JP2014146251A - Information processing unit and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To make it possible to obtain more accurate information about medication.SOLUTION: An extraction part extracts information about a preparation date of medicine for each prescription and the number of medication days from information about medicine such as prescription reception information recorded on a recording part. For medicines of the same preparation date or of a plurality of prescriptions, a specifying part specifies whether any of the following conditions is satisfied: whether the number of medication days are different between corresponding medications; whether amounts are different between corresponding medications; and whether there are a plurality of medications dosed at the same timing. A medication date calculation part calculates the number of medication days of medicines based on the result of specification made by the specifying part. The present technique can be applied in an information processing unit.

Description

  The present technology relates to an information processing apparatus and method, and a program, and more particularly, to an information processing apparatus and method, and a program capable of obtaining more reliable information about medication.

  Currently, prescriptions issued by doctors and medicine notebooks issued by pharmacies are operated on paper, but for the sake of convenience and efficiency, electronically prescriptions and medicine notebooks are shared and managed. Construction of a mechanism is required.

  Therefore, a technique for realizing a safe prescription of a medicine by managing prescription information of each patient in a medicine prescription apparatus has been proposed (for example, see Patent Document 1). In this technology, when a user who is a patient accesses the drug prescription device, the drug prescription device selects prescription information satisfying the prescription determined by the doctor from the patient's prescription information and transmits it to the patient's portable terminal. .

  When the patient designates desired information from the prescription information displayed on the portable terminal, the prescription information is released to the dispensing pharmacy by the medicine prescription device. Thereafter, when the patient goes to the dispensing pharmacy and personal authentication is performed, the pharmacist of the dispensing pharmacy dispenses the drug based on the prescription information and delivers it to the patient.

JP 2004-029985 A

  By the way, when prescriptions and receipts are digitized, the prescription date and the number of prescription days of each prescription drug prescribed to the patient can be extracted from the drug history information such as the receipt. You can know the schedule. By using the medication schedule thus obtained, it becomes possible to prevent the repeated administration of the drug to the user who is a patient and the prescription of the drug that is contraindicated for swallowing.

  For example, when Da and Ma are extracted from electronic receipts, etc., as the prescription date and the number of prescription days of the prescription drug, the prescription drug was taken by the patient during the period from the prescription date Da to Da + Ma-1. become. In this case, it is assumed that the patient is taking the prescription drug every day from the prescription date. If the prescription drug is taken by the patient during the period from Da to Da + Ma-1, Detection or the like is performed.

  However, some medicines are divided into multiple prescriptions on the same dispensing day, such as those that gradually decrease or gradually increase the prescription amount.

  For example, as such pharmaceuticals, there are steroid agents that gradually decrease the dose such as Prednin (registered trademark), and central nervous agents that gradually increase the dose while observing a state like carbamazepine. These pharmaceuticals occupy a significant proportion of prescribed drugs and are becoming increasingly important in terms of combined contraindications and social high doses.

  Thus, when the same medicine (medicine) is divided into a plurality of prescriptions on the same dispensing day, more reliable information on the medication may not be obtained.

  In other words, the number of prescription days included in the medical history information such as the receipt indicates the number of days as the prescription quantity, that is, how many days the prescription amount is, so the prescription days are the period of the actual medication If the number of days (the number of days taken), hemorrhoids may occur.

  For example, as shown in FIG. 1, it is assumed that two types of drugs A and B are prescribed for 3 days. In FIG. 1, the hatched circle represents the drug A, and the non-hatched circle represents the drug B.

  In the example of FIG. 1, the correct administration method of the medicine A and the medicine B instructed by the doctor is shown on the left side in the figure, and the medicine A is taken in the morning, noon, and evening on the first day to the third day. The medicine B is taken in the morning and evening.

  In such a case, there are two ways of describing the receipt.

  First, as shown in the center of the figure as the first description method, prescription 1 for taking medicine A three times a day for 3 days and prescription 2 for taking medicine B twice a day for 3 days There is a method described separately. In the figure, in the center, a solid frame represents prescription 1, and a dotted frame represents prescription 2.

  In this case, for both prescription 1 and prescription 2, there is no particular problem even if the prescription days of drug A and drug B are used as they are as they are.

  On the other hand, as the second description method, as shown on the right side of the figure, prescription 1 in which drug A and drug B are each taken twice a day for 3 days, and drug A is taken for 3 days after lunch There is a method described separately in the prescription 2. In the drawing, the solid line frame represents the prescription 1 and the dotted line frame represents the prescription 2 on the right side.

  In this case, when calculating the number of days of medication A taken from prescription 1 and prescription 2, the correct number of days of medication may not be obtained. That is, the number of days for taking the drug A is actually 3 days, but if the 3 days that are the prescription days of the prescription 1 and the 3 days that are the prescription days of the prescription 2 are simply added together, the calculated drug A will take 6 days.

  The receipt is described by such a second description method because of the widespread use of the packaging device.

  Currently, pharmaceuticals that gradually decrease or gradually increase the dose are dealt with by adding special notes in individual receipts, but there are many cases where such special notes are not available. In addition, since the receipt itself is billing data in the first place, there is a possibility that the description content may deviate from the medication record depending on the insurance administration and how to assign points.

  For medical sites and conventional reception computers that require processing accuracy over time processing speed, the current description method may be used, but in collective processing such as receipt analysis, individual processing is performed for each prescription drug. This is not realistic from the viewpoint of increasing the amount of calculation. Moreover, the special notes are often lost in the collective processing at the time of receipt analysis.

