JP7614415B2 - 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.

Conventionally, information processing techniques are known that support the work of pharmacists in pharmacies.
For example, Patent Document 1 describes a method in which data on a patient's medical history is managed in a database, and when dispensing medicine to a patient, the database is referred to to provide medication instructions based on the medical history, etc.

JP 2016-122253 A

However, even if a patient's medical history and other data are managed in a database, there is a wide range of information that pharmacists must take into account when dispensing, and in order for them to take this information into account appropriately, they need knowledge and experience. In particular, when a pharmacist conducts a medical interview (questionnaire), it is not easy for them to select the necessary information from the information presented by the patient and take it into account appropriately when dispensing.

The objective of this invention is to provide more appropriate support for the work of pharmacists.

In order to solve the above problems, a support information providing system according to one aspect of the present invention comprises:
A support information providing system including a terminal device and a server configured to be able to communicate with each other via a network,
The terminal device
A target information acquisition means for acquiring target information to be taken into consideration in pharmaceutical guidance for a patient;
a support request means for requesting the server to generate support information for pharmaceutical guidance based on the target information;
a 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,
a viewpoint information acquiring means for acquiring viewpoint information representing different classifications, the viewpoint information being information specified in a process of generating the support information based on the target information in response to a request from the support requesting means;
a support information generating means for generating the support information based on the viewpoint information;
A transmitting means is provided for transmitting the support information generated by the support information generating means to the terminal device.

The present invention makes it possible to more appropriately support the work of pharmacists.

1 is a diagram showing a system configuration of a support information providing system 1 according to an embodiment of the present invention. FIG. 8 is a diagram showing a hardware configuration of an information processing device 800 constituting each device. FIG. 2 is a block diagram showing the functional configuration of a terminal device 10. FIG. 13 is a schematic diagram showing an example of a patient selection screen. FIG. 13 is a schematic diagram showing an example of a medical interview display screen. FIG. 13 is a schematic diagram showing an example of a support information display screen. 13 is a schematic diagram showing another example of the support information display screen. FIG. 2 is a block diagram showing the functional configuration of a pharmacy computer 20. FIG. 13 is a schematic diagram showing data relating to medication instructions among data relating to medications stored in a medication DB 174. FIG. FIG. 13 is a schematic diagram showing the contents of a viewpoint specifying table. 10 is a flowchart showing the flow of support information providing processing (terminal side) executed by the terminal device 10. 13 is a flowchart showing the flow of support information provision processing (server side) executed by the pharmacy computer 20. FIG. 13 is a schematic diagram showing an example of a transition screen displayed when a side effect is selected as a point of view. 13 is a schematic diagram showing an example of a transition screen displayed when an operation for invoking a side effect inference function is performed; FIG. FIG. 13 is a schematic diagram showing an example of a side effect inference result display screen. FIG. 13 is a schematic diagram showing an example of a display screen showing instructions on side effects.

The following describes an embodiment of the present invention 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 providing system 1 in this embodiment is used to support the work of pharmacists at a dispensing pharmacy, and presents the pharmacist with recommended information to convey to the patient, for example, when providing medication instructions to a patient who has brought a prescription.

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 configured to be able to communicate with each other via a network such as a VPN (Virtual Private Network). The pharmacy computer 20 is also configured to be able to communicate with an external server, such as a drug information database server that stores drug information including drug administration instructions, via a network (such as the Internet).

The terminal device 10 is operated by a pharmacist and is configured as an information processing device such as a tablet terminal or a PC (Personal Computer). The terminal device 10 displays the contents of the interview when the pharmacist interviews the patient, and accepts input of the interview results. In addition, the terminal device 10 displays support information (here, recommended medication instruction contents) provided by the support information provision process described below, based on information about the patient including the interview results.

The pharmacy computer 20 is composed of an information processing device such as a server computer that executes processes related to the operations of the dispensing pharmacy, and manages various data such as patient attributes, medication history, and medical interview results for multiple patients. The pharmacy computer 20 also accepts requests for support information based on the medical interview results from the terminal device 10, and generates medication instruction content (support information) that is recommended for providing medication instructions to the patient by referring to the patient attributes, medical interview results, and prescription data. The pharmacy computer 20 then provides the generated support information to the terminal device 10.

When the pharmacy computer 20 receives a request from the terminal device 10 to provide support information based on the medical interview results, the pharmacy computer 20 may request an external server to generate the support information, and provide the support information to the terminal device 10 by acquiring the support information generated by the external server.

