Electronic medication history system, control method for electronic medication history system, electronic medication history program, and recording medium

Abstract

To provide an electronic medication history system, a method for controlling the electronic medication history system, an electronic medication history program, and a recording medium with which it is possible to easily resolve blank entries in an electronic medication history.SOLUTION: An electronic medication history system comprises a main server 10 and a pharmacy-side terminal. The main server 10 includes a display control unit 11 which, when information regarding a content of drug administration guidance conducted for a patient side and / or an action needed for dispensing of pharmaceuticals remains unentered, displays an indication on top of a currently displayed image to the effect that there is unentered information and displays a transition button for transitioning to an operation screen in which to resolve the unentered state.SELECTED DRAWING: Figure 2

Description

[Technical Field]

[0001] The present invention relates to an electronic medication history system, a control method for an electronic medication history system, an electronic medication history program, and a recording medium. [Background technology]

[0002] BACKGROUND ART Conventionally, an electronic medication history system is known that displays an outline of medication instructions that a pharmacist should give to a patient (see, for example, Patent Document 1). [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Patent No. 5832048 Summary of the Invention [Problem to be solved by the invention]

[0004] It is desirable for such electronic medication history systems to alert the pharmacist if there are any missing entries, for example, after confirmation during prescription audits or medication instructions have been performed. However, even if a system is equipped with a function to alert the pharmacist by, for example, changing the color of the entry on the screen when there are any missing entries, it can take a long time to resolve the missing entries due to various reasons, such as the screen not being open.

[0005] The present invention has been made to solve such problems, and its purpose is to provide an electronic medical history system, a control method for an electronic medical history system, an electronic medical history program, and a recording medium that make it easier to eliminate unentered fields in an electronic medical history. [Means for solving the problem]

[0006] The electronic medical history system according to the present invention is an electronic medical history system for recording a patient's medical history, and is configured to record information on at least one of the contents of medication instructions given to the patient and the actions required for dispensing medication in a state where the information has not been input. If a medical history is instructed to be kept, Please indicate that the information is blank. Display the operation panel to instruct saving of medication history The display control unit displays the image superimposed on the image and also displays a transition button for transitioning to an operation screen for resolving the no-input state.

[0007] The control method of the electronic medical history system according to the present invention also includes a step of recording a patient's medical history. The computer runs A method for controlling an electronic medical history system, comprising: inputting information on at least one of the contents of medication instructions given to a patient and the actions required for dispensing; If a medical history is instructed to be kept, Please indicate that the information is blank. Display the operation panel to instruct saving of medication history The method includes a display control step of displaying the image superimposed thereon and displaying a transition button for transitioning to an operation screen for resolving the no-input state.

[0008] The electronic medication history program according to the present invention causes a computer to execute the above steps, and the recording medium has this electronic medication history program recorded on it. [Effects of the Invention]

[0009] According to the present invention, it is possible to reduce the possibility that each recorded item in the electronic medical history will be omitted. [Brief explanation of the drawings]

[0010] [Figure 1] 1 is a configuration diagram showing an electronic medication history system according to an embodiment of the present invention. [Figure 2] FIG. 2 is a block diagram showing a detailed configuration of the main server shown in FIG. [Figure 3] FIG. 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, illustrating a login screen. [Figure 4] FIG. 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, showing a visitor list screen. [Figure 5] FIG. 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, showing a medication instruction screen. [Figure 6] 6 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, showing an enlarged view of the current medication instruction display area shown in FIG. 5. FIG. [Figure 7] 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, illustrating a training support screen. FIG. [Figure 8] FIG. 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, illustrating a confirmation item input screen. [Figure 9] 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, showing a heading registration screen. FIG. [Figure 10] FIG. 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, illustrating a prescription inspection screen. [Figure 11] 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, showing a doubt inquiry screen. [Figure 12] 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, showing a medication instruction screen reflecting the content of the inquiry about a doubt. [Figure 13] A figure showing the display image displayed by the display control unit shown in Figure 2, showing a comparison between the past medication instruction display area and the current medication instruction display area shown in Figure 5, where (a) shows before the click operation and (b) shows after the click operation. [Figure 14] FIG. 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, showing a concomitant medication input screen. [Figure 15] 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, illustrating a first warning screen. FIG. [Figure 16] 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, illustrating a second warning screen. FIG. [Figure 17] 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, illustrating a third warning screen. FIG. [Figure 18] FIG. 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, illustrating a fourth warning screen. [Figure 19] 10 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, illustrating a fifth warning screen. FIG. [Figure 20] 1 is a first flowchart showing a control method for the electronic medical history system according to the present embodiment. [Figure 21] 10 is a second flowchart showing the control method of the electronic medical history system according to the present embodiment. [Figure 22] 10 is a third flowchart showing the control method of the electronic medical history system according to the present embodiment. [Figure 23] 10 is a fourth flowchart showing the control method of the electronic medical history system according to the present embodiment. DETAILED DESCRIPTION OF THE INVENTION

[0011] The present invention will be described below in accordance with preferred embodiments. Note that the present invention is not limited to the embodiments shown below and can be modified as appropriate without departing from the spirit of the present invention. In addition, in the embodiments shown below, some components are omitted from illustration and description, but it goes without saying that publicly known or well-known technologies are applied as appropriate to the details of the omitted technologies within the scope of the content described below.

[0012] FIG. 1 is a configuration diagram showing an electronic medication history system according to this embodiment. As shown in FIG. 1, the electronic medication history system 1 is composed of a main server 10 and multiple pharmacy terminals 20. The main server 10 stores an electronic medication history program that constitutes the electronic medication history system 1 according to this embodiment, and executes processing corresponding to operations performed on the pharmacy terminal 20. The electronic medication history program is stored in a predetermined recording medium such as a hard disk or flash memory in the main server 10. The pharmacy terminal 20 is operated by a pharmacist or the like, and provides the pharmacist with a medication instruction screen or the like by connecting to the main server 10 and performing a predetermined login operation.

