Support information providing system, support information providing device, support information providing method, and program
The support information providing system addresses the challenge of managing diverse dispensing information by using a terminal-device-server configuration to generate and display relevant support information, thereby enhancing pharmacist support and dispensing efficiency.
Patent Information
- Application Number
- JP2024209039
- Authority / Receiving Office
- JP · JP
- Patent Type
- Patents
- Current Assignee / Owner
- Priority Date
- 2017-10-06
- Filing Date
- 2024-11-29
- Publication Date
- 2025-05-27
- Estimated Expiration
- 2038-10-09
AI Technical Summary
Existing systems for supporting pharmacists in pharmacies struggle to effectively manage and present the diverse information needed for dispensing operations, requiring significant pharmacist knowledge and experience, especially during medical interviews.
A support information providing system comprising a terminal device and a server, where the terminal device acquires target information, requests support information generation based on this information, and displays the generated support information. The server processes perspective information to generate support information relevant to the dispensing process.
The system enables more appropriate support for pharmacists by providing relevant, structured information for medication guidance, reducing the reliance on pharmacist experience and improving the efficiency of dispensing operations.
Smart Images

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Abstract
Description
Technical Field
[0001] The present invention relates to a support information providing system, a support information providing apparatus, a support information providing method, and a program.
Background Art
[0002] Conventionally, information processing technologies for supporting the work of pharmacists in pharmacies have been known. For example, Patent Document 1 describes that data on a patient's medication history is managed by a database, and when performing a dispensing operation for a patient, the database is referred to and medication guidance based on the medication history and the like is provided.
Prior Art Documents
Patent Documents
[0003]
Patent Document 1
Summary of the Invention
Problems to be Solved by the Invention
[0004] However, even if data such as a patient's medication history is managed by a database, the information that a pharmacist needs to consider in the dispensing operation is diverse, and in order for the pharmacist to appropriately consider these, the knowledge and experience of the pharmacist are required. In particular, when a pharmacist conducts a medical interview (questionnaire), it is not easy to select necessary information from the information presented by the patient and appropriately consider it for dispensing.
[0005] An object of the present invention is to more appropriately support the work of pharmacists.
Means for Solving the Problems
[0006] To solve the above problems, a support information providing system according to an aspect of the present invention is a support information providing system including a terminal device and a server configured to be communicable via a network, The terminal device includes a target information acquisition means for acquiring target information to be considered in pharmaceutical guidance for a patient, a support request means for requesting the server to generate support information for pharmaceutical guidance based on the target information, and a support information display means for displaying the support information for pharmaceutical guidance transmitted from the server in response to the request by the support request means. The server includes a perspective information acquisition means for acquiring perspective information representing different classifications, which is information specified in the process of generating the support information based on the target information in response to the request by the support request means, a support information generation means for generating the support information based on the perspective information, and a transmission means for transmitting the support information generated by the support information generation means to the terminal device.
Advantages of the Invention
[0007] According to the present invention, it becomes possible to more appropriately support the work of pharmacists.
Brief Description of the Drawings
[0008]
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Mode for Carrying Out the Invention
[0009] Hereinafter, embodiments of the present invention will be described with reference to the drawings.
[0010] FIG. 1 is a diagram showing the system configuration of the support information provision system 1 according to an embodiment of the present invention. The support information provision system 1 in the present embodiment is used to support the work of pharmacists in a dispensing pharmacy, and for example, when giving medication guidance to a patient who brings a prescription, etc., it presents to the pharmacist the content recommended as information to be conveyed to the patient.
[0011] As shown in FIG. 1, the support information providing system 1 includes a terminal device 10 and a pharmacy computer 20, and the terminal device 10 and the pharmacy computer 20 are configured to be communicable via a network such as a VPN (Virtual Private Network). Further, the pharmacy computer 20 is configured to be communicable with an external server such as a drug information database server that stores drug information including medication guidance text via a network (such as the Internet).
[0012] The terminal device 10 is operated by a pharmacist and is configured by an information processing device such as a tablet terminal or a PC (Personal Computer). The terminal device 10 displays the interview content when the pharmacist interviews the patient and accepts the input of the interview result. Further, the terminal device 10 displays the support information (here, the recommended medication guidance content) provided by the support information providing process described later based on the information about the patient including the interview result.
[0013] The pharmacy computer 20 is configured by an information processing device such as a server computer that executes processes related to the operations of the dispensing pharmacy, and manages various data such as patient attributes, medication histories, and interview results for a plurality of patients. Further, when the pharmacy computer 20 receives a request for providing support information based on the interview result from the terminal device 10, it refers to the patient attribute, interview result, and prescription data, and generates the medication guidance content (support information) that is recommended to provide medication guidance to the patient. Then, the pharmacy computer 20 provides the generated support information to the terminal device 10.
[0014] Note that when the pharmacy computer 20 receives a request for providing support information based on the interview result from the terminal device 10, it may request the external server to generate the support information, and obtain the support information generated by the external server, and then provide the support information to the terminal device 10.
[0015] [Hardware Configuration] Next, the hardware configuration of each device in the support information providing system 1 will be described. In the support information providing system 1, each device is composed of an information processing device such as a PC, a server computer, or a tablet terminal, and their basic configurations are the same.
