Server device, computer program, and method for supporting the creation of patient medication records.

Abstract

Further improve the efficiency of medication history creation. [Solution] The server device 12 is capable of communicating with the client device 11. The communication interface 121 receives prescription data PR from the client device 11 that corresponds to the contents of the prescription issued to the patient. Based on the prescription data PR, the processor 122 displays on the client device 11 a medication guidance screen containing information for providing medication guidance to the patient, and a medication history creation screen for creating a medication history based on the results of the medication guidance. Based on the information provided to the patient through the medication guidance screen, the processor 122 displays on the medication history creation screen the text described in the OP item of the SOAP-formatted medication history, distinguishing it from the text described in other items.

Description

Technical Field

[0001] The present disclosure relates to a server device capable of communicating with a client device. The present disclosure also relates to a computer program executable by a processor mounted on the server device. The present disclosure also relates to a method for assisting in creating a medication history executed by the client device and the server device.

Background Art

[0002] Patent Document 1 discloses a technique for assisting in creating a medication administration history record (medication history) performed by a medical staff based on the content of the medication guidance given to a patient.

Prior Art Documents

Patent Documents

[0003]

Patent Document 1

Summary of the Invention

Problems to be Solved by the Invention

[0004] There is a need to further improve the efficiency of the medication history creation work.

Means for Solving the Problems

[0005] One exemplary aspect that can be provided by the present disclosure is a server device capable of communicating with a client device, an interface that receives prescription data corresponding to the content of a prescription issued to a patient from the client device, based on the prescription data, a medication guidance screen including information for performing medication guidance for the patient, a medication history creation screen for creating a medication history based on the result of the medication guidance, a processor that causes the client device to display the screens, and is provided with Based on the information provided to the patient through the medication guidance screen, the processor displays the text described in the OP item of the SOAP-formatted medication history on the medication history creation screen, distinguishing it from the text described in other items.

[0006] One example of an embodiment that may be provided by this disclosure is a computer program executable by a processor installed in a server device capable of communicating with a client device, By being executed, the server device will The client device receives prescription data corresponding to the contents of the prescription issued to the patient. Based on the aforementioned prescription data, A medication guidance screen containing information for providing medication guidance to the aforementioned patient, A medication history creation screen for creating a medication history based on the results of the aforementioned medication guidance, The client device will display the following: Based on the information provided to the patient through the medication guidance screen, the text entered in the OP item of the SOAP-formatted medication history is displayed on the medication history creation screen separately from the text entered in other items.

[0007] One example of an embodiment that may be provided by this disclosure is a method for supporting the creation of a patient medication history, which is performed by a client device and a server device. Prescription data corresponding to the contents of the prescription issued to the patient is transmitted from the client device to the server device. Based on the aforementioned prescription data, the following was created by the server device: A medication guidance screen containing information for providing medication guidance to the aforementioned patient, A medication history creation screen for creating a medication history based on the results of the aforementioned medication guidance, This is displayed on the client device, Based on the information provided to the patient through the medication guidance screen, the text entered in the OP item of the SOAP-formatted medication history is displayed on the medication history creation screen separately from the text entered in other items.

[0008] According to the configurations described in each of the above examples, the creation and display of text to be included in the OP item of the SOAP-formatted medication history created based on medication guidance can be automated, thereby further improving the efficiency of tasks related to medication history creation by healthcare professionals.

[0009] In particular, the text entered in the OP section is automatically distinguished and displayed separately from other P sections (EP and CP sections), which reduces the burden on healthcare professionals in determining which information should be entered in the OP section from the information that should be entered in the P section.