[Hardware configuration]
Next, the hardware configuration of each device in the support information providing system 1 will be described.
In the support information providing system 1, each device is configured by an information processing device such as a PC, a server computer, or a tablet terminal, and the basic configurations of the devices are 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 constituting each device includes a CPU (Central Processing Unit) 811, a ROM (Read Only Memory) 812, a RAM (Random Access Memory) 813, a bus 814, an input unit 815, an output unit 816, a storage unit 817, a communication unit 818, a drive 819, and an imaging unit 820.

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

The CPU 811, ROM 812, and RAM 813 are connected to each other via a bus 814. The input unit 815, output unit 816, memory unit 817, communication unit 818, drive 819, and imaging unit 820 are also connected to the bus 814.

The input unit 815 is composed of various buttons and the like, and is used to input various information in response to instruction operations.
The output unit 816 is composed of a display, a speaker, etc., and outputs images and sounds.
The storage unit 817 is configured with a hard disk or a dynamic random access memory (DRAM) or the like, and stores various data managed by each server.
The communication unit 818 controls communication with other devices via the network.

Removable media 831, such as a magnetic disk, an optical disk, a magneto-optical disk, or a semiconductor memory, is appropriately loaded into the drive 819. A program read from the removable media 831 by the drive 819 is installed in the storage unit 817 as necessary.
The imaging unit 820 is configured with an imaging device including a lens, an imaging element, etc., and captures a digital image of a subject.
When the information processing device 800 is configured as the pharmacy computer 20, it is also possible to omit the imaging unit 820. When the information processing device 800 is configured as a tablet terminal, it is also possible to configure the input unit 815 with a touch sensor and place it on top of the display of the output unit 816, thereby providing a touch panel.

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

[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.
As shown in FIG. 3, a user interface display control unit (UI display control unit) 51, a target information acquisition unit 52, a support request unit 53, and a support information acquisition unit 54 function in the CPU 811 of the terminal device 10.

The UI display control unit 51 controls the display of various input/output screens in the support information provision process (terminal side). For example, the UI display control unit 51 displays (outputs to a display) a screen for selecting a patient to whom support information is to be provided in the support information provision process (terminal side) (hereinafter referred to as a "patient selection screen"), a screen for displaying the contents of the interview when a pharmacist interviews a patient (hereinafter referred to as a "interview display screen"), and a screen for displaying support information (contents of medication instructions) provided by the support information provision process (server side) (hereinafter referred to as a "support information display screen").

FIG. 4 is a schematic diagram showing an example of the patient selection screen.
4, the patient selection screen displays a list of patients corresponding to the patient attributes managed by the pharmacy computer 20, and the pharmacist selects a patient to interview from this list. For new patients, new patient attributes are registered on a registration screen (not shown).

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

FIG. 6 is a schematic diagram showing an example of a support information display screen.
As shown in FIG. 6, the support information display screen displays indicators (hereinafter referred to as "points of interest") that are generally thought up in the thought process that a pharmacist (especially a veteran pharmacist) follows when providing medication instruction. In this embodiment, the points of interest are presented as six categories: "side effects,""adherence,""changes in physical condition,""concomitant medication (interactions),""elderlypeople," and "lifestyle guidance." In addition, in this embodiment, for these points of interest, the relevance (here, percentages indicating the importance) of each point of interest to the category is calculated based on the patient attributes, medical history, and interview results of the patient who answered the interview. A pharmacist who receives the support information can easily recognize what viewpoints to pay attention to when providing medication instruction to a patient who answered the interview by referring to the relevance of the presented points of interest. In addition, the pharmacist can recognize the difference between the pharmacist's own thought results and the relevance of the points of interest presented in the support information, which can be used for the pharmacist's own self-evaluation or training.
Furthermore, if the pharmacist recorded a point of interest on which the next instruction should be given during the previous instruction given to the patient, the recorded point of interest will be displayed in a distinctive manner (by using a different background color, surrounding it with a frame, blinking, etc.) on the support information display screen shown in Figure 6.

