JP2021069914A - Preparation support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a dispensing support system capable of improving work efficiency of dispensing work. SOLUTION: A dispensing support system 1 having a plurality of powder packaging means 3 and 4 capable of executing a packaging process of packaging and discharging powders one by one based on prescription data is constructed. When powdered medicine is prescribed, the dispensing support system 1 shall execute the packaging process by one of the plurality of powdered dispensing means 3 and 4. Then, before the execution of the packaging process, a sorting operation for determining the powder packaging means 3 and 4 to execute the packaging process is executed, and the sorting operation is performed before the packaging process distributed by this sorting operation is executed. Executes the first output operation that outputs the information indicating the result of the above in a state in which the user can confirm it. [Selection diagram] Fig. 1

Description

The present invention relates to a dispensing support system for providing a drug to a patient in a medical facility such as a hospital, a clinic, or a dispensing pharmacy, and particularly, a dispensing support system capable of suitably supporting a drug providing operation in a large-scale hospital. Is.

Conventionally, when a drug is provided to a patient in a medical facility, a doctor consults and issues a prescription, and dispensing work is performed based on the issued prescription. In detail, there are in-hospital prescriptions in which the drug is directly provided at the medical facility where the medical examination was received, and out-of-hospital prescription in which the drug is provided at the medical facility outside the medical facility where the medical examination was performed (dispensing pharmacy outside the hospital, etc.) In-hospital prescriptions may be used in relatively large hospitals. In this case, the pharmacy department (pharmaceutical section) in the hospital performs dispensing operations including preparation (weighing, mixing, packaging, etc.), inspection, and provision of drugs.

As a system for supporting such a dispensing business, there is a powder dispensing business support system disclosed in Patent Document 1 filed in the past by the applicant (hereinafter, also simply referred to as a dispensing support system). The dispensing support system of Patent Document 1 is configured to include a powder packaging machine (hereinafter, also referred to as a fully automatic powder packaging machine) capable of almost completely automating the packaging operation of dividing and packaging powders into individual doses. ing. Then, in this dispensing support system, a package executed by using a fully automatic dispensing packager, a package executed by combining a fully automatic powder packaging machine and another dispensing device, and another dispensing device are used. It is possible to carry out sachets.

Here, the fully automatic powder packaging machine moves the drug container from the internal container storage device to the powder discharge location, takes out the powder contained in the drug container, weighs the powder, and dispenses one powder. It is possible to automatically execute a series of processes consisting of the work of dividing into individual pieces and individually wrapping them.
For this reason, the burden on the dispenser can be reduced in the packaging performed only by the fully automatic powder packaging machine, as compared with the packaging using other dispensing devices.

Therefore, in the dispensing support system of Patent Document 1 described above, the dispensing performed only by the fully automatic powder dispensing machine is preferentially performed.
Specifically, when the control device receives the prescription data, the control device transmits the data to the fully automatic powder packaging machine. Then, the fully automatic powder packaging machine executes a determination operation for determining whether or not the prescription included in the prescription data can be processed by itself. As a result of this discrimination operation, if processing can be performed only by the fully automatic powder packaging machine, the packaging is executed by the fully automatic powder packaging machine as it is. On the other hand, if the processing cannot be performed only by the fully automatic powder packaging machine, the data is retransmitted from the fully automatic powder packaging machine to the control device, and the control device transmits the data to another dispensing device. Then, either the packaging executed by combining the other dispensing device and the fully automatic powder packaging machine or the packaging executed by using the other dispensing device is executed.
Further, Patent Document 1 discloses that the control device may execute the discrimination operation executed by the fully automatic powder packaging machine described above.

Japanese Unexamined Patent Publication No. 2016-130972

As mentioned above, the fully automatic powder packaging machine has been well received in the market because the burden on the dispenser is small. For this reason, introduction is strongly desired especially in medical facilities such as the pharmacy department of a large hospital where it is necessary to process a large amount of prescriptions one after another.

When a large hospital introduces a fully automatic powder packaging machine, it has a large number of fully automatic powder packaging machines and a conventional packaging machine, and one packaging machine selected from a large number of packaging machines is used. In many cases, a large-scale dispensing business support system is constructed by using it to execute packaging.

When actually operating such a dispensing business support system, when it is decided which packing machine the drug corresponding to each prescription data is to be packaged, the dispensing person decides which dispensing device (minutes) belongs to the system. I was looking around (packing machines, weighing devices, etc.). Then, the dispensing equipment to which the packaging process is assigned is identified, and the individually packaged powder is received from the fully automatic powder packaging machine, and the powder to be put into the conventional powder packaging machine is weighed by the weighing device. I was going.
Here, unlike a small-scale dispensing business support system, when a large-scale dispensing business support system is constructed, many packaging machines and other dispensing equipment are arranged on a large site, so the dispensing person can use the dispensing equipment. The time and effort of looking around was a lot of work.

Therefore, there has been a demand for a dispensing business support system that outputs the contents in a state in which the dispensing person can visually recognize the contents when it is decided which dispensing device to use for packaging.

By the way, the present inventors have considered a configuration in such a dispensing business support system in which the packaging process can be distributed to a plurality of dispensing devices by a control device or the like, and then the packaging process can be transferred as needed. It was.
Specifically, in a dispensing business support system having a first packaging machine and a second packaging machine, the packaging process of a drug based on a predetermined prescription (hereinafter referred to as the first packaging process) is the first component. Suppose you decide to do it using a packaging machine. At this time, if a large number of packaging processes are accumulated in the first packaging machine without being processed, it takes time until the first packaging process is executed by the first packaging machine. Therefore, in such a case, it is possible to speed up the packaging work of the entire system by canceling the execution of the first packaging process on the first packaging machine and executing it on the second packaging machine. it can.

However, in the case of a configuration capable of such an operation, it may take time to determine which dispensing device is used for packaging. That is, the transfer of the packaging process may be performed once or a plurality of times, and in such a case, it takes time to completely determine the dispensing device used for the packaging.
For this reason, if the dispensing device to be used in the packaging is determined and then the contents are output so that the dispensing person can see it, there is a problem that the initial action when the dispensing person goes to the dispensing device is delayed. It ends up.

From the above, there has been a demand for a dispensing business support system that can more appropriately support the dispensing business of a dispensing person and further improve the efficiency of the dispensing business.

Therefore, an object of the present invention is to provide a dispensing support system capable of improving the work efficiency of dispensing operations.

One aspect of the present invention for solving the above problems is to have a plurality of powder packaging means capable of performing a packaging process in which powders are packaged and discharged one by one based on prescription data, and the powder prescribes the powder. When this is done, the packaging process is executed by the powder packaging means of one of the plurality of powder packaging means, and the sorting operation is executed to perform the packaging process. Before the packaging process assigned to the powder packaging means and assigned in the distribution operation is executed, information indicating the result of the distribution operation is output in a state in which the user can confirm it. It is a dispensing support system that executes the first output operation.