[0010] Medication guidance for the same patient is not always provided by the same healthcare professional. According to the configuration of this embodiment, the text related to the OP items displayed on the medication history creation screen is standardized, thus suppressing inconsistencies in entries when medication histories are created by different healthcare professionals. Therefore, the level of understanding and accuracy of information conveyed can be improved when the text is viewed by different healthcare professionals. Furthermore, the burden of data formatting when the information recorded in the medication history is used for statistical analysis can be reduced. [Brief explanation of the drawing]

[0011] [Figure 1] This illustrates the configuration of a support system according to one embodiment. [Figure 2] Figure 1 illustrates the functional configuration of the client and server devices. [Figure 3] Figure 1 shows an example of a medication guidance screen displayed on the client device. [Figure 4] Figure 1 shows an example of the medication history creation screen displayed on the client device. [Figure 5] Figure 2 shows an example of the processing flow executed by the processor. [Figure 6] Figure 1 shows an example of the instruction preparation screen displayed on the client device. [Figure 7] Figure 1 shows another example of the medication history creation screen displayed on the client device. [Figure 8] Another example of the medication history creation screen displayed on the client device of FIG. 1 is shown. [Figure 9] Another example of the medication guidance screen displayed on the client device of FIG. 1 is shown.

Embodiments for Carrying Out the Invention

[0012] Examples of embodiments will be described in detail below while referring to the accompanying drawings. In each of the drawings referred to in the following description, the scale is changed as necessary so that each illustrated element has a recognizable size. Its scale is changed.

[0013] In the present disclosure, the term "medical institution" means an institution where medical staff provides explanations about pharmaceuticals to patients. Examples of "medical institutions" include hospitals, clinics, clinics, dispensaries, pharmacies, drugstores, nursing facilities, care houses, nursing homes, etc. Examples of "medical staff" include doctors, nurses, pharmacists, care managers, registered dietitians, etc.

[0014] FIG. 1 illustrates the configuration of a support system 10 according to an exemplary embodiment. The support system 10 includes a client device 11 and a server device 12. The support system 10 is configured to support the creation of a medication history by medical staff based on the content of the medication guidance provided to a patient.

[0015] The client device 11 may be a stationary device installed at a specific location or a portable device that can be carried by a user.

[0016] The server device 12 is installed at a location remote from the client device 11. The client device 11 and the server device 12 are configured to perform two-way communication of data via a communication network 20.

[0017] As illustrated in Figure 2, the client device 11 is equipped with a communication interface 111. On the other hand, the server device 12 is equipped with a communication interface 121. Both the communication interface 111 and the communication interface 121 are hardware interfaces configured to enable the above-mentioned bidirectional data communication.

[0018] The client device 11 comprises a processor 112 and a user interface 113. The user interface 113 is a hardware interface that mediates the exchange of information between the user and the processor 112 and receives user instructions to cause the client device 11 to perform a predetermined operation. In this embodiment, the user interface 113 includes a display.

[0019] The processor 112 and the user interface 113 may be mounted in a common chassis, or they may be provided in a manner distributed across separate chassis.

[0020] The predetermined operation performed by the client device 11 includes sending prescription data PR to the server device 12. The prescription data PR corresponds to the contents of the prescription issued to the patient.

[0021] The server device 12 includes a processor 122. The processor 122 is configured to transmit display control data DC, which causes a predetermined screen to be displayed on the display of the user interface 113 in the client device 11, from the communication interface 121.

[0022] The screens displayed on the display include a medication guidance screen 30, illustrated in Figure 3, and a medication history creation screen 40, illustrated in Figure 4. The medication guidance screen 30 is used to provide medication guidance to patients and contains the information necessary for such guidance. The medication history creation screen 40 is used to create a medication history based on the results of the medication guidance.

