JP6904036B2 - Therapy management system, therapy management program - Google Patents

Description

The present invention relates to a therapy management system and a therapy management program capable of managing the work performed by a pharmacist regarding the administration of a drug such as an anticancer drug to a patient according to a predetermined therapy.

In medical institutions such as hospitals, drugs such as anticancer drugs may be administered to patients according to predetermined therapies. Then, at the medical institution, in order to grasp the number of pharmacists required for the work performed by the pharmacist regarding the administration of the drug to the patient according to the therapy, the patient name and the therapy name to which the therapy is applied are described in the calendar. May be done.

By the way, when a certain therapy is applied to the patient for the first time, the pharmacist explains to the patient the content of the therapy, side effects, precautions for daily life, and the like. Therefore, even if the same therapy is given to the same number of people, the time required for the therapy varies greatly depending on the number of patients who are the first to receive the therapy. It is difficult to accurately grasp the personnel required for the work performed by a pharmacist.

An object of the present invention is to provide a therapy management system and a therapy management program capable of grasping the workload of a pharmacist in consideration of the initial application of therapy.

In the therapy management system according to the present invention, the therapy shown in the prescription data is applied to each of the patients for the first time based on a plurality of prescription data corresponding to a plurality of patients and a therapy history corresponding to each of the patients. Based on the determination processing unit that determines whether or not there is, the prescription data and the determination result by the determination processing unit, the number of patients to be applied and the number of patients determined to be the first application by the determination processing unit. It is provided with an output processing unit capable of outputting a calendar showing each date.

In the therapy management program according to the present invention, based on a plurality of prescription data corresponding to a plurality of patients and a therapy history corresponding to each of the patients, the therapy indicated in the prescription data is applied to each of the patients for the first time. Based on the determination step for determining whether or not there is, and the prescription data and the determination result by the determination step, the number of patients to be applied and the number of patients determined to be the first application by the determination step are determined for each date. A therapy management program for the patient to perform the output steps that can output the calendar shown in.

According to the present invention, there is provided a therapy management system and a therapy management program capable of managing a pharmacist's work schedule in consideration of the initial application of therapy.

FIG. 1 is a block diagram showing a configuration of a therapy management system according to an embodiment of the present invention. FIG. 2 is a diagram showing an example of therapy history information used in the therapy management system according to the embodiment of the present invention. FIG. 3 is a flowchart showing an example of a procedure of the therapy management process executed by the therapy management system according to the embodiment of the present invention. FIG. 4 is a diagram showing an example of a display screen displayed by the therapy management system according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of a display screen displayed by the therapy management system according to the embodiment of the present invention.

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings for the purpose of understanding the present invention. It should be noted that the following embodiment is an example embodying the present invention and does not limit the technical scope of the present invention.

[Therapeutic management system 10]
As shown in FIG. 1, the therapy management system 10 according to the embodiment of the present invention includes a server 1, a client terminal 2, a printer 3, and the like. The server 1, the client terminal 2, and the printer 3 are connected wirelessly or by wire via a communication network 4. The communication network 4 is a LAN, WAN, Internet, intranet, or the like. Further, a higher-level system 5 for inputting prescription data related to a drug such as an anticancer drug and patient data indicating patient information into the server 1 is connected to the server 1 via the communication network 4. The host system 5 is an electronic medical record system, an ordering system, a receipt system, or the like. The server 1 may be configured to actively read the prescription data and the patient data from the higher-level system 5.

For example, the prescription data includes patient information (patient ID, patient name, height, weight, body surface area, etc.), preparation date, drug information (drug code, drug name, etc.), dose, therapy identification information, and the like. The therapy identification information is information that can identify the therapy, such as a therapy name (regime name), a therapy ID, or a therapy ID. The prescription data may include the content of the therapy corresponding to the prescription data. In addition, the prescription data includes doctor information, types of drug containers (ampoules containing chemicals, vials containing chemicals, vials containing powders, infusion bags, etc.), preparation content information (drug containers and syringes used for mixed injection work, etc.). Information on the type and number of injection needles, etc.), preparation procedure information (work content, dissolving drug, solvent, dissolving amount, solvent amount, sampling amount), medication date, prescription classification, medical department, ward, etc. are included. You may. In the present embodiment, the configuration in which the server 1 acquires the prescription data from the higher-level system 5 will be described as an example, but if the data shows at least the therapy as in the prescription data, it will be prepared. Data such as data, injection slips, or mixed injection data may be acquired.