In the dispensing support system of this aspect, after the packaging process is sorted by the sorting operation, the information indicating the result is output by the first output operation before the distribution processing is executed. That is, the first output operation is executed as soon as possible regardless of whether or not the packaging process is actually executed by the powdered powder packaging means to which the allocation destination is assigned. From this, it is possible to promptly provide the dispenser with information that can be used as a guide for the work place of the dispensing work, so that the dispenser should quickly rush to the vicinity of the powder dispensing means (dispensing device) where the dispensing process is scheduled to be executed. Is possible.

In the dispensing support system of the above aspect, at least one of the plurality of powder packaging means has a transfer function of transferring the packaging process assigned to itself to the other powder packaging means after executing the distribution operation. The sorting operation is an operation of permanently or temporarily determining the powdered dispensing means for executing the packaging process, and determines the sorting operation when the packaging process is transferred. It is particularly preferable to have a configuration in which the above can be switched.

Further, the preferred aspect described above is that the second output operation is executed after the execution of the first output operation, and the second output operation is assigned to one of the powder packaging means in the distribution operation. The user can confirm the information that identifies the powder packaging means that actually performed the packaging process, provided that the packaging process is executed by any of the powder packaging means and the execution is completed. It is more preferable that the operation is to output in a state of being.

In this more preferable aspect, in the second output operation, it is more preferable to output information regarding the transfer history when the transfer of the packaging process is performed after the distribution operation.

According to these configurations, the pharmacist who performs the inspection work can accurately grasp the contents of the drug preparation work (weighing, mixing, packaging, etc.) actually performed, which is preferable.

In the preferred aspect described above, in the first output operation and the second output operation, it is more preferable to output information regarding the distribution of the packaging process together with the information necessary for the inspection of the prescribed drug.

According to this configuration, when a dispenser who performs preparation work or a pharmacist who performs inspection work different from the dispenser performs work while checking the output contents, the prescription to be worked and other prescriptions are selected. It is hard to make a mistake and is preferable. It is also possible to perform inspection work while checking the output content of the first output operation.

In the above aspect, at least one of the powder packaging means is an automatic powder packaging machine, and at least the other one of the powder packaging means is composed of a separate drug weighing device and a powder packaging machine, respectively. The automatic powder packaging machine is a manual powder packaging means, and the automatic powder packaging machine has a container storage unit for storing a plurality of drug containers containing powder, a distribution tray, and a powder packaging device, and is described above. The powder is discharged while being weighed from the drug container stored in the container storage unit, and the discharged powder is directly or temporarily stored in another container, then charged into the distribution dish from another container, and then discharged from the distribution dish. It is possible to automatically execute the operation of putting powdered medicine into the powdered powder packaging device one by one and individually packaging the powder, the drug weighing device weighs the target drug, and the powdered drug packaging machine has been introduced. The weighed powder is packaged and discharged one by one, and in the sorting operation, it is preferable to preferentially assign the packaging process to the automatic powder packaging machine rather than the manual powder packaging means.

According to this configuration, the dispensing process is preferentially assigned to the automatic powder dispensing machine, which places less burden on the dispensing person, so that the work efficiency of the dispensing business can be improved.

In the above-mentioned preferable aspect, in the sorting operation, it is more preferable to assign the packaging process based on the information of the powder contained in the drug container stored in the container storage unit at the time of executing the sorting operation.

According to such a configuration, even if the powder powder stored in the automatic powder packaging machine is appropriately changed, an appropriate sorting operation can be performed, which is preferable.

In the preferred aspect described above, it is more preferable that the automatic powder packaging machine has a transfer function of transferring the packaging process assigned to itself to another powder packaging means.

According to such a configuration, the allocation destination of the packaging process can be appropriately changed according to the processing status of the packaging process of the automatic powder packaging machine, so that the work efficiency of the dispensing business can be improved.

In the above aspect, it is preferable that the first output operation prints information indicating the result of the distribution operation on a paper medium and outputs the information, or outputs the information to the display screen of the external mobile terminal.

According to such a configuration, since the dispenser can carry around the medium or the device from which the information is output, the dispensing work is easy to perform, which is preferable.

The above-mentioned aspect is capable of a medicine bag manufacturing operation for manufacturing a medicine bag to which an identification display is added, and the identification display includes identification information capable of identifying a prescription corresponding to a powder contained in the medicine bag. The powder packaging means is provided with an information reading device capable of reading the identification display, and when the packaging process for the powder contained in the medicine bag is unprocessed, the identification display is displayed by the information reading device. Is read, the information regarding the prescription corresponding to the powdered drug contained in the medicine bag is specified, and the specified information is output to the display device in a state in which the user can confirm it, or is stored in the medicine bag. It is preferable that the execution of the sachet processing for the powdered drug is confirmed.

According to such a configuration, a plurality of packaging processes assigned to the powder packaging means remain unprocessed, and the powder packaging process to be contained in the medicine bag is specified and executed from the untreated packaging processes. At this time, by reading the identification display with the information reading device, it is possible to automatically identify the packaging process.
That is, unlike the case where the dispenser manually identifies the packaging process from the untreated packaging processing, it is possible to prevent the execution of the packaging process due to an operation error.

According to the present invention, the work efficiency of the dispensing business can be improved.

It is a block diagram which shows the dispensing support system which concerns on embodiment of this invention. It is a block diagram which shows the upper control device of FIG. It is explanatory drawing which shows the fully automatic powder packing machine of FIG. It is a perspective view which shows the drug feeder formed at the time of discharging a powder into a distribution dish inside the fully automatic powder packing machine of FIG. (A) is a block diagram showing a drug weighing device of FIG. 1, and (b) is a block diagram showing a powder packaging machine of FIG. It is a flowchart which shows the procedure of the distribution operation which the dispensing support system of FIG. 1 performs, and shows the procedure of the operation which is executed when there is a powder in a prescription. It is explanatory drawing which shows an example of the instruction sheet output by the instruction sheet output operation executed by the dispensing support system of FIG. It is explanatory drawing which shows typically an example of the medicine bag output by the medicine bag making operation executed by the dispensing support system of FIG. It is explanatory drawing which shows an example of the inspection screen displayed by the inspection screen output operation executed by the dispensing support system of FIG. It is explanatory drawing which shows typically the prescription waiting screen displayed by the fully automatic powder packing machine of FIG. 1, and shows the state which the information which shows the packing process which execution was confirmed is not displayed. It is explanatory drawing which shows typically the unprocessed list display screen displayed by the fully automatic powder packing machine of FIG. It is explanatory drawing which shows typically the content confirmation screen displayed by the fully automatic powder packing machine of FIG. It is explanatory drawing which shows typically the prescription waiting screen displayed by the fully automatic powder packing machine of FIG. 1, and shows the state which the information which shows the packing process which execution was confirmed is displayed. It is a block diagram which shows the dispensing support system which concerns on embodiment different from FIG. It is a block diagram which shows the ward information management system which can be used together with the above-mentioned dispensing support system. FIG. 5 is an explanatory diagram schematically explaining a ward information confirmation screen displayed by the list display device of FIG. 15.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings, but the present invention is not limited to these examples. Further, in the following description, the term "powder" includes a drug powdered by grinding a solid drug such as a tablet.