[0013] Although not shown, the main server 10 and the pharmacy terminal 20 are also connected to other devices and servers, and are configured to be able to read prescription data from a receipt computer or a repeater that relays the connection to the receipt computer. Prescription data is not limited to the above, and may be provided to the electronic medication history system 1 by being manually input or by reading image data transmitted from a terminal held by the patient or a device installed at the pharmacy.

[0014] Fig. 2 is a block diagram showing the detailed configuration of the main server 10 shown in Fig. 1. As shown in Fig. 2, the main server 10 includes a display control unit 11, a storage unit 12, and a determination unit 13. The display control unit 11 displays an image on the display unit of the pharmacy terminal 20 in response to a request from the pharmacy terminal 20.

[0015] 3 to 19 are diagrams showing display images displayed by the display control unit 11 shown in FIG. 2, and FIG. 3 shows a login screen. When the pharmacy terminal 20 connects to the main server 10, the display control unit 11 displays the login screen shown in FIG. 3. As shown in FIG. 3, the display control unit 11 displays, as the login screen, a user ID input field C1, a password input field C2, a company code input field C3, a login button B1, a designation section P, and a description section N1.

[0016] The user ID input field C1 is a field for inputting the pharmacist's personal user ID, and the password input field C2 is a field for inputting the pharmacist's personal password. The company code input field C3 is a field for inputting the code of the company to which the pharmacist belongs. The login button B1 is a button for attempting to log in when a designation operation such as clicking is performed. When the login button B1 is designated, the pharmacy terminal 20 transmits each piece of information entered in the input fields C1 to C3 to the main server 10. The main server 10 permits login if all of the information entered in the input fields C1 to C3 is correct, and denies login if any of the information is incorrect.

[0017] The designation section P is used to display instructions for use and update information of the electronic medication history system 1 according to this embodiment by performing a designation operation such as clicking. The description section N1 displays notifications of the electronic medication history system 1 according to this embodiment.

[0018] Fig. 4 shows a customer list screen. When login is permitted, the display control unit 11 displays the customer list screen shown in Fig. 4. The customer list screen displays data on patients and the like for whom prescription data has been entered.

[0019] The visitor list screen displays the medication instruction entry status, dispensing date, reception number, patient name, patient date of birth, etc., the medical institution where the prescription was issued, and the name of the pharmacist who will provide the medication instruction. Specifically, for a specific patient (Patient Taro), the medication instruction entry status is displayed as "Not entered," the dispensing date is "R3 / 09 / 09 (5 hours have passed)," the reception number is "7," the patient name is "Patient Taro," the patient date of birth, etc. is "S8 / 05 / 05 34 years old," the medical institution where the prescription was issued is "XX Hospital," and the name of the pharmacist who will provide the medication instruction is "Yakuhin Jiro."

[0020] On the visitor list screen, this display content itself serves as the patient designation button B2, and when one of the multiple patient designation buttons B2 is selected, the screen transitions to the patient's individual medication instructions screen (the patient's initial screen) shown in Figure 5.

[0021] 5 shows the medication instruction screen. When the patient designation button B2 is selected, the display control unit 11 displays the medication instruction screen. The medication instruction screen roughly has three display areas A1 to A3, and by displaying these three display areas A1 to A3 side by side on the same screen, the contents of each display area A1 to A3 can be compared.

[0022] The first display area A1 is an area provided on the left side of the display screen. This first display area A1 displays patient attribute information such as the patient's name and age, visit information such as the date of the first visit and the patient's regular pharmacist, and header information such as the patient's constitution (e.g., allergies), medical history, concomitant medications, medication status, and weight. This header information is confirmed at the first visit and also periodically. For this reason, it is preferable that the header information include (along with) information on the most recent date confirmed. In addition, if the latest date is older than the current date by a predetermined period of time or more, it is preferable to call attention to the latest date by displaying it in a specific color (e.g., pink). Furthermore, if the latest date is today, it is preferable to indicate that the information was registered that day by displaying the latest date in a specific color (e.g., green).

[0023] The second display area A2 is an area that displays the patient's past medication history. The second display area A2 has a past date specification field C4, a past prescription display area A21, and a past medication instruction display area A22. The past date specification field C4 is a field for selecting a past visit date, hospital, and department in a drop-down format. The past prescription display area A21 and the past medication instruction display area A22 are areas for displaying past prescription data and the contents of medication instructions given in the past. For example, if the date of the last visit is specified in the past date specification field C4, the past prescription display area A21 displays the previous prescription data, and the past medication instruction display area A22 displays the contents of the previous medication instruction. Note that the second display area A2 may be provided with display areas other than the past prescription display area A21 and the past medication instruction display area A22, as appropriate.

[0024] The third display area A3 is an area that displays the patient's current medication history. This third display area A3 displays a current prescription display area (not shown) for displaying current prescription data. Furthermore, the third display area A3 displays a current medication instruction display area A31 for entering the details of the medication instruction given to the patient this time, and a current confirmation item display area A32 for inputting the details of the confirmation items given this time. Note that the third display area A3 may be provided with display areas other than the three, the current prescription display area, the current medication instruction display area A31, and the current confirmation item display area A32, as appropriate.

[0025] FIG. 6 shows an enlarged view of the current medication instruction display area A31 shown in FIG. 5. The determination unit 13 of the main server 10 shown in FIG. 2 has a function of determining the medication instruction items to be provided to the patient based on the loaded prescription data and the patient's age. For example, if the prescription data includes a high-risk drug, the current medication instruction display area A31 will display a high-risk drug item I1 to clarify that medication instructions regarding the high-risk drug should be provided, as shown in FIGS. 5 and 6. Also, if the patient is an infant under the age of six, the current medication instruction display area A31 will display an infant item I1' to clarify that medication instructions regarding infants should be provided. Similarly, if the prescription data includes a single-dose package, the current medication instruction display area A31 will display a single-dose package item I1'' to clarify that medication instructions regarding single-dose package should be provided.

[0026] In this way, the electronic medication history system 1 according to this embodiment determines the medication instruction items to be given to the patient this time based on the read prescription data and the patient's age, and displays these items (for example, the blank high-risk drug item I1 and the blank infant item I1') in the current medication instruction display area A31. This prevents the electronic medication history system 1 according to this embodiment from forgetting to write down the details of medication instructions given by the pharmacist regarding high-risk drugs or infants.