[Printer 3]
The printer 3 is a color printer or a monochrome printer capable of executing a printing process of recording information included in print data input from the server 1 or the client terminal 2 via the communication network 4 on a sheet such as paper. It is an image forming apparatus of. For example, in a medical institution such as a hospital or a pharmacy, a prescription based on the prescription data may be printed by the printer 3. Further, the printer 3 may be used in the therapy management system 10 for printing the same information as the therapy management screen P1 (see FIG. 4) described later.

[Server 1]
The server 1 is a computer including a control unit 11, a storage unit 12, a communication I / F 13, a display device 14, an operation device 15, a drive device 16, and the like. The server 1 may be provided outside a medical institution such as a hospital or a pharmacy in which the therapy management system 10 is used. Further, the server 1 may be an information processing device such as a smartphone, a tablet terminal, or a laptop computer.

The control unit 11 includes a CPU, a ROM, a RAM, and a control device such as an EEPROM (registered trademark). The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and EEPROM are used as temporary storage memory (working area) for various processes executed by the CPU. Then, the control unit 11 uses the CPU to execute various processes according to various control programs stored in advance in the ROM, the EEPROM, or the storage unit 12.

The storage unit 12 is a non-volatile storage unit such as a hard disk or SSD that stores various control programs and various data executed by the control unit 11. Further, the storage unit 12 includes a program storage unit 121, a master storage unit 122, and an information storage unit 123.

The program storage unit 121 is a storage area in which a therapy management program or the like for causing the control unit 11 to execute a therapy management process (see FIG. 3) described later is stored.

The master storage unit 122 is a storage area in which various master information such as a drug master, a patient master, a pharmacist master, a clinical department master, and a therapy master is stored. For example, the drug master has a drug code (YJ code, etc.), a drug name, a JAN code, an RSS code, a drug bottle code, a dosage form, a unit, a specific gravity, a drug type, a compounding change, and an excipient for various drugs. , Notes and other information is included. The patient master includes information about each patient, such as patient name, patient ID, gender, age, drinking status, smoking status, and disease name. The clinical department master includes information on various clinical departments of the medical institution in which the therapy management system 10 is used.

The therapy master contains therapeutic information indicating the contents of various predetermined therapies. Specifically, the therapy information includes information on the administration plan such as the name of the drug to be administered based on the therapy, the dose (per body surface area), the administration time, the administration date, and the length of one course. Further, when the prescription data is generated in the higher-level system 5, therapy identification information such as a therapy name for identifying the therapy information is added to the prescription data together with information such as a drug corresponding to the therapy. Thereby, the control unit 11 can specify the therapy information indicating the content of the therapy shown in the prescription data based on the therapy master and the prescription data.

The control unit 11 can update various master information stored in the master storage unit 122 at any time based on the information acquired from the higher-level system 5. Further, the control unit 11 can edit various master information according to a user operation using the server 1 or the client terminal 2.

The information storage unit 123 is a storage area in which various information such as the prescription data and the therapy history information D1 are stored. The control unit 11 acquires the prescription data from the higher-level system 5 and stores it in the information storage unit 123 for storage. The therapy history information D1 is information indicating the therapy history of the drug to each patient, and the control unit 11 updates the therapy history information D1 based on, for example, the prescription data. As a result, the control unit 11 can grasp the therapy history of the drug for each patient.

Here, FIG. 2 is a diagram showing an example of the therapy history information D1. In the example of the therapy history information D1 shown in FIG. 2, patient ID (patient identification information), patient name (patient identification information), administration date, therapy name (therapy identification information), ward, cool information, planned medical treatment Information such as departments and planning doctors is stored in association with each patient. The ward also includes information on whether the patient is an inpatient or an outpatient, and for the inpatient, the identification information of the inpatient ward is included. The therapy history information D1 may be updated by the control unit 11 based on the prescription data acquired from the higher-level system 5, preparation data, injection slips, mixed injection data, and the like. Further, the control unit 11 may be able to arbitrarily update the therapy history information D1 according to a user operation of the server 1 or the client terminal 2. In the present embodiment, the case where the history content of the prescription data is recorded as the therapy history information D1 will be described as an example, but it is also possible to capture each set of the prescription data as the therapy history information D1. Can be considered as an embodiment of.

The communication I / F 13 is a network card that executes data communication wirelessly or by wire with the client terminal 2 and an external device such as the printer 3 via the communication network 4 according to a predetermined communication protocol. It is a communication interface having the above.

