Patient information management system, patient information management apparatus, and method for managing patient information

Abstract

To provide a platform that allows a medical institution to obtain information about a patient of a pharmacy.SOLUTION: The patient information management system according to the present invention includes: a medical institution terminal set in a medical institution, the medical institution terminal issuing a prescription provided with a code including a medical institution number, which is a number for identifying the medical institution, and a medical institution-side patient number, which is a number used by the medical institution to identify a patient; an information processing apparatus as a terminal used by a patient, the terminal having a storage unit for storing a user number, which is a number for identifying the patient, and being configured to read, from the code, information including the medical institution number and the medical institution-side patient number and to transmit the information and the user number; and a patient information management apparatus configured to receive the information and the user number from the information processing apparatus and to store the medical institution number and the medical institution-side patient number included in the information in association with the user number.SELECTED DRAWING: Figure 1

Description

[Technical Field]

[0001] The present invention relates to a patient information management system, a patient information management method, and a patient information management device. [Background technology]

[0002] Conventionally, a technology has been known in which a patient uses the camera function of a mobile phone or smartphone to capture an image of a prescription issued by a medical institution and then sends the image of the prescription to a pharmacy, thereby communicating the contents of the prescription to the pharmacy in advance (for example, Patent Document 1).

[0003] Such technology allows pharmacies to dispense prescriptions before patients arrive at the pharmacy, which has the advantage of reducing waiting times for patients and enabling pharmacies to operate more efficiently. [Prior art documents] [Patent documents]

[0004] [Patent Document 1] Japanese Patent Application Laid-Open No. 2016-218740 Summary of the Invention [Problem to be solved by the invention]

[0005] On the other hand, medical institutions that issue prescriptions have a need to obtain information about patients that pharmacies hold, such as the actual dispensing results at the pharmacy and the actual medication status of the patient. To achieve this, it is not impossible to access information through the use of a system such as regional medical cooperation, but this requires the patient's consent and is limited to information sharing between medical institutions and pharmacies that are members of that regional medical cooperation system, making it difficult to communicate information adequately to patients and not being able to fully meet the above needs.

[0006] The present invention has been made in view of the above circumstances, and aims to provide a platform for medical institutions to obtain information about patients held by pharmacies. [Means for solving the problem]

[0007] The patient information management system according to the present invention comprises: a medical institution terminal that is installed in the medical institution and issues prescriptions with a code including a medical institution number, which is a number for identifying the medical institution, and a medical institution side patient number, which is a number used by the medical institution to identify the patient; a terminal used by the patient, the terminal having a storage unit for storing a user number that is a number for identifying the patient, an information processing device that reads information including the medical institution number and the medical institution's patient number from the code, and transmits the information and the user number; The patient information management device receives the information and the user number from the information processing device, and stores the user number in association with the medical institution number and medical institution side patient number included in the information.

[0008] The patient information management device according to the present invention comprises: A patient information management device that stores a user number that is a number for identifying a patient, reads information including a medical institution number that is a number for identifying a medical institution and a medical institution side patient number that is a number used by the medical institution to identify a patient from a code attached to a prescription issued by the medical institution terminal, and is communicatively connected to an information processing device that is a terminal used by the patient, receiving information and a user number from the information processing device; The user number is stored in association with the medical institution number and medical institution side patient number contained in the information.

[0009] The patient information management method according to the present invention comprises: A step in which a medical institution terminal installed in a medical institution issues a prescription with a code including a medical institution number, which is a number for identifying the medical institution, and a medical institution side patient number, which is a number used by the medical institution to identify the patient; an information processing device, which is a terminal used by the patient and stores a user number that is a number for identifying the patient, reading information including a medical institution number and a medical institution side patient number from the code; an information processing device transmitting information and a user number; The patient information management device receives the information and the user number from the information processing device, and stores the user number in association with the medical institution number and medical institution side patient number included in the information. [Effects of the Invention]

[0010] According to the present invention, a platform can be provided for medical institutions to obtain information about patients held by pharmacies. [Brief explanation of the drawings]

[0011] [Figure 1] 1 is a diagram showing an example of the configuration of a patient information management system according to an embodiment of the present invention. [Figure 2] FIG. 2 is a diagram showing an example of the configuration of a medical institution terminal according to an embodiment of the present invention. [Figure 3] 1 is a diagram showing an example of a configuration of an information processing device according to an embodiment of the present invention. [Figure 4] 1 is a diagram showing an example of the configuration of a patient information management device according to an embodiment of the present invention. [Figure 5] FIG. 2 is a diagram showing an example of the configuration of a pharmacy terminal according to an embodiment of the present invention. [Figure 6] FIG. 2 is a diagram showing an example of a patient information management table according to an embodiment of the present invention. [Figure 7] FIG. 10 is a diagram showing an example of the operation of the medical institution terminal according to the embodiment of the present invention. [Figure 8] FIG. 2 is a diagram showing an example of the operation of the patient information management device according to the embodiment of the present invention. [Figure 9] FIG. 2 is a diagram showing an example of the operation of the patient information management system according to the embodiment of the present invention. [Figure 10] FIG. 2 is a diagram showing an example of the operation of the patient information management system according to the embodiment of the present invention. [Figure 11]FIG. 10 is a diagram showing an example of a patient information management table according to the second embodiment of the present invention. DETAILED DESCRIPTION OF THE INVENTION

[0012] First Embodiment Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. Note that the embodiments described below are merely examples, and the present invention is not limited to these embodiments.

[0013] <Configuration of patient information management system> First, the configuration of a patient information management system 1 according to an embodiment of the present invention will be described with reference to Fig. 1. Fig. 1 is a diagram showing an example of the configuration of the patient information management system 1 according to the present embodiment.