[0016] FIG. 2 is a diagram showing the hardware configuration of the information processing device 800 that constitutes each device. As shown in FIG. 2, the information processing device 800 that constitutes each device includes a CPU (Central Processing Unit) 811, a ROM (Read Only Memory) 812, a RAM (Random Access Memory) 813, a bus 814, an input unit 815, an output unit 816, a storage unit 817, a communication unit 818, a drive 819, and an imaging unit 820.
[0017] The CPU 811 executes various processes according to a program recorded in the ROM 812 or a program loaded from the storage unit 817 to the RAM 813. In the RAM 813, data and the like necessary for the CPU 811 to execute various processes are appropriately stored.
[0018] The CPU 811, ROM 812, and RAM 813 are interconnected via the bus 814. The input unit 815, output unit 816, storage unit 817, communication unit 818, drive 819, and imaging unit 820 are connected to the bus 814.
[0019] The input unit 815 is composed of various buttons and the like, and inputs various information according to an instruction operation. The output unit 816 is composed of a display, a speaker, and the like, and outputs images and sounds. The storage unit 817 is composed of a hard disk or a DRAM (Dynamic Random Access Memory), etc., and stores various data managed by each server. The communication unit 818 controls communication with other devices via a network.
[0020] A removable medium 831, which consists of a magnetic disk, an optical disk, a magneto-optical disk, a semiconductor memory, or the like, is appropriately mounted on the drive 819. The program read from the removable medium 831 by the drive 819 is installed in the storage unit 817 as necessary. The imaging unit 820 is configured by an imaging device including a lens and an imaging element, and captures a digital image of a subject. When the information processing device 800 is configured as a pharmacy computer 20, it is also possible to adopt a configuration in which the imaging unit 820 is omitted. When the information processing device 800 is configured as a tablet terminal, the input unit 815 can be configured by a touch sensor and arranged on top of the display of the output unit 816, so that a configuration including a touch panel can be adopted.
[0021] [Functional Configuration] Next, the functional configuration of each device in the support information providing system 1 will be described.
[0022] [Functional Configuration of Terminal Device 10] FIG. 3 is a block diagram showing the functional configuration of the terminal device 10. As shown in FIG. 3, in the CPU 811 of the terminal device 10, a user interface display control unit (UI display control unit) 51, an object information acquisition unit 52, a support request unit 53, and a support information acquisition unit 54 function.
[0023] The UI display control unit 51 controls the display of various input / output screens in the support information providing process (on the terminal side). For example, the UI display control unit 51 displays (outputs to the display) a screen for selecting a patient who is the target of providing support information in the support information providing process (on the terminal side) (hereinafter referred to as the "patient selection screen"), a screen for displaying the content of the interview when the pharmacist interviews the patient (hereinafter referred to as the "interview display screen"), and a screen for displaying the support information (medication guidance content) provided by the support information providing process (on the server side) (hereinafter referred to as the "support information display screen"), etc.
[0024] Figure 4 is a schematic diagram showing an example of a patient selection screen. As shown in Figure 4, on the patient selection screen, a list of each patient corresponding to the patient attributes managed by the pharmacy computer 20 is displayed, and the pharmacist selects a patient to conduct an interview from this list. For newly arriving patients, patient attributes are newly registered on a registration screen (not shown).
[0025] Also, Figure 5 is a schematic diagram showing an example of an interview display screen. As shown in Figure 5, on the interview display screen, interview content including single-choice questions is displayed, and the pharmacist inputs the interview results according to the patient's answers. The interview content displayed at this time is a series of questions selected corresponding to the patient attributes, and is determined according to each patient, each prescription content, or the number of interviews (for example, the first interview or the second interview).
[0026] Also, Figure 6 is a schematic diagram showing an example of a support information display screen. As shown in Figure 6, on the support information display screen, indicators (hereinafter referred to as "key points") that are generally recalled in the thought process followed when a pharmacist (especially an experienced pharmacist) conducts medication guidance are displayed. In this embodiment, the key points are presented as six categories: "side effects", "adherence", "changes in physical condition", "concomitant medications (drug interactions)", "the elderly", and "lifestyle guidance". Also, in this embodiment, regarding these key points, based on the patient attributes, medication history, and interview results of the patients who answered the interview, the relevance (here, the percentage indicating the importance) for each category of key points is calculated. The pharmacist who receives the support information can easily recognize, by referring to the presented relevance of the key points, from what viewpoints it is appropriate to conduct medication guidance for the patients who answered the interview. Also, the difference between the pharmacist's own thought results and the relevance of the key points presented in the support information can be recognized, which can be useful for the pharmacist's self-evaluation or improvement. Furthermore, if the pharmacist recorded the key points for the next guidance during the previous guidance provided to the patient, on the support information display screen shown in Fig. 6, the recorded key points are identified and displayed (by changing the background color, surrounding with a frame, blinking, etc.).
