JP2005173704A - Prescription management system and method, and ic card - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To report the receipt of a medicine according to an insurance prescription by a patient to a doctor from an insurance pharmacist who issued the medicine. <P>SOLUTION: This system comprises a prescription management device 10 for managing the insurance prescription; a medical institute terminal device 20 set in a medical institute; and a pharmacy terminal device 30 set in an insurance pharmacy or the like. When a patient receives a medicine based on a prescription in the insurance pharmacy or the like, the receipt of the medicine by the patient is reported to the medical institute which issued the insurance prescription. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention relates to a prescription management system that can manage issued prescriptions, a prescription management method, and an IC card that can be used in these systems and methods.

  As shown in FIG. 9, a patient who has received a health insurance insurance prescription from a doctor at a medical institution goes to an insurance pharmacy and receives a medicine according to the contents of the prescription from an insurance pharmacist who handles the insurance prescription. In this conventional system, the insurance pharmacist who issued the drug did not report to the doctor that the patient received the drug according to the insurance prescription at the insurance pharmacy. For this reason, the doctor who issued the insurance prescription could not know when or when the patient he / she examined received the medicine prescribed by the insurance pharmacy outside the hospital. In addition, if the patient did not bring an insurance prescription to the insurance pharmacy, the doctor could not know that the prescription drug required for the disease was not prescribed.

  In addition, there exists the following patent document 1 as something similar to this invention. However, this Patent Document 1 does not show the concept of reporting to the doctor from the insurance pharmacist who has issued the drug that the patient has received the drug according to the insurance prescription at the insurance pharmacy.

JP-A-5-143620

  The present invention has been made in view of the background art as described above, and its purpose is to issue a prescription from a medicine issuer that a patient has received a medicine according to a prescription from a medicine delivery person such as a pharmacy. The present invention provides a prescription management system, a prescription management method, and an IC card that can be used for these systems and methods.

  The prescription management system according to the present invention includes an issuer management means for managing issuer data including issuer identification data for identifying an issuer issuing a prescription, and a prescription data including prescription identification data for identifying a prescription. A prescription management means for managing a drug delivery management flag for managing whether or not a prescription-based medicine has been delivered for each prescription data identified by the prescription identification data, The issuer management means for managing the issuer data including issuer identification data for identifying the issuer for delivery, and the information processing terminal of the prescription issuer, and the delivery of the drug based on the prescription Communication means for communicating with the information processing terminal of the subscriber, and prescription identification data of the prescription sent from the information processing terminal of the issuer by the communication means. When the attached medicine delivery data is received, the medicine delivery management flag of the prescription management means is rewritten to be delivered, and the communication means notifies the issuer's information processing terminal that the medicine has been delivered based on the prescription. Control means for transmitting notification data to be transmitted.

  The prescription data of the prescription management means further includes the expiration date data of the prescription, and the control means indicates the time limit indicated by the expiration date data of the prescription of the prescription management means when accessed from the information processing terminal of the issuer When it is past, the delivery warning or prohibited data may be returned from the communication means to the information processing terminal of the issuer.

  Also, the prescription management method according to the present invention provides a step of assigning and managing issuer data including issuer identification data for identifying an issuer issuing a prescription, and issuing prescription data including prescription identification data for identifying a prescription A step of storing a medicine delivery management flag for managing whether or not a medicine based on the prescription is delivered for each prescription data identified by the prescription identification data, and a medicine based on the prescription And granting and managing issuer data including issuer identification data for identifying issuers who receive the delivery, and receiving the drug delivery data associated with the prescription identification data of the prescription sent from the information processing terminal of the issuer And rewriting the medicine delivery management flag to the delivered state when the medicine delivery request data is received, And a step of transmitting the notification data for notifying that there has been issued a drug that is based on the prescription relative to the issuer of the information processing terminal.

  The IC card according to the present invention is an IC card that is detachable from an information processor of an issuer that issues a prescription and an issuer that issues a medicine based on the prescription and has a storage element inside. In the storage element, prescription data including prescription identification data for identifying a prescription issued by the issuer is stored.

  This IC card may store a drug delivery management flag for managing whether or not a medicine has been delivered based on a prescription, and the medicine delivery management flag may be rewritten to be delivered by the information processing apparatus of the issuer. The IC card may further store expiration date data of issued prescriptions.

  According to the present invention, when the medicine delivery data transmitted from the information processing terminal of the medicine issuer based on the prescription is received, the medicine delivery management flag of the prescription management means is rewritten to the delivered and information on the issuer of the prescription Notify the issuer of the prescription that the patient has actually received the prescription prescribed by sending notification data notifying the processing terminal that the medicine based on the above prescription has been delivered. Can do.

  Hereinafter, a prescription management system to which the present invention is applied will be described with reference to the drawings.

  As shown in FIG. 1, in the prescription management system to which the present invention is applied, as shown in FIG. 1, a patient who has received a health insurance insurance prescription from a doctor at a medical institution goes to an insurance pharmacy, as shown in FIG. Receive a drug according to the prescription from an insurance pharmacist who handles the insurance prescription. In the prescription management system to which the present invention is applied, the insurance pharmacist or insurance pharmacy records in the database that the medicine according to the prescription brought by the patient is delivered, and the doctor or medical institution accesses the database to access the patient. Can see if they have received prescription drugs.

  In this prescription management system 1, as shown in FIG. 2, a prescription management device 10 for managing prescriptions issued by medical institutions, a medical institution terminal device 20 installed in a medical institution, and a pharmacy installed in an insurance pharmacy or the like A terminal device 30 is connected via a network 2 such as the Internet.

  The prescription management apparatus 10 is an apparatus managed by an administrator or the like who manages this system, and is an apparatus having the same configuration as a normal computer including a ROM, a RAM, a hard disk, a CPU, and the like. In this prescription management apparatus 10, a database for managing insurance prescriptions issued by doctors is built on a hard disk or the like. In this database, for each patient for whom an insurance prescription is issued by a medical institution, the content data of the insurance prescription, prescription date data, expiration date data of the insurance prescription, and drugs based on the insurance prescription are delivered to the patient. A medicine delivery management flag for managing whether or not is stored. When the prescription management apparatus 10 receives notification data indicating that an insurance prescription has been issued from the medical institution terminal device 20 as described above, the prescription management apparatus 10 sets the medicine delivery management flag to a state in which no medicine has been delivered.