[0023] In this embodiment, it is assumed that the patient's medical history is created in SOAP (Subjective, Objective, Assessment, and Plan) format. This format includes information classified as S items, O items, A items, and P items. The overview of the information included in each item is as follows. S(Subjective) item: Information that can provide insight into the patient's way of thinking, their views on illness and medication. Patient's questions and requests, chief complaint, subjective symptoms, living environment, preferences, etc. O(Objective) item: Objective information Constitution, medical history, allergy history, history of side effects, diagnosis, test results, prescribed medications, concomitant medications, etc. A (Assessment) item: Matters judged or evaluated by healthcare professionals Drug evaluation (efficacy, side effects, interactions, etc.) Assessment of the patient's psychological and social aspects Determination when S item information and O item information differ. P(Plan) items: Matters related to medication guidance actually provided by healthcare professionals

[0024] The P item may further include EP, CP, and OP items. A summary of the information contained in each item is as follows: EP (Educational Plan) items: Information provided to the patient (information, guidance, etc.) CP (Care Plan) items: Actions taken for the benefit of the patient (e.g., clarifying prescriptions, changing dispensing methods) OP (Observation Plan) items: Things to ask your healthcare professional about during your next medication consultation.

[0025] As illustrated in Figure 2, the server device 12 is equipped with storage 123. The storage contains medication guidance text data corresponding to explanations displayed on the medication guidance screen 30 for use in medication guidance for specific drugs, and OP item text data corresponding to sentences that may be included in the OP item of the medication history as a result of medication guidance performed based on said explanations.

[0026] Each of the medication guidance document data and the OP item document data is associated with drug data that identifies the drug. Drug identification can be done, for example, by drug codes such as the drug price standard drug code or the YJ code. Note that the OP item document data may be associated with medication guidance document data instead of drug data. Alternatively, the OP item document data may be associated with drug data through association with medication guidance document data.

[0027] The storage device 123 is a memory device implemented by semiconductor memory, a hard disk drive, a magnetic tape drive, etc. The processor 122 and the storage device 123 may be mounted in a common enclosure, or they may be provided in a distributed manner in separate enclosures.

[0028] Referring to Figure 5, an example of a specific processing flow executed by processor 122 will be explained.

[0029] The processor 122 generates display control data DC that causes the instruction preparation screen 50, as exemplified in Figure 6, to be displayed on the client device 11 based on the prescription data PR received via the communication interface 121 (STEP 1).

[0030] The instruction preparation screen 50 includes options for distinguishing between information to be used and information not to be used in medication guidance. The user of the client device 11 identifies the information to be used in medication guidance by entering appropriate instructions into the user interface 113.

[0031] Specifically, the processor 122 identifies the medication prescribed to the patient based on the prescription data PR, and reads the OP item data associated with the medication data for that medication from the storage 123.

[0032] In this example, the OP item data corresponding to the sentence "Confirm whether you have consulted a doctor about treatment methods for prostate cancer" stored in storage 123 is read and displayed on the instruction preparation screen 50.

[0033] Next, the processor 122 determines whether the instruction content has been finalized (STEP 2). As illustrated in Figure 6, the instruction preparation screen 50 includes a finalization button image 51. When the finalization button image 51 is selected via the user interface 113, the content selected through the above options is finalized. The processor 122 determines whether the finalization button image 51 has been selected. This process is repeated until it is determined that the finalization button image 51 has been selected (NO in STEP 2).

[0034] When it is determined that the confirmation button image 51 has been selected (YES in STEP 2), the processor 122 generates display control data DC so that the selected information is reflected in the explanation presented on the medication guidance screen 30 (STEP 3).

[0035] Specifically, the processor 122 reads medication guidance data associated with drug data related to drugs identified based on prescription data PR from storage 123 and generates display control data DC to display a medication guidance screen 30 containing the said explanation on the client device 11.

[0036] In the example shown in Figure 3, the medication guidance screen 30 includes an explanation titled "Treatment Options for Prostate Cancer" based on the above selection. This explanation includes the sentence, "If you would like to know more about the tests, please consult your doctor first."

[0037] In addition, the processor 122 reflects the above selection results on the medication history creation screen 40 (STEP 4).