[0027] Fig. 7 is a schematic diagram showing another example of the support information display screen. As shown in Fig. 7, on the support information display screen, for the patient who has undergone the interview, a list of medication guidance texts indicating the recommended medication guidance content (hereinafter referred to as the "list of recommended medication guidance texts") and a list of general medication guidance texts regarding the prescribed medications (hereinafter referred to as the "list of general medication guidance texts") are displayed. The list of recommended medication guidance texts represents a list of medication guidance texts selected based on each key point identified by the support information providing process (server side) and its relevance, and represents the result reflecting the content recalled in the thought process followed when a pharmacist (especially an experienced pharmacist) conducts medication guidance. Also, the list of general medication guidance texts represents the result selected corresponding to the prescribed medications according to the data on the patient's prescription. In addition, a checkbox is displayed together with each medication guidance text, and the medication guidance text checked by the pharmacist in the checkbox is registered in the patient's medical history as a list of medication guidance texts used for medication guidance after passing through the confirmation operation by the pharmacist (such as the operation of the "send to medical history" button). Note that on the support information display screen in Fig. 7, it is possible to perform an operation (input operation for the next guidance content) for the pharmacist to input the key points for the next guidance, and the input content can be recorded in the medical history by the confirmation operation by the pharmacist (such as the operation of the "send to medical history" button).
[0028] The target information acquisition unit 52 acquires various types of information to be considered (hereinafter referred to as "information to be considered") for patients who receive medication guidance. That is, the information to be considered is information to be considered in pharmaceutical guidance for patients. For example, the target information acquisition unit 52 acquires information for identifying patients, such as the name and age of a patient who brings a prescription, data on the result of a medical interview input by a pharmacist on a medical interview display screen, data representing the content of the prescription brought by the patient, and the like. Note that the information acquired by the target information acquisition unit 52 is not limited to these, and further, it is also possible to acquire data on the patient's medication history, data on the content of medication guidance at the previous visit to the pharmacy, data stored in an electronic medication diary, or subjective information that a pharmacist visually recognizes and discerns about the patient.
[0029] The support request unit 53 transmits a request for providing support information to the pharmacy computer 20 together with the information to be considered acquired by the target information acquisition unit 52. The support information acquisition unit 54 acquires support information transmitted from the pharmacy computer 20 in response to the request for providing support information transmitted by the support request unit 53. The support information acquired by the support information acquisition unit 54 includes information on points of interest, data on a list of medication guidance texts (recommended medication guidance text list) indicating the recommended content of medication guidance, and data on a list of general medication guidance texts (general medication guidance text list) for the prescribed medications.
[0030] [Functional Configuration of Pharmacy Computer 20] FIG. 8 is a block diagram showing the functional configuration of the pharmacy computer 20. As shown in FIG. 8, in the CPU 811 of the pharmacy computer 20, a support request reception unit 151, a point of interest identification unit 152, a presentation information evaluation unit 153, a support information generation unit 154, and a support information provision unit 155 function. In addition, in the storage unit 817 of the pharmacy computer 20, a patient attribute database (patient attribute DB) 171, a medication history database (medication history DB) 172, a medical interview result database (medical interview result DB) 173, and a drug database (drug DB) 174 are formed.
[0031] The patient attribute DB 171 stores data on patient attributes such as the patient's address, name, age, gender, and various information representing the characteristics of the individual patient. This patient attribute is composed of information obtained by the pharmacist in the conversation with the patient, information provided by the patient in response to a medical interview (questionnaire), etc. For example, it also includes the patient's hobbies, job content, family composition, favorite foods, etc. The medication history DB 172 stores the history of medications prescribed to the patient (medication history) in association with information identifying each patient.
[0032] The medical interview result DB 173 stores the results of the medical interview conducted on the patient in association with information identifying each patient and the date and time of the medical interview. The drug DB 174 stores data on drugs handled at the pharmacy where the pharmacy computer 20 is installed. This data on the drug includes, in addition to the name of the drug (generic name), drug code, etc., the content of the medication instructions and the attached document.
[0033] FIG. 9 is a schematic diagram showing data on the medication instructions among the data on drugs stored in the drug DB 174. As shown in FIG. 9, to each drug specified by the drug code and the name of the drug, a plurality of medication instructions provided by the drug manufacturer are associated. In FIG. 9, a serial number (instruction number) is assigned to the medication instructions associated with each drug. Also, each medication instruction is associated with one or more points of interest, and the fact that the relevance of the point of interest to the information to be considered is high means that the importance of the medication instruction associated with that point of interest is relatively high.
[0034] The support request reception unit 151 receives a request for providing support information together with the information to be considered from the terminal device 10, and outputs the received information to be considered to the point of interest identification unit 152. The focus identification unit 152 selects, from among the information to be considered, the information for which logical association has been performed in the support information provision process (server side) (hereinafter referred to as "logicalized target information"), and the information for which logical association has not been performed (hereinafter referred to as "non-logicalized target information"). Further, the focus identification unit 152 refers to table data (hereinafter referred to as "focus identification table") that defines the correspondence between each combination of logicalized target information and the relevance of each focus, and acquires data on the relevance of each focus from the selected logicalized target information.
[0035] FIG. 10 is a schematic diagram showing the content of the focus identification table. As shown in FIG. 10, in the focus identification table, the relationship between various combinations of the types and contents of logicalized target information and the relevance of each focus is defined. For example, as the types of logicalized target information, each question in the interview is defined, and as the content of the logicalized target information, alternative answer contents for the questions are defined. And in the focus identification table, numerical values of the relevance of each focus are predefined for all combinations of the types of questions and alternative answer contents. The numerical values of the relevance of each focus are determined based on actual judgment examples (statistics of actual medication guidance histories) of how the numerical values of the relevance of each focus would be when a pharmacist recognizes the types of questions and alternative answer contents.
