JP6814859B1 - Doctor medical care support system and method utilizing patient medication-related information accumulated in the dispensing pharmacy side system - Google Patents

Abstract

[Purpose] When a family pharmacist at a dispensing pharmacy records useful medication-related information about a patient, and the patient visits the medical institution, the doctor at the medical institution that treats the patient concerned about the patient. Provided is a medical treatment support system and method for a pharmacist who can know the existence of medication-related information recorded by a pharmacist and use the information to be useful for medical treatment of the patient. [Structure] The current position information of each patient is automatically acquired, and based on this position information, it is automatically detected or determined that a certain patient has visited a certain medical institution, and based on this detection or determination. With a system and method that automatically notifies the doctor on the medical institution side of the existence of medication-related information recorded by the pharmacist regarding the patient so that the doctor can reliably use the information to treat the patient. is there. [Selection diagram] Fig. 1

Description

The present invention relates to a doctor's medical care support system and method by a pharmacist who can support a doctor's medical care at a medical institution by a pharmacist on the dispensing pharmacy side.

Conventionally, it has been proposed that both terminals share and utilize medical and drug information by connecting a terminal on the medical institution side and a terminal on the dispensing pharmacy side on the Internet. For example, Patent Document 1 proposes a system and a method for allowing a doctor on the medical institution side to view medical counseling information created by a pharmacist on the dispensing pharmacy side and uploaded to a server on the screen when treating a patient. ..

Japanese Patent No. 5868538

However, in general, the patient does not always visit the same medical institution as the previous time and receive medical treatment at the medical institution. However, in the case of the system and method of Patent Document 1 described above, if the patient is the last time this time. Even when trying to receive medical treatment at a medical institution different from that of the medical institution, the information about the medication etc. recorded by the pharmacist about the patient is the current medical institution where the patient actually visits and is going to receive medical treatment (previous time) It is not provided to a medical institution different from that of the medical institution), and this time there is an inconvenience that it is provided to the previous medical institution where the patient did not come to the hospital and did not intend to receive medical treatment.

Further, in the case of using the system and method of Patent Document 1 described above, even if the pharmacist on the dispensing pharmacy side creates and records useful information such as the medication status of a certain patient and uploads it to a server or the like. It may happen that the doctor of the medical institution that treats the patient cannot use it for the medical treatment of the patient without being aware of the existence of the information.

The present invention has been made by paying attention to such a problem of the prior art, and even if the patient visits a medical institution different from the medical institution visited last time and receives the medical treatment. Even when the patient does, the information about the medication etc. recorded by the pharmacist (family pharmacist) of the dispensing pharmacy is different from the medical institution where the patient actually visited this time and tried to receive medical treatment (different from the medical institution visited last time). It can be reliably provided to the medical institution (which may be a medical institution) (that is, the above information is not provided to the medical institution that the patient visited last time but not this time. The purpose is to provide a pharmacist's medical care support system and method.

Further, according to the present invention, when a pharmacist (family pharmacist) of a dispensing pharmacy records useful information such as the medication status of a certain patient, when the patient visits the medical institution, the medical institution that treats the patient. The pharmacist's medical support for the patient can be surely known about the existence of medication-related information recorded by the pharmacist regarding the patient, and the information can be used reliably for the medical treatment of the patient. The purpose is to provide a system and method.

Further, the present invention enables a doctor to add a useful description to an electronic medical record by using medication-related information prepared in advance by a pharmacist (family pharmacist) of a dispensing pharmacy regarding the patient, and the electronic medical record performed by the doctor. It is an object of the present invention to provide a medical care support system and method for doctors by pharmacists, which can greatly improve the efficiency of input work. Further, the present invention makes it possible to automatically receive a medical examination (based on the patient's current position information and identification information) only when the patient visits the hospital, where a medical examination ticket is used for the reception of a patient in a conventional medical institution. The purpose is to provide a doctor's medical treatment support system and method by a pharmacist, which enables the patient's information, for example, information such as whether or not the patient has receivables to be automatically confirmed at the stage of receiving medical treatment. And.

The doctor medical care support system utilizing the patient medication-related information accumulated in the dispensing pharmacy side system according to the present invention for solving the above problems is the medication status of each patient acquired or created by the pharmacist for each patient and the medication status for each patient. A medication-related information recording unit provided in the dispensing pharmacy side system that records and accumulates medication-related information regarding the effects or side effects of guidance or medication, and a patient location acquisition unit that acquires the current location information of each patient. A patient has moved to or visited a medical institution based on the patient's position information acquired by the patient position acquisition unit and the position information of a medical institution recorded or known in advance. A patient visit detection unit that generates, outputs, or transmits information indicating that the patient has moved or visited the medical institution or its vicinity is received from the patient visit detection unit, and based on this reception. Automatically from the dispensing pharmacy side system, the medication-related information about the patient recorded in the medication-related information recording section of the dispensing pharmacy side system is used as information useful for medical treatment by the doctor, and the medical treatment visited by the patient this time. It is characterized by including a medication-related information transmission unit provided in a dispensing pharmacy-side system that transmits to a device on the institution side or a server accessible to the medical institution side.

