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 control system for the electronic medication history system, an electronic medication history program, and a recording medium, with which it is possible to lighten a burden of pharmacist business.SOLUTION: The electronic medication history system comprises a main server 10 and a pharmacy-side terminal. The main server 10 includes: a determination unit 13 for determining the doubt inquiry to be made; a first display control unit 11a for displaying a registration screen for inputting information of a prediction result that is a result of a query preliminarily predicted for a query content regarding a specific doubt inquiry; a storage unit 12 for storing information of the prediction result having been inputted to the registration screen displayed by the first display control unit 11a, in association with information of the specific doubt inquiry; and a second display control unit 11b for displaying information of the prediction result that corresponds to the specific doubt inquiry, when the doubt inquiry determined by the determination unit 13 is the specific doubt inquiry stored by the storage unit 12.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, when a pharmacist at a dispensing pharmacy or the like has doubts about the contents of a prescription, the pharmacist needs to inquire with a doctor about the prescription. Therefore, a pharmacist work support system that supports pharmacists in making inquiries about prescriptions has been proposed (see, for example, Patent Document 1). This system displays drugs requiring special care that require inquiries about prescriptions and non-special care drugs that do not, in a manner that makes the display easy to understand for pharmacists, which can lead to a reduction in the burden on pharmacists. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Japanese Patent Application Publication No. 2019-21269 Summary of the Invention [Problem to be solved by the invention]

[0004] However, the system described in Patent Document 1 only displays drugs requiring caution in an easy-to-understand manner, and does not eliminate the need for pharmacists to make inquiries about doubts. Even if pharmacists use the system, the degree to which their workload is reduced is by no means significant.

[0005] 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 can further reduce the burden on pharmacists' work. [Means for solving the problem]

[0006] The electronic medical history system of the present invention is characterized by comprising: a judgment means for determining a query to be made based on prescription data relating to at least a patient's prescription; a first display control means for displaying a registration screen for inputting information on expected results, which are the query results predicted for the query content, for a specific query; a memory means for storing the information on expected results input into the registration screen displayed by the first display control means in association with the information on the specific query; and a second display control means for displaying information on the expected results corresponding to the specific query when the query determined by the judgment means is a specific query stored in the memory means.

[0007] In addition, the control method for the electronic medical history system of the present invention is characterized by comprising a judgment step of determining a questioned inquiry to be made based on at least prescription data regarding a patient's prescription, a first display control step of displaying a registration screen for inputting information on a predicted result, which is an inquiry result predicted for the inquiry content, for a specific questioned inquiry in advance, a storage step of storing the information on the predicted result input into the registration screen displayed in the first display control step in association with the information on the specific questioned inquiry, and a second display control step of displaying information on the predicted result corresponding to the specific questioned inquiry when the questioned inquiry determined in the judgment step is the specific questioned inquiry stored in the storage step.

[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, the burden of pharmacist work can be further reduced. [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] 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 post-login 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] 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 7] 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 8] 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 9] 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, showing a doubt inquiry screen. [Figure 10] 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 11] FIG. 3 is a diagram showing a display image displayed by the display control unit shown in FIG. 2, illustrating a registration screen. [Figure 12] This is a figure showing a display image displayed by the display control unit shown in Figure 2, and shows a doubt inquiry screen regarding a specific doubt inquiry when information on the specific doubt inquiry and information on the expected result are stored in correspondence with each other. [Figure 13] 1 is a first flowchart showing a control method for the electronic medical history system according to the present embodiment. [Figure 14] 10 is a second flowchart showing the control method of the electronic medical history system according to the present embodiment. [Figure 15] 10 is a third flowchart showing the control method of the electronic medical history system according to the present embodiment. [Figure 16] 10 is a fourth flowchart showing the control method of the electronic medical history system according to the present embodiment. [Figure 17] 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

[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 in the figure, the main server 10 and the pharmacy terminal 20 are connected to a receipt computer or a repeater that relays the connection to the receipt computer, and are configured to be able to read the patient's prescription data from these. Furthermore, the prescription data is not limited to the above, and may be provided to the electronic medication history system 1 by manually entering the data or by reading image data transmitted from a terminal held by the patient or equipment installed at the pharmacy.

