JP7437643B2 - Support information providing system, support information providing device, support information providing method and program - Google Patents

Description

The present invention relates to a support information providing system, a support information providing device, a support information providing method, and a program.

Information processing technology that supports the work of pharmacists in pharmacies has been known.
For example, Patent Document 1 describes that data on a patient's drug history is managed in a database, and when dispensing medicine to a patient, medication guidance is provided based on the drug history, etc. by referring to the database. .

Japanese Patent Application Publication No. 2016-122253

However, even if data such as patient drug histories are managed in a database, there is a wide range of information that pharmacists must consider in dispensing operations, and in order for pharmacists to appropriately consider this information, pharmacists' knowledge and experience are required. is required. In particular, when a pharmacist conducts an interview (questionnaire), it is difficult to select necessary information from among the information presented by the patient and to appropriately consider the information for dispensing the drug.

An object of the present invention is to more appropriately support pharmacists' work.

In order to solve the above problems, a support information providing system according to one embodiment of the present invention includes:
A support information providing system including a terminal device and a server configured to be able to communicate via a network,
The terminal device is
a target information acquisition means for acquiring target information to be considered in pharmaceutical guidance to patients;
support requesting means for requesting the server to generate support information for pharmaceutical guidance based on the target information;
Support information display means for displaying support information for pharmaceutical guidance transmitted from the server in response to a request by the support request means,
The server is
In response to a request from the support requesting means, a point of view information acquisition means that acquires point of view information that is information specified in the process of generating the support information based on the target information and that represents a different classification;
support information generation means for generating the support information based on the point of view information;
and transmitting means for transmitting the support information generated by the support information generating means to the terminal device.

According to the present invention, it is possible to more appropriately support the pharmacist's work.

1 is a diagram showing a system configuration of a support information providing system 1 according to an embodiment of the present invention. It is a diagram showing the hardware configuration of an information processing device 800 that configures each device. 1 is a block diagram showing a functional configuration of a terminal device 10. FIG. It is a schematic diagram showing an example of a patient selection screen. It is a schematic diagram which shows an example of an interview display screen. FIG. 3 is a schematic diagram showing an example of a support information display screen. FIG. 7 is a schematic diagram showing another example of the support information display screen. 2 is a block diagram showing the functional configuration of a pharmacy computer 20. FIG. It is a schematic diagram which shows the data regarding a medication instruction text among the data regarding medicines memorize|stored in medicine DB174. FIG. 3 is a schematic diagram showing the contents of a point of view identification table. It is a flowchart showing the flow of support information provision processing (terminal side) executed by the terminal device 10. It is a flowchart showing the flow of support information provision processing (server side) executed by the pharmacy computer 20. It is a schematic diagram which shows an example of the transition screen displayed when a side effect is selected as a focus point. FIG. 7 is a schematic diagram showing an example of a transition screen displayed when an operation to call a side effect inference function is performed. FIG. 2 is a schematic diagram showing an example of a side effect inference result display screen. FIG. 3 is a schematic diagram showing an example of a display screen showing the content of guidance on side effects.

Embodiments of the present invention will be described below with reference to the drawings.

FIG. 1 is a diagram showing a system configuration of a support information providing system 1 according to an embodiment of the present invention.
The support information provision system 1 in this embodiment is used to support the work of pharmacists at dispensing pharmacies, and is recommended as information to be transmitted to patients, for example, when giving medication guidance to patients who bring prescriptions. This will show the pharmacist the details of what will be done.

As shown in FIG. 1, the support information providing system 1 includes a terminal device 10 and a pharmacy computer 20, and the terminal device 10 and the pharmacy computer 20 are connected to a network such as a VPN (Virtual Private Network). It is configured to be able to communicate via a network. Further, the pharmacy computer 20 is configured to be able to communicate via a network (such as the Internet) with an external server such as a drug information database server that stores drug information including medication instructions.

The terminal device 10 is operated by a pharmacist and is constituted by an information processing device such as a tablet terminal or a PC (Personal Computer). The terminal device 10 displays the contents of the interview conducted by the pharmacist on the patient, and also accepts input of the interview results. Furthermore, the terminal device 10 displays support information (here, recommended medication guidance content) provided by a support information provision process described later, based on information regarding the patient including the interview results.

The pharmacy computer 20 is constituted by an information processing device such as a server computer that executes processing related to the operations of a dispensing pharmacy, and manages various data such as patient attributes, drug histories, and interview results regarding a plurality of patients. It is also recommended that the pharmacy computer 20 accept a request from the terminal device 10 to provide support information based on the interview results, refer to patient attributes, interview results, and prescription data, and provide medication guidance to the patient. Generate medication guidance content (support information) to be provided. Then, the pharmacy computer 20 provides the generated support information to the terminal device 10.

Note that when the pharmacy computer 20 receives a request from the terminal device 10 to provide support information based on the interview results, it requests the external server to generate the support information and acquires the support information generated by the external server. Accordingly, support information may be provided to the terminal device 10.

[Hardware configuration]
Next, the hardware configuration of each device in the support information providing system 1 will be explained.
In the support information providing system 1, each device is constituted by an information processing device such as a PC, a server computer, or a tablet terminal, and the basic configuration thereof is the same.