[0014] The patient information management system 1 includes a medical institution terminal 10, an information processing device 11, a patient information management device 12, and a pharmacy terminal 13. The patient information management system 1 does not necessarily have to include the pharmacy terminal 13.

[0015] The medical institution terminal 10 is a computer (for example, a personal computer, a smartphone, a tablet, or the like) that is installed in a medical institution such as a hospital or a clinic and used by a medical professional such as a doctor.

[0016] The medical institution terminal 10 issues a prescription 2 based on the patient's medical examination results. The prescription 2 is affixed with a code 3 that has various types of information or contains key information for referencing the various types of information. The various types of information include, for example, information regarding the medical institution number, which is a number used to identify the medical institution where the medical institution terminal 10 is installed, information regarding the medical institution's patient number, which is a number used by the medical institution to identify each patient, and information regarding the prescription contents. The medical institution's patient number may be a number issued independently by the medical institution where the medical institution terminal 10 is installed, or may be a number issued by a third party such as the government or an insurer.

[0017] Code 3 is, for example, a barcode or a two-dimensional barcode. Code 3 may also be a character string that is a combination of the medical institution number itself and the medical institution's patient number itself.

[0018] The information processing device 11 is a portable computer (for example, a smartphone, tablet, mobile phone, etc.) used by a patient who visits a medical institution. The information processing device 11 is used, for example, by a user of an electronic medicine notebook service or their family members. As will be described in detail later, the information processing device 11 has a photographing function. Therefore, when operated by a patient (user) who receives a prescription 2 from a medical institution, the information processing device 11 can read information such as the medical institution's patient number from the code 3 attached to the prescription 2. Note that the information processing device 11 does not have to be portable and may be a stationary computer.

[0019] The patient information management device 12 is, for example, a server operated and managed by a provider of an electronic medicine notebook service or a provider of a dedicated application. The dedicated application is application software that runs on the information processing device 11 and has a function for viewing the electronic medicine notebook (for example, capable of presenting medication history information).

[0020] Pharmacy terminal 13 is a computer (for example, a personal computer, a smartphone, a tablet, or the like) that is installed in a pharmacy and used by medical professionals such as pharmacists.

[0021] The patient information management device 12 and the medical institution terminal 10 communicate via a predetermined network. The patient information management device 12 and the information processing device 11 communicate via a predetermined network. The patient information management device 12 and the pharmacy terminal 13 communicate via a predetermined network. The predetermined network may be a wired network, a wireless network, or a network that combines a wired network and a wireless network.

[0022] <Configuration of medical institution terminals> Next, the configuration of the medical institution terminal 10 according to the embodiment of the present invention will be described with reference to Fig. 2. Fig. 2 is a diagram showing an example of the configuration of the medical institution terminal 10 according to the present embodiment.

[0023] The medical institution terminal 10 includes an input unit 101, a communication unit 102, a display unit 103, a printer 104, a storage unit 105, and a control unit 106.

[0024] The input unit 101 is an input device such as a touch panel, a keyboard, a mouse, etc. The input unit 101 receives operations from a medical professional and outputs the contents of the received operations to the control unit 106.

[0025] The input unit 101 receives, for example, an operation to input electronic medical record information relating to the medical treatment results of a patient, or an operation to instruct the issuance of a prescription 2.

[0026] The communication unit 102 is a communication device including a transmission circuit, a reception circuit, etc. Under the control of the control unit 106, the communication unit 102 communicates with the patient information management device 12 via a predetermined network.

[0027] For example, the communication unit 102 transmits a request for medication history information to the patient information management device 12. In addition, the communication unit 102 receives medication history information from the patient information management device 12, for example.

[0028] The display unit 103 is a display device such as a display, etc. The display unit 103 displays information under the control of the control unit 106.

[0029] The display unit 103 displays, for example, electronic medical record information, a website for accessing the patient information management device 12, or medication history information received by the communication unit 102 from the patient information management device 12.

[0030] The printer 104 is a device that prints the prescription 2. In this embodiment, the printer 104 is one functional unit of the medical institution terminal 10, but it goes without saying that the printer 104 may be a device separate from the medical institution terminal 10.

[0031] The storage unit 105 is a storage device such as a memory or a hard disk drive, and stores various information.

[0032] The storage unit 105 stores, for example, a medical institution number that is a number for identifying a medical institution. The storage unit 105 also stores, for example, electronic medical record information or information (for example, medication history information) received by the communication unit 102 from the patient information management device 12.

[0033] The control unit 106 is a control device such as a processor, and controls each process performed by the medical institution terminal 10. An example of control by the control unit 106 will be described later with reference to FIG.

[0034] <Configuration of information processing device> Next, the configuration of information processing device 11 according to the embodiment of the present invention will be described with reference to Fig. 3. Fig. 3 is a diagram showing an example of the configuration of information processing device 11 according to the present embodiment.

[0035] The information processing device 11 includes an input unit 111, a communication unit 112, a display unit 113, a camera 114, a storage unit 115, and a control unit .

[0036] The input unit 111 is an input device such as a touch panel, a keyboard, a mouse, etc. The input unit 111 receives an operation from a patient and outputs the content of the received operation to the control unit .

[0037] The input unit 111 accepts, for example, an operation to instruct the activation of a dedicated application, an operation to activate the camera 114, an operation to take a photograph, and an operation to instruct the transmission of information about the prescription 2 to the patient information management device 12.

[0038] The communication unit 112 is a communication device including an antenna, a transmitting circuit, a receiving circuit, etc. Under the control of the control unit 116, the communication unit 112 communicates with the patient information management device 12 via a predetermined network.

[0039] The communication unit 112 transmits, for example, information read from the code 3 via the camera 114, such as the medical institution number, the medical institution's patient number, and information regarding the contents of the prescription 2, as well as the user number stored in the memory unit 115, to the patient information management device 12.

[0040] The display unit 113 is a display device such as a display, etc. The display unit 113 displays information under the control of the control unit 116.

