JP6545446B2 - Prescription information transmission system, patient information management server, information transmission method and program - Google Patents

Description

The present invention relates to a prescription information transmission system, a patient information management server, an information transmission method, and a program .

In recent years, the doctor and pharmacist perform their duties in their respective specialized fields by the doctor issuing a prescription to the patient, the patient bringing the issued prescription to the pharmacist pharmacist and the pharmacist pharmacist dispensing based on the prescription. Pharmaceutical division of labor is being carried out actively to share and improve the quality of national medicine. Delivery of a prescription from a patient to a pharmacist is performed by shortening the time from delivery of the prescription to delivery of the medicine by transmitting the prescription by FAX in advance.
There are cases where there is no fax machine available for use by patients in medical institutions etc., and in that case the prescription information can not be notified in advance to the pharmacist, so Patent Document 1 discloses based on the image data of the prescription. And an apparatus for transmitting an e-mail.

JP 2005-137443 A

However, even if the pharmacist informs the pharmacist in advance of prescription information by e-mail etc., the patient other than the prescription information such as what kind of diseases the patient has, and what other medications he / she is taking However, the reduction of the patient's waiting time (patient waiting time) from delivery of the prescription to delivery of medicine was limited.
That is, since information other than prescription information is not added, the patient waiting time until delivery of medicine is not shortened much.

  An object of the present invention is to reduce patient waiting time until delivery of medicine by adding patient information other than prescription information.

In order to achieve the above object, an information transmission method according to one aspect of the present invention is
An information transmission method for transmitting prescription information to be executed by a computer, comprising:
An acceptance step of accepting prescription information including information on a medicine described in the prescription;
An extraction step of extracting patient information related to the medicine from storage means in which patient information is stored;
A transmitting step of transmitting the prescription information and the patient information extracted in the extracting step to a pharmacy;
It is characterized by including.

  According to the present invention, patient information other than prescription information can be added to shorten the patient waiting time until delivery of medicines.

It is a conceptual diagram which shows the system configuration | structure of a prescription information transmission system. It is a functional block diagram which shows the functional structure of a prescription information transmission system. It is a conceptual diagram which illustrates the data structure of attached document DB provided in the memory | storage part of a patient information management server. It is a flowchart which shows the flow of the prescription information transmission process by a prescription information transmission system.

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

[System Configuration of Prescription Information Transmission System 100]
Referring to FIG. 1, a prescription information transmission system 100 according to the present invention includes a patient terminal 1 for receiving input of patient information including prescription information, a patient information management server 2 for managing patient information, and a FAX transmission server 3. It comprises.
Here, the prescription information refers to information on delivery of a medicine described in a prescription issued at a medical institution. Further, patient information refers to information useful for, for example, regional comprehensive care such as patient's disease, information on treatment thereof, information on physical and living environment necessary for treatment, and the like. The patient information includes, for example, disease information, treatment information such as medication history, and information on height / weight and eating habits. The patient information includes, in addition to those stored as texts, for example, those stored as images such as skin of skin diseases and radiographs.

Specifically, although described later, in the prescription information transmission system 100, the patient terminal 1 receives prescription information from a patient who has received a prescription from a medical institution, and accepts one pharmacy selection from the patient as pharmacy information. The patient terminal 1 is configured to transmit the received prescription information and pharmacy information to the patient information management server 2.
The patient information management server 2 extracts patient information based on prescription information, and transmits prescription information, pharmacy information, and patient information to the FAX transmission server 3.
The FAX transmission server 3 generates a FAX image in which patient information is added to the received prescription information, and transmits the FAX to the specified pharmacy based on the pharmacy information.

In the prescription information transmission system 100, the patient information management server 2 may be configured to receive patient information from other than the patient terminal 1.
For example, patient information such as the temperature and weight of the patient may be received from the thermometer 4a that measures the temperature of the patient and the weight scale 4b that measures the weight of the patient via the communication device 5.
Further, for example, the patient information of the patient may be received from a computer for managing patient information such as the receipt computer 6 and the medicine history management device 7 provided in a hospital or a pharmacy.

