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 more easily write down drug administration guidance and prescription auditing.SOLUTION: An electronic medication history system comprises a main server 10 and a pharmacy-side terminal. The main server 10 includes a first display control unit 11a for displaying to an operator a content of confirmation of prescription auditing with a patient side and / or a content of drug administration guidance to be conducted on the patient side, a second display control unit 11b for displaying an operation unit which is operated on by the operator by clicking, a third display control unit 11c for exercising display control by rendering the content having been displayed by the first display control unit 11a as an executed content when the operation unit displayed by the second display control unit 11b has been operated on by clicking, and a storage unit 12 for storing the content having been rendered "as executed" by the third display control unit 11c.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] Conventionally, pharmacists refer to the doctor's prescription and past medication history to determine the content of medication instructions. The pharmacist then provides medication instructions based on the determined content, and then records the content of the medication instructions in the medication history. In other words, pharmacists must perform three steps: determining the content of medication instructions, providing medication instructions, and recording the content of the medication instructions (creating a medication history).

[0003] Furthermore, in order to support the work of such pharmacists, an electronic medication history system has been proposed that links with a prescription computer and electronically manages the history of dispensing and instruction (see, for example, Patent Document 1). [Prior art documents] [Patent documents]

[0004] [Patent Document 1] Patent No. 5832048 Summary of the Invention [Problem to be solved by the invention]

[0005] However, although electronic medication history systems such as those described in Patent Document 1 generally assist in determining the content of medication instructions that should be given so that no omissions are made in the medication instructions, they lack the functionality to assist in recording the content of the medication instructions given (creating a medication history) so that no omissions are made in this process.

[0006] For example, pharmacies can become crowded with many patients depending on the day of the week and the time of day. During these times, medication needs to be dispensed quickly, which can lead to oversights in the three steps of determining the content of medication instructions, providing medication instructions, and creating medication histories. Creating medication histories, in particular, is difficult to do simultaneously with medication instructions due to the need to input text, and after providing medication instructions, the patient must remember what instructions were given and write them down, making it more prone to oversights than the other two steps.

[0007] In addition, pharmacists are required to perform prescription audits in the same way as providing medication instructions. For this reason, pharmacists must check drug interactions and precautions for each drug, and the details of these checks must also be recorded as a medication history. However, it is difficult to simultaneously check the details during prescription audits, and after checking, pharmacists must remember what details were checked and record them, which makes it easy for omissions to occur.

[0008] For these reasons, it is desirable for electronic medication history systems to be configured in a way that makes it easier to record medication instructions and prescription audits.

[0009] The present invention has been made to solve these problems, and its purpose is to provide an electronic medication history system, a control method for an electronic medication history system, an electronic medication history program, and a recording medium that enable easier recording of medication instructions and prescription audits. [Means for solving the problem]

[0010] The electronic medication history system according to the present invention provides the operator with 、 Medication instructions that should be given to patients Contents a first display control unit that displays the An operation unit corresponding to the content of the medication instruction, Click operation by the operator possible a second display control unit that displays an operation unit; When displaying a current display field having items of medication instruction to be given to the patient and a description field for writing the contents of medication instruction given in response to the items, the description field is displayed as a blank field, When the operation unit displayed by the second display control unit is clicked, Corresponding to the operation unit The contents, In the blank aboveAs a completed action Write Display Control of a third display control unit that executes the process and that is determined to have been executed by the third display control unit; description a storage unit for storing the content; a determination unit that determines the items of medication instruction to be given to the patient based on the read prescription data and the patient's age; Equipped with.

[0011] The control method of the electronic medication history system according to the present invention also provides the operator with 、 Medication instructions that should be given to patients Contents a first display control step of displaying the An operation unit corresponding to the content of the medication instruction, Click operation by the operator possible a second display control step of displaying the operation unit; When displaying a current display field having items of medication instruction to be given to the patient and a description field for writing the contents of medication instruction given in response to the items, the description field is displayed as a blank field, When the operation unit displayed in the second display control step is clicked, Corresponding to the operation unit The contents, In the blank above As a completed action Write Display Control of a third display control step for controlling the display of the image data that has been executed in the third display control step; description a storing step of storing the content; a determining step of determining the items of medication instruction to be given to the patient based on the read prescription data and the patient's age; Equipped with.