FIG. 2 is a diagram showing the hardware configuration of the information processing device 800 that constitutes each device.
As shown in FIG. 2, the information processing device 800 that constitutes each device includes a CPU (Central Processing Unit) 811, a ROM (Read Only Memory) 812, a RAM (Random Access Memory) 813, a bus 814, and an input It includes a section 815, an output section 816, a storage section 817, a communication section 818, a drive 819, and an imaging section 820.

The CPU 811 executes various processes according to programs recorded in the ROM 812 or programs loaded into the RAM 813 from the storage unit 817 .
The RAM 813 also appropriately stores data necessary for the CPU 811 to execute various processes.

The CPU 811, ROM 812, and RAM 813 are interconnected via a bus 814. An input section 815, an output section 816, a storage section 817, a communication section 818, a drive 819, and an imaging section 820 are connected to the bus 814.

The input unit 815 is composed of various buttons and the like, and inputs various information according to instruction operations.
The output unit 816 is configured with a display, a speaker, etc., and outputs images and audio.
The storage unit 817 is configured with a hard disk, a DRAM (Dynamic Random Access Memory), or the like, and stores various data managed by each server.
The communication unit 818 controls communication with other devices via the network.

A removable medium 831 such as a magnetic disk, an optical disk, a magneto-optical disk, a semiconductor memory, etc. is attached to the drive 819 as appropriate. The program read from the removable medium 831 by the drive 819 is installed in the storage unit 817 as necessary.
The imaging unit 820 is configured by an imaging device including a lens, an image sensor, etc., and captures a digital image of a subject.
Note that when the information processing device 800 is configured as the pharmacy computer 20, it is also possible to have a configuration in which the imaging unit 820 is omitted. Further, when the information processing device 800 is configured as a tablet terminal, the input unit 815 can be configured with a touch sensor and placed over the display of the output unit 816, thereby providing a configuration with a touch panel. be.

[Functional configuration]
Next, the functional configuration of each device in the support information providing system 1 will be explained.

[Functional configuration of terminal device 10]
FIG. 3 is a block diagram showing the functional configuration of the terminal device 10.
As shown in FIG. 3, the CPU 811 of the terminal device 10 includes a user interface display control section (UI display control section) 51, a target information acquisition section 52, a support request section 53, and a support information acquisition section 54. Function.

The UI display control unit 51 controls the display of various input/output screens in support information providing processing (terminal side). For example, the UI display control unit 51 displays a screen for selecting a patient to whom support information is to be provided in support information provision processing (terminal side) (hereinafter referred to as a "patient selection screen"), a pharmacist's interview with the patient, a screen that displays the contents of the medical interview (hereinafter referred to as the “questionnaire display screen”), and a screen that displays the support information (medication guidance contents) provided by the support information provision process (server side) (hereinafter referred to as the “questionnaire display screen”). This will be referred to as the "support information display screen.") etc. will be displayed (output on the display).

FIG. 4 is a schematic diagram showing an example of a patient selection screen.
As shown in FIG. 4, on the patient selection screen, a list of each patient corresponding to patient attributes managed by the pharmacy computer 20 is displayed, and the pharmacist selects a patient to interview from this list. do. Note that for new patients visiting the hospital, patient attributes are newly registered using a registration screen (not shown).

Further, FIG. 5 is a schematic diagram showing an example of an interview display screen.
As shown in FIG. 5, on the interview display screen, the contents of the interview including multiple-choice questions are displayed, and the pharmacist inputs the interview results according to the patient's answers. The interview content displayed at this time is a series of questions selected according to patient attributes, and can be asked for each patient, prescription content, or number of interviews (for example, whether it is the first interview or the second interview). Determined according to etc.

Further, FIG. 6 is a schematic diagram showing an example of a support information display screen.
As shown in Figure 6, on the support information display screen, indicators (hereinafter referred to as "points of focus") that pharmacists (especially experienced pharmacists) recall in the thought process they follow when giving medication guidance are displayed. Is displayed. In this embodiment, points of focus are presented as six categories: "side effects,""adherence,""changes in physical condition,""concomitant medications (interactions),""elderly," and "lifestyle guidance." Ru. In addition, in this embodiment, regarding these points of view, based on the patient attributes, drug history, and interview results of the patient who answered the interview, the relevance of each point of view to the category (here, a percentage indicating the importance) is calculated. By referring to the relevance of the presented points of view, pharmacists who receive support information can easily determine what viewpoints to pay attention to when providing medication guidance for patients who have responded to the interview. can be recognized. Furthermore, it is possible to recognize the difference between the pharmacist's own thinking results and the relevance of the points of view presented in the support information, which can be useful for the pharmacist's own self-evaluation or improvement.
Furthermore, if the pharmacist has recorded the points of focus for the next guidance given to the patient during the previous guidance, the recorded points of focus will be identified and displayed on the support information display screen shown in Figure 6. (change the background color, surround it with a frame, make it blink, etc.).