The display device 14 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 11. The operation device 15 is an operation unit operated by a user to input various information to the server 1. Specifically, the operation device 15 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display device 14. Further, the operation device 15 may include a touch panel that accepts touch operations on various operation screens displayed on the display device 14, or a voice input device that accepts input of various information by voice recognition.

The drive device 16 can read the therapy management program from a computer-readable recording medium 161 in which the therapy management program is recorded non-temporarily. The recording medium 161 is a CD, DVD, BD, USB memory, or the like, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. Then, in the server 1, the therapy management program read from the recording medium 161 by the control unit 11 using the drive device 16 is installed in the program storage unit 121 of the storage unit 12.

The control unit 11 of the server 1 includes a determination processing unit 111 and an output processing unit 112. Specifically, the control unit 11 functions as the determination processing unit 111 and the output processing unit 112 by executing various processes such as the therapy management process (see FIG. 3) described later according to the therapy management program. That is, in the present embodiment, the server 1 alone is the therapy management system according to the present invention. Further, the server 1 may constitute a stand-alone therapy management system that also serves as the client terminal 2 operated by the user. A part or all of the determination processing unit 111 and the output processing unit 112 may be composed of an electronic circuit.

Further, it is considered as another embodiment that a part or all of the functions of the server 1 are provided in the client terminal 2. For example, a part or all of the therapy management program is installed in the client terminal 2, and the control unit 21 of the client terminal 2 appropriately acquires necessary information from the server 1 to perform the therapy described later. It is also conceivable to execute a management process (see FIG. 3). In this case, the client terminal 2 is an example of the therapy management system according to the present invention. Further, in the therapy management system 10, it is conceivable that the server 1 and the client terminal 2 cooperate to execute the therapy management process (FIG. 3) described later.

The determination processing unit 111 shows the prescription data for each of the patients based on the plurality of prescription data corresponding to the plurality of patients and the therapy history corresponding to each of the patients stored in the therapy history information D1. Determine if the treatment given is the first application. More specifically, when the therapy shown in the prescription data is applied for the first time, it is necessary to explain the therapy to the patient, so that the patient who follows the therapy is compared with the case where the therapy is not the first time. The time required for the work performed by the pharmacist regarding the administration of the drug is increased. Therefore, the determination processing unit 111 determines whether or not the therapy shown in the prescription data is applied for the first time based on the therapy history information D1 in order to grasp the time required for the work of the pharmacist. The work performed by the pharmacist regarding the administration of the drug to the patient according to the therapy includes the drug dispensing work and the therapy explanation work. In addition, the dispensing business includes operations such as drug collection and drug preparation. The drug is administered to the patient according to the therapy by injection, infusion, or oral administration.

In addition, since a preset predetermined period (6 months, 1 year, etc.) has passed since the patient was previously dosed according to the therapy shown in the prescription data, the patient was treated. It may be necessary to explain the therapy. Therefore, even when the therapy is applied after the predetermined period has elapsed from the application of the previous therapy, it may be determined that the therapy is applied for the first time.

Based on the prescription data and the determination result by the determination processing unit 111, the output processing unit 112 determines the number of patients to be applied and the number of patients determined to be the first application by the determination processing unit 111 for each date. It is possible to output the calendar shown in (see the calendar display unit A12 in FIG. 4). The output processing unit 112 outputs the calendar in response to an output request from the client terminal 2. For example, the output mode of the calendar includes data transmission, display, or printing. Specifically, in the present embodiment, the output processing unit 112 causes the client terminal 2 to display the calendar by transmitting data necessary for displaying the calendar to the client terminal 2. The output processing unit 112 can also display the calendar on the display device 14. The output processing unit 112 can also print the calendar with the printer 3.

Further, the output processing unit 112 determines the number of patients to be applied and the number of patients determined to be the first application by the determination processing unit 111 based on the prescription data and the determination result by the determination processing unit 111. It is also possible to output a therapy list (see list display unit A13 in FIG. 4) shown for each date. The output processing unit 112 outputs the therapy list in response to an output request from the client terminal 2. For example, the output mode of the therapy list includes data transmission, display, or printing. Specifically, in the present embodiment, the output processing unit 112 causes the client terminal 2 to display the therapy list by transmitting data necessary for displaying the therapy list to the client terminal 2. In particular, in the present embodiment, the output processing unit 112 displays the calendar and the therapy list side by side on the same screen of the client terminal 2. The output processing unit 112 can also display the therapy list on the display device 14. The output processing unit 112 can also print the therapy list on the printer 3.