[0027] Furthermore, as shown in Figure 5, many of the current medication instruction display area A31 and current confirmation item display area A32 are blank until the pharmacist inputs the details of the current medication instruction and the details of the confirmation items. The electronic medication history system 1 according to this embodiment is configured so that such blank spaces can basically be filled in by clicking (including not only clicking with a mouse but also touching the screen if the pharmacy terminal 20 is configured as a touch panel terminal). In particular, the blank spaces are filled in as text despite the click operation.

[0028] First, the medication instruction display area A31 currently displays the instruction support button B3 (the instruction support button B3 is also displayed at the top of the medication instruction screen). When the instruction support button B3 is selected, the display control unit 11 displays the instruction support screen shown in FIG.

[0029] 7, the display control unit 11 displays the contents of medication instruction to be given to the patient. Also, on the medication instruction support screen, the display control unit 11 displays operation units O1 and O2. The operation units O1 and O2 are used to select the contents of medication instruction given to the patient by clicking. The contents of medication instruction (including candidates) to be given to the patient are determined by the determination unit 13.

[0030] More specifically, the instruction support screen displays the contents of medication instruction to be given based on four criteria: drug standards, serious side effect standards, classification standards, and patient subjective standards. Specifically, in the example shown in FIG. 7, the drug standards tab is selected, and therefore a drug list L is displayed on the left side of the screen. This drug list L displays the drugs listed on the current prescription issued by the medical institution. For example, if "Loxonin Tablets 60 mg" is selected from the drug list L, the display control unit 11 displays the medication instruction contents column CF corresponding to "Loxonin Tablets 60 mg" on the right side of the instruction support screen.

[0031] Furthermore, the display control unit 11 displays operation units O1 and O2 in the content column CF that can be clicked by a pharmacist or the like. The first operation unit O1 is an operation unit for specifying the entire column by a click operation, as shown in "Efficacy and Effects [Detailed Version]" and "Efficacy and Effects [Simplified Version]." The second operation unit O2 is an operation unit for selectively specifying by a click operation, as shown in "Major Side Effects" and "Initial Symptoms of the Serious Side Effect 'Shock'."

[0032] The pharmacist can input the details of the medication instruction given to the patient this time by clicking the operation units O1 and O2 and selecting the input button B4 on the instruction support screen shown in Fig. 7. As a result, the display control unit 11 displays the clicked details in the blank space of the current medication instruction display area A31 as the details of the medication instruction that has been given, for example, as shown in Fig. 6. In particular, the details of the medication instruction that has been given are displayed in text form, as shown in Fig. 6, etc.

[0033] In this way, the electronic medical history system 1 according to this embodiment allows a large number of blank spaces related to medication instructions to be filled in by clicking, making it easier to record medication instructions and prescription audits.

[0034] Referring again to Figure 5, the confirmation item button B5 is currently displayed in the confirmation item display area A32 (the confirmation item button B5 is also displayed at the top of the medication instruction screen). When the confirmation item button B5 is selected, the display control unit 11 displays the confirmation item input screen.

[0035] The confirmation item input screen shown in Figure 8 displays items that must be confirmed each time a patient visits the pharmacy, in addition to the header information described below. Specifically, the confirmation item input screen displays selection buttons B6 and input fields C5 for selecting information on medication status, remaining medication status, whether or not a patient's diary is being used, visits to other departments, concomitant medications, side effects, drug allergies, constitution, food allergies, etc., as well as information on the disease. The pharmacist can input confirmation items by selecting selection button B6 or entering text in input field C5 and then selecting input button B7. Note that, although not shown in Figure 8, the confirmation items may include other content.

[0036] When the input button B7 is selected, the display control unit 11 displays the selected operation or the like as confirmed content in the blank space of the current confirmation item display area A32 shown in FIG.

[0037] Furthermore, a header registration button B8 is displayed in the first display area A1 shown in Fig. 5. When the header registration button B8 is selected, the display control unit 11 displays a header registration screen for registering header information, as shown in Fig. 9. Checking header information is an action required for the pharmacist to dispense medicine, and must be performed before dispensing.

[0038] As shown in Figure 9, the header registration screen displays a registration button B9 and an input field C6 for registering information on consultations with other departments, concomitant medications, side effects, drug allergies, constitution, food allergies, etc., as well as information on the disease. Pharmacists can register header information by selecting the registration button B9 or entering text in the input field C6, and then selecting the input button B10. Although not shown in Figure 9, the header information can also include information necessary for pharmaceutical management, such as the patient's lifestyle, the patient's intentions regarding the use of generic drugs, complications, medication status (including the status of remaining medication), weight for infants and young children, and changes in the patient's physical condition while taking medication.

[0039] When the input button B10 is selected, the display control unit 11 updates the display content of the first display area A1 shown in FIG.

[0040] In addition, pharmacists must conduct prescription audits before dispensing. Prescription audits involve inquiries about possible drug interactions or contraindications due to allergies, as well as checking for contraindications with lifestyle information. Pharmacists must conduct these important checks before dispensing.

[0041] Figure 10 shows a prescription audit screen. The prescription audit screen is displayed by selecting the prescription audit button B15 at the top of the medication instruction screen shown in Figure 5. The prescription audit screen will be described in detail below.

[0042] The display control unit 11 displays, on the prescription audit screen shown in Fig. 10, an item I2 for individual contraindicated drugs (product match) that are contraindicated for the patient himself / herself, and an item I21 for individual contraindicated drugs (ingredient match) that are contraindicated for the patient. Furthermore, the display control unit 11 displays, on the prescription audit screen, an item I3 for excess dosage indicating that the dosage is exceeded for children, etc., an item I4 indicating that the ingredients in the current prescription are duplicated, an item I5 for disease contraindication indicating that the drug is a contraindicated drug that requires confirmation from a doctor, and an item I6 for indication contraindication indicating that the drug is a contraindicated drug that requires confirmation from the patient.