In addition, the doctor medical care support system that utilizes the patient medication-related information accumulated in the dispensing pharmacy side system according to the present invention is the medication status of each patient and the effect of guidance or medication that the pharmacist has acquired or created for each patient. Alternatively, the medication-related information recording section provided in the dispensing pharmacy side system, which records and stores medication-related information related to side effects, and the information indicating or identifying the medical institution provided in each medical institution are transmitted. Based on the information from the medical institution information transmission unit and the medical institution information transmission unit, information indicating that the patient has moved or visited the medical institution or its vicinity is generated and output or transmitted on the patient side terminal. The patient visit detection unit and the information indicating that the patient has moved to or visited the medical institution or its vicinity are received from the patient visit detection unit, and the dispensing pharmacy side system is automatically based on this reception. Therefore, the medication-related information about the patient recorded in the medication-related information recording section of the dispensing pharmacy side system can be used as information useful for medical treatment by a doctor on the device of the medical institution that the patient visited this time, or the medical institution. It is characterized by having a medication-related information transmission unit provided in the dispensing pharmacy side system, which transmits to a server accessible by the side.

In addition, the doctor medical care support system that utilizes the patient medication-related information accumulated in the dispensing pharmacy side system according to the present invention is the medication status of each patient and the effect of guidance or medication that the pharmacist has acquired or created for each patient. Alternatively, a medication-related information recording unit provided in the dispensing pharmacy side system that records and stores medication-related information related to side effects, a patient position acquisition unit that acquires the current position information of each patient, and the patient position acquisition unit. Based on the location information of the patient acquired by the above and the location information of the medical institution recorded or known in advance, information indicating that the patient has moved to or visited the medical institution is generated. Receives output or transmission of information from the patient visit detection unit and information indicating that the patient has moved or visited the medical institution or its vicinity, and automatically based on this reception. From the dispensing pharmacy side system, the medication-related information about the patient recorded in the medication-related information recording section of the dispensing pharmacy-side system, or the information for accessing the medication-related information or the information notifying that the access is possible. It is characterized by having a medication-related information transmission unit provided in the dispensing pharmacy side system, which transmits the above to the device on the side of the medical institution that the patient visited this time or to the server that the side of the medical institution can access. is there.

In addition, the doctor medical care support system that utilizes the patient medication-related information accumulated in the dispensing pharmacy side system according to the present invention is the medication status of each patient and the effect of guidance or medication that the pharmacist has acquired or created for each patient. Alternatively, the medication-related information recording section provided in the dispensing pharmacy side system, which records and stores medication-related information related to side effects, and the information indicating or identifying the medical institution provided in each medical institution are transmitted. Based on the information from the medical institution information transmission unit and the medical institution information transmission unit, information indicating that the patient has moved or visited the medical institution or its vicinity is generated and output or transmitted on the patient side terminal. The patient visit detection unit and the information indicating that the patient has moved to or visited the medical institution or its vicinity are received from the patient visit detection unit, and the dispensing pharmacy side system is automatically based on this reception. From, the medication-related information about the patient recorded in the medication-related information recording section of the dispensing pharmacy side system, or the information for accessing the medication-related information or the information notifying that the access is possible, the patient. It is characterized by having a medication-related information transmission unit provided in the dispensing pharmacy side system, which transmits to the device on the side of the medical institution visited this time or to a server accessible to the side of the medical institution.

In addition, the doctor medical care support method utilizing the patient medication-related information accumulated in the dispensing pharmacy side system according to the present invention is executed by the patient side terminal, the dispensing pharmacy side system, the medical institution side device, or a server accessible thereto. It is a doctor's medical treatment support method that utilizes the patient medication-related information accumulated in the dispensing pharmacy side system.
The medication-related information regarding the medication status of each patient and the guidance or effects or side effects of medication that the pharmacist has acquired or created for each patient is recorded and accumulated in the medication-related information recording section of the dispensing pharmacy side system. Generated by taking medication-related information recording step and comparing the current location information of each patient with the location information of each medical institution acquired or known in advance, or provided by each medical institution. The patient has moved to or visited the medical institution or its vicinity, which is generated by the patient's terminal receiving the information from the medical institution information transmission unit that transmits the information indicating or identifying the medical institution. The patient visit detection step that outputs or transmits the indicated information and the information that indicates that the patient that was output or transmitted in the patient visit detection step has moved or visited the medical institution or its vicinity are received and received. Based on this, the medical institution visited this time by the patient as information useful for medical treatment by the doctor, which is automatically recorded from the dispensing pharmacy side system in the medication related information recording section of the dispensing pharmacy side system. It is characterized by including a medication-related information transmission step of transmitting to a device on the institution side or a server accessible to the medical institution side.