[0014] 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 memory unit (memory means) 12, a determination unit (determination means) 13, and a creation unit (creation means) 14. 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 a first display control unit (first display control means) 11a and a second display control unit (second display control means) 11b.

[0015] 3 to 12 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 the post-login screen. When login is permitted, the display control unit 11 displays the post-login screen shown in FIG. 4. This post-login screen has a customer list display area DS1 and an other function display area DS2. The customer list display area DS1 displays data on patients and the like for whom prescription data has already been entered. The other function display area DS2 displays operation units O1 to O3 for performing operations such as registering question inquiry rules and dispensing rules, which will be described later, and creating information sheets.

[0019] To explain the visitor list display area DS1 in more detail, the visitor list display area DS1 displays the medication instruction input 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 input 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] In the visitor list display area DS1, this display content itself serves as a patient designation button B2, and when one of the multiple patient designation buttons B2 is selected, the display transitions to the patient's individual medication instruction 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] This time, the confirmation item button B3 is displayed in the confirmation item display area A32 (the confirmation item button B3 is also displayed at the top of the medication instruction screen). When the confirmation item button B3 is selected, the display control unit 11 displays the confirmation item input screen.

[0026] The confirmation item input screen shown in Figure 6 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 button B4 and input field 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 B4 or entering text in input field C5 and then selecting input button B5. Note that, although not shown in Figure 6, the confirmation items may include other content.

[0027] When the input button B5 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.

[0028] Furthermore, a heading registration button B6 is displayed in the first display area A1 shown in Fig. 5. When the heading registration button B6 is selected, the display control unit 11 displays a heading registration screen shown in Fig. 7.

[0029] As shown in Figure 7, the header registration screen displays a registration button B7 and an input field C6 for registering information on visits to other departments, concomitant medications, side effects, drug allergies, constitution, food allergies, etc., illnesses, and infant weight. Pharmacists can register header information by selecting the registration button B7 or entering text in the input field C6, and then selecting the input button B8. Although not shown in Figure 7, 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), and changes in the patient's physical condition while taking medication.

[0030] When the input button B8 is selected, the display control unit 11 updates the display content of the first display area A1 shown in FIG.

[0031] In addition, the pharmacist must perform a prescription audit before dispensing. The prescription audit involves making inquiries about possible drug interactions or contraindications due to allergies, checking for contraindications with lifestyle information, etc. The pharmacist must perform such important checks before dispensing. In this embodiment, the determination unit 13 determines what the pharmacist should check (inquiries about possible drug interactions or confirmation with the patient) based on the patient's prescription data, the contents of the registered header, etc., and the display control unit 11 supports the prescription audit by displaying the contents to be checked.

[0032] In this embodiment, if the prescription audit has not been performed (for example, immediately after the medication instruction screen, which is the initial screen for the patient, is first opened), the display control unit 11 pops up a prescription audit screen on the medication instruction screen. Fig. 8 shows the prescription audit screen. The prescription audit screen can also be popped up by selecting the prescription audit button B9 at the top of the medication instruction screen shown in Fig. 5.

[0033] More specifically, the display control unit 11 displays the check items determined by the determination unit 13 on the prescription audit screen shown in Fig. 8. Specifically, the display control unit 11 displays an item I1 for individually contraindicated drugs (product match) that are contraindicated for the patient himself / herself, and an item I2 for individually contraindicated drugs (ingredient match) that are contraindicated for the patient. Furthermore, the display control unit 11 displays an item I3 for excessive 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, on the prescription audit screen.

[0034] Furthermore, the display control unit 11 displays a confirmation operation section O4 for item I6. When the pharmacist confirms with the patient about the indication / contraindication item I6, the confirmation operation section O4 is clicked. When the confirmation operation section O4 is clicked, the display control unit 11 displays the displayed confirmation content as completed content in the current medication instruction display area A31 shown in FIG. 5.