[Client terminal 2]
The client terminal 2 is a personal computer including a control unit 21, a storage unit 22, a communication I / F 23, a display device 24, an operation device 25, a drive device 26, and the like. Each of the client terminals 2 is an operation terminal that is arranged in a medical institution where the therapy management system 10 is used and is operated by a user such as a pharmacist. For example, the client terminal 2 is used by a pharmacist or the like who dispenses a drug to be administered to a patient at the medical institution. The client terminal 2 may be an information processing device such as a smartphone, a tablet terminal, or a laptop computer.

The control unit 21 includes control devices such as a CPU, ROM, RAM, and EEPROM. The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and EEPROM are used as temporary storage memory (working area) for various processes executed by the CPU. Then, the control unit 21 uses the CPU to execute various processes according to various control programs stored in the ROM, the EEPROM, or the storage unit 22 in advance.

The storage unit 22 is a non-volatile storage unit such as a hard disk or SSD that stores various control programs and various data executed by the control unit 21. Specifically, the storage unit 22 includes a program storage unit 221 in which application programs such as an operating system (OS) and browser software are stored. The browser software displays various operation screens and the like on the display device 24 by accessing the server 1 via the communication network 4, and also performs an input operation on the operation screen using the operation device 25. This is application software for transmitting to the server 1. For example, when the control unit 21 inputs address information such as a URL (Universal Resource Locator) corresponding to the server 1 at a predetermined position on the operation screen displayed by the browser software, the control unit 21 is based on the address information. To access the server 1.

The communication I / F 23 is a network card or the like that executes data communication wirelessly or by wire with the server 1 and an external device such as the printer 3 via the communication network 4 according to a predetermined communication protocol. It is a communication interface having.

The display device 24 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 21. The operation device 25 is an operation unit operated by a user to input various information to the client terminal 2. Specifically, the operation device 25 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display device 24. Further, the operation device 25 may include a touch panel that accepts touch operations on various operation screens displayed on the display device 24, or a voice input device that accepts input of various information by voice recognition.

The drive device 26 can read the OS or the browser software from a computer-readable recording medium 261 in which the OS or the browser software or the like is recorded. The recording medium 261 is a CD, DVD, BD, USB memory, or the like, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. In the client terminal 2, the OS or the browser software read from the recording medium 261 by the control unit 21 using the drive device 26 is installed in the program storage unit 221 of the storage unit 22.

Then, in the therapy management system 10, the server 1 provides information such as a schedule of work performed by a pharmacist regarding administration of a drug to a patient according to the therapy in response to an operation of the client terminal 2 by the user. Display on terminal 2. The client terminal 2 controls the screen display based on the data transmitted from the server 1, or controls the screen display by referring to the data stored in the storage unit 11 of the server 1. Further, the server 1 can accept an operation input to the client terminal 2 by a user. Specifically, in the present embodiment, the server-client system is configured by the server 1 and the client terminal 2, and the server 1 executes processing such as display and printing in response to a user operation of the client terminal 2. The case will be described. Therefore, in the present embodiment, the "display", "operation", "selection", and "input" described below are performed by using the display device 24 and the operation device 25 of the client terminal 2.

By the way, when a certain therapy is applied to the patient for the first time, the pharmacist explains to the patient the content of the therapy, side effects, precautions for daily life, and the like. Therefore, even if the same therapy is given to the same number of people, the time required for the therapy varies greatly depending on the number of patients who are the first to receive the therapy. It is difficult to accurately grasp the personnel required for the work performed by a pharmacist. On the other hand, according to the therapy management system 10 according to the present embodiment, it is possible to grasp the workload of the pharmacist in consideration of the initial application of the therapy.

[Therapeutic management process]
Hereinafter, an example of the therapy management process executed by the control unit 11 of the server 1 will be described with reference to the flowchart of FIG. For example, the control unit 11 executes the therapy management process when a specific preset start operation for executing the therapy management program is performed by using the client terminal 2. When the execution start operation of the therapy management program is performed from the plurality of client terminals 2, the control unit 11 executes the therapy management process corresponding to each of the client terminals 2 substantially in parallel. .. Further, the present invention may be regarded as an invention of a therapy management method in which a part or all steps of the therapy management process are executed by a computer such as the server 1.

<Step S1>
In step S1, the control unit 11 causes the client terminal 2 to display a therapy management screen P1 for managing a schedule of work performed by a pharmacist regarding administration of a drug to a patient according to the therapy. The display process of step S1 is executed by the output processing unit 112 of the control unit 11. Specifically, the control unit 11 causes the client device 2 to display the therapy management screen P1 by transmitting the display data of the therapy management screen P1 to the client device 2. It is also conceivable that the control unit 11 transmits data necessary for displaying the therapy management screen P1 to the client device 2, and the control unit 21 displays the therapy management screen P1 based on the data. Be done. That is, the therapy management screen P1 may be generated and updated by either the server 1 or the client terminal 2.

