JP2005266860A - Medical information storage device, medical information processing device and method, recording medium, and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To easily and securely store and acquire information relating to a medicine of a patient. <P>SOLUTION: A CPU 72 of a registration card 13 receives patient information including prescription information and a dispensing history transmitted from a reader/writer of a registration card management system through an antenna 62 and a modulation/demodulation part 71, and stores in an EEPROM 73. The CPU 72 reads the patient information recorded in the EEPROM 73 when a transmission request of the patient information is received from the registration card management system, and transmits the patient information to the reader/writer of the registration card management system through the modulation/demodulation part 71 and the antenna 62. This method is adaptable to the registration card of a hospital. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention relates to a medical information storage device, a medical information processing device and method, a recording medium, and a program, and in particular, a medical information storage device capable of storing and acquiring information related to a patient's medicine, and medical information processing The present invention relates to an apparatus and method, a recording medium, and a program.

  When a patient sees a patient at the hospital, the doctor who sees the patient gives a prescription indicating the drug when he / she finds it necessary to dispense and administer the drug therapeutically. The prescription is generally written on paper with the name, usage, and dosage of the drug. The patient takes the prescription to the pharmacy, and the pharmacist at the pharmacy dispenses the drug based on the prescription and sells it to the patient. If the patient determines that it is necessary to continue the doctor's examination or taking medicine, he / she will be examined again at the hospital, and a new prescription will be issued based on the result of the examination.

  As a system for managing information on prescriptions and medicines, a medicine preparation management system that writes prescription data to an RFID tag, reads prescription data from the RFID tag at the time of dispensing, and outputs information on medicines to be prepared has been proposed (for example, patents) Reference 1)

  Also, RFID media with patient information is attached to the patient or the patient's bed, and an IC label with patient information and information about the medication is affixed to the medication to be administered. A medical error prevention system that prevents the occurrence of erroneous medication by collating the above information has been proposed (for example, Patent Document 2).

  In addition, the prescription information of the patient is managed by the server together with the prescription ID, the prescription ID is recorded on the electronic examination ticket, and the prescription information of the patient is acquired from the server based on the prescription ID recorded on the examination ticket. A providing system has been proposed (for example, Patent Document 3).

  In addition, information related to patients such as appointments, medical care, examinations, medical treatments, in-hospital dispensing, drug dispensing, and accounting processing is managed on the server together with the patient ID, and the patient ID is recorded on an electronic medical examination ticket. An information processing system in a medical institution that acquires information about a patient from a server based on a recorded patient ID has been proposed (for example, Patent Document 4).

Furthermore, a medical information management system has been proposed in which an ID chip having a unique ID is assigned to a patient's examination ticket, administered medicine, medical record, medical treatment content, etc., and each correspondence is managed in a database (for example, Patent Document 5).
Japanese Patent Application Laid-Open No. 07-39573 Japanese Patent Laid-Open No. 2003-186991 JP 2002-245162 A JP 2002-269230 A International Publication No. 01/066951 Pamphlet

  However, in the invention described in Patent Document 1, since only prescription data is written to the RFID tag, doctors and pharmacists know information on medicines dispensed to patients in the past when hospitals are different. However, there is a problem that accurate information is not always known because most of them rely on patient reports.

  In addition, the invention described in Patent Document 2 does not disclose writing prescription information or information on medicines dispensed to a patient in the past on RFID media or IC labels. There was a problem that it was impossible to know accurate information about the medicine dispensed by the patient.

  Furthermore, in the inventions described in Patent Documents 3 to 5, since only the patient ID and prescription ID are recorded on the examination ticket, information about the actual patient must be managed by a server, database, etc. In order to acquire information about a patient, it is necessary to acquire information by connecting to a server or a database via a network or the like, and there is a problem that the scale of the system becomes large and time-consuming.

  In addition, patients often receive medical examinations just for receiving prescriptions, and are often troublesome. Furthermore, on travel and business trips, even if the medicine is lost, it may not be possible to receive a diagnosis by a doctor, and the necessary medicine may not be dispensed.

  This invention is made | formed in view of such a condition, and enables it to memorize | store and acquire easily and reliably the information regarding a patient's medicine. In addition, it is possible to dispense safely multiple times in one examination.

  The medical information storage device of the present invention stores prescription information indicating a drug that a doctor has recognized that needs to be dispensed therapeutically to a patient and a history of drugs dispensed to the patient based on the prescription information. Transmission / reception means for transmitting / receiving patient information including dispensing history information to / from the information processing apparatus, storage means for storing patient information, transmission / reception of patient information by the transmission / reception means in accordance with control information received from the information processing apparatus by the transmission / reception means, and Control means for controlling storage of patient information by the storage means.

  The prescription information includes information related to a prescription given to a patient by a doctor at a hospital, for example, a prescription date, a prescription hospital name, a prescription doctor name, a drug name, a usage, a dose, a prescription date, and an expiration date. Including. The dispensing history information includes information that a pharmacist dispensed to a patient at a pharmacy, and includes, for example, a dispensing date, a dispensed pharmacy name, a pharmacist name, and a dispensing amount. The information processing apparatus includes, for example, an examination ticket management apparatus configured by a personal computer and a reader / writer.

  The transmission / reception means includes, for example, a non-contact type antenna or a contact terminal. The storage means is configured by various memories, and it is preferable to use a non-volatile memory such as an EEPROM (Electrically Erasable Programmable Read Only Memory), for example, which does not erase the stored information even when power supply is lost. The control means is composed of, for example, an arithmetic device such as a CPU (Central Processing Unit), reads patient information stored in a memory according to the received control signal, and transmits or receives the information to another information processing device. New patient information is stored in the memory.

  According to the medical information storage device of the present invention, the prescription information indicating the medicine recognized by the doctor to be therapeutically dispensed to the patient and the medicine dispensed to the patient based on the prescription information Patient information including dispensing history information indicating a history is transmitted / received to / from the information processing apparatus, patient information is stored, and transmission / reception of patient information and storage of patient information are controlled in accordance with control information received from the information processing apparatus.