As shown in FIG. 1, the dispensing support system 1 of the present embodiment includes a higher-level control device 2 (control device) and a fully automatic powder dispensing machine 3 (powder packing means, automatic powder packing machine, drug dispensing means, first It is provided with one drug dispensing means), a manual powder dispensing means 4 (powder dispensing means, drug dispensing means, second drug dispensing means), and an automatic tablet dispensing machine 5 (drug dispensing means). The manual powder packing means 4 is composed of a drug weighing device 6 (powder weighing device) and a powder packing machine 7.
Then, the host control device 2, the fully automatic powder packaging machine 3, and the manual powder packaging means 4 are connected to each other via a local area network (LAN) or the like in a state in which data (signals) can be transmitted and received. Similarly, the host control device 2 and the tablet automatic packing machine 5 are also connected in a state in which telecommunications is possible, and are in a state in which data can be transmitted and received.

As shown in FIG. 2, the upper control device 2 includes a device main body 10, a display device 11 (control side display device) attached to the device main body 10, an input device 12, a printing device 13 (printing means), and the like. A medicine bag making device 14 is provided.

The apparatus main body 10 includes a calculation unit 15 such as a CPU, a storage unit 16, and a communication unit 17 such as an I / O port.

The calculation unit 15 is a part that generates various calculations and control signals by executing the program and data stored in the storage unit 16 while reading the programs and data based on various inputs.

The storage unit 16 includes a main storage device including a ROM for storing various programs and data, and a RAM for temporarily storing various programs and rewritably storing various data, and auxiliary storage as needed. The device is further provided and formed. As the auxiliary storage device, an HDD (Hard Disk Drive), an SSD (Solid State Drive), or the like can be adopted.
The storage unit 16 of the present embodiment stores programs and data for executing various operations including a distribution operation described later.

As such data (information), specifically, information on powder powder stored in each drug container 30 (see FIG. 3) held in the container storage unit 31 of the fully automatic powder powder packaging machine 3 (hereinafter, referred to as (Also called powder storage information) is stored. This powder storage information includes information on the type of powder stored and information on the amount.
Further, it is information about tablets, and information about tablets (hereinafter, also referred to as tablet storage information) stored in the tablet cassette (described in detail later) of the automatic tablet packing machine 5 and stored in the automatic tablet packing machine 5 is stored. Has been done. This tablet storage information includes information on the type of tablets stored and information on shape, number and weight. The information regarding the shape may be information regarding the size of the divided tablets (ratio of the size to one tablet) such as half tablets and quarter tablets.

Further, as for the powder storage information, when the powder (drug container) stored in the container storage unit 31 of the fully automatic powder packaging machine 3 is changed, the host control device 2 receives the signal transmitted from the fully automatic powder packaging machine 3. Then, the information update process is executed.
In addition, the storage unit 16 stores information on the prescription transmitted from the external PC 20 as prescription data.

The communication unit 17 has an interface that enables bidirectional communication with an external device by wire or wireless. Further, the communication unit 17 is connected to the calculation unit 15 via a transmission line such as a bus.
That is, the host control device 2 is operated by the communication unit 17 by each dispensing device belonging to the dispensing support system 1 (fully automatic powder packing machine 3, manual powder packing means 4, tablet automatic packing machine 5, etc.) and a doctor. It is possible to send and receive signals to and from the external PC 20.

The display device 11 is a device that displays the contents of various processes executed by the dispensing support system 1, the status of each dispensing device, and the like, and specifically, is a display device such as a liquid crystal or an organic EL.
The input device 12 is a device used when the user operates the upper control device 2, and specifically, a mouse and a keyboard.

The printing device 13 is a printer, which can print predetermined information on a paper medium and output it.
The medicine bag manufacturing device 14 is a medicine bag printer, and can manufacture a medicine bag by producing a bag from bag paper, printing predetermined information on the produced bag, and outputting the information. In this embodiment, in addition to the normal medicine bag, it is possible to output a plurality of types of medicine bags such as a medicine bag with a gusset and a transparent medicine bag. By selecting the size of each medicine bag, the output of medicine bags having different sizes can be output. Is possible.

As shown in FIG. 3, the fully automatic powder packaging machine 3 is configured such that each device is built in the housing 25, and is roughly classified into a drug shelf area 26, a drug division area 27, and a drug. It is divided into packaging areas 28.

The drug shelf region 26 is provided with a container storage section 31 for installing the drug container 30. The container storage unit 31 has a vertical drum member 31a that can rotate in the circumferential direction, and a plurality of container installation units 31b are provided on the outer peripheral surface of the drum member 31a.
For convenience of drawing, in FIG. 3, only a part of the drug container 30 and the container installation portion 31b is designated with a reference, and the reference to the other parts is omitted.

The plurality of drug containers 30 stored inside the fully automatic powder packaging machine 3 can individually store the powder. The fully automatic powder packaging machine 3 of the present embodiment stores a plurality of types of powders as a whole, and stores a plurality of different types of powders in one or a plurality (2 to 3) drug containers 30, respectively. ing. Specifically, among the plurality of types of powders, the powders that are frequently provided are stored in a plurality of drug containers 30, and the powders that are rarely provided are stored in one drug container 30. Therefore, even if the frequently provided powders contained in one drug container 30 are used up, the same packaging operation can be performed by using the same powder contained in another drug container 30.

A container moving means 34 is provided in the region from the medicine shelf region 26 to the medicine division region 27. The container moving means 34 is a robot.

The drug division region 27 is an region in which the powder distribution device 37 is built. The powder distribution device 37 is provided with two distribution dishes 38, a plurality of container placing devices 39 installed around the distribution dishes 38, and a scraping device 40, respectively. The configuration is not limited to the configuration in which a plurality (two) of the distribution plates 38 are provided as in the present embodiment, and the fully automatic powder packaging machine 3 may be miniaturized by using one distribution plate 38.
Further, the drug division region 27 is provided with a drug introduction port (not shown) for supplying powdered drug one packet at a time to the drug packaging region 28.

A drug packaging device 45 (powder packaging device) is built in the drug packaging area 28. The drug packaging device 45 is a machine for packaging powdered medicine in doses, and is composed of a packaging sheet supply device and a sealing device (detailed illustration is omitted).