Moreover, FIG. 7 is a schematic diagram showing another example of the support information display screen.
As shown in FIG. 7, on the support information display screen, a list of medication instructions (hereinafter referred to as "list of recommended medication instructions") indicating recommended medication instructions for the patient interviewed and prescriptions are displayed. A list of general medication instructions regarding the prescribed drugs (hereinafter referred to as "general medication instructions list") is displayed. The list of recommended medication instructions is a list of medication instructions selected based on the points of view and their relevance identified by the support information provision process (server side), and is useful for pharmacists (especially experienced pharmacists). This represents the results that reflect the content that is recalled during the thought process followed when providing medication guidance. In addition, the list of general medication instructions represents the results selected in accordance with the prescribed medicine according to the patient's prescription data. In addition, a check box is also displayed for each medication instruction, and medication instructions with a checkmark in the checkbox by the pharmacist will be confirmed by the pharmacist (such as clicking the "Send to Medication History" button). After that, it is registered in the patient's medication history as a list of medication instructions used for medication guidance.
In addition, on the support information display screen shown in Figure 7, it is possible for the pharmacist to perform an operation for inputting the points of focus for the next guidance (input operation for the next guidance content), and a confirmation operation by the pharmacist ("Medication history The input contents can be recorded in the drug history by operating the "Send to" button, etc.).

The target information acquisition unit 52 acquires various types of information to be considered (hereinafter referred to as "consideration target information") regarding a patient for whom medication guidance is given. That is, the information to be considered is information to be considered in pharmaceutical guidance to patients. For example, the target information acquisition unit 52 collects information for identifying the patient such as the name and age of the patient who brought the prescription, data of the interview results input by the pharmacist on the interview display screen, and the contents of the prescription brought by the patient. Obtain data etc. representing. Note that the information acquired by the target information acquisition unit 52 is not limited to these, but may also include data on the patient's medication history, data on the content of medication guidance from the patient's previous visit, and data stored in the electronic medication notebook. Alternatively, it is also possible for the pharmacist to obtain subjective information and the like that can be obtained by visually observing the patient.

The support request unit 53 transmits a support information provision request to the pharmacy computer 20 together with the consideration target information acquired by the target information acquisition unit 52.
The support information acquisition unit 54 acquires support information transmitted from the pharmacy computer 20 in response to the support information provision request transmitted by the support request unit 53. The support information acquired by the support information acquisition unit 54 includes information on points of view, data on a list of medication guidance sentences (list of recommended medication guidance sentences) indicating recommended medication guidance contents, and general information regarding prescribed drugs. Contains data on the list of medication instructions (list of general medication instructions).

[Functional configuration of pharmacy computer 20]
FIG. 8 is a block diagram showing the functional configuration of the pharmacy computer 20. As shown in FIG.
As shown in FIG. 8, the CPU 811 of the pharmacy computer 20 includes a support request reception unit 151, a focus point identification unit 152, a presentation information evaluation unit 153, a support information generation unit 154, and a support information provision unit 155. , works. In addition, the storage unit 817 of the pharmacy computer 20 includes a patient attribute database (patient attribute DB) 171, a drug history database (medication history DB) 172, an interview result database (interview result DB) 173, and a drug database (drug history DB) 172. DB) 174 are formed.

The patient attribute DB 171 stores patient attribute data such as the patient's address, name, age, gender, and various information representing patient individual characteristics. These patient attributes consist of information obtained by pharmacists through dialogue with patients, and information provided by patients in response to interviews (questionnaires), etc. Also includes food.
The drug history DB 172 stores a history of drugs prescribed to patients (medication history) in association with information for identifying each patient.

The interview result DB 173 stores the results of interviews conducted on patients in association with information for identifying each patient and the date and time of the interview.
The medicine DB 174 stores data regarding medicines handled at the pharmacy where the pharmacy computer 20 is installed. This drug-related data includes the drug name (generic name), drug code, etc., as well as the contents of medication instructions and package inserts.

FIG. 9 is a schematic diagram showing data related to medication instructions among data related to drugs stored in the drug DB 174.
As shown in FIG. 9, each drug specified by a drug code and drug name is associated with a plurality of medication instructions provided by the drug manufacturer. In FIG. 9, a serial number (instruction number) is assigned to the medication instruction text associated with each drug. In addition, each medication instruction text is associated with one or more points of view, and the higher the relevance of a point of view to the information to be considered, the higher the relevance of the medication instruction text to that point of view. This means that the importance of

The support request receiving unit 151 receives a request for providing support information together with consideration target information from the terminal device 10 and outputs the received consideration target information to the point of view specifying unit 152.
Among the consideration target information, the point of view identification unit 152 selects information that has been logicalized in the support information providing process (server side) (hereinafter referred to as "logicalized target information") and information that has been logically logicalized. information that has not been logicalized (hereinafter referred to as "non-logicalized target information"). In addition, the point-of-view specifying unit 152 refers to table data (hereinafter referred to as a “point-of-view specifying table”) that defines the correspondence between each combination of logicalized target information and the relevance of each point of view, and Data on the relevance of each point of view is obtained from the selected logicalized target information.

FIG. 10 is a schematic diagram showing the contents of the point-of-view specifying table.
As shown in FIG. 10, the focus point identification table defines the relationship between various combinations of the types and contents of logicalized target information and the relevance of each focus point.
For example, each question in the medical interview is defined as the type of logicalized target information, and the contents of alternative answers to the questions are defined as the content of the logicalized target information. In the point-of-view specifying table, numerical values of the relevance of each point of view are defined in advance for all combinations of question types and alternative answer contents. The numerical value of the relevance of each point of view is based on an example of actual judgment (actual This was determined based on the statistics on the history of medication guidance.

In addition to the questions in the medical interview, it is possible to use logicalized target information such as patient attributes (male or female), patient age group, type of prescribed drug, patient disease name, etc. In this case, these information All combinations with elements are defined in the point of view identification table.