[0035] In addition, the display control unit 11 displays a doubt inquiry button B10 for items I1 to I5. The pharmacist needs to confirm with the doctor (doubt inquiry) the contents that raise doubts, such as items I1 to I5. For this reason, when the doubt inquiry button B10 shown in FIG. 5 or FIG. 8 is selected, the display control unit 11 displays the doubt inquiry screen (input screen) shown in FIG. 9. FIG. 9 shows the doubt inquiry screen when the doubt inquiry button B10 regarding Loxonin Tablets 60 mg (specific medicine) in item I2 of FIG. 8 is selected, and a check has already been entered for Loxonin Tablets 60 mg (specific medicine). The prescription audit screen will be closed when the close button B11 is selected.

[0036] The doubt inquiry screen shown in Figure 9 allows the user to enter details of the inquiry made to the doctor. In particular, the inquiry inquiry screen requires the following input fields: the inquiry date and time field I7, the pharmacy staff member who made the inquiry field I8, the inquiry content field I9, and the inquiry result field (input field) I10. Since inquiries are often made relatively quickly, the date and time when the doubt inquiry screen was opened is pre-entered in the inquiry date and time field I7. In addition, the pharmacy staff member name based on the user ID entered in the user ID input field C1 on the login screen is pre-entered in the pharmacy staff member field I8.

[0037] Similarly, the reason why the judgment unit 13 has determined that the inquiry is the subject of a doubtful inquiry is entered in advance in item I9 of the inquiry content. In addition, item I9 displays classification buttons CLB to facilitate the classification and aggregation of doubtful inquiries later. These classification buttons CLB display eight categories, for example, "drug interactions," "dosage and administration," "number of prescription days," "method of administration," "treatment plan," "omission of prescription," "prescription error," and "prescription addition and deletion." The classification buttons CLB are in a state where buttons corresponding to the content that the judgment unit 13 has determined to be the subject of a doubtful inquiry are pre-designated.

[0038] Furthermore, when the doubt inquiry button B10 shown in Figure 5 is selected and the doubt inquiry screen is opened, no specific medicine is specified, the reason for the doubt inquiry is not entered in advance in the inquiry content item I9, and the classification button CLB is not specified either.

[0039] Inquiry result item I10 is entered with the actual result of the inquiry that the pharmacist actually made to the doctor or other person. Inquiry result item I10 displays result buttons RB along with text input. Seven result buttons RB are displayed: "Discontinue," "Adjust remaining medication days," "Change prescription days," "Contraindicated by disease," "Problem," "Doctor approved," and "Delete." In addition, inquiry result item I10 displays a check box CB that indicates whether or not a prescription change has occurred as a result of the inquiry. If a prescription change has occurred, the pharmacist or other person checks the check box CB.

[0040] When the input button (first operation unit) B12 is selected after the details of items I7 to I10 are entered, the display control unit 11 reflects the details of the inquiry (the reason for the inquiry, "Because there was an allergy to a drug of the same type," and the result of the inquiry, "Dr. approved") in the inquiry display area A33 of the medication instruction screen, as shown in Fig. 10. Note that the inquiry display area A33 in Fig. 10 also reflects the reason for the inquiry, "Because the dosage is exceeded," and the result of the inquiry, "Dose changed." On the other hand, when the cancel button (second operation unit) B13 is selected, the display control unit 11 re-displays, for example, the prescription audit screen shown in Fig. 8.

[0041] Furthermore, in this embodiment, the main server 10 has a function of classifying and aggregating the doubtful inquiries, and classifies and aggregates the doubtful inquiries based on the designated state of the classification button CLB and whether or not the check box CB is checked. In other words, the main server 10 classifies and aggregates the doubtful inquiries in 16 ways based on the eight classification buttons and whether or not the check box CB is checked.

[0042] Referring again to Figure 5, after the above-described operations related to the entry of various electronic medical histories have been performed, when the save button B20 on the medication instruction screen shown in Figure 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 information when each screen is closed or at predetermined time intervals.

