JP7605474B2 - Medication instruction management device, medication instruction management method, medication instruction management program - Google Patents

Description

The present invention relates to a medication instruction management device, a medication instruction management method, and a medication instruction management program.

Patent Document 1 discloses a medication instruction support system that sets the date for medication instruction for each patient based on medication instruction timing information corresponding to the prescription period included in the prescription information.

Patent document 2 discloses an information processing device that consolidates prescriptions that are each prescribed at different times by a medical institution and registered at different times, and notifies the patient of any medications that end up being taken at the same time.

Patent document 3 discloses a medication support system that partially modifies notification text regarding the timing of taking medication and sends it to a user terminal when it is time to take medication.

JP 2021-26783 A JP 2017-167628 A JP 2020-129265 A

After a pharmacist prescribes a drug, medication instructions are sent to the patient's device, including important information about taking the drug and confirmation of side effects. During medication instructions, patients must be made aware of many items depending on the drug prescription, and must also be able to respond to questions about side effects. Therefore, there is a need for a system that can reliably communicate the contents of instructions to patients at the appropriate time and ensure that they understand them.

One of the objectives of the present invention is to ensure that patients understand the content of medication instructions at the appropriate time.

In order to achieve the above object, a medication instruction management device according to one aspect of the present invention is a medication instruction management device connected via a network to a patient terminal viewed by a patient and a prescription terminal to which prescription information of a drug prescribed to the patient is input, and includes a first storage unit that stores information correlating the drug with medication instruction information related to the drug, a second storage unit that stores information correlating the medication instruction information with a reference transmission time point for transmitting the medication instruction information to the patient terminal, a draft generation unit that generates a draft of the medication instruction information to be transmitted to the patient terminal and the transmission time point of each of the medication instruction information based on the prescription information and the reference transmission time point, a display control unit that displays on the prescription terminal a screen in which the medication instruction information to be transmitted to the patient terminal and the transmission time point are mapped in a calendar form, and an input control unit that accepts input to change the transmission time point for each of the medication instruction information while the screen is displayed.

The display control unit may plot and display the transmission time on the screen in a table with the medication instruction information on the first axis and time on the second axis.

The display control unit may plot and display the time of the transmission in the table on the screen.

The input control unit may receive input for setting rules for the time of transmission for each piece of medication instruction information.

The system may further include an upper limit setting unit that sets an upper limit for the number of pieces of medication instruction information to be sent to the patient terminal at the same time, and the draft generation unit may generate a draft in which the transmission times of the medication instruction information are dispersed when the number of pieces of medication instruction information whose reference transmission times are the same as each other exceeds the upper limit.

In order to achieve the above object, a medication instruction management method according to another aspect of the present invention is a medication instruction management method by a medication instruction management device connected via a network to a patient terminal viewed by a patient and a prescription terminal to which prescription information of a drug prescribed to the patient is input, the medication instruction management device having a first storage unit that stores information correlating the drug with medication instruction information related to the drug, and a second storage unit that stores information correlating the medication instruction information with a reference transmission time point at which the medication instruction information is transmitted to the patient terminal, and including a draft generation process that generates a draft of the medication instruction information to be transmitted to the patient terminal and a transmission time point for each of the medication instruction information based on the prescription information and the reference transmission time point, a display control process that displays on the prescription terminal a screen in which the medication instruction information to be transmitted to the patient terminal and the transmission time point are mapped in a calendar form, and an input control process that accepts input to change the transmission time point for each of the medication instruction information while the screen is displayed.

In order to achieve the above-mentioned object, a medication instruction management program according to yet another aspect of the present invention is a medication instruction management program that controls a medication instruction management device connected via a network to a patient terminal viewed by a patient and a prescription terminal into which prescription information of a drug prescribed to the patient is input, wherein the medication instruction management device has a first memory unit that stores information correlating the drug with medication instruction information related to the drug, and a second memory unit that stores information correlating the medication instruction information with a reference transmission time point at which the medication instruction information is transmitted to the patient terminal, and causes a computer to execute a draft generation process that generates a draft of the medication instruction information to be transmitted to the patient terminal and a transmission time point for each of the medication instruction information based on the prescription information and the reference transmission time point, a display control process that displays on the prescription terminal a screen in which the medication instruction information to be transmitted to the patient terminal and the transmission time point are mapped in a calendar form, and an input control process that accepts an input to change the transmission time point for each of the medication instruction information while the screen is displayed.
The computer program may be provided by being stored on various data-readable recording media, or may be provided so as to be downloadable via a network such as the Internet.

The present invention allows patients to reliably understand the contents of medication instructions at the appropriate time.