In addition, the doctor medical care support method utilizing the patient medication-related information accumulated in the dispensing pharmacy side system according to the present invention is executed by the patient side terminal, the dispensing pharmacy side system, the medical institution side device, or a server accessible thereto. It is a doctor's medical treatment support method that utilizes the patient medication-related information accumulated in the dispensing pharmacy side system.
The medication-related information regarding the medication status of each patient and the guidance or effects or side effects of medication that the pharmacist has acquired or created for each patient is recorded and accumulated in the medication-related information recording section of the dispensing pharmacy side system. Generated by taking medication-related information recording step and comparing the current location information of each patient with the location information of each medical institution acquired or known in advance, or provided on each medical institution side The fact that the patient has moved or visited the medical institution or its vicinity, which was generated by the patient's terminal receiving the information from the medical institution information transmission unit that transmits the information indicating or identifying the medical institution. The patient visit detection step that outputs or transmits the indicated information and the information that indicates that the patient has moved or visited the medical institution or its vicinity in the patient visit detection step is received and received. Based on this, from the dispensing pharmacy side system, the medication-related information about the patient recorded in the medication-related information recording unit of the dispensing pharmacy-side system, or the information for accessing the medication-related information or the same access is possible. It is characterized by including a medication-related information transmission step of transmitting information notifying the fact to the device on the side of the medical institution visited by the patient or to a server accessible to the medical institution.

As described above, in the present invention, (a) the dispensing pharmacy side or the server side accessible from the dispensing pharmacy side automatically acquires the current position information of each patient, and further, based on the position information of each patient. Therefore, it is automatically detected or determined that a certain patient has visited a certain medical institution, or (b) information indicating or identifying the medical institution provided on each medical institution side is transmitted. By receiving the information from the medical institution information transmission unit on the patient side terminal, it is automatically detected or determined that a certain patient has visited a certain medical institution. Then, in the present invention, based on the acquisition of the information indicating the visit, etc. by the server side, etc., (i) by the date of the visit (more accurately, by the time of medical treatment by the doctor on the date of the visit). Medication-related information about the patient recorded in the medication-related information recording section, (ii) The medication-related information exists on the device on the medical institution side or on the server side accessible from the device on the medical institution side. The patient visited this time as information useful for medical treatment by the doctor, (iii) information indicating the method for the doctor to access the medication-related information (information indicating the recording location of the information, etc.). It is automatically sent to the device on the medical institution side (including the terminal used by the doctor), or it is automatically sent to the server side accessible from the device on the medical institution side that the patient visited this time. ..

Therefore, according to the present invention, even when the patient visits a medical institution different from the one visited last time, the medication-related information recorded by the pharmacist (family pharmacist) of the dispensing pharmacy regarding the patient can be obtained. Make sure that it can be provided to the medical institution that the patient actually visited (which may be a different medical institution from the one that the patient visited last time) (that is, the pharmacist records the patient), etc. It is possible to prevent the information related to medication that was taken from being provided to medical institutions that the patient visited last time but this time the patient did not visit. Therefore, according to the present invention, the doctor of the medical institution that treats the patient surely knows the existence of the medication-related information recorded by the pharmacist (family pharmacist) of the dispensing pharmacy about the patient, and surely knows the information. It can be used for medical treatment of the patient. Further, in the present invention, the doctor adds a useful description to the electronic medical record by using the medication-related information (information input and recorded by the pharmacist) regarding the patient viewed during the medical treatment during or after the medical treatment. This makes it possible to greatly improve the efficiency of electronic medical record input work performed by doctors.

Further, in the present invention, the information obtained by the patient visit detection unit or the same step indicating that a patient has moved or visited a certain medical institution or its vicinity is not only on the dispensing pharmacy side but also on the medical institution. When the side can also acquire, receive, or browse, it will be possible to automatically receive medical examinations (based on the patient's current location information and identification information) just by visiting the patient (in conventional medical institutions, patients). A medical examination ticket was used at the reception desk), and patient information, such as whether or not the patient has receivables, can be automatically confirmed at the medical treatment reception stage.

It is a conceptual block diagram which shows the schematic structure of the medical care support system of a doctor by a pharmacist which concerns on Embodiment 1 of this invention. It is a schematic diagram for demonstrating the whole picture of the operation when the system which concerns on this Embodiment 1 is used. It is a schematic diagram for demonstrating an example of the operation when the system which concerns on this Embodiment 1 is used, along the business flow. FIG. 5 is a diagram showing an example of an operation when the dispensing pharmacy side system automatically acquires patient inquiry information and the like from a patient side terminal and automatically transmits the patient inquiry information and the like to the medical institution side system in the first embodiment. It is a conceptual block diagram which shows the schematic structure of the medical care support system of a doctor by a pharmacist which concerns on Embodiment 2 of this invention.

[First Embodiment]
Hereinafter, Embodiment 1 of the present invention will be described with reference to the drawings. FIG. 1 is a conceptual block diagram showing a schematic configuration of a doctor's medical care support system by a pharmacist according to the first embodiment of the present invention. In FIG. 1, reference numeral 1 denotes a patient-side terminal such as a smartphone carried by a patient (portable type), which is a patient-side terminal having a function of acquiring its own current position coordinate data at predetermined time intervals by radio waves from a GPS satellite. 3 is a database provided in the dispensing pharmacy side system 2, and each patient-related information including the name, address, medical history, medication calendar, current medication status, etc. of each patient, and each patient visits or visits the hospital. This is a medication-related database that records medical institution-related information including the name, address, and position coordinate data of each medical institution to be examined (or may be).