[0043] Furthermore, the display control unit 11 displays a confirmation operation unit (confirmation button) O3 for item I6. When the pharmacist confirms with the patient about the indication / contraindication item I6, the confirmation operation unit O3 is clicked. When the confirmation operation unit O3 is clicked, the display control unit 11 displays the confirmation content displayed by the display control unit 11 as completed content in the current medication instruction display area A31 shown in FIG. 5.

[0044] Although the contents of lifestyle information are not shown in FIG. 10, if, for example, a medicine and a specific food are in a taboo relationship, the intake status of the specific food is checked.

[0045] The display control unit 11 also displays the inquiry button B11 for items I2, I21, I3, and I5. The pharmacist needs to confirm (inquire about) items I2, I21, I3, and I5 with the doctor. Therefore, when the inquiry button B11 is selected, the display control unit 11 displays the inquiry screen shown in Figure 11. In particular, Figure 11 shows the inquiry screen when the inquiry button B11 for Loxonin Tablets 60 mg in item I21 is selected, and a check mark has already been entered for Loxonin Tablets 60 mg. The prescription audit screen will be closed when the close button B12 is selected.

[0046] The medication inquiry screen shown in Figure 11 allows the user to enter details of the medication inquiry made to the doctor. In particular, the medication inquiry screen requires the following input fields: item I7 for the date and time of the inquiry, item I8 for the name of the pharmacy staff member who made the inquiry, item I9 for the content of the inquiry, and item I10 for the result of the inquiry. When the details of items I7 to I10 are entered and input button B13 is selected, the details of the medication inquiry (the reason for the inquiry, "Because the patient had an allergy to a drug of the same type," and the result of the medication inquiry, "Dr. approved") are reflected in the medication inquiry display area A33 of the medication instruction screen, as shown in Figure 12. The medication inquiry display area A33 in Figure 12 also reflects the reason for the inquiry, "Because the dosage is excessive," and the result of the medication inquiry, "The dosage has been changed."

[0047] On the other hand, when the cancel button B14 is selected, the display control unit 11 re-displays, for example, the prescription audit screen shown in Fig. 10. Note that a doubt inquiry button B11 is displayed at the top of the medication instruction screen as shown in Fig. 5. The pharmacist can also display the doubt inquiry screen shown in Fig. 11 by selecting the doubt inquiry button B11.

[0048] Furthermore, the determination unit 13 shown in Fig. 2 has a function of determining the content of medication instruction to be given this time based on the content of the previous medication instruction. For example, the previous medication instruction content is displayed in the past medication instruction display area A22 shown in Fig. 5, and one of the contents is the instruction item I11. The determination unit 13 determines that medication instruction should be given this time according to such instruction.

[0049] FIG. 13 compares the past medication instruction display area A22 and the current medication instruction display area A31 shown in FIG. 5, with (a) showing the state before the click operation and (b) showing the state after the click operation. As shown in FIG. 13(a), the display control unit 11 displays the previous medication instruction instruction item I11, which reads, "[Rinderon V Ointment 0.12%] Side effects such as skin irritation may occur. Instruct the patient to consult a doctor if symptoms occur." Furthermore, the display control unit 11 displays a confirmation operation unit O4 for the instruction item I11 in the past medication instruction display area A22. Note that the display control unit 11 displays the confirmation item I12 in the current medication instruction display area A31 as blank in the state shown in FIG. 13(a).

[0050] Here, if the pharmacist clicks on the confirmation operation section O4, the display control section 11 displays the content of the current medication instruction based on the previous medication instruction determined by the determination section 13 in the confirmation item I12 as an executed content. This allows the electronic medication history system 1 according to this embodiment to easily enter information according to the content of the current medication instruction based on the content of the previous medication instruction. In particular, the past medication instruction display area A22 showing the content of the previous medication instruction and the current medication instruction display area A31 for entering the content of the current medication instruction are displayed on the same screen, and the confirmation operation section O4 is displayed on the instruction item I11 in the past medication instruction display area A22. This prompts the pharmacist to refer to the content of the previous medication instruction. As a result, for example, the confirmation operation section O4 is displayed on the confirmation item I12, reducing the possibility that the pharmacist will click on it without understanding the content of the previous medication instruction.

[0051] Furthermore, as shown in Fig. 5, a concomitant medication input button B17 is displayed in the current confirmation item display area A32. When this concomitant medication input button B17 is selected, the display control unit 11 displays a concomitant medication input screen. Note that the concomitant medication input screen shown in Fig. 14 can also be displayed by selecting the concomitant medication input button B17 in Fig. 8.

[0052] The concomitant medication input screen shown in FIG. 14 has a search field C7. The search field C7 indicates that searches can be performed by YJ code, dosage form, and drug name. Search results are displayed in a search result field C8. In the example shown in FIG. 14, since no characters have been entered in the search field C7, all drugs are displayed in the search result field C8.

[0053] When any characters are entered in the search field C7, a search is performed, and only the drugs that are found in the search results field C8 are displayed. Here, the drug display items displayed in the search results field C8 are themselves designation buttons B18, and by selecting one of the designation buttons B18 (drugs), concomitant drugs can be selected.

[0054] When the input button B19 is pressed with a concomitant medication selected, a concomitant medication display area A321 is formed in the current confirmation item display area A32 in FIG. 12, and the concomitant medication is displayed.

[0055] After the above-described operations for recording various electronic medical histories have been performed, when the save button B20 on the medication instruction screen shown in Fig. 5 is selected, all of the updated content is stored in the memory unit 12 of the main server 10. That is, the content of the prescription audit and medication instruction that have been executed, the content of the updated heading, and the content of the confirmation items that have been confirmed this time are all stored in the memory unit 12 of the main server 10. The memory unit 12 may store the data when each screen is closed or at predetermined time intervals.

[0056] Here, when the save button B20 is selected, if there are any missing fields in the content of the current medication instruction provided to the patient (i.e., the content of the current medication instruction display area A31) and the actions required for dispensing (i.e., the prescription audit inquiry, contraindication check, and header registration), the display control unit 11 displays (pops up) a warning screen shown in FIG. 15 superimposed on the currently displayed image. As shown in FIG. 15, the warning screen displays description sections N2 to N4 that indicate the missing fields and a transition button B21 for transitioning to an operation screen (such as a prescription audit inquiry screen, prescription audit screen, instruction support screen, or header registration screen) for resolving the missing fields. Therefore, the pharmacist can refer to the description sections N2 to N4 to identify the missing fields and then operate the transition button B21 to transition to an operation screen for resolving the missing fields, thereby smoothly resolving the missing fields at the transition destination.