FIG. 7 is a schematic diagram showing another example of the support information display screen.
As shown in FIG. 7, the support information display screen displays a list of medication instruction sentences showing recommended medication instruction contents for the patient who has been interviewed (hereinafter referred to as the "recommended medication instruction sentence list") and a list of general medication instruction sentences for the prescribed drug (hereinafter referred to as the "general medication instruction sentence list"). The recommended medication instruction sentence list represents a list of medication instruction sentences selected based on each viewpoint and its relevance identified by the support information provision process (server side), and represents the result reflecting the contents that are recalled in the thought process that a pharmacist (especially an experienced pharmacist) follows when providing medication instruction. The general medication instruction sentence list represents the result of selection corresponding to the prescribed drug according to the patient's prescription data. Note that a check box is also displayed for each medication instruction sentence, and the medication instruction sentence with the check mark in the check box checked by the pharmacist is registered in the patient's medical history as a list of medication instruction sentences used for medication instruction after the pharmacist has confirmed the decision (such as by operating the "Send to Medication History" button).
In addition, on the support information display screen of Figure 7, the pharmacist can perform an operation to input the point of focus for the next instruction (input operation of the next instruction content), and the input content can be recorded in the medication history by the pharmacist's confirmation operation (such as operating the ``Send to medication history'' button).

The target information acquisition unit 52 acquires various pieces of information to be considered about the patient for whom medication instructions are to be given (hereinafter referred to as "information to be considered"). That is, the information to be considered is information to be considered in pharmaceutical instructions to the patient. For example, the target information acquisition unit 52 acquires the name, age, etc. of the patient who brought the prescription, information for identifying the patient, data on the results of the medical interview entered by the pharmacist on the interview display screen, data indicating the contents of the prescription brought by the patient, etc. Note that the information acquired by the target information acquisition unit 52 is not limited to these, and it is also possible to acquire data on the patient's medical history, data on the contents of medication instructions given to the patient at the patient's previous visit, data stored in an electronic medication notebook, or subjective information that the pharmacist gains by visually observing the patient.

The support request unit 53 transmits a request for support information 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 request for providing support information transmitted by the support request unit 53. The support information acquired by the support information acquisition unit 54 includes information on the focus point, data on a list of medication instruction statements indicating recommended medication instruction contents (list of recommended medication instruction statements), and data on a list of general medication instruction statements regarding prescribed drugs (list of general medication instruction statements).

[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.
8, a support request receiving unit 151, a focus identifying unit 152, a presented information evaluating unit 153, a support information generating unit 154, and a support information providing unit 155 function in a CPU 811 of the pharmacy computer 20. In addition, a patient attribute database (patient attribute DB) 171, a medication history database (medication history DB) 172, an interview result database (interview result DB) 173, and a drug database (drug DB) 174 are formed in a storage unit 817 of the pharmacy computer 20.

The patient attribute DB 171 stores data on patient attributes such as the address, name, age, sex, and various information that represents the characteristics of each patient. The patient attributes are composed of information acquired by the pharmacist in conversation with the patient, information provided by the patient in response to a medical interview (questionnaire), and the like, and include, for example, the patient's hobbies, work, family structure, favorite foods, and the like.
The medical history DB 172 stores the history of drugs prescribed to each patient (medical history) in association with information for identifying each patient.

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

FIG. 9 is a schematic diagram showing data relating to medication instructions among data relating to medicines stored in the medicine DB 174. As shown in FIG.
As shown in Fig. 9, each drug identified by a drug code and a drug name is associated with a plurality of medication instruction sentences provided by a drug manufacturer. In Fig. 9, a serial number (instruction sentence number) is assigned to the medication instruction sentence associated with each drug. Each medication instruction sentence is also associated with one or more points of interest, and the higher the relevance of a point of interest to the information under consideration, the higher the importance of the medication instruction sentence associated with that point of interest.

The support request receiving unit 151 receives a request for providing support information together with consideration subject information from the terminal device 10 , and outputs the received consideration subject information to the viewpoint identifying unit 152 .
The viewpoint identification unit 152 selects, from among the consideration target information, information that has been logically generated in the support information provision process (server side) (hereinafter referred to as "logically generated target information") and information that has not been logically generated (hereinafter referred to as "non-logically generated target information"). In addition, the viewpoint identification unit 152 refers to table data (hereinafter referred to as "viewpoint identification table") that defines the correspondence between each combination of the logically generated target information and the relevance of each viewpoint, and acquires data on the relevance of each viewpoint from the selected logically generated target information.

FIG. 10 is a schematic diagram showing the contents of the viewpoint specification table.
As shown in FIG. 10, the viewpoint specification table defines the relationship between various combinations of types and contents of the logic-processed target information and the relevance of each viewpoint.
For example, each question in a medical interview is defined as a type of logic-based target information, and multiple-choice answers to the question are defined as the content of the logic-based target information. In the focus point identification table, the relevance value of each focus point is predefined for all combinations of question type and multiple-choice answer content. The relevance value of each focus point is determined based on actual judgment examples (statistics of actual medication instruction history) of what the relevance value of each focus point will be when a pharmacist recognizes the question type and the multiple-choice answer content.