  When a medical institution issues an insurance prescription to a patient examined by a doctor or the like, the medical institution terminal apparatus 20 accesses the prescription management apparatus 10 via the network 2 and data on the issued insurance prescription as described above in the database. Is stored. On the other hand, when the patient who has received the insurance prescription actually goes to the insurance pharmacy and receives a drug based on the insurance prescription, the pharmacy terminal device 30 accesses the prescription management apparatus 10 and confirms that the drug has been issued to the patient. Notice. In response to this, the prescription management apparatus 10 rewrites the medicine delivery management flag to the medicine delivery state, and further transmits to the medical institution terminal device 20 that the medicine has been delivered to the patient.

  Here, a database provided in the prescription management apparatus 10 will be described with reference to FIG. FIG. 3 is a class diagram showing the relationship between data stored in the database. In the database, a class patient 101 is provided for each patient who has been examined by a medical institution and for whom an insurance prescription has been issued. This class patient 101 stores patient identification data as its attribute, and is information that can be specified from a health center or a medical examination ticket. Specifically, the type, symbol, and number that are the patient's insurance card number, and the address, name, and date of birth that are information for identifying the patient are stored. This class patient 101 is associated with the class prescription drug history 102 in a 1: 1 relationship. Class prescription content 103 is associated with this class prescription drug history 102 in a 1: ∞ relationship (aggregation). That is, the class prescription content 103 is associated with the class prescription drug history 102 and is provided for each patient when an insurance prescription is issued so that the prescription drug history can be confirmed for each patient. It has become.

  Class Prescription content 103 is prescription data, and includes, as attributes, prescription number as prescription identification data for uniquely identifying issued insurance prescription, effective number of days of prescription, identification of whether prescription has expired Data, identification data indicating whether a prescribed medicine has been delivered, a medicine prescription date, and a medicine delivery date are stored. Here, the identification data indicating whether or not the prescribed medicine has been delivered is a medicine delivery management flag. The identification data indicating whether or not the prescription has expired and the identification data indicating whether or not the prescription drug has been delivered have an initial value of false, and are false when within the deadline / not delivered, and true when expired / already delivered. The effective days of the insurance prescription is, for example, 3 days. The drug prescription date is automatically input, but may be manually input by the input person.

  The class medical institution 104 is associated with the class prescription content 103 as described above in a 1: 1 relationship to identify the medical institution that issued the insurance prescription. The class medical institution 104 stores, as attributes, a medical institution name, an address, and a medical institution number serving as identification data for uniquely identifying the medical institution. A class doctor 105 is associated with this class medical institution 104 in a 1: 1 relationship to identify the doctor who issued the insurance prescription. The class doctor 105 stores, as attributes, the name of a doctor belonging to the class medical institution 104 and a doctor license number that uniquely identifies the doctor. The class medical institution 104 and the class doctor 105 become issuer data for issuing an insurance prescription, and the medical institution number and the doctor license number become issuer identification data for identifying an issuer for issuing an insurance prescription.

  In addition, class pharmacy 106 is associated with class prescription content 103 in a 1: 1 relationship (composition) in order to specify a pharmacy or the like that has delivered a medicine based on an insurance prescription to a patient. In the class pharmacy 106, a pharmacy number for uniquely identifying a pharmacy other than the name and address of the pharmacy is stored as an attribute. The class pharmacy 106 is associated with a class pharmacist 107 in a 1: 1 relationship to identify the pharmacist who delivered the medicine based on the insurance prescription. The class pharmacist 107 stores, as attributes, the name of a pharmacist belonging to the class pharmacy 106 and a pharmacist number for uniquely identifying the pharmacist. The class pharmacy 106 and the class pharmacist 107 serve as issuer data for delivering a drug based on the insurance prescription, and the pharmacy number and the pharmacist number serve as issuer identification data for identifying the issuer who delivers the drug.

  The class prescription content 103 is associated with a class medicine 108 in a 1: ∞ relationship (composition). That is, the class medicine 108 stores medicine data for each medicine described in the insurance prescription, identifies each medicine described in the insurance prescription, and confirms whether or not this medicine has been issued. Can be done. Specifically, the class drug 108 stores, as attributes, a name, a manufacturer, and a product number for specifying each drug described in the insurance prescription, identification data indicating whether the drug has been delivered, The identification data indicating whether there is an alternative drug, the usage of the drug, and the number of days indicating the dose are stored. The identification data indicating whether or not the drug has been delivered and the identification data indicating whether or not there is an alternative drug have an initial value of false, which is false when there is no delivery / alternative drug, and is true when there is an delivered / alternative drug. The class drug 108 is associated with the class substitute drug 109 so as to be 1 or less (composition). It should be noted that the relationship between the class medicine 108 and the class alternative medicine 109 may be a 1: many relation depending on the number of alternative medicines when there are a plurality of alternative medicines. The class substitute 109 has a generalization relationship with the class drug 108. The attributes of the class substitute 109 are the same as those of the class medicine 108. Further, the identification data indicating whether or not the class medicine 108 has been delivered and the identification data indicating whether or not the class alternative medicine 109 has been delivered are true when one of the medicines has been delivered.

  Next, a procedure until the medical institution issues a prescription will be described with reference to the activity diagram of FIG. When the medical institution terminal device 20 accesses the prescription management device 10 in the reception standby state, the medical institution terminal device 20 transmits login screen data of the medical institution to the medical institution terminal device 20, and the medical institution terminal device 20 performs CRT or LCD in step S1. A login screen is displayed on the display device configured as described above. When the login screen is displayed, a medical person in the medical institution, for example, a doctor, inputs a user name or password using an operation device such as a keyboard or a mouse of the medical institution terminal device 20. Here, the attribute information of the class medical institution 104 and the class doctor 105 shown in FIG. 3 may be input. In step S2, the medical institution terminal device 20 determines whether or not an operation for transmitting the input user name and password has been performed, and ends the process when the transmission operation has not been performed. Further, the medical institution terminal device 20 transmits this data to the prescription management apparatus 10 when the input operation of the input user name and password is performed.

  When the prescription management apparatus 10 receives the user name and password data transmitted from the medical institution terminal apparatus 20, the prescription management apparatus 10 authenticates the accessed medical personnel in step S3. In step S4, the prescription management apparatus 10 determines whether authentication of the accessed medical personnel is successful or unsuccessful. If successful, the process proceeds to step S5. If unsuccessful, the prescription management apparatus 10 displays warning display data indicating an authentication failure in step S6. This is transmitted to the medical institution terminal device 20, and the medical institution terminal device 20 displays an authentication failure screen on the display device.

  When authentication of the medical personnel is successful, the prescription management apparatus 10 transmits screen data for inputting patient information for issuing an insurance prescription to the medical institution terminal apparatus 20 in step S5, and the medical institution terminal apparatus 20 A screen for inputting patient information for issuing an insurance prescription is displayed on the display device.