[0057] Additionally, in this embodiment, if more serious content has not been entered, the display control unit 11 pops up a warning image as shown in FIG. 15 on the patient's initial screen when the patient designation button B2 shown in FIG. 4 is selected and the patient's initial screen (medication instruction screen) is displayed. The serious content includes the individual contraindicated drug (product match) item I2 indicating that a specific drug is contraindicated, the individual contraindicated drug (ingredient match) item I21 indicating that a specific ingredient is contraindicated, the excessive dosage item I3 indicating that the dosage is exceeded for children, etc., and a question regarding the disease contraindication item I5 indicating that a drug is contraindicated in relation to the patient's illness, as well as a contraindication check for the indication contraindication item I6 and a contraindication check based on lifestyle information. Therefore, if items I2, I21, I3, I5, I6, etc. have not been entered when the patient's initial screen is opened, the display control unit 11 pops up a warning image as shown in FIG. 15. By popping up a warning screen when serious content has not been entered when the patient's initial screen is opened, the display control unit 11 more effectively draws attention.

[0058] Here, for the contraindication check for the indication contraindication item I6 or the contraindication check in relation to lifestyle information, a warning screen such as that shown in FIG. 16 may be displayed instead of displaying the transition button B21 on the warning screen to prompt a screen transition. That is, as shown in FIG. 16, the confirmation operation section O3 described with reference to FIG. 10 may be displayed instead of the transition button B21. In this case, the warning screen displays a description section N5 with sufficient content for the pharmacist to determine whether it is okay to click the confirmation operation section O3. In this way, the electronic medication history system 1 may display the confirmation operation section O3 on the warning screen to resolve the uninputted state without screen transition.

[0059] Furthermore, the electronic medication history system 1 according to this embodiment displays a Do button (copy button) B22 in the past medication instruction display area A22, as shown in Figures 5, 13(a), and 13(b). By selecting the Do button B22, the pharmacist can copy the contents of the past medication instruction as the contents of the current medication instruction. Therefore, if the prescribed drugs are similar, the pharmacist can simply select the Do button B22 and then enter the differences from the previous instruction, thereby improving convenience.

[0060] Here, when the content of the previous medication instruction is displayed in the past medication instruction display area A22, if the pharmacist selects the Do button B22 and then selects the Save button B20 without entering any differences from the previous medication instruction, a warning screen as shown in FIG. 17 may be displayed. As shown in FIG. 17, the display control unit 11 pops up a warning screen over the currently displayed image, including a description section N6 indicating that the medication instruction content is the same as the previous content. This prevents, for example, the pharmacist from quoting the previous content when writing medication instructions, thereby reducing the quality of the medication history. Furthermore, since the warning that the content is the same as the previous one can be issued, it also encourages the pharmacist not to provide the same medication instruction as the previous one, thereby contributing to improving the quality of medication instruction.

[0061] In addition, the warning screen shown in Figure 17 displays a back button B23, but instead of the back button B23, a transition button B21 for transitioning to a medication instruction screen or a transition button B21 for transitioning to an instruction support screen may be displayed.

[0062] Furthermore, when a prohibited word registered in advance by the user is entered as the content of medication instructions, the display control unit 11 according to this embodiment may display a warning screen having a description section N7 indicating that a prohibited word has been entered as a pop-up superimposed on the currently displayed image, as shown in Fig. 18. This is because, for example, it is possible to prohibit words that raise doubts as to whether appropriate medication instructions have been given, thereby contributing to the creation of an appropriate medication history.

[0063] In addition, the warning screen shown in Figure 18 also displays a back button B23, as in the one shown in Figure 17, but instead of the back button B23, a transition button B21 for transitioning to a medication instruction screen or a transition button B21 for transitioning to an instruction support screen may be displayed.

[0064] Furthermore, in this embodiment, there are multiple input fields for information regarding concomitant medications. Therefore, if there is a discrepancy between the concomitant medication information in the concomitant medication display area A321 entered via the concomitant medication input button B17 and the concomitant medication information registered as header information or the concomitant medication item A322 (visit to other department / concomitant medication) provided in the current confirmation item display field A32, the main server 10 pops up a warning screen overlaid on the currently displayed image, as shown in FIG. 19, which includes a description section N8 indicating that there is a discrepancy in the concomitant medication information. In particular, this pop-up display includes a transition button B21. This allows for smooth correction of input errors in concomitant medications.

[0065] More specifically, the main server 10 first determines whether information about a concomitant medication has been entered in the concomitant medication display area A321. If information about a concomitant medication has been entered in the concomitant medication display area A321, the main server 10 checks the details of the concomitant medication registered as the header information and the details of the concomitant medication item A322 provided in the current confirmation item display field A32. If "No concomitant medication" is entered in the header information or the concomitant medication item A322 or if no entry is made, such as leaving the field blank, a contradiction occurs, and a warning image as shown in FIG. 19 is popped up. On the other hand, if "Concomitant medication is entered" or a specific drug name matching the entered concomitant medication is entered in the header information or the concomitant medication item A322, the main server 10 determines that there is no contradiction and does not display a warning image as shown in FIG. 19 as a pop-up.

[0066] In the above description, when checking for inconsistencies in the input content of concomitant medications, the main server 10 first determines whether information about the concomitant medication has been entered in the concomitant medication display area A321. However, this is not particularly limited. For example, the main server 10 may determine the input content of the concomitant medication item A322 and then check whether information about the concomitant medication has been entered in the concomitant medication display area A321 that does not contradict the input content. That is, when the main server 10 determines that the input content of the concomitant medication item A322 is "no concomitant medication," if information about the concomitant medication has been entered in the concomitant medication display area A321, the main server 10 may determine that there is an inconsistency and display a pop-up warning image as shown in FIG. 19. In addition, the main server 10 may determine whether there is an inconsistency between the information about the concomitant medication registered as header information and the information about the concomitant medication item A322, and display a pop-up warning image as shown in FIG. 19.