[0041] For example, the display unit 113 displays the screen of a dedicated application and an image captured by the camera 114 .

[0042] The storage unit 115 is a storage device such as a memory or a hard disk drive, and stores various information.

[0043] For example, the storage unit 115 stores a user number unique to the user and a program for a dedicated application that provides pharmacy services. The user number is information that can identify the user of the information processing device 11. The user number can be a number unique to the information processing device 11 itself, that is, a number that is assigned only once to one information processing device 11. Alternatively, the user number can be a number unique to each registered user of a dedicated application (for example, an electronic medicine notebook), that is, a number that is assigned multiple times to one information processing device 11. The user number may also be the number on the health insurance card owned by the user.

[0044] The control unit 116 is a control device such as a processor, and controls each process performed by the information processing device 11. An example of the control performed by the control unit 116 will be described later with reference to FIG.

[0045] <Configuration of patient information management device> Next, the configuration of the patient information management device 12 according to the embodiment of the present invention will be described with reference to Fig. 4. Fig. 4 is a diagram showing an example of the configuration of the patient information management device 12 according to the present embodiment.

[0046] The patient information management device 12 includes a communication unit 122 , a storage unit 125 , and a control unit 126 .

[0047] The communication unit 122 is a communication device including a transmission circuit, a reception circuit, etc. Under the control of the control unit 126, the communication unit 122 communicates with the medical institution terminal 10, the information processing device 11, and the pharmacy terminal 13 via a predetermined network.

[0048] The communication unit 122 receives, for example, data on the contents of the prescription 2 and a request for medication history information from the medical institution terminal 10. The communication unit 122 also transmits, for example, the medication history information to the medical institution terminal 10.

[0049] Furthermore, the communication unit 122 receives, for example, the medical institution's patient number, information on the contents of the prescription 2, the prescription image, and the user number from the information processing device 11.

[0050] The storage unit 125 is a storage device such as a memory or a hard disk drive, and stores various information.

[0051] The storage unit 125 stores, for example, information received by the communication unit 122 from the medical institution terminal 10, the information processing device 11, or the pharmacy terminal 13.

[0052] An example of information stored in the storage unit 125 is a patient information management table 20 (see FIG. 6). Details of the patient information management table 20 will be described later.

[0053] The control unit 126 is a control device such as a processor, and controls each process performed by the patient information management device 12. An example of control by the control unit 126 will be described later with reference to FIGS.

[0054] <Pharmacy terminal configuration> Next, the configuration of pharmacy terminal 13 according to the embodiment of the present invention will be described with reference to Fig. 5. Fig. 5 is a diagram showing an example of the configuration of pharmacy terminal 13 according to the present embodiment.

[0055] Pharmacy terminal 13 includes input unit 131 , communication unit 132 , display unit 133 , scanner 134 , storage unit 135 , and control unit 136 .

[0056] The input unit 131 is an input device such as a touch panel, a keyboard, a mouse, etc. The input unit 131 receives an operation from a medical professional and outputs the content of the received operation to the control unit 136.

[0057] The input unit 131 receives, for example, an input operation of the contents of the prescription 2 and an input operation of the contents of the actually dispensed medicine.

[0058] The communication unit 132 is a communication device including a transmission circuit, a reception circuit, etc. Under the control of the control unit 136, the communication unit 132 communicates with the patient information management device 12 via a predetermined network.

[0059] The communication unit 132 receives, for example, the contents of the prescription 2 (prescription data or prescription image) and a request for medication history information from the patient information management device 12. The communication unit 132 also transmits, for example, the medication history information to the patient information management device 12. The communication unit 132 also transmits, to the patient information management device 12, information relating to a pharmacy patient number, which is a number used by the pharmacy where the pharmacy terminal 13 is installed to identify each patient. The pharmacy patient number may be a number issued independently by the pharmacy where the pharmacy terminal 13 is installed, or may be a number issued by a third party such as the government or an insurer.

[0060] The display unit 133 is a display device such as a display, etc. The display unit 133 displays information under the control of the control unit 136.

[0061] The display unit 133 displays, for example, the contents of the prescription 2, the contents of the actually dispensed medicine, the medication status of the patient, or a website for accessing the patient information management device 12.

[0062] Scanner 134 is a device that reads the contents of prescription 2. In this embodiment, scanner 134 is a functional part of pharmacy terminal 13, but it goes without saying that scanner 134 may be a device separate from pharmacy terminal 13.

[0063] The storage unit 135 is a storage device such as a memory or a hard disk drive, and stores various information.

[0064] The storage unit 135 stores, for example, a pharmacy number that is a number for identifying a pharmacy. The storage unit 135 also stores, for example, information regarding the content of the actual dispensing.

[0065] Control unit 136 is a control device such as a processor, and controls each process performed by pharmacy terminal 13. An example of control by control unit 136 will be described later with reference to FIG.

[0066] <Patient information management table> Next, the patient information management table 20 will be described with reference to Fig. 6. Fig. 6 is a diagram showing an example of the patient information management table 20 stored in the storage unit 125 of the patient information management device 12.

[0067] 6, information for identifying a patient is linked to each user number in the patient information management table 20. The patient information management table 20 includes medical institution number information 21, medical institution patient number information 22, user number information 23, pharmacy number information 24, and pharmacy patient number information 25.

[0068] The patient information management table 20 shown in FIG. 6 has the following information, which is registered in correspondence with each other. The storage unit 115 of the information processing device 11 used by the patient (user) stores 1000 as a user number unique to the user (e.g., a registered user number for a dedicated application). This patient is assigned a medical institution patient number of A1001 at the medical institution with medical institution number 01. This patient is also assigned a medical institution patient number of B123 at the medical institution with medical institution number 02. This patient is also assigned a pharmacy patient number of C76543 at the pharmacy with pharmacy number 001. Note that these assignments are made independently within each medical institution and pharmacy and are normally not shared. However, by creating this patient information management table 20, information can be shared between medical institutions and pharmacies via the user's unique user number, making it possible to identify the same user.