[0036] In addition to the questions in the interview, it is possible to use patient attributes (male or female), the age group of the patient, the types of prescription drugs, the patient's disease name, etc. as logicalized target information. In this case, all combinations including these information as elements are defined in the focus identification table.
[0037] In this way, by referring to the focus identification table, the focus identification unit 152 can identify the relevance of each focus corresponding to the thought process followed by veteran pharmacists, etc. for the logicalized target information.
[0038] The prompt information evaluation unit 153 evaluates the information to be presented (here, the medication guidance text) based on the relevance of each focus point identified by the focus point identification unit 152. For example, the prompt information evaluation unit 153 weights each medication guidance text by a numerical value indicating the relevance of each focus point related to that medication guidance text, and determines the evaluation value of the medication guidance text associated with the focus point. The medication guidance text for which the evaluation value is determined in this way belongs to the list of recommended medication guidance texts. Note that for each drug, the weight of the medication guidance text may be set in advance, and the evaluation value of the medication guidance text may be determined by reflecting the numerical value indicating the relevance of each focus point with respect to this weight.
[0039] In addition, the prompt information evaluation unit 153 evaluates the information to be presented based on the non-rationalized target information. For example, for the information to be presented related to the non-rationalized target information, the same evaluation value can be uniformly assigned. As an example, it is possible to assign the same evaluation value to all the medication guidance texts related to the drugs described in the prescription. The medication guidance text for which the evaluation value is determined in this way belongs to the list of general medication guidance texts.
[0040] The support information generation unit 154 acquires the data on the relevance of each focus point identified by the focus point identification unit 152. In addition, the support information generation unit 154 acquires the medication guidance text (information to be presented) from the drug DB 174 based on the evaluation of the information to be presented determined by the prompt information evaluation unit 153. That is, the support information generation unit 154 acquires the medication guidance text evaluated based on the relevance of the focus point, arranges them in descending order of the evaluation value, and generates the data of the list of recommended medication guidance texts. Also, the support information generation unit 154 acquires the medication guidance text evaluated based on the non-rationalized target information in the prompt information evaluation unit 153, and arranges them in a predetermined order to generate the data of the list of general medication guidance texts. Note that the predetermined order can be in various forms, and as an example, it can be in descending order of the reference frequency. Then, the support information generation unit 154 generates support information including the data on the relevance of each focus point, the data of the list of recommended medication guidance texts, and the data of the list of general medication guidance texts, and outputs it to the support information providing unit 155.
[0041] The support information providing unit 155 transmits (outputs to the terminal device 10 via the network) the support information (information including the relevance data of each focus, the data of the recommended medication guidance list, and the data of the general medication guidance list) input from the support information generation unit 154 to the terminal device 10.
[0042] [Operation] Next, the operation of the support information providing system 1 will be described.
[0043] [Processing of Terminal Device 10] FIG. 11 is a flowchart showing the flow of the support information providing process (terminal side) executed by the terminal device 10. The support information providing process (terminal side) is started in response to an instruction input for executing the support information providing process (terminal side) via the input unit 815 of the terminal device 10. In step S1, the UI display control unit 51 displays a patient selection screen and accepts the selection of a patient. In step S2, the UI display control unit 51 displays an interview display screen corresponding to the selected patient.
[0044] In step S3, the UI display control unit 51 accepts the input of an answer to the interview. In step S4, the target information acquisition unit 52 acquires various types of information (information to be considered) to be considered for the patient for whom medication guidance is to be provided. In step S5, the support request unit 53 transmits a support information provision request to the pharmacy computer 20 together with the information to be considered acquired by the target information acquisition unit 52. In step S6, the support information acquisition unit 54 acquires the support information transmitted from the pharmacy computer 20 in response to the support information provision request transmitted by the support request unit 53.
[0045] In step S7, the UI display control unit 51 displays a support information display screen based on the acquired support information. In step S8, the UI display control unit 51 determines whether an operation has been performed on the support information display screen. At this time, the UI display control unit 51 accepts an operation to change the page of the support information display screen (such as an operation to switch between the page for displaying the focus and the page for displaying the medication guidance text), an operation to change the numerical value representing the relevance of the focus according to the judgment of the pharmacist (such as an operation to increase the numerical value to enhance the relevance), etc. If an operation has been performed on the support information display screen, it is determined as YES in step S8, and the process proceeds to step S7. On the other hand, if no operation has been performed on the support information display screen, it is determined as NO in step S8, and the process proceeds to step S9.
[0046] In step S9, the UI display control unit 51 determines whether an operation to end the display of the support information display screen has been performed. If an operation to end the display of the support information display screen has not been performed, it is determined as NO in step S9, and the process proceeds to step S8. On the other hand, if an operation to end the display of the support information display screen has been performed, it is determined as YES in step S9, and the support information providing process (on the terminal side) ends.
[0047] [Processing of Pharmacy Computer 20] FIG. 12 is a flowchart showing the flow of the support information providing process (on the server side) executed by the pharmacy computer 20. The support information providing process (on the server side) starts in response to an instruction input to execute the support information providing process (on the server side via the input unit 815 of the pharmacy computer 20).
[0048] In step S21, the support request reception unit 151 receives a support information providing request together with the information to be considered from the terminal device 10, and outputs the received information to be considered to the focus identification unit 152. In step S22, the focus point identification unit 152 refers to the focus point identification table and acquires data on the relevance of each focus point from the rationalized target information.