[0012] 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]

[0013] According to the present invention, medication instructions and prescription audits can be written more easily. [Brief explanation of the drawings]

[0014] [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] 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, showing a login screen. FIG. [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]1 is a first flowchart showing a control method for the electronic medical history system according to the present embodiment. [Figure 18] 10 is a second flowchart showing the control method of the electronic medical history system according to the present embodiment. [Figure 19] 10 is a third flowchart showing the control method of the electronic medical history system according to the present embodiment. [Figure 20] 10 is a fourth flowchart showing the control method of the electronic medical history system according to the present embodiment. [Figure 21] 10 is a fifth flowchart showing the control method of the electronic medical history system according to the present embodiment. DETAILED DESCRIPTION OF THE INVENTION

[0015] 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.

[0016] 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.

[0017] 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.

[0018] Fig. 2 is a block diagram showing a 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, and includes first to sixth display control units 11a to 11f.

[0019] 3 to 16 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.

[0020] 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.

[0021] 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.

[0022] 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.

[0023] 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."

[0024] 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.

[0025] 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.

[0026] 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).

[0027] 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 (previous display field) 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, when the date of the last visit is specified in the past date specification field C4, the previous prescription data is displayed in the past prescription display area A21, and the contents of the previous medication instruction are displayed in the past medication instruction display area A22. 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. Furthermore, the past medication instruction display area A22 is displayed under the display control of the fourth display control unit 11d shown in FIG.

[0028] 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 (current display field) 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.

[0029] 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.

[0030] 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.

[0031] 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.

[0032] 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 first and second display control units 11a and 11b of the display control unit 11 function to display the instruction support screen shown in FIG.

[0033] 7, the first display control unit 11a displays the contents of medication instruction to be given to the patient. Also, the second display control unit 11b displays operation units O1 and O2 on the instruction support screen. 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.

[0034] More specifically, the medication 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 a pharmacist or other person selects "Loxonin Tablets 60 mg" from the drug list L, the first display control unit 11a displays the medication instruction contents column CF corresponding to "Loxonin Tablets 60 mg" on the right side of the medication support screen.

[0035] Furthermore, the second display control unit 11b displays operation units O1 and O2 in the content column CF, which are 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'."

[0036] 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 medication support screen shown in Fig. 7. As a result, the third display control unit 11c 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.

[0037] 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.

[0038] 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.

[0039] 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.

[0040] 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.

[0041] Furthermore, a heading registration button B8 is displayed in the first display area A1 shown in Fig. 5. When the heading registration button B8 is selected, the display control unit 11 displays a heading registration screen shown in Fig. 9.

[0042] 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.

[0043] 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.

[0044] 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.

[0045] In the electronic medication history system 1 according to this embodiment, if such a prescription audit has not been performed, the first and second display control units 11a and 11b pop up a prescription audit screen on the medication instruction screen. Fig. 10 shows the prescription audit screen. The prescription audit screen can also be popped up by selecting the prescription audit button B15 at the top of the medication instruction screen shown in Fig. 5.

[0046] More specifically, the first display control unit 11a displays, on the prescription audit screen shown in Fig. 10, an item I2 for an individual contraindicated drug (product match) that is a drug that is contraindicated for the patient himself / herself, and an item I21 for an individual contraindicated drug (ingredient match) that is a drug whose ingredients are contraindicated for the patient. Furthermore, the first display control unit 11a displays, on the prescription audit screen, an item I3 for an excess dosage that indicates that the dosage is exceeded for children, etc., an item I4 that indicates that the ingredients in the current prescription are duplicated, an item I5 for a disease contraindication that indicates that the drug is a contraindicated drug that requires confirmation from a doctor, and an item I6 for an indication contraindication that indicates that the drug is a contraindicated drug that requires confirmation from the patient.

[0047] Furthermore, the second display control unit 11b displays a confirmation operation section O3 for item I6. When the pharmacist confirms with the patient about the indication / contraindication item I6, the confirmation operation section O3 is clicked. When the confirmation operation section O3 is clicked, the third display control unit 11c displays the confirmation content displayed by the first display control unit 11a as completed content in the current medication instruction display area A31 shown in FIG. 5.