[0069] Therefore, by using this patient information management table 20, services such as providing information that was previously only available from other medical institutions and pharmacies can be provided without relying on regional medical cooperation mechanisms.

[0070] For example, a medical worker at a medical institution whose medical institution number is 01 accesses the patient information management device 12 via the medical institution terminal 10 and inquires about the medical examination history at other medical institutions of a patient whose medical institution patient number is A1001. Upon receiving this inquiry, the patient information management device 12 detects from the patient information management table 20 that the user number 1000 of the patient whose medical institution patient number is A1001 is associated with the medical institution patient number B123 and the medical institution number 02. After this detection, the patient information management device 12 transmits medical examination history information to the medical institution terminal 10 of the medical institution whose medical institution number is 01, indicating that the inquired patient has previously been examined at the medical institution whose medical institution number is 02.

[0071] Also, for example, a medical worker at a medical institution whose medical institution number is 01 accesses the patient information management device 12 via the medical institution terminal 10 and inquires about the dispensing history, i.e., at which pharmacy a patient whose medical institution patient number is A1001 has received dispensing services. Upon receiving this inquiry, the patient information management device 12 detects from the patient information management table 20 that the user number 1000 of the patient whose medical institution patient number is A1001 is associated with the pharmacy number 001. After this detection, the patient information management device 12 transmits dispensing history information to the medical institution terminal 10 of the medical institution whose medical institution number is 01, indicating that the inquired patient has received dispensing services at the pharmacy whose pharmacy number is 001.

[0072] Furthermore, the patient information management device 12 may obtain information regarding the dispensing actually performed for the patient or information regarding the patient's medication history from the pharmacy terminal 13 installed in the pharmacy whose pharmacy number is 001. In this case, the patient information management device 12 transmits C76543, which is the pharmacy patient number associated with the user number 1000, to the pharmacy terminal 13 of the pharmacy whose pharmacy number is 001. Upon receiving the pharmacy patient number C76543, the pharmacy terminal 13 extracts information regarding the dispensing actually performed for the patient whose pharmacy patient number is C76543 or information regarding the medication history from the information stored in the storage unit 135. After this extraction, the pharmacy terminal 13 transmits the extracted information to the patient information management device 12. The patient information management device 12 can transmit the information regarding the dispensing actually performed or information regarding the medication history received from the pharmacy terminal 13 to the medical institution terminal 10 of the medical institution whose medical institution number is 01, which is the source of the dispensing history inquiry.

[0073] This allows medical professionals at the medical institution that issued Prescription 2 to electronically compare the contents of Prescription 2 issued by their own medical institution with the actual dispensing results, etc. Furthermore, because dispensing results, etc. can be received in a unified format regardless of the pharmacy that dispensed the medication, dispensing results, etc. can be easily and comprehensively understood. Furthermore, for example, the pharmacy can continuously grasp information on how medication was actually dispensed according to Prescription 2 (e.g., whether the medication actually given to the patient was an original drug or a generic drug), so the medical institution can issue Prescription 2 that matches the actual dispensing details from the next time onwards. As a result, the number of inquiries from pharmacies to the medical institution regarding questions regarding subsequent dispensings can be reduced. Furthermore, the prescription data accumulated at the medical institution can be made to match the actual dispensing. Furthermore, when receiving prescriptions from the next time onwards, the medical institution can accurately grasp information about the medications being taken without having to ask the patient.

[0074] The dispensing information and medication history information may be transmitted from the pharmacy terminal 13 to the patient information management device 12 and from the patient information management device 12 to the medical institution terminal 10 immediately after dispensing at the pharmacy. This allows the contents of the prescription 2 to be compared with the actual dispensing results, etc., quickly and without delay.

[0075] In addition, medical personnel at a medical institution with medical institution number 01 can obtain not only information regarding dispensing based on prescription 2 issued at the medical institution to which they belong, but also information regarding dispensing based on prescription 2 issued at another medical institution (for example, a medical institution with medical institution number 02) that is associated via user number 1000.

[0076] Furthermore, the patient information management table 20 shown in FIG. 6 has the following information: The storage unit 115 of the information processing device 11 used by another patient (user) stores 2000 as a user number unique to the user. This patient has been assigned a medical institution patient number of A1002 at the medical institution whose medical institution number is 01. This patient has also been assigned a medical institution patient number of 567890 at the medical institution whose medical institution number is 03. This patient has also been assigned a pharmacy patient number of E456 at the pharmacy whose pharmacy number is 002, and a pharmacy patient number of 246802 (second pharmacy patient number) at the pharmacy whose pharmacy number is 003 (second pharmacy).

[0077] Therefore, for example, a medical worker at a medical institution whose medical institution number is 01 can access the patient information management device 12 via the medical institution terminal 10 and obtain the medical examination history at other medical institutions of a patient whose medical institution patient number is A1002. Specifically, upon receiving the inquiry, the patient information management device 12 can obtain, via the user number 2000, from the patient information management table 20 stored in the storage unit 125, medical examination history information that a patient assigned the medical institution patient number A1002 at the medical institution whose medical institution number is 01 is associated with the medical institution number 03, in other words, that this patient has received medical examination at the medical institution whose medical institution number is 03. Having obtained this medical examination history information, the patient information management device 12 can transmit the medical examination history information to the medical institution terminal 10 of the medical institution whose medical institution number is 01, which is the source of the inquiry about the medical examination history.