In FIG. 1, reference numeral 4 denotes a pharmacist-side terminal used by a pharmacist in a dispensing pharmacy. The pharmacist (family pharmacist) provides medication-related information consisting of the contents of dispensing and medication guidance to the patient, the recent medication status heard from the patient, the effects or side effects of the medication, and the findings as a pharmacist regarding them. 4 is used to routinely enter and accumulate in the medication-related database 3.

Further, in FIG. 1, reference numeral 5 denotes a patient position for receiving the patient's current position coordinate data and the patient's identification information acquired by the patient-side terminal 1 provided in the dispensing pharmacy-side system 2, for example, at predetermined time intervals. It is a receiver. Further, in No. 6, the patient visited the medical institution, etc. by comparing the current position coordinate data of the patient from the patient position receiving unit 5 with the position coordinate data of each medical institution from the medication-related database 3. This is a visit detection and judgment unit that detects and determines whether or not a patient has visited the hospital.

Further, in FIG. 1, reference numeral 7 denotes a medication-related database 3 when the patient visits a medical institution for consultation, that is, when information indicating the patient's visit is received from the visit detection determination unit 6. It is a medication information transmission unit that extracts medication-related information input and recorded by a pharmacist regarding a patient, and transmits the extracted medication-related information regarding the patient to a medical institution-side system 9 via a network 8 such as the Internet.

Further, in FIG. 1, reference numeral 10 denotes a medication information receiving unit provided in the medical institution side system 9 for receiving medication-related information from the medication information transmitting unit 7 in the dispensing pharmacy side system 2. The medication information receiving unit 10 newly records the received medication-related information regarding the patient at a predetermined location in the medical-related database 11 provided in the same medical institution-side system 9. Further, in addition to this operation, the medication information receiving unit 10 indicates that the medication-related information regarding the patient is newly recorded in the medical-related database 11, and the doctor accesses the medical-related database 10. Then, information for extracting the medication-related information regarding the patient (information indicating a recording location or the like of the medication-related information in the database 10) is transmitted to the doctor-side terminal 12. The doctor uses the doctor-side terminal 12 to take medication for the patient based on information for extracting medication-related information about the patient from the medical-related database 10 (information received from the medication information receiving unit 10). Extract related information and use it for medical treatment (medical care) such as interviews, medical examinations, diagnoses and treatments for the patients.

Next, the individual operation of the first embodiment will be described with reference to the drawings. As described above with respect to FIG. 1, on the dispensing pharmacy side, on a daily basis, the pharmacist prepares the medicine for each patient, gives guidance to each patient, the medication status from each patient, the effect or side effect of the medication, and the effect. The contents of the interviews such as the attached hospital name and the medication-related information including the findings of the pharmacist for them are recorded in the medication-related database 3 at any time using the pharmacist-side terminal 4. Further, on the dispensing pharmacy side, with the consent of the patient, the current position information of the patient, which changes from moment to moment, is input from the patient side terminal 1 used by the patient at any time or at predetermined time intervals in the dispensing pharmacy side system 2 (the above). It is set so that the patient position receiver 5) can collect it. Then, in the dispensing pharmacy side system 2, the patient position receiving unit 5 receives and acquires the current position coordinate data of the patient at any time or at predetermined time intervals. The visit detection determination unit 6 detects or determines that the patient has visited any medical institution (visited for consultation) based on the current position coordinate data of the patient.

As described above, in the dispensing pharmacy side system (including the server, see reference numeral 2 in FIG. 1), the visit detection determination unit 6 is the current position information automatically transmitted from each patient side terminal 1 used by each patient. When each patient moves from any medical institution to, for example, within 150 m, or when each patient moves into one of the medical institutions, information or a signal indicating a visit to the medical institution is generated. , This is transmitted to the medication information transmission unit 7. The medication information transmission unit 7 transmits the information indicating the visit and the like and the medication-related information of the patient to the medical institution side system (including the server, see reference numeral 9 in FIG. 1).

Regarding operations such as acquisition of patient position information and detection or determination of whether or not the patient has visited a medical institution, the dispensing pharmacy side system 2 (server side) shown in FIG. 1 is described from the patient side terminal 1 in the above. It has been explained that the above detection and the like are performed by receiving the position information of the patient and comparing it with the position information of the medical institution acquired in advance. However, in the present embodiment, as shown in the right part of the drawing of FIG. 2, the medical institution Radio waves from a beacon installed inside a medical institution or near the entrance of a medical institution that wirelessly transmits the identification information of the medical institution within a predetermined distance (for example, a radius of a dozen meters). Is received by the patient-side terminal 1, and the received patient-side terminal 1 detects or determines the visit of the patient (the patient) to the medical institution, and the information obtained thereby indicating the visit of the patient to the medical institution. May be transmitted by the patient-side terminal 1 to the dispensing drug-side server (see reference numeral 2 in FIG. 1) and / or the medical institution-side server (see reference numeral 9 in FIG. 1). Further, on the personal computer screen on the right side of the drawing in FIG. 2, the names of each of the plurality of patients and each patient visit the hospital based on the current position information of each of the plurality of patients acquired by the dispensing pharmacy side system 2 and the position information of each medical institution. This is an example of a screen (screen of a terminal on the dispensing pharmacy side or a terminal on the medical institution side) that displays a list of the names of hospitals and their visit times.