[0048] In this way, in the electronic medical history system 1 according to this embodiment, entries related to prescription audits can also be made with a click operation, making it easier to provide medication instructions and record prescription audits.

[0049] Although the contents of lifestyle information are not shown in FIG. 10, for example, if a medicine and a specific food are in a taboo relationship, the intake status of the specific food is checked.

[0050] In addition, the second display control unit 11b 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.

[0051] 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."

[0052] 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.

[0053] 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.

[0054] Figure 13 compares the previous medication instruction display area A22 and the current medication instruction display area A31 shown in Figure 5, with (a) showing the state before the click operation and (b) showing the state after the click operation. As shown in Figure 13(a), the fourth display control unit 11d 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 second display control unit 11b displays the confirmation operation unit O4 for the instruction item I11 in the previous medication instruction display area A22. Note that the third display control unit 11c displays the confirmation item I12 in the current medication instruction display area A31 as blank in the state shown in Figure 13(a).

[0055] Here, if the pharmacist clicks on the confirmation operation unit O4, the third display control unit 11c displays the content of the current medication instruction based on the previous medication instruction determined by the determination unit 13 in the confirmation item I12 as 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 unit 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 unit O4 is displayed on the confirmation item I12, reducing the possibility that the pharmacist clicks on the confirmation operation unit O4 without understanding the content of the previous medication instruction.

[0056] 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.

[0057] 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.

[0058] 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.

[0059] 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.

[0060] 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.

[0061] Here, if there is a missing entry in the content that should be entered when the save button B20 is selected, the display control unit 11 pops up a warning screen shown in Fig. 15. As shown in Fig. 15, the warning screen displays description sections N2 to N4 that point out the missing entry, and a transition button B21 for transitioning to an operation screen (such as a doubt inquiry screen, prescription audit screen, or instruction support screen) for resolving the missing entry. Therefore, the pharmacist can refer to the description sections N2 to N4 to understand the missing entry, and can transition to a specific operation screen by operating the transition button B21, thereby smoothly resolving the missing entry at the transition destination.

[0062] Furthermore, the electronic medication history system 1 according to this embodiment displays a Do 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.

[0063] 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. 16 may be displayed. As shown in FIG. 16, the fifth display control unit 11e displays a warning screen with a description N5 indicating that the content of the medication instruction is the same as the previous content, superimposed on the currently displayed image as a pop-up. 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 provided, it also encourages the pharmacist not to provide the same medication instruction as the previous one, thereby contributing to improving the quality of medication instructions.

[0064] In addition, the warning screen shown in Figure 16 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.

[0065] Additionally, in this embodiment, the sixth display control unit 11f is configured to automatically input and display characters for the infant item I1' shown in Figure 6. Explaining in detail, first, it is assumed that the determination unit 13 determines to display the infant item I1'. 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 that has been input in advance (as the heading content, etc.). If it does not exceed the dosage, the sixth display control unit 11f displays that there is no problem with the dosage in the infant item I1' (automatically inputting and displaying "No dosage problem").

[0066] 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.

[0067] Next, a control method for the electronic medication history system 1 according to this embodiment will be described. Figures 17 to 21 are flowcharts showing the control method for the electronic medication history system 1 according to this embodiment.

[0068] First, as shown in Fig. 17, 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.

[0069] 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).

[0070] Thereafter, the process shown in Fig. 17 ends. The process shown in Fig. 17 is continuously executed until the main server 10 is shut down.

[0071] 18 to 21 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. 18 (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.

[0072] 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).

[0073] 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.

[0074] 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. 17 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. 17, 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.

[0075] Next, the display control unit 11 displays the medication instruction screen generated in step S15 (S16).

[0076] Thereafter, the main server 10 determines whether there is any content that has not been input in the prescription inspection (S17). If there is no content that has not been input (S17: NO), the process proceeds to step S25 in FIG.

[0077] On the other hand, if there is any content that has not been entered in the prescription inspection (S17: YES), the first and second display control units 11a and 11b pop up the prescription inspection screen shown in FIG. 10 on the medication instruction screen (S18).