The fully automatic powder packaging machine 3 is provided with a control unit (automatic machine control unit, not shown) inside. This control unit controls various operations executed by the fully automatic powder packing machine 3, and similarly to the above-mentioned upper control device 2 (see FIG. 2), the CPU, the main storage device, the auxiliary storage device, and the I / О A calculation unit, a storage unit, and a communication unit are formed by ports and the like.
The fully automatic powder packaging machine 3 can transmit and receive signals to and from the host control device 2 and the manual powder packaging means 4 (drug weighing device 6, powder packaging machine 7) by the communication unit (see FIG. 1). ).

Further, the fully automatic powder packaging machine 3 includes an operation display unit 50 (display device) as shown in FIG. The operation display unit 50 is a touch panel, and also serves as a display device (automatic machine side display device) and an input device (automatic machine side input device).

Further, the fully automatic powder packaging machine 3 includes an information reading device (not shown).
This information reading device is constructed by a recognition device such as a scanner or a camera and a program for acquiring information, and the information to be read by the recognition device is input to the control unit (automatic machine control unit), and the control unit receives the information. Information can be obtained by executing the program. Specifically, it is a two-dimensional code reader capable of acquiring information from the two-dimensional code 92 of the medicine bag 90 (which is an identification display and will be described in detail later, see FIG. 8).

Subsequently, the operations that can be performed by the fully automatic powder packaging machine 3 will be described.

The fully automatic powder packaging machine 3 can execute an automatic packaging operation in which packaging is performed using the built-in drug container 30. The automatic packaging operation is an operation of moving the container (medicine container 30) containing the powder from the storage place to the place where the powder is taken out, an operation of measuring and taking out the powder from the container, and an operation of taking out the powder for one dose at a time. It is an operation that automatically executes a series of operations including the operation of dividing and packaging.

Specifically, when the automatic packaging operation is started, the container moving means 34 takes out the drug container 30 from the container storage unit 31, moves the drug container 30 onto the container mounting device 39, and moves the drug container 30. It is placed on the container mounting device 39. That is, the container moving means 34 can hold the drug container 30 at the tip of the arm and move the drug container 30 as it is.

The drug container 30 is placed on the container loading device 39 and combined to form the drug feeder 55 (see FIG. 4). That is, the drug feeder 55 is composed of a drug container 30 and a container mounting device 39, which are separate separable members. Then, the fully automatic powder packaging machine 3 of the present embodiment uses the drug feeder 55 to charge the powder into the distribution dish 38.

That is, with the drug feeder 55 formed, the vibrating means 56 of the container mounting device 39 is energized with a current of a constant frequency to generate vibration and vibrate the shaking table 57. Further, before and after the start of vibration, the distribution plate 38 is rotated, and the weight of the drug container 30 is measured by a weight measuring means (not shown) of the container mounting device 39.

When the shaking table 57 starts to vibrate, the drug container 30 vibrates, and the powder powder stored inside the drug container 30 moves toward the drug discharge section 58 and reaches the drug discharge section 58 of the drug container 30. It is put into the groove of the distribution dish 38 located on the lower side of the drug discharging section 58.
The drug discharge section 58 is composed of an opening that communicates the inside and outside of the drug container 30 and a lid portion that can be opened and closed. The lid portion of the drug discharge portion 58 is a portion that is opened and closed by the container moving means 34, and is opened when it is installed in the container mounting device 39 and closed when it is removed from the container mounting device 39.

The current weight (current weight g) of the drug container 30 continues to be monitored by the weight measuring means of the container mounting device 39 while the powder is falling from the drug discharge section 58 onto the distribution pan 38. Then, by comparing the original weight G, which is the weight of the drug container 30 immediately after installation on the shaking table 57, with the current weight g, the drop amount H of the powder (the value obtained by subtracting the current weight g from the original weight G) is obtained. Always calculate and get.
Then, the vibration of the shaking table 57 is stopped at the timing when the falling amount H of the powder becomes a desired weight. After that, the drug container 30 is returned to the container storage unit 31 by the container moving means 34.

When a plurality of powders are prescribed and these are mixed and packaged, the above-mentioned operation is performed for the plurality of drug containers 30. In this case, a plurality of drug containers 30 are placed on separate container mounting devices 39, and powdered medicine is charged into the distribution dish 38 from each drug container 30. In the present embodiment, powder can be simultaneously charged from three drug containers 30 into one distribution dish 38. When the number of powders to be mixed exceeds the number of usable container mounting devices 39, the discharge of the powders is completed in any of the drug containers 30, and the operation of returning the drug container 30 to the container storage unit 31 is executed. After that, another drug container 30 is placed on the empty container placing device 39 to discharge the powder.
When all the powders to be mixed are put into the distribution plate 38, a part of the scraping device 40 is put in the groove of the distribution plate 38, and the distribution plate 38 is rotated by a predetermined angle to scrape the device. A certain amount of powder is collected around 40, scraped from the distribution dish 38, and introduced into the drug packaging area 28. Then, the drug packaging device 45 wraps each dose.

As shown in FIG. 5A, the drug weighing device 6 includes a weighing device main body 60, a weighing side reading device 61 and a printing device 62 attached to the weighing device main body 60.

The weighing device main body 60 includes a weighing side control unit 65, a balance unit 66, a weighing side operation display unit 67, an information reading means 68, and a USB port 69.

The weighing side control unit 65 is a control unit that controls various operations executed by the drug weighing device 6, and similarly to the above-mentioned upper control device 2 (see FIG. 2), the CPU, the main storage device, the auxiliary storage device, and I. A calculation unit, a storage unit, and a communication unit are formed by a / О port or the like. Then, the storage unit stores the weighing-related data that is not changed and the program that operates the drug weighing device 6.

The balance unit 66 is formed to include a balance table, a balance circuit, a force coil, and the like, similar to those used in known electronic balances. That is, it is a weighing means capable of weighing the drug placed on the balance table by placing the drug on the weighing container with the weighing container (not shown) placed on the balance table.

The weighing side operation display unit 67 is a touch panel, and also serves as a display device (weighing side display device) and an input device (weighing side input device).
The information reading means 68 is a reader / writer capable of reading and writing information to an information storage medium (RFID tag or IC tag) provided in a weighing container (not shown) or the like.
The USB port 69 is a portion to which a USB memory functioning as a storage medium can be attached and detached. That is, in the drug weighing device 6, data related to the drug handled in the dispensing business can be read from the USB memory.

The weighing side reading device 61 is an information reading device that reads information from a code (code or code, for example, a bar code) attached to a medicine bottle, a prescription, or the like, and is the information of the fully automatic powder packaging machine 3 described above. Like the reading device, it is built by a recognition device and a program for acquiring information. That is, the information to be read that has been acquired by the recognition device is input to the weighing side control unit 65, and the weighing side control unit 65 acquires the information by executing the program.
Specifically, it is a barcode reader that can obtain a JAN code (or RSS) from the barcode attached to the medicine bottle, and can read information from the barcode attached to the prescription or the like. ..

The printing device 62 is a printer capable of printing various information on a paper medium and outputting the information.