[0043] Referring again to Figure 4, the other function display area DS2 displays a first registration operation section O1, a second registration operation section O2, and a creation operation section O3. The first registration operation section O1 is an operation section for displaying a registration screen for registering information on predicted results, which are the expected inquiry results for the inquiry content, for a specific inquiry in advance for a specific question. When the first registration operation section O1 is designated, the first display control section 11a displays the registration screen shown in Figure 11.

[0044] Fig. 11 shows an example of a registration screen that is displayed when the first registration operation unit O1 is operated. The registration screen shown in Fig. 11 is used to input the predicted query results that will be obtained when making a query to a doctor. This registration screen displays at least a search condition item SC, a query content item I11, a query result item I12, a registration button B14, and a cancel button B15.

[0045] The search condition item SC is configured to input information on the medical institution (one of the additional information), information on the medical department (one of the additional information), information on the doctor (one of the additional information), information on the drug, keyword information, upper limit value restriction information, information on the daily quantity, information on the pregnancy cycle, and information on the patient's age. The inquiry content item I11 is configured to input information similar to that of the inquiry content item I9 shown in Figure 9. The information input into these items SC and I11 becomes information for identifying the inquiry.

[0046] Furthermore, the inquiry result item I12 is input with the expected result obtained when an inquiry is made to a doctor. This expected result is input when, for example, a specific inquiry satisfies certain conditions and a change in medication is permitted, or when a prescription appears to be incorrect but is deemed to be acceptable by a specific doctor and issued accordingly. The expected result may also be the result of classifying and aggregating past inquiries and discussing them with medical institutions and doctors.

[0047] When this information is entered and other required fields are entered, and then the registration button B14 is selected, the memory unit 12 stores the information for identifying the inquiry (information on the specific inquiry) in association with the information on the predicted result.

[0048] Furthermore, the electronic medical history system 1 of this embodiment is configured to display information on the predicted result when information on a specific doubtful inquiry and information on the predicted result are stored in correspondence with each other, and when the doubtful inquiry that the judgment unit 13 determines should be made is the specific doubtful inquiry.

[0049] FIG. 12 shows a state in which information about a specific inquiry about a prescription and information about the expected result are stored in association with each other, and the inquiry about a specific prescription about a prescription is opened. As shown in FIG. 12, when the judgment unit 13 determines that an inquiry about a prescription should be made is a specific inquiry about a prescription, the second display control unit 11b displays information about the expected result in the inquiry result item I10 on the inquiry about a prescription about a prescription screen. As a result, the inquiry result on the inquiry about a prescription about a specific prescription is already entered for the specific inquiry about a prescription. Therefore, when the pharmacist opens the inquiry about a prescription screen, the pharmacist will know if there are circumstances in which it is acceptable to change the medication, or if a prescription has been issued after a specific doctor has determined that there is no problem, which will resolve the doubt and lead to the omission of the inquiry about the prescription.

[0050] Referring again to Figure 4, the second registration operation unit O2 is an operation unit for displaying a registration screen for inputting dispensing rules that have been determined in advance in the pharmacy or the like. When the second registration operation unit O2 is designated, a registration screen similar to the registration screen shown in Figure 11 is displayed. A pharmacist or the like can input various items into this registration screen and perform a registration operation to store the dispensing rules in the storage unit 12. A dispensing rule may, for example, change the dispensing of a certain drug to another drug with the same strength specification and dosage form, or change the dispensing of a specific drug to a generic drug.

[0051] When a prescription change is made based on the prescription rules, a message to that effect is displayed in the third display area A3, similar to the question inquiry display area A33 shown in FIG.

[0052] The creation operation unit O3 is an operation unit for creating an information statement for recording information about a patient to be provided to a doctor. This information statement contains information about the patient, prescription medications, concomitant medications, and medication status. When the creation operation unit O3 is specified, the creation unit 14 extracts information stored in the memory unit 12 and creates the information statement.