  Therefore, patient information can be stored. In addition, it is possible to easily and reliably know information related to the patient's medicine. This information on the patient's medicine includes information prescribed by the doctor to the patient and information dispensed by the pharmacist for the patient. Furthermore, it can be dispensed safely multiple times in one examination. In addition, the information dispensed to the patient can be reliably transmitted from the pharmacist to the doctor, and can be used for diagnosis. Furthermore, information prescribed to the patient can be reliably transmitted from the doctor to the pharmacist. In addition, since the patient information is stored in the medical information storage device, it is not always necessary to construct a database, server, network, etc. for managing the patient information, the cost can be reduced, and the patient information can be easily and quickly Can be acquired.

  In the medical information storage device of the present invention, the prescription information can include restriction information indicating a restriction on the amount of medicine in one dispensing.

  The restriction information is represented by, for example, the number of days of prescription in which the amount of medicine prescribed by a doctor is expressed in days, the quantity of medicine, the weight of medicine, and the like.

  Therefore, it is possible to easily and reliably know the appropriate amount of medicine to be dispensed to the patient.

  The medical information storage device of the present invention can be configured by an RFID (Radio Frequency Identification) tag or a contact IC card.

  Therefore, it is easy to carry and manage the medical information storage device. In addition, when the medical information storage device is configured by an RFID tag, transmission / reception of patient information between the medical information storage device and the information processing device is less affected by dirt or dust. Furthermore, when the medical information storage device is configured with an RFID tag, data transmission / reception between the medical information storage device and the information processing device is performed in a non-contact manner, so that the durability of the medical information storage device can be improved.

  The medical information storage device of the present invention can be a hospital examination ticket.

  Therefore, it is possible to store or acquire patient information without newly using anything other than a medical examination ticket that is generally necessary for a patient to receive a medical examination at a hospital.

  The medical information processing apparatus of the present invention is based on prescription information and prescription information indicating a medicine that a doctor has recognized that needs to be dispensed therapeutically to a patient from a medical information storage device owned by the patient. An acquisition means for acquiring patient information including dispensing history information indicating a history of medicines dispensed with respect to the display, and a display control means for controlling display of the acquired patient information.

  The medical information storage device is, for example, an examination ticket configured by an RFID tag, an IC card, or the like. The acquisition unit includes, for example, a non-contact antenna or a contact terminal. The prescription information includes information related to a prescription given to a patient by a doctor at a hospital, for example, a prescription date, a prescription hospital name, a prescription doctor name, a drug name, a usage, a dose, a prescription date, and an expiration date. Including. The dispensing history information includes information that a pharmacist dispensed to a patient at a pharmacy, and includes, for example, a dispensing date, a dispensed pharmacy name, a pharmacist name, and a dispensing amount.

  The acquisition unit includes, for example, a non-contact antenna or a contact terminal. The display control means is constituted by, for example, a calculation device such as a CPU, and transmits patient information to a display device such as a CRT (Cathode Ray Tube) or LCD (Liquid Crystal Display) to display the patient information. Control.

  According to the medical information processing apparatus of the present invention, based on the prescription information and the prescription information indicating the medicine that the doctor has recognized that needs to be dispensed therapeutically to the patient from the medical information storage device owned by the patient. The patient information including the dispensing history information indicating the history of the medicine dispensed to the patient is acquired, and the display of the acquired patient information is controlled.

  Therefore, patient information can be displayed. In addition, it is possible to know information about a patient's medicine easily and reliably. This information on the patient's medicine includes information prescribed by the doctor to the patient and information dispensed by the pharmacist for the patient. In addition, since patient information is acquired from a medical information storage device, it is not always necessary to construct a database, server, network, etc. for managing patient information, and costs can be reduced and patient information can be easily and quickly Can be acquired.

  In the medical information processing apparatus of the present invention, the prescription information can include restriction information indicating a restriction on the amount of medicine in one dispensing.

  The restriction information is represented by, for example, the number of days of prescription in which the amount of medicine prescribed by a doctor is expressed in days, the quantity of medicine, the weight of medicine, and the like.

  Therefore, it is possible to easily and reliably know the appropriate amount of medicine to be dispensed to the patient.

  The medical information processing apparatus of the present invention can further include a calculation unit that calculates the amount of medicine to be dispensed to a patient based on the acquired patient information.

  The calculation means is constituted by an arithmetic device such as a CPU, for example, and calculates a dispensable amount indicating the maximum amount of medicine that can be dispensed to a patient based on the prescription days of the prescription information, the dispensing history information, and the like.

  Thereby, based on the acquired patient information, the quantity of the medicine dispensed with respect to the patient is calculated.

  Therefore, it is possible to easily and reliably know the appropriate amount of medicine to be dispensed to the patient. In addition to being able to dispense safely multiple times in a single visit, drugs that are problematic when purchased in large quantities, such as drugs that are dangerous if consumed in large quantities, may be purchased in large quantities by patients. Is prevented.

  The medical information processing apparatus of the present invention may further include a writing control unit that controls writing to at least one of the prescription information and the dispensing history information.

  The writing control means is constituted by, for example, an arithmetic device such as a CPU, and controls to transmit at least one of prescription information and dispensing history information to the medical information storage device and store it in the memory of the medical information storage device. .

  Thereby, writing to at least one medical information storage device among the prescription information and the dispensing history information is controlled.

  Therefore, patient information can be stored easily and reliably. In addition, information related to the patient's medicine can be stored easily and reliably. The information about the medicine of the patient includes at least one of information prescribed by the doctor to the patient and information dispensed by the pharmacist for the patient. Furthermore, it can be dispensed safely multiple times in one examination. In addition, the information dispensed to the patient can be reliably transmitted from the pharmacist to the doctor, and can be used for diagnosis. Furthermore, information prescribed to the patient can be reliably transmitted from the doctor to the pharmacist.

  A medical information processing method, a storage medium, and a program according to the present invention include prescription information indicating a drug that a doctor has recognized that needs to be dispensed therapeutically to a patient from a medical information storage device owned by the patient, and Including an acquisition step of acquiring patient information including dispensing history information indicating a history of medicines dispensed to a patient based on prescription information, and a display control step of controlling display of the acquired patient information To do.