[0049] In step S23, the presentation information evaluation unit 153 evaluates the presentation target information. Specifically, the presentation information evaluation unit 153 evaluates the presentation target information (medication guidance text) based on the relevance of each focus point identified by the focus point identification unit 152. In addition, the presentation information evaluation unit 153 evaluates the presentation target information (medication guidance text) based on the non-rationalized target information. In step S24, the support information generation unit 154 generates support information based on the data on the relevance of each focus point, the data of the recommended medication guidance text list, and the data of the general medication guidance text list.
[0050] In step S25, the support information providing unit 155 transmits the support information input from the support information generation unit 154 to the terminal device 10. After step S25, the support information providing process (server side) is repeated.
[0051] As described above, in the support information providing system 1 according to the present embodiment, for a patient receiving medication guidance, various types of consideration target information to be considered are acquired, such as information for identifying the patient, such as the name and age of the patient who brought the prescription, the data of the interview results input by the pharmacist for the interview display screen, and the data representing the content of the prescription brought by the patient. Then, by referring to the focus point identification table, the relevance of each focus point corresponding to the rationalized target information among the consideration target information is uniquely identified. Further, according to the relevance of each identified focus point, the evaluation value of the medication guidance text is determined, and a list of recommended medication guidance texts is generated. Also, based on the non-rationalized target information among the consideration target information, the evaluation value of the medication guidance text is determined, and a list of general medication guidance texts is generated. And support information including the data on the relevance of each focus point, the data of the recommended medication guidance text list, and the data of the general medication guidance text list is provided.
[0052] Therefore, it is possible to provide recommended information on medication guidance corresponding to at least a part of the information that pharmacists should consider when providing medication guidance. The recommended information provided at this time generally reflects the thought process followed by pharmacists (especially veteran pharmacists). Therefore, it becomes possible to more appropriately support the work of pharmacists.
[0053] Also, even when the information to be considered covers a wide range, each perspective can be identified by limiting it to the rationalized information to be considered. Therefore, it becomes possible to surely provide the relevance of each perspective according to the acquired information to be considered.
[0054] Also, the perspectives displayed at this time generally represent the categories that pharmacists (especially veteran pharmacists) recall in the thought process when providing medication guidance. That is, each perspective is an index that abstracts a wide range of specific information to be considered. Therefore, when pharmacists make judgments in medication guidance, instead of directly making judgments on conclusions from complex and specific information, it supports more appropriate judgment of the final conclusion by suggesting the intermediate state in the thought process.
[0055] In the above-described embodiment, when presenting a list of recommended medication guidance texts from the information to be considered, as an index that abstracts the information to be considered, only one layer (the layer of perspectives) of the intermediate state in the thought process of pharmacists is shown, but it is not limited to this. That is, when presenting a list of recommended medication guidance texts from the information to be considered, as an index that abstracts the information to be considered, two or more layers (the first-layer perspective that abstracts the information to be considered, the second-layer perspective that abstracts the first-layer perspective, etc.) can be shown. In this case, as the level of abstraction progresses, the number of indexes (the number of categories) is shown while decreasing. Thereby, it becomes possible to show the perspectives by dividing the thought process of pharmacists into more appropriate stages.
[0056] Also, in the above-described embodiment, the focus identification unit 152 identifies the relevance of the focus using the focus identification table, but it is not limited to this. That is, the focus identification unit 152 may identify the relevance of the focus to the information to be considered by using a function or logical operation equivalent to the function of the focus identification table, in addition to identifying the relevance of the focus using the focus identification table.
[0057] [Modification Example 1] In the above-described embodiment, after the support information display screen shown in FIG. 6 is displayed, when an operation of selecting any of the displayed focuses is performed, specific information regarding the selected focus may be further displayed. FIG. 13 is a schematic diagram showing an example of a transition screen displayed when side effects are selected as the focus. In the example of the transition screen shown in FIG. 13, a schematic diagram representing an image of the human body and the names of the body elements (organs) arranged around the schematic diagram of the human body are displayed. The names of the body elements displayed here are the body elements where side effects may appear, and can be auxiliary information when a pharmacist gives guidance to a patient.
[0058] Also, in the example of the transition screen shown in FIG. 13, a list of drugs that may be related to side effects and their side effects is displayed. In this list, when it is the first time to give guidance to the patient, side effects that are recommended to be guided based on general judgment criteria are displayed. In addition, a slide button for inputting whether or not the pharmacist has given an explanation is displayed in each column of the side effects in this list. The pharmacist explains to the patient about the side effects that are determined to require explanation to the patient among the side effects displayed in the list, and sets the slide button to the position (the right side in FIG. 13) indicating that it has been explained. Then, when the pharmacist operates the "Guide the above side effects" button, the screen transitions to a display screen (see FIG. 16) representing the guidance content of the side effects. At this time, for the side effects set as "explained", in the medication history, it is memorized as if the pharmacist has given guidance to the patient. The list shown in Fig. 13 includes a previous guidance column indicating whether the patient was given guidance regarding the displayed side effects during the previous guidance.
[0059] Furthermore, in the list shown in Fig. 13, when the guidance to the patient is the second time or later, side effects that are recommended to be guided based on the previous guidance content are displayed. That is, if the pharmacist recorded the side effects (points of attention) that should be guided in the next guidance during the previous guidance given to the patient, the recorded side effects are included and displayed in the list in Fig. 13. This enables important guidance content to be reliably carried over even when a pharmacist different from the one who gave the previous guidance conducts the current guidance.
