix 9. (Appendix 11) The computer displays a plurality of instruction items regarding medication instructions, The computer identifies, among the drugs prescribed to the patient, at least one of a drug that has been changed from a previous prescription for the patient and a drug that has been changed from a prescription before last in a previous prescription for the patient as a changed drug; The computer determines a necessary item, which is an instruction item that needs to be instructed to the patient, according to the changed medication; A medication instruction method, comprising: a computer that highlights the necessary item among the plurality of instruction items. (Appendix 12) An item display process for displaying a plurality of instruction items related to medication instruction; A prescription change identification process for identifying, as a changed drug, at least one of a drug that has been changed from a previous prescription for the patient and a drug that has been changed from a prescription before last when the previous prescription for the patient is made, among drugs prescribed to the patient; An item determination process for determining a necessary item, which is an instruction item that needs to be instructed to the patient, according to the changed drug identified by the prescription change identification process; a highlighting process for highlighting the necessary item determined by the item determination process among the plurality of guidance items displayed by the item display process; A medication instruction program that enables a computer to function as a medication instruction system.

[0112] The above describes the embodiments and modifications of the present disclosure. Some of these embodiments and modifications may be combined and implemented. Also, one or some of them may be partially implemented. Note that the present disclosure is not limited to the above embodiments and modifications, and various modifications are possible as necessary. [Explanation of symbols]

[0113] 100 medication instruction system, 10 medication instruction device, 11 processor, 12 memory, 13 storage, 14 communication interface, 111 request processing unit, 112 item determination unit, 113 prescription change identification unit, 114 high-risk drug identification unit, 131 patient information, 132 medication instruction information, 20 pharmacy terminal, 21 processor, 22 memory, 23 storage, 24 communication interface, 25 input / output interface, 211 prescription processing unit, 212 instruction processing unit, 213 item display unit, 214 highlight display unit, 215 input reception unit, 216 end reception unit, 217 display determination unit, 218 notification unit, 30 pharmacy, 41 instruction badge, 90 network.

Claims

1. an item display unit that displays a plurality of instruction items related to medication instruction; A prescription change identification unit that identifies, among the medicines prescribed to a patient, at least one of a medicine that has been changed from a previous prescription for the patient and a medicine that has been changed from a prescription before last in the previous prescription for the patient, as a changed medicine; an item determination unit that determines a necessary item, which is an instruction item that needs to be instructed to the patient, according to the changed drug identified by the prescription change identification unit; a highlighting unit that highlights the necessary item determined by the item determining unit among the plurality of training items displayed by the item display unit; A medication instruction system equipped with:

2. One or more instruction items are set for each drug, The item determination unit determines, as the necessary item, an instruction item for which the number of times of instruction to the patient in the past has been small, from among one or more instruction items set for the changed medication. The medication instruction system according to claim 1.

3. The item determination unit determines, as the necessary item, an instruction item that has been instructed on a small number of times and that has not been instructed on previously to the patient. The medication instruction system according to claim 2.

4. Priorities are set for the instruction items, When there are a plurality of training items for which training has been performed less frequently, the item determination unit determines, as the necessary item, a training item having a high priority among the training items for which training has been performed less frequently. The medication instruction system according to claim 2.

5. The item determination unit determines one of the required items for one of the changed medicines, When the number of the necessary items specified according to the changed drug is less than the minimum display number, the item determination unit determines the necessary items according to drugs prescribed to the patient, including the changed drug, until the number of the necessary items becomes the minimum display number. The medication instruction system according to claim 1.

6. One or more instruction items are set for each drug, The item determination unit determines, as the necessary item, an instruction item that has not yet been determined as the necessary item and for which the patient has been given instruction only a small number of times in the past, from among one or more instruction items set for each drug prescribed to the patient. The medication instruction system according to claim 5.

7. The item determination unit determines, as the necessary item, an instruction item that has not yet been determined as the necessary item, has been instructed a small number of times, and has not been instructed previously to the patient. The medication instruction system according to claim 6.

8. Priorities are set for the instruction items, When there are a plurality of training items for which training has been performed less frequently, the item determination unit determines, as the necessary item, a training item having a high priority among the training items for which training has been performed less frequently. The medication instruction system according to claim 6.

9. The medication instruction system further includes: A high-risk drug identification section that identifies high-risk drugs among the drugs prescribed to the patient. Equipped with The item determination unit determines the necessary items according to the high-risk drug identified by the high-risk drug identification unit. The medication instruction system according to claim 1.

10. The prescription change identification unit identifies the changed drug from among drugs prescribed to the patient other than the high-risk drug. The medication instruction system according to claim 9.

11. The computer displays a plurality of instruction items regarding medication instructions, The computer identifies, among the drugs prescribed to the patient, at least one of a drug that has been changed from a previous prescription for the patient and a drug that has been changed from a prescription before last in a previous prescription for the patient as a changed drug; The computer determines a necessary item, which is an instruction item that needs to be instructed to the patient, according to the changed medication; A medication instruction method, comprising: a computer that highlights the necessary item among the plurality of instruction items.

12. An item display process for displaying a plurality of instruction items related to medication instruction; A prescription change identification process for identifying, as a changed drug, at least one of a drug that has been changed from a previous prescription for the patient and a drug that has been changed from a prescription before last when the previous prescription for the patient is made, among drugs prescribed to the patient; An item determination process for determining a necessary item, which is an instruction item that needs to be instructed to the patient, according to the changed drug identified by the prescription change identification process; a highlighting process for highlighting the necessary item determined by the item determination process among the plurality of guidance items displayed by the item display process; A medication instruction program that enables a computer to function as a medication instruction system.

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