  As described above, with the above-described technique, it has been difficult to obtain accurate information regarding the medication of a prescribed drug for a drug prescribed to a patient.

  This technique is made in view of such a situation, and makes it possible to obtain more reliable information on medication.

  The information processing apparatus according to an aspect of the present technology may be configured such that, based on information about a medicine prescribed by a user, the medicines having a plurality of prescriptions on the same dispensing day have different prescription days of the medicines in each prescription, A specific unit that specifies whether the prescription amount of the pharmaceutical in the prescription is different or there is a plurality of prescriptions in which the medicine is taken at the same timing, and the pharmaceutical satisfying the condition A medication days calculation unit that calculates the sum of the days of prescription for each of the prescriptions as the number of days of medication taken.

  The specifying unit may be configured to satisfy the condition when it is specified that the prescription amount of the drug is gradually decreasing or gradually increasing based on information on the drug.

  The specifying unit can specify whether the prescription amount of the drug is gradually decreasing or gradually increasing based on a calculation classification code included in the information on the drug.

  The identification unit can identify whether there are a plurality of prescriptions in which the medicine is taken at the same timing based on a usage code included in the information on the medicine.

  The specifying unit may be configured to satisfy the condition when the prescription days of the prescriptions of the medicines arranged in time series are gradually decreasing or increasing.

  In the medication days calculation unit, the date extracted from the additional information of the predetermined prescription of the pharmaceutical contained in the information about the pharmaceutical is obtained from the dispensing date and the prescription days of the prescription immediately before the predetermined prescription, When it is the day following the end date of taking the medicine for the immediately preceding prescription, the sum of the prescription days of each prescription of the medicine having a plurality of prescriptions on the same dispensing day can be calculated as the number of days of taking the medicine. .

  In the medication days calculation unit, when a predetermined character string relating to the gradual decrease or increase in the prescription amount of the pharmaceutical is detected from the information indicating the usage of the pharmaceutical, the pharmaceutical having a plurality of prescriptions on the same dispensing day The sum of the prescription days of each prescription can be calculated as the number of days of medication taken.

  In the information processing method or program according to one aspect of the present technology, based on information about a medicine prescribed to a user, whether the medicine having a plurality of prescriptions on the same dispensing day has different prescription days of the medicine in each prescription Identify whether the prescription amount of the pharmaceutical in each prescription is different, or there are a plurality of prescriptions with the prescription of the pharmaceutical at the same timing, and Calculating the sum of the prescription days of each prescription as the number of days of taking the medicine.

  In one aspect of the present technology, based on information about a medicine prescribed to a user, the medicine having a plurality of prescriptions on the same dispensing day may have different prescription days of the medicine in each prescription, It is specified whether the prescription amount of the medicine is different or there are a plurality of prescriptions with the medicine taken at the same timing, and the prescription days of each prescription of the medicine satisfying the condition Is calculated as the number of days of medication taken.

  According to one aspect of the present technology, more reliable information on medication can be obtained.

It is a figure explaining prescription of a pharmaceutical. It is a figure which shows the structural example of an information processing system. It is a figure which shows the structural example of a data center. It is a figure explaining a receipt. It is a flowchart explaining a medication days calculation process. It is a figure explaining a calculation division code. It is a figure which shows the prescription example of a pharmaceutical. It is a figure explaining the prescription example and comment of a pharmaceutical. It is a figure explaining a usage code. It is a figure which shows the structural example of a computer.

  Hereinafter, embodiments to which the present technology is applied will be described with reference to the drawings.

<First Embodiment>
<Configuration example of information processing system>
For example, this technology uses the prescription date or the number of prescriptions of a drug prescribed to a patient to perform a process such as double drug administration or detection of contraindications for a drug. It makes it possible to obtain more reliable information about taking.

  At present, information on prescription drugs, that is, information that can be easily obtained as drug history information, is not a medication calendar indicating a patient's medication schedule, but is invoice data such as a medical receipt or a dispensing receipt. These medical receipts and dispensing receipts include the prescription date and the number of prescription days of a prescription drug, and the prescription days here are the days as a prescription amount.

  However, as mentioned above, there are some drugs that are dispensed in multiple prescriptions on the same dispensing day, such as drugs that gradually decrease or gradually increase the prescription amount. You may have come.

  Therefore, in this technology, in order for the medication schedule to be consistent with the application using the drug history, etc., information related to the prescription drug is supplemented in cooperation with other data on the same prescription date, Make sure you can get reliable information. That is, it is possible to obtain a more certain number of days of medication.

  Next, specific embodiments to which the present technology is applied will be described.

  FIG. 2 is a diagram illustrating a configuration example of an embodiment of an information processing system to which the present technology is applied.

  The information processing system shown in FIG. 2 includes a portable terminal device 11, a pharmacy system 12, a hospital system 13, and a data center 14. The pharmacy system 12 to the data center 14 are wired or wireless networks such as the Internet. Are connected to each other via a communication network 15 consisting of

  The portable terminal device 11 includes a portable telephone held by the user, and communicates with the in-pharmacy system 12 through the data center 14 via a communication network or communication network 15 (not shown), and exchanges information as necessary. Do.

  The pharmacy system 12 is provided in a pharmacy where a user purchases a prescribed medicine, and is composed of one or a plurality of devices. The in-pharmacy system 12 communicates with the portable terminal device 11 to exchange necessary information with the portable terminal device 11 and to perform various processes according to input operations by a pharmacist or the like.