[0053] Furthermore, in this embodiment, if the judgment unit 13 determines that the inquiry is a specific inquiry stored in the memory unit 12 and the input button B12 is pressed while the predicted result information displayed in the inquiry result item I10 remains unchanged, the creation unit 14 records information to that effect in the written information. That is, even if the judgment unit 13 determines that the inquiry should be made, if the predicted result display resolves the inquiry and a prescription change is made, the content of the resolution is recorded in the written information. Specifically, the creation unit 14 may record statements such as, "Although the dosage is generally overdose, the prescription was continued as is, following the previous example," or "In accordance with the agreement with Dr. XX, the XX drug was changed to the XX drug." Such a description allows the pharmacist to inform the physician that the inquiry has been resolved at their discretion, preventing, for example, a prescription change from remaining unknown to the physician. Note that the content of the description is not limited to the above, as long as it indicates that the inquiry was omitted based on the predicted result.

[0054] In addition, if the preparation unit 14 performs preparation that differs from the prescription contents in accordance with predetermined dispensing rules through the operation of the second registration operation unit O2, the preparation unit 14 also writes that fact in the information statement. This allows the doctor to be notified even if there is a change in dispensing according to the dispensing rules, and prevents the doctor from remaining unaware of such a change.

[0055] Next, a control method for the electronic medication history system 1 according to this embodiment will be described. Figures 13 to 17 are flowcharts showing the control method for the electronic medication history system 1 according to this embodiment.

[0056] First, as shown in Fig. 13, 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.

[0057] On the other hand, if prescription data is acquired (S1: YES), the judgment unit 13 judges the contents of the prescription audit, including inquiries about doubts, based on the contents of the prescription data, the contents of the header registration, and the patient's age data, etc. (S2).

[0058] Thereafter, the process shown in Fig. 13 ends. The process shown in Fig. 13 is continuously executed until the main server 10 is shut down.

[0059] 14 to 17 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. 14 (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.

[0060] 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 post-login screen shown in FIG. 4 (S13).

[0061] Next, the main server 10 determines whether any of the patient designation buttons B2 has been designated (S14). If the patient designation button B2 has not been designated (S14: NO), the main server 10 determines whether the first or second registration operation unit O1, O2 has been designated (S15).

[0062] If the first or second registration operation unit O1, O2 is selected (S15: YES), the first display control unit 11a displays a registration screen for registering the inquiry rule or dispensing rule (S16). Next, the main server 10 determines whether the required items have been entered and the registration button B14 has been operated (S17). If the required items have been entered and the registration button B14 has not been operated (S17: NO), the process proceeds to step S16.

[0063] If the required fields are entered and the registration button B14 is operated (S17: YES), the memory unit 12 stores the question inquiry rule or dispensing rule (S18). In particular, for the question inquiry rule, information on a specific question inquiry and information on the expected result are stored in association with each other. Thereafter, the process proceeds to step S14.

[0064] If the first or second registration operation unit O1, O2 is not designated (S15: NO), the main server 10 determines whether the creation operation unit O3 is designated (S19). If the creation operation unit O3 is not designated (S19: NO), the process proceeds to step S14.

[0065] If the creation operation unit O3 is selected (S19: YES), the creation unit 14 creates an information statement (S20). The information statement may be created and output as a paper document or may be created digitally. Thereafter, the process proceeds to step S14.

[0066] Incidentally, when any of the patient designation buttons B2 is designated (S14: YES), the main server 10 generates a medication instruction screen as shown in FIG. 5 (FIG. 15: S21) and displays it (S22).

[0067] Thereafter, the main server 10 determines whether there is any content that has not been input in the prescription inspection (S23). If there is no content that has not been input (S23: NO), the process proceeds to step S31.

[0068] On the other hand, if there is any content that has not been entered in the prescription inspection (S23: YES), the display control unit 11 pops up a prescription inspection screen as shown in FIG. 8 on the medication instruction screen (S24).

[0069] Next, the main server 10 determines whether the question inquiry button B10 has been selected (S25). If the question inquiry button B10 has not been selected (S25: NO), this process is repeated until it is determined that the question inquiry button B10 has been selected.

[0070] On the other hand, if the inquiry button B10 is selected (S25: YES), the main server 10 determines whether it is a specific inquiry (S26). If it is a specific inquiry (S26: YES), the second display control unit 11b displays the inquiry screen in which information on the expected result is entered in the inquiry result item I10 as shown in Figure 11 (S27).

