JPH09147031A - Medicine preparation charge calculator provided with warning function - Google Patents

Abstract

PROBLEM TO BE SOLVED: To present information as the reference of the case history of a patient from contents of appended documents of medicines described on a prescription. SOLUTION: Names of diseases to which medicines are contra-indicative and those to which medicines are adaptive are stored in a medicine master file 33, and the case history of the patient is stored in a patient file 32, and former names of diseases stored in the medicine master file 33 and the case history stored in the patient file 32 are compared with each other by a means 28; and if a name of a disease coinciding with the case history is found, a warning is given by a means 29. If any names of diseases coinciding with the case history are not found, latter names of diseases to which the medicion is adaptive, stored in the medicine master file 33 are stored as the case history in the patient file 32 of the patient.

Description

Detailed Description of the Invention

[0001]

TECHNICAL FIELD The present invention relates to a dispensing fee calculator for issuing a receipt in a dispensing pharmacy.

[0002]

2. Description of the Related Art A doctor examines a patient and prepares a prescription when the patient needs medication. Since this prescription is given to the pharmacist, the pharmacist prepares and packs the medicine according to the prescription and hands it to the patient.

In many hospitals, a pharmacy is installed in the hospital and a dedicated pharmacist is in charge of dispensing. Therefore, most of the time, patients return from a pharmacy in the hospital where they were examined, taking prescription drugs.

However, due to the progress of division of labor in recent years, it is becoming more common for patients to receive only a prescription and bring it to a pharmacy near their home rather than to the pharmacy near the hospital to be dispensed there. .

[0005] By the way, drugs naturally have diseases and symptoms that often exert their effects, and symptoms that do not. The symptoms and diseases for which the drug works well are called the indications for the drug. On the other hand, depending on the medical condition, the drug may not be used. Such a disease is called the contraindicated disease name for the drug.

[0006] Alternatively, since the drug is also a kind of chemical substance, mixing different substances may cause a chemical change, resulting in a significant loss of medicinal effect or an unnecessary action. It is a so-called swallowing combination, and there are cases where there are drugs that are not desirable to give to patients due to the relationship between the drugs they have used to take in the past and the drugs that they are currently taking.

[0007] Therefore, in order to manage the medication history of the patient and avoid the problem of drinking together, it is conceivable that the source of the drug is one. This is the idea of a hanging pharmacy. As a result, even if the prescriptions are issued by different hospitals, it is possible to concentrate on one pharmacy and manage the patient's medication history. You will be able to take appropriate measures.

[0008]

However, since the prescription usually does not describe the disease name or symptom of the patient, what illness or symptom the drug described in the prescription should be given to? The pharmacist cannot know exactly. In other words, it is difficult to know what kind of illness the patient currently has or what kind of illness the patient had in the past only from the prescription.

Therefore, it is difficult for the pharmacist to know whether or not the patient has a disease or constitution that is contraindicated for the drug described therein, or whether or not it has been in the past. If you have a long-standing patient at the same hospital or doctor,
It is possible to formulate a prescription according to the past medical history. For example, the patient has a severe liver disorder, excessive hypotension, or is currently being treated for another illness. However, if the hospital changes along the way, the situation remains the same.

Although the relationship between a drug and its contraindications is important, it has been difficult for a pharmacist to grasp the patient's disease history. Therefore, it is an object of the present invention to provide a computer for a dispensing pharmacy that presents information that serves as a reference for a patient's disease history from the contents of the package insert of the drug described in the prescription.

[0011]

According to the present invention, a contraindication disease name and an indication disease name of a drug are stored in a drug master file, a disease history of the patient is stored in a patient file, and the drug master file is input at the time of prescription input. The contraindicated disease name stored in (1) is compared with the disease history stored in the patient file, and if there is a matching disease name, a warning to that effect is generated. Further, when there is no matching disease name, the above problem is solved by storing the adaptive disease name stored in the drug master file in the patient file of the patient as the disease history.