Here, FIG. 4 is a diagram showing an example of the therapy management screen P1. As shown in FIG. 4, the therapy management screen P1 displays a search display unit A11, a calendar display unit A12, a list display unit A13, and the like. The therapy management screen P1 may be capable of scrolling and displaying information according to a predetermined scrolling operation or the like on the client terminal 2.

The search display unit A11 can accept an input operation of search conditions for specifying the display target of the list display unit A13. Specifically, in the example shown in FIG. 4, the start date and end date of the target period to be displayed can be input, and the outpatient, the inpatient, and the application of the therapy are the first time. It is possible to accept the selection operation of whether or not to target the patient. In addition, various search conditions such as a clinical department, a ward, and a pharmacist in charge may be set.

Further, the control unit 11 accepts a date range designation operation in the calendar display unit A12 using a pointing device such as a mouse as an operation for inputting dates to the start date and end date of the search display unit A11. Further, the control unit 11 can accept an operation for vertically selecting a plurality of days of the same day of the week using a pointing device such as a mouse, and displays the selected multiple days of the same day of the week ( It is conceivable to select it as a date range specification). The search display unit A11 displays an operation key K1 that accepts an operation to start a search process based on the search condition, and the control unit 11 starts the search process in response to the operation of the operation key K1. ..

The calendar display unit A12 is displayed side by side with the list display unit A13 on the same therapy management screen P1. Based on the prescription data and the determination result by the determination processing unit 111, the calendar display unit A12 is determined to be the first application by the determination processing unit 111 and the number of medication patients indicating the number of patients to be applied. A calendar showing the number of initial patients and the number of patients by date is displayed. In particular, in the calendar display unit A12, the date display unit A121 corresponding to each date shows the number of medication patients and the number of initial patients in a manner in which an outpatient and an inpatient can be distinguished. More specifically, in the calendar display unit A12, the number of outpatients and the number of initial patients in the number of medication patients are displayed in the upper row, and the number of inpatients in the number of medication patients and the number of the medication patients are described. There is a two-stage display in which the number of initial patients is displayed in the lower row.

Based on the prescription data and the determination result by the determination processing unit 111, the list display unit A13 is determined to be the first application by the determination processing unit 111 and the number of medication patients indicating the number of patients to be applied. A list of therapies showing the number of initial patients and the number of patients by date is displayed.

Specifically, in the list display unit A13, the date display unit A131, the therapy display unit A132, and the individual display unit A133 are hierarchically displayed in a tree structure. The date of application is indicated on the date display section A131, and the therapy scheduled to be applied (drug) to the date of the date display section A131 is shown on the therapy display section A132 below the date display section A131. Is done. In addition, the individual display unit A133 below the therapy display unit A132 shows at least a part of the prescription data of the patient to which the therapy of the therapy display unit A132 is applied. The therapy display unit A132 and the individual display unit A133 are examples of detailed display units showing at least a part of the prescription data.

Then, the date is displayed on the date display unit A131, and the number of outpatients and the number of inpatients are identifiablely displayed for the number of medication patients and the number of initial patients corresponding to the date. For example, by displaying "12/8 (Monday) (outpatient: 7-1 hospitalization: 6-2)" on the uppermost stage of the list display unit A13 on the therapy management screen P1 of FIG. On Monday, the 8th of the month, the number of outpatients is 7 and the number of inpatients is 6, and the number of outpatients is 1 and the number of inpatients is 2 out of the initial number of patients. It is shown. If similar contents are displayed, the display mode of these information is not limited to the mode described here. Further, it is considered as another embodiment that the date display unit A131 does not display the number of initial patients, but displays the number of outpatients and the number of inpatients only for the number of medication patients.

Further, in the list display unit A13, an operation key K3 for switching whether or not the therapy display unit A132 corresponding to the date display unit A131 is deployed and the therapy display unit A133 corresponding to the therapy display unit A132 are deployed. The operation key K4 for switching the presence or absence of is displayed. The control unit 11 can accept the operation of the date display unit A131 in place of the operation key K3, and can accept the operation of the therapy display unit A132 in place of the operation key K4. It can be considered as another embodiment.