  The pharmacy system 12 includes personal / pharmaceutical history information including personal information of a user who is a patient, data related to drug history (hereinafter referred to as drug history data), a dispensing pharmacy ID that identifies the pharmacy system 12, and the like. In addition, dispensing receipt information and the like are recorded for each user.

  The drug history data of each user includes information on a drug dispensed for the user in a pharmacy or the like, information on a prescription of the drug, a drug history ID for specifying the drug history data, and the like. More specifically, for example, the drug history data includes information indicating a prescribed drug, information such as a drug prescription date, the number of prescription days, and a drug history ID.

  Also, the dispensing receipt information is an electronic receipt, and the dispensing receipt information includes information such as the name of the medicine prescribed to the user, the prescription date, the dispensing date, the number of prescription days, and the receipt ID that identifies the dispensing receipt information. It is included.

  The pharmacy system 12 generates and records personal / medicine history information and dispensing receipt information as necessary, or transmits the drug history data and dispensing receipt information included in the personal / medical history information to the data center 14. Or

  The in-hospital system 13 is provided in a hospital where a user who is a patient visits, and is composed of one or a plurality of devices. The in-hospital system 13 communicates with the portable terminal device 11 to exchange necessary information with the portable terminal device 11 and to perform various processes according to an input operation by a doctor or the like.

  The in-hospital system 13 includes personal information of a user who is a patient, data relating to a diagnosis (hereinafter referred to as diagnosis data), personal / examination information including a medical institution ID that identifies the in-hospital system 13, etc. Receipt information, DPC (Diagnosis Procedure Combination) receipt information, and the like are recorded for each user. For example, the diagnosis data is an electronic medical record.

  In addition, for example, in the medical receipt information and DPC receipt information that are electronic receipts, the name of the medicine prescribed to the user who is the patient, the prescription date of the medicine, the number of prescription days, the medical receipt information and DPC receipt information are specified Information such as a receipt ID is included.

  The in-hospital system 13 generates and records personal / diagnosis information, medical receipt information, and DPC receipt information as necessary, and stores medical data, medical receipt information, and DPC receipt information included in the personal / diagnosis information. Or transmitted to the data center 14.

  The data center 14 is composed of one or a plurality of devices. The data center 14 receives and records drug history data, medical examination data, dispensing receipt information, medical receipt information, DPC receipt information, and the like from the pharmacy system 12 and the hospital system 13, and records these data as required. Or transmitted to the pharmacy system 12, the hospital system 13, or the portable terminal device 11. That is, each information such as drug history data and medical examination data recorded in the data center 14 is shared by each pharmacy system 12, hospital system 13, and portable terminal device 11.

<Data center configuration example>
Next, a more detailed configuration of the data center 14 in FIG. 2 will be described. FIG. 3 is a diagram illustrating a more detailed configuration example of the data center 14.

  The data center 14 includes a communication unit 41, an input unit 42, a control unit 43, a recording unit 44, and a display unit 45.

  The communication unit 41 communicates with an external device such as the portable terminal device 11 to receive various data and supply the data to the control unit 43 or transmit data supplied from the control unit 43. The input unit 42 includes, for example, an input button and a touch panel, and supplies information input by the administrator of the data center 14 to the control unit 43.

  The control unit 43 controls the operation of the entire data center 14. The control unit 43 includes an extraction unit 51, a specification unit 52, and a medication days calculation unit 53.

  The extraction unit 51 extracts the drug name, prescription date, number of prescription days, and the like of the prescription drug prescribed to the patient from the information about the drug such as the dispensing receipt information recorded in the recording unit 44.

  The specifying unit 52 specifies whether each prescription drug satisfies a predetermined specific condition based on the extracted information such as the dispensing date of each prescription drug. Specifically, for example, for a prescription drug (medicine) having multiple prescriptions on the same dispensing day, the number of prescription days in each prescription is different, the prescription amount of the prescription drug in each prescription is different, or the prescription drug is It is specified whether any of a plurality of prescriptions to be taken at the same timing is satisfied.

  The medication days calculation unit 53 calculates the number of medication days of each prescription drug based on the identification result by the identification unit 52.

  The recording unit 44 records programs executed by the control unit 43 and various data, and supplies these data to the control unit 43 as necessary. For example, the recording unit 44 records user medication history information, dispensing receipt information, medical receipt information, DPC receipt information, and the like. The display unit 45 includes a liquid crystal display panel and the like, and displays various images based on data supplied from the control unit 43.

<Explanation of medication days calculation processing>
By the way, the data center 14 calculates the number of days for each prescription drug based on the information related to the prescription drug recorded in the recording unit 44. In the following, the dispensing receipt information is used as the information related to the prescription drug. The number of days is calculated.

  For example, the dispensing receipt information, more specifically, the output paper receipt that is output based on the dispensing receipt information includes information on one or more prescriptions as indicated by an arrow Q11 in FIG. Furthermore, the information regarding each prescription includes information regarding one or more prescription drugs.

  In the example of FIG. 4, “No.” indicates a number that is information for identifying each prescription, that is, a prescription basic record. Here, information about two prescriptions is included in the output paper receipt. The information on each prescription of the output paper receipt includes information such as the doctor number, prescription date, dispensing date, prescription drug name, dispensing quantity, etc. Comment is written.

  In the dispensing receipt information, one or more prescription basic records are included in the dispensing receipt information as prescription information, and one or more dispensing information records are associated with each prescription basic record as information about prescription drugs. It has been.