1 is a functional block diagram of a medication instruction management system according to an embodiment of the present invention. 1 is an example of a patient table stored in the medication instruction management system. 1 is an example of a prescription information table stored in the medication instruction management system. 1 is an example of a drug-precautions table stored in the medication instruction management system, in which drugs are linked with precautions to be sent to patients who take the drugs. 1 is an example of a drug-side effect table that indicates the correspondence between drugs and side effects, which is stored or acquired by the medication instruction management system. 1 is an example of a side effect-question table that indicates the correspondence between side effects and questions for medication instruction, which is stored or acquired by the medication instruction management system. 13 is an example of a medication instruction type-reference transmission time point table that stores initial settings of a correspondence relationship between the type of medication instruction information and the reference transmission time point, which is stored in the medication instruction management system. 1 is an example of a patient-side effect table that is generated by the medication instruction management system and that associates patients with side effects that may occur. A figure showing an example of a screen of a prescription terminal included in the above-mentioned medication instruction management system, displaying multiple medications associated with one patient, as well as the medication instruction record and schedule. (a) is an example of a screen displayed on the prescription terminal, showing a prescription type-daily table with the sending time displayed in a daily calendar format, and (b) is an example of a message sent when side effects are confirmed. 13 is an example of a screen displayed on the prescription terminal, showing a medication instruction information-daily table in which instruction types are broken down into specific medication instruction information. 13 is an example of a screen displayed on the prescription terminal, showing a daily medication instruction information table with staggered transmission times. 13 is another example of a screen displayed on the prescription terminal, showing a medication instruction information-daily table with staggered transmission times. A figure showing an example of a medication follow-up setting screen of a prescription terminal included in the above-mentioned medication instruction management system. An example of a question screen displayed on a patient terminal included in the medication instruction management system, (a) a diagram showing a question sent from the prescription terminal being displayed on the patient terminal, (b) a diagram showing the state in which "None at all" has been selected on the patient terminal, and (c) a diagram showing the state in which "None" has been selected for one question item and "Yes" has been selected for the other question item on the patient terminal. An example of a screen displayed on a patient terminal, including (a) a first question screen displayed in a dispersed manner, (b) a second question screen displayed at a time different from the first question screen, and (c) a third question screen displayed at a time different from the first and second question screens. 13 is another example of a screen displayed on the patient terminal. 13 is yet another example of a screen displayed on the patient terminal. 1 is an example of a screen displayed on a patient terminal in related art. 1 is a sequence diagram showing a flow of a medication instruction management system according to an embodiment of the present invention.

Below, the following describes an embodiment of the medication instruction management device, medication instruction management method, and medication instruction management program of the present invention with reference to the drawings.

●Configuration of the Medication Instruction Management System The medication instruction management system is a system that transmits information on medication instructions, i.e., medication instruction information, to a patient's terminal at an appropriate time. The medication instruction management system also accepts input of answers to questions included in the medication instruction information at the patient's terminal, records the answers by linking them to the patient, and allows a pharmacist to confirm them. In this specification, the medication instruction information includes an explanation of precautions regarding medication, precautions regarding daily life while taking the medication, and questions regarding side effects. The medication instruction information may be, for example, information in the form of a quiz that asks about knowledge about medicine, health, etc., and may include quizzes that are linked to prescribed medicines as well as quizzes that are not linked to any particular medicine.

As shown in FIG. 1, in the medication instruction management system 1, a prescription terminal 10, a patient terminal 20, and a medication instruction management device 50 are connected to each other via a network NW. The prescription terminal 10, the patient terminal 20, and the medication instruction management device 50 may be connected to each other by wire or wirelessly. The medication instruction management device 50 may be configured as a hardware device or may be realized by a cloud computer. In addition, in this description, the medication instruction management related functions are realized by the medication instruction management device 50, but some of the functions of the medication instruction management device 50 may be realized by the prescription terminal 10 or the patient terminal 20.

The prescription terminal 10 is a terminal that is viewed and operated by a person in charge of prescribing medicines, such as a pharmacist. The prescription terminal 10 may be a stationary computer located in a pharmacy, or a tablet terminal. There may be multiple prescription terminals 10. Multiple prescription terminals 10 may be located in one pharmacy, or each may be located in a different pharmacy. The prescription terminal 10 may be located in a hospital where in-hospital prescriptions and discharge prescriptions are issued.

The prescription terminal 10 includes an input unit 11 and a display unit 12. The input unit 11 is a functional unit that accepts information on the medicine prescribed to the patient, i.e., prescription information, and accepts the selection of instructions to be viewed by the patient, and is realized by a touch panel, keyboard, mouse, or the like. The display unit 12 is a functional unit that mainly displays information from the medication instruction management device 50.

The patient terminal 20 is a terminal that is viewed and operated by a patient who has been prescribed medicine and is receiving medical treatment, nursing care, or caregiving, and is, for example, a tablet terminal, a smartphone, or a personal computer. Through the patient terminal 20, the patient can view the medication instruction information transmitted from the prescription terminal 10 or the medication instruction management device 50, and can input answers to questions included in the medication instruction information.

In the example of FIG. 1, there is one prescription terminal 10 and one patient terminal 20, but there may be more than one of each. Furthermore, each terminal only needs to realize its function when the user logs in, and the function is not fixed to the hardware configuration. For example, an arbitrary tablet terminal becomes a prescription terminal 10 by logging in with a pharmacist's ID, and functions as a patient terminal 20 by logging in with a patient's ID.