[0078] Furthermore, for example, a medical professional at a medical institution whose medical institution number is 01 can access the patient information management device 12 via the medical institution terminal 10 and obtain the dispensing history of a patient whose medical institution patient number is A1002. Specifically, upon receiving the inquiry, the patient information management device 12 can obtain, via the user number 2000, from the patient information management table 20 stored in the storage unit 125, dispensing history information indicating that dispensing services have been received based on prescription 2 at the pharmacy whose pharmacy number is 002 and the pharmacy whose pharmacy number is 003 (second pharmacy). Having obtained this dispensing history information, the patient information management device 12 can transmit the dispensing history information to the medical institution terminal 10 of the medical institution whose medical institution number is 01, which is the source of the dispensing history inquiry.

[0079] The patient information management device 12 may obtain information regarding the dispensing actually performed for the patient or information regarding the patient's medication history from each pharmacy terminal 13 installed in the pharmacy with pharmacy number 002 and the pharmacy with pharmacy number 003. In this case, the patient information management device 12 can transmit the information regarding the dispensing actually performed or information regarding the medication history received from each pharmacy terminal 13 to the medical institution terminal 10 of the medical institution with medical institution number 01 that is the source of the dispensing history inquiry.

[0080] The patient information management table 20 may include information other than the information shown in Fig. 6. For example, the table may include information regarding the name, sex, date of birth, etc. of patients registered at each medical institution, the name, sex, date of birth, etc. of patients registered in association with an information processing device, and the name, sex, date of birth, etc. of patients registered at each pharmacy.

[0081] In the patient information management table 20 according to this embodiment, the information registered at the medical institution and the information registered at the pharmacy are associated with the user number stored in the information processing device used by the patient. Therefore, even if the patient name registered at the medical institution, the patient name registered in association with the user number, and the patient name registered at the pharmacy are different for a given patient, the information registered at the medical institution, the information registered at the information processing device, and the information registered at the pharmacy can be associated and managed without any problems.

[0082] <Operation of the patient information management system> Next, the operation of the patient information management system 1 according to the embodiment of the present invention will be described with reference to FIGS.

[0083] First, an example of a process for creating the patient information management table 20 will be described with reference to FIGS.

[0084] First, the medical institution terminal 10 issues a prescription 2 (step S11). A code 3 including information about the contents of the prescription 2 is attached to the prescription 2, for example, by printing. The code 3 also includes information that can identify the medical institution that issued the prescription 2, such as the medical institution number and information about the medical institution's patient number that the medical institution uses to identify the patient.

[0085] Next, the medical institution terminal 10 determines whether the patient for whom the issued prescription 2 is issued is a patient for whom data is to be provided (step S12). A patient for whom data is to be provided is a patient who is the target of a service in which prescription data including the contents of the prescription 2 is provided from the medical institution terminal 10 to an external device such as the patient information management device 12. Information about the patient for whom data is to be provided is registered in the patient information management table 20. Therefore, whether a patient is a patient for whom data is to be provided can be determined based on whether the patient's information is registered in the patient information management table 20 stored in the memory unit 125 of the patient information management device 12. In other words, the medical institution terminal 10 inquires of the patient information management device 12 about whether information about the patient for whom the prescription 2 is issued is registered in the patient information management table 20, and can determine whether the patient is a patient for whom data is to be provided based on the response from the patient information management device 12.

[0086] It is preferable to obtain the patient's consent before initially registering information about an unregistered patient in the patient information management table 20. The patient can give consent, for example, by conveying consent to a medical professional operating the medical institution terminal 10, or by performing a predetermined operation on the information processing device 11 themselves.

[0087] At the patient's discretion, the information processing device 11 is operated to read the code 3 attached to the prescription 2, and the information contained in the read code 3 is transmitted from the information processing device 11 to the patient information management device 12. This may be considered as the patient's consent. In this case, it is preferable that the medical institution number and the medical institution's patient number are transmitted in advance from the medical institution terminal 10 to the patient information management device 12, and that the information processing device 11 also transmits the user number. In this way, when the patient information management device 12 receives the user number together with information about the contents of the prescription 2 contained in the code 3 from the information processing device 11, it can record the previously received medical institution number and medical institution's patient number in the patient information management table in association with the user number.

[0088] If the patient is a patient for whom data is to be provided (Yes in step S12), the medical institution terminal 10 transmits prescription data, which is the content of prescription 2, to the patient information management device 12 (step S13) and terminates operation. On the other hand, if the patient is not a patient for whom data is to be provided (No in step S12), the medical institution terminal 10 terminates operation. The prescription data includes the medical institution number and the medical institution side patient number.

[0089] Next, the patient information management device 12 determines whether or not prescription data of the patient to be provided with data has been received from the medical institution terminal 10 (step S21 in FIG. 8). If prescription data has not been received from the medical institution terminal 10 (No in step S21), the patient information management device 12 temporarily terminates its operation.

[0090] When prescription data of the patient to be provided with data is received from the medical institution terminal 10 (Yes in S21), the patient information management device 12 searches the patient information management table 20 for a user number stored in association with the medical institution's patient number included in the received prescription data (step S22). This user number is a number unique to the user (for example, a registered user number of a dedicated application) stored in the storage unit 115 of the information processing device 11 used by the patient for whom the issued prescription 2 is intended.

[0091] Next, the patient information management device 12 stores the received prescription data in association with the searched user number in the storage unit 125 (step S23). In this way, the patient information management table 20 is created.

[0092] After that, the patient information management device 12 may notify the information processing device 11, which has the storage unit 115 that stores the searched user number, that the prescription data has been uploaded (step S24).

[0093] Next, an example of a process for adding information to the patient information management table 20 will be described with reference to FIGS.

[0094] 9 and 10 are diagrams showing an example of the operation of the patient information management system 1. In the patient information management system 1, the operation shown in Fig. 10 is performed after the operation shown in Fig. 9 is performed. The timing when the operation shown in Fig. 9 is performed is, for example, after a patient is examined for the first time at a certain medical institution and before heading to a pharmacy. The timing when the operation shown in Fig. 10 is performed is, for example, after medication is actually dispensed at the pharmacy.