In this way, the point of view identification unit 152 can identify the relevance of each point of view corresponding to the thought process followed by a veteran pharmacist, etc., regarding the logicalized target information, by referring to the point of view identification table. can.

The presentation information evaluation section 153 evaluates the presentation target information (here, the medication instruction text) based on the relevance of each point of view specified by the point of view identification section 152. For example, the presentation information evaluation unit 153 weights each medication guidance sentence using a numerical value indicating the relevance of each point of view to which the medication guidance sentence is related, and gives an evaluation value of the medication guidance sentence associated with the point of view. Determine. The medication instructions whose evaluation values have been determined in this way belong to the list of recommended medication instructions. Note that for each drug, the weight of the medication guidance sentence may be set, and the evaluation value of the medication guidance sentence may be determined by reflecting a numerical value indicating the relevance of each point of view to this weight.

Further, the presentation information evaluation unit 153 evaluates the presentation target information based on the non-logicalized target information. For example, the same evaluation value can be uniformly assigned to presentation target information to which de-logicalized target information is related. As an example, it is possible to assign the same evaluation value to all medication instructions related to drugs listed in a prescription. Medication instructions whose evaluation values have been determined in this way belong to the list of general medication instructions.

The support information generating unit 154 acquires data on the relevance of each point of view specified by the point of view specifying unit 152. Further, the support information generation unit 154 acquires medication instruction sentences (presentation target information) from the drug DB 174 based on the evaluation of the presentation target information determined by the presentation information evaluation unit 153. That is, the support information generation unit 154 generates data of a list of recommended medication instructions by acquiring medication instructions that have been evaluated based on the relevance of points of view and arranging them in descending order of evaluation value. In addition, the support information generation unit 154 obtains the medication guidance sentences evaluated based on the de-logicalized target information in the presentation information evaluation unit 153, and arranges them in a predetermined order, thereby generating the data of the list of general medication guidance sentences. generate. Note that the predetermined order can be in various forms, but as an example, it can be in the order of highest reference frequency. Then, the support information generating unit 154 generates support information including data on the relevance of each point of view, data on a list of recommended medication instructions, and data on a list of general medication instructions, and sends the support information to the support information providing unit 155. Output.

The support information providing unit 155 receives support information input from the support information generating unit 154 (information including data on the relevance of each point of view, data on a list of recommended medication instructions, and data on a list of general medication instructions). is transmitted to the terminal device 10 (outputted to the terminal device 10 via the network).

[motion]
Next, the operation of the support information providing system 1 will be explained.

[Processing of terminal device 10]
FIG. 11 is a flowchart showing the flow of support information provision processing (terminal side) executed by the terminal device 10.
The support information providing process (terminal side) is started in response to input of an instruction to execute the support information providing process (terminal side) via the input unit 815 of the terminal device 10 .
In step S1, the UI display control unit 51 displays a patient selection screen and accepts patient selection.
In step S2, the UI display control unit 51 displays an interview display screen corresponding to the selected patient.

In step S3, the UI display control unit 51 receives input of answers to the medical interview.
In step S4, the target information acquisition unit 52 acquires various types of information to be considered (considered information) regarding the patient for whom medication guidance is to be given.
In step S5, the support request unit 53 transmits a support information provision request to the pharmacy computer 20 together with the consideration target information acquired by the target information acquisition unit 52.
In step S6, the support information acquisition section 54 acquires the support information transmitted from the pharmacy computer 20 in response to the support information provision request transmitted by the support request section 53.

In step S7, the UI display control unit 51 displays a support information display screen based on the acquired support information.
In step S8, the UI display control unit 51 determines whether an operation has been performed on the support information display screen.
At this time, the UI display control unit 51 performs an operation to change the page of the support information display screen (such as a switching operation between a page displaying points of view and a page displaying medication instructions), and a numerical value representing the relevance of the points of view. We accept operations such as changing the value at the pharmacist's discretion (such as increasing the numerical value to improve relevance).
If an operation is performed on the support information display screen, YES is determined in step S8, and the process moves to step S7.
On the other hand, if no operation has been performed on the support information display screen, the determination in step S8 is NO, and the process moves to step S9.

In step S9, the UI display control unit 51 determines whether an operation to end the display of the support information display screen has been performed.
If the operation to end the display of the support information display screen has not been performed, the determination in step S9 is NO, and the process moves to step S8.
On the other hand, if an operation to end the display of the support information display screen is performed, YES is determined in step S9, and the support information providing process (on the terminal side) ends.

[Processing of pharmacy computer 20]
FIG. 12 is a flowchart showing the flow of support information provision processing (server side) executed by the pharmacy computer 20.
The support information providing process (server side) is started in response to input of an instruction to execute the support information providing process (server side) via the input unit 815 of the pharmacy computer 20.

In step S<b>21 , the support request receiving unit 151 receives the support information provision request together with the consideration target information from the terminal device 10 , and outputs the received consideration target information to the viewpoint specifying unit 152 .
In step S22, the point-of-view specifying unit 152 refers to the point-of-focus specifying table and obtains data on the relevance of each point of interest from the logicalized target information.

In step S23, the presentation information evaluation unit 153 evaluates the presentation target information. Specifically, the presentation information evaluation section 153 evaluates the presentation target information (medication instruction text) based on the relevance of each point of view specified by the point of view specifying section 152. Further, the presentation information evaluation unit 153 evaluates the presentation target information (medication instruction text) based on the delogicalized target information.
In step S24, the support information generation unit 154 generates support information based on the data on the relevance of each point of view, the data on the list of recommended medication instructions, and the data on the list of general medication instructions.