As shown in FIG. 5B, the powder packaging machine 7 includes a packaging machine side control unit 73, a packaging machine side operation display unit 74, a powder dispensing device 75, a drug packaging device 76, and a supply hopper 77. , Has information reading means 78. Since the powder distribution device 75, the drug packaging device 76, and the information reading means 78 are substantially the same as the powder distribution device 37, the drug packaging device 45, and the information reading means 68 described above, overlapping detailed description will be omitted.

The packing machine side control unit 73 is a control unit that controls various operations executed by the powder packing machine 7, and is a CPU, a main storage device, an auxiliary storage device, as in the above-mentioned upper control device 2 (see FIG. 2). A calculation unit, a storage unit, and a communication unit are formed by an I / О port or the like.

The packaging machine side operation display unit 74 is a touch panel, and also serves as a display device (packaging machine side display device) and an input device (packaging machine side input device).

The supply hopper 77 is a portion serving as an inlet for charging the weighed powder into the powder distribution device 75.

As described above, in the dispensing support system 1 of the present embodiment, the manual powder dispensing means 4 is configured by the drug weighing device 6 and the powder packaging machine 7. When dispensing by the manual powder dispensing means 4, the dispenser (user) places the powder on a weighing container (not shown), weighs it with the drug weighing device 6, and then places the weighed powder. The weighing container is moved to the powder packing machine 7, and the powder is charged into the powder packing machine 7. As a result, the charged powder is divided and packaged by the powder packaging machine 7 for each dose (one packet at a time).

The automatic tablet packing machine 5 has a plurality of tablet cassettes (not shown) in which tablets are individually stored. Then, a plurality of types of tablets are housed in one or a plurality of tablet cassettes for each type, and the apparatus as a whole stores a plurality of types of tablets. For this reason, the automatic tablet packaging machine 5 can execute an automatic tablet packaging operation in which tablets are automatically dispensed from one or a plurality of tablet cassettes based on prescription data and packaged in a medicine package for each dose. Is.
The tablets contained in this tablet cassette include divided tablets, such as half tablets and quarter tablets, in which one tablet is partially omitted, and capsule tablets.

In addition, the automatic tablet packing machine 5 manually arranges one or more tablets in a hand-spreading unit (a tray-shaped part having a grid-like partition wall) and wraps each dose in a medicine package. The packaging operation can also be executed.

The tablet automatic packing machine 5 also has a control unit (tablet side control unit), and like the control unit of the other dispensing device described above, the CPU, the main storage device, the auxiliary storage device, and the I / О port. A calculation unit, a storage unit, a communication unit, etc. are formed by the above.

Subsequently, the operation of the dispensing support system 1 will be described.

After the medical examination, the doctor inputs information (data) about the prescription to the external PC 20 and executes a predetermined operation, and the electronic medical record program introduced into the external PC 20 creates the prescription data from the input information. Then, the prescription data created in the upper control device 2 is transmitted from the external PC 20.

The prescription data is data created based on the input information on the prescription, and is data including information on the content of the prescription necessary for the dispensing business and information for identifying and managing the prescription itself.

The information on the contents of the prescription includes information on the patient such as the patient's name, patient ID, age, gender, height, weight, and body surface area. In addition, there is information on prescribed drugs such as drug name, drug ID, YJ code, GS1 code, dose, dosage, dosage, and period of use (dose start date, dosing end date, dosing period). In addition, information about medical facilities such as the name, location, department (clinic department, etc.) of medical facilities (hospitals and clinics), information that identifies buildings (ward name, etc.), the name of the doctor in charge, the name of the pharmacist in charge, etc. There is information about healthcare professionals.
In addition, the information for identifying and managing the prescription includes a prescription number, an Rp number (receipt number), a date of issue of the prescription, and the like.
That is, the prescription data is data including necessary information among these pieces of information.

The information included in the prescription data may be information about the prescription directly input by the doctor, information acquired by the program, or information created by the program based on such information. For example, information on the patient's age is created (calculated) from the directly input information indicating the patient's date of birth and the information indicating the current date acquired by the program, and added to the prescription data. Further, the information included in the prescription data may be information such as a control number (prescription number or Rp number) that the program appropriately creates and adds without referring to the input information of the user.

Subsequently, after receiving the prescription data, the host control device 2 executes a sorting operation of determining (selecting) a dispensing device to be used for dispensing each drug in the prescription.
In this distribution operation, the information on the type of drug (drug type and dosage form) in the prescription data and the information on various dispensing devices belonging to the dispensing support system 1 (for example, the above-mentioned powder storage information and tablet storage information) are used to obtain the drug. Determine the dispensing equipment to perform the dispensing process (payout process). The drug dispensing process referred to here includes a packaging process in which the drug is divided into individual doses and packaged.

Specifically, in the distribution operation, a prescription analysis operation for analyzing prescription data is executed, and the dosage form of one or a plurality of prescribed drugs is specified. That is, for one or more drugs in the same prescription, it is determined whether each is a tablet, a powder, or another type of drug (for example, a liquid drug). Furthermore, in the prescription analysis operation, if there are powders or tablets in the prescription, whether or not to package (pack) multiple drugs in one bag at each time of administration, and if so, which drug should be packaged. A discrimination operation for discriminating the packaging form, such as whether to package the product, is also performed.
Then, the following processing is executed for each dosage form specified in the prescription analysis operation.

[If the prescribed drug has tablets]
If there are one or more tablets in the formulation, the target packaging process is assigned to the automatic tablet packaging machine 5. Then, among the above-mentioned operations of the automatic tablet packaging machine 5 (automatic tablet packaging operation, manual tablet packaging operation), a determination operation for determining which operation is to execute the packaging process (hereinafter, tablet side sorting operation). ) Is executed. That is, the tablet-side sorting operation is an operation of determining whether the automatic tablet packaging machine 5 automatically executes the packaging process or the automatic tablet packaging machine 5 is used to manually execute the packaging process.
Specifically, based on the prescription data and the above-mentioned tablet storage information, is it possible to package (separate) one or more types of tablets packaged in one package in the prescription by the automatic tablet packaging operation? Determine if not. As a result, if the packaging process can be executed by the automatic tablet packaging operation, the automatic tablet packaging operation is executed. On the other hand, when the packaging process cannot be packaged by the automatic tablet packaging operation, it is determined to manually execute the packaging process using the automatic tablet packaging machine 5.

The tablet-side sorting operation executed after the packaging process is assigned to the automatic tablet packaging machine 5 may be executed by the host control device 2 or the tablet automatic packaging machine 5. For example, when the tablet is executed by the automatic tablet packing machine 5, the tablet storage information is stored in the storage unit of the automatic tablet packing machine 5, the higher control device 2 assigns the packing process to the automatic tablet packing machine 5, and then the upper control device. Prescription data may be transmitted from 2 to the automatic tablet packing machine 5.

