JP6242766B2 - Drug registration device and program - Google Patents

Description

  Embodiments described herein relate generally to a drug registration apparatus and a program.

  2. Description of the Related Art In recent years, drug registration devices have been used in order to record drugs used and amounts used in medical settings such as operating rooms and emergency treatments. The drug registration device reads a drug code from a code symbol attached to the drug, and reads drug information such as a drug name, a standard, and a capacity corresponding to the drug code from a drug database provided in the hospital. Then, the medicine registration device registers this as a used medicine record and outputs a slip. The slip in which the record of the medicine used is written is sent to the medical accounting department after the operation, and the medical accounting department charges the patient and the health insurance association for the price of the medicine based on the record.

  However, there are drugs that cannot be charged for drugs used in surgery or the like. A conventional medicine registration device registers that it is a medicine to be billed regardless of whether billing is possible or not, and the medical accounting department confirms whether or not billing is possible.

  The problem to be solved by the present invention is to provide a medicine registration device and a program that can output whether or not a medicine can be requested.

The medicine registration apparatus according to the embodiment includes an input unit, a reading unit, a registration unit, and an output unit. The input means receives input of identification information that can identify a medicine. The reading means has the identification information received by the input means from a storage unit that stores drug information related to the medicine including chargeability information indicating whether or not it is possible to charge for the price of the medicine. Read. The registration unit registers the drug information read by the reading unit as a used drug. And the output means, the drug of the drug information the registration unit has registered, on the basis of the billing permission information included in the drug information, a first slip billable drug is indicated, the agent according disabled state Output separately to the indicated second slip .

FIG. 1 is a block diagram illustrating a schematic configuration of a medicine management system according to an embodiment. FIG. 2 is a front view showing an appearance of the medicine registration device. FIG. 3 is a block diagram illustrating a hardware configuration of the medicine registration device. FIG. 4 is an explanatory diagram showing an example of the data format of the medicine master. FIG. 5 is an explanatory diagram showing the data structure of the used medicine storage table. FIG. 6 is a block diagram showing a functional configuration of the medicine registration device. FIG. 7 is a flowchart showing the flow of the used medicine registration process. FIG. 8 is an explanatory diagram showing an example of a medicine registration screen. FIG. 9 is an explanatory diagram showing an example of a used product slip. FIG. 10 is an explanatory diagram showing an example of a used product slip to which a billing impossible mark is added. FIG. 11 is an explanatory diagram showing an example of a used product slip to which non-chargeable characters are added. FIG. 12 is an explanatory diagram showing an example of a used product slip on which a billable medicine is printed and a used product slip on which a billable medicine is printed.

  FIG. 1 is a block diagram illustrating a schematic configuration of a medicine management system 10 according to the embodiment. As shown in FIG. 1, the medicine management system 10 includes an electronic medical record server 11, a doctor information processing terminal device 12, a medical information processing terminal device 13, a medicine inspection device 14, a radio base station 15, The mobile information processing terminal device 18 for doctors connected to the communication network 17 through the public communication network 16, a medicine unit server 19, and a medicine registration device 20 are provided.

  The electronic medical record server 11 is a device for managing and storing the electronic medical record. The information processing terminal device 12 for a doctor is a device for performing entry and reference of an electronic medical record managed by the electronic medical record server 11. The information processing terminal device 13 for medical affairs is a device for billing a patient or a medical association etc. to which a patient is subscribed. The medicine inspection apparatus 14 is an apparatus for supporting and auditing medicine arrangement based on instruction information (for example, prescription information) included in the electronic medical record. The medicine part server 19 is an apparatus for managing medicine dispensing and the like arranged in the medicine part. Also, the medicine unit server 19 associates the medicine with the code information of the medicine or the outer surface information of the medicine (features representing the label of the medicine, features representing the state of the surface such as the color of the medicine and the surface irregularities). Drug information (name, amount, etc.) is registered. The drug registration device 20 is an apparatus for providing registration support for a drug placed in an operating room and used by a nurse during an operation, or a drug urgently used by a nurse, a pharmacist, or the like in an emergency room. It is. In the present embodiment, it is assumed that the drug registration device 20 is arranged in an operating room and is used for registration support of a drug used during surgery by a nurse.