[0095] First, an operation example shown in FIG. 9 will be described.

[0096] First, the medical institution terminal 10 issues a prescription 2 (step S31). A code 3 including information about the contents of the prescription 2 is attached to the prescription 2, for example, by printing. The code 3 also includes at least information that can identify the medical institution that issued the prescription 2, such as information about the medical institution number and information about the medical institution's patient number that the medical institution uses to identify the patient.

[0097] Next, the patient who has received the prescription 2 operates the information processing device 11 to photograph the code 3 (step S32). Here, photographing includes not only operating the camera 114 to generate photo data, but also holding the camera 114 over the patient to scan the information on the code 3.

[0098] Next, the information processing device 11 reads information from the photographed code 3 (step S33). In this embodiment, this information includes the medical institution number, the medical institution's patient number, and the contents of the prescription 2. Subsequently, the information processing device 11 reads out from the storage unit 115 a user number unique to the user of the information processing device 11 (for example, a user number of a dedicated application) (step S34).

[0099] Next, the information processing device 11 transmits the medical institution number, the medical institution patient number, the contents of prescription 2, and the user number in one communication to the patient information management device 12 via a predetermined network (step S35). The user number may be transmitted when the patient information management device 12 authenticates the information processing device 11 when communication is initiated between the information processing device 11 and the patient information management device 12. The term "one communication" refers to a series of communications when at least the medical institution number, the medical institution patient number, and the user number, or key information for referencing them, are transmitted from the information processing device 11 to the patient information management device 12.

[0100] In response to this, the patient information management device 12 receives the medical institution number, the medical institution's patient number, the contents of the prescription 2, and the user number in one communication (step S36).

[0101] When transmitting the medical institution number, medical institution patient number, contents of prescription 2, and user number, the information processing device 11 may also accept an operation by the patient to select a pharmacy from which to receive dispensing services, and transmit the pharmacy number indicating the selected pharmacy. Such a pharmacy number is stored in advance in the storage unit 115 together with application software having a function for viewing the electronic medicine notebook (medication history information).

[0102] Next, the patient information management device 12 associates the medical institution number, the medical institution patient number, and the user number with each other and stores them in the storage unit 125 (step S37). Since the patient information management device 12 receives the medical institution patient number and the identification number in a single communication, it can easily associate these pieces of information.

[0103] The association of the medical institution number, medical institution side patient number, and user number by the medical institution terminal 10, the information processing device 11, and the patient information management device 12 can be completed through the above operations.

[0104] In other words, by simply sending the user number required when sending prescription information to the pharmacy and the information contained in Code 3, the correspondence between the medical institution number and the medical institution's patient number and the user number can be easily performed without any special consideration.

[0105] The medical institution number and medical institution patient number may be read by the patient information management device 12 from the information about prescription 2 received from the information processing device 11. In this case, the user information received together with the information about prescription 2 can be associated with the medical institution number and medical institution patient number read from the information about prescription 2 and registered in the patient information management table 20. These operations can be performed within a series of processes that process a command from the information processing device 11 to send information about prescription 2 to the pharmacy.

[0106] If necessary, further association with the pharmacy patient number is performed by the operation shown in FIG.

[0107] If the patient information management device 12 receives the pharmacy number along with the contents of prescription 2, it transmits the contents of prescription 2 and the user number to the pharmacy terminal 13 installed at the pharmacy corresponding to the received pharmacy number (step S38).

[0108] In response to this, pharmacy terminal 13 receives the contents of prescription 2 and the user number (step S39).

[0109] Software for using the electronic medicine notebook service is pre-installed in pharmacy terminal 13. Therefore, when the user number is received along with the contents of prescription 2, the pharmacy patient number stored in memory unit 135 in association with the received user number is read out (step S40).

[0110] Subsequently, when the patient actually comes to the pharmacy and the prescription 2 is handed over to a medical professional, the code 3 attached to the prescription 2 is scanned by the scanner 134 (S41).

[0111] Next, pharmacy terminal 13 accepts an input operation of the details of the actual dispensing (step S42).

[0112] Next, pharmacy terminal 13 transmits at least the pharmacy side patient number and the user number to patient information management device 12 (step S43).

[0113] In response to this, the patient information management device 12 receives the pharmacy-side patient information and the user number (step S44).

[0114] Next, the patient information management device 12 searches the patient information management table 20 stored in the storage unit 125 for the user number received from the pharmacy terminal 13 (step S45).

[0115] Next, patient information management device 12 stores the pharmacy patient number in storage unit 125 in association with the user number that matches the user number received from pharmacy terminal 13. That is, patient information management device 12 stores the medical institution number, medical institution patient number, user number, pharmacy number, and pharmacy patient number in storage unit 125 in association with each other (step S46). Note that storing the pharmacy number in association with the user number may also be performed when the pharmacy number is received from information processing device 11 together with the contents of prescription 2 (step S39).

[0116] By performing the above operations, it is possible to generate a patient information management table 20, an example of which is shown in Figure 6. That is, the medical institution number, medical institution patient number, and user number can be associated with each other by the extremely simple method of photographing the code 3 attached to the prescription 2 with the information processing device 11. Furthermore, if necessary, the pharmacy number and pharmacy patient number can also be associated with this information. In other words, a foundation for obtaining information about patients held by a pharmacy can be formed extremely simply and without any special procedures.

[0117] <Modification of the first embodiment> Although the first embodiment of the present invention has been described above, the present invention is not limited to the above embodiment and various modifications are possible. Modifications will be described below.

[0118] The patient information management table 20 may be stored not in the storage unit 125 included in the patient information management device 12 but in another storage unit connected to the patient information management device 12 via a predetermined network.