[0078] Next, the main server 10 determines whether the doubt inquiry button B11 has been selected (S19). If the doubt inquiry button B11 has been selected (S19: YES), the display control unit 11 displays the doubt inquiry screen shown in FIG. 11 (S20).

[0079] Next, the main server 10 determines whether the operation on the doubt inquiry screen has been completed by selecting the input button B13 or the cancel button B14 on the doubt inquiry screen (S21). If the operation on the doubt inquiry screen has not been completed (S21: NO), the process proceeds to step S20. If the operation on the doubt inquiry screen has been completed (S21: YES), the process proceeds to step S18.

[0080] If the inquiry button B11 is not selected (S19: NO), the main server 10 determines whether the confirmation operation section O3 has been clicked (S22). If the confirmation operation section O3 has been clicked (S22: YES), the third display control section 11c reflects the confirmation content as an executed content in the current medication instruction display area A31 shown in Figure 5 (S23). Thereafter, the process proceeds to step S18.

[0081] If the confirmation operation section O3 has not been clicked (S22: NO), the main server 10 determines whether the close button B12 on the prescription inspection screen has been designated (S24). If the close button B12 has not been designated (S24: NO), the process proceeds to step S18.

[0082] On the other hand, if the close button B12 is selected (S24: YES), the display control unit 11 will close the prescription audit screen. As a result, the medication instruction screen will be displayed on the display unit of the pharmacy terminal 20. In this state, the main server 10 determines whether the instruction support button B3 is selected (FIG. 19: S25). If the instruction support button B3 is not selected (S25: NO), the process proceeds to step S29.

[0083] On the other hand, if the instruction support button B3 is selected (S25: YES), the first and second display control units 11a and 11b display an instruction support screen as shown in FIG. 7 (S26). Next, the main server 10 determines whether the input button B4 is selected on the instruction support screen and the operation of the instruction support screen is completed (S27). If the operation of the instruction support screen is not completed (S27: NO), the process proceeds to step S26. If the operation of the instruction support screen is completed (S27: YES), the display control unit 11 closes the instruction support screen. Furthermore, the third display control unit 11c reflects the contents of the operation units O1 and O2 clicked on the instruction support screen in the current medication instruction display area A31 shown in FIG. 5 as executed contents (S28).

[0084] Next, the main server 10 determines whether the confirmation item button B5 has been designated (S29). If the confirmation item button B5 has not been designated (S29: NO), the process proceeds to step S33.

[0085] On the other hand, if the confirmation item button B5 is selected (S29: YES), the display control unit 11 displays a confirmation item input screen as shown in FIG. 8 (S30). Next, the main server 10 determines whether the input button B7 is selected on the confirmation item input screen and the operation of the confirmation item input screen is completed (S31). If the operation of the confirmation item input screen is not completed (S31: NO), the process proceeds to step S30. If the operation of the confirmation item input screen is completed (S31: YES), the display control unit 11 closes the confirmation item input screen. In addition, the display control unit 11 reflects the content clicked on the confirmation item input screen in the current confirmation item display area A32 shown in FIG. 5 as the confirmed content (S32).

[0086] Next, the main server 10 determines whether the heading registration button B8 has been designated (S33). If the heading registration button B8 has not been designated (S33: NO), the process proceeds to step S37 shown in FIG.

[0087] On the other hand, if the heading registration button B8 is selected (S33: YES), the display control unit 11 displays a heading registration screen as shown in FIG. 9 (S34). Next, the main server 10 determines whether the input button B10 is selected on the heading registration screen and the operation of the heading registration screen is completed (S35). If the operation of the heading registration screen is not completed (S35: NO), the process proceeds to step S34. If the operation of the confirmation item input screen is completed (S35: YES), the display control unit 11 closes the heading registration screen. Furthermore, the display control unit 11 reflects the content of the click operation, etc. on the heading registration screen as the registration content in the first display area A1 shown in FIG. 5 (S36).

[0088] Next, the main server 10 determines whether the confirmation operation unit O4 has been clicked (FIG. 20: S37). If the confirmation operation unit O4 has not been clicked (S37: NO), the process proceeds to step S39. If the confirmation operation unit O4 has been clicked (S37: YES), the third display control unit 11c, as described with reference to FIG. 13, reflects the content of medication instruction to be given this time, which has been determined by the determination unit 13, in the current medication instruction display area A31 shown in FIG. 5 as content that has been executed (S38).