[Hardware configuration]
The patient terminal 1 is configured as a smartphone. The patient terminal 1 includes an input unit realized by a touch panel or the like, a display unit by a display, a display unit by a display, and other devices via a network including the Internet, in addition to a control unit 11 which performs various arithmetic processing and a storage unit 12 which stores various information. A communication unit 13 for controlling communication performed between them and an imaging unit 14 for photographing an image of a prescription. Such a patient terminal 1 has various programs installed in the storage unit 12, and the control unit 11 operates in accordance with these programs to exhibit a prescription transmission function.

  The patient information management server 2 is configured as a server computer. The patient information management server 2 is a device that stores and manages patient information, and in addition to the control unit 21 that performs various arithmetic processing and the storage unit 22 that stores various information, display by an input unit and display realized by a keyboard or the like And a communication unit 23 that controls communication with another device via a network including the unit and the Internet. Various programs are installed in such a patient information management server 2, and the control unit 21 operates in accordance with these programs to exhibit a function of inputting and outputting patient information.

  The fax transmission server 3 is configured as a server computer. The FAX transmission server 3 is an apparatus for storing and managing patient information, and in addition to a control unit 31 which performs various arithmetic processing and a storage unit 32 which stores various information, a display unit with an input unit and a display realized by a keyboard or the like. And a communication unit 33 that controls communication with another device via a network including the Internet. The FAX transmission server 3 has various programs installed, and the control unit 31 operates in accordance with these programs to exhibit a function of transmitting prescription information to the pharmacy.

[Functional configuration]
Among the functional configurations of the prescription information transmission system 100 for exerting the prescription information transmission function, the functional configuration for executing the prescription information transmission process will be described with reference to FIG.
FIG. 2 is a functional block diagram showing a functional configuration of the prescription information transmission system.
Here, the prescription information transmission process refers to a series of processes for transmitting the received prescription information to the pharmacy and transmitting the patient information related to the prescription information to the pharmacy.

In order to execute the prescription information transmission process, in the control unit 11 of the patient terminal 1, the prescription information reception unit 111, the pharmacy selection reception unit 112, and the transmission control unit 113 function, and in one area of the storage unit 12. , Pharmacy information DB 121 is stored.
Further, in the control unit 21 of the patient information management server 2, the patient information reception unit 211, the patient information extraction unit 212, and the transmission control unit 213 function, and in one area of the storage unit 22, the patient information DB 221 , And an attached document DB 222 are stored.
Further, in the control unit 31 of the FAX transmission server 3, a FAX image generation unit 311 and a FAX transmission control unit 312 function.

  The pharmacy information DB 121 of the patient terminal 1 stores information on a pharmacy for transmitting prescription information. The pharmacy information DB 121 stores, for example, a pharmacy name, a pharmacy position, a FAX number, and the like.

  The patient information DB 221 of the patient information management server 2 stores past patient information. The patient information DB 221 stores, for example, patient identification information specifying a patient, recording date and time, disease information, treatment information such as medication history, and information on height / weight and eating habits.

The attached document DB 222 of the patient information management server 2 stores data of the attached document of the medicine in association with the medicine for each item. The package insert is a written product information statement for doctors and medical institutions, in which the drug name, precautions for use, item specifications and other important matters are described. In annex D222, according to the items in the annex, besides the drug name, information such as indication and indication of indication and usage dose, cautions on use, etc. are described. In addition to the information described in the package insert, items other than the package insert, such as a long-term administration check drug, a high risk drug, etc., may be provided in addition to the information described in the package insert.
Here, the cautions on use are information that warns about illnesses or concomitant medications for which the administration of drugs described in the package insert is prohibited or restricted, which will be referred to when giving medication instruction. From the degree of use, precautions are described in stages, such as warnings, contraindications, principle contraindications, careful administration, etc. Warnings and contraindications are items independent of the precautions for use in the attached document, but in the present embodiment, they may be included in the cautions for use.