Functional blocks of the medication instruction management system The medication instruction management device 50 is equipped with an arithmetic unit such as a CPU (Central Processing Unit) for executing information processing, and storage devices such as a RAM (Random Access Memory) and a ROM (Read Only Memory), and thereby is equipped with at least the following software resources: a memory unit 51, a display control unit 52, an input control unit 53, a medication planning unit 54, an upper limit setting unit 56, a draft generation unit 55, and a communication processing unit 57.

The storage unit 51 is a functional unit that stores information regarding patient medication instructions. As shown in FIG. 2 to FIG. 7, the storage unit 51 mainly includes a patient table 511, a prescription information table 512, a medicine-precautions table 513, a medicine-side effects table 514, a side effects-questions table 515, and a guidance type-transmission rule table 516. Each of the tables 511 to 516 may be configured such that all data is stored in the storage unit 51, or may be configured such that the tables are received from a separate server via the communication processing unit 57 as necessary and temporarily stored in the storage unit 51. In this case, the communication processing unit 57 may be configured to acquire only information associated with the input information according to the input patient or prescription information, and the storage unit 51 may store this information. The storage unit 51 is an example of a first storage unit and a second storage unit.

As shown in FIG. 2, the patient table 511 is a table that stores and associates the patient ID, name, gender, date of birth, address, contact information, and other information that can identify the patient.

As shown in FIG. 3, the prescription information table 512 is a table in which patient identification information, identification information of the medication taken by the patient, prescription date, medication period, and prescribing doctor information are stored in correspondence with each other.

As shown in FIG. 4, the drug-precautions table 513 is a table in which drug identification information and precautions set for each drug are stored in correspondence with each other. The precautions include an explanation of the drug's efficacy, an explanation of how to take the drug, contraindications, and precautions regarding side effects. The drug-precautions table 513 may also store, as precautions, information about the drug, such as guidance information to deepen the patient's understanding of the drug or to guide the patient in appropriate drug use, in correspondence with the drug identification information. The drug-precautions table 513 is an example of information that associates drugs with drug-taking instruction information.

As shown in FIG. 5, the drug-side-effect table 514 is a table in which drug identification information, types of side effects that require confirmation, and symptoms of side effects are stored in correspondence with each other. As for symptoms of side effects, only the main symptoms may be stored, or more detailed symptoms may be stored. The drug-side-effect table 514 stores types of side effects such as blood disorders, pulse/heart disorders, and muscle/joint disorders along with classifications by mechanism of side effects. Side effects are broadly classified into side effects due to pharmacological action, side effects due to hypersensitivity symptoms, side effects due to toxicity, and side effects of unknown mechanism. The data in the drug-side-effect table 514 may be receivable from an external system or device that provides data on drug side effects and classifications by mechanism. The medication instruction management device 50 identifies the time of occurrence of side effects based on the data of classifications by mechanism received from an external device, system, or server, and stores the time of occurrence and symptoms in correspondence with each other in the drug-side-effect table 514.

As shown in FIG. 6, the side effect-question table 515 is a table in which possible side effects and questions to be asked of the patient to confirm their comments about the side effects are stored in correspondence with each other. The drug-side effect table 514 and the side effect-question table 515 are other examples of information that associate drugs with medication instruction information.

As shown in FIG. 7, the medication instruction type-transmission rule table 516 is a table in which the transmission rules for transmitting medication instruction information to the patient terminal 20 are stored for each type of medication instruction information. The types of medication instruction information are classified according to the severity or mechanism of side effects, or the nature of precautions. The medication instruction information includes questions, precautions, and quizzes regarding side effects.

The transmission rule is information that indicates one or more transmission times (hereinafter, also referred to as "reference transmission times") that are set as a standard in accordance with the medication instruction information. The transmission rule is stored in the "time" column and multiple "sending date" columns in the figure. In the figure, the "time" column stores information indicating the period for transmitting the medication instruction information as a single alphabetic code, with "A" meaning at the time of the first prescription, "B" meaning at all times while taking the drug, "C" meaning to transmit up to 6 months after the start of taking the drug, and "D" meaning to transmit 6 months or more after the start of taking the drug. In addition, the multiple "sending date" columns are information that indicates the time when the medication instruction information is transmitted, for example, "sending date 1" is the number of days from the prescription date to the first transmission time, and "sending date 2" is the second or subsequent transmission rule. In "sending date 2", the number of days from the first transmission time to the second transmission time may be stored, or a transmission rule that transmits on the middle day of the prescription period may be stored. In addition, the transmission rule may be a rule that transmits evenly over the period of taking the drug. For example, the rule is that five types of medication instruction information are to be sent during a 90-day period of use.