[0060] Fig. 14 is a schematic diagram showing an example of a transition screen displayed when an operation to call the side effect inference function is performed. In the example of the transition screen shown in Fig. 14, the body parts (hexagons shown by solid lines) and symptoms (hexagons shown by broken lines) that are elements of the side effects are listed, and one or more of these side effect elements can be selected. Then, in the example of the transition screen shown in Fig. 14, when the pharmacist selects one or more side effect elements according to the patient's interview results and operates the "Answer Side Effects" button to execute side effect inference, among the side effects of the drug prescribed to the patient, the side effects inferred to be related from the patient's interview results are identified.
[0061] As the method of inference used at this time, for all combinations of side effect elements, the related side effects are associated in a table format or the like, and it is possible to specify, as the inference result, the side effects corresponding to one or more side effect elements selected by the pharmacist. Also, it is possible to perform machine learning using teacher data in which one or more side effect elements corresponding to the patient interview results are used as input and the corresponding side effects are output, and perform inference by AI (Artificial Intelligence). In this case, the AI infers, based on the result of the machine learning, the side effects corresponding to one or more side effect elements selected by the pharmacist according to the actual patient interview results.
[0062] FIG. 15 is a schematic diagram showing an example of a side effect inference result display screen. In the example of the inference result display screen shown in FIG. 15, the side effects of drug tablets A and B estimated to be related to the side effect element of "feeling listless" selected by the pharmacist are listed and displayed. The pharmacist can refer to the side effects of each drug listed and displayed and determine the side effects based on the patient interview results. Also, in this list display of side effects, a slide button for inputting whether or not the pharmacist has made an explanation is displayed in each side effect column. The pharmacist explains to the patient about the side effects determined to require explanation to the patient among the side effects listed and displayed, and sets the slide button to the position (the right side in FIG. 15) indicating that it has been "explained".
[0063] In FIG. 15, when the slide button is set to "explained" and the "Next" button is operated, the fact that the patient has been instructed (explained) about the side effects set to "explained" is stored as a medical history. In the example of the inference result display screen shown in FIG. 15, a "doubt inquiry" button for making a doubt inquiry is displayed. When the pharmacist refers to the list display of side effects shown on the inference result display screen and determines that it is necessary to make a doubt inquiry to the doctor, the pharmacist can operate the "doubt inquiry" button. Then, an input screen for inputting the content of the doubt inquiry is displayed, and the pharmacist can input the content of the doubt inquiry. The content of the doubt inquiry input on this input screen is stored as a medication history.
[0064] FIG. 16 is a schematic diagram showing an example of a display screen representing the guidance content of side effects. As described above, in FIG. 15, when the slide buttons for the side effects of drug A and drug B that have been guided to the patient are set to "explained" and the "next" button is operated, as shown in FIG. 16, the drug and the guidance content of the explained side effects in that drug are displayed in association with each other. Also, in FIG. 16, when the pharmacist operates a button ("send to medication history" button) to store this display content (guidance content) in the medication history, the guidance content for the patient is stored in the medication history. Note that on the display screen of FIG. 16, it is possible to perform an operation (input operation of the next guidance content) for the pharmacist to input the side effects for which the next guidance should be given, and the input content can be recorded in the medication history by a confirmation operation (such as operating the "send to medication history" button) by the pharmacist.
[0065] By adopting such a display form, when the pharmacist wants to refer to side effects other than those listed on the transition screen of FIG. 13, for example, the transition screen of FIG. 14 can be displayed by operating the "infer side effects" button. Then, when an element of the side effect displayed on the transition screen of FIG. 14 is selected and the "answer side effects" button is operated, as shown in FIG. 15, among the side effects of the drug prescribed to the patient, the side effects inferred to be related from the patient's interview results can be displayed. As a result, the pharmacist can appropriately grasp the side effects that may be related to the drug prescribed to the patient based on the information presented by the patient. Then, the pharmacist can refer to the inference result display screen shown in FIG. 15 and explain the side effects that are determined to be appropriate for guiding the patient. At this time, for the side effects that have been explained, the pharmacist can set the slide button to "explained" and operate the "Send to Medication History" button to store the guidance content provided to the patient in the medication history. This can reduce the workload of recording the guidance content provided by the pharmacist to the patient in the medication history.
[0066] [Modification Example 2] In the above-described embodiment, a client-server type support information providing system 1 is constructed, and a request for providing support information is made from the terminal device 10 to the pharmacy computer 20 to obtain the support information. On the other hand, by providing the functions of the pharmacy computer 20 in the terminal device 10, the functions of the support information providing system 1 may be realized by a single information processing device (that is, realized as a stand-alone type system). In this case, the functions of the focus identification unit 152, the presentation information evaluation unit 153, and the support information generation unit 154 of the pharmacy computer 20 may be provided in the terminal device 10.