Next, it is a figure which shows the outline of the business flow at the time of using the system which concerns on this Embodiment 1. In the first embodiment, the "family pharmacist" who works at the dispensing pharmacy not only listens to and gives guidance on the medication status from the patient when delivering the dispensed drug, but also contacts the pharmacist in advance. On a daily basis, we use e-mails and SNS (social networking services) to listen to and instruct patients about their medication status. For example, a family pharmacist at a dispensing pharmacy uses e-mail or SNS to (i) whether or not the previously prescribed drug is being taken at the correct dosage and administration, and (ii) whether or not there is any residual drug and how much. , (Iii) Presence / absence / degree of symptom improvement effect associated with the drug being taken, and (iv) Presence / absence / content of side effects due to the drug being taken, and other medication-related information (see the left part of the figure in Fig. 3). ) And give necessary guidance on a daily basis. Then, the information obtained by these hearings and guidance is input, recorded, and accumulated at any time from the pharmacist side terminal 4 to the medication-related database 3 together with the pharmacist's findings regarding the medication of the patient.

In the above description, an example in which a family pharmacist acquires medication-related information of each patient while individually communicating with each patient has been described, but in the present embodiment, as shown in FIG. 3, the dispensing pharmacy side ( It is also possible for a family pharmacist) to obtain and collect medication-related information for a large number of patients almost automatically. FIG. 3 shows an example of such an operation in which the family pharmacist almost automatically acquires and collects medication-related information of each patient. In this case, as shown in FIG. 3, for example, a smartphone application (application program) targets a patient who has consented in advance, for example, the patient (the application identifies each patient by a pharmacy code and a pharmacy patient ID). When the scheduled medication time is reached, the following questions are automatically asked to the patient on the screen or speaker, so that the patient's medication status and other patient interview information (part of medication-related information) Is automatically collected.
・ Did you take the drug prescribed last time in the correct dosage and administration? Yes, no, do you have any leftover medicine? Yes, no, have you ever been curious about taking medicine? Yes, no, is the symptom improving? Yes, it works a little, it doesn't work, I don't know, do you have any side effects? Yes, no. In this way, both the patient and the pharmacist can collect information on the medication status of each patient by the dispensing pharmacy with the minimum amount of time and effort.

Further, FIG. 4 is a diagram showing another example of the operation of automatically collecting the patient's interview information (a part of the medication-related information) described above with respect to FIG. Also in the operation example shown in FIG. 4, the application installed in the patient-side terminal 1 asks the patient the following questions at predetermined time intervals (for example, once a day, when taking the medicine in the evening).
・ Are you taking any medicine? Yes, No ・ Have you ever been curious about taking medicine? Yes, no, is the bowel movement going well? Yes, no ・ Can you get a good night's sleep? Yes, no, how is your state of mind? Energetic, depressed, frustrated, anxious, weak ・ I want a pharmacy to contact me Yes, No ・ Please fill in your life and diet. Free input, other questions, requests, problems, etc. Free input In the example of FIG. 4, the dispensing pharmacy side system 2 automatically receives, collects, and records the answer information of each patient to each of the above questions. .. Then, the drug-related information including the patient inquiry information automatically received and collected by the dispensing pharmacy side system 2 is transmitted from the dispensing pharmacy side system 2 to the medical institution side system 9.

Next, when the patient visits a certain medical institution to receive medical treatment, in the dispensing pharmacy side system 2, the visit detection determination unit 6 (see FIG. 1) is, for example, predetermined from the patient side terminal 1 owned by the patient. Based on the patient position information automatically transmitted every hour, information indicating that the patient has visited the medical institution is automatically generated and output. Then, the medication information transmission unit 7 (see FIG. 1) records in the medication-related database 3 of the dispensing pharmacy side system 2 by the visit date (more accurately, by the time of medical treatment by the doctor on the visit date). Automatically collects information indicating the medication-related information about the patient or its existence (including information indicating the recording location of the medication-related information or information for a doctor to access the medication-related information) that has been accumulated. Is transmitted to the medical institution side system 9 (the medication information receiving unit 10 in FIG. 1) or to a server (not shown) on the network 8 accessible to the device on the medical institution side system 9 side.

As described above with respect to FIG. 1, when the medication information transmitting unit 7 in the dispensing pharmacy side system 2 transmits the medication-related information regarding the patient to the medication information receiving unit 10 in the medical institution side system 9. The medication information receiving unit 10 records the received medication-related information in the medical-related database 11 in association with the patient ID and the like. The doctor accesses the medical-related database 11 from the doctor-side terminal 12, browses medication-related information about the patient, and uses it for medical treatment of the patient.

