JP2006288473A - Medicine notebook system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medicine notebook system which eliminates the troublesomeness of managing a medicine notebook for a patient and enables a pharmacist to give an appropriate advice based on medication history information to the patient. <P>SOLUTION: In a data base, a storage area for patient data including patient identification information and the attribute information of the patient and a storage area for prescription data are secured. The prescription data are stored corresponding to the patient data of the patient to whom a prescription specified by the prescription data is given. A controller receives the patient identification information and the prescription data of medicines prescribed to the patient from a pharmacy information terminal arranged in each pharmacy. In the case that the patient identified by the received patient identification information is already registered in the data base, the received prescription data are stored corresponding to the patient data. In the case that the patient is not registered in the data base, the patient data of the patient are added to the data base and also the received prescription data are stored corresponding to the added patient data. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a medicine notebook system, and more particularly to a medicine notebook system having a database storing a medicine prescription history of a patient.

  As the division of medicine progresses, the role of insurance pharmacies is beginning to change. Insurance pharmacies are required to understand the side effects of drugs prescribed to patients and interactions between drugs, and to notify doctors in advance of any serious side effects that may occur in patients. It is done. Conventionally, each pharmacy has distributed medicine notebooks that describe medicines prescribed to patients. The pharmacist can know the drug history information of the patient by looking at the medicine notebook brought by the patient. For example, Patent Document 1 below describes that a medicine notebook is distributed to patients.

JP 2003-180798 A

  When a medicine notebook is issued for each pharmacy, the patient must manage a plurality of medicine notebooks and bring these medicine notebooks to the pharmacy. If the patient does not bring a medicine notebook, the pharmacist cannot give appropriate advice based on the drug history information.

  An object of the present invention is to provide a medicine notebook system that eliminates the troublesomeness of a patient managing a medicine notebook and enables a pharmacist to give appropriate advice based on drug history information to the patient. It is.

  According to one aspect of the present invention, a storage area in which patient data including patient identification information for identifying a patient and patient attribute information is stored, and a storage area in which prescription data of a medicine prescribed to the patient is stored. From the main database storing the prescription data in association with the patient data of the patient for whom the prescription specified by the prescription data is made, from the pharmacy information terminal arranged for each pharmacy, the patient identification information, If the patient identified by the received patient identification information is already registered in the main database, the received prescription data is stored in the patient's prescription data. When the patient identified in the received patient identification information is stored in association with the patient data and is not registered in the main database, the main database While adding patient data's the received prescription data, medication notebook system having a control unit for storing in association with additional patient data is provided.

  Prescription data prescribed by a plurality of pharmacies is stored in one main database. Thereby, prescription data, such as a patient's medicine history, can be shared in a plurality of pharmacies. As a result, a certain pharmacy can determine the presence or absence of side effects in consideration of drugs prescribed in other pharmacies, and can give appropriate advice to patients.

  In FIG. 1, the schematic of the medicine notebook system by an Example is shown. The center 20 of the medicine notebook system includes a control device 21, a display device 22, an input device 23, a main database 24, and the like. A control device 21 is connected to a telecommunication line 10 such as the Internet. The control device 21 controls the main database 24.

  Pharmacy information terminals 2A to 2D and receipt computers 3A to 3D are arranged in insurance pharmacies 1A to 1D, respectively. The pharmacy information terminals 2 </ b> A to 2 </ b> D are connected to the telecommunication line 10 and can transmit and receive various information to and from the control device 21 of the center 20. A patient terminal 7 such as a personal computer or a mobile phone is connected to the telecommunication line 10 and can transmit and receive various information to and from the control device 21 of the center 20.

  The pharmacy information terminal and the receipt computer are connected to each other, and patient identification information such as name and date of birth and prescription data relating to the prescribed medicine are transferred from the receipt computer to the pharmacy information terminal.