  The dispensation information record included in each prescription includes information on the prescription date indicating the prescription date of the drug, the dispensation date indicating the drug dispensation date, the dispensing amount of the drug, and the calculation of the dispensing fee as indicated by an arrow Q12. It includes a certain calculation category, a calculation number indicating the calculation destination of the dispensing fee, and the like. Here, the dispensing quantity indicates the number of days as the quantity prescribed by the drug, that is, the number of days prescribed. Note that the information indicated by the arrow Q12 is a part of the format of the dispensing information record.

  The prescription basic record includes a dosage form code indicating the dosage form of the prescription drug and a usage code indicating the method of taking the prescription drug. In addition, the dispensing receipt information includes a comment record in which character information such as a comment is stored, a summary column record, and the like.

  Next, the operation of the data center 14 will be described.

  For example, when the user operates the portable terminal device 11 to start an application program related to notification of the risk of swallowing medicine, the portable terminal device 11 informs the data center 14 about the prescription drug medication schedule. Request to send.

  Then, the data center 14 performs a medication days calculation process in response to a request from the portable terminal device 11 to calculate the medication days, and information including the medication days and prescription dates of each prescription medicine is used as information on the medication schedule. It transmits to the portable terminal device 11.

  Hereinafter, with reference to the flowchart of FIG. 5, the medication days calculation process performed by the data center 14 will be described. The medication days calculation process is performed for each dispensing receipt information recorded in the recording unit 44, for example.

  In step S11, the extraction unit 51 reads the dispensing receipt information from the recording unit 44 and performs an analysis process on the read dispensing receipt information, so that the prescription date of each prescription for each medicine (prescription drug) from the dispensing receipt information, Extract dispensing date and prescription days. For example, the dispensing quantity shown in FIG. 4 is extracted as the number of prescription days.

  The extraction unit 51 also extracts additional information such as comments, usage codes, and information such as the calculation category of dispensing charges from the dispensing receipt information as necessary.

  In step S <b> 12, the specifying unit 52 selects one of the medicines (prescription medicines) whose information is extracted from the dispensing receipt information as a medicine to be processed.

  In step S <b> 13, the specifying unit 52 determines whether there are a plurality of prescriptions for the medicine to be processed on the same dispensing day based on the dispensing date of each prescription for the medicine to be processed.

  In Step S13, when it is determined that there are not a plurality of prescriptions on the same dispensing day, the processing from Step S14 to Step S19 is skipped, and the processing proceeds to Step S20.

  In step S20, the medication days calculation unit 53 sets the prescription days of the medicine to be processed as the medication days of the medicine as it is.

  For example, if the dispensation date Da and the prescription day Ma are extracted from the dispensation receipt information for the medicine C to be processed, the medication day calculation unit 53 sets the prescription day Ma as the medication day number of the medicine C. In this case, the medicine C is taken by the patient during the period from the dispensing date Da to (Da + Ma-1).

  In addition, the prescription date of the medicine may be set as the start date of taking the medicine. This is because the drug prescription date and the dispensing date are often the same day.

  In step S <b> 21, the specifying unit 52 determines whether or not processing has been performed for all the medicines (prescription drugs) for which information has been extracted from the dispensing receipt information. That is, it is determined whether or not all pharmaceutical products have been processed as the medical products to be processed.

  If it is determined in step S21 that processing has not yet been performed for all the pharmaceutical products, the processing returns to step S12, and the above-described processing is repeated. That is, a drug that has not yet been processed is selected as the next drug to be processed, and the number of days that the drug has been taken is calculated.

  On the other hand, if it is determined in step S21 that all the pharmaceuticals have been processed, the medication days calculation process ends.

  When the medication days calculation process ends, for example, the control unit 43 supplies the communication unit 41 with information such as the number of medication days obtained for each medicine and the dispensing date as the medication start date, and the portable terminal device 11 of those information. To the communication unit 41. When information such as the number of days of medication is transmitted to the portable terminal device 11 by the communication unit 41, the portable terminal device 11 can use the information received from the data center 14 for various application programs.

  In Step S13, when it is determined that there are a plurality of prescriptions on the same dispensing day, in Step S14, the specifying unit 52 calculates the calculation classification of the medicine to be processed extracted from the dispensing receipt information. It is determined whether or not the classification code is “3”.

  For example, as shown in FIG. 6, the calculation category includes any calculation category code “1” to “4”. When the calculation classification code is “3”, it indicates that the dispensing fee of the pharmaceutical product to be processed is not calculated because the dispensing amount is added up by the gradual reduction therapy. In this case, it can be seen that the prescription amount of the medicine to be processed gradually decreases with each prescription arranged in time series.

  In addition, although the example using the calculation category included in the dispensing information record as information for specifying whether the prescription amount of the medicine to be processed is different in each prescription has been described here, information corresponding to the calculation category Any information may be used.

  In addition, when information related to pharmaceuticals such as dispensing receipt information includes information that can specify that the prescription amount of the pharmaceutical is different for each prescription, for example, the prescription amount of the pharmaceutical is gradually decreasing or gradually increasing The information may be used.

  If it is determined in step S14 that the calculation classification code is “3”, that is, if the prescription amount of the medicine to be processed is gradually reduced, the process proceeds to step S22.

  In step S22, the medication days calculation unit 53 sets the sum of the prescription days for each prescription of the medicine to be processed as the medication days of the medicine.