In addition to questions asked in the medical interview, patient attributes (male or female), the patient's age group, the type of prescribed medication, the patient's illness, etc. can be included as logic-based target information. In this case, all combinations that use these pieces of information as elements are defined in the focus-specific table.

In this way, the viewpoint identification unit 152 can refer to the viewpoint identification table to identify the relevance of each viewpoint for the logic-enhanced target information that corresponds to the thought process followed by an experienced pharmacist, etc.

The presented information evaluation unit 153 evaluates the presented information (here, the medication instruction sentence) based on the relevance of each point of focus identified by the point of focus identification unit 152. For example, the presented information evaluation unit 153 weights each medication instruction sentence with a numerical value indicating the relevance of each point of focus to which the medication instruction sentence is related, and determines an evaluation value for the medication instruction sentence associated with the point of focus. Medication instruction sentences for which evaluation values have been determined in this manner belong to the list of recommended medication instruction sentences. Note that a weight for the medication instruction sentence may be set for each drug, and the evaluation value for the medication instruction sentence may be determined by reflecting the numerical value indicating the relevance of each point of focus in relation to this weight.

The presented information evaluation unit 153 also evaluates the presented target information based on the non-logicized target information. For example, the same evaluation value can be uniformly assigned to presented target information related to non-logicized target information. As an example, it is possible to assign the same evaluation value to all medication instruction statements related to drugs written on a prescription. Medication instruction statements for which evaluation values have been determined in this way belong to the general medication instruction statement list.

The support information generating unit 154 acquires data on the relevance of each point of view identified by the point of view identifying unit 152. The support information generating unit 154 also 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 evaluating unit 153. That is, the support information generating unit 154 acquires medication instruction sentences evaluated based on the relevance of the points of view, and generates data on a list of recommended medication instruction sentences by arranging them in order of the highest evaluation value. The support information generating unit 154 also acquires medication instruction sentences evaluated in the presentation information evaluating unit 153 based on the non-logicized target information, and generates data on a list of general medication instruction sentences by arranging them in a predetermined order. The predetermined order can be in various forms, but as an example, it can be in order of frequency of reference. Then, the support information generating unit 154 generates support information including data on the relevance of each viewpoint, data on the list of recommended medication instructions, and data on the list of general medication instructions, and outputs the information to the support information providing unit 155.

The support information providing unit 155 transmits the support information input from the support information generating unit 154 (information including data on the relevance of each viewpoint, data on the list of recommended medication instructions, and data on the list of general medication instructions) to the terminal device 10 (outputs to the terminal device 10 via the network).

[Action]
Next, the operation of the support information providing system 1 will be described.

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

In step S3, the UI display control unit 51 accepts input of a response to the medical interview.
In step S4, the target information acquisition unit 52 acquires various pieces of information to be considered (information to be considered) regarding the patient for whom medication instruction is to be given.
In step S5, the support request unit 53 transmits a request for support information 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 unit 54 acquires the support information transmitted from the pharmacy computer 20 in response to the request for support information transmitted by the support request unit 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 or not an operation has been performed on the support information display screen.
At this time, the UI display control unit 51 accepts operations such as changing the page of the support information display screen (such as switching between the page displaying the points of interest and the page displaying the medication instructions) and operations that change the numerical value representing the relevance of the points of interest at the pharmacist's discretion (such as increasing the numerical value to increase the relevance).
If an operation has been performed on the support information display screen, a YES determination is made in step S8, and the process proceeds to step S7.
On the other hand, if no operation has been performed on the support information display screen, the result of the determination in step S8 is NO, and the process proceeds to step S9.

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

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

In step S<b>21 , the support request receiving unit 151 receives a request to provide support information together with consideration subject information from the terminal device 10 , and outputs the received consideration subject information to the point of focus identifying unit 152 .
In step S22, the point of view identifying unit 152 refers to the point of view identifying table and acquires data on the relevance of each point of view from the logic-enhanced target information.

In step S23, the presented information evaluation unit 153 evaluates the presented information. Specifically, the presented information evaluation unit 153 evaluates the presented information (medication instruction sentence) based on the relevance of each of the points of interest identified by the point of interest identification unit 152. In addition, the presented information evaluation unit 153 evaluates the presented information (medication instruction sentence) based on the delogicized target information.
In step S24, the support information generating unit 154 generates support information based on the data on the relevance of each viewpoint, 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 this embodiment, various information to be considered is acquired for a patient to whom medication instruction is to be given, such as the name and age of the patient who brought the prescription, information for identifying the patient, data on the interview result entered by the pharmacist on the interview display screen, and data indicating the contents of the prescription brought by the patient. Then, by referring to the viewpoint identification table, the relevance of each viewpoint corresponding to the logic-ized target information among the information to be considered is uniquely identified. Furthermore, an evaluation value of the medication instruction sentence is determined according to the relevance of each identified viewpoint, and a list of recommended medication instruction sentences is generated. Furthermore, an evaluation value of the medication instruction sentence is determined based on the non-logicized target information among the information to be considered, and a list of general medication instruction sentences is generated. Then, support information including data on the relevance of each viewpoint, data on the list of recommended medication instruction sentences, and data on the list of general medication instruction sentences is provided.