  The acquisition step is a process of acquiring patient information from a medical information storage device using, for example, a non-contact antenna or a contact terminal. The display control step is a process of controlling the patient information to be transmitted to a display device such as a CRT or LCD and displayed by an arithmetic device such as a CPU.

  The medical information storage device is, for example, an examination ticket configured by an RFID tag, an IC card, or the like. The prescription information includes information related to a prescription given to a patient by a doctor at a hospital, for example, a prescription date, a prescription hospital name, a prescription doctor name, a drug name, a usage, a dose, a prescription date, and an expiration date. Including. The dispensing history information includes information that a pharmacist dispensed to a patient at a pharmacy, and includes, for example, a dispensing date, a dispensed pharmacy name, a pharmacist name, and a dispensing amount.

  According to the medical information processing method, the storage medium, and the program of the present invention, a prescription indicating a drug that a doctor has recognized that needs to be dispensed therapeutically to a patient from a medical information storage device owned by the patient Patient information including dispensing history information indicating the history of medicine dispensed to the patient based on the information and prescription information is acquired, and display of the acquired patient information is controlled.

  Therefore, patient information can be displayed. In addition, it is possible to know information about a patient's medicine easily and reliably. This information on the patient's medicine includes information prescribed by the doctor to the patient and information dispensed by the pharmacist for the patient.

  As described above, according to the medical information storage device, patient information can be stored. Moreover, according to the medical information processing apparatus, it is possible to easily and surely know information related to a patient's medicine. Furthermore, according to the medical information processing apparatus, it is possible to safely dispense a plurality of times in one examination.

  According to the medical information processing apparatus, the medical information processing method, the recording medium, and the program, patient information can be displayed. Further, according to the medical information processing apparatus, the medical information processing method, the recording medium, and the program, it is possible to easily and surely know information related to the patient's medicine.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

  FIG. 1 is a block diagram illustrating a configuration example of a medical examination ticket 13 to which the present invention is applied and a medical examination ticket management apparatus 1 that manages data of the medical examination ticket 13.

  The examination ticket management apparatus 1 is composed of a personal computer 11 and a reader / writer 12, and is installed at a reception in a hospital or a pharmacy, for example. The reader / writer 12 is connected to the personal computer 11 and reads predetermined data from a medical card 13 constituted by a card-type RFID (Radio Frequency Identification) tag in accordance with a control signal input from the personal computer 11, or a medical card. Or write predetermined data in the memory 13.

  Since the examination ticket 13 constituted by the RFID tag and the reader / writer 12 of the examination ticket management apparatus 1 communicate with each other by radio waves, they are not easily affected by dirt or dust when transmitting / receiving data. Moreover, since the reader / writer 12 of the examination ticket 13 and the examination ticket management apparatus 1 transmits and receives data without contact, wear due to contact is avoided, and the durability of the examination ticket 13 is improved.

  FIG. 2 is a block diagram illustrating a configuration example of the personal computer 11 of FIG.

  The personal computer 11 includes an input unit 21, a CPU (Central Processing Unit) 22, a ROM (Read Only Memory) 23, a RAM (Random Access Memory) 24, a display unit 25, a recording unit 26, a communication unit 27, and a drive 28. Is done. The CPU 22, ROM 23, and RAM 24 are connected to each other via an internal bus 30, and the input unit 21, display unit 25, recording unit 26, communication unit 27, drive 28, and reader / writer 12 are connected via an input / output interface 29. Are connected to each other. The internal bus 30 and the input / output interface 29 are connected to each other.

  The input unit 21 includes, for example, buttons, switches, a keyboard, or a mouse, and is operated when the user inputs various commands to the personal computer 11.

  The CPU 22 receives processing instructions and data input by the user using the input unit 21 via the input / output interface 29 and the internal bus 30, and is stored in the ROM 23 based on the input processing instructions. Various processes are executed in accordance with the program being loaded or the program loaded from the recording unit 26 into the RAM 24.

  The ROM 23 stores basically fixed data among the programs used by the CPU 22 and calculation parameters.

  The RAM 24 stores programs used in the execution of the CPU 22, parameters and data that change as appropriate during the execution.

  The display unit 25 includes, for example, a CRT (Cathode Ray Tube) or an LCD (Liquid Crystal Display), and displays various types of information as text or images.

  The recording unit 26 is configured by a hard disk or the like, and records or reproduces a program executed by the CPU 22 and information.

  The communication unit 27 includes, for example, a modem and a terminal adapter, and performs communication processing with an external information processing apparatus via a network including the Internet.

  The drive 28 is connected to an input / output interface 29 as necessary, and a removable medium 31 composed of a magnetic disk, an optical disk, a magneto-optical disk, a semiconductor memory, or the like is appropriately mounted, and a program read from the medium is read by the recording unit 26. To be installed.

  FIG. 3 is a block diagram illustrating a configuration example of the reader / writer 12.

  The reader / writer 12 includes a CPU (Central Processing Unit) 41, an SCC (Serial Communication Controller) 42, a memory 43, an antenna 44, a demodulator 45, a modulator 46, and an oscillator 47. The CPU 41, the SCC 42, and the memory 43 are connected to each other via a bus 48.

  The CPU 41 receives the response data received from the examination ticket 13 via the demodulator 45 and the control signal input from the personal computer 11 via the SCC 42 and the bus 48, and follows the input response data and control signal. The command to be transmitted to the examination ticket 13 is output to the modulation unit 46, and the data to be output to the personal computer 11 is output to the SCC 42 via the bus 48. In addition, the CPU 41 performs predetermined processing (for example, decoding of Manchester encoded data) on the response data transmitted from the medical examination ticket 13 and also performs predetermined processing on a command transmitted to the medical examination ticket 13. After the above process (for example, Manchester encoding) is performed, the result is output to the modulation unit 46.

  The SCC 42 supplies the data input from the personal computer 11 to the CPU 41 via the bus 48, and outputs the data input from the CPU 41 via the bus 48 to the personal computer 11.

  The memory 43 stores information necessary for data processing in advance or temporarily stores data being processed.

  The antenna 44 detects whether or not the examination ticket 13 is in a communicable position by monitoring the load state in a state where a predetermined electromagnetic wave is emitted, and transmits / receives data to / from the examination ticket 13.