[0012]

EXAMPLE FIG. 2 is a block diagram showing the structure of a dispensing fee calculator according to the example, which comprises a main body 20, a keyboard 22 as an input means, a display device 23, and a file device 21. . The main body 20 further includes a main control unit 25, an input control unit 24 that delivers input data from the keyboard 22 to the main control unit 25, a display memory 30, and a display control unit that outputs the contents of the display memory 30 to the display device 23. 31, a patient data reading / writing unit 26 that reads and writes patient data from the file device 21 in response to an instruction from the main control unit 25, and a drug data reading unit 27 that similarly reads drug data from the file device 21.
The display control unit 31 includes a comparison unit 28 that compares the read contents according to an instruction from the main control unit 25, and a warning generation unit 29 that generates predetermined warning information according to the comparison result.
Indicates the warning information generated by the warning generation unit 29 and the display memory 30.
And the contents are output to the display device 23.
The file device 21 stores the patient data file 32 and the drug master file 33.

FIG. 3 shows the contents of the patient data file 32. As shown by a in the figure, the patient code, name, and
Patient data for one person is composed of a patient's initial letter that stores patient-specific data such as date of birth and sex, and a illness history that stores a tentative past disease name of the patient as shown in b in the figure. There is. In this embodiment, the disease name stored in the disease history is stored using the disease name code.

FIG. 4 shows the contents of the drug master file 33. The part indicated by c in the drawing is a basic part for storing a drug code, a name, and unique data such as a unit and a unit price for a drug. This is a part common to the conventional drug master. And, in the portion indicated by d in the figure,
The indication disease name of the drug is stored by the disease name code. The name of the indication disease is a disease or symptom for which the drug often exerts its beneficial effects, and may be one case or plural cases. Further, the contraindicated disease name is stored in the portion indicated by e by the disease name code. The contraindicated disease name is a disease or symptom that should be refrained from administration of the drug, or a disease or symptom that should be carefully administered, and there may be one case or multiple cases depending on the drug.

Next, the operation of this embodiment will be described with reference to the flowchart of FIG. To enter the patient's prescription according to the prescription, the operator first enters the patient code of the patient from the keyboard 22. Since the patient code is sent to the main control unit 25 via the input control unit 24, the main control unit 25 instructs the patient data reading / writing unit 26 to read the patient data from the patient data file 32. Give instructions. Patient data read / write unit
26 accesses file device 21 to access patient data file
The patient data corresponding to the patient code is read from 32 and stored in an internal buffer (not shown) (step
S101). At this time, the disease history is read from the patient data file 32 together with the initial data. The main control unit 25 extracts the initial data from the read data and expands it in the display memory 30 to form a prescription input screen, and the display control unit 31 displays it on the display device 23.

Next, the operator inputs the medicine described in the prescription using the medicine code (at step S102). When the main control unit 25 receives the drug code, the drug data reading unit
The 27 is instructed to read the data of the drug from the drug master file 33. The drug data reading unit 27 accesses the file device 21, reads the drug data corresponding to the drug code from the drug master file 33,
It is stored in an internal buffer (not shown) (step S10).
3). At this time, the contraindicated disease name is read from the drug data file together with the basic data.

Therefore, the main control unit 25 activates the comparison unit 28 so as to check whether or not there is a match between the read-out contraindicated disease name and the previously read disease history. . The comparing unit 28 compares the illness history stored in the buffer inside the patient data reading / writing unit 26, that is, the past disease name,
The contraindicated disease name stored in the buffer inside the drug data reading unit 27 is compared (at step S104). If no match is found, a non-match signal is output. If any match is found, a match signal is output. S105; Ye
s), the drug data reading unit 27 is instructed to further read the adaptive disease name (at step S105). Then, the data is given to the patient data reading / writing unit 26 and is additionally stored in the patient data file 32 as a disease history of the patient (at step S106).