  Here, the medical staff uses the operation device of the medical institution terminal device 20 to input the attribute information of the class patient 101 in the database shown in FIG. Note that the attribute information of the class medical institution 104 and the class doctor 105 associated with the class prescription content 103 is the medical institution information registered in other databases when the medical personnel are authenticated in steps S1 to S4. Although it is automatically input based on the doctor information, the medical staff may input it in step S5 or step S12 described later.

  In step S7, the medical institution terminal device 20 determines whether the input operation of the patient information has been performed, and transmits the patient information to the prescription management device 10 when the transmission operation has been performed. The medical institution terminal device 20 returns to step S1 when the transmission operation is not performed. When the prescription management apparatus 10 receives the patient information data transmitted from the medical institution terminal apparatus 20, the prescription management apparatus 10 performs a patient authentication operation in step S8. Specifically, it is determined here whether the patient information of the patient is valid information. In step S9, the prescription management apparatus 10 determines whether authentication of the patient who is going to issue the insurance prescription is successful or unsuccessful. If successful, the process proceeds to step S10. If unsuccessful, the authentication failure warning is issued in step S11. The display data is transmitted to the medical institution terminal device 20, and the medical institution terminal device 20 displays an authentication failure screen on the display device.

  In step S <b> 10, the prescription management apparatus 10 further determines whether or not these insurance prescriptions for issuing insurance prescriptions are not duplicated. This is because a patient may go to a plurality of medical institutions at the same time to obtain the same type of insurance prescription and obtain a medicine based on the insurance prescription. Specifically, the prescription management apparatus 10 identifies identification data that identifies whether or not a medicine prescribed by an insurance prescription that is one of the attributes of the class prescription content 103 of the database shown in FIG. It is determined whether the management flag is false indicating non-delivery. Then, the prescription management apparatus 10 proceeds to step S12 when the drug delivery management flag is true within a predetermined valid period or ignores undelivered, and when it is undelivered false, the process proceeds to step S13. The data of the insurance prescription duplication issue warning display is transmitted to the medical institution terminal device 20, and the medical institution terminal device 20 displays the insurance prescription duplication issuance warning display on the display device.

  When the insurance prescription to be issued is not a duplicate issue, the prescription management apparatus 10 transmits screen data for inputting prescription contents to the medical institution terminal apparatus 20 in step S12, and the medical institution terminal apparatus 20 displays the display apparatus on the display device. A screen for inputting the medicine, usage, usage, dosage, etc., to be written on the insurance prescription is displayed.

  Here, the medical staff uses the operation device of the medical institution terminal device 20 to input the attribute information of the class prescription content 103 of the database shown in FIG. To do.

  Specifically, the medical staff inputs a prescription number, a drug prescription date, and an effective number of days for the insurance prescription as prescription identification data for uniquely identifying the insurance prescription regarding the class prescription content 103. Since the medicine delivery date is an input field of the insurance pharmacist, it is left unfilled. Further, the medicine delivery management flag, which is identification data for identifying whether or not the medicine prescribed by the insurance prescription has been delivered, remains at the initial value, that is, false indicating undelivered. Also, for class drug 108, enter the name, manufacturer, product number, and number of days of usage to identify each drug listed in the insurance prescription, and the initial value of the identification data indicating whether the drug has been delivered In addition, the presence / absence of an alternative drug is set in order to notify the insurance pharmacist of the existence of the alternative drug. Then, the medical institution terminal device 20 transmits information related to the prescription contents input by the medical staff to the prescription management device 10.

  For example, when an insurance pharmacist dispenses, for example, an out-of-stock drug is described in the insurance prescription, and when using an alternative drug for an out-of-stock drug, the insurance pharmacist uses the pharmacy terminal device 30. May be set to true. Thereby, the medical staff can know what drug is actually prescribed by accessing the database.

  In step S14, the prescription management apparatus 10 performs a check operation such as a medicine swallow, and in step S15, the medical staff determines whether or not the medicine swallow described in the insurance prescription is good. The prescription management apparatus 10 proceeds to step S16 when there is no problem with drinking, and proceeds to step S17 when there is a problem, and transmits screen data of warning display such as drinking to the medical institution terminal apparatus 20, The medical institution terminal device 20 displays a warning display screen such as drinking on the display device. In step S18, the medical institution terminal device 20 determines whether the medical staff has pressed the re-input button using the operation device of the medical institution terminal device 20, and performs the re-input operation. Is displayed on the prescription management apparatus 10, and a screen for inputting the medicine, usage, usage, dosage, etc., to be written on the insurance prescription is displayed on the display device. Further, the medical institution terminal device 20 transmits data for ignoring the warning to the prescription management apparatus 10 when the medical staff performs an operation of ignoring the warning such as drinking.

  When the input button to the database is pressed on the operating device of the medical institution terminal device 20, the medical institution terminal device 20 transmits a registration request to the database to the prescription management device 10, and in step S16, the prescription management device 10 The contents transmitted from the medical institution terminal device 20 are registered in the database shown in FIG. Thus, the attributes of the class prescription content 103, the class medical institution 104, the class doctor 105, and the class medicine 108 are registered in the database shown in FIG. 3 with respect to the issued insurance prescription. In step S19, the prescription management apparatus 10 determines whether or not the registration in the database is successful. When the registration is successful, the process returns to step S5 and proceeds to step S21. When the registration fails, in step S20, the database registration error screen data is transmitted to the medical institution terminal device 20, and the medical institution terminal device 20 displays this on the display device.

  In step S21, the prescription management apparatus 10 starts a period calculation in order to time the expiration date of the issued insurance prescription. Specifically, the prescription management apparatus 10 measures the number of days from the drug prescription date of the class prescription 103. In step S22, the prescription management apparatus 10 determines whether or not the number of effective days has elapsed from the prescription date of the medicine with respect to the time limit stored as one of the attributes of the class prescription content 103. This is to prevent a drug from being delivered to a patient for an old insurance prescription for which a considerable period has elapsed since the insurance prescription was issued. When the expiration date has been reached, the prescription management apparatus 10 proceeds to step S23, and updates the identification data of the expiration date of the class prescription 103 from false indicating the expiration date to true indicating the expiration date. Moreover, the prescription management apparatus 10 repeats step S21, when the expiration date has not passed.

  According to the above procedure, when registering insurance prescriptions issued by medical doctors etc. in the database, duplicate issuance etc. are checked, so that the same drug is delivered to the patient more than necessary. Can be prevented. In addition, when prescribing a patient, a doctor or the like can also check for drinking and can make a prescription without error.