  The demodulator 45 demodulates a modulated wave (for example, an ASK modulated wave, a BPSK modulated wave, etc.) received from the examination ticket 13 via the antenna 44 and outputs the demodulated data to the CPU 41.

  The modulation unit 46 generates a carrier wave having a predetermined frequency (for example, 13.56 MHz) supplied from the oscillation unit 47 based on data supplied from the CPU 41 (for example, ASK modulation, BPSK modulation, etc.). The modulated wave is output to the examination ticket 13 as an electromagnetic wave via the antenna 44. For example, when performing ASK modulation, the modulation unit 46 is configured to perform ASK modulation with a modulation degree of less than 1, so that the maximum amplitude of the modulated wave can be obtained even when the data is at a low level. Is made so as not to become zero.

  FIG. 4 is a block diagram illustrating a configuration example of the examination ticket 13 of FIG.

  The examination ticket 13 includes an IC 61 and an antenna 62. The IC 61 includes a modulation / demodulation unit 71, a CPU 72, and an EEPROM (Electrically Erasable and Programmable Read Only Memory) 73.

  The modulation / demodulation unit 71 detects and demodulates the input modulation wave (for example, ASK modulation wave, BPSK modulation wave, etc.), and outputs the demodulated data to the CPU 72. If the input data is Manchester encoded, the modem 71 decodes the data and outputs it to the CPU 72.

  The CPU 72 executes a predetermined process based on the input data. For example, when the input data is data to be newly stored in the EEPROM 73, the data is stored (written) in the EEPROM 73, and the input data is a request for sending predetermined data stored in the EEPROM 73. If so, the corresponding data is read from the EEPROM 73 and output to.

  The CPU 72 divides the memory space of the EEPROM 73 into blocks of a predetermined size (for example, 8 bytes), and executes data writing and reading in units of the blocks. That is, the CPU 72 designates the number of the block, writes data in a predetermined block, and reads data from the predetermined block.

  The EEPROM 73 is a non-volatile memory and continues to store data even after the examination ticket 13 ends communication with the reader / writer 12 and its power supply is stopped.

  In the medical examination ticket 13, in an LC circuit including an antenna 62 and a capacitor (not shown), part of the electromagnetic wave radiated from the antenna 44 of the reader / writer 12 is converted into an electric signal, and the electric signal (modulated wave) is rectified and smoothed. Thus, envelope detection is performed, and a signal generated thereby is supplied to a voltage regulator (not shown), and the signal is stabilized and supplied to each part of the examination ticket 13 as a DC power source.

  When transmitting data from the examination ticket 13 to the reader / writer 12, for example, the modem unit 71 turns on / off a predetermined switching element (not shown) based on data supplied from the CPU 72, and the switching element is in an on state. By connecting a predetermined load to the antenna 62 in parallel, the load of the antenna 62 is varied.

  When the reader / writer 12 receives data from the medical examination ticket 13, that is, when data is transmitted to the medical examination ticket 13, for example, the maximum amplitude of the modulated wave to be output is made constant. The modulated wave received from the reader / writer 12 via the antenna 62 is ASK-modulated and the modulated component is transmitted to the antenna 44 of the reader / writer 12 via the antenna 62. That is, the terminal voltage of the antenna 44 of the reader / writer 12 is changed.

  Next, referring to FIG. 5, doctors, nurses, pharmacists, etc. input to the examination ticket management apparatus 1 at the hospital or pharmacy, transmitted from the examination ticket management apparatus 1, and stored in the EEPROM 73 of the examination ticket 13. A configuration example of patient information will be described.

  The first column in FIG. 5 shows item names included in the patient information, and the second column shows a specific example of data actually stored in the patient information. Patient information includes personal information, prescription information, and dispensing history information.

  The personal information includes the patient's insurance card number, the patient ID for identifying the patient, the patient's name, the patient's gender, and the date of birth of the patient. The patient ID is assigned with a different value for each patient in order to uniquely identify the patient who has been examined at the hospital.

  The prescription information includes a prescription date, a doctor name, prescription data, a prescription date, and an expiration date. The doctor name indicates the name of the doctor who examined and prescribed the patient. The prescription date represents the date prescribed by the doctor.

  The prescription data is stored for each prescribed medicine. For example, when m kinds of medicines are prescribed in one examination, m prescription data 1 to m are stored in the examination ticket 13. The The prescription data includes the drug name, usage, and dose identifying the prescribed drug. The usage indicates a method of taking a medicine, for example, after every meal three times a day, once a day before going to bed. The dose indicates the amount of the medicine taken, for example, 2 tablets at a time, 200 ml at a time, and the like.

  The number of prescription days represents the amount of medicine prescribed by the doctor in days, and a pharmacist at the pharmacy dispenses the medicine for the prescription day and sells it to the patient unless otherwise instructed by the patient. As will be described later with reference to FIGS. 12 and 13, the examination ticket management apparatus 1 calculates a dispensable amount that indicates the maximum amount of medicine that the pharmacist can dispense to a patient based on the number of prescription days. The number of prescription days is an example of restriction information indicating a restriction on the amount of medicine in one dispensing. Note that the prescription amount limit may be expressed by the quantity or weight of the medicine instead of the prescription days.

  The expiry date represents the time limit that the patient can purchase the drug based on the prescription information, and if the patient is within the expiry date, as long as the amount of the drug indicated by the number of prescription days is not exceeded, Indicates that a drug can be purchased based on prescription information.

  Dispensing history information is the history of pharmacists dispensing and selling drugs to patients based on prescription information. Each time a patient asks a pharmacist to dispense a drug at a pharmacy and purchases it, Added to the ticket 13 and stored. The dispensing history information includes a dispensing date, a pharmacy name, a pharmacist name, and a dispensing amount. Similarly to the prescription days, the amount of the medicine is expressed in minutes by the amount of medicine dispensed by the pharmacist to the patient. It should be noted that the dispensing amount may be expressed not by the number of days but by the quantity or weight of each dispensed medicine.

  Next, with reference to the flowchart of FIG. 6, the process performed by the examination ticket management apparatus 1 in a hospital, a pharmacy, etc. is demonstrated. This process is started when the user instructs the start of the process of the examination ticket management apparatus 1.