[If the prescribed drug has powder]
If there is one or more powders in the prescription, as shown in FIG. 6, the packaging process for each packaging unit (one or more types of powders packaged in one bag) is a fully automatic powder packaging machine 3 It is determined whether or not it can be executed by the automatic packaging operation of (step S1). That is, based on the prescription data and the powder storage information described above, it is determined whether or not all the powders packaged in one package in the prescription are stored in the fully automatic powder packaging machine 3.

As a result of this discrimination operation, when the automatic packaging operation of the fully automatic powder packaging machine 3 can be used for packaging (Yes in step S1), the packaging process is assigned to the fully automatic powder packaging machine 3 (step S2). That is, it is determined that this packaging process is performed using the fully automatic powder packaging machine 3.
On the other hand, if packaging cannot be performed by the automatic packaging operation of the fully automatic powder packaging machine 3 (Nо in step S1), the target packaging process is assigned to the manual powder packaging means 4 (step S3). That is, it is determined that this packaging process is performed using the manual powder packaging means 4. As described above, in the present embodiment, the packaging process is preferentially assigned to the fully automatic powder packaging machine 3 over the manual powder packaging means 4.

When the dispensing process of each drug in the prescription is assigned to each dispensing device by the above sorting operation, the dispensing support system 1 outputs an instruction sheet 83 (see FIG. 7) from the printing device 13 of the host control device 2. Execute the instruction sheet output operation (first output operation).
In the dispensing support system 1 of the present embodiment, the instruction sheet output operation is automatically executed immediately after the distribution operation is completed. The term "immediately after" as used herein means a short period of time in which the instruction sheet output operation is substantially continuously executed in succession with the distribution operation, and is specifically within 30 seconds. For this reason, the instruction sheet output operation corresponding to this distribution operation is executed before the packaging process assigned in the distribution operation is executed by the dispensing device at the allocation destination.

As shown in FIG. 7, the instruction sheet 83 is roughly divided into upper side, information indicating whether or not it is a new patient (whether it is a first-visit patient or a second-visit patient), a ward name, and information on a patient who has been prescribed a drug. , The date of administration, the name of the department in charge, the name of the doctor in charge, the date and time of the order (date of issuance of the prescription), and the order Nо (prescription number) are listed. In addition, a code or code (specifically, a barcode) for reading the contents of the prescription with an information reader (specifically, a barcode reader) of the dispensing device is described. The code described on the instruction sheet 83 is not limited to a one-dimensional code such as a bar code, and may be any code corresponding to an information reading device of a dispensing device, and may be, for example, a two-dimensional code.

Further, on the lower side of the instruction sheet 83, information on the prescribed drug and information indicating the result of the sorting operation are described. That is, in the "form" item on the lower side of the instruction sheet 83, the "star" mark indicates powder and the "circle" mark indicates tablets. In the "hand / machine / self" item, "manual", "machine", and "automatic" are "manual powder packing means 4", "tablet automatic packing machine 5", and "fully automatic powder packing machine", respectively. It shows that the packaging process was assigned to "3". In this way, the information regarding the sorting operation may be displayed by one or a combination of one or a plurality of characters, numbers, symbols, figures, patterns or other symbols (hereinafter, also simply referred to as characters or the like). That is, the information regarding the distribution operation may be output in a state in which the user can confirm (visually recognize) the content of the information.

In the example described in this instruction sheet 83, four drugs, "AAAAA drug", "BBBBBB drug", "CCCCC drug", and "DDDDD drug", are prescribed to one patient (test inpatient 1). There is. In the following description, each of these four drugs is simply referred to as "A drug", "B drug", "C drug", and "D drug".
“Chemical A” and “Chemical B” are chemicals determined to be packaged by the fully automatic powder packaging machine 3 in the sorting operation. That is, all of them are powdered medicines, which are packaged in one bag at the same time of administration, and all of them are determined to be stored in the container storage unit 31 of the fully automatic powdered medicine packing machine 3. ..

“C drug” is a drug determined to be packaged by the tablet automatic packing machine 5 in the sorting operation. That is, it is a tablet, and it is determined that one type of tablet is packaged in one bag for each dose.
Further, "D drug" is a drug determined to be packaged by the manual powder packaging means 4 in the sorting operation. That is, it is a powder, in which one type of powder is packaged in one bag for each dose, and it is determined that the powder is not stored in the container storage unit 31 of the fully automatic powder packaging machine 3. is there.

That is, the instruction sheet 83 is a portable one in which, in addition to the information described in the normal prescription, the information necessary for management and the information indicating the result of the sorting operation are printed in a state in which the user can see them. is there.
From this, the dispensing person (user) can determine which dispensing device should be used in order to efficiently carry out the dispensing work from now on by checking the instruction sheet 83. For example, in the above example, "A chemical", "B chemical", and "C chemical" are automatically packaged, so that the manual powder packaging means 4 (drug weighing device 6) is first installed. Head to the place and carry out the work to wrap "D chemicals". After that, receive the "D chemical" packaged in the powder packaging machine 7, head to the installation location of the fully automatic powder packaging machine 3 and the installation location of the tablet automatic packaging machine 5, and go to the "A chemical" and "B" at each location. "Chemicals" and "C chemicals" are received, and so on.

Further, as in the instruction sheet 83 of the present embodiment, not only the information indicating the result of the distribution operation but also the information described in the prescription and the information necessary for management are output in a state where they can be confirmed at a glance. Then, there is an advantage that human error is unlikely to occur when the dispenser performs the dispensing work. That is, since the dispenser can work while checking the contents of the prescription, it is possible to suppress the occurrence of mistakes caused by insufficient confirmation of the contents of the prescription, for example, receiving the wrong drug from the automatic packing machine.

The instruction sheet 83 of the present embodiment outputs information necessary for the final inspection (inspection work) of dispensing. Specifically, among the above-mentioned information, the name of the doctor in charge, information on the patient (name, gender, age, etc.) and information on the drug (drug name, dosage form, dosage / dose, administration period, etc.) correspond to this. That is, it is information necessary for determining whether there are any omissions or mistakes in the items described in the prescription, and whether the prescription content is appropriate for the patient.

Further, the dispensing support system 1 executes a dispensing information transmission operation of transmitting information necessary for the dispensing process to the dispensing device to which the dispensing device of each drug in the prescription is assigned after executing the sorting operation. To do.
For example, in the above-mentioned example, information for executing the packaging process for packaging "A chemical" and "B chemical" is transmitted to the fully automatic powder packaging machine 3, and "C chemical" is transmitted to the automatic tablet packaging machine 5. Send information to perform the packaging process. Further, information for executing the packaging process for packaging the "D chemical" is transmitted to the drug weighing device 6 and the powder packaging machine 7.

Further, the dispensing support system 1 executes a medicine bag making operation for outputting one or a plurality of medicine bags from the medicine bag making device 14 of the upper control device 2 after executing the sorting operation. The medicine bag contains the medicine to be provided when the medicine is provided to the patient.