[0089] Thereafter, the main server 10 determines whether the save button B20 has been designated (S39). If the save button B20 has not been designated (S39: NO), the process proceeds to step S17 shown in FIG.

[0090] If the save button B20 is selected (S39: YES), the main server 10 determines whether any content has not been entered in the prescription audit, medication instructions, and confirmation items (S40). If any content has not been entered (S40: YES), the display control unit 11 pops up a warning screen as shown in Fig. 15 (S41).

[0091] Next, the main server 10 determines whether the transition button B21 has been operated (S42). If the transition button B21 has not been operated (S42: NO), this process is repeated until the transition button B21 is operated.

[0092] On the other hand, if the transition button B21 is operated (S42: YES), the display control unit 11 displays a post-transition screen (such as a doubt inquiry screen, prescription audit screen, or instruction support screen) for resolving the non-input state (S43). Next, the main server 10 determines whether the operation for resolving the non-input state on the transition screen has been completed (S44). If the operation has not been completed (S44: NO), the process proceeds to step S43. If the operation for resolving the non-input state has been completed (S44: YES), the display control unit 11 terminates the transition screen. Furthermore, the display control unit 11 reflects the content entered on the transition screen (S45). Then, the process proceeds to step S40.

[0093] On the other hand, if there is no uninputted content (S40: NO), the main server 10 determines whether the content of the previous medication instruction matches the content of the current medication instruction (Fig. 21: S46). If the content of the medication instruction matches (S46: YES), the display control unit 11 pops up a warning screen as shown in Fig. 16 (S47). Thereafter, the main server 10 determines whether the back button B23 has been selected (S48).

[0094] If it is determined that the back button B23 has not been designated (S48: 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 (S48: YES), the process proceeds to step S17 shown in FIG.

[0095] However, if the contents of the medication instruction do not match (S46: NO), the storage unit 12 stores the input contents (S49), and then the processing shown in Figs. 17 to 21 ends.

[0096] In this way, with the electronic medication history system 1 and its control method according to this embodiment, the pharmacist can click the operation units O1 to O4 to display, control, and store the confirmation details for the patient in the prescription audit and the medication instructions to be given to the patient as completed details. Because the confirmation details can be marked as completed by clicking the operation units O1 to O4, this operation is possible even while confirmations or medication instructions in the prescription audit are being performed, and even after they have been performed, the fact that the details have been completed can be recorded relatively smoothly without taking time. This makes it easier to record medication instructions and prescription audit details.

[0097] Furthermore, when the medication instruction to be given this time is determined based on the content of the previous medication instruction, the confirmation operation section O4 is displayed in the past medication instruction display area A22, which displays the content of the previous medication instruction, so the pharmacist can click the confirmation operation section O4 while referring to the previous content. That is, if the confirmation operation section O4 were displayed in the current medication instruction display area A31, it is possible that the pharmacist might click the confirmation operation section O4 without understanding the previous content, but by displaying the confirmation operation section O4 in the past medication instruction display area A22, it is possible to prompt the pharmacist to confirm whether the content of the medication instruction corresponding to the previous content has been entered as the content of the current medication instruction, which not only reduces mistakes when entering information but also allows visual confirmation at the same time.

[0098] In addition, the medication instruction items to be given based on the prescription data and the patient's age are displayed in the current medication instruction display area A31, so it is only necessary to write down the details of the medication instruction given in the displayed items, thereby reducing the possibility of forgetting to write down medication instructions given based on the current prescription contents and the patient's age.

[0099] Furthermore, when the prescription drug amount based on the prescription data read for an infant does not exceed the dosage based on the patient's weight that was previously entered, a message indicating that there is no problem with the dosage is displayed in the infant item I1'. This automatically enters the message that there is no problem with the dosage, which can be confirmed by numerical processing, eliminating the need for the pharmacist to perform calculations based on the adult dosage and the infant's weight, and contributing to the creation of a medication history that prevents errors due to calculation errors, etc.

[0100] 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.

[0101] 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.

[0102] 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.