[0071] The main server 10 then determines whether the input button B12 was selected without changing the content of the inquiry screen (S28). If the input button B12 was selected without changing the content (S28: YES), the memory unit 12 stores the fact that an inquiry was not made as a note in the information statement (S29). Then, the process proceeds to step S31.

[0072] If the input button B12 has been designated after a content change or if the input button B12 has not been designated (S28: NO), the main server 10 determines whether the input button B12 has been designated after a content change (S30). If the input button B12 has been designated after a content change (S30: YES), the process proceeds to step S31. If the input button B12 has not been designated (S30: NO), the process proceeds to step S28.

[0073] Meanwhile, if the inquiry is not a specific inquiry (S26: NO), the display control unit 11 displays the inquiry screen in which the expected result information is not entered in the inquiry result item I10 as shown in FIG. 9 (FIG. 16: S32). Thereafter, the main server 10 determines whether the required information has been entered and the input button B12 has been selected (S33). If the required information has not been entered or the input button B12 has not been selected (S33: NO), this process is repeated until it is determined that the required information has been entered and the input button B12 has been selected. If the required information has been entered and the input button B12 has been selected (S33: YES), the process proceeds to step S31 in FIG. 15.

[0074] 15, the main server 10 determines whether the save button B20 has been designated (S31). If the save button B20 has not been designated (S31: NO), the process proceeds to step S22.

[0075] On the other hand, if the Save button B20 is selected (S31: YES), the main server 10 determines whether or not a prescription change has been made based on the prescription rules (FIG. 17: S34). If no prescription change has been made based on the prescription rules (S34: NO), the processing shown in FIGS. 14 to 17 ends. On the other hand, if a prescription change has been made based on the prescription rules (S34: YES), the storage unit 12 stores the fact that the prescription has been changed in accordance with the prescription rules as an item to be written in the information statement (S35). Thereafter, the processing shown in FIGS. 14 to 17 ends.

[0076] In this way, the electronic medication history system 1 and its control method according to this embodiment store information on predicted results, which are the expected results of inquiries regarding specific medication inquiries. For example, if a specific condition is met, it is acceptable to change the medication for a specific medication inquiry, or if a prescription appears to be incorrect but is issued based on the judgment of a specific doctor that it is acceptable, the system can store information on predicted results that reflect such circumstances. If a specific medication inquiry is determined to be necessary, the system displays information on predicted results corresponding to the specific medication inquiry. Therefore, if a pharmacist encounters a predicted result that reflects the above circumstances, the question may be resolved at that point, allowing the pharmacist to skip the medication inquiry. This allows the omission of medication inquiries, further reducing the burden on pharmacists.

[0077] Furthermore, on the registration screen, at least one of the medical institution, department, and doctor can be registered as additional information, and the additional information is stored as one of the conditions for a specific inquiry about a doubt. For example, a specific medical institution, department, and doctor may frequently issue prescriptions for an excessive dosage, judging that this is not a problem. Therefore, by storing at least one of the additional information of the medical institution, department, and doctor as one of the conditions for a specific inquiry about a doubt, it is possible to store a more appropriate predicted result according to the specific medical institution, department, and doctor.

[0078] The doubt inquiry screen also has an inquiry result field I10 for inputting the actual results, which are the results of an inquiry that were actually obtained through an inquiry. Since the inquiry result field I10 on the doubt inquiry screen for a specific doubt inquiry displays information about the expected results, the doubt inquiry screen, which is used when entering actual results and storing them in the system, can be used to display the expected results. The doubt inquiry screen also has an input button B12 for storing the contents of the inquiry result field I10 and a cancel button B13 for refusing to store the contents of the inquiry result field I10, allowing the pharmacist to choose whether to store the expected results displayed in the inquiry result field I10 as the result of the current doubt inquiry or to refuse to do so. This allows the pharmacist to appropriately determine whether the display of the expected results information has resolved the doubt, reducing the possibility of a doubt inquiry being discontinued even if the doubt has not been resolved by the display of the expected results information.