  Thus, a patient who has been examined at a medical institution and has received an insurance prescription goes to an insurance pharmacy to receive a drug according to the insurance prescription. Here, since the prescription content is registered in the database, the patient only needs to inform the insurance pharmacy of the patient information identifying himself and the identification number of the insurance prescription issued to him, and the prescription content is actually described There is no need to bring an insurance prescription. In other words, the patient may inform the insurance pharmacy of the patient information and the insurance prescription number verbally or in writing, and further, the patient information and the insurance card etc. You may make it record an insurance prescription number and bring this IC card to an insurance pharmacy.

  And in the insurance pharmacy which delivers the medicine according to an insurance prescription, when delivering a medicine to a patient, the following processes are performed using the pharmacy terminal device 30. FIG. 5 is an activity diagram showing a procedure until the insurance pharmacy issues a drug to a patient.

  When the pharmacy terminal device 30 accesses the prescription management device 10 in the reception standby state, the insurance pharmacy login screen data is transmitted to the pharmacy terminal device 30, and the pharmacy terminal device 30 is configured by a CRT or LCD in step S31. The login screen is displayed on the display device. When the login screen is displayed, an insurance pharmacy person, for example, an insurance pharmacist, inputs a user name and a password using an operation device such as a keyboard and a mouse of the pharmacy terminal device 30. In step S32, the pharmacy terminal device 30 determines whether the input operation for the input user name or password has been performed. When the transmission operation has not been performed, the pharmacy terminal device 30 ends the process. Further, the pharmacy terminal device 30 transmits this data to the prescription management device 10 when the input operation of the input user name and password is performed.

  When the prescription management apparatus 10 receives the user name and password data transmitted from the pharmacy terminal apparatus 30, in step S33, the prescription management apparatus 10 authenticates the accessed pharmacy personnel. In step S34, the prescription management apparatus 10 determines whether authentication of the accessed pharmacy person concerned is successful or unsuccessful. If successful, the process proceeds to step S35. If unsuccessful, the prescription management apparatus 10 displays warning display data indicating an authentication failure in step S36. It transmits with respect to the pharmacy terminal device 30, and the pharmacy terminal device 30 displays an authentication failure screen on a display apparatus.

  When the pharmacy-related person authentication is successful, the prescription management apparatus 10 transmits screen data for inputting patient information brought to the insurance pharmacy to the pharmacy terminal apparatus 30 in step S35, and the pharmacy terminal apparatus 30 Displays a screen for inputting patient information for issuing an insurance prescription on the display device. Here, the pharmacy-related person inputs the attribute information, prescription number, etc. of the class patient 101 of the database shown in FIG. 3 as patient information, using the operation device of the pharmacy terminal device 30. Note that the attribute information of the class pharmacy 106 and this class pharmacist 107 associated with the class prescription content 103 is the insurance pharmacy information and pharmacist registered in other databases when the pharmacy related person is authenticated in steps S31 to S34. Although it is automatically input based on the information, in this step, a pharmacy person may input it himself.

  In step S <b> 37, the pharmacy terminal device 30 determines whether the input operation of the patient information has been performed, and transmits the patient information to the prescription management device 10 when the transmission operation has been performed. Moreover, the pharmacy terminal device 30 returns to step S1, when transmission operation is not performed.

  When receiving the patient information data transmitted from the pharmacy terminal device 30, the prescription management apparatus 10 performs a patient authentication operation in step S38. Specifically, the prescription management apparatus 10 identifies patient information using the prescription number, and determines whether the patient information transmitted from the pharmacy terminal apparatus 30 matches the content of the class patient 101 registered in the database. To do. In step S39, the prescription management apparatus 10 determines whether the authentication of the patient who intends to receive the medicine based on the insurance prescription is successful or unsuccessful. If successful, the process proceeds to step S40. If unsuccessful, the authentication is performed in step S41. Failure warning display data is transmitted to the pharmacy terminal device 30, and the pharmacy terminal device 30 displays an authentication failure screen on the display device.

  In step S40, the prescription management apparatus 10 refers to the identification data indicating whether or not the class prescription content 103 in the database shown in FIG. 3 has expired. Proceeding to S42, and if true indicating expiration, the process proceeds to step S43. When the insurance prescription has expired, in step S43, the prescription management apparatus 10 transmits warning display data indicating that the insurance prescription has expired to the pharmacy terminal apparatus 30, and the pharmacy terminal apparatus 30 displays an expired screen on the display apparatus. indicate. Thereby, it can prevent that a chemical | medical agent is delivered with respect to a patient with respect to an old insurance prescription.

  When the insurance prescription is within the time limit, the prescription management apparatus 10 determines whether or not the class medicine 108 is associated with the class prescription content 103 in step S42, and when the class medicine 108 is associated with the prescription medicine, the process proceeds to step S44. If the class medicine 108 is not associated and there is no prescription medicine, the process proceeds to step S45. In step S45, the prescription management apparatus 10 transmits warning display data indicating that no medicine is issued to the pharmacy terminal apparatus 30, and the pharmacy terminal apparatus 30 displays a warning screen indicating that no medicine is delivered on the display device.

  In step S44, the prescription management apparatus 10 transmits screen data for displaying medicines, uses, usages, dosages, and the like described in the insurance prescription to the pharmacy terminal apparatus 30, and the pharmacy terminal apparatus 30 displays the display apparatus. A screen for displaying the medicine, usage, usage, dosage, etc., to be written on the insurance prescription is displayed. Specifically, the prescription management apparatus 10 displays the attribute information of the class prescription content 103, the class medicine 108, the class alternative medicine 109, and the like in the database on the display device of the pharmacy terminal device 30. Here, the insurance pharmacist actually prescribes the medicine described in the insurance prescription. Then, the identification data indicating whether or not the medicine class 108 of the medicine to be delivered has been delivered is changed from false that has not been delivered to true that has been delivered. At the same time, the medicine delivery date of the class prescription content 103 is input.

  In step S46, the pharmacy terminal device 30 determines whether or not the out-of-stock button displayed on the display device is pressed. When the out-of-stock button is not pressed, the process proceeds to step S47, where the out-of-stock button is pressed. If so, go to step S48. When the out-of-stock button is pressed, the pharmacy terminal device 30 transmits data indicating that there is no medicine in stock to the prescription management apparatus 10, and the prescription management apparatus 10 receives this, and in step S48, the alternative medicine is selected. When there is, the content of the class alternative medicine 109 is transmitted to the pharmacy terminal device 30, and the pharmacy terminal apparatus 30 displays the alternative medicine on the display device. The pharmacy-related person determines whether or not the alternative medicine is in stock on the display device. In step S49, the pharmacy terminal device 30 determines whether or not the alternative medicine out-of-stock button displayed on the display device has been pressed. If YES, the process ends. If not, the process proceeds to step S47. In addition, when delivering the alternative medicine, the identification data indicating whether or not the class alternative medicine 109 has been delivered is changed from false that has not been delivered to true that has already been delivered.