  In the above configuration, the electronic medical record server 11, the information processing terminal device 12, the information processing terminal device 13, the medicine inspection device 14, the medicine part server 19, and the medicine registration device 20 are connected to the communication network 17.

  FIG. 2 is a front view showing the appearance of the medicine registration device 20. As shown in FIG. 2, the drug registration device 20 is roughly divided into a device main body 24 that is a control main body of the drug registration device 20, a scanner 22, and a printer 23 for printing out various information. Yes.

  The apparatus main body 24 includes a touch panel display 21 that allows a nurse as an operator to perform various operations and display various information such as a list of used medicines.

  The scanner 22 includes an image sensor such as a color CCD (Charge Coupled Device) image sensor or a color CMOS (Complementary Metal-Oxide Semiconductor) image sensor, and a light source such as an LED (Light Emitting Diode). The scanner 22 captures a nurse ID (IDentification) code symbol, a patient ID code symbol, a drug code symbol, a drug image, and the like. Frame images (captured images) sequentially captured by the scanner 22 at a predetermined frame rate are stored in a RAM (Random Access Memory) 33 (see FIG. 3) described later.

  The scanner 22 is not limited to a shape that is placed on a table as shown in FIG. 2, but may be a stand shape that is erected on the floor.

  Further, the medicine registration device 20 may include a scale for measuring the weight of the medicine, an RFID reader / writer that reads / writes data from / to an RFID (Radio Frequency IDentification) attached to the medicine.

  FIG. 3 is a block diagram showing a hardware configuration of the medicine registration device 20. As shown in FIG. 3, the medicine registration device 20 performs a communication interface operation with an MPU (Micro Processing Unit) 31, a ROM (Read Only Memory) 32, a RAM 33, and an external storage device 34 that control the entire device. A communication interface (I / F) 38 is provided in the apparatus main body 24. The ROM 32 stores various data including a control program in a nonvolatile manner. The RAM 33 functions as a work area and temporarily stores various data. The external storage device 34 is configured by a hard disk drive or SSD (Solid State Drive) capable of storing large-capacity data such as a database or a control program.

  Here, the touch panel display 21, the scanner 22, the printer 23, the communication interface 38 and the speaker 37 are connected to the bus 40 via the input / output I / O 39. An MPU 31, a ROM 32, a RAM 33 and an external storage device 34 are connected to the bus 40.

  The touch panel display 21 is mainly configured by a display 35 and a touch panel 36 which are display units.

  The speaker 37 is used when a warning sound is emitted.

  Further, the external storage device 34 that is a storage unit includes a medicine master DB and a used medicine storage table T.

  The drug master DB is a drug database that stores information about drugs including whether or not it is possible to charge for a drug. Here, FIG. 4 is an explanatory diagram showing an example of the data format of the medicine master DB. The medicine master DB stores medicine identification information, a medicine name, a medicine unit, a manufacturing company, and billing availability information in association with each other. The medicine identification information is identification information such as a barcode for identifying the medicine. Alternatively, the medicine identification information is identification information that can identify a medicine such as a unique character string or a numerical value assigned to each medicine, which is attached to the barcode. Alternatively, the medicine identification information may be, for example, medicine outer surface information. The drug name is the name of the drug. The drug unit indicates the reference amount of the drug. The manufacturing company indicates the company that manufactures the drug.

  The billing availability information is information stored on the billing availability of the drug. More specifically, the billable information is registered as billable or not billable. “Billable” indicates that the corresponding drug can be charged. “No billing” indicates that it is not possible to charge for the corresponding medicine.