The prescription information reception unit 111 receives prescription information based on the operation of the patient.
Specifically, the prescription information reception unit 111 acquires data of the image of the prescription from the imaging unit 14 based on the operation of the patient. The prescription information receiving unit 111 recognizes a text portion from data of the acquired image of the prescription and receives it as prescription information.

The pharmacy selection receiving unit 112 displays a list of pharmacy candidates to which prescription information is to be transmitted, and receives the selection of one pharmacy as pharmacy information based on the operation of the patient.
Specifically, the pharmacy selection receiving unit 112 refers to the pharmacy information DB 121, creates a list of pharmacy candidates, and displays the list on the display unit. The pharmacy selection receiving unit 112 receives selection of one pharmacy as pharmacy information based on the operation of the patient among the displayed list of pharmacy candidates.

The transmission control unit 113 controls the patient information management server 2 to transmit a prescription information transmission request including the prescription information and the pharmacy information.
Specifically, the transmission control unit 113 transmits, to the communication unit 13, the prescription information transmission request including the prescription information accepted by the prescription information acceptance unit 111, the pharmacy information accepted by the pharmacy selection acceptance unit 112, and the information for identifying the patient. It controls to transmit to the patient information management server 2 via

The patient information receiving unit 211 receives and stores patient information including prescription information.
The patient information receiving unit 211 may receive not only the prescription information but also patient information other than the prescription information from the patient terminal 1, and may receive prescription information and other patient information from other than the patient terminal 1.

The patient information extraction unit 212 extracts the patient information related to the prescription information included in the prescription information transmission request from the patient information DB 221 with reference to the attached document DB 222 in response to receiving the prescription information transmission request.
Here, patient information related to prescription information refers to patient information that needs to be referred to when the pharmacist issues a drug included in the prescription information, and is referred by the pharmacist to deliver the drug included in the prescription information. It does not include low patient information that needs to be
The patient information related to the prescription information is judged mainly based on the information described in the attached document (a document on which a description on the drug issued by the drug company that provides the drug is written), and in the present embodiment the attached document The determination is made based on the information recorded in the DB 222. For example, the patient information related to the prescription information is a disease that affects the taking of the drug (information that side effects occur or increase when administered for a given disease, or the efficacy of administering for a given disease is enhanced or diminished Information), other drugs that affect the taking of the drug (including certain drugs (including general drugs)) or information that side effects occur or increase when administered in combination with food and drink, certain drugs (also common drugs) Information given that the drug efficacy is enhanced or diminished when it is administered in combination with food or drink, or a drug with the same drug efficacy and action mechanism is administered, and even if it is further administered, no effect can be expected Information) etc. The patient information related to the prescription information in this case is classified into, for example, contraindications, estimated contraindications, duplication, attention and confirmation.
The patient information extraction unit 212 extracts patient information only in the range related to the prescription information, and the extracted patient information is transmitted to the pharmacy together with the prescription information as described later. Therefore, in the pharmacy, prescription audit can be performed without interviewing patients, and patient waiting time until delivery of medicine can be shortened. On the other hand, patient information not related to prescription information is not transmitted to the pharmacy, so the patient does not have to disclose personal information more than necessary, and can receive the delivery of medicine at ease.