  For example, as shown in FIG. 7, information on the drug to be processed is extracted from six prescriptions having prescription IDs “1” to “6”, and the prescription days of the drug to be processed in each prescription, that is, the dispensing quantity is 3 Suppose that it was a day.

  Further, for example, the prescription ID is information for specifying the prescription such as the number of the prescription basic record, and the prescription with a larger prescription ID is a prescription made later in time. In this example, the prescription amount is decreased by one tablet as the prescription ID increases. That is, it can be seen that the prescription amount of the medicine to be processed is gradually reduced.

  In such a case, the medication days calculation unit 53 adds the prescription days of each prescription to obtain the medication days. In this example, it is assumed that the medicine is prescribed for 18 (= 3 × 6) days, and the number of days of medication is “18”.

  Therefore, for example, when the dispensing date in each prescription is February 1, the medication day calculation unit 53 assumes that the medicine to be processed is taken from February 1 to February 18. At this time, the medication days calculation unit 53 performs a process of rereading the medication start date of the medicine to be processed for each prescription arranged in order based on the prescription days and the medication start date of the immediately preceding prescription. It may be.

  For example, in this example, for the first prescription, that is, the prescription with the prescription ID “1”, the dispensing date is set as the medication start date. Since the prescription amount of this prescription is for 3 days, the medicine of this prescription will be taken from February 1st to February 3rd. In addition, for a prescription with a prescription ID “2” following a prescription with a prescription ID “1”, the medication start date of the drug is 2 from the dispensing date and prescription amount of the prescription with the prescription ID “1” immediately before. April 4th. That is, the medication start date of the prescription with the prescription ID “2” so that the medication start date of the prescription with the prescription ID “2” is the day after the medication end date of the prescription with the prescription ID “1”. Is replaced. Similarly, for each prescription with prescription ID “3” and later, the medication start date is determined in accordance with the medication end date of the immediately preceding prescription.

  As described above, when the medication days calculation unit 53 performs the summing process in step S22 and obtains the medication days of the medicine to be processed, the processing of step S21 is performed thereafter, and the medication days calculation process ends.

  If it is determined in step S14 that the calculation classification code is not “3”, in step S15, the specifying unit 52 determines whether the additional information includes a date related to medication and is consistent.

  For example, the specifying unit 52 extracts the date as the character information from the comment record of the dispensing receipt information including the character information such as the comment as the additional information, the summary column record, and the special notes. Then, for each prescription arranged in order, the specifying unit 52 determines whether or not there is consistency between the date for the notable prescription and the date obtained from the dispensing date and the prescription number of the prescription immediately before the notable prescription. Identify.

  More specifically, for example, as shown in FIG. 8, information on pharmaceutical products to be processed is extracted from four prescriptions whose prescription IDs are “1” to “4”, and the date from the dispensing receipt information as character information for each prescription. Is extracted.

  In this example, the prescriptions with prescription IDs “1” to “4” are arranged in order, and the prescription ID increases as the prescription ID increases, that is, the later the prescription increases. Therefore, it turns out that this pharmaceutical is a chemical | medical agent which increases a prescription amount gradually.

  In addition, the dispensing date of each prescription is January 28, 2011, and for each prescription of prescription IDs “1” to “4”, “dosage from 1/28”, “take from 2/4” as character information, “Taking from 2/11” and “Taking from 2/18” are extracted.

  In such a case, the specifying unit 52 has a date of January 28, which is the date included in the prescription character information “1 / 28-taken” extracted for the first prescription ID “1”, and 1 that is the dispensing date. It is specified whether or not consistency is obtained with the 28th of the month. Here, since the date included in the dispensing receipt information as the character information is the same as the dispensing date, there is consistency. In addition, since the prescription period of this prescription is seven days, the pharmaceutical of this prescription will be taken from January 28 to seven days, that is, until February 3.

  In addition, the specifying unit 52 sets the date of February 4th, which is the date included in the character information “taken from 2/4” for the prescription with the prescription ID “2” following the prescription ID “1”, and the prescription immediately before Whether the dispensing date of the prescription ID “1” is consistent with the medication end date obtained from the number of prescription days. Here, the next day of February 3, which is the medication end date of the prescription ID “1”, is February 4, which is the date extracted from the prescription of the prescription ID “2”. Is done.

  The specifying unit 52 also compares the date of completion of the previous prescription with the date as character information extracted for the prescription of interest, and specifies whether or not there is consistency in the subsequent prescriptions. When it is specified that all prescriptions are consistent, the specifying unit 52 determines in step S15 that there is a date related to medication in the additional information and there is consistency.

  In this way, when the date as the character information extracted for the prescription of interest is the day after the medication end date of the prescription immediately before the prescription of interest, It is understood that the medicine is taken from the date as the extracted character information. Therefore, in such a case, the sum of the prescription days of each prescription should be taken as the number of days of medication.

  In step S15, when it is determined that there is a date related to medication in the additional information and there is consistency, in step S22, the medication days calculation unit 53 calculates the sum of the prescription days for each prescription of the medicine to be processed, The number of days for taking the drug.

  For example, in the example shown in FIG. 8, the prescription days of each prescription are added together, and the medicine is prescribed for 42 (= 7 × 3 + 21) days, that is, the number of days of medication is 42 days. When the medication days are calculated in step S22, the process of step S21 is performed thereafter, and the medication days calculation process is completed.

  If it is determined in step S15 that the additional information has no date related to medication or is not consistent, the process proceeds to step S16.