  When all the drugs described in the insurance prescription are complete and the drug delivery completion button displayed on the operation device of the pharmacy terminal apparatus 30 is pressed by a pharmacy person, the pharmacy terminal apparatus 30 charges the drug to be delivered in step S47. Perform the calculation.

  In step S50, when the prescription management apparatus 10 receives the drug delivery completion data from the pharmacy terminal device 30, the prescription management apparatus 10 registers in the database that the medicine based on the insurance prescription has been delivered. Specifically, the prescription management apparatus 10 rewrites identification data as to whether or not a drug has been delivered as a medicine delivery management flag of the class prescription content 103 to true that has been delivered, and automatically inputs a medicine delivery date, for example. In step S51, the prescription management apparatus 10 determines whether or not the registration in the database is successful. If the registration is successful, the process proceeds to step S53. If the registration is unsuccessful, the screen data of the database registration error is obtained in step S52. It transmits to the pharmacy terminal device 30, and the pharmacy terminal device 30 displays this on a display device.

  In step S <b> 53, the prescription management apparatus 10 notifies the medical staff terminal device 20 that a medicine based on the insurance prescription has been issued using a normal e-mail system or the like. Thereby, the medical staff who issued the insurance prescription can confirm whether the patient has received the insurance prescription issued by himself / herself, and then the patient is further accessed by accessing the database with the medical institution terminal device 20. You can know detailed information such as the date and time when the drug was delivered, the pharmacy, the drug that was actually delivered.

  In the prescription management system as described above, when a drug is delivered to a patient at an insurance pharmacy, a notification is transmitted from the prescription management device 10 to the medical institution terminal device 20, so that a medical person can receive an insurance prescription. It can be confirmed whether the issuing patient has actually received the prescribed medicine. Further, the medical staff can know the type of medicine actually in the patient's hand by accessing the database shown in FIG. 3 of the prescription management apparatus 10. Further, in this system, since the medical institution terminal device 20 can set an expiration date for the insurance prescription to be issued, it is possible to prevent the medicine described in the old insurance prescription from being delivered to the patient. can do. Furthermore, when the medicine based on the insurance prescription is delivered to the patient, the pharmacy terminal device 30 records that the medicine based on the insurance prescription has been delivered, so that multiple times for one insurance prescription. Can be prevented from being delivered.

  In the above example, a patient who has received an insurance prescription after having been examined at a medical institution has explained an example of submitting an insurance prescription brought to an insurance pharmacy and receiving a drug in accordance with the insurance prescription. As described above, an IC card 40 in which patient information or the like that also functions as a medical institution examination ticket and / or insurance card is stored may be brought to an insurance pharmacy to receive a drug in accordance with an insurance prescription. The IC card 40 used here includes, for example, a storage element such as a flash memory, and a communication unit that performs communication with a card reader or a card writer by RFID (Radio Frequency Identification) or the like in a contact or non-contact manner. The class patient 101 and the class prescription content 103 of the issued insurance prescription are stored. The IC card 40 stores, for example, a class prescription content 103 relating to an insurance prescription that has been issued and has not been given a drug for the purpose of protecting the privacy of the patient. The IC card 40 may not store the patient chart information in order to protect the patient's privacy.

  Next, a procedure until the medical institution using the IC card 40 issues a prescription will be described with reference to FIG. When the medical institution terminal apparatus 20 accesses the prescription management apparatus 10 in the reception standby state, the medical institution terminal apparatus 20 transmits the login screen data of the medical institution to the medical institution terminal apparatus 20, and the medical institution terminal apparatus 20 performs CRT or LCD in step S61. A login screen is displayed on the display device configured as described above. When the login screen is displayed, a medical person in the medical institution, for example, a doctor, inputs a user name or password using an operation device such as a keyboard or a mouse of the medical institution terminal device 20. Here, the attribute information of the class medical institution 104 and the class doctor 105 shown in FIG. 3 may be input. In step S62, the medical institution terminal device 20 determines whether the input operation of the input user name or password has been performed, and ends the process when the transmission operation has not been performed. Further, the medical institution terminal device 20 transmits this data to the prescription management apparatus 10 when the input operation of the input user name and password is performed.

  When the prescription management apparatus 10 receives the user name and password data transmitted from the medical institution terminal apparatus 20, the prescription management apparatus 10 authenticates the accessed medical personnel in step S63. In step S64, the prescription management apparatus 10 determines whether authentication of the accessed medical person is successful or unsuccessful. If successful, the process proceeds to step S65. If unsuccessful, the prescription management apparatus 10 displays warning display data indicating an authentication failure in step S66. This is transmitted to the medical institution terminal device 20, and the medical institution terminal device 20 displays an authentication failure screen on the display device.

  When the medical personnel authentication is successful, the prescription management apparatus 10 transmits screen data for inputting patient information for issuing an insurance prescription to the medical institution terminal apparatus 20 in step S65, and the medical institution terminal apparatus 20 A screen for inputting patient information for issuing an insurance prescription is displayed on the display device. The medical staff attaches the patient's IC card 40 to, for example, a card reader / writer connected to the medical institution terminal device 20, and the medical institution terminal device 20 stores the attribute information of the class patient 101 stored in the IC card 40. Is read.

  Note that the attribute information of the class medical institution 104 and the class doctor 105 associated with the class prescription content 103 is the medical institution information registered in other databases when the medical personnel are authenticated in steps S61 to S64. Although it is automatically input based on the doctor information, the medical staff may input it in step S65 or in step S12 described later.

  In step S67, the medical institution terminal device 20 determines whether the input operation of the patient information has been performed, and transmits the patient information to the prescription management device 10 when the transmission operation has been performed. The medical institution terminal device 20 returns to step S1 when the transmission operation is not performed. Upon receiving the patient information data transmitted from the medical institution terminal device 20, the prescription management apparatus 10 performs a patient authentication operation in step S68. In step S69, the prescription management apparatus 10 determines whether the authentication of the patient who is going to issue the insurance prescription is successful or unsuccessful, and if successful, the process proceeds to step S70. If unsuccessful, the authentication failure warning is issued in step S71. The display data is transmitted to the medical institution terminal device 20, and the medical institution terminal device 20 displays an authentication failure screen on the display device.