[0103] Furthermore, the electronic medical history system 1 of this embodiment allows both the confirmation content to be given to the patient during prescription audits and the content of medication instructions to be given to the patient to be entered by clicking, but this is not limited to this, and it may be possible to enter only one of them by clicking.

[0104] 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.

[0105] 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.

[0106] 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.

[0107] 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]

[0108] 1: Electronic medical history system 10: Main server 11: Display control section 11a: First display control unit 11b: Second display control unit 11c: Third display control unit 11d: Fourth display control unit 11e: Fifth display control unit 11f: 6th display control unit 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 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: Question inquiry button B17: Concomitant medication input button B18: Designated button B19: Input button B20: Save button B21: Transition button B22: Do 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~N5: description section O1~O4: Operation section O1: 1st operation section O2: 2nd operation section O3, O4: Confirmation operation section P:Specified part

Claims

1. a first display control unit that displays to an operator the contents of medication instructions to be given to the patient; a second display control unit that displays an operation unit corresponding to the content of the medication instruction and that can be clicked by an operator; a third display control unit that, when displaying a current display field having items of medication instruction to be given to the patient and entry fields for entering details of medication instruction that have been given in response to the items, displays the entry fields blank, and when the operation unit displayed by the second display control unit is clicked, controls display so that the details corresponding to the operation unit are entered in the blank fields as details that have been given; a storage unit that stores the description content that has been executed by the third display control unit; a determination unit that determines the items of medication instruction to be given to the patient based on the read prescription data and the patient's age; An electronic medical history system comprising:

2. Further comprising a fourth display control unit that displays a previous display field in which the contents of the previous medication instruction are described; The determination unit further determines the content of medication instruction to be given to the patient this time based on the content of the previous medication instruction, the second display control unit displays the operation unit in the previous display field; The third display control unit displays the current display field on the same screen as the previous display field, and when the operation unit is clicked, displays the medication instruction content determined by the determination unit in the current display field as an executed content. The electronic medical history system according to claim 1 .

3. Displaying a save button for performing a click operation to store the medication instruction information displayed in the current display field in the storage unit, and a fifth display control unit that, when the medication instruction information currently displayed in the display field is stored in the storage unit by a click operation on the save button, if the medication instruction information currently displayed in the display field is the same as the previous medication instruction information stored in the storage unit, displays a message indicating that the medication instruction information is the same as the previous medication instruction information by superimposing it on an image on which the save button is displayed. The electronic medical history system according to claim 2 .

4. When the determination unit determines that the item of medication instruction to be given to the patient this time is an item related to infants, if the dosage of the prescribed drug according to the read prescription data does not exceed the dosage based on the patient's weight that has been input in advance, the sixth display control unit further includes: The electronic medical history system according to claim 3 .

5. a first display control step of displaying to an operator the contents of medication instructions to be given to the patient; a second display control step of displaying an operation unit corresponding to the content of the medication instruction and capable of being clicked by an operator; a third display control step of displaying a current display field having items of medication instruction to be given to the patient and fields for writing details of medication instruction that have been given in response to the items, by displaying the fields as blank, and when the operation unit displayed in the second display control step is clicked, by performing display control such that details corresponding to the operation unit are written in the blank fields as details that have been given; a storage step of storing the description content that has been executed in the third display control step; a determining step of determining the items of medication instruction to be given to the patient based on the read prescription data and the patient's age; A computer-implemented method for controlling an electronic medication history system, comprising:

6. a first display control step of displaying to an operator the contents of medication instructions to be given to the patient; a second display control step of displaying an operation unit corresponding to the content of the medication instruction and capable of being clicked by an operator; a third display control step of displaying a current display field having items of medication instruction to be given to the patient and fields for writing details of medication instruction that have been given in response to the items, by displaying the fields as blank, and when the operation unit displayed in the second display control step is clicked, by performing display control such that details corresponding to the operation unit are written in the blank fields as details that have been given; a storage step of storing the description content that has been executed in the third display control step; a determining step of determining the items of medication instruction to be given to the patient based on the read prescription data and the patient's age; An electronic medical history program that causes a computer to execute the above.

7. A computer-readable recording medium having recorded thereon the electronic medical history program described in claim 6.

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