  In step S <b> 16, the specifying unit 52 determines whether or not the medication timings indicated by the usage codes of the respective prescriptions of the medicines to be processed extracted from the dispensing receipt information overlap. That is, it is determined whether or not there are a plurality of prescriptions for taking medicines at the same timing.

  In the dispensing receipt information, since the usage code is determined as shown in FIG. 9, it is possible to specify at what timing the medicine is to be taken from the value of the usage code. For example, when the usage code for a predetermined prescription of the medicine to be processed is “001”, it can be seen that the medicine is taken before each meal in the morning, noon and evening.

  If the prescriptions for the same drug are different and the timing of taking the drug overlaps, the drugs for those prescriptions should be taken on different days. Specifically, for example, when a medicine with a predetermined prescription is taken before breakfast and other medicines with other prescriptions are also taken before breakfast, the dosing timings overlap.

  In the example of FIG. 9, the usage code “001” and the usage code “005” differ in the number of times the drug is taken in one day. However, in any usage code, the drug is taken before breakfast. There will be medicinal medication.

  In this way, if there are multiple prescriptions in which medicines are taken at the same time, the medicines of each prescription should be taken on different days, so the sum of the prescription days of those prescriptions is the number of medicines taken. It should be.

  On the other hand, when the medication timing of each prescription drug does not overlap, not only the prescription drug may be taken on the same day but also on a different day.

  If it is determined in step S16 that the medication timing has overlapped, the process proceeds to step S22, the processes in steps S22 and S21 are performed, and the medication days calculation process is completed.

  On the other hand, if it is determined in step S16 that the medication timings do not overlap, in step S17, the specifying unit 52 determines whether or not the prescription days of the ordered prescriptions of the medicines to be processed are gradually decreasing or gradually increasing. judge. That is, it is determined whether the prescription days of the prescriptions arranged in time series are decreasing or increasing by a certain number.

  If it is determined in step S17 that the prescription days of each prescription are gradually decreasing or gradually increasing, the process proceeds to step S22, the processes of steps S22 and S21 are performed, and the medication days calculating process is ended.

  For example, if the number of prescription days for each prescription ordered is gradually reduced or increased, each prescription drug is a drug that gradually decreases or increases the prescription amount, and each prescription drug is taken on a different day. Therefore, the sum of the days of each prescription is taken as the number of days taken.

  On the other hand, when it is determined in step S17 that the prescription days of each prescription are not gradually decreasing or increasing, in step S18, the specifying unit 52 is different in the prescription days of each prescription of the medicine to be processed. Determine whether or not.

  If it is determined in step S18 that the prescription days for each prescription are different, the process proceeds to step S22, the processes of step S22 and step S21 are performed, and the medication days calculation process ends.

  For example, some medicines are prescribed in such a way that, for reasons such as causing strong side effects, the medicines are first prescribed for a relatively short period of time and the number of prescription days is increased while watching the situation. For such pharmaceutical products, the number of prescription days differs depending on the prescription of the pharmaceutical. For example, in the first three prescriptions, the prescription time of the pharmaceutical is 3 days, and the prescription time is 21 days in the last prescription.

  In this way, when the prescription days of the pharmaceuticals in each prescription are different, since the prescription days of the prescription pharmaceuticals are different, the sum of prescription days of each prescription is taken as the prescription days.

  In more detail, when the number of prescription days is gradually decreasing or gradually increasing, it is determined in step S18 that the prescription days are different, so that the process of step S17 may not be particularly performed. That is, even if the process of step S17 is not performed, if the prescription days are gradually decreasing or gradually increasing, it is determined in step S18 that the prescription days are different, so the process of step S22 is performed and the prescription days are performed. Is the number of days taken.

  In Step S18, when it is determined that the prescription days of the respective prescriptions are not different, that is, they are the same, in Step S19, the specifying unit 52 adds a gradual decrease in the prescription amount of the medicine to the information indicating the usage of the medicine. It is determined whether or not there is a description regarding gradual increase.

  For example, in the recording unit 44, a database in which a plurality of medicines are associated with a flag indicating whether the medicines are drugs to be gradually reduced or gradually increased is recorded as information indicating the usage of the medicines. ing. The identifying unit 52 refers to the flag associated with the drug to be processed in the database recorded in the recording unit 44 and determines whether there is a description regarding gradual decrease or gradual increase.

  Although it is desirable to record such a database in the recording unit 44, since medicines are newly added every day, it may be difficult to update the database every time a new medicine is added. is there.

  Therefore, the recording unit 44 or an external device records information on usage, such as precautions for taking each drug, and detects specific characters from the information on the usage, thereby processing the drug to be processed. May be specified as a drug that gradually decreases or gradually increases the prescription amount.

  Information on the usage may be associated with each drug, but for each similar drug, for example, the first seven digits of the drug price listing code also called YJ code (hereinafter also referred to as YJ7 code) The information regarding may be matched. The information on usage is, for example, character information describing usage notes.

  For example, when the YJ7 code and information on usage are associated with each other and recorded in the recording unit 44, the specifying unit 52 sets the information on the usage associated with the YJ7 code of the medicine to be processed as the processing target. To do. Then, the identifying unit 52 uses the information on the usage such as “gradual decrease”, “gradual increase”, “gradual”, “gradually”, “decrease”, “decrease amount”, “increase”, “increase amount”, etc. A predetermined specific character is searched, and when a specific character is detected, it is determined that there is a description regarding gradual decrease or increase in the information indicating the usage.