In step S25, the support information providing unit 155 transmits the support information input from the support information generating unit 154 to the terminal device 10.
After step S25, the support information providing process (server side) is repeated.

As described above, in the support information providing system 1 according to the present embodiment, for a patient for whom medication guidance is given, the pharmacist responds to information for identifying the patient, such as the name and age of the patient who brought the prescription, and the interview display screen. Various information to be considered is acquired, such as data on the interview results input by the patient and data representing the contents of the prescription brought by the patient. Then, by referring to the point of view identification table, the relevance of each point of view corresponding to the logicalized target information among the consideration target information is uniquely identified. Furthermore, the evaluation value of the medication guidance text is determined according to the relevance of each identified point of view, and a list of recommended medication guidance sentences is generated. Further, the evaluation value of the medication guidance sentence is determined based on the non-logicalized target information among the consideration target information, and a list of general medication guidance sentences is generated. Then, support information including data on the relevance of each point of view, data on a list of recommended medication instructions, and data on a list of general medication instructions is provided.

Therefore, it is possible to provide recommended medication guidance information that corresponds to at least part of the information that a pharmacist should consider when giving medication guidance. The recommended information provided at this time generally reflects the thought process that pharmacists (particularly experienced pharmacists) follow.
Therefore, it becomes possible to more appropriately support the pharmacist's work.

Furthermore, even when there is a wide variety of information to be considered, it is possible to specify each point of view by limiting it to the logicalized target information.
Therefore, it is possible to reliably provide the relevance of each point of view according to the acquired consideration target information.

Further, the points of view displayed at this time generally represent the categories that pharmacists (particularly experienced pharmacists) recall in the thought process they follow when giving medication guidance. That is, each point of view is an index that abstracts a wide variety of specific information to be considered.
Therefore, when pharmacists make judgments in medication guidance, rather than having them directly judge a conclusion based on complex and specific information, by suggesting an intermediate state in the thought process, the final conclusion can be made more appropriately. This will assist in making decisions.

In the above-described embodiment, while presenting a list of recommended medication instructions from the information to be considered, the intermediate state in the pharmacist's thought process is used as an index that abstracts the information to be considered. ), but it is not limited to this. In other words, while presenting a list of recommended medication instructions from the information to be considered, as an index that abstracts the information to be considered; It is possible to indicate a point of view of a second layer that abstracts points, etc.). In this case, the number of indicators (number of categories) is decreased as the level of abstraction increases.
This makes it possible to divide the pharmacist's thought process into more appropriate stages and indicate points of focus.

Further, in the above-described embodiment, the point-of-view specifying unit 152 uses the point-of-focus specifying table to specify the relevance of the points of interest, but the present invention is not limited to this. That is, in addition to specifying the relevance of the points of view using the point of view identification table, the point of view identification unit 152 uses a function or logical operation corresponding to the function of the point of view identification table to determine the information to be considered. It may also be possible to specify the relevance of the point of view to.

[Modification 1]
In the embodiment described above, when an operation is performed to select one of the displayed points of view after the support information display screen shown in FIG. 6 is displayed, specific information regarding the selected point of view is displayed. It may be further displayed.
FIG. 13 is a schematic diagram showing an example of a transition screen displayed when side effects are selected as a focus point.
In the transition screen example shown in FIG. 13, a schematic diagram representing an image of a human body and names of body elements (organs) arranged around the schematic diagram of the human body are displayed. The names of body elements displayed here are body elements that may cause side effects, and can serve as auxiliary information when a pharmacist provides guidance to a patient.

Further, in the example transition screen shown in FIG. 13, a list of drugs that may be associated with side effects and their side effects is displayed. This list displays side effects for which it is recommended to provide guidance based on general criteria when patient guidance is provided for the first time. Further, in each side effect column of this list, a slide button for inputting whether or not the pharmacist has provided an explanation is displayed. The pharmacist explains to the patient the side effects that are judged to require explanation from among the side effects displayed in the list, and sets the slide button to a position indicating "explained" (on the right side in FIG. 13). . Then, when the pharmacist operates the "Guidance on the above side effects" button, the screen shifts to a display screen (see FIG. 16) showing the content of guidance on side effects.
At this time, the side effects set to "explained" are stored in the drug history as those that were given guidance to the patient by the pharmacist. The list shown in FIG. 13 includes a previous guidance column that indicates whether or not guidance was provided to the patient regarding the displayed side effects during the previous guidance.

Further, in the list shown in FIG. 13, when the patient is instructed for the second time or later, side effects that are recommended to be instructed based on the previous instruction contents are displayed. That is, if the pharmacist recorded the side effects (points of focus) to be given next time during the previous guidance given to the patient, the recorded side effects will be included and displayed in the list in FIG. 13. . As a result, even if a pharmacist different from the one who gave the previous guidance is giving the current guidance, the important contents of the guidance can be reliably passed on.

FIG. 14 is a schematic diagram showing an example of a transition screen displayed when an operation to call the side effect inference function is performed.
In the transition screen example shown in FIG. 14, body parts (hexagons indicated by solid lines) and symptoms (hexagons indicated by broken lines) that are elements of side effects are listed, and one or more of these elements of side effects are displayed. is selectable.
In the transition screen example shown in FIG. 14, when the pharmacist selects one or more elements of side effects according to the patient's interview results and operates the "Answer side effects" button to perform inference of side effects, Among the side effects of the drug prescribed to the patient, those that are inferred to be related based on the patient's interview results are identified.