  First, a user such as a hospital doctor or nurse or a pharmacist pharmacist uses the examination ticket management apparatus 1 in the hospital mode or the pharmacy mode when the examination ticket management apparatus 1 starts processing. Is selected, and the processing unit is input by operating the input unit 21 of the personal computer 11. In step S <b> 1, the CPU 22 acquires the processing mode input from the user via the input unit 21, the input / output interface 29, and the internal bus 30.

  In step S2, the CPU 22 determines whether or not the processing mode selected by the user is the hospital mode. When it is determined that the processing mode selected by the user is the hospital mode, the process proceeds to step S3, and in step S3, a hospital mode process, which will be described in detail later with reference to FIG. The process of 1 ends.

  If it is determined in step S2 that the processing mode selected by the user is not the hospital mode, that is, the pharmacy mode, the process proceeds to step S4, and details are given with reference to FIGS. 12 and 13 in step S4. A pharmacy mode process to be described later is executed, and the process of the examination ticket management apparatus 1 ends.

  Next, details of the hospital mode process in step S3 of FIG. 6 will be described with reference to the flowchart of FIG.

  In step S11, a data read process is performed. Details of the data reading process will be described later with reference to FIG. 8. By this process, for example, a doctor or nurse at a hospital receives an examination ticket 13 from a patient who has come to the examination and prepares for the examination ticket management apparatus 1. The patient information stored in the examination ticket 13 is read out to the reader / writer 12 by holding the examination ticket 13 near the antenna 44 of the reader / writer 12.

  In step S12, the CPU 41 of the reader / writer 12 determines whether or not the patient information stored in the examination ticket 13 has been received in the process of step S11. If it is determined that the patient information has been received, the process proceeds to step S13.

  In step S <b> 13, the CPU 22 of the personal computer 11 acquires patient information from the CPU 41 of the reader / writer 12. Specifically, the CPU 41 transmits the received patient information to the personal computer 11 via the bus 48 and the SCC 42. The CPU 22 of the personal computer 11 acquires patient information transmitted from the reader / writer 12 via the input / output interface 29 and the internal bus 30.

  In step S <b> 14, the CPU 22 supplies the patient information acquired in the process of step S <b> 13 to the recording unit 26 via the internal bus 30 and the input / output interface 29 and records the information as necessary.

  In step S15, the CPU 22 supplies the patient information acquired in the process of step S13 to the display unit 25 via the internal bus 30 and the input / output interface 29, and the display unit 25 displays a screen based on the acquired patient information. indicate. Thereafter, the process proceeds to step S16.

  If it is determined in step S12 that patient information has not been received, the processes in steps S13 to S15 are skipped, and the process proceeds to step S16.

  The doctor examines the patient while browsing the patient information read from the examination ticket 13 in the process of step S11 and displayed in the process of step S15. As will be described later with reference to FIGS. 12 and 13, the patient information includes dispensing history information stored when the patient purchases a medicine at the pharmacy based on the prescription information stored in the examination ticket 13. It is included, and the doctor can know information about the medicines dispensed to the patient in the past. For example, a doctor can know the fact that the patient did not take the medicine as prescribed by the doctor, based on the dispensing history information, and can use that information for medical examination. .

  A doctor or a nurse inputs prescription information using the input unit 21 of the personal computer 11 based on the examination result after the patient's examination. The doctor or nurse also inputs the patient's personal information when the patient first visits, that is, when the examination ticket 13 is newly issued.

  In step S <b> 16, the CPU 22 determines whether patient information has been input. When it is determined that patient information has been input, that is, a doctor or nurse inputs patient information using the input unit 21 and supplies patient information to the CPU 22 via the input / output interface 29 and the internal bus 30. If so, the process proceeds to step S17.

  In step S <b> 17, the CPU 22 supplies the patient information input in the process of step S <b> 16 to the recording unit 26 via the internal bus 30 and the input / output interface 29 and records the information as necessary.

  In step S18, the CPU 22 supplies the patient information input in the process of step S16 to the display unit 25 via the internal bus 30 and the input / output interface 29, and the display unit 25 displays a screen based on the acquired patient information. Is displayed. Thereafter, the process proceeds to step S19.

  If it is determined in step S16 that patient information has not been input, the processes in steps S17 and S18 are skipped, and the process proceeds to step S19.

  After entering the patient information, the doctor or nurse holds the examination ticket 13 near the antenna 44 of the reader / writer 12 provided in the examination ticket management apparatus 1 and uses the input unit 21 of the personal computer 11 to obtain the examination ticket. An instruction to write patient information to 13 is input.

  In step S19, the CPU 22 determines whether or not writing of patient information is instructed. When it is determined that patient information writing has been instructed, that is, a doctor or nurse uses the input unit 21 to input an instruction to write patient information to the examination ticket 13, and input / output is performed from the input unit 21. When the input of the patient information write instruction is supplied to the CPU 22 via the interface 29 and the internal bus 30, the process proceeds to step S20.

  In step S20, a data writing process is performed. The details of the data writing process will be described later with reference to FIG. 9. By this process, the patient information input in the process of step S16 is added to the patient information read from the examination ticket 13 in the process of step S11. The patient information thus transmitted is transmitted from the examination ticket management apparatus 1 to the examination ticket 13 and written in the examination ticket 13. At this time, all the prescription information and the dispensing history information in the past may be transmitted and written in the examination ticket 13, or only the latest prescription information and the dispensing history information may be transmitted to the examination ticket 13. You may make it write. Alternatively, only the personal information and prescription information input in the process of step S16 may be transmitted and written on the examination ticket 13.

  If it is determined in step S19 that patient information writing has not been instructed, the process of step S20 is skipped, and the process proceeds to step S21.

  In step S21, the CPU 22 determines whether or not an instruction to end the process is given. If it is determined in step S21 that the end of the process has not been instructed, the process returns to step S11, and the subsequent processes are repeated.

  In step S21, when it is determined that the end of the process has been instructed, that is, a doctor or a nurse inputs an instruction to end the process of the examination ticket management apparatus 1 using the input unit 21 of the personal computer 11, When the input of the process end instruction is supplied to the CPU 22 from the input unit 21 via the input / output interface 29 and the internal bus 30, the hospital mode process ends.