[0038] As illustrated in Figure 4, the medication history creation screen 40 includes a medication history display area 41. The medication history display area 41 includes a text box 411, an item selection area 412, a text confirmation button image 413, and an item display area 414.

[0039] Text box 411 is provided for free input of information to be recorded in the patient's medical history. The item selection area 412 contains multiple radio button images for selecting which item in SOAP format the information entered in text box 411 corresponds to. For example, if the sentence "I have had a headache for several days" is entered in text box 411, and the radio button image corresponding to item S is selected, and then the text confirmation button image 413 is selected, the sentence "S: I have had a headache for several days" will be displayed in the item display area 414.

[0040] The processor 122 generates display control data DC so that the text corresponding to the OP item data read from the storage 123 in STEP 1 is displayed in the item display area 414 of the medication history creation screen 40.

[0041] In this example, as illustrated in Figure 4, the phrase "Confirm whether you consulted a doctor about treatment options for prostate cancer" is displayed in item display area 414 as information for the OP item. In other words, the text written in the OP item in the SOAP-formatted medical history is displayed in item display area 414 separately from the text written in other items.

[0042] Next, the processor 122 determines whether the contents of the medication history have been finalized (STEP 5). As illustrated in Figure 4, the medication history creation screen 40 includes a finalization button image 42. When the finalization button image 42 is selected via the user interface 113, the contents displayed in the medication history display area 41 are finalized. The processor 122 determines whether the finalization button image 42 has been selected. This process is repeated until it is determined that the finalization button image 42 has been selected (NO in STEP 5).

[0043] As illustrated in Figure 4, the medication history creation screen 40 includes a confirmation item display area 43. The confirmation item display area 43 is configured to display as a memo the items that healthcare professionals should confirm when the patient revisits the medical institution.

[0044] When it is determined that the confirmation button image 42 has been selected (YES in STEP 5), the processor 122 generates display control data DC to display text corresponding to the information of the OP item displayed in the item display area 414 of the medical history display area 41 in the confirmation item display area 43 (STEP 6).

[0045] As a result, as illustrated in Figure 7, the information for the OP item displayed in the item display area 414, "Confirm whether you have consulted a doctor about treatment methods for prostate cancer," is also displayed in the confirmation item display area 43.

[0046] As described above, according to the configuration of this embodiment, by confirming the information related to medication guidance provided to the patient through the medication guidance screen 30, the text written in the OP item of the SOAP-formatted medical history created based on the medication guidance is automatically distinguished from the text written in other items and displayed on the medical history creation screen 40. This further improves the efficiency of medical professionals' work related to creating medical history.

[0047] In particular, the text entered in the OP section is automatically distinguished and displayed separately from other P sections (EP and CP sections), which reduces the burden on healthcare professionals in determining which information should be entered in the OP section from the information that should be entered in the P section.

[0048] Medication guidance for the same patient is not always provided by the same healthcare professional. According to the configuration of this embodiment, the text related to the OP items displayed on the medication history creation screen is standardized, thus suppressing inconsistencies in entries when medication histories are created by different healthcare professionals. Therefore, the level of understanding and accuracy of information conveyed can be improved when the text is viewed by different healthcare professionals. Furthermore, the burden of data formatting when the information recorded in the medication history is used for statistical analysis can be reduced.

[0049] On the other hand, as illustrated in Figure 4, the medication history display area 41 in the medication history creation screen 40 may include an edit button image 415. When the edit button image 415 is selected via the user interface 113, the text displayed in the item display area 414 automatically transitions to an editable state. The user of the client device 11 can edit the text as needed.

[0050] This structure allows us to enjoy the benefits of standardizing the text related to OP items, while also ensuring flexibility in responding to patient situations that are not necessarily standardized.

[0051] Furthermore, if the user of the client device 11 can recognize that the text related to the OP item displayed in the item display area 414 is editable, other display modes other than the edit button image 415 may be adopted as appropriate.