  Here, the specific character to be detected is a character string peculiar to the usage precaution of the drug that gradually decreases or gradually increases the prescription amount. For example, information on the usage of a drug that gradually decreases or gradually increases the prescription amount may include words such as `` gradual increase '' or `` gradual decrease '' directly as precautions when taking the drug. "Or" step by step "in some cases. In such cases, terms such as “gradually” or “step by step” are often described for prescription amounts, so “decrease”, “decrease”, “increase”, “increase” If the character string “increase” is detected, it can be efficiently identified whether the drug to be processed is a drug that gradually decreases or gradually increases the prescription amount. In addition, characters such as “doctor” and “dosage” may be searched.

  In addition, although the example which matched YJ7 code | cord | chord and the information regarding usage was demonstrated, the information regarding usage is not limited to YJ7 code but code for every specific pharmaceutical group, for example, the upper 8 digits or the upper 9 digits of YJ code. It may be recorded in association with each other.

  In step S19, when it is determined that there is a description about gradual decrease or gradual increase in the information indicating the usage of the drug, the drug to be processed is determined to be a drug that gradually decreases or increases the prescription amount, and the process proceeds to step S22. Then, the processing of step S22 and step S21 is performed, and the medication days calculation process is completed.

  In Step S19, when it is determined that there is no description regarding gradual decrease or gradual increase in the information indicating the usage of the medicine, the process proceeds to Step S20, and thereafter, the process of Step S20 and Step S21 is performed, and the number of days of medication calculation process is performed. Ends.

  As described above, the data center 14 extracts information such as the dispensing date and the number of prescription days from the information related to the prescription drug such as the dispensing receipt information. Then, the data center 14 has a plurality of prescriptions for a given medicine on the same dispensing day, and the prescription days or prescription amounts of the medicine are different, or there are a plurality of prescriptions for taking medicines at the same timing, The sum of the prescription days is taken as the number of days taken.

  This eliminates the discrepancy between the dispensing quantity and the number of days actually taken by the patient (the number of days taken), and a more certain number of days taken. That is, it is possible to obtain more reliable information regarding the medication, such as the number of days taken.

  Thus, if the medication start date and the number of medication days can be obtained from the dispensing date and the dispensing quantity, which is the purpose of the reception, the medication behavior of the user (patient) can be predicted. When such medication behavior can be visualized, for example, in addition to precautions for contraindication of medication intended by the medication notebook, detection of duplicate or overdose medication, health indications due to changes in medication status, etc. It is also possible to perform.

  It is also possible to use the obtained number of days of medication as a parameter when performing adaptive processing such as information selection, archiving, compression, etc. in cooperation between homes and home nursing, which will be emphasized in the future. it can.

  In the above description, an example in which the medication days calculation process is performed in the data center 14 has been described. In addition, the medication days calculation process is performed by the portable terminal device 11 or another device, and the medication days of each medicine are calculated. You may be made to do.

  In the above description, a receipt whose format is fixed is described as an example of data to be processed. However, in the present technology, various types of data including the prescription date and the number of prescription days of a medicine (for example, electronic data) The same processing can be performed using a medicine notebook (see Japanese Patent Application Laid-Open No. 2012-113523) as a processing target.

  By the way, the above-described series of processing can be executed by hardware or can be executed by software. When a series of processing is executed by software, a program constituting the software is installed in the computer. Here, the computer includes, for example, a general-purpose personal computer capable of executing various functions by installing a computer incorporated in dedicated hardware and various programs.

  FIG. 10 is a block diagram illustrating an example of a hardware configuration of a computer that executes the above-described series of processes using a program.

  In a computer, a CPU (Central Processing Unit) 301, a ROM (Read Only Memory) 302, and a RAM (Random Access Memory) 303 are connected to each other by a bus 304.

  An input / output interface 305 is further connected to the bus 304. An input unit 306, an output unit 307, a recording unit 308, a communication unit 309, and a drive 310 are connected to the input / output interface 305.

  The input unit 306 includes a keyboard, a mouse, a microphone, an image sensor, and the like. The output unit 307 includes a display, a speaker, and the like. The recording unit 308 includes a hard disk, a nonvolatile memory, and the like. The communication unit 309 includes a network interface or the like. The drive 310 drives a removable medium 311 such as a magnetic disk, an optical disk, a magneto-optical disk, or a semiconductor memory.

  In the computer configured as described above, the CPU 301 loads, for example, the program recorded in the recording unit 308 to the RAM 303 via the input / output interface 305 and the bus 304, and executes the above-described series. Is performed.

  The program executed by the computer (CPU 301) can be provided by being recorded on a removable medium 311 as a package medium or the like, for example. The program can be provided via a wired or wireless transmission medium such as a local area network, the Internet, or digital satellite broadcasting.

  In the computer, the program can be installed in the recording unit 308 via the input / output interface 305 by attaching the removable medium 311 to the drive 310. Further, the program can be received by the communication unit 309 via a wired or wireless transmission medium and installed in the recording unit 308. In addition, the program can be installed in advance in the ROM 302 or the recording unit 308.

  The program executed by the computer may be a program that is processed in time series in the order described in this specification, or in parallel or at a necessary timing such as when a call is made. It may be a program for processing.

  The embodiments of the present technology are not limited to the above-described embodiments, and various modifications can be made without departing from the gist of the present technology.

  For example, the present technology can take a configuration of cloud computing in which one function is shared by a plurality of devices via a network and is jointly processed.