  The used medicine storage table T stores detailed information in which the medicine used in the medical practice related to one treatment is registered. Here, FIG. 5 is an explanatory diagram showing a data structure of the used medicine storage table T. As shown in FIG. As shown in FIG. 5, the detailed information of the used medicine storage table T includes detailed identification information, patient identification information, medicine identification information, a medicine name, a usage amount, and billing availability information. The detail identification information is identification information that can identify the detail information. The patient identification information is identification information that can identify a patient who is charged. The medicine identification information is identification information of a medicine used in a medical practice related to one treatment. The medicine name is the name of the medicine in the medicine identification information. The usage amount is an amount of the medicine of the medicine identification information used in the medical practice related to one treatment. The billability information is billability information stored in the medicine master DB.

  Next, characteristic functions of the drug registration device 20 according to the embodiment will be described. FIG. 6 is a block diagram showing a functional configuration of the medicine registration device 20. The MPU 31 operates in accordance with a control program stored in the ROM 32 or the external storage device 34, thereby, as shown in FIG. 6, a drug information input unit 311, a drug information reading unit 312, a use drug registration unit 313, and a use It functions as a medicine output unit 314.

  The medicine information input unit 311 serving as an input unit receives input of medicine identification information read from a captured image scanned by the scanner 22. Specifically, the medicine information input unit 311 accepts an input of a medicine identifier obtained by reading code information of a code symbol attached to a used medicine or all or part of external information of the medicine used. Since processing for detecting code information from a code symbol such as a bar code or a two-dimensional code is a conventional technique, a description thereof is omitted here.

  Alternatively, the medicine information input unit 311 accepts input of manually entered medicine identification information. In this case, the medicine information input unit 311 receives input of code information expressed by a character string, a numerical value, or the like from the touch panel display 21.

  The drug information reading unit 312 serving as a reading unit reads information related to the drug having the drug identification information received by the drug information input unit 311 from the drug master DB stored in the external storage device 34.

  The used medicine registration unit 313 serving as a registration unit registers the input information in the detailed information of the used medicine storage table T. Specifically, the used medicine registration unit 313 registers the patient identification information input via the scanner 22 in the detailed information of the used medicine storage table T. The used medicine registration unit 313 registers the medicine identification information input from the medicine information input unit 311 and the usage amount of the medicine identification information in the detailed information of the used medicine storage table T as the used medicine. In addition, the used drug registration unit 313 registers the drug name and the billability information included in the information related to the drug read by the drug information reading unit 312 in the detailed information of the used drug storage table T.

  The used medicine output unit 314 serving as an output unit identifies whether or not the price of the medicine registered in the detailed information of the used medicine storage table T can be charged based on the chargeability information included in the detailed information. Output as possible. More specifically, the used medicine output unit 314 outputs the detailed information registered in the used medicine storage table T on a slip via the touch panel display 21. Alternatively, the used medicine output unit 314 prints out the detailed information registered in the used medicine storage table T on a slip via the printer 23. Alternatively, the used medicine output unit 314 transmits the detailed information registered in the used medicine storage table T to the medical information processing terminal device 13 via the communication interface 38.

  Next, the used medicine registration process executed by the MPU 31 of the medicine registration apparatus 20 according to the above-described embodiment according to the control program will be described. The medicine registration device 20 according to the embodiment scans a code symbol of a medicine used, a medicine image, and the like, and executes a medicine registration process.

  FIG. 7 is a flowchart showing the flow of the used medicine registration process executed by the MPU 31 of the medicine registration apparatus 20 according to the control program.

  The MPU 31 of the medicine registration apparatus 20 displays a login screen (not shown) on the display 35 as an initial state (step S1). Therefore, in order to perform the login process, the nurse ID code symbol attached to his / her ID card is held in front of the scanner 22.

  Next, the MPU 31 of the medicine registration device 20 reads the code symbol via the scanner 22 and determines whether or not the nurse ID of the code symbol can be authenticated (step S2). When the nurse ID cannot be authenticated (step S2; No), the MPU 31 of the medicine registration device 20 stands by.