A specific example of extraction of patient information related to prescription information performed by the patient information extraction unit 212 will be described.
For example, it is assumed that the patient information receiving unit 211 receives, from the patient terminal 1, patient information including prescription information on which the drug A and the drug B are prescribed. In this case, the patient information extraction unit 212 refers to the attached document DB 222, and for the drug A, the disease "myasthenia gravis" (the disease affecting the taking of the drug), the disease "the hemorrhagic disease" (the taking of the drug Diseases to be affected), information that drug "C" (other drug that affects the taking of the drug) is contraindicated. Then, the patient information extraction unit 212 does not take the medicine "C" or does not suffer from the disease "myasthenia gravis" or the disease "bleeding disease" for the patient who has received the prescription information from the patient information DB 221 Extract information from The patient information extraction unit 212 transmits patient information by the transmission control unit 213 described later, when patient information of a disease “myasthenia gravis”, a disease “bleeding disease” or a drug “C” is extracted.

  The transmission control unit 213 transmits the received prescription information transmission request and the patient information extracted by the patient information extraction unit 212 to the FAX transmission server.

  The FAX image generation unit 311 receives the prescription information transmission request and the patient information from the patient information management server 2, and generates a FAX image based on the prescription information and the patient information included in the prescription information transmission request.

The FAX transmission control unit 312 transmits the FAX image generated by the FAX image generation unit 311 to the pharmacy based on the pharmacy information included in the prescription information transmission request.
In addition, it is desirable to transmit prescription information so that the fax image to be transmitted will be the same image (image) as the actual prescription (since the form of description of the prescription is strictly defined), in this case the patient It is desirable that the information be sent separately from the prescription, such as being separated from the prescription image.

[Process of Prescription Information Transmission System 100]
Subsequently, prescription information transmission processing by the prescription information transmission system 100 will be described with reference to FIG.
The prescription information transmission process is started in response to the patient's terminal 1 receiving a predetermined operation for transmitting prescription information by the patient.

In step S1, the prescription information receiving unit 111 acquires data of an image of a prescription from the imaging unit 14 based on the operation of the patient.
In step S2, the prescription information receiving unit 111 receives prescription information based on the data of the image of the prescription acquired in step S1.

In step S3, the pharmacy selection receiving unit 112 extracts pharmacy information from the pharmacy information DB 121.
In step S4, the pharmacy selection receiving unit 112 displays a list of pharmacy information based on the extracted pharmacy information.
In step S5, the pharmacy selection receiving unit 112 receives the selection of one piece of pharmacy information based on the operation of the patient in the displayed list of pharmacy candidates.

In step S6, the transmission control unit 113 generates a prescription information transmission request including the prescription information accepted in step S2 and the pharmacy information accepted in step S5.
In step S7, the transmission control unit 113 transmits the prescription information transmission request generated in step S7 to the patient information management server 2.

In step S 8, the patient information receiving unit 211 receives a prescription information transmission request from the patient terminal 1.
In step S 9, the patient information receiving unit 211 stores the prescription information included in the prescription information transmission request received from the patient terminal 1 in the patient information DB 221 as patient information.

In step S10, the patient information extraction unit 212 extracts attached document information from the attached document DB 222 based on the prescription information included in the received prescription information transmission request.
In step S11, the patient information extraction unit 212 extracts, from the patient information DB 221, patient information corresponding to the extracted attached document information out of the patient information of the patient related to the prescription information transmission request.

  In step S12, the transmission control unit 213 transmits to the FAX transmission server 3 the prescription information transmission request received in step S8 and the patient information extracted in step S11.

  In step S13, the FAX image generation unit 311 generates a FAX image based on the prescription information transmission request and the patient information transmitted and received in step S12.

  In step S14, the FAX transmission control unit 312 FAX-transmits the FAX image generated in step S13 to the pharmacy based on the pharmacy information included in the prescription information transmission request.

The information transmission method configured as described above is an information transmission method for causing the patient terminal 1, the patient information management server 2 or the FAX transmission server 3 to transmit prescription information, and includes step S2, step S11 and step S14. It is executed by the patient terminal 1, the patient information management server 2 or the FAX transmission server 3.
Step S2 receives prescription information including information on the medicine described in the prescription.
A step S11 extracts patient information related to the medicine from the storage means in which patient information is stored.
Step S14 transmits the prescription information and the patient information extracted in step S11 to the pharmacy.
As a result, patient information is added in addition to prescription information, so that patient waiting time until delivery of medicine can be shortened.