As described above with respect to FIG. 1, the dispensing pharmacy side system 2 (the medication information transmission unit 7 in the dispensing pharmacy side) can access the medication-related information regarding the patient on the network 8 on the medical institution side system 9 side. When transmitted to a server (not shown), information indicating the existence of medication-related information regarding the patient transmitted from the medication information transmission unit 7 (information indicating the recording location of the medication-related information, or the doctor's medication). For the medication information receiving unit 10 that has received (including information for accessing related information) to access medication-related information (information recorded in a server on the external network 8) regarding the patient. The information is transmitted to the doctor-side terminal 12 (or recorded in the medical-related database 11). The doctor browses the medication-related information about the patient based on the information for accessing the medication-related information about the patient (information recorded in the server on the external network 8) transmitted to the doctor-side terminal 12. However, it will be useful for the medical treatment of the patient.

As described above, in the first embodiment, on the dispensing pharmacy side, the patient position receiving unit 5 automatically acquires the current position information of each patient, and the visit detection determination unit 6 of the acquired patient. Based on the location information, it automatically detects or determines that a certain patient has visited one of the medical institutions, etc., and based on the information indicating this visit, etc., the medication information transmitting unit 7 sends the visit to the hospital. The latest medication-related information about the patient recorded in the medication-related database 3 by the day (more accurately, by the medical treatment by the doctor) is used by the medical institution that the patient visited this time as useful information for the medical treatment by the doctor. It is set to be transmitted to the system 9 (the above-mentioned medication information receiving unit 10 or the doctor side terminal 12 or the like) or automatically transmitted to the server side accessible to the medical institution side system 9.

Therefore, according to the first embodiment, even when the patient visits a medical institution different from the one visited last time, the medication-related records recorded by the pharmacist (family pharmacist) of the dispensing pharmacy regarding the patient. The information can be reliably provided to the side of the current medical institution (which may be a different medical institution from the one visited last time) that the patient is actually visiting and receiving medical treatment (ie). , The medication-related information recorded by the pharmacist regarding the above-mentioned patient can be prevented from being provided to the medical institution side that the patient visited last time but not this time). Therefore, according to the first embodiment, the doctor of the medical institution that treats the patient exists the medication-related information recorded by the pharmacist (family pharmacist) of the dispensing pharmacy regarding the patient (and the access method such as the recording location). It becomes possible to surely know (such as information indicating) and use the information surely to be useful for the medical treatment of the patient.

Further, in the first embodiment, the doctor adds a useful description to the electronic medical record by using the medication-related information (information recorded by the pharmacist, etc.) regarding the patient viewed during the medical treatment or after the medical treatment. This makes it possible to greatly improve the efficiency of electronic medical record input work performed by doctors. Further, in the first embodiment, information indicating that a patient has moved to or near a certain medical institution or has visited the hospital can be acquired, received, or viewed not only by the dispensing pharmacy side but also by the medical institution side. As a result, it is now possible to automatically receive medical examinations (based on the patient's current location information and identification information) just by visiting the patient (in conventional medical institutions, medical examination tickets were used for patient reception). ), And patient information, such as whether or not the patient has receivables, can be automatically confirmed at the medical treatment reception stage.

[Second Embodiment]
Next, the configuration and operation of the doctor's medical care support system by the pharmacist according to the second embodiment of the present invention will be described with reference to FIG. Since the second embodiment has the same basic configuration and operation as the first embodiment described above, different parts will be mainly described below.

In FIG. 5, the same reference numerals are given to the parts common to those in FIG. 1, and the description thereof will be omitted. In the second embodiment, the dispensing pharmacy side system 2 and the medical institution side system 9 do not have separate databases and servers for managing them as in the first embodiment, but a database that can be shared by both. A server or the like that manages this is installed on the network 8 (see FIG. 1). FIG. 5 is a schematic block diagram showing a system of the second embodiment including a shared server system 20 and the like installed on such a network 8 (see FIG. 1).

In the shared server system 20 on the network shown in FIG. 5, 21 is a shared database that can be accessed from both the dispensing pharmacy side and the medical institution side, and 22 is a database management unit that manages the input / output of the database 21. With respect to the shared database 21, the pharmacist (family pharmacist) of the dispensing pharmacy receives medication-related information about each patient from the pharmacist side terminal 4, and the doctor of the medical institution receives medical information of each patient from the doctor side terminal 12 on a daily basis. It is possible to write and browse.

Further, in the shared server system 20 on the network shown in FIG. 5, 23 is a patient position receiving unit that receives the current position information of each patient from the external patient side terminal 1, and 24 is the patient position receiving unit 23. Based on each patient position information and the position information of each medical institution obtained from the shared database 21, it is detected or detected that a certain patient has visited a certain medical institution (visited a certain medical institution, etc.). It is a visit detection judgment unit for judgment.