The inference method used at this time is to map the related side effects for all combinations of side effect elements in a table format, etc., and then select the side effect that corresponds to one or more side effect elements selected by the pharmacist. can be specified as an inference result. In addition, machine learning is performed using training data in which one or more elements of side effects corresponding to patient interview results are input and the corresponding side effects are output, and inference is performed using AI (Artificial Intelligence). is also possible. In this case, the AI infers a side effect corresponding to one or more side effect elements selected by the pharmacist based on the results of the actual patient interview based on the results of machine learning.

FIG. 15 is a schematic diagram showing an example of a side effect inference result display screen.
In the example of the inference result display screen shown in FIG. 15, a list of side effects of drugs A and B tablets that are estimated to be related to the element of side effect "malaise" selected by the pharmacist is displayed.
The pharmacist can refer to the listed side effects of each drug and determine the side effects based on the patient's interview results.
In addition, in the list display of these side effects, a slide button for inputting whether or not the pharmacist has provided an explanation is displayed in each side effect column. The pharmacist explains to the patient the side effects that are judged to require explanation from among the side effects displayed in the list, and sets the slide button to a position indicating "explained" (on the right side in FIG. 15). .

In Figure 15, when the slide button is set to "Explained" and the "Next" button is operated, the fact that guidance (explanation) was given to the patient regarding the side effects set to "Explained" will be stored in the drug history. .
In addition, in the example of the inference result display screen shown in FIG. 15, a "question inquiry" button for making a question inquiry is displayed. If the pharmacist refers to the list of side effects displayed on the inference result display screen and determines that it is necessary to make a question to the doctor, he or she can operate the "Doubt Inquiry" button. Then, an input screen for inputting the contents of the question inquiry is displayed, and the pharmacist can input the contents of the question inquiry. The contents of the suspicion inquiry input on this input screen are stored as a drug history.

FIG. 16 is a schematic diagram showing an example of a display screen showing the content of guidance on side effects.
As mentioned above, if you set the slide button for the side effects of drug A and drug B for which patient guidance was given in FIG. 15 to "Explained" and operate the "Next" button, the drug and the content of guidance on the side effects that have already been explained for that drug are displayed in association with each other. Further, in FIG. 16, when the pharmacist operates a button ("send to drug history" button) for storing the displayed content (instruction content) in the drug history, the content of the instruction for the patient is stored in the drug history.
In addition, on the display screen in FIG. 16, the pharmacist can perform an operation to input the side effects for which guidance should be given next time (input operation for next guidance content), and the pharmacist can perform a confirmation operation ("Send to drug history"). By pressing a button, etc.), the entered information can be recorded in the drug history.

By using this display format, if the pharmacist wishes to refer to side effects other than those listed on the transition screen in Figure 13, by operating the "Infer side effects" button, the pharmacist can see the side effects shown in Figure 14. A transition screen can be displayed. Then, by selecting an element of side effects displayed on the transition screen of Fig. 14 and operating the "Answer side effects" button, as shown in Fig. 15, the patient will be asked about the side effects of the prescribed drug. Side effects inferred to be relevant from the results can be displayed. Thereby, the pharmacist can appropriately grasp the side effects that may be related to the drug prescribed to the patient based on the information presented by the patient.
Then, the pharmacist can refer to the inference result display screen shown in FIG. 15 and explain the side effects for which it is determined that it is appropriate to provide guidance to the patient. At this time, the pharmacist sets the slide button to "Explained" for the side effects that have been explained to the patient, and by operating the "Send to drug history" button, the content of the guidance given to the patient is stored in the drug history. can do. This makes it possible to reduce the workload of recording the contents of the instructions given to the patient by the pharmacist in the drug history.

[Modification 2]
In the embodiment described above, a client-server type support information providing system 1 is constructed, and the terminal device 10 requests the pharmacy computer 20 to provide support information to obtain the support information.
On the other hand, by providing the functions of the pharmacy computer 20 in the terminal device 10, the functions of the support information providing system 1 may be realized by a single information processing device (that is, realized as a stand-alone system). .
In this case, the terminal device 10 may be provided with the functions of the point-of-focus specifying section 152, the presented information evaluating section 153, and the support information generating section 154 of the pharmacy computer 20.

As described above, the support information providing system 1 according to the present embodiment includes the terminal device 10 and the pharmacy computer 20.
The terminal device 10 and the pharmacy computer 20 are configured to be able to communicate via a network.
The terminal device 10 includes a UI display control section 51, a target information acquisition section 52, and a support request section 53, and the pharmacy computer 20 includes a point of view identification section 152, a support information generation section 154, and a support information generation section 53. A providing unit 155 is provided.
In the terminal device 10, the target information acquisition unit 52 acquires target information to be considered in pharmaceutical guidance to a patient.
The support requesting unit 53 requests the pharmacy computer 20 to generate support information for pharmaceutical guidance based on the target information.
The UI display control unit 51 displays support information for pharmaceutical guidance transmitted from the pharmacy computer 20 in response to a request from the support request unit 53.
In the pharmacy computer 20,
In response to a request from the support requesting unit 53, the point of view specifying unit 152 acquires point of view information that is identified in the process of generating support information based on target information and represents different classifications.
The support information generation unit 154 generates support information based on the point of view information.
The support information providing unit 155 transmits the support information generated by the support information generating unit 154 to the terminal device 10.
This makes it possible to provide support information for pharmaceutical guidance that corresponds to information that a pharmacist should consider when providing pharmaceutical guidance.
Therefore, it becomes possible to more appropriately support the pharmacist's work.