As mentioned above, step S2 receives prescription information by recognizing the text of the image by which the prescription was image | photographed.
Thereby, patient information can be added in addition to prescription information, and patient waiting time until delivery of medicine can be shortened.

Further, the patient information extracted in step S11 is information on a disease that affects the taking of the drug.
Thereby, patient information can be added in addition to prescription information, and patient waiting time until delivery of medicine can be shortened.

In addition, the patient information extracted in step S11 is information on another drug that affects the taking of the drug.
Thereby, patient information can be added in addition to prescription information, and patient waiting time until delivery of medicine can be shortened.

The prescription information transmission system 100 also includes a patient terminal 1, a patient information management server 2, and a FAX transmission server 3.
The patient terminal 1 includes a prescription information reception unit 111, the patient information management server 2 includes a patient information DB 221 and a patient information extraction unit 212, and the FAX transmission server 3 includes a FAX transmission control unit 312.
The prescription information receiving unit 111 receives prescription information including information on a drug described in a prescription.
The patient information DB 221 stores patient information.
The patient information extraction unit 212 extracts patient information related to the drug from the patient information DB 221.
The FAX transmission control unit 312 transmits the prescription information and the patient information extracted by the patient information extraction unit 212 to the pharmacy.
Thereby, patient information can be added in addition to prescription information, and patient waiting time until delivery of medicine can be shortened.

  The present invention is not limited to the above-described embodiment, and modifications, improvements, and the like in the range in which the object of the present invention can be achieved are included in the present invention.

The series of processes described above can be performed by hardware or software.
In other words, the functional configuration is merely an example and is not particularly limited. That is, it is sufficient if any of the computers constituting the prescription information transmission system 100 has a function capable of executing the above-described series of processes as a whole, and what function blocks are used to realize this function? It is not limited to the example shown.
Further, one functional block may be configured by hardware alone, may be configured by software alone, or may be configured by a combination of them.

  Further, in the above-described embodiment, the prescription information receiving unit 111 of the patient terminal 1 receives the prescription information using OCR so as to recognize the text portion from the acquired data of the image of the prescription and receive it as the prescription information. The invention is not limited to this as long as it can acquire prescription information. For example, the prescription information receiving unit 111 may receive prescription information based on an operation of a patient on an input unit configured as a keyboard. Also, for example, the prescription information receiving unit 111 may receive the prescription information by reading a card on which the prescription information is described as a two-dimensional code or a card to which the IC tag is attached, in which the prescription information is stored. Also, for example, the prescription information receiving unit 111 may receive a prescription information by reading a card in which a URL indicating a place where prescription information is stored is described as a two-dimensional code, and accessing the URL.

Moreover, in the above-mentioned embodiment, although the pharmacy selection reception part 112 of the patient terminal 1 acquires pharmacy information from pharmacy information DB121, it is not restricted to this. For example, the pharmacy selection receiving unit 112 may obtain pharmacy information on the periphery of the patient terminal 1 via the Internet based on the position information of the patient terminal 1, and create and display a pharmacy candidate list.
In addition, when displaying the pharmacy candidate list in the pharmacy selection receiving unit 112, the position of the pharmacy may be indicated by displaying a symbol mark indicating the position of the pharmacy on the map or the like.

Moreover, in the above-mentioned embodiment, although patient information and prescription information were transmitted to the pharmacy by the FAX transmission server 3, it is not restricted to this.
For example, the patient information and the prescription information may be transmitted from the patient information management server 2 to the pharmacy instead of the FAX transmission server 3, or from the patient terminal 1 to the pharmacy, the patient information acquired from the prescription information and the patient information management server 2 You may send
Also, for example, patient information and prescription information may be transmitted from different devices, patient information may be transmitted from the patient information management server 2 to a pharmacy, and prescription information may be transmitted from the patient terminal 1 to the pharmacy.
Further, for example, identification information such as a two-dimensional code indicating a storage destination of patient information may be added to the prescription information, and the pharmacy may acquire the patient information by accessing a URL included in the identification information.