[0119] When the contents of the two pieces of information received from the information processing device 11 match, the patient information management device 12 may store the medical institution number, the medical institution patient number, and the user number in the patient information management table 20 in a mutually associated manner. The two pieces of information are the information included in the code 3 and the information stored in the storage unit 115 of the information processing device 11. For example, when the name, sex, and age of the patient included in the code 3 match the name, sex, and age of the user of the information processing device 11 pre-stored in the storage unit 115, the medical institution number, the medical institution patient number, and the user number may be stored in a mutually associated manner in the patient information management table 20. This prevents a medical institution patient number and a user number that do not actually correspond from being associated and stored in a mutually associated manner, for example, when the code 3 attached to another person's prescription 2 is mistakenly read.

[0120] For example, consider a case where two brothers are registered as users of an application installed on one information processing device 11 and each has been issued a user number. If the older brother is a patient and prescription 2 has been issued to him, but the information processing device 11 is mistakenly configured so that the younger brother is using it, the older brother's medical institution patient number included in code 3 and the younger brother's user number stored in storage unit 115 of the information processing device 11 will be transmitted to the patient information management device 12 in a single communication. Even in such a case, because the older brother and younger brother have different dates of birth, the patient information management device 12 does not associate and store the transmitted medical institution patient number and user number. In other words, it is possible to prevent the medical institution patient number and user number, which do not actually correspond, from being associated and stored.

[0121] <Second embodiment> Next, a second embodiment of the present invention will be described. Explanations of matters that are the same as those in the first embodiment will be omitted as appropriate. The second embodiment is an embodiment that can accommodate cases where a medical institution number is changed after the fact. This embodiment will be described below using an example in which the name of a certain medical institution is changed from "01 Clinic" to "04 Clinic" and, in conjunction with this change, the medical institution number indicating this medical institution is changed from "01" to "04."

[0122] In the second embodiment, a patient information management table 20A as shown in Fig. 11 is created and used. The patient information management table 20A differs from the patient information management table 20 according to the first embodiment in that it includes latest medical institution number information 26.

[0123] After a patient with user number 1000 is examined at "01 Clinic" and prescription 2 is issued, the process described in the first embodiment is followed, and the information in the first row is registered in the patient information management table 20A. That is, the user number 1000 is associated with the medical institution number 01 and the medical institution patient number A1001 and registered. Up to this point, this is the same as in the first embodiment. In this embodiment, the latest medical institution number is also registered at this time. Note that at this stage, the medical institution where the patient with user number 1000 was examined is "01 Clinic," which has the medical institution number "01." Therefore, although not shown in FIG. 11, at this stage, "01" is registered as the latest medical institution number information 26 in the first row of the patient information management table 20A.

[0124] Thereafter, when information that the medical institution number of this medical institution has changed from "01" to "04" is input to the patient information management device 12, the information registered in the latest medical institution number information 26 in the first row of the patient information management table 20A is updated from "01" to "04." Figure 11 shows the state after the update.

[0125] After such an update, if a patient with user number 1000 receives a medical examination at "04 Clinic," the information shown in the fifth row of the patient information management table 20A is registered. That is, a row in which the medical institution number and latest medical institution number are both 04 is registered. As a result, the medical institution number 01 and the medical institution number 04 are linked via the latest medical institution number 04. Therefore, in the state shown in FIG. 11 , the user number is associated with the medical institution numbers before and after the change, and stored in the memory unit 125 of the patient information management device 12.

[0126] Therefore, even if a patient's medical institution number changes due to a change in the manager or name of the medical institution they use, or due to a merger between medical institutions, the patient can continue to receive the services they have received from the medical institution and pharmacy without being aware of the change. Also, even if the medical institution number of a certain medical institution changes, medical institutions and pharmacies can continue to receive the benefits of using the patient information management table 20A.

[0127] The medical institution number in the patient information management table 20A may be updated directly by the administrator of the patient information management device 12, or automatically based on information received from the medical institution terminal 10 and the information processing device 11. For example, after the medical institution number is changed, assume that information 04 as the medical institution number and A1001 as the medical institution patient number are received from the medical institution terminal 10 along with information about prescription 2. Also assume that information 04 as the medical institution number information and A1001 as the medical institution patient number are received from the information processing device 11 along with user number 1000. The patient information management device 12, which has received this information, can determine that the pair of "01" and "A1001" associated with user number 1000 registered before the change of the medical institution number has been replaced with the pair of "04" and "A1001." In other words, the medical institution number of the medical institution whose medical institution number was "01" has been updated to "04." After making such a judgment, the patient information management device 12 can automatically update the information registered in the latest medical institution number information 26 from "01" to "04" in all rows where the information "01" is registered in the medical institution number information 21.

[0128] <Modification of the second embodiment> To be able to deal with cases where the pharmacy number is changed afterwards, the patient information management table 20A may include latest pharmacy number information in which the latest pharmacy number is registered.

[0129] Furthermore, every time the medical institution number of a certain medical institution changes, the information registered in the latest medical institution number information 26 may be updated. In this way, even if a certain medical institution number (first medical institution number) is changed to another medical institution number (second medical institution number), and then the other medical institution number (second medical institution number) is further changed to yet another medical institution number (third medical institution number), all of the series of medical institution numbers can be associated with each other.

[0130] 6, a new / old correspondence table of medical institution numbers may be created, and these two tables may be used to handle changes in medical institution numbers. In the new / old correspondence table, the medical institution number after the change (new medical institution number) and the medical institution number before the change (old medical institution number) are registered in association with each other.

[0131] In this case, when information about prescription 2 is received together with the new medical institution number and the medical institution's patient number, the patient information management device 12 uses the new medical institution number as a search key, refers to the old / new correspondence table, and extracts the old medical institution number. If the user number stored in association with the extracted old medical institution number and medical institution's patient number exists in the patient information management table 20, it can be determined that the patient to whom this prescription 2 was issued is already registered in the patient information management table 20.