Therefore, it is possible to provide recommended information for medication instructions that corresponds to at least a part of the information that a pharmacist should consider when providing medication instructions. The recommended information provided at this time reflects the thought process that a pharmacist (especially an experienced pharmacist) typically follows.
Therefore, it becomes possible to more appropriately support the work of pharmacists.

Furthermore, even if the information to be considered is diverse, each point of view can be identified by limiting it to the theorized target information.
Therefore, it is possible to reliably provide the relevance of each viewpoint according to the acquired consideration subject information.

The displayed viewpoints represent categories that are generally recalled in the thought process that a pharmacist (especially an experienced pharmacist) follows when providing medication instructions. In other words, each viewpoint is an index that abstracts a wide range of specific information to be considered.
Therefore, when pharmacists make decisions regarding medication instructions, rather than having them reach a conclusion directly from complex and specific information, the system will help them make more appropriate decisions about the final conclusion by suggesting intermediate states in the thought process.

In the above embodiment, while presenting the list of recommended medication instruction sentences from the information to be considered, only one level (level of focus) of intermediate states in the pharmacist's thought process is shown as an index of abstraction of the information to be considered, but this is not limited to this. That is, while presenting the list of recommended medication instruction sentences from the information to be considered, it is possible to show two or more levels (a first level of focus that abstracts the information to be considered, a second level of focus that abstracts the first level of focus, etc.) as an index of abstraction of the information to be considered. In this case, the number of indicators (number of categories) is reduced as the level of abstraction progresses.
This makes it possible to divide the pharmacist's thought process into more appropriate stages and provide a point of focus.

In addition, in the above embodiment, the point of interest identification unit 152 identifies the relevance of points of interest using a point of interest identification table, but this is not limited to this. In other words, in addition to identifying the relevance of points of interest using the point of interest identification table, the point of interest identification unit 152 may also identify the relevance of points of interest to the information under consideration by using a function or logical operation equivalent to the function of the point of interest identification table.

[Modification 1]
In the above-described embodiment, when an operation for selecting one of the displayed viewpoints is performed after the support information display screen shown in FIG. 6 is displayed, specific information regarding the selected viewpoint may be further displayed.
FIG. 13 is a schematic diagram showing an example of a transition screen displayed when a side effect is selected as a point of interest.
In the transition screen example shown in Fig. 13, a schematic diagram showing an image of the human body and the names of the body elements (organs) arranged around the schematic diagram of the human body are displayed. The names of the body elements displayed here are body elements that may cause side effects, and can be supplementary information when a pharmacist gives guidance to a patient.

In addition, in the transition screen example shown in FIG. 13, a list of drugs that may be related to side effects and their side effects are displayed. In the list, side effects that are recommended to be instructed based on general criteria when instructing a patient for the first time are displayed. In addition, a slide button for inputting whether or not the pharmacist has explained is displayed in each side effect column of the list. The pharmacist explains to the patient the side effects that he/she judges to need to be explained to the patient among the listed side effects, and sets the slide button to a position indicating "explained" (right side in FIG. 13). Then, when the pharmacist operates the "Instruct on the above side effects" button, the display screen transitions to a display screen showing the contents of the instruction on the side effects (see FIG. 16).
In this case, the side effect set to "explained" is recorded in the medication history as a guidance given by the pharmacist to the patient. The table shown in Figure 13 includes a previous guidance column indicating whether or not guidance was given to the patient about the displayed side effect at the previous guidance session.

Furthermore, in the list shown in FIG. 13, when the patient is given instructions for the second time or later, side effects for which it is recommended to give instructions based on the contents of the previous instruction are displayed. In other words, if the pharmacist recorded side effects (points of focus) that should be given in the next instruction during the previous instruction given to the patient, the recorded side effects are included and displayed in the list in FIG. 13. This ensures that important instruction contents are reliably passed on even if a pharmacist different from the one who gave the previous instruction gives the current instruction.