Moreover, in the above-mentioned embodiment, although the FAX transmission server 3 transmitted patient information via FAX of a pharmacy, it is not restricted to this.
For example, the FAX transmission server 3 may transmit to a computer such as the receipt computer 6 or the medicine history management device 7 provided in the pharmacy via a communication line (including mail).

Moreover, each apparatus which comprises the prescription information transmission system 100 may be equipped with functions other than the functional structure described in the above-mentioned embodiment.
For example, the patient terminal 1 may be configured as an electronic medicine notebook, and may further include a functional configuration for forming the electronic medicine notebook.
In the prescription information transmission system 100, by providing the function of the electronic medicine notebook, the e-family pharmacy concept, health navigation, etc. for centrally managing information such as medicines and health conditions taken by government-led patients. The prescription information transmission system 100 can be applied.

  As mentioned above, although embodiment of this invention was described, this invention is not limited to embodiment mentioned above. Further, the effects described in the present embodiment only list the most preferable effects arising from the present invention, and the effects according to the present invention are not limited to those described in the present embodiment.

100 prescription information transmission system 1 patient terminal 2 patient information management server 3 fax transmission server

Claims (7)

A prescription information transmission system including a patient terminal and a patient information management server,
The patient terminal is
A reception means for receiving prescription information including information on a medicine described in the prescription;
The patient information management server
Storage means for storing patient information including at least one of test results and measurement results on patients ;
Extraction based on the prescription information transmitted from the patient terminal , extracting patient information from the storage means, which is related to the medicine described in the prescription and includes at least one of a test result and a measurement result on the patient Means,
Equipped with
From the prescription information transmission system, the prescription information received at the patient terminal and the patient information extracted at the patient information management server are associated with each other and transmitted to an apparatus used in a pharmacy.
Prescription information transmission system. The reception means receives prescription information by recognizing the text of an image from which a prescription has been taken.
The prescription information transmission system according to claim 1. The patient information extracted by the extraction means includes information on a disease that affects the taking of the drug.
The prescription information transmission system according to claim 1. The patient information extracted by the extraction means includes information on other agents that affect the taking of the agent.
The prescription information transmission system according to claim 1. Storage means for storing patient information including at least one of test results and measurement results on patients ;
See contains the information of the agents described prescription of the patient, based on the prescription information transmitted from another device, from the storage means, associated with the agents described in the prescription, test results and measurements for the patient Extracting means for extracting patient information including at least one of the results ;
Transmission control means for associating the prescription information with the patient information extracted by the extraction means and transmitting the information to a device used by the pharmacy;
Patient information management server comprising: An information transmission method for transmitting prescription information executed by a prescription information transmission system including a patient terminal and a patient information management server,
An acceptance step of accepting prescription information including information on a medicine described in the prescription;
Based on the prescription information transmitted from the patient terminal, the patient information related to the medicine described in the prescription is stored from storage means in which patient information including at least one of a test result and a measurement result on the patient is stored. Extracting patient information including at least one of test results and measurement results regarding
A transmitting step of correlating the prescription information and the patient information extracted in the extracting step and transmitting the information to a device used in a pharmacy;
How to send information, including A computer capable of acquiring the patient information from storage means in which patient information including at least one of a test result and a measurement result on a patient is stored;
See contains the information of the agents described prescription of the patient, based on the prescription information transmitted from another device, from the storage means, associated with the agents described in the prescription, test results and measurements for the patient Extraction means for extracting patient information including at least one of the results
Transmission control means for associating the prescription information with the patient information extracted by the extraction means and transmitting the information to a device used in a pharmacy.
A program to function as

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