[0132] The new medical institution number may be extracted by referring to the old and new correspondence table using the old medical institution number as a search key.

[0133] Furthermore, in the old / new correspondence table, a certain medical institution number (second medical institution number) may be registered in association with the medical institution number before the change (first medical institution number) and the medical institution number after the change (third medical institution number). In this way, even if the medical institution number is changed two or more times, the change history can be traced. Therefore, it is possible to determine not only whether a certain user number is registered in association with the latest medical institution number (third medical institution number), but also whether it is registered in association with a medical institution number at any stage in the past (first medical institution number or second medical institution number). Ultimately, the user number can be managed in association with all medical institution numbers before and after past changes to the medical institution number. [Industrial Applicability]

[0134] The patient information management system, patient information management method, and patient information management device according to the present invention are suitable for sharing and managing information between medical institutions such as hospitals and institutions that manage patient information, such as pharmacies. [Explanation of symbols]

[0135] 1. Patient Information Management System 2. Prescription 3. Code 10 Medical institution terminals 11 Information processing equipment 12 Patient information management device 13 Pharmacy terminal 101, 111, 131 Input section 102, 112, 122, 132 Communications Department 103, 113, 133 display section 105, 115, 125, 135 storage section 106, 116, 126, 136 Control unit 104 Printer 114 Camera 134 Scanner 20, 20A Patient Information Management Table 21 Medical institution number information 22 Patient number information on the medical institution side 23 User number information 24 Pharmacy Number Information 25 Pharmacy patient number information

Claims

1. a medical institution terminal that is installed in a medical institution and issues prescriptions with a code including a medical institution number, which is a number for identifying the medical institution, and a medical institution side patient number, which is a number used by the medical institution to identify the patient; an information processing device that is a terminal used by the patient and has a storage unit that stores a user number that is a number for identifying the patient, reads information including the medical institution number and the medical institution's patient number from the code, and transmits the information and the user number; a patient information management device that receives the information and the user number from the information processing device and stores the user number in association with the medical institution number and the medical institution side patient number included in the information, Patient information management system.

2. The method further includes a pharmacy terminal that is installed in the pharmacy and that stores a pharmacy number that is a number for identifying the pharmacy, a pharmacy side patient number that is a number used by the pharmacy to identify the patient, and the user number in association with each other, The patient information management device includes: receiving the pharmacy number, the pharmacy side patient number, and the user number from the pharmacy terminal; The user number is stored in association with the pharmacy number and the pharmacy-side patient number. The patient information management system according to claim 1 .

3. When initially registering an unregistered patient who does not store the user number, the medical institution number, and the medical institution patient number, the patient information management device registers the patient by storing the user number, the medical institution number, and the medical institution patient number when the patient information management device receives the information and the user number from the information processing device in a state in which the medical institution number and the medical institution patient number have been received in advance from the medical institution terminal. The patient information management system according to claim 1 .

4. When the patient information management device receives prescription data, which is the content of the prescription issued to the registered patient, from the medical institution terminal, the patient information management device stores the prescription data in association with the user number. The patient information management system according to claim 3 .

5. When the patient information management device stores the prescription data received from the medical institution terminal, the patient information management device notifies the information processing device that the prescription data has been uploaded. The patient information management system according to claim 4 .

6. the patient information management device stores the medical institution number and the medical institution patient number in association with the user number when the medical institution number and the medical institution patient number are unregistered among the user number, the medical institution number, and the medical institution patient number received from the information processing device used by the registered patient; The patient information management system according to claim 4 .

7. The information processing device transmits the information and the user number together with a pharmacy number indicating the pharmacy selected by the patient to the medical institution's patient number. The patient information management system according to claim 1 .

8. When the patient information management device has received the pharmacy number from the information processing device, the patient information management device transmits the content of the prescription and the user number included in the information to a pharmacy terminal installed in the pharmacy corresponding to the pharmacy number. The patient information management system according to claim 7 .

9. A patient information management device that stores a user number that is a number for identifying a patient, reads information including a medical institution number that is a number for identifying a medical institution and a medical institution side patient number that is a number used by the medical institution to identify a patient from a code attached to a prescription issued by a medical institution terminal, and is communicatively connected to an information processing device that is a terminal used by the patient, receiving the information and the user number from the information processing device; The user number is stored in association with the medical institution number and the medical institution side patient number included in the information. Patient information management device.

10. a pharmacy terminal that is installed in a pharmacy and is communicatively connected to the pharmacy terminal that stores a pharmacy number that is a number for identifying the pharmacy, a pharmacy side patient number that is a number used by the pharmacy to identify the patient, and the user number in association with each other; receiving the pharmacy number, the pharmacy side patient number, and the user number from the pharmacy terminal; The user number is stored in association with the pharmacy number and the pharmacy-side patient number. The patient information management device according to claim 9 .

11. When initially registering an unregistered patient who does not store the user number, the medical institution number, and the medical institution patient number, if the information and the user number are received from the information processing device in a state where the medical institution number and the medical institution patient number have been received in advance from the medical institution terminal, the patient is registered by storing the user number, the medical institution number, and the medical institution patient number. The patient information management device according to claim 9 .

12. A step in which a medical institution terminal installed in a medical institution issues a prescription with a code including a medical institution number, which is a number for identifying the medical institution, and a medical institution side patient number, which is a number used by the medical institution to identify the patient; an information processing device, which is a terminal used by the patient and stores a user number that is a number for identifying the patient, reading information including the medical institution number and the medical institution side patient number from the code; a step of the information processing device transmitting the information and the user number; a step in which a patient information management device receives the information and the user number from the information processing device, and stores the user number in association with the medical institution number and the medical institution side patient number included in the information, Patient information management method.

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