[0067] As described above, the support information providing system 1 according to the present embodiment includes the terminal device 10 and the pharmacy computer 20. The terminal device 10 and the pharmacy computer 20 are configured to be communicable via a network. The terminal device 10 includes a UI display control unit 51, a target information acquisition unit 52, and a support request unit 53, and the pharmacy computer 20 includes a focus identification unit 152, a support information generation unit 154, and a support information providing unit 155. In the terminal device 10, the target information acquisition unit 52 acquires target information that is a target to be considered in pharmaceutical guidance for a patient. The support request unit 53 requests the pharmacy computer 20 to generate support information for pharmaceutical guidance based on the target information. The UI display control unit 51 displays the support information for pharmaceutical guidance transmitted from the pharmacy computer 20 in response to a request from the support request unit 53. In the pharmacy computer 20, The focus point identification unit 152 acquires focus point information representing different classifications, which is information identified in the process of generating support information based on the target information, in response to a request from the support request unit 53. The support information generation unit 154 generates support information based on the focus point information. The support information providing unit 155 transmits the support information generated by the support information generation unit 154 to the terminal device 10. Thereby, it is possible to provide support information for pharmaceutical guidance corresponding to the information to be considered by a pharmacist in providing pharmaceutical guidance. Therefore, it becomes possible to more appropriately support the work of pharmacists.
[0068] The support information generated by the support information generation unit 154 includes focus point information corresponding to the target information. Thereby, a pharmacist can easily recognize from what viewpoints it is appropriate to give pharmaceutical guidance with attention.
[0069] The target information acquisition unit 52 acquires target information including the result of an interview with a patient who is the target of dispensing. The focus point identification unit 152 acquires different viewpoints in drug administration as a plurality of pieces of focus point information. The support information generation unit 154 generates support information from information regarding a plurality of dosing instructions according to the plurality of acquired focus point information. Thereby, a pharmacist can easily recognize from what viewpoints it is appropriate to give dosing instructions with attention to the patient who answered the interview.
[0070] The focus point identification unit 152 acquires focus point information corresponding to the target information acquired by the target information acquisition unit 52 by referring to focus point identification information in which combinations of the target information and specific contents of the plurality of pieces of focus point information are associated in advance. As a result, it is possible to surely acquire focus information for various combinations of target information. Further, by changing the definition in the focus identification information, the content of the acquired focus information can be adjusted.
[0071] The focus identification unit 152 generates focus information of multiple layers including a plurality of first focus information obtained by abstracting the target information and second focus information obtained by abstracting the first focus information. As a result, it becomes possible to indicate the focus by dividing the abstraction process that is performed when thinking about pharmaceutical guidance content from the target information into more appropriate stages.
[0072] Further, the terminal device 10 and the pharmacy computer 20 according to the present embodiment include a focus identification unit 152, a support information generation unit 154, and a UI display control unit 51 or a support information providing unit 155. The focus identification unit 152 is information identified in the process of generating support information for pharmaceutical guidance based on target information that is a target to be considered in pharmaceutical guidance for a patient, and acquires focus information representing different classifications. The support information generation unit 154 generates the support information based on the focus information. The UI display control unit 51 or the support information providing unit 155 outputs the support information for pharmaceutical guidance generated by the support information generation unit 154. As a result, it is possible to provide support information for pharmaceutical guidance corresponding to information to be considered by a pharmacist when performing pharmaceutical guidance. Therefore, it becomes possible to more appropriately support the work of a pharmacist.
[0073] Note that the present invention is not limited to the above-described embodiment, and modifications, improvements, etc. within the range capable of achieving the object of the present invention are included in the present invention. For example, in the above-described embodiment, the case of presenting a list of medication guidance texts as the presentation target information has been described as an example, but it is not limited thereto. That is, the targets presented as support information in the present invention include various medical information.
[0074] Also, in the above-described embodiment, after a pharmacist conducts a medical interview with a patient and is dispensing medicine, the patient has a waiting time. Therefore, during this waiting time, it may be possible to present to the patient information on simple lifestyle guidance specified from the medical interview results (for example, display on the patient's smartphone or the like). Furthermore, in the above-described embodiment, it may be possible to display on a device (for example, the patient's smartphone or the like) held by the patient a medical interview display screen for conducting a medical interview with the patient and a display screen of a list of medication guidance texts (a list of recommended medication guidance texts for patients and a list of general medication guidance texts) after the content has been determined by the pharmacist. Furthermore, for each focus point after the content has been determined by the pharmacist, it may also be possible to display it on a device (for example, the patient's smartphone or the like) held by the patient as information on the focus point for the patient.
[0075] Also, in the above-described embodiment, as shown in FIG. 6, each focus point has been described as being shown as an annular graph, but the output form of each focus point is not limited to this. For example, it is possible to output as a radar chart numerical values representing the relevance of each focus point. In this case, it becomes easy to display changes with each focus point during past medication guidance.
[0076] The above-described series of processes can be executed by hardware or by software. In other words, the functional configuration in the above-described embodiment is merely an example and is not particularly limited. That is, it is sufficient if any computer provided in the support information providing system 1 has a function capable of executing the above-described series of processes as a whole, and the functional blocks used to realize this function are not particularly limited to the specifically shown examples. Also, one functional block may be configured by hardware alone, by software alone, or by a combination thereof.
[0077] In addition, a recording medium containing a program for executing the above-described series of processes is not only constituted by a removable medium distributed separately from the apparatus main body in order to provide the program to the user, but also constituted by a recording medium or the like provided to the user in a state pre-installed in the apparatus main body.