The guidance type-transmission rule table 516 stores the reference transmission time for transmitting medication instruction information to the patient terminal 20 for each classification by mechanism of side effects. The timing of occurrence of side effects differs depending on the mechanism. For example, side effects due to hypersensitivity symptoms are known to occur within six months of starting to take the drug, as they occur when the taken drug is sensed as a foreign body in the body. Side effects due to toxicity are known to occur six months or more after starting to take the drug, as they occur when the drug accumulates in the body due to long-term medication. Side effects due to pharmacological action and side effects with unknown mechanisms may occur at any time during medication. Therefore, by varying the timing of transmitting medication instruction information according to the classification by mechanism of side effects, it is possible to transmit medication instruction information at a time when the occurrence of side effects is highly likely. In addition, by asking the patient questions about side effects at an appropriate time, effective medication instruction is possible.

Information in the drug-precautions table 513, drug-side effects table 514, side effects-questions table 515, and guidance type-transmission rules table 516 may be added or edited via the prescription terminal 10. For example, a template for the transmission rules is prepared in advance, and information can be added to the guidance type-transmission rules table 516 by the user's selection input. This template groups information on the transmission time, such as the number of days from the time of prescription to transmit, whether to transmit on an intermediate day between the time of prescription and the end of administration, the transmission cycle, and the end time of transmission. For example, when it is desired to transmit new medication instruction information to be registered on the same schedule as a specific drug, the transmission rules can be easily set by selecting a template set for that drug. Multiple templates may be stored in advance, or a new template may be registered.

The display control unit 52 is a functional unit that generates information to be displayed on the screen of the prescription terminal 10. The input control unit 53 is a functional unit that accepts input to the prescription terminal 10. Details of the information input and output by the display control unit 52 and the input control unit 53 will be described later.

The instruction planning unit 54 is a functional unit that refers to the patient table 511, prescription information table 512, drug-precautions table 513, and drug-side effects table 514, and plans the medication instruction information to be sent to the patient.

8 is an example of a patient-side effect table 517 that associates patients with possible side effects, generated by the instruction planning unit 54. According to this figure, even if there are multiple drugs that may cause the same side effects among the multiple drugs taken by the patient, they are integrated and displayed in one row. In a mode in which side effects are checked for each prescribed drug, there is a risk of asking about the same side effect multiple times, but with this configuration, it is possible to prevent duplication of questions and simply ask about the presence or absence of side effects.
In addition, this patient-side effect table 517 may be displayed on the prescription terminal 10 by the display control unit 52.

Figure 9 is a diagram showing an example of a medication instruction screen G11, which is displayed on the prescription terminal 10 by the display control unit 52 and displays multiple medications associated with one patient, as well as the medication instruction record and schedule.
In the medication instruction screen G11, a patient identification information field G11a and a prescription drug field G11b are displayed at the top of the screen. In addition, detailed information associated with the selected prescription drug is displayed in the center of the screen. As detailed information, an instruction item field G11c in which an instruction item is displayed, an instruction record field G11d in which a response result from the patient or instruction content is displayed, a confirmation field G11e in which the instruction frequency and the number of times of instruction are displayed for each instruction item, a follow-up field G11f in which the instruction time of instruction required other than the prescription time is displayed for each instruction item, and a side effect field G11g in which a list of side effects that may occur due to the medicine being taken are displayed. In addition, to the right of the side effect field G11g, as to the right of the instruction item field G11c, a guidance record field G11h in which the response result from the patient or instruction content is displayed, a confirmation field G11i in which the current confirmation status and the next confirmation schedule are displayed, and a follow-up field G11j in which the instruction time of instruction required other than the prescription time is displayed for each instruction item are displayed.

The confirmation fields G11e and G11i are fields for passing on instructions to the pharmacist who will prescribe the next time. The contents of the confirmation field G11e can be changed by operating the prescription terminal 10. For example, the display can be switched by tapping on the confirmation fields G11e and G11i. The display may be switched in this order each time the confirmation fields G11e and G11i are tapped, in which case no display, "explanation next time", "next time", "explanation every time" and "every time" are displayed. According to the configuration in which the display can be changed simply by tapping the confirmation fields G11e and G11i, even pharmacists who are unfamiliar with machine operation can operate intuitively. In addition, the display of the confirmation fields G11e and G11i corresponds to "AEPOP" for "explanation next time" and "explanation every time", and corresponds to "AOP" for "next time" and "every time", which matches the description mode of the instruction plan in the SOAP format. In other words, the medication instruction management system 1 can organize the instruction plan in the SOAP format, and is easy to use even for pharmacists who are familiar with the SOAP format. In addition, SOAP format terms such as "AEPOP" and "AOP" may be displayed in confirmation fields G11e and G11i.

The follow-up columns G11f and G11j display information related to the time of transmission of medication instruction information to the patient terminal 20. The follow-up column G11f may display instruction schedules that do not involve the patient terminal 20, such as phone calls or visits. In this case, for example, the content can be changed by operating the prescription terminal 10, and the display can be changed by tapping on the follow-up column G11f. When the follow-up column G11f is tapped, the display may be switched in this order between no display, "3 days later," and "10 days later," or a pull-down box may be displayed. The follow-up column G11f may allow the time for follow-up to be set multiple times.