FIG. 14 is a schematic diagram showing an example of a transition screen displayed when an operation for calling a side effect inference function is performed.
In the example transition screen shown in Figure 14, body parts (hexagons shown by solid lines) and symptoms (hexagons shown by dashed lines) that are elements of side effects are listed, and one or more of these side effect elements can be selected.
In the example transition screen shown in Figure 14, when the pharmacist selects one or more side effect elements based on the results of the patient's interview and operates the ``Answer side effects'' button to perform side effect inference, side effects that are inferred to be related from the results of the patient's interview are identified from among the side effects of the drug prescribed to the patient.

The inference method used in this case involves associating all combinations of side effect elements with related side effects in a table format or the like, and identifying the side effect corresponding to one or more side effect elements selected by the pharmacist as the inference result. It is also possible to perform machine learning using training data in which one or more side effect elements corresponding to the patient's interview results are input and the corresponding side effects are output, and perform inference using AI (Artificial Intelligence). In this case, the AI infers the side effect corresponding to one or more side effect elements selected by the pharmacist in accordance with the actual patient interview results 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, the side effects of drugs A and B tablets that are presumed to be related to the side effect element "dullness" selected by the pharmacist are displayed in a list.
The pharmacist can refer to the listed side effects of each drug and determine the side effects based on the patient's interview.
In addition, in the list of side effects, a slide button for inputting whether or not the pharmacist has explained the side effect is displayed in the column of each side effect. The pharmacist explains to the patient about the side effects that are judged to require explanation from among the listed side effects, and sets the slide button to the position indicating that the side effect has been explained (the right side in FIG. 15).

In FIG. 15, when the slide button is set to "Explained" and the "Next" button is operated, the fact that the patient has been instructed (explained) about the side effect set to "Explained" is stored as a medical history.
In addition, the example of the inference result display screen shown in FIG. 15 displays a "Inquire About Questions" button for making an inquiry about a medical condition. When the pharmacist refers to the list of side effects displayed on the inference result display screen and determines that it is necessary to make an inquiry about a medical condition to the doctor, the pharmacist can operate the "Inquire About Questions" button. Then, an input screen for inputting the content of the inquiry is displayed, and the pharmacist can input the content of the inquiry. The content of the inquiry entered on this input screen is stored as a medication history.

FIG. 16 is a schematic diagram showing an example of a display screen showing the contents of instructions regarding side effects.
As described above, when the slide buttons for the side effects of drugs A and B for which instructions have been given to the patient in Fig. 15 are set to "Explained" and the "Next" button is operated, the drugs are displayed in association with the instructions for the side effects of the drugs that have already been explained, as shown in Fig. 16. Also, in Fig. 16, when the pharmacist operates a button ("Send to Medication History" button) for storing the displayed contents (instruction contents) in the medication history, the instruction contents for the patient are stored in the medication history.
In addition, on the display screen of Figure 16, it is possible for the pharmacist to perform an operation to input side effects for which the next instruction should be given (input operation of the next instruction content), and the input content can be recorded in the medication history by the pharmacist performing a confirmation operation (such as operating the ``Send to medication history'' button).

By adopting such a display format, when a pharmacist wishes to refer to a side effect other than the side effect listed in the transition screen of Fig. 13, the pharmacist can operate the "infer side effect" button to display the transition screen of Fig. 14. Then, by selecting a side effect element displayed in the transition screen of Fig. 14 and operating the "answer side effect" button, side effects that are inferred to be related from the patient's interview results among the side effects of the drug prescribed to the patient can be displayed as shown in Fig. 15. This allows the pharmacist to properly grasp side effects that may be related to the drug prescribed to the patient based on the information provided by the patient.
The pharmacist can then 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 can store the content of the guidance provided to the patient in the medical history by setting the slide button for the side effect that has been explained to "Explained" and operating the "Send to medical history" button. This can reduce the workload of the pharmacist in recording the content of the guidance provided to the patient in the medical history.

[Modification 2]
In the above embodiment, a client-server type support information providing system 1 is constructed, and a request for support information is made from the terminal device 10 to the pharmacy computer 20 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 (i.e., as a stand-alone system).
In this case, the functions of the focus identifying unit 152, the presented information evaluating unit 153, and the support information generating unit 154 of the pharmacy computer 20 may be provided in the terminal device 10.