In the therapy display unit A132, the therapy is shown, and the number of outpatients and the number of inpatients are identifiablely displayed for the number of medication patients and the number of initial patients corresponding to the therapy. For example, on Monday, December 8th, "ABC therapy (outpatient: 1-1 hospitalization: 2-1)" is displayed on the therapy display section A132 at the top of the therapy management screen P1 in FIG. For ABC therapy, the number of outpatients is 1 and the number of inpatients is 2 among the number of medication patients, and the number of outpatients is 1 and the number of inpatients is 1 among the initial number of patients. It is shown. If similar contents are displayed, the display mode of these information is not limited to the mode described here. Further, it is considered as another embodiment that the therapy display unit A132 does not display the number of initial patients, but displays the number of outpatients and the number of inpatients only for the number of medication patients.

The individual display unit A133 displays information such as a ward, a patient ID, a patient name, cool information, a planned clinical department, and a planned doctor for the prescription data.

Further, to the list display unit A13, the therapy shown in the prescription data corresponding to the date display unit A131, the therapy display unit A132, or the individual display unit A133 of the list display unit A13 is applied for the first time. The initial display unit A134 indicating whether or not a certain patient exists is displayed. The control unit 11 first applies the therapy shown in the prescription data to the lowest display unit currently deployed among the date display unit A131, the therapy display unit A132, or the individual display unit A133. Whether or not there is a patient who is the patient is displayed on the initial display unit A134 corresponding to the display unit. The number of initial patients is displayed on the date display unit A131 and the therapy display unit A132, and the display of the initial display unit A134 is omitted, or the patient who is first applied to the therapy on the initial display unit A134. It is also conceivable as another embodiment that the presence or absence of the patient is displayed and the display of the number of initial patients is omitted on the date display unit A131 and the therapy display unit A132.

<Step S2>
In step S2, the control unit 11 determines whether or not a search start operation based on the search conditions input to the search display unit A11 has been performed. Specifically, the control unit 11 determines that the search start operation has been performed when the operation key K1 of the search display unit A11 is operated. Here, when it is determined that the search start operation has been performed (S2: Yes), the process proceeds to step S3, and when it is determined that the search start operation has not been performed (S2: No), the process Moves to step S4.

<Step S3>
In step S3, the control unit 11 updates the therapy management screen P1 based on the search result by the search display unit A11. Specifically, the control unit 11 searches for prescription data that matches the search conditions input to the search display unit A11, and updates the list display unit A13 based on the prescription data. The operation key K1 is not displayed on the search display unit A11, and the control unit 11 updates the therapy management screen P1 every time the search condition input to the search display unit A11 is changed. It is also possible to do it.

<Step S4>
In step S4, the control unit 11 determines whether or not the expansion switching operation of the date display unit A131 in the list display unit A13 has been performed. Specifically, the control unit 11 determines that the expansion switching operation of the date display unit A131 has been performed when the operation key K3 corresponding to the date display unit A131 is operated. Here, when it is determined that the expansion switching operation of the date display unit A131 has been performed (S4: Yes), the process proceeds to step S5, and it is determined that the expansion switching operation of the date display unit A131 has not been performed. If this is done (S4: No), the process proceeds to step S6.

<Step S5>
In step S5, the control unit 11 switches the presence / absence of display of the therapy display unit A132 belonging to the date display unit A131 determined that the deployment switching operation was performed in step S4.

Specifically, when the expansion switching operation is performed while the therapy display unit A132 is displayed for the date corresponding to the date display unit A131, the control unit 11 hides the therapy display unit A132. Become. Further, when the date display unit A131 includes a patient to whom the therapy shown in the prescription data is applied for the first time, the therapy is applied to the initial display unit A134 corresponding to the date display unit A131 for the first time. The presence of the patient (eg, "○") is displayed.

On the other hand, when the expansion switching operation is performed while the therapy display unit A132 is not displayed for the date corresponding to the date display unit A131, the therapy display unit A132 is expanded under the date display unit A131. Is displayed. In this case, the fact that the patient has the first application of the therapy is hidden in the initial display unit A134 corresponding to the date display unit A131, and the therapy display unit A132 of the therapy in which the patient has the first application of the therapy. The initial display unit A134 corresponding to the above indicates that there is a patient who is the first to apply the therapy.

<Step S6>
In step S6, the control unit 11 determines whether or not the expansion switching operation of the therapy display unit A132 in the list display unit A13 has been performed. Specifically, the control unit 11 determines that the expansion switching operation of the therapy display unit A132 has been performed when the operation key K4 corresponding to the therapy display unit A132 is operated. Here, when it is determined that the deployment switching operation of the therapy display unit A132 has been performed (S6: Yes), the process proceeds to step S7, and it is determined that the deployment switching operation of the therapy display unit A132 has not been performed. If so (S6: No), the process proceeds to step S8.