The follow-up columns G11f and G11j accept the selection in that column and display the detailed schedule at the time of sending.

The draft generation unit 55 shown in FIG. 1 is a functional unit that generates medication instruction information to be transmitted to the patient terminal and a draft of the transmission time of each piece of medication instruction information based on prescription information and the reference transmission time included in the transmission rules. The draft generation unit 55 may calculate a specific reference transmission time for transmitting medication instruction information based on the transmission rules. For example, when the transmission rules are such that multiple pieces of medication instruction information are transmitted evenly during a specified medication period, the draft generation unit 55 calculates the reference transmission time based on the medication period and the number of pieces of medication instruction information to be transmitted.

Figure 10 (a) shows an example of a draft with a transmission time determined by the draft generation unit 55, and is a screen G12 displayed on the prescription terminal 10 when, for example, the follow-up column G11f or G11j is selected. This screen G12 shows an instruction type-daily table that displays the reference transmission time in a daily calendar format for each type of medication instruction information, generated based on the information in the instruction type-transmission rule table 516 shown in Figure 7. Here, for each instruction type, different transmission times may be displayed for the first prescription and for the re-prescription. In this figure, for "hypersensitivity, a serious side effect," different transmission times can be set for the first prescription and for the re-prescription. Also, the transmission rules are displayed in the "Time" column for each instruction type, reflecting the information in the instruction type-transmission rule table 516 shown in Figure 7.

To the right of the "Time" column, the reference transmission time from the time of prescription is displayed for each day. In FIG. 10(a), information on "Storage precautions/information provision" and "Usage precautions/information provision" is transmitted on "day 0", i.e., the day of prescription. Also, information on "Lifestyle precautions" and "Problems with taking the medicine/children/dosage form" is transmitted on "day 1", i.e., the day after prescription. The display control unit 52 displays a screen G12 on the prescription terminal, which maps the medication instruction information to be transmitted to the patient terminal 20 and the reference transmission time in a calendar format. Also, the display control unit 52 plots and displays the presence or absence of transmission in the guidance type-daily table G12a on the screen G12, with the first axis representing medication instruction information and the second axis representing time. Also, the display control unit 52 may plot and display the time of transmission in the corresponding column in the guidance type-daily table G12a on the screen G12. The display control unit 52 may also plot and display the time from the time of prescription to the time of transmission in the corresponding column in the guidance type-daily table G12a.

Figure 10 (b) is an example of a message sent when confirming a side effect, stored in the memory unit 51. This message includes, for example, an introduction, a response sentence displayed depending on the answer entered, and a closing sentence. The introduction is the first message sent when sending a side effect confirmation request, and includes a response option for whether or not there are side effect symptoms. In the figure, different response sentences are displayed depending on whether or not there are side effect symptoms. The closing sentence is a sentence displayed following the response sentence. The closing sentence may be different depending on the answer entered, and in the figure, the sentence displayed when the answer "no" is entered is stored.

Figure 11 shows an example of a screen G13 displayed on the prescription terminal 10, which shows a medication instruction information - daily table G13a in which instruction types are broken down into specific medication instruction information. In the figure, it can be seen that there are six pieces of medication instruction information belonging to the instruction type "hypersensitivity as a serious side effect," and that six pieces of information are sent simultaneously.

By displaying the reference transmission time points in a calendar format on the prescription terminal 10, the pharmacist can reliably grasp the recommended transmission time points. In addition, it is visually clear which information will be transmitted, when, and how much information will be transmitted at the same time. Based on the information grasped, the pharmacist can appropriately change the transmission time points for each piece of medication instruction information, enabling flexible information distribution tailored to the patient.

The upper limit setting unit 56 shown in FIG. 1 is a functional unit that sets the upper limit of the number of pieces of medication instruction information to be sent to the patient terminal 20 at the same time. The upper limit may be a preset value, or may be set by the user of the prescription terminal 10 by receiving an input to the prescription terminal 10. The upper limit is the upper limit of the total number of all medication instruction information sent to the patient terminal 20, such as precautions regarding medication, precautions for daily life, confirmation of medication status, and questions regarding side effects. According to this configuration, by limiting the number of medication instruction information sent to the patient terminal 20 at one time, the amount of information that the patient visually recognizes at one time can be reduced, allowing the patient to more reliably understand the contents. The upper limit setting unit 56 may set the upper limit of the number of medication instruction information to be sent at the same time for each type of medication instruction information.

If the number of pieces of medication instruction information whose reference transmission time points are the same exceeds the upper limit set by the upper limit setting unit, the draft generation unit 55 generates a draft in which the transmission times of the plurality of pieces of medication instruction information are dispersed. For example, the draft generation unit 55 sets the transmission time points of the upper limit number of pieces of medication instruction information as the reference transmission time point, and sets the transmission time points of the remaining medication instruction information to be different from the reference transmission time point.