[0067] Furthermore, although the warning screens shown in Figures 15 to 19 are shown separately in the above, they are not limited to being separate, and if multiple warning events described in Figures 15 to 19 occur simultaneously, the warning screens shown in Figures 15 to 19 may be displayed together.

[0068] Additionally, in this embodiment, the display control unit 11 automatically inputs and displays the item I1' for infants and toddlers shown in Fig. 6. Explaining in more detail, it is first assumed that the determination unit 13 determines to display the item I1' for infants and toddlers. At this time, the main server 10 determines whether the prescribed drug according to the read prescription data exceeds the dosage based on the patient's weight, which has been input in advance (as a heading, etc.). If it does not exceed the dosage, the display control unit 11 displays in the item I1' for infants and toddlers that there is no problem with the dosage (automatically inputting and displaying "No dosage problem").

[0069] If the main server 10 determines that the dosage has been exceeded, the dosage excess item I3 shown in FIG. 10 will be displayed on the inquiry screen.

[0070] Next, a description will be given of a method for controlling the electronic medication history system 1 according to this embodiment. Figures 20 to 23 are flowcharts showing the method for controlling the electronic medication history system 1 according to this embodiment.

[0071] First, as shown in Fig. 20, the main server 10 determines whether prescription data has been acquired (S1). If prescription data has not been acquired (S1: NO), this process is repeated until it is determined that prescription data has been acquired.

[0072] On the other hand, if prescription data is acquired (S1: YES), the determination unit 13 determines the content of medication instructions to be given to the patient this time based on the content of the prescription data and the patient's age data (S2). Furthermore, the determination unit 13 references the content of the patient's previous medication instructions at this timing and determines the content of medication instructions to be given to the patient this time based on the content of the previous medication instructions (S2). In addition, in this process, the main server 10 determines the content of the prescription audit (S2).

[0073] Thereafter, the process shown in Fig. 20 ends. The process shown in Fig. 20 is continuously executed until the main server 10 is shut down.

[0074] 21 to 23 are executed in parallel with this process. First, when the pharmacy terminal 20 connects to the main server 10, the display control unit 11 displays the login screen shown in FIG. 3 on the display unit of the pharmacy terminal 20, as shown in FIG. 21 (S11). Thereafter, the main server 10 determines whether the login was performed properly (S12). For example, if there is an error in the content of any of the input fields C1 to C3, the main server 10 determines that the login was not performed properly (S12: NO), and repeats this process until it is determined that the login was performed properly.

[0075] On the other hand, if the contents of all the input fields C1 to C3 are correct, the main server 10 determines that the login has been performed properly (S12: YES), and the display control unit 11 displays the visitor list screen shown in Figure 4 (S13).

[0076] Next, the main server 10 determines whether any of the patient designation buttons B2 has been designated (S14). If no patient designation button B2 has been designated (S14: NO), the process proceeds to step S13.

[0077] If any of the patient designation buttons B2 is selected (S14: YES), the main server 10 generates a medication instruction screen as shown in FIG. 5 (S15). Here, if the determination unit 13 determines in step S2 shown in FIG. 20 that medication instruction should be provided for a high-risk drug, the main server 10 generates an item I1 for the high-risk drug in the current medication instruction display area A31, as described with reference to FIG. 6. The same applies to infants and single-dose medications. Furthermore, if an item I1' for infants is generated, the main server 10 determines whether the prescribed drug exceeds the dosage calculated from the patient's weight. If not, the main server 10 also generates data indicating that there is no problem with the dosage, as described with reference to FIG. 6. In addition, if the content of the current medication instruction is determined based on the content of the previous medication instruction in step S2 shown in FIG. 20, the main server 10 generates a confirmation operation unit O4 in conjunction with the display of the content of the previous medication instruction in the past medication instruction display area A22, as described with reference to FIGS. 5 and 13.

[0078] Thereafter, the display control unit 11 displays the medication instruction screen generated in step S15 (FIG. 22: S16).

[0079] Next, the main server 10 determines whether there is any content that has not been entered in the prescription audit or the header (S17). If there is any content that has not been entered in the prescription audit or the header (S17: YES), the display control unit 11 pops up a warning screen as shown in Figures 15 and 16 (S18).

[0080] Next, the main server 10 determines whether the transition button B21 has been designated (S19). As shown in Fig. 16, if the transition button B21 is not displayed and the confirmation operation section O3 is displayed, the processes of steps S19 and S20 are omitted and the process of step S21 is executed.

[0081] If the transition button B21 is not designated in the process of step S19 (S19: NO), this process is repeated until it is determined that the transition button B21 is designated. On the other hand, if the transition button B21 is designated (S19: YES), the display control unit 11 displays the transition destination screen (S20).

[0082] Next, the main server 10 determines whether various inputs have been made on the transition destination screen and the operation has been completed (S21). That is, the main server 10 determines whether the input button B10 has been selected on the header registration screen, and whether the close button B12 has been selected on the prescription inspection screen. The main server 10 also determines whether the input button B13 or the cancel button B14 has been selected on the doubt inquiry screen. Furthermore, if the warning screen shown in FIG. 16 is displayed, the main server 10 determines whether the confirmation operation unit O3 has been clicked.

[0083] If any of the above buttons is not specified, the main server 10 determines that the operation on the transition destination screen is not completed (S21: NO), and repeats this process until it is determined that the operation is completed.

[0084] On the other hand, if it is determined that the operation has been completed on the transition destination screen (S21: YES), the main server 10 reflects the input content on various screens, etc. (S22). Thereafter, the process proceeds to step S16.

[0085] If there is no unentered content in the prescription audit and header (S17: NO), the main server 10 determines whether the save button B20 has been selected (S23). If the save button B20 has not been selected (S23: NO), the process proceeds to step S16.