[0052] As illustrated in Figure 7, the confirmation items displayed in the confirmation item display area 43 in response to the confirmation of the contents of the medical history by selecting the confirmation button image 42 via the user interface 113 may include multiple options 431.

[0053] In this example, the question "Have you consulted a doctor about treatment options for prostate cancer?" is associated with multiple possible patient responses as 431 options. Each of the 431 options is assigned a radio button image. The healthcare professional selects the radio button image assigned to one of the confirmation results via the user interface 113, depending on the patient's response.

[0054] The confirmation item display area 43 may include a medication history insertion button image 432. When a radio button image assigned to any confirmation result is selected and the medication history insertion button image 432 is selected, the text corresponding to that confirmation result is automatically displayed in the item display area 414 as information for item S in the SOAP-formatted medication history, as illustrated in Figure 8.

[0055] In this example, the text, which initially read "OP: Check if you have consulted a doctor about treatment options for prostate cancer," was changed to "S: Check if you have consulted a doctor about treatment options for prostate cancer → Answer: Yes, I have."

[0056] The above configuration makes it possible to improve the efficiency of the process of reflecting the results of confirmations made to patients during medication guidance, based on the items described in the OP section, into their medication history.

[0057] In addition, since multiple possible answers are presented for each question, and a document is automatically generated based on the selected answer, the efficiency of reflecting the confirmation results in the document recorded in the patient's medical history can be improved. Furthermore, since the document recorded in the medical history can be standardized as an S item, inconsistencies in the document can be suppressed when medical histories are created by different healthcare professionals. Therefore, the level of understanding and accuracy of the information conveyed can be improved when the document is viewed by different healthcare professionals. Moreover, the burden of data formatting when the information recorded in the medical history is used for statistical analysis can be reduced.

[0058] Each of the processors 112 of the client device 11 and 122 of the server device 12, which have the various functions described above, can be realized by at least one general-purpose microprocessor operating in cooperation with at least one general-purpose memory. Examples of general-purpose microprocessors include CPUs, MPUs, and GPUs. Examples of general-purpose memory include ROMs and RAMs. In this case, the ROM may store a computer program that performs the above-described processing. ROM is an example of a non-temporary computer-readable medium in which a computer program is stored. The general-purpose microprocessor selects at least a portion of the program stored in the ROM and loads it onto the RAM, and then performs the above-described processing in cooperation with the RAM. The computer program may be pre-installed in the general-purpose memory, or it may be downloaded from an external server device via a communication network and then installed in the general-purpose memory. In this case, the external server device is an example of a non-temporary computer-readable medium in which a computer program is stored.

[0059] Each of processors 112 and 122 may be implemented by at least one dedicated integrated circuit capable of executing the above-described computer program. Examples of dedicated integrated circuits include microcontrollers, ASICs, FPGAs, etc. In this case, the above-described computer program is pre-installed in a memory element included in the dedicated integrated circuit. This memory element is an example of a computer-readable medium in which the computer program is stored. Each of processors 112 and 122 can also be implemented by a combination of a general-purpose microprocessor and a dedicated integrated circuit.

[0060] The configurations described herein are merely examples to facilitate understanding of this disclosure. Each configuration example may be modified or combined with other configuration examples as appropriate, as long as it does not deviate from the intent of this disclosure.

[0061] Figure 9 shows an example of the confirmation list screen 31, which is part of the medication guidance screen 30. On the confirmation list screen 31, the items that healthcare professionals should confirm with the patient during medication guidance are displayed in a list along with multiple options corresponding to the patient's expected responses.

[0062] In addition to or instead of the multiple options 431 displayed in the confirmation item display area 43 of the medication history creation screen 40, similar options 311 based on the items described in the OP items of the medication history may be displayed in the confirmation list screen 31. Similar to the multiple options 431, each option is assigned a radio button image.