Figure 12 is an example of a screen G14 displayed on the prescription terminal 10, which shows a daily medication instruction information table with distributed transmission times. In this table, the transmission rules are displayed in text in two columns, the "transmission time" column and the "time" column. In the "transmission time" column, the number of days from the time of prescription to the reference transmission time and the cycle are displayed. For example, it is described that medication instruction information regarding "shock/anaphylaxis" is transmitted on the second and fourteenth days from the time of prescription, and this transmission cycle is repeated once a month. In addition, medication instruction information regarding "inflammation/infection" is transmitted on the fifth day from the time of prescription, and there is no description of periodic transmission. In other words, this medication instruction information is transmitted only on the fifth day from the time of prescription. In the "time" column, when periodic transmission is displayed in the "transmission time" column, the end time of transmission is displayed. For example, medication instruction information regarding "shock/anaphylaxis" is transmitted up to six months from the time of prescription.

Screen G14 shows a draft when the upper limit set by the upper limit setting unit 56 is three. Here, the transmission rules for the six pieces of medication instruction information indicated by numbers 4 to 9 in the figure are set to be repeated once a month on the second and fourteenth days from the time of prescription, and the upper limit is exceeded at each reference transmission time. Therefore, the information indicated by numbers 4 to 6 is transmitted on the second day, which is the reference transmission time, and the remaining three pieces of information indicated by numbers 7 to 9 are drafted to be transmitted on the third day, which is different from the reference transmission time. Also, since the reference transmission time for number 1 is the third day, if the information indicated by numbers 7 to 9 is moved to the third day, the number of transmissions on the third day will be four, exceeding the upper limit. Therefore, in screen G14, the transmission time for number 1 is the fourth day.

The selection of medication instruction information whose transmission time is to be different from the reference transmission time is appropriately performed by the draft generation unit 55, but a priority order for maintaining the transmission time at the reference transmission time may be held for each medication instruction information or instruction type.

The draft generation unit 55 may also move the transmission time to a time after the reference transmission time, or to a time before the reference transmission time. The draft generation unit 55 may create a draft so that the number of pieces of medication instruction information whose transmission time is changed is minimized. The draft generation unit 55 may also create a draft so that the total number of days until the changed transmission time is minimized. The importance of each piece of medication instruction information may be preset, and information with a high importance may be transmitted alone, without being transmitted simultaneously with other information. The combination of medication instruction information to be transmitted may also be adjusted according to the number of characters of each piece of medication instruction information so that the number of characters transmitted simultaneously does not exceed a predetermined amount.

Figure 13 is another example of a screen G15 displayed on the prescription terminal 10, which shows a daily medication instruction information table with the transmission time distributed. In the figure, the screen G15 is shown when an input is received from a user of the prescription terminal 10, for example, a pharmacist, to the effect that the medication instruction information shown in number 5 will not be transmitted. This input can be made by operating on the screen G14, and for example, the display area of the medication instruction information heading can be selected to switch between transmission and non-transmission. In the screen G15, the row of number 5 is grayed out, indicating that the medication instruction information will not be transmitted. In addition, in the screen G15, a draft at the time of transmission is regenerated and displayed based on the medication instruction information scheduled to be transmitted. Specifically, in the screen G14, the medication instruction information of number 7 to be transmitted on the third day is moved to the second day, and the information shown in number 1 is moved from the fourth day to the third day. In this way, according to a configuration in which a draft is regenerated based on the transmission or non-transmission of medication instruction information selected by the user of the prescription terminal 10, the patient can more reliably understand the contents while reflecting the user's wishes.

The input control unit 53 accepts input for changing the transmission time for each piece of medication instruction information when any of screens G13 to G15 is displayed. For example, the transmission time can be changed by dragging and dropping a column on the medication instruction information-daily table G13a shown in FIG. 11. In addition, when a column is selected on the medication instruction information-daily table G13a, a pull-down box or pop-up screen or the like may be displayed, allowing the changed transmission time to be entered or selected.

The input control unit 53 may also accept input for changing the transmission rule for each piece of medication instruction information when any of screens G13 to G15 is displayed. For example, by selecting the "First/Repeated" column or the "Time" column indicating the transmission rule on the medication instruction information-daily table G13a shown in FIG. 11, a pull-down box or a pop-up screen or the like may be displayed, allowing the changed transmission rule to be input or selected.

Figure 14 is a diagram showing an example of a medication follow-up setting screen G16 displayed on the prescription terminal 10. In this screen G16, medication instruction information to be sent to the patient terminal 20 is set. In this figure, medication instruction information to be sent independently of the prescribed drug can be set. In addition to the selection of the patient, the screen G16 displays the values of the most recent visit date, the number of prescription days, and the next scheduled visit date, which can be changed as appropriate. In addition, the template of medication instruction information to be sent to the patient can be selected and input. In this figure, three types of templates, "follow-up after 3 days", "adherence follow-up", and "follow-up before visit", are selected. In addition, "follow-up after 3 days" and "adherence follow-up" are displayed to indicate that there is a "questionnaire", and it is indicated that medication instruction information including a display prompting the patient terminal 20 to answer is sent. In addition, the reference transmission time calculated from the most recent visit date and the specific scheduled transmission date and time are displayed. The selection of the template can be deleted by selecting the "-" displayed on the right side of each template. In addition, the selection of the template of medication instruction information to be sent can be added by selecting the "+" at the bottom of the screen.