As shown in FIG. 8, the output medicine bag 90 has an information printing unit 91 and a two-dimensional code 92 on a part of the side surface. The information printing unit 91 is a portion in which information on a patient who is mainly provided with a drug and information on a drug to be accommodated are printed, as in the case of a conventional medicine bag.
The two-dimensional code 92 is a code (code or code) printed on the medicine bag 90, and is a code including information for specifying the prescription of the medicine to be contained. In the present embodiment, the information for specifying the prescription of the drug to be contained is the prescription number and the Rp number, but other information may be used as long as the prescription can be specified.

Further, the above-mentioned instruction sheet output operation, payout information transmission operation, and medicine bag making operation may be executed in any order, or may be executed in parallel. The medicine bag making operation may not be performed when the medicine bag is not required for providing the medicine, for example, when the medicine is provided to the inpatient.

After the payout information transmission operation is executed, the fully automatic powder packing machine 3 is assigned by the sorting operation unless the transfer operation described later is executed or an unexpected problem occurs in the fully automatic powder packing machine 3. The processes are automatically executed in order. Then, on condition that the execution of the packaging process is completed by the fully automatic powder packaging machine 3, the fully automatic powder packaging machine 3 executes the completion information transmission operation (details will be described later).

Further, after the execution of the payout information transmission operation, the tablet automatic packaging machine 5 executes the packaging process by either the automatic tablet packaging operation or the manual tablet packaging operation described above. Then, on condition that the execution of the packaging process is completed by the automatic tablet packaging machine 5, the automatic tablet packaging machine 5 executes the completion information transmission operation (details will be described later).

The manual powder packaging means 4 can execute the assigned packaging process by receiving the signal transmitted in the payout information transmission operation.
Specifically, the dispenser performs an operation of designating the powder to be packaged in the assigned packaging process and reads a barcode of the medicine bottle or the like before the start of weighing by the drug weighing device 6. .. This confirms whether the powder you are trying to weigh is the correct one prescribed. Then, when the weighing is completed by the drug weighing device 6, the drug weighing device 6 associates the information regarding the weighing result with the received information regarding the packaging process and transmits the information to the powder packaging machine 7. As a result, when the dispenser intends to dispense the powder into the supply hopper 77 of the powder packaging machine 7, it is determined whether or not the powder to be dispensed is according to the correctly weighed prescription.
That is, in the manual powder packaging means 4, the drug weighing device 6 and the powder packaging machine 7 execute various operations based on the information transmitted in the payout information transmission operation. Then, in the manual powder packaging means 4, the powder packaging machine 7 executes a completion information transmission operation (details will be described later) on condition that the packaging process assigned by the powder packaging machine 7 is completed.

Here, in the fully automatic powder packaging machine 3, the user determines on the operation display unit 50 after receiving the information transmitted in the payout information transmission operation and before starting the execution of the packaging process assigned in the distribution operation. By executing the operation, the transfer operation can be executed.

The transfer operation executed by the fully automatic powder packaging machine 3 is an operation of switching (changing) the allocation destination of the packaging process determined by the distribution operation, and manually assigns the allocation destination of the packaging process assigned to itself. This is an operation of switching to the packaging means 4. That is, the fully automatic powder packaging machine 3 has a transfer function of transferring the packaging process assigned to itself to another dispensing device.

Therefore, the determination of the allocation destination by the above-mentioned distribution operation is a decision that may be switched in the future, and if there is no switching, the determination of the allocation destination by the distribution operation is a permanent decision. On the other hand, when there is a switch, the determination of the allocation destination by the distribution operation is a temporary decision.
For this reason, the above-mentioned instruction sheet output operation is an operation of printing (outputting) information that may be switched (changed) in the future.

When the transfer operation is executed, the target packaging process is deleted from the unprocessed packaging processes stored in the fully automatic powder packaging machine 3. Then, the fully automatic powder packaging machine 3 transmits information necessary for executing the target packaging process to the drug weighing device 6 and the powder packaging machine 7. That is, information including the same contents as the information transmitted in the payout information transmission operation is transmitted. At this time, information indicating that the allocation destination has been switched (the transfer operation has been executed) may be added to the transmitted information.

Then, as described above, in each dispensing device belonging to the dispensing support system 1, when the packaging process assigned to each is completed, the completion information transmission operation is executed. The completion information transmission operation is an operation of transmitting predetermined information including information indicating that the packaging process assigned in the distribution operation or the transfer operation is completed to the host control device 2.
For example, in the above example, the fully automatic powder packaging machine 3 transmits information indicating that the packaging of "A chemical" and "B chemical" is completed. Similarly, information indicating that the packaging of "D chemical" has been completed from each of the manual powder packaging means 4 (powder packaging machine 7) and the automatic tablet packaging machine 5 to the upper control device 2 and "C chemical" Information indicating that the packaging has been completed is sent.

Here, the host control device 2 is in a state in which the inspection screen output operation (second output operation) can be executed after the above-mentioned distribution operation is executed. This inspection screen output operation is an operation of outputting the inspection screen 95 (see FIG. 9) to the display device 11 of the upper control device 2 by executing a predetermined operation on the upper control device 2. This inspection screen 95 is a screen used in the final inspection of dispensing (final confirmation work performed by a pharmacist different from the dispensing person who performed the preparation work), and information necessary for the final inspection is displayed.

On the inspection screen 95, as shown in FIG. 9, the information excluding the “hand / machine / self” item (information indicating the result of the sorting operation) among the various information described in the above-mentioned instruction sheet 83 is in tabular form. Is displayed. Further, on the inspection screen 95, in addition to this, a transfer status confirmation area 96, a transfer history display area 97, and a dispensing status confirmation area 98 are displayed.

The transfer status confirmation area 96 is an area for displaying information indicating whether or not the transfer of the packaging process (in this embodiment, the transfer operation of the fully automatic powder packaging machine 3) has been executed by any of the dispensing devices. When the transfer is made, "Automatic dispensing change" is displayed as shown in FIG. On the other hand, if the transfer is not made, "No automatic dispensing change" is displayed.

It should be noted that "with automatic dispensing change" and "without automatic dispensing change" may be configured to display only one of them. For example, if the transfer is made, "automatic dispensing change is present" is displayed, and if not, nothing is displayed (information regarding the presence / absence of the transfer is not displayed). That is, in the transfer status confirmation area 96, characters or the like may be output so that the user can confirm the presence or absence of the transfer, at least one of the cases where the transfer is performed and the case where the transfer is not performed.