  FIG. 2 shows the configuration of the main database 24. The main database 24 has a storage area for storing patient data and a storage area for storing prescription data. The patient data includes patient identification information for identifying a patient and patient attributes, and is prepared for each patient. The prescription data includes information about the prescribed medicine and is prepared for each prescription. Each prescription data is associated with the patient data of the patient for whom the prescription has been made. In FIG. 2, for example, prescription data 1 and prescription data 2 are associated with patient data A, prescription data 3, prescription data 4 and prescription data 5 are associated with patient data B, and prescription data is associated with patient data C. 6 and prescription data 7 are associated with each other.

  FIG. 3 shows the structure of patient data. The patient data includes patient identification information for identifying a patient and patient attribute information including patient attributes. The patient identification information includes, for example, a patient code, a patient's name, and a patient's date of birth. The patient attribute information includes, for example, an address, a telephone number, an insurance card number, an information protection level, a password, patient terminal information, second terminal information, and a dosage instruction necessity type. The patient terminal information is configured by information for specifying an information terminal owned by the patient, for example, a mobile phone number, a mail address, or the like. The second terminal information is configured by information for specifying an information terminal other than the information terminal owned by the patient, for example, a telephone number of a mobile phone owned by a family member, an e-mail address, or the like. The dosage instruction necessity type is information for identifying whether or not it is necessary to send a message instructing the medicine to the information terminal owned by the patient. “Dosing instruction necessary” and “Dosing instruction unnecessary” "Is set.

  The information protection level is a criterion for determining whether or not a password is required when transmitting personal information of a patient to a pharmacy terminal. As the information protection level, either “password required” or “password not required” is set. When “password required” is set, the password registered in the patient data is valid.

  FIG. 4 shows the configuration of prescription data. The prescription data includes information about the date the drug was prescribed, the clinic and doctor that prescribed the drug, the pharmacy and pharmacist that prescribed the drug, and the prescribed drug. The information on the medicine is prepared for each prescribed medicine and includes the kind of medicine, the prescription amount, the date and time of taking information, and the taking status information.

  FIG. 5 shows the configuration of the taking date information and the taking situation information. In the medication date / time information, a plurality of dates / times when the medicine should be taken are set. The taking status information stores the taking status of the date and time for each taking date and time. In the taking status, either “taken” or “not taken” is set.

  With reference to FIGS. 1-4, the basic usage method of a medicine notebook system is demonstrated. For example, when a drug is prescribed to a patient A at the pharmacy 1A, the patient identification information and the control information 21 of the center 20 are transferred from the pharmacy information terminal 2A arranged at the pharmacy 1A via the telecommunication line 10. A command containing prescription data is sent. When the patient A specified by the received patient identification information is not registered in the main database 24, the control device 21 creates the patient data A of the patient A and stores the received prescription data in the main database 24. At the same time, the prescription data is associated with the patient data A.

  If patient attributes are included in the command received from the pharmacy, those attributes are registered in the patient data A.

  Furthermore, the information protection level of patient data A is set. The information protection level is set to “password not required”, for example, unless there is a setting instruction. When a command for setting the information protection level to “password required” is received, the information protection level is set to “password required”. This command includes a password, and this password is registered in the patient data A.

  When the patient data A of the patient A specified by the received patient identification information is already registered in the main database 24, the received prescription data is stored in the main database 24, and the prescription data is already registered. Is associated with patient data A.

  With reference to FIG. 6, the method by which each pharmacy reads the prescription data of the patient A will be described. A case will be described in which patient A brings a prescription to pharmacy 1A and requests prescription of a medicine. The name, insurance card number, type of prescribed medicine, prescription amount, etc. of patient A are input to the receipt computer 3A of the pharmacy 1A.

  The pharmacy information terminal 2A transmits a command for requesting transfer of prescription data of the patient A to the control device 21 of the center 20. The control device 21 receives this command (step SA1). The prescription data transfer request command includes at least the patient identification information of the patient A, the insurance card number, and the password when the information protection level of the patient A is “password required”.