[0078] As described above, the embodiments of the present invention have been described. However, the present invention is not limited to the above-described embodiments. In addition, the effects described in the present embodiment are merely an enumeration of the most suitable effects resulting from the present invention, and the effects according to the present invention are not limited to those described in the present embodiment.
Explanation of Reference Numerals
[0079] 1 Support information providing system, 10 Terminal device, 20 Pharmacy computer, 51 User interface display control unit (UI display control unit), 52 Target information acquisition unit, 53 Support request unit, 54 Support information acquisition unit, 151 Support request reception unit, 152 Focus point identification unit, 153 Presentation information evaluation unit, 154 Support information generation unit, 155 Support information providing unit, 171 Patient attribute database (Patient attribute DB), 172 Medication history database (Medication history DB), 173 Interview result database (Interview result DB), 174 Drug database (Drug DB), 800 Information processing device, 811 CPU, 812 ROM, 813 RAM, 814 Bus, 815 Input unit, 816 Output unit, 817 Storage unit, 818 Communication unit, 819 Drive, 820 Imaging unit, 831 Removable medium
Claims
1. an index information generating means for generating index information by classifying and abstracting the target information into viewpoint information based on information representing a degree of relevance between elements of target information, which is taken into consideration in pharmaceutical guidance for a patient and includes information for identifying the patient and information regarding a prescription issued to the patient, and viewpoint information representing different classifications in terms of guidance for the patient; a guidance information generating means for generating information regarding pharmaceutical guidance for the patient by selecting candidates for information to be presented in pharmaceutical guidance according to the index information generated by the index information generating means; an index information display means for displaying the index information generated by the index information generation means; a medical history creation support means for displaying information on pharmaceutical guidance for the patient in response to an operation on the index information display means, and recording presented information in the pharmaceutical guidance selected from the information on the pharmaceutical guidance for the patient in a medical history; A support information providing system comprising:
2. The support information providing system according to claim 1, characterized in that the index information generating means generates the index information by associating the elements of the target information related to the patient with the point of interest information based on point of interest identification information that defines the degree of relevance between the elements of the target information and the point of interest information.
3. the guidance information generating means evaluates information regarding pharmaceutical guidance for the patient based on a degree of relevance between an element of the target information regarding the patient and the viewpoint information in accordance with the index information generated by the index information generating means; 3. The support information providing system according to claim 2, wherein said medication history creation support means displays information regarding pharmaceutical guidance for said patient based on the evaluation result of said guidance information generating means.
4. the instruction information generating means generates list data of information regarding pharmaceutical instruction to the patient, the list data being arranged in order based on the evaluation result; 4. The support information providing system according to claim 3, wherein said medication history creation support means outputs said list data as information for supporting pharmaceutical instruction to said patient.
5. The support information providing system according to any one of claims 1 to 4, characterized in that the index information generation means generates multiple hierarchical levels of the index information including a plurality of first point of view information abstracted from the target information and a second point of view information abstracted from the first point of view information.
6. an index information generating means for generating index information by classifying and abstracting the target information into viewpoint information based on information representing a degree of relevance between elements of target information, which is taken into consideration in pharmaceutical guidance for a patient and includes information for identifying the patient and information regarding a prescription issued to the patient, and viewpoint information representing different classifications in terms of guidance for the patient; a guidance information generating means for generating information regarding pharmaceutical guidance for the patient by selecting candidates for information to be presented in pharmaceutical guidance according to the index information generated by the index information generating means; an index information display means for displaying the index information generated by the index information generation means; a medical history creation support means for displaying information on pharmaceutical guidance for the patient in response to an operation on the index information display means, and recording presented information in the pharmaceutical guidance selected from the information on the pharmaceutical guidance for the patient in a medical history; A support information providing device comprising:
7. A support information providing method executed by an information processing device, comprising: an index information generating step of classifying and abstracting the target information into viewpoint information based on information representing a degree of relevance between elements of target information, which is taken into consideration in pharmaceutical guidance for a patient and includes information for identifying the patient and information regarding a prescription issued to the patient, and viewpoint information representing different classifications in terms of guidance for the patient; and generating index information. a guidance information generating step of generating information regarding pharmaceutical guidance for the patient by selecting candidates for information to be presented in pharmaceutical guidance according to the index information generated in the index information generating step; an index information display step of displaying the index information generated in the index information generation step; a medical history creation support step of displaying information on pharmaceutical guidance for the patient in response to an operation on the display content of the index information display step, and recording presentation information in the pharmaceutical guidance selected from the information on the pharmaceutical guidance for the patient in a medical history; A method for providing support information, comprising:
8. On the computer, an index information generating function that generates index information by classifying the target information into viewpoint information representing different classifications in terms of guidance to the patient, based on information representing the degree of relevance between elements of target information, including information for identifying the patient and information regarding a prescription issued to the patient, which is taken into consideration in pharmaceutical guidance to the patient, and viewpoint information representing different classifications in terms of guidance to the patient; a guidance information generating function for generating information regarding pharmaceutical guidance for the patient by selecting candidates for information to be presented in pharmaceutical guidance according to the index information generated by the index information generating function; an index information display function for displaying the index information generated by the index information generation function; a medical history creation support function that displays information regarding pharmaceutical guidance for the patient in response to an operation on the index information display function, and records presentation information in the pharmaceutical guidance selected from the information regarding the pharmaceutical guidance for the patient in a medical history; A program for realizing the above.
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