As described above, the support information providing system 1 according to this 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 with each other via a network.
The terminal device 10 includes a UI display control unit 51, a target information acquisition unit 52, and a support request unit 53, and the pharmacy computer 20 includes a focus identification unit 152, a support information generation unit 154, and a support information provision unit 155.
In the terminal device 10, the target information acquisition unit 52 acquires target information that is to be taken into consideration in pharmaceutical guidance to a patient.
The support request 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,
The viewpoint identifying unit 152 acquires viewpoint information that is identified in the process of generating support information based on the target information in response to a request from the support request unit 53 and that represents different classifications.
The support information generating unit 154 generates support information based on the viewpoint 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 instruction that corresponds to information that a pharmacist should take into consideration when providing pharmaceutical instruction.
Therefore, it becomes possible to more appropriately support the work of pharmacists.

The support information generated by the support information generating unit 154 includes viewpoint information corresponding to the target information.
This allows pharmacists to easily recognize what aspects they should pay attention to when providing pharmaceutical guidance.

The target information acquiring unit 52 acquires target information including the results of a medical interview with a patient who is the target of dispensing.
The viewpoint specifying unit 152 acquires different instruction viewpoints for taking medicine as a plurality of viewpoint information.
The support information generating unit 154 generates support information from a plurality of pieces of information relating to medication instruction in accordance with the plurality of pieces of acquired viewpoint information.
This allows the pharmacist to easily recognize what aspects to pay attention to when providing medication instructions to the patient who has answered the medical interview.

The point of focus identification unit 152 acquires point of focus information corresponding to the target information acquired by the target information acquisition unit 52 by referring to point of focus identification information in which a combination of target information is pre-matched with the specific contents of multiple point of focus information.
This makes it possible to reliably acquire viewpoint information for various combinations of target information. Also, by changing the definition in the viewpoint specifying information, the content of the acquired viewpoint information can be adjusted.

The viewpoint identification unit 152 generates a multi-layer hierarchy of viewpoint information including a plurality of first viewpoint information pieces obtained by abstracting the target information and second viewpoint information pieces obtained by abstracting the first viewpoint information pieces.
This makes it possible to divide the abstraction process that takes place when considering pharmaceutical instruction content from target information into more appropriate stages and to indicate points of focus.

In addition, the terminal device 10 and the pharmacy computer 20 according to this embodiment include a focus point identification unit 152 , a support information generation unit 154 , and a UI display control unit 51 or a support information provision unit 155 .
The focus point identification unit 152 acquires focus point information representing different classifications, which is information identified in the process of generating support information for pharmaceutical guidance based on target information that is to be considered in pharmaceutical guidance for patients.
The support information generating unit 154 generates the support information based on the viewpoint 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 generating unit 154 .
This makes it possible to provide support information for pharmaceutical instruction that corresponds to information that a pharmacist should take into consideration when providing pharmaceutical instruction.
Therefore, it becomes possible to more appropriately support the work of pharmacists.

The present invention is not limited to the above-described embodiment, and modifications and improvements within the scope of the present invention that can achieve the object of the present invention are included in the present invention.
For example, in the above embodiment, a list of medication instructions is presented as the presentation target information, but the present invention is not limited to this. That is, the objects presented as support information in the present invention include various types of medical information.

In addition, in the above-described embodiment, after the patient has been interviewed, the patient waits while the pharmacist prepares the medication. During this waiting time, simple lifestyle advice information, etc., identified from the results of the interview may be presented to the patient (for example, displayed on the patient's smartphone, etc.).
Furthermore, in the above-described embodiment, a display screen for conducting an interview with a patient and a display screen for listing medication instructions after the contents have been confirmed by a pharmacist (a list of recommended medication instructions for patients and a list of general medication instructions) may be displayed on a device carried by the patient (e.g., a smartphone of the patient, etc.). Furthermore, each point of interest after the contents have been confirmed by the pharmacist may also be displayed on a device carried by the patient (e.g., a smartphone of the patient, etc.) as information on a point of interest for the patient.

In the above 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 interest as a radar chart. In this case, it becomes easy to display changes in each point of interest during past medication instructions.

The above-described series of processes can be executed by hardware or software.
In other words, the functional configurations in the above-described embodiments are merely examples and are not particularly limited. That is, it is sufficient that any of the computers constituting the support information providing system 1 has a function capable of executing the above-described series of processes as a whole, and the type of functional block used to realize this function is not particularly limited to the examples shown.
Furthermore, one functional block may be configured as a single piece of hardware, a single piece of software, or a combination of both.

The recording medium containing the program for executing the above-mentioned series of processes may be configured not only as a removable medium distributed separately from the device body in order to provide the program to the user, but also as a recording medium etc. provided to the user in a state where it is already installed in the device body.