<Step S7>
In step S7, the control unit 11 switches whether or not to display the individual display unit A133 belonging to the therapy display unit A132, which is determined to have performed the deployment switching operation in step S6.

Specifically, when the expansion switching operation is performed while the individual display unit A133 is displayed for the therapy corresponding to the therapy display unit A132, the control unit 11 hides the individual display unit A133. Become. In addition, when there is a patient to whom the therapy corresponding to the therapy display unit A132 is applied for the first time, the patient exists to the effect that the therapy is applied to the initial display unit A134 corresponding to the therapy display unit A132 for the first time. Is displayed.

On the other hand, when the deployment switching operation is performed while the individual display unit A133 is not displayed for the date corresponding to the therapy display unit A132, the individual display unit A133 is expanded on the lower layer of the therapy display unit A132. Is displayed. In this case, the individual indicating that the initial display unit A134 corresponding to the therapy display unit A132 has a patient for the first time to apply the therapy and the prescription data for which the therapy is applied to the patient for the first time is shown. The fact that it is the first time is displayed on the first display unit A134 corresponding to the display unit A133.

<Step S8>
In step S8, the control unit 11 determines whether or not the date display unit A121 corresponding to an arbitrary date among the calendars displayed on the calendar display unit A12 has been operated. Here, when it is determined that the date display unit A121 has been operated (S8: Yes), the process proceeds to step S9, and it is determined that the date display unit A121 has not been operated (S8: No). , The process proceeds to step S10.

<Step S9>
In step S9, the control unit 11 switches the presence / absence of individual display on the date corresponding to the date display unit A121 determined to have been operated in step S8. Specifically, the control unit 11 has a one-stage display for displaying the total number of outpatients and inpatients in one stage and a two-stage display for individually displaying the total number of outpatients and inpatients for the date display unit A121. Switch between display. For example, if the date display unit A121 is operated while the number of outpatients and hospitalizations is individually displayed for the date corresponding to the date display unit A121 determined to have been operated in step S8, the outpatient department is outpatient. And the total number of hospitalizations is displayed on the date display unit A121. On the other hand, with respect to the date corresponding to the date display unit A121 determined to have been operated in step S8, the date display unit A121 displays the total number of outpatients and inpatients on the date display unit A121. When operated, the number of outpatients and inpatients will be displayed individually. As a result, a large number of days can be displayed on the calendar display unit A12 by displaying the total of the number of medication patients and the first patient for each date, and the number of medication patients and the first patient for each date. It is possible to arbitrarily switch between the state in which the number is displayed separately for each outpatient and inpatient.

By the way, in the calendar displayed on the calendar display unit A12, the date display units A121 for each date included in the same week are displayed side by side. Therefore, if the display mode of the date display unit A121 included in the same week includes one step and two steps, the calendar becomes difficult to see. Therefore, as shown in FIG. 5, the control unit 11 is outpatient for the week of the date corresponding to the date display unit A121 determined to have been operated in step S8 in step S9. When the date display unit A121 is operated while the number of cases of each outpatient and hospitalization is individually displayed, the total number of outpatients and hospitalizations is displayed on the date display unit A121 for each date of the entire week. Let me. On the other hand, with respect to the date corresponding to the date display unit A121 determined to have been operated in step S8, the date display unit A121 displays the total number of outpatients and hospitalizations on the date display unit A121. When operated, the number of outpatients and each inpatient is individually displayed on the date display unit A121 for each date of the entire week.

<Step S10>
Further, the control unit 11 determines whether or not the execution end operation of the therapy management process has been performed, and when the execution end operation is performed (S10: Yes), the control unit 11 ends the therapy management process and executes the execution. If the end operation has not been performed (S10: No), the process returns to step S2.

As described above, in the therapy management system 10 according to the present embodiment, it is possible to easily grasp the workload of the pharmacist in consideration of not only the number of medication patients but also the number of initial patients. Therefore, a user such as a pharmacist, by referring to the therapy management screen P1, considers whether or not there is an explanation time to the patient required for administration of the drug to the patient according to the therapy for each date. It is possible to consider the number of pharmacists for each date.

[Supplementary note of invention]
Hereinafter, the technical idea of the invention extracted from the above-described embodiment will be added. In addition, it is also possible to select and arbitrarily combine each configuration and each processing function described below.