The support information generated by the support information generation unit 154 includes point of view information corresponding to the target information.
This allows the pharmacist to easily recognize what viewpoints should be taken into consideration when providing pharmaceutical guidance.

The target information acquisition unit 52 acquires target information including the results of an interview with a patient who is a target of dispensing.
The point-of-view specifying unit 152 acquires different viewpoints of guidance in taking medicine as a plurality of point-of-view information.
The support information generation unit 154 generates support information from a plurality of pieces of information regarding medication guidance according to a plurality of pieces of acquired point of view information.
Thereby, the pharmacist can easily recognize which viewpoints should be taken into consideration when providing medication guidance regarding the patient who answered the medical interview.

The point of view specifying unit 152 identifies the target information acquired by the target information acquiring unit 52 by referring to the point of view specifying information in which the combination of target information and the specific content of a plurality of points of view information are associated in advance. Obtain the corresponding point of view information.
Thereby, point of view information can be reliably acquired for various combinations of target information. Further, by changing the definition in the point of view specifying information, the contents of the point of view information to be acquired can be adjusted.

The point of view identification unit 152 generates multiple layers of point of view information including a plurality of first points of view information that abstracts target information and second points of view information that abstracts the first points of view information. do.
This makes it possible to divide the abstraction process performed when considering the content of pharmaceutical guidance from target information into more appropriate stages and to indicate points of focus.

Further, the terminal device 10 and the pharmacy computer 20 according to the present embodiment include a point-of-focus specifying section 152, a support information generating section 154, and a UI display control section 51 or a support information providing section 155.
The point of view identification unit 152 identifies information that is specified in the process of generating support information for pharmaceutical guidance based on target information to be considered in pharmaceutical guidance for patients, and that is classified into different categories. Obtain the point of view information to represent.
The support information generation unit 154 generates the support information based on the point of view information.
The UI display control unit 51 or the support information providing unit 155 outputs the support information for pharmaceutical guidance generated by the support information generation unit 154.
This makes it possible to provide support information for pharmaceutical guidance that corresponds to information that a pharmacist should consider when providing pharmaceutical guidance.
Therefore, it becomes possible to more appropriately support the pharmacist's work.

It should be noted that the present invention is not limited to the above-described embodiments, and any modifications, improvements, etc. that can achieve the purpose of the present invention are included in the present invention.
For example, in the above-described embodiment, a case has been described in which a list of medication instruction sentences is presented as the information to be presented, but the present invention is not limited to this. That is, the objects presented as support information in the present invention include various medical information.

In addition, in the above-described embodiment, after the patient is interviewed, the patient waits while the pharmacist dispenses the medication. Information such as lifestyle guidance may be presented to the patient (for example, displayed on the patient's smartphone or the like).
Furthermore, in the above-described embodiment, an interview display screen for conducting an interview with the patient, and a list of medication instructions after the content has been confirmed by the pharmacist (a list of recommended medication instructions for patients and a list of general medication instructions) The display screen may be displayed on a device owned by the patient (for example, the patient's smartphone). Furthermore, each point of view whose contents have been determined by the pharmacist may also be displayed on a device owned by the patient (for example, the patient's smartphone) as point of view information for the patient.

Further, in the above-described embodiment, each point of interest is shown as a circular graph as shown in FIG. 6, but the output form of each point of interest is not limited to this. For example, it is possible to output numerical values representing the relevance of each point of view as a radar chart. In this case, it becomes easy to display changes from each point of view during past medication guidance.

The series of processes described above can be executed by hardware or software.
In other words, the functional configurations in the embodiments described above are merely examples and are not particularly limited. In other words, it is sufficient that any of the computers constituting the support information providing system 1 is equipped with a function that can execute the above-mentioned series of processes as a whole, and it is a matter of what kind of functional blocks are used to realize this function. It is not limited to the example shown in particular.
Further, one functional block may be configured by a single piece of hardware, a single piece of software, or a combination thereof.

Furthermore, the recording medium containing the program for executing the series of processes described above is not only configured as a removable medium that is distributed separately from the device itself in order to provide the program to the user, but also as a removable medium that is pre-installed in the device itself. It consists of recording media, etc. that are provided to users in a state in which they are

Although the embodiments of the present invention have been described above, the present invention is not limited to the embodiments described above. Further, the effects described in this embodiment are only a list of the most preferable effects resulting from the present invention, and the effects according to the present invention are not limited to those described in this embodiment.