  In step S <b> 70, the prescription management apparatus 10 further determines whether or not these insurance prescriptions for issuing insurance prescriptions are not issued twice. This is because a patient may go to a plurality of medical institutions at the same time to obtain the same type of insurance prescription and obtain a medicine based on the insurance prescription. Specifically, the prescription management apparatus 10 identifies identification data that identifies whether or not a medicine prescribed by an insurance prescription that is one of the attributes of the class prescription content 103 of the database shown in FIG. It is determined whether the management flag is false indicating non-delivery. Then, the prescription management apparatus 10 proceeds to step S72 when the drug delivery management flag is true within the predetermined period during which the medicine delivery management flag is valid or ignores the non-delivery, and when it is false when the medicine delivery management flag is not delivered, in step S73. The data of the insurance prescription duplication issue warning display is transmitted to the medical institution terminal device 20, and the medical institution terminal device 20 displays the insurance prescription duplication issuance warning display on the display device.

  When the insurance prescription to be issued is not a duplicate issue, the prescription management device 10 transmits screen data for inputting prescription contents to the medical institution terminal device 20 in step S72, and the medical institution terminal device 20 displays the display device. A screen for inputting the medicine, usage, usage, dosage, etc., to be written on the insurance prescription is displayed.

  Here, the medical staff uses the operating device of the medical institution terminal device 20 to input the class prescription content of the database shown in FIG. 3 and information related to the prescription content, and the attribute information of the class medicine 108 associated therewith. .

  Specifically, the medical staff inputs a prescription number, a drug prescription date, and an effective number of days for the insurance prescription as prescription identification data for uniquely identifying the insurance prescription regarding the class prescription content 103. Since the medicine delivery date is an input field of the insurance pharmacist, it is left unfilled. Further, the medicine delivery management flag, which is identification data for identifying whether or not the medicine prescribed by the insurance prescription has been delivered, remains at the initial value, that is, false indicating undelivered. Also, for class drug 108, enter the name, manufacturer, product number, and number of days of usage to identify each drug listed in the insurance prescription, and the initial value of the identification data indicating whether the drug has been delivered In addition, the presence / absence of an alternative drug is set in order to notify the insurance pharmacist of the existence of the alternative drug. Then, the medical institution terminal device 20 transmits information related to the prescription contents input by the medical staff to the prescription management device 10.

  For example, when an insurance pharmacist dispenses, for example, an out-of-stock drug is described in the insurance prescription, and when using an alternative drug for an out-of-stock drug, the insurance pharmacist uses the pharmacy terminal device 30. May be set to true. Thereby, the medical staff can know what drug is actually prescribed by accessing the database.

  In step S74, the prescription management apparatus 10 performs a check operation such as a medicine swallow, and in step S75, the medical staff determines whether or not the medicine swallow described in the insurance prescription is good. The prescription management apparatus 10 proceeds to step S76 when there is no problem with drinking, and proceeds to step S77 when there is a problem, and transmits screen data of warning display such as drinking to the medical institution terminal apparatus 20, The medical institution terminal device 20 displays a warning display screen such as drinking on the display device. In step S78, the medical institution terminal device 20 determines whether the medical staff has pressed the re-input button using the operation device of the medical institution terminal device 20, and performs the re-input operation. Is displayed on the prescription management apparatus 10, and a screen for inputting the medicine, usage, usage, dosage, etc., to be written on the insurance prescription is displayed on the display device. Further, the medical institution terminal device 20 transmits data for ignoring the warning to the prescription management apparatus 10 when the medical staff performs an operation of ignoring the warning such as drinking.

  When the input button to the IC card 40 and the database is pressed on the operating device of the medical institution terminal device 20, the medical institution terminal device 20 records the class prescription content 103 in the IC card 40 with a card reader / writer in step S76. That is, register. In step S79, the medical institution terminal device 20 determines whether or not the registration to the IC card 40 has been successful. If the registration is successful, the medical institution terminal device 20 proceeds to step S80. If unsuccessful, the medical institution terminal device 20 proceeds to step S81 and displays a registration failure warning display. To do.

  When the registration to the IC card 40 is successful, the medical institution terminal device 20 transmits a registration request to the database to the prescription management device 10, and the prescription management device 10 is transmitted from the medical institution terminal device 20 in step S80. The contents are registered in the database shown in FIG. Thus, the attributes of the class prescription content 103, the class medical institution 104, the class doctor 105, and the class medicine 108 are registered in the database shown in FIG. 3 with respect to the issued insurance prescription. In step S82, the prescription management apparatus 10 determines whether or not the registration in the database has been successful. When the registration is successful, the process returns to step S65 and proceeds to step S84. When registration fails, in step S83, the database registration error screen data is transmitted to the medical institution terminal device 20, and the medical institution terminal device 20 displays this on the display device.

  In step S84, the prescription management apparatus 10 starts a period calculation to measure the expiration date of the issued insurance prescription. Specifically, the prescription management apparatus 10 measures the number of days from the drug prescription date of the class prescription 103. In step S85, the prescription management apparatus 10 determines whether or not the number of effective days has elapsed from the prescription date of the medicine for the time limit stored as one of the attributes of the class prescription content 103. This is to prevent a drug from being delivered to a patient for an old insurance prescription for which a considerable period has elapsed since the insurance prescription was issued. When the expiration date has been reached, the prescription management apparatus 10 proceeds to step S86, and updates the identification data of the expiration date of the class prescription 103 from false indicating the expiration date to true indicating the expiration date. Moreover, the prescription management apparatus 10 repeats step S84, when the expiration date has not passed.

  According to the above procedure, when an insurance prescription issued by a medical institution doctor or the like is registered in the IC card 40 or database, a check for duplicate issuance is performed. Can be prevented. In addition, when prescribing a patient, a doctor or the like can also check for drinking and can make a prescription without error.

  Thus, a patient who has received an examination at a medical institution and received an IC card 40 that is also used as an examination ticket and / or insurance card, goes to an insurance pharmacy to receive a medicine according to the insurance prescription. And in the insurance pharmacy which delivers the medicine according to an insurance prescription, when delivering a medicine to a patient, the following processes are performed using the pharmacy terminal device 30. FIG. 8 is an activity diagram showing a procedure until the insurance pharmacy issues a drug to a patient.