[Appendix A1]
Judgment processing for determining whether or not the therapy shown in the prescription data is applied for the first time for each of the patients based on a plurality of prescription data corresponding to a plurality of patients and a therapy history corresponding to each of the patients. Department and
Output that can output a calendar showing the number of patients to be applied and the number of patients judged to be the first application by the judgment processing unit for each date based on the prescription data and the judgment result by the judgment processing unit. Processing unit and
A therapy management system equipped with.

[Appendix A2]
In each of the date columns in the calendar, the number of inpatients and the number of outpatients are identifiable for the number of patients.
The therapy management system according to Appendix A1.

[Appendix A3]
Based on the prescription data and the determination result by the determination processing unit, the output processing unit indicates the number of patients to be applied and the number of patients determined to be the first application by the determination processing unit for each date. The therapy list can be output,
The therapy management system according to Appendix A1 or Appendix A2.

[Appendix A4]
The therapy list includes a date display that shows the date and a detailed display that shows at least a portion of the prescription data of the patient to be dosed on the date corresponding to each of the date displays.
Each of the date display units displays the number of patients corresponding to the date of the date display unit, and each of the detailed display units displays the determination result by the determination processing unit for the patient in the detailed display unit.
The therapy management system according to Appendix A3.

[Appendix A5]
The output processing unit outputs the calendar and the therapy list to the display unit, and switches the presence / absence of display of the detailed display unit corresponding to the date display unit according to the operation of the date display unit.
The therapy management system according to Appendix A4.

[Appendix A6]
The output processing unit displays the calendar and the therapy list side by side on the same screen.
The therapy management system according to any one of Supplementary A3 to A5.

[Appendix A7]
A determination step for determining whether or not the therapy indicated in the prescription data is applied for the first time for each of the patients based on a plurality of prescription data corresponding to a plurality of patients and a therapy history corresponding to each of the patients. When,
An output step capable of outputting a calendar showing the number of patients to be applied and the number of patients determined to be applied for the first time by the determination step for each date based on the prescription data and the determination result by the determination step. ,
A therapy management program that allows a computer to run.

1 Server 11 Control unit 111 Judgment processing unit 112 Output processing unit 12 Storage unit 13 Communication I / F
14 Operation device 15 Display device 16 Drive device 2 Client terminal 21 Control unit 22 Storage unit 23 Communication I / F
24 Operating device 25 Display device 26 Drive device 3 Printer 4 Communication network 5 Upper system 10 Therapy management system

Claims (8)

Whether or not the therapy indicated in the prescription data is applied for each of the patients for the first time based on the multiple prescription data corresponding to the plurality of patients and including at least the dosing date and the therapy history corresponding to each of the patients. Judgment processing unit to determine
An output processing unit capable of outputting a calendar showing the number of patients determined to be applied for the first time by the determination processing unit based on the prescription data and the determination result by the determination processing unit for each date.
A therapy management system equipped with. The output processing unit can output a calendar showing the number of patients to be applied and the number of patients judged to be the first application by the determination processing unit for each date.
The therapy management system according to claim 1. In each of the date columns in the calendar, the number of inpatients and the number of outpatients are identifiable for the number of patients.
The therapy management system according to claim 2. Based on the prescription data and the determination result by the determination processing unit, the output processing unit indicates the number of patients to be applied and the number of patients determined to be the first application by the determination processing unit for each date. The therapy list can be output,
The therapy management system according to claim 2 or 3. The therapy list includes a date display that shows the date and a detailed display that shows at least a portion of the prescription data of the patient to be dosed on the date corresponding to each of the date displays.
Each of the date display units displays the number of patients corresponding to the date of the date display unit, and each of the detailed display units displays the determination result by the determination processing unit for the patient in the detailed display unit.
The therapy management system according to claim 4. The output processing unit outputs the calendar and the therapy list to the display unit, and switches the presence / absence of display of the detailed display unit corresponding to the date display unit according to the operation of the date display unit.
The therapy management system according to claim 5. The output processing unit displays the calendar and the therapy list side by side on the same screen.
The therapy management system according to any one of claims 4 to 6. Whether or not the therapy indicated in the prescription data is applied for each of the patients for the first time based on the multiple prescription data corresponding to the plurality of patients and including at least the dosing date and the therapy history corresponding to each of the patients. Judgment step to determine
An output step capable of outputting a calendar showing the number of patients determined to be applied for the first time by the determination step for each date based on the prescription data and the determination result by the determination step.
A therapy management program that allows a computer to run.

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