[0063] The confirmation list screen 31 may include a confirmation complete button image 312. In this case, when a radio button image assigned to any confirmation result is selected and the confirmation complete button image 312 is selected, the text corresponding to that confirmation result is automatically displayed in the item display area 414 of the medical history creation screen 40 as information for item S in the SOAP format medical history.

[0064] The configurations listed below also constitute part of this disclosure. Item 1: A server device capable of communicating with client devices, An interface that receives prescription data corresponding to the contents of a prescription issued to a patient from the client device, Based on the aforementioned prescription data, A medication guidance screen containing information for providing medication guidance to the aforementioned patient, A medication history creation screen for creating a medication history based on the results of the aforementioned medication guidance, A processor that causes the client device to display the following: It is equipped with, The processor, based on the information provided to the patient through the medication guidance screen, displays the text described in the OP item of the SOAP-formatted medication history on the medication history creation screen, distinguishing it from the text described in other items. Server device. Item 2: The processor displays the text on the patient medication history creation screen in an editable manner. The server device described in item 1. Item 3: When the interface receives an instruction from the client device to confirm the medication history, the processor displays a plurality of options associated with the text on at least one of the medication guidance screen and the medication history creation screen. The server device described in item 1 or 2. Item 4: When the interface receives an instruction from the client device to input a confirmation result based on the text, the processor displays the text corresponding to the confirmation result as the text for item S in the SOAP-formatted medical history on the medical history creation screen. A server device as described in any one of items 1 through 3. [Explanation of Symbols]

[0065] 11: Client device, 12: Server device, 121: Communication interface, 122: Processor, 30: Medication guidance screen, 311: Multiple options, 40: Medication history creation screen, 431: Multiple options, PR: Prescription data

Claims

1. A server device capable of communicating with client devices, An interface that receives prescription data corresponding to the contents of a prescription issued to a patient from the client device, Based on the aforementioned prescription data, A medication guidance screen containing information for providing medication guidance to the aforementioned patient, A medication history creation screen for creating a medication history based on the results of the aforementioned medication guidance, A processor that causes the client device to display the following: It is equipped with, The processor, based on the information provided to the patient through the medication guidance screen, displays the text described in the OP item of the SOAP-formatted medication history on the medication history creation screen, distinguishing it from the text described in other items. Server device.

2. The processor displays the text on the patient medication history creation screen in an editable manner. The server device according to claim 1.

3. When the interface receives an instruction from the client device to confirm the medication history, the processor displays a plurality of options associated with the text on at least one of the medication guidance screen and the medication history creation screen. The server device according to claim 1.

4. When the interface receives an instruction from the client device to input a confirmation result based on the text, the processor displays the text corresponding to the confirmation result as the text for item S in the SOAP-formatted medical history on the medical history creation screen. The server device according to claim 1.

5. A computer program that can be executed by a processor installed in a server device capable of communicating with a client device, By being executed, the server device will The client device receives prescription data corresponding to the contents of the prescription issued to the patient. Based on the aforementioned prescription data, A medication guidance screen containing information for providing medication guidance to the aforementioned patient, A medication history creation screen for creating a medication history based on the results of the aforementioned medication guidance, The client device will display the following: Based on the information provided to the patient through the medication guidance screen, the text entered in the OP item of the SOAP-formatted medication history is displayed on the medication history creation screen separately from the text entered in other items. Computer program.

6. A method for supporting the creation of patient medication history, which is performed by a client device and a server device, Prescription data corresponding to the contents of the prescription issued to the patient is transmitted from the client device to the server device. Based on the aforementioned prescription data, the following was created by the server device: A medication guidance screen containing information for providing medication guidance to the aforementioned patient, A medication history creation screen for creating a medication history based on the results of the aforementioned medication guidance, This is displayed on the client device, Based on the information provided to the patient through the medication guidance screen, the text entered in the OP item of the SOAP-formatted medication history is displayed on the medication history creation screen separately from the text entered in other items. Methods for supporting the creation of patient medication records.

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