[0086] If the Save button B20 is selected (S23: YES), the main server 10 determines whether any information about prescription audit, heading, medication instructions, and confirmation items has not been entered, and whether there is any inconsistency in the entered information about concomitant medications (S24). If there is any information that has not been entered (S24: YES), the display control unit 11 pops up a warning screen as shown in FIGS. 15 and 16 (S25). If there is any inconsistency in the information about concomitant medications (S24: YES), the display control unit 11 pops up a warning screen as shown in FIG. 19 (S25). Thereafter, the process proceeds to step S19.

[0087] If there are no missing entries in the prescription audit, heading, medication instructions, and confirmation items, and there are no contradictions in the concomitant medication information (S24: NO), the main server 10 determines whether the contents of the previous medication instructions match the contents of the current medication instructions, and whether prohibited words have been used (Fig. 23: S26). If the contents of the medication instructions match or prohibited words have been used (S26: YES), the display control unit 11 pops up a warning screen as shown in Figs. 17 and 18 (S27). Thereafter, the main server 10 determines whether the back button B23 has been selected (S28).

[0088] If it is determined that the back button B23 has not been designated (S28: NO), this process is repeated until it is determined that the back button B23 has been designated. On the other hand, if it is determined that the back button B23 has been designated (S28: YES), the process proceeds to step S16.

[0089] Meanwhile, if the contents of the medication instruction do not match and prohibited words are not used (S26: NO), the storage unit 12 stores the input contents (S29). After that, the processing shown in Figures 21 to 23 ends.

[0090] In this way, the electronic medication history system 1 and its control method according to this embodiment overlay an indication that data has not been input on the currently displayed image, thereby more reliably indicating to the pharmacist or other user that data has not been input, compared to simply changing the color of the uninputted fields. In particular, if the transition button B21 is not displayed, even if the warning screen notifies the user that data has not been input, the uninputted state may not be resolved if another task occurs before the pharmacist or other user closes the warning screen and inputs data. However, since the transition button B21 is displayed, even if another task occurs after operating the transition button B21, the screen will at least transition to the uninputted state, reducing the possibility that the uninputted state will not be resolved. Therefore, the possibility that the uninputted state will remain when a warning is issued can be reduced.

[0091] Furthermore, when an instruction to save the medication history is given, a pop-up message indicating that no data has been entered is displayed over the currently displayed image, and a transition button B21 for transitioning to an operation screen for resolving the no-data entry state is displayed. Therefore, when the medication history is saved, a warning is issued that no data has been entered, and the pharmacist is prompted to enter data for the items that have not been entered. In other words, the warning is issued when the pharmacist has finished writing the medication history, and the pharmacist can then enter data to correct the no-data entry in the medication history.

[0092] Furthermore, when the medication instruction screen (the patient's initial screen) is displayed, a pop-up message is displayed on the medication instruction screen indicating that at least one of the following has not been entered: the inquiry about a medical condition or whether the prescribed drug is contraindicated. A transition button B21 is also displayed to transition to an operation screen for resolving the unentered state. Therefore, by displaying the unentered extremely important items, such as the inquiry about a medical condition or the contraindication check, on the medication instruction screen, which is the patient's initial screen, it is possible to prompt the patient to take action first. This reduces the possibility that important items will remain unentered.

[0093] Furthermore, when the medication instruction screen (the patient's initial screen) is displayed, a message indicating that no information has been entered is displayed over the medication instruction screen, and a confirmation operation unit O3 is displayed for inputting that no contraindications have been met. Therefore, by displaying the information on the medication instruction screen, which is the patient's initial screen, when extremely important items such as contraindications have not been entered, it is possible to prompt the patient to take action first. Furthermore, some contraindications are confirmed based on the patient's lifestyle information (such as whether they eat certain foods), and in some cases, it is sufficient to confirm with the patient. For such items, the confirmation operation unit O3 can be operated to input that no contraindications have been met. This reduces the possibility that important items will remain unentered.

[0094] Furthermore, if the medication instruction information entered this time is the same as that of the previous medication instruction, this fact is displayed overlaid on the currently displayed image, which prevents, for example, a pharmacist from quoting the previous content when writing medication instructions, thereby reducing the quality of the medication history. Furthermore, since the information is the same, the pharmacist is encouraged not to give the same medication instruction as the previous one, which ultimately contributes to improving the quality of medication instructions.

[0095] In addition, since the Do button B22 is displayed, if the prescribed medication or the patient's symptoms are similar to those of the previous time, you can first operate the Do button B22 and then enter the differences from the previous time, further reducing the possibility of the information remaining unentered.

[0096] In addition, a message indicating that a pre-registered prohibited word has been entered is displayed over the currently displayed image, so if a word that raises doubts as to whether appropriate medication instructions have been given is entered, the user can be prompted to enter the word again, which contributes to creating an appropriate medication history.

[0097] Furthermore, if there is a discrepancy between pieces of information about concomitant medications, a message to that effect is displayed overlaid on the currently displayed image, and a transition button B21 is also displayed. This draws special attention to the concomitant medications, which are important items for checking for contraindications, and contributes to eliminating errors in particularly important items.

[0098] Furthermore, the electronic medication history program and recording medium according to this embodiment can realize the above-described electronic medication history system 1 and its control method.

[0099] The present invention has been described above based on the embodiments, but the present invention is not limited to the above embodiments, and modifications may be made without departing from the spirit of the present invention, and other technologies may be appropriately combined to the extent possible.

[0100] For example, in the above embodiment, the display etc. of the pharmacy terminal 20 is controlled by the main server 10, but this is not limited to this. An electronic medical history program may be downloaded to the pharmacy terminal 20, and the pharmacy terminal 20 itself may control the display etc.

[0101] Furthermore, in the electronic medication history system 1 according to this embodiment, the warning screen is displayed as a pop-up on the medication instruction screen, which corresponds to the patient's initial screen, or as a pop-up when saving is executed, but this is not particularly limited, and the warning screen may be displayed as a pop-up when required information has not been entered on each screen, such as when the close button B12 is selected without appropriate input on the prescription audit screen. In this case, there is no particular need to display the transition button B21, and for example, the back button B23 may be displayed instead.

[0102] Furthermore, the electronic medical history system 1 according to this embodiment displays the transition button B21 on the warning screen, but it is preferable that the transition button B21 transitions to a screen different from the screen that is displayed when the warning screen is closed (the screen that was displayed when the pop-up occurred). This allows the transition button B21 to have a different function from, for example, the back button B23.