  Next, details of the data reading process in step S11 of FIG. 7 will be described with reference to the flowchart of FIG.

  In step S <b> 31, the CPU 41 of the reader / writer 12 determines whether information can be exchanged with the examination ticket 13 based on signals input via the antenna 44 and the demodulator 45. If it is determined that information can be exchanged with the examination ticket 13, the process proceeds to step S32.

  In step S <b> 32, the CPU 41 transmits a signal requesting transmission of patient information to the examination ticket 13 via the modulation unit 46 and the antenna 44. At this time, the CPU 41 designates the block number of the memory space of the EEPROM 73 of the examination ticket 13 in which the patient information is stored, and requests to transmit the data of the designated block. Therefore, the CPU 41 can request that all patient information stored in the EEPROM 73 be transmitted or only a necessary part of the patient information be transmitted as necessary.

  The examination ticket 13 receives a signal requesting transmission of patient information transmitted from the reader / writer 12 in step S32 in step S41 of FIG. 9 to be described later, and transmits stored patient information in step S42.

  In step S33, the CPU 41 receives the patient information transmitted from the examination ticket 13 via the antenna 44 and the demodulator 45, and the data reading process ends.

  Next, with reference to the flowchart of FIG. 9, the data transmission process in the medical examination ticket 13 performed corresponding to the data reading process of the medical examination ticket management apparatus 1 of FIG. 8 is demonstrated.

  In step S <b> 41, the CPU 72 of the examination ticket 13 receives an input of a patient information transmission request via the antenna 62 and the modem unit 71.

  In step S42, the CPU 72 reads out the patient information stored in the EEPROM 73 based on the block number designated by the transmission request, and sends the patient information to the reader / writer 12 via the modem unit 71 and the antenna 62. Then, the data transmission process ends.

  Next, details of the data writing process in step S20 of FIG. 7 will be described with reference to the flowchart of FIG.

  In step S 51, the CPU 22 of the personal computer 11 outputs the patient information input in step S 16 of FIG. 7 to the reader / writer 12 via the internal bus 30 and the input / output interface 29. The CPU 41 of the reader / writer 12 acquires patient information via the SCC 42 and the bus 48.

  In step S <b> 52, the CPU 41 of the reader / writer 12 monitors the load state of the antenna 44 to confirm whether information can be exchanged with the examination ticket 13. When it is confirmed that information can be exchanged with the examination ticket 13, the process proceeds to step S53.

  In step S53, the CPU 41 of the reader / writer 12 transmits the patient information acquired in step S51 to the examination ticket 13 via the modulation unit 46 and the antenna 44, and the data transmission process ends. At this time, the CPU 41 designates the block number of the memory space of the EEPROM 73 of the examination ticket 13 and requests to write data in the designated block. Therefore, the CPU 41 updates all the patient information stored in the EEPROM 73, updates only a part of the patient information, or writes data to the stored patient information as necessary. You can ask to do that. The transmitted patient information is received by the examination ticket 13 in step S61 of FIG.

  Next, with reference to FIG. 11, the data reception process in the medical examination ticket 13 performed corresponding to the data writing process of the medical examination ticket management apparatus 1 of FIG.

  In step S61, the CPU 72 of the examination ticket 13 receives the patient information transmitted by the reader / writer 12 in step S53 of FIG. 10 via the antenna 62 and the modem unit 71.

  In step S62, the CPU 72 stores the patient information in the designated block of the EEPROM 73, and the data writing process ends.

  Next, with reference to FIG. 12 and FIG. 13, the detail of the pharmacy mode process in step S4 of FIG. 6 is demonstrated.

  In step S81, the data reading process described above with reference to FIG. 8 is performed. By this process, for example, a pharmacist at the pharmacy receives the examination ticket 13 from a patient who came to purchase the medicine at the pharmacy, and places the examination ticket 13 near the antenna 44 of the reader / writer 12 provided in the examination ticket management apparatus 1. By holding the patient information, the patient information stored in the examination ticket 13 at the hospital is read out to the examination ticket management apparatus 1.

  In step S82, the CPU 41 of the reader / writer 12 determines whether or not the patient information stored in the examination ticket 13 has been received in the process of step S81. If it is determined that patient information has been received, the process proceeds to step S13.

  In step S83, the CPU 22 of the personal computer 11 acquires patient information from the CPU 41 of the reader / writer 12 in the same manner as the process of step S13 of FIG.

  In step S84, as in the process of step S14 in FIG. 7, the CPU 22 stores the patient information acquired in the process of step S83 as necessary in the recording unit 26 via the internal bus 30 and the input / output interface 29. Supply and record.

  In step S85, similar to the process in step S15 of FIG. 7, the CPU 22 supplies the patient information acquired in the process of step S83 to the display unit 25 via the internal bus 30 and the input / output interface 29. 25 displays a screen based on the acquired patient information.

  In step S86, the CPU 22 determines whether or not today's date has passed the expiration date of the prescription information of the patient information. If it is determined that the expiration date has not passed, the process proceeds to step S87.

  In step S87, the CPU 22 calculates a possible dispensing amount. Specifically, first, the CPU 22 determines the period from the prescription date to the expiration date based on the prescription date, the prescription date, and the expiration date of the prescription information of the patient information for each prescription day (hereinafter referred to as a divided period). Divided). And CPU22 calculates the total amount of the medicine dispensed with respect to the patient within the divided period including today's date based on the dispensing history information of the patient information, and the medicine dispensed within the divided period from the number of prescription days The value obtained by subtracting the total amount is used as a dispensable amount. In other words, the dispensable amount indicates a value that restricts a patient from dispensing a drug longer than the prescribed number of days within a divided period.