  When the pharmacy terminal device 30 accesses the prescription management apparatus 10 in the reception standby state, the insurance pharmacy login screen data is transmitted to the pharmacy terminal device 30. In step S91, the pharmacy terminal device 30 is configured by a CRT or LCD. The login screen is displayed on the display device. When the login screen is displayed, an insurance pharmacy person, for example, an insurance pharmacist, inputs a user name and a password using an operation device such as a keyboard and a mouse of the pharmacy terminal device 30. In step S92, the pharmacy terminal device 30 determines whether or not an operation for transmitting the input user name and password has been performed, and ends the process when the transmission operation has not been performed. Further, the pharmacy terminal device 30 transmits this data to the prescription management device 10 when the input operation of the input user name and password is performed.

  When the prescription management apparatus 10 receives the user name and password data transmitted from the pharmacy terminal apparatus 30, the prescription management apparatus 10 authenticates the accessed pharmacy personnel in step S93. In step S94, the prescription management apparatus 10 determines whether authentication of the accessed pharmacy person is successful or unsuccessful. If successful, the process proceeds to step S95. If unsuccessful, the prescription management apparatus 10 displays warning display data indicating that authentication has failed in step S96. It transmits with respect to the pharmacy terminal device 30, and the pharmacy terminal device 30 displays an authentication failure screen on a display apparatus.

  When the pharmacy-related person authentication is successful, the prescription management apparatus 10 transmits screen data for inputting patient information brought to the insurance pharmacy to the pharmacy terminal apparatus 30 in step S95, and the pharmacy terminal apparatus 30 Displays a screen for inputting patient information for issuing an insurance prescription on the display device. A pharmacy person, for example, attaches the patient's IC card 40 to a card reader / writer connected to the pharmacy terminal device 30, and the pharmacy terminal device 30 reads the attribute information of the class patient 101 stored in the IC card 40. . The attribute information of the class pharmacy 106 and the class pharmacist 107 associated with the class prescription content 103 is the insurance pharmacy information and pharmacist registered in other databases when the pharmacy related person is authenticated in steps S91 to S94. Although it is automatically input based on the information, in this step, a pharmacy person may input it himself.

  In step S97, the pharmacy terminal device 30 determines whether the input operation of the patient information is performed. When the transmission operation is performed, the pharmacy terminal device 30 reads the patient information read from the IC card 40 to the prescription management device 10. Send. Moreover, the pharmacy terminal device 30 returns to step S91, when transmission operation is not performed.

  When receiving the patient information data transmitted from the pharmacy terminal device 30, the prescription management apparatus 10 performs a patient authentication operation in step S98. Specifically, the prescription management apparatus 10 specifies patient information using patient database information transmitted from the pharmacy terminal apparatus 30 using the contents of the class patient 101 in the database, and the patient information and prescription transmitted from the pharmacy terminal apparatus 30. It is determined whether the number or the like matches the content of the class patient 101 registered in the database. In step S99, the prescription management apparatus 10 determines whether the authentication of the patient who intends to receive the medicine based on the insurance prescription is successful or unsuccessful. If successful, the process proceeds to step S100, and if unsuccessful, the authentication is performed in step S101. Failure warning display data is transmitted to the pharmacy terminal device 30, and the pharmacy terminal device 30 displays an authentication failure screen on the display device.

  Further, in step S100, the prescription management apparatus 10 refers to the identification data indicating whether the class prescription content 103 of the database shown in FIG. 3 has expired, and when this identification data is false indicating that it is within the deadline, The process proceeds to S102, and if true indicating an expiration, the process proceeds to step S103. When the insurance prescription has expired, in step S103, the prescription management apparatus 10 transmits warning display data indicating that the insurance prescription has expired to the pharmacy terminal apparatus 30, and the pharmacy terminal apparatus 30 displays an expired screen on the display apparatus. indicate. Thereby, it can prevent that a chemical | medical agent is delivered with respect to a patient with respect to an old insurance prescription.

  When the insurance prescription is within the time limit, the prescription management apparatus 10 determines whether or not the class medicine 108 is associated with the class prescription content 103 in step S102, and when the class medicine 108 is associated with the prescription medicine, the process proceeds to step S104. If the class medicine 108 is not associated and there is no prescription medicine, the process proceeds to step S105. In step S105, the prescription management apparatus 10 transmits warning display data indicating that no medicine is issued to the pharmacy terminal apparatus 30, and the pharmacy terminal apparatus 30 displays a warning screen indicating that no medicine is issued on the display device.

  In step S104, the prescription management apparatus 10 transmits screen data for displaying medicines, uses, usages, dosages, and the like described in the insurance prescription to the pharmacy terminal apparatus 30, and the pharmacy terminal apparatus 30 displays the display apparatus. A screen for displaying the medicine, usage, usage, dosage, etc., to be written on the insurance prescription is displayed. Specifically, the prescription management apparatus 10 displays the attribute information of the class prescription content 103, the class medicine 108, the class alternative medicine 109, and the like in the database on the display device of the pharmacy terminal device 30. Here, the insurance pharmacist actually prescribes the medicine described in the insurance prescription. Then, the identification data indicating whether or not the medicine class 108 of the medicine to be delivered has been delivered is changed from false that has not been delivered to true that has been delivered. At the same time, the medicine delivery date of the class prescription content 103 is input.

  In step S106, the pharmacy terminal device 30 determines whether or not the out-of-stock button displayed on the display device is pressed. When the out-of-stock button is not pressed, the process proceeds to step S107, and the out-of-stock button is pressed. Time, go to Step S108. When the out-of-stock button is pressed, the pharmacy terminal device 30 transmits data indicating that there is no medicine in stock to the prescription management apparatus 10, and the prescription management apparatus 10 receives this, and in step S108, the alternative medicine is selected. When there is, the content of the class alternative medicine 109 is transmitted to the pharmacy terminal device 30, and the pharmacy terminal apparatus 30 displays the alternative medicine on the display device. The pharmacy related person determines whether or not the alternative medicine is in stock on the display device. In step S109, the pharmacy terminal device 30 determines whether or not the alternative medicine out-of-stock button displayed on the display device has been pressed. If YES, the process ends. If not, the process proceeds to step S107. In addition, when delivering the alternative medicine, the identification data indicating whether or not the class alternative medicine 109 has been delivered is changed from false that has not been delivered to true that has already been delivered.

  When the medicine delivery completion button displayed on the operation device of the pharmacy terminal device 30 is pressed by a pharmacy person who has all the medicines described in the insurance prescription, the pharmacy terminal device 30 moves to the pharmacy terminal device 30 in step S107. The contents of the IC card 40 attached to the connected card reader / writer are updated. Specifically, the pharmacy terminal device 30 rewrites the identification data as to whether or not the medicine has been delivered as the medicine delivery management flag in the class prescription content 103 of the IC card 40 to true that has been delivered, and automatically inputs the medicine delivery date, for example. . In step S110, the pharmacy terminal device 30 determines whether or not the registration to the IC card 40 has been successful. If successful, the pharmacy terminal device 30 proceeds to step S111. If unsuccessful, the pharmacy terminal device 30 proceeds to step S112 and displays a registration failure warning. .