1 Support information providing system, 10 Terminal device, 20 Pharmacy computer, 51 User interface display control unit (UI display control unit), 52 Target information acquisition unit, 53 Support request unit, 54 Support information acquisition unit, 151 Support request reception unit , 152 Point of view identification unit, 153 Presentation information evaluation unit, 154 Support information generation unit, 155 Support information provision unit, 171 Patient attribute database (patient attribute DB), 172 Medication history database (medication history DB), 173 Interview result database ( interview result DB), 174 drug database (drug DB), 800 information processing device, 811 CPU, 812 ROM, 813 RAM, 814 bus, 815 input section, 816 output section, 817 storage section, 818 communication section, 819 drive, 820 Imaging unit, 831 Removable media

Claims (11)

Elements of target information that are to be taken into account in pharmaceutical guidance to patients, including information identifying the patient and information regarding prescriptions issued to the patient, and different classifications in terms of said patient guidance. a first association means for associating the expressed point of view information;
a second association means for associating the point of view information with candidates for support information for pharmaceutical guidance;
individual target information acquisition means for acquiring individual target information including the target information of individual patients who are targets of pharmaceutical guidance;
Point-of-view information acquisition means for acquiring the point-of-view information based on association by the first association means with respect to the elements of the target information included in the individual target information;
support information acquisition means for acquiring candidates of the support information associated by the second association means with respect to the point of view information acquired by the point of view information acquisition means;
support information providing means for providing at least a portion of the support information candidates acquired by the support information acquisition means as the support information for the patient who is a target of pharmaceutical guidance;
A support information providing system characterized by comprising: The first association means has information indicating the degree of relevance between the element of the target information and the point of view information,
The point of view information acquisition means acquires the point of view information according to information indicating the degree of relevance that the first association means has for the elements of the target information included in the individual target information. The support information providing system according to claim 1, characterized in that: Evaluating the support information candidates associated with the point of view information by the second association means based on the degree of relevance with elements of the target information included in the individual target information indicated by the point of view information. Equipped with support information evaluation means to
3. The support information providing system according to claim 1, wherein the support information acquisition means acquires candidates for the support information based on evaluation results by the support information evaluation means. The support information acquisition means sets the acquired support information candidates as data in a list arranged based on the evaluation result by the support information evaluation means,
4. The support information providing system according to claim 3, wherein the support information providing means provides the data in the list as the support information for the patient who is a target of pharmaceutical guidance. 5. The support information providing system according to claim 1, wherein the support information acquisition means includes the point of view information acquired by the point of view information acquisition means in the support information. The individual target information acquisition means acquires the individual target information including the results of an interview with a patient who is a target of dispensing,
The point of view information acquisition means acquires viewpoints of different guidance in taking the drug as a plurality of points of view information,
6. The support information acquisition means acquires candidates for the support information from a plurality of information regarding medication guidance in accordance with the acquired plurality of points of view information. The support information provision system described in . 7. The first association means has point-of-view specifying information in which a combination of elements of the target information and a plurality of points of view information are defined in advance. The support information providing system described in item 1. The point-of-view information acquisition means acquires the point-of-view information in multiple layers including a plurality of first point-of-view information obtained by abstracting the target information and second point-of-view information obtained by abstracting the first point-of-view information. 8. The support information providing system according to claim 1, wherein point information is acquired. Elements of target information that are to be taken into account in pharmaceutical guidance to patients, including information identifying the patient and information regarding prescriptions issued to the patient, and different classifications in terms of said patient guidance. a first association means for associating the expressed point of view information;
a second association means for associating the point of view information with candidates for support information for pharmaceutical guidance;
individual target information acquisition means for acquiring individual target information including the target information of individual patients who are targets of pharmaceutical guidance;
Point-of-view information acquisition means for acquiring the point-of-view information based on association by the first association means with respect to the elements of the target information included in the individual target information;
support information acquisition means for acquiring candidates of the support information associated by the second association means with respect to the point of view information acquired by the point of view information acquisition means;
support information providing means for providing at least a portion of the support information candidates acquired by the support information acquisition means as the support information for the patient who is a target of pharmaceutical guidance;
A support information providing device comprising: A support information providing method executed by an information processing device, the method comprising:
Elements of target information that are to be taken into account in pharmaceutical guidance to patients, including information identifying the patient and information regarding prescriptions issued to the patient, and different classifications in terms of said patient guidance. a first association step of associating the expressed point of view information;
a second associating step of associating the point of view information with candidates for support information for pharmaceutical guidance;
an individual target information acquisition step of acquiring individual target information including the target information of individual patients who are targets of pharmaceutical guidance;
a point of view information acquisition step of acquiring the point of view information based on the association in the first association step with respect to the element of the target information included in the individual target information;
a support information acquisition step of acquiring candidates of the support information associated in the second association step with respect to the point of view information acquired in the point of view information acquisition step;
a support information providing step of providing at least a portion of the support information candidates acquired in the support information acquisition step as the support information to the patient who is a target of pharmaceutical guidance;
A support information providing method characterized by comprising: to the computer,
Elements of target information that are to be taken into account in pharmaceutical guidance to patients, including information identifying the patient and information regarding prescriptions issued to the patient, and different classifications in terms of said patient guidance. a first association function that associates the expressed point of view information;
a second association function that associates the point of view information with candidates for support information for pharmaceutical guidance;
an individual target information acquisition function that acquires individual target information including the target information of individual patients who are targets of pharmaceutical guidance;
a point of view information acquisition function that acquires the point of view information based on association by the first association function with respect to the elements of the target information included in the individual target information;
a support information acquisition function that acquires candidates for the support information associated by the second association function with respect to the point of view information acquired by the point of view information acquisition function;
a support information providing function that provides at least a portion of the support information candidates acquired by the support information acquisition function as the support information for the patient who is a target of pharmaceutical guidance;
A program characterized by realizing the following.