That is, when the comparison result of the comparison unit 28 does not match, the indication disease name of the drug is assumed to be the disease name of the disease that the patient is currently suffering from, and added to the disease history of the patient. Of. This disease name may not necessarily be the same as the name of the doctor's idea, but it can be regarded as a disease history in a broad sense from the viewpoint of drug efficacy.

On the other hand, in step S104, if there is even one match as a result of comparison by the comparison unit 28, the comparison unit 28 also outputs a signal indicating that there is a match to the warning generation unit 29. At this time, the data of the matched disease name is also output together.

Therefore, the warning generation unit 29 generates a warning sound, creates a warning message using the received disease name, and outputs it to the display control unit 31 (step S108). As a result, on the screen of the display device 23, for example, a message "There is a possibility of contraindication: XXXXX" is displayed. The above-mentioned XX section is the contraindicated disease name that the warning generation section 29 received from the comparison section 28.

Therefore, the operator can perform appropriate processing in response to the warning message being displayed (at step S109). In this way, in this example, each time the drug code is entered, it is examined whether the contraindicated disease name of the drug is stored in the patient's disease history. , It is possible to call attention to the operator.

When the contraindicated disease name of the drug is not stored in the patient data file 32, there is a high possibility that the disease that the patient is currently suffering from is included in the adaptive disease names of the drug. As a matter of fact, the adapted disease name is added to the patient's medical history. Therefore, even if the disease name is not described in the prescription and the operator does not need to input the disease, a temporary disease history of the patient is automatically constructed.

As shown in FIG. 1, in this embodiment, after it is determined that there is no matching disease name, the adapted disease name is read from the drug master in step S106.
Of course, when reading the drug data in step S103, it is possible to read the adaptive disease name together with the basic data and the contraindicated disease name. By doing so, the number of accesses to the file device 21 is reduced,
The effect of shortening the processing time can also be expected.

[0024]

According to the present invention, it is possible to automatically construct a temporary disease history of a patient by simply inputting a prescription as in the conventional case. Then, since it is possible to generate a warning that the patient may have a contraindicated disease or the like of the entered drug, the pharmacist can take appropriate measures.

[Brief description of the drawings]

FIG. 1 is a flowchart showing a processing procedure of an embodiment.

FIG. 2 is a block diagram showing the configuration of the embodiment.

FIG. 3 is a diagram showing a structure of a patient data file in an example.

FIG. 4 is a diagram showing a structure of a drug master file in the example.

[Explanation of symbols]

 25 Main Control Unit 26 Patient Data Reading / Writing Unit 27 Drug Data Reading Unit 28 Comparison Unit 29 Warning Generation Unit 32 Patient Data File 33 Drug Master File

Claims (5)

[Claims] 1. A dispensing fee calculator comprising a patient file for storing patient information for each patient and a drug master file for storing data such as a drug code, name and unit price, wherein the drug master file is stored in the drug master file. The indication disease name and contraindication disease name of each drug are further stored, and the disease history of the patient is further stored in the patient file, and at the time of prescription input, the contraindication disease name of the input drug is read from the drug master file. Then, whether or not the read disease name is stored in the patient file of the patient is inspected, and if it is stored, a warning to that effect is issued. On the other hand, if it is not stored, it is input as described above. A warning function is provided, characterized in that an adapted disease name of a drug is read from the drug master file and is additionally stored in a patient file as a disease history of the patient. Dispensing fee calculator. 2. The dispensing fee calculator with a warning function according to claim 1, wherein the reading of the indication disease name is performed simultaneously with the reading of the contraindicated disease name. 3. The warning function according to claim 1 or 2, wherein the patient file is a patient initials file that stores patient-specific data such as a patient name, date of birth, and insurer number. Prepared dispensing fee calculator. 4. The dispensing fee calculator having the warning function according to claim 1, wherein the warning is a display of a warning message. 5. The dispensing fee calculator with a warning function according to claim 1, wherein the warning is a warning sound.