  When receiving the prescription data transfer request command, the control device 21 compares the insurance card number of the patient A registered in the main database 24 with the insurance card number included in the command (step SA2). If they match, the information protection level of patient A registered in the main database 24 is confirmed (step SA3). If the information protection level is “password required”, the password of patient A registered in the main database 24 is compared with the password included in the command (step SA4). When both match, the prescription data of the patient A stored in the main database 24 is transmitted to the pharmacy information terminal 2A of the pharmacy 1A.

  When the information protection level of the patient A is “password not required”, the process proceeds from step SA3 to step SA5, and the prescription data of the patient A stored in the main database 24 is transmitted to the pharmacy information terminal 2A of the pharmacy 1A. .

  If the insurance card number registered in the main database 24 does not match the insurance card number included in the command in step SA2, and if the password does not match in step SA4, the pharmacy information of the pharmacy 1A Error information is transmitted to the terminal 2A (step SA6).

  By transferring the prescription data of the patient A from the main database 24 to the pharmacy information terminal 2A of the pharmacy 1A, the pharmacist of the pharmacy 1A can take a medication history of drugs prescribed in other pharmacies registered in the main database 24. Can know. This makes it possible to determine the presence or absence of side effects and give appropriate advice to the patient.

  If the information protection level is set to “password required”, prescription data of the patient can be received only when a password that only the patient knows is input. Thereby, a patient's personal information leakage can be prevented. Conversely, if the patient's consent is obtained and the information protection level of the patient is set to “password not required”, the prescription data of the patient can be retrieved without the patient entering the password. . Also in this case, since the validity of the insurance card number is confirmed, unlimited leakage of personal information is prevented. The patient can select either “password required” or “password not required” according to his / her will.

  Next, with reference to FIG. 7, a process when the patient's name is changed will be described. A case will be described in which the name of the patient A is changed due to marriage or the like, and then a drug is prescribed at the pharmacy 1A. When the drug is prescribed at the pharmacy 1A, the pharmacy information terminal 2A of the pharmacy 1A notifies the control device 21 of the center 20 that the name has been changed. This notification message includes information such as the old name, old insurance card number, new name, new insurance card number, date of birth, and new address.

  When the control device 21 receives the message notifying the change of the name, it creates new patient data of the new name and associates the patient data of the old name with the patient data of the new name.

  A case where a prescription data transfer request command specifying a patient A with a new name is received from a pharmacy 1B different from the pharmacy 1A that has accepted the name change will be described. The controller 21 not only stores prescription data associated with the patient data corresponding to the new name, but also prescription data associated with the patient data of the old name associated with the patient data of the new name. It transmits to the pharmacy information terminal 2B. Thereby, in the pharmacy 1B, the history of the medicine prescribed at the time of the old name can be acquired only by inputting the new name.

  The control device 21 periodically associates the prescription data associated with the old name patient data with the new name patient data, for example, once a day or once a week. The patient data of the old name may be deleted. Thereafter, when a prescription data transfer request command specifying the patient A with the new name is received from the pharmacy 1B or the like, the prescription data associated with the patient data with the new name is transmitted to the pharmacy information terminal 2B such as the pharmacy 1B. . At this time, prescription data prescribed during the period of the old name is already associated with the patient data of the new name. Therefore, the history of medicines prescribed during the old name period is also transmitted to the pharmacy information terminal 2B of the pharmacy 1B.

  Even if the patient data of the old name is periodically deleted, the prescription data prescribed in the period of the old name is carried over to the patient data of the new name.

  Next, with reference to FIG. 8, a method for the patient himself to read his / her prescription data will be described. A prescription data transfer request command including the name of the patient A is transmitted from the information terminal owned by the patient A, such as a mobile phone, to the control device 21. The control device 21 accesses the main database 24 and determines whether or not the information terminal of the command transmission source matches the patient terminal information registered in the patient data of the patient A. The patient terminal information includes, for example, an e-mail address.