  For example, the prescription date of the prescription information is stored as March 1, 2004, the number of prescription days is 14 days, the expiration date is stored as April 25, 2004, and the dispensing history information is stored as 10 days on March 1, 2004. Consider a case in which a history of dispensing the minute amount of medicine is stored and today's date is March 12, 2004. First, the period from March 1, 2004, which is the prescription date, to April 25, 2004, which is the expiration date, is set to March 1, 2004 through March 14, 2004 every 14 days, which is the prescription date. , Divided into four split periods from March 15, 2004 to March 28, 2004, March 29, 2004 to April 11, 2004, and April 12, 2004 to April 25, 2004 Is done. Then, today's date, March 12, 2004, is included in the division period from March 1, 2004 to March 14, 2004. On March 1, 2004, which is included in the division period, the patient Since the history of dispensing 10 days of medicine is stored for 4 days, 4 days is obtained by subtracting 10 days which is the total amount of medicines dispensed within the divided period from 14 days which is the number of prescription days. The amount can be dispensed.

  In step S88, the CPU 22 supplies the dispenseable amount data to the display unit 25 via the internal bus 30 and the input / output interface 29, and the display unit 25 performs the dispenseable amount based on the acquired dispenseable amount data. Is displayed on the screen. Thereafter, the process proceeds to step S90.

  If it is determined in step S86 that today's date has passed the expiration date, the process proceeds to step S89. In step S89, the CPU 22 displays the display unit 25 via the internal bus 30 and the input / output interface 29. Displays a warning screen indicating that the expiration date has passed. Thereby, the pharmacist can surely know that the expiration date of the prescription information has passed. Thereafter, the process proceeds to step S90.

  The pharmacist dispenses the drug based on the prescription information included in the patient information displayed on the display unit 25 in the process of step S85 and sells it to the patient. As a result, the information on the prescription delivered at the hospital is reliably transmitted to the pharmacist at the pharmacy, and dispensing errors are reduced. Moreover, the pharmacist can know the information of the medicine dispensed at other pharmacies.

  Furthermore, the pharmacist limits the prescription information stored in the examination ticket 13 in one examination by restricting not to dispense the medicine exceeding the dispensable amount displayed on the display unit 25 in the process of step S88. Based on the above, it is possible to dispense safely multiple times within the expiration date, and drugs that are problematic if purchased in large quantities, such as dangerous drugs if consumed in large quantities, may be purchased in large quantities by patients. Is prevented. Also, if the patient is within the expiration date, it is not necessary to go to the hospital and update the prescription information to purchase the same medicine.

  Then, the pharmacist inputs the dispensing history information using the input unit 21 of the personal computer 11 when dispensing and selling the drug to the patient.

  In step S90, the CPU 22 determines whether dispensing history information has been input. When it is determined that the dispensing history information has been input, that is, the pharmacist inputs the dispensing history information using the input unit 21, and supplies the dispensing history information to the input unit 21 via the input / output interface 29 and the internal bus 30. Is supplied, the process proceeds to step S91.

  In step S91, the CPU 22 supplies the dispensing history information input in the process of step S90 to the recording unit 26 via the internal bus 30 and the input / output interface 29 as necessary, and records the dispensing history information.

  In step S92, the CPU 22 supplies the dispensing history information input in the process of step S90 to the display unit 25 via the internal bus 30 and the input / output interface 29, and the display unit 25 is based on the acquired dispensing history information. Display the screen.

  In step S93, the CPU 22 determines whether or not the dispensing amount of the input dispensing history information exceeds the possible dispensing amount calculated in the process of step S87. If it is determined that the dispensing amount exceeds the possible dispensing amount, the process proceeds to step S94.

  In step S <b> 94, the CPU 22 causes the display unit 25 to display a warning screen indicating that the dispensed amount exceeds the dispenseable amount via the internal bus 30 and the input / output interface 29. Thereby, the pharmacist can surely know that the medicine has been dispensed in excess of the dispensable amount. Thereafter, the process proceeds to step S95.

  If it is determined in step S93 that the dispensing amount does not exceed the possible dispensing amount, the process in step S94 is skipped, and the process proceeds to step S95.

  If it is determined in step S90 that no dispensing history information has been input, the processes in steps S91 to S94 are skipped, and the process proceeds to step S95.

  After inputting the dispensing history information, the pharmacist holds the examination ticket 13 near the antenna 44 of the reader / writer 12 provided in the examination ticket management apparatus 1 and uses the input unit 21 of the personal computer 11 to examine the examination ticket 13. Enter instructions to write patient information to.

  In step S95, as in the process of step S19 of FIG. 7, the CPU 22 determines whether or not patient information writing has been instructed. If it is determined that writing of patient information has been instructed, the process proceeds to step S96.

  In step S96, the data writing process described above with reference to FIG. 9 is performed. By this process, patient information in which the dispensing history information input in the process of step S90 is added to the patient information read from the medical ticket 13 in the process of step S81 is transferred from the medical ticket management apparatus 1 to the medical ticket 13 It is transmitted and written on the examination ticket 13. At this time, instead of transmitting all the patient information, only the input dispensing history information may be transmitted and added to the examination ticket 13 for writing. Thereafter, the process proceeds to step S97.

  If it is determined in step S95 that patient information writing has not been instructed, the process of step S96 is skipped, and the process proceeds to step S97.

  In step S97, the CPU 22 determines whether or not an instruction to end the process is given. If it is determined that the end of the process is not instructed, the process returns to step S81, and the subsequent processes are repeated.

  If it is determined in step S97 that the process has been instructed, that is, the pharmacist uses the input unit 21 to input an instruction to end the process of the examination ticket management apparatus 1, and inputs / outputs from the input unit 21. When the input of the instruction to end the process is supplied to the CPU 22 via the interface 29 and the internal bus 30, the patient mode process ends.

  Thus, by storing the dispensing history information in the examination ticket 13, the information dispensed to the patient can be reliably transmitted from the pharmacist to the doctor, and can be used for the examination. Further, by storing the prescription information in the examination ticket 13, the information prescribed to the patient can be reliably transmitted from the doctor to the pharmacist. Furthermore, by storing the prescription information in the examination ticket 13, it becomes difficult for a third party to see the patient's personal information as compared with the prescription written on the conventional paper.

  As described above, prescription information indicating a drug that a doctor has recognized that needs to be dispensed therapeutically to a patient and dispensing history information indicating a history of the drug dispensed to the patient based on the prescription information If the patient information is transmitted / received to / from the information processing device, the patient information is stored, and the transmission / reception of the patient information and the storage of the patient information are controlled according to the control information received from the information processing device, the patient information Can be stored. In addition, information related to the patient's medicine can be easily and reliably known. Furthermore, it can be dispensed safely multiple times in one examination.