[0079] Furthermore, if the information on the expected result is displayed in the inquiry result item I10 for a specific inquiry regarding doubts and the input button B12 is operated as is, this will be recorded in the information sheet, allowing the pharmacist to inform the doctor that the doubt has been resolved at their discretion, preventing the doctor from remaining unaware of changes in prescription, for example.

[0080] Furthermore, if there is a change in prescription according to predetermined prescription rules within the pharmacy, the doctor can be notified, which prevents the doctor from being unaware of any changes in prescription.

[0081] 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.

[0082] 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.

[0083] 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.

[0084] 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.

[0085] 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.

[0086] 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]

[0087] 1: Electronic medical history system 10: Main server 11: Display control section 11a: First display control unit (first display control means) 11b: Second display control unit (second display control means) 12: Storage unit (storage means) 13: Judgment part (judgment means) 14: Creation unit (creation means) 20: Pharmacy terminal B9: Prescription audit button B10: Question inquiry button B12: Input button (first operation section) B13: Cancel button (second operation section) B14: Registration button B15: Cancel button CB: Checkbox CLB: Classification button DS1: Visitor list display area DS2: Other function display area I9: Inquiry details I10: Query result items (input area) I11: Inquiry details I12: Query result items O1: First registration operation section O2: Second registration operation section O3: Creation operation section O4: Confirmation operation section SC: Search criteria item

Claims

1. A determination means for determining whether a query should be made based on prescription data relating to at least the patient's prescription; a first display control means for displaying a registration screen for inputting information on predicted results of a specific inquiry in advance, the predicted results being predicted for the inquiry content; a storage means for storing information on the predicted result input on the registration screen displayed by the first display control means in association with information on a specific inquiry; a second display control means for displaying information on a predicted result corresponding to the specific inquiry when the inquiry determined by the determination means is the specific inquiry stored in the storage means; An electronic medical history system comprising:

2. the first display control means is configured to further register at least one of a medical institution, a medical department, and a doctor as additional information on the registration screen; The storage means stores the additional information as one of the conditions for a specific inquiry. The electronic medical history system according to claim 1 .

3. The second display control means is capable of displaying an input screen having an input area for inputting an actual result, which is an inquiry result actually obtained by an inquiry regarding a doubtful inquiry, a first operation unit for storing the content of the input area, and a second operation unit for refusing to store the content of the input area, and displays information on a predicted result in the input area on the input screen regarding a specific doubtful inquiry.

3. The electronic medical history system according to claim 1 or 2.

4. The system further comprises a creating means for creating an information form for describing information about the patient to be provided to a doctor, When the inquiry judged by the judgment means is a specific inquiry stored in the storage means and the first operation unit is operated without changing the information of the predicted result displayed in the input area, the creation means writes that fact in the information statement. The electronic medical history system according to claim 3 .

5. When a prescription is prepared according to a predetermined prescription rule, the preparation means writes a note to that effect on the information sheet. The electronic medical history system according to claim 4.

6. a determining step of determining whether a medical inquiry should be made based on at least prescription data relating to the patient's prescription; a first display control step of displaying a registration screen for inputting information on predicted results of a specific inquiry about a specific question; a storage step of storing the information on the predicted result input on the registration screen displayed in the first display control step in association with the information on a specific inquiry; a second display control step of displaying information on a predicted result corresponding to the specific questioned inquiry when the questioned inquiry determined in the determination step is the specific questioned inquiry stored in the storage step; A computer-implemented method for controlling an electronic medication history system, comprising:

7. a determining step of determining whether a medical inquiry should be made based on at least prescription data relating to the patient's prescription; a first display control step of displaying a registration screen for inputting information on predicted results of a specific inquiry about a specific question; a storage step of storing the information on the predicted result input on the registration screen displayed in the first display control step in association with the information on a specific inquiry; a second display control step of displaying information on a predicted result corresponding to the specific questioned inquiry when the questioned inquiry determined in the determination step is the specific questioned inquiry stored in the storage step; An electronic medical history program that causes a computer to execute the above.

8. A computer-readable recording medium on which the electronic medical history program according to claim 7 is recorded.

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