  When the registration to the IC card 40 is successful, the pharmacy terminal device 30 calculates a fee for the medicine to be delivered in step S111. In step S113, when the prescription management apparatus 10 receives the drug delivery completion data from the pharmacy terminal device 30, the prescription management apparatus 10 registers in the database that the medicine based on the insurance prescription has been delivered. Specifically, the prescription management apparatus 10 rewrites identification data as to whether or not a drug has been delivered as a medicine delivery management flag of the class prescription content 103 to true that has been delivered, and automatically inputs a medicine delivery date, for example. In step S114, the prescription management apparatus 10 determines whether or not the registration in the database is successful. If the registration is successful, the process proceeds to step S115. If the registration is unsuccessful, the screen data of the database registration error is obtained in step S116. It transmits to the pharmacy terminal device 30, and the pharmacy terminal device 30 displays this on a display device.

  In step S115, the prescription management apparatus 10 notifies the medical staff terminal device 20 that a medicine based on the insurance prescription has been issued. Thereby, the medical staff who issued the insurance prescription can confirm whether the patient has received the insurance prescription issued by himself / herself, and then the patient is further accessed by accessing the database with the medical institution terminal device 20. You can know detailed information such as the date and time when the drug was delivered, the pharmacy, the drug that was actually delivered.

  In the prescription management system as described above, when a drug is delivered to a patient at an insurance pharmacy, a notification is transmitted from the prescription management device 10 to the medical institution terminal device 20, so that a medical person can receive an insurance prescription. It can be confirmed whether the issuing patient has actually received the prescribed medicine. Further, the medical staff can know the type of medicine actually in the patient's hand by accessing the database shown in FIG. 3 of the prescription management apparatus 10. Further, in this system, the medical institution terminal device 20 can set an expiration date for the insurance prescription to be issued, and since this expiration date is stored in the database and the IC card 40, an old insurance prescription can be added. It is possible to prevent the described drug from being delivered to the patient. Furthermore, in the pharmacy terminal device 30, when a medicine based on the insurance prescription is delivered to the patient, the fact that the medicine based on the insurance prescription has been delivered is recorded in the database or the IC card 40. It is possible to prevent a plurality of medicines from being delivered to the insurance prescription. In the above example, the case where the attribute information of the class patient 101 and the attribute information of the class prescription content 103 is stored in the IC card 40 has been described. However, the IC card 40 further includes information on the class medicine 108 and the class 109. May also be stored, in which case the database can be made lighter.

  Furthermore, in the present invention, the delivery location of the medicine based on the insurance prescription is not limited to the insurance pharmacy. That is, according to the present invention, a device installed at a drug delivery location can access the prescription management device 10 to confirm a drug to be delivered, and can also check an alternative drug. Drugs can also be delivered at other locations.

It is a figure explaining the prescription management system to which this invention is applied. It is a figure explaining the structure of the prescription management system to which this invention is applied. It is a class diagram explaining the structure of the database of a prescription management apparatus. It is an activity figure explaining the procedure until a medical institution issues a prescription. It is an activity figure which shows the procedure until an insurance pharmacy delivers a medicine to a patient. It is a figure explaining the structure of the prescription management system used as the other example of this invention. It is an activity figure explaining the procedure until a medical institution issues a prescription. It is an activity figure which shows the procedure until an insurance pharmacy delivers a medicine to a patient. It is a figure explaining the conventional prescription management system.

Explanation of symbols

1 prescription management device, 20 medical institution terminal device, 30 pharmacy terminal device

Claims (7)

An issuer management means for managing issuer data including issuer identification data for identifying an issuer issuing a prescription;
Prescription data including prescription identification data for identifying the prescription is managed in association with the issuer identification data, and whether or not a medicine based on the prescription has been delivered for each prescription data identified by the prescription identification data A prescription management means for storing a drug delivery management flag;
An issuer management means for managing issuer data including issuer identification data for identifying an issuer who issues a medicine based on the prescription;
Communication means for communicating with the information processing terminal of the issuer of the prescription and communicating with the information processing terminal of the issuer for delivering the medicine based on the prescription,
When the communication means receives the drug delivery data associated with the prescription identification data of the prescription transmitted from the information processing terminal of the issuer, the communication means rewrites the medicine delivery management flag of the prescription management means to be delivered and the communication A prescription management system comprising: control means for sending notification data for notifying that the medicine based on the prescription has been delivered from the means to the information processing terminal of the issuer. The prescription data of the prescription management means further includes expiration date data of the prescription,
When the access from the information processing terminal of the issuer has passed the time limit indicated by the expiration date data of the prescription management means, the control means sends the information to the information processing terminal of the issuer from the communication means. 2. The prescription management system according to claim 1, wherein a delivery warning or prohibition data is returned. Providing and managing issuer data including issuer identification data identifying the issuer issuing the prescription;
Prescription data including prescription identification data for identifying the prescription is assigned and managed in association with the issuer identification data, and whether or not there is a medicine based on the prescription for each prescription data identified by the prescription identification data Storing a drug delivery management flag to be managed;
Assigning and managing issuer data including issuer identification data for identifying an issuer who delivers a medicine based on the prescription; and
Receiving drug delivery data associated with the prescription identification data of the prescription transmitted from the information processing terminal of the issuer;
When receiving the drug delivery request data, the step of rewriting the drug delivery management flag as delivered,
A prescription management method comprising: sending notification data for notifying that the medicine based on the prescription has been delivered to the information processing terminal of the issuer. The prescription data further includes expiration date data of the prescription,
A step of returning a delivery warning or prohibited data to the information processing terminal of the issuer when access from the information processing terminal of the issuer has passed the expiration date indicated by the expiration date data of the prescription The prescription management method according to claim 3. An IC card that is detachable with respect to an issuer that issues a prescription and an information processing device that issues a medicine based on the prescription, and that has a storage element therein,
An IC card in which prescription data including prescription identification data for identifying a prescription issued by the issuer is stored in the storage element. The prescription data further includes a drug delivery management flag for managing whether or not a medicine has been delivered based on the prescription,
The IC card according to claim 5, wherein the medicine delivery management flag is rewritten to be delivered by the information processing apparatus of the issuer. The IC card according to claim 6, wherein the prescription data further includes expiration date data of the issued prescription.

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