  In addition, each step described in the above flowchart can be executed by being shared by a plurality of apparatuses in addition to being executed by one apparatus.

  Further, when a plurality of processes are included in one step, the plurality of processes included in the one step can be executed by being shared by a plurality of apparatuses in addition to being executed by one apparatus.

  Furthermore, this technique can also be set as the following structures.

[1]
Based on information about the medicine prescribed to the user, whether the medicine with multiple prescriptions on the same dispensing day has different prescription days of the medicine in each prescription or the prescription amount of the medicine in each prescription is different Or a specific part that specifies whether or not there is a plurality of prescriptions in which the medicine is taken at the same timing,
An information processing apparatus comprising: a medication day calculation unit that calculates the sum of the prescription days of each prescription of the pharmaceutical that satisfies the condition as the medication days of the pharmaceutical.
[2]
The information processing apparatus according to [1], wherein the specification unit satisfies the condition when it is specified that the prescription amount of the drug is gradually decreased or gradually increased based on information on the drug.
[3]
The information processing apparatus according to [2], wherein the specifying unit specifies whether the prescription amount of the drug is gradually decreased or gradually increased based on a calculation classification code included in the information related to the drug.
[4]
The identification unit identifies whether there are a plurality of prescriptions in which the medicine is taken at the same timing based on a usage code included in the information on the medicine. [1] to [3] Information processing device.
[5]
The information processing apparatus according to any one of [1] to [4], wherein the specifying unit assumes that the condition is satisfied when the prescription days of the prescriptions of the medicines arranged in time series are gradually decreasing or gradually increasing.
[6]
The medication days calculation unit obtains the date extracted from the additional information of the predetermined prescription of the medicine included in the information on the medicine from the dispensing date and the prescription days of the prescription immediately before the predetermined prescription, When it is the day after the end date of taking the medicine for the immediately preceding prescription, the sum of the prescription days of each prescription of the medicine having a plurality of prescriptions on the same dispensing day is calculated as the number of days of taking the medicine [1] to [5] The information processing apparatus according to any one of [5].
[7]
When the predetermined number of characters for the gradual decrease or increase of the prescription amount of the pharmaceutical product is detected from the information indicating the usage of the pharmaceutical product, the number of days for taking the medication is calculated for the pharmaceutical product having a plurality of prescriptions on the same dispensing day. The information processing apparatus according to any one of [1] to [6], wherein a sum of prescription days for each prescription is calculated as the number of days for taking the medicine.

  DESCRIPTION OF SYMBOLS 11 Portable terminal device, 14 Data center, 41 Communication part, 44 Recording part, 51 Extraction part, 52 Identification part, 53 Medication days calculation part

Claims (9)

Based on information about the medicine prescribed to the user, whether the medicine with multiple prescriptions on the same dispensing day has different prescription days of the medicine in each prescription or the prescription amount of the medicine in each prescription is different Or a specific part that specifies whether or not there is a plurality of prescriptions in which the medicine is taken at the same timing,
An information processing apparatus comprising: a medication day calculation unit that calculates the sum of the prescription days of each prescription of the pharmaceutical that satisfies the condition as the medication days of the pharmaceutical. The information processing apparatus according to claim 1, wherein the specifying unit satisfies the condition when it is specified that the prescription amount of the drug is gradually decreased or gradually increased based on information on the drug. The information processing apparatus according to claim 2, wherein the specifying unit specifies whether the prescription amount of the drug is gradually decreasing or gradually increasing based on a calculation classification code included in the information related to the drug. The information processing apparatus according to claim 1, wherein the specifying unit specifies whether there are a plurality of prescriptions in which the medicine is taken at the same timing based on a usage code included in the information related to the medicine. The information processing apparatus according to claim 1, wherein the specifying unit satisfies the condition when the prescription days of the prescriptions of the medicines arranged in time series are gradually decreasing or gradually increasing. The medication days calculation unit obtains the date extracted from the additional information of the predetermined prescription of the medicine included in the information on the medicine from the dispensing date and the prescription days of the prescription immediately before the predetermined prescription, The sum of the number of prescription days of each prescription of the pharmaceutical having a plurality of prescriptions on the same dispensing day is calculated as the number of days of taking the pharmaceutical when it is the day after the end date of taking the pharmaceutical for the immediately preceding prescription. The information processing apparatus described. When the predetermined number of characters for the gradual decrease or increase of the prescription amount of the pharmaceutical product is detected from the information indicating the usage of the pharmaceutical product, the number of days for taking the medication is calculated for the pharmaceutical product having a plurality of prescriptions on the same dispensing day. The information processing apparatus according to claim 1, wherein a sum of prescription days for each prescription is calculated as the number of days for taking the medicine. Based on information about the medicine prescribed to the user, whether the medicine with multiple prescriptions on the same dispensing day has different prescription days of the medicine in each prescription or the prescription amount of the medicine in each prescription is different , Or whether there are multiple prescriptions with the medication taken at the same time,
An information processing method including a step of calculating a sum of days of prescription for each prescription of the medicine satisfying the condition as the number of days for taking the medicine. Based on information about the medicine prescribed to the user, whether the medicine with multiple prescriptions on the same dispensing day has different prescription days of the medicine in each prescription or the prescription amount of the medicine in each prescription is different , Or whether there are multiple prescriptions with the medication taken at the same time,
A program for causing a computer to execute a process including a step of calculating a sum of prescription days of each prescription of the pharmaceutical that satisfies the condition as the number of days of taking the pharmaceutical.

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