  When the information terminal of the command transmission source matches the patient terminal information registered in the patient A patient data, the prescription data of the patient A is transmitted to the information terminal. If they do not match, the prescription data is not transmitted. The password may be confirmed.

  Thereby, the patient A can know the history of the medicine prescribed for himself / herself and present it to the doctor or pharmacist at the clinic or pharmacy.

  Next, with reference to FIG. 9, the utilization method which can anticipate the effect which prevents the patient A forgetting taking medicine is demonstrated.

  When the taking date and time registered in the prescription data is reached, the control device 21 transmits a dosing instruction message to the information terminal specified by the patient terminal information of the patient data associated with the prescription data. The dosing instruction message is transmitted only to patients whose dosing instruction necessity type in the patient data is set to “dosing instruction required”.

  When the patient A who has received the dosing instruction message takes the instructed medicine, the patient A transmits a response message to the control device 21. When receiving the response message, the control device 21 sets the dose status corresponding to the corresponding dose date and time of the prescription data of the patient A to “taken”. Initially, all are set to “not taken”.

  If a response message is not received within a certain period of time, for example, within one hour, the patient A did not take the drug at the pharmacy information terminal of the pharmacy that prescribed the drug indicated by the dose instruction message. Send an ingestion notification message to let you know. The non-taking notification message is also transmitted to the information terminal specified by the second terminal information registered in the patient data of patient A. In the second information terminal, for example, an e-mail address such as a mobile phone owned by the family of the patient A is registered.

  Patient A can prevent forgetting to take the medicine by receiving the taking instruction message. The pharmacist at the pharmacy who prescribed the medicine and the family of patient A can know that patient A did not take the medicine on time. This makes it possible to take an appropriate response quickly.

  Next, with reference to FIG. 10, a description will be given of a method in which patient A makes a prescription reservation at a pharmacy. Patient A transmits a reservation message specifying the pharmacy and date / time to the control device 21 from his / her information terminal. When receiving the reservation message, the control device 21 transmits a reservation notification message including the patient name and date / time to the pharmacy information terminal of the corresponding pharmacy.

  The pharmacy that has received the reservation notification message can check the stock and prepare the medicine to be prescribed in advance. This makes it possible to shorten the waiting time of the patient at the pharmacy.

  Next, an inventory management method will be described. Inventory data for each pharmacy is stored in the main database 24. When the control device 21 receives from the pharmacy a message notifying that the medicine has been prescribed and a message notifying that the medicine has been delivered, the inventory data in the main database 24 is updated. Thereby, inventory data can always be matched with the latest inventory status. When a drug a is required for a certain pharmacy A, and the pharmacy A is not in stock, the pharmacy information terminal 2A of the pharmacy 1A transmits a command for inquiring the inventory status of the drug a to the control device 21.

  When the control device 21 receives this command, it extracts the pharmacy with the drug a in stock from the main database 24 and notifies the pharmacy information terminal 2A of the pharmacy 1A. Thereby, the pharmacist of the pharmacy 1A can procure the drug a from a nearby pharmacy in a short time.

  Although the present invention has been described with reference to the embodiments, the present invention is not limited thereto. It will be apparent to those skilled in the art that various modifications, improvements, combinations, and the like can be made.

It is the schematic of the medicine notebook system by an Example. It is a figure which shows the structure of a main database. It is a figure which shows the structure of patient data. It is a figure which shows the structure of prescription data. It is a figure which shows the structure of taking date information and taking status information. It is a flowchart which shows the procedure which transfers prescription data to a pharmacy. It is a figure which shows a process when a patient's name is changed. It is a figure which shows the procedure in which a patient himself reads his prescription data. It is a figure which shows the utilization method which can anticipate the effect which prevents a patient's medicine taking forgetting. It is a figure which shows the procedure in which a patient makes an appointment in a pharmacy.