  On the other hand, when the nurse ID can be authenticated (step S2; Yes), the MPU 31 of the medicine registration device 20 displays a patient registration screen (not shown) on the display 35 (step S3). Accordingly, the operator (nurse) holds the code symbol of the patient ID attached to the patient wristband in front of the scanner 22 in order to perform the patient registration process.

  Next, the MPU 31 of the medicine registration device 20 reads the code symbol via the scanner 22 and determines whether or not the patient identification information of the code symbol can be registered in the detailed information of the used medicine storage table T (step S4). When the patient identification information cannot be registered (step S4; No), the MPU 31 of the medicine registration device 20 stands by.

  On the other hand, when the patient identification information is registered (step S4; Yes), the MPU 31 of the medicine registration apparatus 20 displays a medicine registration start screen (not shown) on the display 35 (step S5). Here, the medicine registration start screen is a screen that prompts the start of medicine registration by displaying a method for inputting medicine identification information via the scanner 22.

  Next, the MPU 31 (drug information input unit 311) of the drug registration device 20 determines whether or not drug identification information is input via the scanner 22 or the touch panel display 21 (step S6). When the drug identification information is not input (step S6; No), the MPU 31 (drug information input unit 311) of the drug registration device 20 proceeds to step S10.

  On the other hand, when the drug identification information is input (step S6; Yes), the MPU 31 (drug information reading unit 312) of the drug registration apparatus 20 receives the input drug from the drug master DB stored in the external storage device 34. Information relating to the medicine having the identification information is read (step S7).

  Next, the MPU 31 (billing confirmation input unit 315) of the medicine registration device 20 registers the inputted medicine identification information, medicine name, and billing availability information in the detailed information of the used medicine storage table T (step S8). . Next, the MPU 31 of the medicine registration device 20 displays the medicine of the inputted medicine identification information on the medicine registration screen G1 in a manner capable of identifying whether or not the medicine can be charged based on the requestability information (Step S9). ).

  Here, FIG. 8 is an explanatory diagram showing an example of the medicine registration screen G1. The medicine registration screen G1 is a screen that displays the medicine of the detailed information registered in the used medicine storage table T. The medicine registration screen G1 includes a patient display area G11, a medicine display area G12, a manual input button B11, and a print button B12. The patient display area G11 is an area for displaying information related to a patient who charges for a medicine. Information related to a patient includes patient identification information, age, sex, and the like. The medicine display area G12 is an area for displaying the medicine registered in the used medicine storage table T. The manual input button B11 is a button that enables manual input of medicine identification information. The print button B12 is a button for completing medicine registration and printing a slip.

  Further, the medicine display area G12 displays a billing impossible screen G13 added to the corresponding medicine when the billing availability information indicates that billing is impossible. The billing impossible screen G13 is a screen indicating that the added medicine cannot be billed. Therefore, the nurse can identify whether or not the medicine displayed in the medicine display area G12 can be charged. In the medicine registration screen G1 shown in FIG. 8, a billing impossible screen G13 is added to the CCCC medicine and the DDDD medicine. In addition, the display of whether or not billing is possible is not limited to this, and a form in which billable medicines and non-billing medicines are displayed in separate columns may be used. Alternatively, the billable medicine and the non-billed medicine may be displayed in different colors.

  Next, the MPU 31 of the medicine registration device 20 determines whether or not the pressing of the print button B12 indicating that the medicine registration is completed is detected (step S10). When pressing of the print button B12 is not detected (step S10; No), the MPU 31 of the medicine registration device 20 returns to step S6.

  On the other hand, when pressing of the print button B12 is detected (step S10; Yes), the MPU 31 (used drug output unit 314) of the drug registration device 20 prints the detailed information stored in the used drug storage table T. The used product slip D1 is output (step S11).