In the shared server system 20 on the network shown in FIG. 5, when the visit detection determination unit 24 detects or determines that a patient has visited a medical institution, the patient visits the medical institution, etc. Information indicating that the patient has been taken is transmitted to the medication information transmitting unit 25. When the medication information transmitting unit 25 receives information indicating that the patient has visited the medical institution from the visit detection determination unit 24, the medication information transmitting unit 25 accesses the database 21 based on the information about the patient or the like. , The information indicating the recording location of the medication-related information regarding the patient in the database 21 (or the information for the doctor to access the medication-related information) is acquired. Then, the medication information transmission unit 25 relates to (i) information indicating that the patient has visited the medical institution, and (ii) the patient in the database 21 obtained by accessing the database 21. Information indicating the recording location of the medication-related information (or information for the doctor to access the medication-related information) is transmitted to the medical institution-side system or the doctor-side terminal 12 in the system.

Alternatively, in the second embodiment, unlike the above, in the shared server system 20 on the network shown in FIG. 5, the visit detection determination unit 24 detects that a certain patient has visited a certain medical institution or the like. When it is determined, (i) not only the information indicating that the patient has visited the medical institution, but also (ii) the record of medication-related information regarding the patient in the database 21 obtained by accessing the database 21. Information indicating the location (or information for the doctor to access the medication-related information) is also acquired, and the information in (i) and (ii) above is transmitted to the medication information transmission unit 25 together. , The medication information transmitting unit 25 transmits the information of (i) and (ii) (or only the information of (ii)) to the medical institution side system or the doctor side terminal 12 in the system. You may.

The doctor who uses the doctor-side terminal 12 on the medical institution side receives information from the medication information transmission unit 25 indicating that the patient has visited the medical institution, and medication-related information regarding the patient in the database 21. Based on the information indicating the recording location of the information (or the information for the doctor to access the medication-related information), the medication-related information about the patient has been uploaded to the server on the network, and the medication-related information You can know that you can access it. Then, the doctor can acquire medication-related information about the patient from the shared database 21 in the server system 20 on the network based on each of the above information, and can use this for medical treatment of the patient.

As described above, in the second embodiment, in the server system 20 on the network accessible to both the dispensing pharmacy side and the medical institution side, the patient position receiving unit 23 automatically obtains the current position information of each patient. Information that the visit detection determination unit 24 automatically detects or determines that a certain patient has visited a certain medical institution based on the acquired position information of the patient, and indicates that the visit or the like has been made. To access the information (or the medication-related information) indicating the recording location of the medication-related information (information input / recorded by the pharmacist) regarding the patient in the database 21 by the medication information transmission unit 25 based on the above. Information) is automatically transmitted to the device on the medical institution side that the patient visited this time (the server on the medical institution side or the terminal 12 on the doctor side).

Therefore, according to the second embodiment, as in the first embodiment, even when the patient visits a medical institution different from the medical institution visited last time, the pharmacist of the dispensing pharmacy regarding the patient. Make sure that the medication-related information recorded by the (family pharmacist) is provided to the medical institution that the patient actually visited this time (it may be a different medical institution from the one that the patient visited last time). (That is, the medication-related information recorded by the pharmacist regarding the patient is not provided to the medical institution that the patient visited last time but not this time). Therefore, according to the second embodiment, as in the first embodiment, the existence of medication-related information recorded by the pharmacist (family pharmacist) of the dispensing pharmacy regarding the patient by the doctor of the medical institution that treats the patient. It will be possible to use the information for medical treatment of the patient by surely knowing and using the information.

Further, in the second embodiment, the doctor adds a useful description to the electronic medical record by using the medication-related information (information recorded by the pharmacist, etc.) regarding the patient viewed during the medical treatment or after the medical treatment. Therefore, the electronic medical record input work performed by the doctor will be greatly streamlined.
Further, in the second embodiment, information indicating that a patient has moved to or near a certain medical institution or has visited the hospital can be acquired, received, or viewed not only by the dispensing pharmacy side but also by the medical institution side. As a result, it is now possible to automatically receive medical examinations (based on the patient's current location information and identification information) just by visiting the patient (in conventional medical institutions, medical examination tickets were used for patient reception). ), And patient information, such as whether or not the patient has receivables, can be automatically confirmed at the medical treatment reception stage.

Although each embodiment of the present invention has been described above, the present invention is not limited to those described as each of the above-described embodiments, and various modifications and modifications can be made. For example, in the present invention, when the visit detection determination unit (reference numeral 6 in FIG. 1, code 24 in FIG. 5) generates information indicating that the patient has visited a medical institution, the information is used by a pharmacist in the dispensing pharmacy. The information is also transmitted to the side terminal 4, and the pharmacist recognizes the information and informs the patient who is visiting the medical institution (patient who is waiting for consultation in the medical institution) by communication means such as SNS. A part of the medication-related information obtained from the conversation in real time is input and recorded in the database (reference numeral 3 in FIG. 1 and reference numeral 21 in FIG. 5) in substantially real time, and is recorded in such a medical institution. Information obtained in substantially real time (information obtained immediately before the medical treatment by the doctor concerned) from a patient who is visiting the hospital (patient who is waiting for a medical examination) is also transmitted to the medication information transmission unit (reference numerals 7 and 5 in FIG. 1). 25) to the medical institution's doctor's terminal 12 or the like so that the information can be used for medical treatment of the patient as a part of medication-related information created in advance by the pharmacist. It is also possible to do.