[0103] Furthermore, when the transition button B21 is displayed on the warning screen, it is also preferable that the warning screen is not cleared by any operation other than specifying the transition button B21, as this prevents the warning screen from being closed without transitioning to another screen.

[0104] Furthermore, the electronic medical history system 1 according to this embodiment allows both the confirmation details to be given to the patient during prescription audits and the details of medication instructions to be given to the patient to be entered by clicking, but this is not limited to this, and it is also possible that only one of the details can be entered by clicking.

[0105] Furthermore, in the electronic medication history system 1 according to this embodiment, it is preferable that at least one of the many items of confirmation to be given to the patient in prescription audits and the many items of medication instructions to be given to the patient can be entered by a simple click operation.Furthermore, it is preferable that all of the many items of confirmation to be given to the patient in prescription audits and the many items of medication instructions to be given to the patient can be entered by a simple click operation without the need for character input using a keyboard or the like.

[0106] Furthermore, the electronic medication history system 1 according to this embodiment has the function of a so-called electronic medication history book, but may also be incorporated as part of a function of a device having other functions, such as a prescription computer.

[0107] Furthermore, the electronic medical history system 1 of this embodiment has been described assuming its use in a so-called dispensing pharmacy, but it is not limited to this and may also be used in other facilities such as nursing homes and hospital pharmacies.

[0108] In addition, it goes without saying that new items may be added or removed from the confirmation items and taboos described in the above embodiments in response to legal amendments, changes in social conditions, advances in medical care, and the like. [Explanation of symbols]

[0109] 1: Electronic medical history system 10: Main server 11: Display control section 12: Storage section 13: Decision section 20: Pharmacy terminal A1: 1st display area A2:Second display area A21: Past prescription display area A22: Past medication instruction display area A3: 3rd display area A31: Current medication instruction display area A32: Current confirmation item display area A321: Concomitant medication display area A322: Concomitant medications A33:Doubt inquiry display area B1: Login button B2: Patient designation button B3: Guidance support button B4: Input button B5: Confirmation button B6: Selection button B7: Input button B8: Heading registration button B9: Registration button B10: Input button B11: Question inquiry button B12: Close button B13: Input button B14: Cancel button B15: Prescription Audit Button B16: Save button B17: Concomitant medication input button B18: Designated button B19: Input button B20: Save button B21: Transition button B22: Do button (reprint button) B23: Back button CF:Content column C1: User ID input field C2: Password entry field C3: Company code input field C4: Past date specification field C5: Input field C6: Input field C7: Search field C8: Search results column I1~I12,I1',I1'',I21:Item I11: Instructional items I12: Confirmation items L: List of medicines N1~N8: description section O1: 1st operation section O2: 2nd operation part O3: Confirmation operation section (confirmation button) O4: Confirmation Operation Department P: Designated Department

Claims

1. An electronic medical history system for recording a patient's medical history, a display control unit that, when at least one of the information on the content of medication instructions given to the patient and the information on the actions required for dispensing has not been input and an instruction to save the medication history has been given, displays a message indicating that the information has not been input on an image displaying an operation unit for instructing to save the medication history, and also displays a transition button for transitioning to an operation screen for resolving the non-input state; An electronic medical history system comprising:

2. When at least one of the inquiry about a doubt and whether the prescribed drug corresponds to a contraindication is not input, the display control unit displays, when displaying the initial screen of the patient in the not-input state, a message indicating that the information is not input on the initial screen, and also displays the transition button for transitioning to an operation screen for resolving the not-input state. The electronic medical history system according to claim 1 .

3. When the information on whether or not the prescription drug corresponds to a contraindication has not been input, the display control unit displays a message indicating that the information has not been input on the initial screen when displaying the initial screen for the patient in an input state, and also displays a confirmation button for inputting that the prescription drug does not correspond to a contraindication. The electronic medical history system according to claim 1 .

4. Further comprising a storage unit for storing information on past medication instructions, When an instruction to save a medication history is given in a state where the medication instruction information input this time is the same as the previous one stored in the storage unit, the display control unit displays a message that the medication instruction information is the same as the previous one by superimposing it on an image displaying the operation unit. The electronic medical history system according to any one of claims 1 to 3.

5. The display control unit displays a copy button for copying information of past medication instruction stored in the storage unit into an input field for information of current medication instruction. The electronic medical history system according to claim 4.

6. When a command to save a medication history is issued in a state where a prohibited word registered in advance is included in the content of medication instruction given to the patient, the display control unit displays a message indicating that the prohibited word is included on an image displaying the operation unit.

6. The electronic medical history system according to claim 1, wherein:

7. When information about a patient's concomitant medication can be input at a plurality of locations, and when an instruction to save a medication history is given while there is a contradiction between the information about the concomitant medication at the plurality of locations, the display control unit displays a message indicating that there is a contradiction in the information about the concomitant medication by superimposing it on an image displaying the operation unit, and also displays the transition button for transitioning to an operation screen for resolving the contradiction.

7. The electronic medical history system according to claim 1, wherein:

8. A method for controlling an electronic medical history system that records a patient's medical history, comprising: a display control step of, when at least one of the information on the content of medication instructions given to the patient and the information on the actions required for dispensing has not been input and an instruction to save the medication history has been given, superimposing a message indicating that the information has not been input on an image displaying an operation unit for instructing to save the medication history, and displaying a transition button for transitioning to an operation screen for resolving the non-input state; A computer-implemented method for controlling an electronic medication history system, comprising:

9. An electronic medical history program for an electronic medical history system that records a patient's medical history, a display control step of, when at least one of the information on the content of medication instructions given to the patient and the information on the actions required for dispensing has not been input and an instruction to save the medication history has been given, superimposing a message indicating that the information has not been input on an image displaying an operation unit for instructing to save the medication history, and displaying a transition button for transitioning to an operation screen for resolving the non-input state; An electronic medical history program that causes a computer to execute the above.

10. A computer-readable recording medium having recorded thereon the electronic medical history program described in claim 9.

Images