  Also, from the medical information storage device owned by the patient, the medicine dispensed to the patient based on the prescription information and the prescription information indicating the medicine that the doctor has recognized as needing to be dispensed therapeutically to the patient When the patient information including the dispensing history information indicating the history is acquired and the display of the acquired patient information is controlled, the patient information can be displayed. In addition, information related to the patient's medicine can be easily and reliably known.

  In addition, by sharing the examination ticket 13 at a plurality of hospitals, the patient can be saved from the trouble of storing or carrying the examination tickets of a plurality of hospitals. The information prescribed to the patient at the hospital in Japan can be easily and reliably known and can be used for the examination.

  In addition, the examination ticket 13 may be configured by a contact IC card that exchanges information by connecting contacts instead of the non-contact IC card using the RFID tag described above.

  The series of processes described above can be executed by hardware or can be executed by software. When a series of processing is executed by software, for example, as described above, a program constituting the software is installed in the personal computer 11 of FIG. 2 from a network or a recording medium.

  As shown in FIG. 2, a recording medium that records a program that is installed in a computer and can be executed by the computer is distributed to provide a program to a user separately from the apparatus main body. Recording magnetic disk (including flexible disk), optical disk (including CD-ROM (Compact Disc-Read Only Memory), DVD (Digital Versatile Disc)), magneto-optical disk (MD (Mini-Disc) (registered trademark) ), Or included in the ROM 23 or the recording unit 26 in which the program is provided, which is provided to the user in a state of being incorporated in advance in the apparatus main body. Hard disk.

  In the present specification, the step of describing the program stored in the program storage medium is not limited to the processing performed in time series according to the described order, but is not necessarily performed in time series. Or the process performed separately is also included.

  Further, in this specification, the system represents the entire apparatus composed of a plurality of apparatuses.

It is a block diagram which shows the structural example of the medical examination ticket (medical information storage device) to which this invention is applied, and a medical examination ticket management apparatus (medical information processing apparatus). It is a block diagram which shows the structural example of the personal computer of the examination ticket management apparatus (medical information processing apparatus) of FIG. It is a block diagram which shows the structural example of the reader / writer of the examination ticket management apparatus (medical information processing apparatus) of FIG. It is a block diagram which shows the structural example of the medical examination ticket (medical information storage device) of FIG. It is a figure which shows the structural example of the patient information memorize | stored in a medical examination ticket (medical information storage device). It is a flowchart explaining the process of a medical examination ticket management apparatus (medical information processing apparatus). It is a flowchart explaining the detail of the hospital mode process of step S3 of FIG. It is a flowchart explaining the detail of the data read-out process of step S11 of FIG. It is a flowchart explaining the data transmission process of the medical examination ticket (medical information storage device) performed corresponding to the data reading process of FIG. It is a flowchart explaining the detail of the data writing process of FIG.7 S20. It is a flowchart explaining the data reception process of the medical examination ticket (medical information storage device) performed corresponding to the data writing process of FIG. It is a flowchart explaining the detail of the pharmacy mode process of step S4 of FIG. It is a flowchart explaining the detail of the pharmacy mode process of step S4 of FIG.

Explanation of symbols

1 Examination Ticket Management Device 11 Personal Computer 12 Reader / Writer 13 Examination Ticket
22 CPU
25 display unit 41 CPU
44 Antenna 61 IC
62 Antenna 71 Modulator / Demodulator 72 CPU
73 EEPROM

Claims (11)

A patient including prescription information indicating a drug that a doctor has recognized that needs to be dispensed and administered therapeutically to a patient, and dispensing history information indicating a history of the drug dispensed to the patient based on the prescription information Transmitting and receiving means for transmitting and receiving information to and from the information processing device;
Storage means for storing the patient information;
Control means for controlling transmission / reception of the patient information by the transmission / reception means and storage of the patient information by the storage means in accordance with control information received from the information processing apparatus by the transmission / reception means. Storage device. The medical information storage device according to claim 1, wherein the prescription information includes restriction information indicating a restriction on an amount of the medicine in one dispensing. The medical information storage device according to claim 1, wherein the medical information storage device includes an RFID (Radio Frequency Identification) tag or a contact IC card. The medical information storage device according to claim 1, wherein the medical information storage device is a medical examination ticket of a hospital. The medical information storage device owned by the patient was dispensed to the patient based on the prescription information indicating the medicine that the doctor recognized as needing to dispense and administer to the patient and the prescription information An acquisition means for acquiring patient information including dispensing history information indicating a history of medicine;
A medical information processing apparatus, comprising: display control means for controlling display of the acquired patient information. The medical information processing apparatus according to claim 5, wherein the prescription information includes restriction information indicating a restriction on an amount of the medicine in one dispensing. The medical information processing apparatus according to claim 5, further comprising a calculation unit that calculates an amount of the medicine to be dispensed with respect to the patient based on the acquired patient information. The medical information processing apparatus according to claim 5, further comprising a writing control unit that controls writing of at least one of the prescription information and the dispensing history information to the medical information storage device. The medical information storage device owned by the patient was dispensed to the patient based on the prescription information indicating the medicine that the doctor recognized as needing to dispense and administer to the patient and the prescription information An acquisition step of acquiring patient information including dispensing history information indicating a history of medicine;
A display control step of controlling display of the acquired patient information. Based on the prescription information indicating the medicine recognized by the doctor as being therapeutically dispensed and administered to the patient from the medical information storage device owned by the patient, and dispensed to the patient An acquisition step of acquiring patient information including dispensing history information indicating a history of medicine;
And a display control step for controlling display of the acquired patient information. A recording medium on which a program for causing a computer to execute medical information processing is recorded. In a program that causes a computer to perform medical information processing,
The medical information storage device owned by the patient was dispensed to the patient based on the prescription information indicating the medicine that the doctor recognized as needing to dispense and administer to the patient and the prescription information An acquisition step of acquiring patient information including dispensing history information indicating a history of medicine;
A display control step for controlling display of the acquired patient information.

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