Further, in FIGS. 1 and 4 relating to each of the above-described embodiments, the dispensing pharmacy side system (server side) relates to operations such as acquisition of patient position information and detection or determination of whether or not the patient has visited a medical institution. The above detection and the like are performed by receiving the position information of the patient from the terminal on the patient side and comparing it with the position information of the medical institution acquired in advance, but the present invention is not limited to this, and various methods are used. It can be changed. For example, in the present invention, as shown in the right side portion of FIG. 2, a beacon installed inside a medical institution or near the entrance of a medical institution, and identification information of the medical institution is provided at predetermined time intervals. The patient-side terminal receives a radio wave from a beacon that wirelessly transmits the radio wave within a predetermined distance (for example, a radius of tens of meters to several tens of meters), and the received patient-side terminal visits the medical institution of itself (the patient). The patient-side terminal uses the dispensing drug-side server (see reference numeral 2 in FIG. 1) and / or the medical institution-side server (Fig. 1) to detect or determine the patient and obtain the information indicating the patient's visit to the medical institution. Of course, it may be transmitted to reference numeral 9 of 1).

1 Patient-side terminal 2 Dispensing pharmacy-side system 3 Medication-related database 4 Pharmacist-side terminal 5, 23 Patient position reception unit 6, 24 Visit detection judgment unit 7, 25 Medication information transmission unit 8 Network 9 Medical institution side system 10 Medication information, etc. Receiver 11 Medical care-related database 12 Doctor's terminal 20 Server system 21 Shared database 22 Database management department

Claims (3)

Medication-related information provided in the dispensing pharmacy side system that records and accumulates medication-related information regarding the medication status of each patient and the guidance or effects or side effects of medication that the pharmacist has acquired or created for each patient. Recording department and
The patient position acquisition unit that acquires the current position information of each patient,
A patient has moved or visited a medical institution or its vicinity based on the patient's position information acquired by the patient position acquisition unit and the position information of a medical institution recorded or known in advance. Patient visit detection unit that generates and outputs or transmits information indicating
Information indicating that the patient has moved to or visited the medical institution or the vicinity thereof is received from the patient visit detection unit, and based on this reception, the dispensing pharmacy side system automatically performs the dispensing pharmacy side system. The medication-related information about the patient recorded in the medication-related information recording section of the above is transmitted to the device of the medical institution that the patient visited this time or to the server that the medical institution can access as information useful for medical treatment by the doctor. , The medication-related information transmission unit provided in the dispensing pharmacy side system,
A doctor's medical care support system that utilizes the patient medication-related information accumulated in the dispensing pharmacy side system, which is characterized by being equipped with. Medication-related information provided in the dispensing pharmacy side system that records and accumulates medication-related information regarding the medication status of each patient and the guidance or effects or side effects of medication that the pharmacist has acquired or created for each patient. Recording department and
A medical institution information transmission unit provided on each medical institution side that transmits information indicating or identifying the medical institution,
Based on the information from the medical institution information transmission unit, the patient visit detection unit generates, outputs, or transmits information indicating that the patient has moved or visited the medical institution or its vicinity on the patient side terminal.
Information indicating that the patient has moved to or visited the medical institution or the vicinity thereof is received from the patient visit detection unit, and based on this reception, the dispensing pharmacy side system automatically performs the dispensing pharmacy side system. The medication-related information about the patient recorded in the medication-related information recording section of the above is transmitted to the device of the medical institution that the patient visited this time or to the server that the medical institution can access as information useful for medical treatment by the doctor. , The medication-related information transmission unit provided in the dispensing pharmacy side system,
A doctor's medical care support system that utilizes the patient medication-related information accumulated in the dispensing pharmacy side system, which is characterized by being equipped with. It is a doctor medical care support method that utilizes the patient medication-related information accumulated in the patient-side terminal, the dispensing pharmacy-side system, and the medical institution-side device or the server that can access the patient-side terminal, and the patient-medication-related information accumulated in the dispensing pharmacy-side system.
The medication-related information regarding the medication status of each patient and the guidance or effects or side effects of medication acquired or created by the pharmacist for each patient is recorded and accumulated in the medication-related information recording section of the dispensing pharmacy side system. Medication-related information recording steps and
Indicates the medical institution generated by acquiring the current location information of each patient and comparing it with the previously acquired or known location information of each medical institution, or provided on the side of each medical institution. Medical institution that sends identification information Outputs or transmits information that is generated when the patient's terminal receives information from the information transmission unit and indicates that the patient has moved to or visited the medical institution or its vicinity. Patient visit detection step and
Upon receiving information indicating that the patient has moved or visited the medical institution or its vicinity, which is output or transmitted in the patient visit detection step, the dispensing pharmacy side system automatically receives the information indicating that the patient has moved or visited the medical institution or the vicinity thereof. The medication-related information about the patient recorded in the medication-related information recording section of the dispensing pharmacy side system is used as information useful for medical treatment by the doctor, and the device on the medical institution side that the patient visited this time or a server that the medical institution side can access. Sending to, taking medication related information sending step,
A doctor's medical treatment support method that utilizes the patient medication-related information accumulated in the dispensing pharmacy side system, which is characterized by including.