  Here, FIG. 9 is an explanatory view showing an example of the used product slip D1. The used product slip D1 is a slip on which detailed information in which a medicine used in a medical practice related to one treatment is registered is printed. The used product slip D1 includes a header area D11, a basic information area D12, a billing medicine area D13, and an approval column area D14. In the header area D11, a slip name is printed. The basic information area D12 is an area in which the output date / time, treatment date / time, issue location, operator, and patient ID are printed.

  The requested medicine area D13 is an area where the medicine used in the medical practice related to one treatment and the usage amount of the medicine are printed. The requested medicine area D13 is printed in such a manner that the classification of the chargeability information of each medicine can be identified. Thereby, the medical accounting department can determine whether or not to charge for the medicine. In the requested medicine area D13, for each medicine, a serial number, a medicine name, a medicine code, a unit for counting medicine, the number of medicines used, and a constant of medicines that are always provided at the issuing place are printed. The billing medicine region D13 shown in FIG. 9 is printed in groups by the classification of billing availability information. AAAA medicine and BBBB medicine are printed as a billable group. CCCC medicine and DDDD medicine are printed as a non-claimable group. The approval column area D14 is an area where the approval column is printed.

  In the billing medicine region D13, printing is performed in such a manner that it is possible to identify whether or not medicines can be billed by grouping based on the billing availability information. Whether or not the price of the medicine can be charged may be identified by adding an identifier such as a character or a symbol.

  Here, FIG. 10 is an explanatory diagram showing an example of the used product slip D1 to which the non-chargeable mark M1 is added. The non-chargeable mark M1 is a symbol added to a drug whose chargeability information is not chargeable. In the used product slip D1 shown in FIG. 10, a black circle is printed as the non-claimable mark M1. The used product slip D1 shown in FIG. 10 is printed with CCCC medicine and DDDD medicine. In FIG. 10, the non-chargeable mark M <b> 1 is added to a medicine whose chargeability information is not chargeable, but a form may be added to a drug whose chargeability information is chargeable.

  Here, FIG. 11 is an explanatory diagram showing an example of the used product slip D1 to which the non-chargeable character M2 is added. The non-chargeable character M2 is a character added to a medicine whose chargeability information is not chargeable. The used product slip D1 shown in FIG. 11 is printed as “impossible” as the non-chargeable character M2. In FIG. 11, “impossible” is added as a charge-impossible character M2 to a medicine whose chargeability information is not chargeable, but a character “possible” is added to a drug whose chargeability information is chargeable. Form may be sufficient. Alternatively, it may be printed on separate slips depending on whether or not the price of the medicine can be charged.

  Here, FIG. 12 is an explanatory diagram showing an example of a used product slip D1 on which a billable medicine is printed and a used product slip D2 on which a billable medicine is printed. (1) in FIG. 12 shows a used product slip D1 on which a billable medicine is printed. And (2) of Drawing 12 shows use article slip D2 on which the medicine which cannot be charged was printed. The used product slip D2 on which an unchargeable medicine is printed and the used product slip D1 on which a billable medicine is printed can be identified by header areas D11 and D21. The basic information areas D12 and D22, the billing drug areas D13 and D23, and the approval column areas D14 and D24 may have the same configuration or different configurations.

  Next, the MPU 31 (used drug output unit 314) of the drug registration device 20 transmits the detailed information stored in the used drug storage table T to the medical information processing terminal device 13 via the communication interface 38 (step S12). ).

  As described above, the MPU 31 of the medicine registration device 20 executes the medicine registration process.

  As described above, according to the drug registration device 20 of the present embodiment, the drug information input unit 311 receives input of drug identification information. The drug information reading unit 312 reads the information related to the drug in the input drug identification information from the drug master DB that stores the drug information related to the drug including the billability information indicating whether or not it is possible to charge the price of the drug. The used drug registration unit 313 registers the drug information related to the drug read by the drug information reading unit 312 as the used drug. Then, the used drug output unit 314 identifies whether or not it is possible to charge the price of the drug in the drug information related to the drug registered by the used drug registration unit 313 based on the chargeability information included in the drug information related to the drug. Output as possible. Therefore, the medicine registration device 20 of the present embodiment can output in a manner that can identify whether or not a medicine can be requested. Therefore, the medical accounting department reduces the burden of confirmation work.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