Screen G16 displays a "Set automatically" button. By selecting this button, the scheduled date and time for sending the medication instruction information included in the selected template will be automatically set for each medication instruction information item according to the "Last visit date" and "Number of prescription days."

The communication processing unit 57 is a functional unit that appropriately communicates with the prescription terminal 10 and the patient terminal 20 through the network NW. For example, the communication processing unit 57 transmits a draft of the time of transmission of the medication instruction information to the prescription terminal 10. The communication processing unit 57 also receives inputs of the patient's prescription information, the rules for transmitting the medication instruction information, and changes to the time of transmission for each piece of medication instruction information from the prescription terminal 10. Furthermore, the communication processing unit 57 transmits the medication instruction information to the patient terminal 20. Furthermore, the communication processing unit 57 receives information from the patient terminal 20 regarding whether or not the patient has taken the medication and whether or not side effects have occurred. The communication processing unit 57 may receive from the patient terminal 20 a response to the medication instruction information received by the patient terminal 20, or may receive information transmitted independently of the medication instruction information. This information may be, for example, a report of poor physical condition or a question from the patient to the pharmacist. In addition, the communication processing unit 57 can communicate with multiple prescription terminals 10 and multiple patient terminals 20. For example, the prescription terminal 10 that receives and modifies the draft and the prescription terminal 10 that receives information to be input to the patient terminal 20 may be different terminals.

●Examples of patient terminal screens Fig. 15 is an example of medication instruction information transmitted from the prescription terminal 10 displayed on the patient terminal 20. Fig. 15(a) is an example of a screen transmitted when seven days have passed since the patient started taking the medicine, and is the screen displayed when seven days have passed since the patient started taking the medicine. Fig. 15(b) is a diagram showing a screen in which the patient has selected and input "none of all" or "none" for each item via the patient terminal 20. Fig. 15(c) is a diagram showing a screen in which "none" has been selected for one question item and "yes" has been selected for the other question item.

Figure 16 is another example of medication instruction information transmitted from the prescription terminal 10 and displayed on the patient terminal 20. Figure 16(a) is a screen displayed when three days have passed since the patient started taking the medicine, Figure 16(b) is a screen displayed when four days have passed since the patient started taking the medicine, and Figure 16(c) is a screen displayed when five days have passed since the patient started taking the medicine. In the example of Figure 16, the number of medication instruction information pieces whose reference transmission time points are the same is seven, and the upper limit of the number of pieces that can be transmitted at the same time is three. Therefore, three pieces of medication instruction information are transmitted on the third and fourth days after the patient started taking the medicine, and one piece on the fifth day. In other words, the seven pieces of medication instruction information are transmitted in a distributed manner over three days.

Here, in the screen of the related art shown in FIG. 19, seven pieces of medication instruction information are sent to and displayed on the patient terminal 20 at the same time. When a large number of pieces of medication instruction information are displayed at the same time, it becomes cumbersome for the patient to make decisions, and there is a risk that the patient will not respond or will send an inaccurate response without understanding the content. In addition, a list of many questions about side effects may cause fear about taking the medication. As a result, there is a risk that the patient will stop taking the medication.

In contrast, with the medication instruction management device 50 according to the present invention, even if there is a large amount of medication instruction information that needs to be sent to a patient, the number of transmissions at one time can be limited and the transmissions can be dispersed, making it easier for the patient to understand and input answers. This also reduces fears regarding taking medication.

As shown in FIG. 17, the medication instruction management device 50 may transmit medication instruction information to a smartphone or tablet terminal serving as a patient terminal 20 via a message app. In the example shown in the figure, each piece of medication instruction information is transmitted as a separate message. Note that, in this example, multiple messages are transmitted at the same time.

18, the medication instruction management device 50 may transmit a message informing the patient of the timing of taking the medication to a smartphone or tablet terminal serving as the patient terminal 20. The medication instruction management device 50 may display medication instruction information on a chat screen such as an SNS on the patient terminal 20, and may send a push notification to the patient terminal 20. In addition, the medication instruction management device 50 may transmit information on the method of taking the medication together with the transmission of the medication timing. Furthermore, a message for accepting an answer as to whether or not to take the medication may be transmitted.
The information input from the patient terminal 20 is received by the medication instruction management device 50 and stored in the patient table 511 or the prescription information table 512. It is also displayed on the medication instruction screen G11 so that it can be confirmed from the prescription terminal 10.

20, the behavior of the prescription terminal 10, the patient terminal 20, and the medication instruction management device 50 will be described. Note that, although the prescription terminal 10 and the patient terminal 20 are described here as concepts showing functions, each step may be performed by a different prescription terminal 10 or patient terminal 20.