Although the embodiment of the present invention has been described above, the present invention is not limited to the above-described embodiment. Furthermore, the effects described in this embodiment are merely a list of the most favorable effects resulting from the present invention, and the effects of 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 Focus point identification unit, 153 Presentation information evaluation unit, 154 Support information generation unit, 155 Support information providing 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 unit, 816 Output unit, 817 Storage unit, 818 Communication unit, 819 Drive, 820 Imaging unit, 831 Removable media

Claims (8)

an index information generating means for generating index information by classifying and abstracting the target information into viewpoint information based on information representing a degree of relevance between elements of target information, which is taken into consideration in pharmaceutical guidance for a patient and includes information for identifying the patient and information regarding a prescription issued to the patient, and viewpoint information representing different classifications in terms of guidance for the patient;
a guidance information generating means for generating information regarding pharmaceutical guidance for the patient by selecting candidates for information to be presented in pharmaceutical guidance according to the index information generated by the index information generating means;
an index information display means for displaying the index information generated by the index information generation means;
a guidance information output means for outputting information on pharmaceutical guidance for the patient, generated by the guidance information generating means, in response to an operation on the index information display means on which the index information is displayed;
A support information providing system comprising: The support information providing system according to claim 1, characterized in that the index information generating means generates the index information by associating the elements of the target information related to the patient with the point of interest information based on point of interest identification information that defines the degree of relevance between the elements of the target information and the point of interest information. the guidance information generating means evaluates information regarding pharmaceutical guidance for the patient based on a degree of relevance between an element of the target information regarding the patient and the viewpoint information in accordance with the index information generated by the index information generating means;
3. The support information providing system according to claim 2, wherein said guidance information output means outputs information regarding pharmaceutical guidance to said patient based on the evaluation result of said guidance information generating means. the instruction information generating means generates list data of information regarding pharmaceutical instruction to the patient, the list data being arranged in order based on the evaluation result;
4. The support information providing system according to claim 3, wherein said guidance information output means outputs the data of said list as information for supporting pharmaceutical guidance to said patient. The support information providing system according to any one of claims 1 to 4, characterized in that the index information generating means generates the index information at multiple levels, including a plurality of first viewpoint information pieces obtained by abstracting the target information, and a second viewpoint information piece obtained by abstracting the first viewpoint information. an index information generating means for generating index information by classifying and abstracting the target information into viewpoint information based on information representing a degree of relevance between elements of target information, which is taken into consideration in pharmaceutical guidance for a patient and includes information for identifying the patient and information regarding a prescription issued to the patient, and viewpoint information representing different classifications in terms of guidance for the patient;
a guidance information generating means for generating information regarding pharmaceutical guidance for the patient by selecting candidates for information to be presented in pharmaceutical guidance according to the index information generated by the index information generating means;
an index information display means for displaying the index information generated by the index information generation means;
a guidance information output means for outputting information on pharmaceutical guidance for the patient, generated by the guidance information generating means, in response to an operation on the index information display means on which the index information is displayed;
A support information providing device comprising: A support information providing method executed by an information processing device, comprising:
an index information generating step of classifying and abstracting the target information into viewpoint information based on information representing a degree of relevance between elements of target information, which is taken into consideration in pharmaceutical guidance for a patient and includes information for identifying the patient and information regarding a prescription issued to the patient, and viewpoint information representing different classifications in terms of guidance for the patient; and generating index information.
a guidance information generating step of generating information regarding pharmaceutical guidance for the patient by selecting candidates for information to be presented in pharmaceutical guidance according to the index information generated in the index information generating step;
an index information display step of displaying the index information generated in the index information generation step;
a guidance information output step of outputting information regarding pharmaceutical guidance for the patient, which is generated in the guidance information generation step, in response to an operation on the display content of the index information display step in which the index information is displayed;
A method for providing support information, comprising: On the computer,
an index information generating function that generates index information by classifying the target information into viewpoint information representing different classifications in terms of guidance to the patient, based on information representing the degree of relevance between elements of target information, including information for identifying the patient and information regarding a prescription issued to the patient, which is taken into consideration in pharmaceutical guidance to the patient, and viewpoint information representing different classifications in terms of guidance to the patient ;
a guidance information generating function for generating information regarding pharmaceutical guidance for the patient by selecting candidates for information to be presented in pharmaceutical guidance according to the index information generated by the index information generating function;
an index information display function for displaying the index information generated by the index information generation function;
a guidance information output function that outputs information regarding pharmaceutical guidance for the patient, which is generated by the guidance information generation function, in response to an operation on the index information display function on which the index information is displayed;
A program for realizing the above.