In the above-described embodiment, it is described that “chargeable” and “chargeable” are registered in the chargeability information. However, unknown billing may be registered in the billing availability information.
The unknown billing indicates that neither billable nor billable is registered. That is, “unclaimed” indicates that the billing availability information is empty such as “null”. Or the claim unknown may be a form in which information indicating that it is unknown whether or not the charge for the corresponding medicine is unknown is registered, not in an empty state. In this case, the used medicine registration unit 313 registers that the billing is unknown in the detailed information of the used medicine storage table T. Then, the used medicine output unit 314 may output the billable, unchargeable, and unclear claims in an identifiable manner.

  In the above-described embodiment, it is described that the medicine master DB is stored in the external storage device 34 of the medicine registration apparatus 20. However, the medicine master DB may be stored in another storage device. For example, the medicine master DB may be stored in the electronic medical record server 11 or the medicine part server 19.

  In the above-described embodiment, it is described that the medicine registration device 20 registers medicine. The medicine registration device 20 may register things other than medicine as long as it is used in a medical practice related to one treatment. What is used by the medical action which concerns on one treatment is a medical device, a medical material, sanitary goods, etc., for example. In this case, what is necessary is just to memorize | store request | requirement information of what is used by the medical practice concerning one treatment in medicine master DB.

  In the above-described embodiment, the used product slips D1 and D2 are described as slips on which a medicine for which a charge is charged is printed. However, medicines that do not charge a fee may be printed on the used product slips D1 and D2. In this case, the person in charge of billing for the medicine charges the price for the medicine according to the group of the chargeability information classification printed on the used product slips D1 and D2.

  The program executed by each device of the above-described embodiment or modification is provided by being incorporated in advance in a storage medium (ROM or storage unit) included in each device, but is not limited thereto. For example, an installable or executable file is recorded on a computer-readable recording medium such as a CD-ROM, a flexible disk (FD), a CD-R, or a DVD (Digital Versatile Disk). You may comprise. Furthermore, the storage medium is not limited to a medium independent of a computer or an embedded system, but also includes a storage medium in which a program transmitted via a LAN, the Internet, or the like is downloaded and stored or temporarily stored.

  Further, the program executed by each device of the above-described embodiment or modification may be stored on a computer connected to a network such as the Internet and provided by being downloaded via the network, or the Internet It may be configured to be provided or distributed via a network.

20 Drug registration device 31 MPU
311 Drug Information Input Unit 312 Drug Information Reading Unit 313 Used Drug Registration Unit 314 Used Drug Output Unit 34 External Storage Device DB Drug Master T Used Drug Storage Table

JP-A-8-7014

Claims (4)

An input means for receiving input of identification information capable of identifying the medicine;
Reading means for reading the drug information having the identification information that the input means has received from a storage unit that stores drug information related to the drug including billability information indicating whether or not it is possible to charge for the price of the drug; ,
Registration means for registering the medicine information read by the reading means as a medicine used;
The drug of the drug information the registration unit has registered, on the basis of the billing permission information included in the drug information, a first slip billable drug is indicated, the second drug of billable showed An output means for outputting the slip separately ;
A drug registration device comprising: The output means transmits the first slip and the second slip ;
The drug registration device according to claim 1 . The output means prints the first slip and the second slip ;
The drug registration device according to claim 1 . Computer
An input means for receiving input of identification information capable of identifying the medicine;
Reading means for reading the drug information having the identification information that the input means has received from a storage unit that stores drug information related to the drug including billability information indicating whether or not it is possible to charge for the price of the drug; ,
Registration means for registering the medicine information read by the reading means as a medicine used;
The drug of the drug information the registration unit has registered, on the basis of the billing permission information included in the drug information, a first slip billable drug is indicated, the second drug of billable showed An output means for outputting the slip separately ;
Program to make it function.

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