First, prescription information is transmitted from the prescription terminal 10 to the medication instruction management device 50 (step S1). The medication instruction management device 50 refers to the reference transmission time point in addition to the prescription information (step S2) and generates a draft at the transmission time point (step S3). The medication instruction management device 50 also transmits this draft to the prescription terminal 10 and displays it on the prescription terminal 10 (step S4). The medication instruction management device 50 accepts input of changes to the draft from the prescription terminal 10 on the screen displayed in step S4 (step S5). Following step S5, steps S3 and S4 may be executed again and a new draft may be displayed on the prescription terminal 10. Steps S5, S3, and S4 are repeated as appropriate.

When the draft is finalized and the time for transmission arrives, the medication instruction information is transmitted to the patient terminal 20 (step S6). The patient terminal 20 receives this medication instruction information and accepts input of a response to information that requires a response (step S7). This response information is transmitted to the medication instruction management device 50 and stored in the memory unit 51 (step S8). The stored information is displayed on the medication instruction screen G11 displayed on the prescription terminal 10.

The medication instruction management system of the present invention allows patients to reliably understand the contents of medication instructions at the appropriate time.

REFERENCE SIGNS LIST 1 Medication instruction management system 10 Prescription terminal 20 Patient terminal 50 Medication instruction management device 51 Memory unit 52 Display control unit 53 Input control unit 54 Instruction planning unit 55 Draft generation unit 56 Upper limit setting unit 57 Communication processing unit

Claims (7)

A medication instruction management device connected via a network to a patient terminal that is viewed by a patient and a prescription terminal into which prescription information of a drug prescribed to the patient is input,
A first storage unit that stores information that associates the medicine with medication instruction information related to the medicine;
A second storage unit that stores information that associates the medication instruction information with a reference transmission time point at which the medication instruction information is transmitted to the patient terminal;
a draft generation unit that generates a draft of the medication instruction information to be transmitted to the patient terminal and a draft of the transmission time point of each of the medication instruction information based on the prescription information and the reference transmission time point;
A display control unit that displays a screen on the prescription terminal in which the medication instruction information to be transmitted to the patient terminal and the transmission time point are mapped in a calendar form;
an input control unit that receives an input for changing the transmission time point for each piece of medication instruction information while the screen is displayed;
A medication instruction management device comprising:
The display control unit plots and displays the transmission time point in a table on the screen, the first axis representing the medication instruction information and the second axis representing time.
The medication instruction and management device according to claim 1.
The display control unit plots and displays the time of the transmission in the table on the screen.
The medication instruction and management device according to claim 2.
The input control unit accepts a setting input of a rule at the time of transmission for each of the medication instruction information.
The medication instruction management device according to any one of claims 1 to 3.
An upper limit setting unit that sets an upper limit of the number of pieces of medication instruction information to be transmitted to the patient terminal at the same time,
When the number of the medication instruction information pieces whose reference transmission time points are the same as each other exceeds the upper limit number, the draft generation unit generates a draft in which the transmission time points of the medication instruction information are dispersed.
The medication instruction management device according to any one of claims 1 to 4.
A medication instruction management method using a medication instruction management device connected via a network to a patient terminal viewed by a patient and a prescription terminal into which prescription information of a drug prescribed to the patient is input, comprising:
The medication instruction management device includes:
A first storage unit that stores information that associates the medicine with medication instruction information related to the medicine;
a second storage unit that stores information correlating the medication instruction information with a reference transmission time point for transmitting the medication instruction information to the patient terminal;
A draft generation process for generating a draft of the medication instruction information to be transmitted to the patient terminal and a draft of the transmission time point of each of the medication instruction information based on the prescription information and the reference transmission time point;
A display control process for displaying on the prescription terminal a screen in which the medication instruction information to be transmitted to the patient terminal and the transmission time point are mapped in a calendar form;
an input control process for receiving an input for changing the transmission time point for each piece of medication instruction information while the screen is displayed;
A method for managing medication instructions, including:
A medication instruction management program for controlling a medication instruction management device connected via a network to a patient terminal viewed by a patient and a prescription terminal into which prescription information of a drug prescribed to the patient is input,
The medication instruction management device includes:
A first storage unit that stores information that associates the medicine with medication instruction information related to the medicine;
a second storage unit that stores information correlating the medication instruction information with a reference transmission time point for transmitting the medication instruction information to the patient terminal;
A draft generation process for generating a draft of the medication instruction information to be transmitted to the patient terminal and a draft of the transmission time point of each of the medication instruction information based on the prescription information and the reference transmission time point;
A display control process for displaying on the prescription terminal a screen in which the medication instruction information to be transmitted to the patient terminal and the transmission time point are mapped in a calendar form;
an input control process for receiving an input for changing the transmission time point for each piece of medication instruction information while the screen is displayed;
A medication instruction management program that causes a computer to execute the above.

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