Explanation of symbols

1A to 1D Pharmacy 2A to 2D Pharmacy Information Terminal 3A to 3D Receptacle Computer 7 Patient Information Terminal 10 Telecommunication Line 20 Center 21 Control Device 22 Display Device 23 Input Device 24 Main Database

Claims (11)

A storage area for storing patient data including patient identification information for identifying a patient and patient attribute information and a storage area for storing prescription data of a medicine prescribed to the patient are secured, and the prescription data is A main database that stores the patient data associated with the patient whose prescription is specified in the prescription data;
The patient identification information and the prescription data of the medicine prescribed for the patient are received from the pharmacy information terminal arranged for each pharmacy, and the patient identified by the received patient identification information is already registered in the main database. The received prescription data is stored in association with the patient data of the patient, and the patient identified by the received patient identification information is not registered in the main database. A medicine notebook system comprising: a controller that adds patient data of the patient to the main database and stores the received prescription data in association with the added patient data.   When the patient data includes the name of the patient and the name of the patient is changed, the control device receives the identification information before the name change and the identification information after the name change from one pharmacy. The medicine notebook system according to claim 1 or 2, wherein the patient data after the change is created and stored in the main database, and the patient data before the name change is associated with the patient data after the name change.   The said control apparatus updates the said main database regularly so that the prescription data matched with the patient data before a name change may be matched with the patient data after a name change. Medicine notebook system.   When the control device receives a prescription data transmission request including patient identification information from a pharmacy information terminal arranged for each pharmacy, the control device transmits prescription data associated with the patient data of the patient to the pharmacy information terminal. The medicine notebook system according to claim 1 or 2.   The patient data includes an insurance card number, a password, and an information protection level, and the information protection level is set to a protection level of “password required” or “password not required”, and the control device When the prescription data transmission request including the identification information of the patient with “password required” is received, only when the password included in the prescription data transmission request matches the password registered in the patient data of the patient When the data is transmitted to the pharmacy information terminal and the prescription data transmission request including the identification information of the patient of “password not required” is received, the insurance card number included in the prescription data transmission request and the patient data of the patient are registered. The medicine notebook system according to claim 4, wherein the prescription data is transmitted to the pharmacy information terminal only when the insurance card number that matches the insurance card number.   When receiving a prescription data transmission request specifying patient identification information from a patient information terminal owned by a patient, the control device transmits prescription data associated with the patient data of the patient to the patient information terminal. The medicine notebook system according to any one of claims 1 to 5.   The prescription data includes dosing date and time information that defines the date and time when the prescribed medicine should be taken, the patient data includes patient terminal information that identifies a patient information terminal owned by a patient, and the control device includes the control device 7. The medicine notebook system according to claim 6, wherein an instruction message for instructing to take a medicine is transmitted to a patient information terminal owned by a patient to be taken for each date and time to be taken based on the taking date and time information.   The dosing date / time information includes dosing status information for identifying whether it is “taken” or “not taken”, and until the instruction message is transmitted, the control device displays “ The medicine notebook system according to claim 7, wherein “not taken” is stored in association with each other, and when a response message to the instruction message is received, “medicine completed” is stored in association with the medicine and date / time corresponding to the instruction message.   If the control device does not receive a response message even after a lapse of a certain time after transmitting the instruction message, the control device notifies the pharmacy information terminal of the pharmacy that prescribes the drug corresponding to the instruction message of not taking The medicine notebook system according to claim 8, which transmits a message.   The patient data includes second terminal information for specifying a second information terminal in addition to a patient information terminal owned by the patient, and the control device transmits a certain time after transmitting the instruction message. If no response message is received, a request message for notifying the patient is transmitted to the second information terminal specified by the second terminal information included in the patient data of the patient who is the target of the instruction message. Item 10. A medicine notebook system according to item 8 or 9.   When the control device receives a reservation message for notifying the reservation of the prescription specifying the pharmacy and the date from the patient information terminal owned by the patient, the identification of the patient who transmitted the reservation message to the pharmacy information terminal of the specified pharmacy The medicine notebook system according to any one of claims 1 to 10, which transmits information and date and time.

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