The transfer history display area 97 is an area corresponding to the item of “drug powder” on the inspection screen 95 of FIG. That is, when the transfer operation is executed, the transfer history (change record) and the dispensing device that finally executed the packaging process (actually executing the packaging process) are displayed, and the transfer operation is executed. If not, this is the area where the dispensing equipment assigned in the sorting operation (which actually executed the packaging process) is displayed.
When there is a transfer, specifically, before and after the switch (before and after the change), information indicating (identifying) the dispensing device to which the allocation destination is assigned at each time point is displayed in characters or the like.
On the inspection screen 95 of the present embodiment, information on the transfer history is displayed by characters and arrows. That is, "automatic" and "manual" indicate "fully automatic powder packaging machine 3" and "manual powder packaging means 4", respectively, and the "arrow" indicates the direction of the dispensing device before and after switching. It shows if there is. That is, in the example shown in FIG. 9, after the packaging processing of "A chemical" and "B chemical" is assigned to the fully automatic powder packaging machine 3 in the sorting operation, the transferring operation is executed by the fully automatic powder packaging machine 3. , It is shown that the allocation destination has been switched to the manual powder packaging means 4.
Further, when the transfer operation is not executed, the result of the distribution operation is displayed as it is, indicating that there is no transfer history. In the example shown in FIG. 9, it is shown that the packaging process of “D chemical” was assigned to the manual powder packaging means 4 in the sorting operation and executed as it was.

In the present embodiment, when the transfer operation is executed by the fully automatic powder packing machine 3, the information indicating that the transfer operation is executed from the fully automatic powder packing machine 3 to the upper control device 2 (hereinafter, (Also called transfer execution information) is being sent. The operation of displaying information in the transfer status confirmation area 96 and the transfer history display area 97 is executed based on the transfer execution information. That is, in the present embodiment, the dispensing device (fully automatic powder packing machine 3) that executes the transfer operation transmits the transfer execution information to the host control device 2 each time the transfer operation is executed.

The dispensing status confirmation area 98 is an area in which information indicating whether or not all the packaging processing (dispensing) of the drugs in the same prescription is completed is displayed in characters or the like. That is, the host control device 2 determines whether or not all the dispensing processes (dispensing) of the drugs in the same prescription have been completed based on the signal transmitted in the completion information transmission operation of each dispensing device. Is running. Then, as a result of the completion determination operation, "dispensing completed" is displayed when all the packaging processing is completed, and "dispensing not completed" is displayed when not.
As with the display of the transfer status confirmation area 96 described above, the display of the dispensing status confirmation area 98 also provides information indicating completion or incompleteness at least one of the states in which all the packaging processing has not been completed. Characters and the like should be output so that can be confirmed.

Then, in the state where it is displayed in the dispensing status confirmation area 98 that all the packaging treatments of the drugs in the same prescription have been completed, the final inspection of the dispensing using the inspection screen 95 is performed, and after the final inspection is completed, the drugs are subjected to the final inspection. The dispensing work is completed by providing the patient with.

By the way, in the fully automatic powder packaging machine 3, a user executes a predetermined operation in a state in which a plurality of packaging processes are assigned and the execution of each packaging process is not started (unprocessed state). , The specified unprocessed packaging process can be the next package processing to be executed.
Specifically, the prescription standby screen 100 (see FIG. 10) is displayed on the operation display unit 50 of the fully automatic powder packaging machine 3, and the area where the unprocessed list button 103 of the prescription standby screen 100 is displayed is displayed. When pressed, the unprocessed list display screen 105 (see FIG. 11) is displayed.

On the unprocessed list display screen 105, unprocessed packaging processing is displayed in a list in the list display area 106. Specifically, on the left side of the list display area 106, patient names corresponding to each of the unprocessed sachets are displayed in a list. Then, when the area in which one patient name, which is one element of the list, is displayed is pressed, one unprocessed packaging process is selected, and the selected unprocessed package process is displayed on the right side of the list display area 106. A list of powders to be packaged in the packaging process is displayed.

For example, in the example shown in FIG. 11, three patient names consisting of two "Taro Yuyama" and one "test inpatient 1" are displayed as elements of the list displayed on the left side, and each patient name is displayed. The displayed three areas can be pressed. That is, two of the packaging treatments for powders prescribed for "Taro Yuyama" are untreated, and one of the packaging treatments for powders prescribed for "test inpatient 1" is untreated. It has become.
Then, by pressing the area where "test inpatient 1" is displayed, one untreated packaging process is specified, and "A drug" and "B" to be packaged in the specified untreated packaging process. "Chemicals" are listed on the right.

When one unprocessed packaging process is selected on the unprocessed list display screen 105 and the area where the prescription expansion button 107 is displayed is pressed, the content confirmation screen 110 (see FIG. 12) is displayed. It becomes. The content confirmation screen 110 is a screen in which the user (dispenser) performs final confirmation before executing the packaging process, and is a screen on which information indicating the content of the selected unprocessed packaging process is displayed. When the area where the issue button 111 is displayed is pressed on the content confirmation screen 110, it is confirmed that the selected unprocessed packaging process is to be executed next.

Further, when the issue button 111 is pressed on the content confirmation screen 110, information indicating the next packaging process to be executed is displayed on the prescription standby screen 100 as shown in FIG.

In the present embodiment, the unprocessed packaging process described above is selected by performing an operation of reading the two-dimensional code 92 of the drug bag 90 using an information reader (not shown) of the fully automatic powder packaging machine 3. Unprocessed packaging can be automatically selected without any operation.

That is, when the two-dimensional code 92 is read by the information reading device in the state where the prescription waiting screen 100 is displayed (the state shown in FIG. 10), it is read from the two-dimensional code 92 in the code display area 104 (see FIG. 10). Information (for example, control number, etc.) is displayed. Then, after that, the content confirmation screen 110 (see FIG. 12) is automatically displayed.
That is, the higher control device 2 automatically identifies the unprocessed packaging process for packaging the powdered drug contained in the medicine bag 90 based on the information read from the two-dimensional code 92. Then, the specified packaging process is automatically selected as the packaging process to be executed next, and the content confirmation screen 110 is displayed. Then, in the same manner as described above, by pressing the area where the issue button 111 is displayed while the content confirmation screen 110 is displayed, the selected unprocessed packaging process is executed next. Is confirmed. Then, as shown in FIG. 13, information indicating the next packaging process to be executed is displayed on the prescription waiting screen 100.

After reading the two-dimensional code 92, the content confirmation screen 110 does not necessarily have to be displayed. That is, the unprocessed packaging process specified by reading the two-dimensional code 92 may be automatically determined as the next packaging process to be executed.
In this case, similarly to the above, with the prescription standby screen 100 displayed (the state shown in FIG. 10), the two-dimensional code 92 of the medicine bag 90 is read using the information reading device of the fully automatic powder packaging machine 3. .. Then, an untreated packaging process for packaging the powder contained in the medicine bag 90 is specified, and the specified packaging process is automatically determined as the next packaging process to be executed. Therefore, the prescription standby screen 100 automatically displays the information read from the two-dimensional code 92 (for example, a control number or the like, if necessary, a multi-digit number with a branch number) in the code display area 104. Information indicating the next packaging process to be executed is displayed (see FIG. 13).

In the fully automatic powder packaging machine 3 of the above-described embodiment, the predetermined drug container 30 is taken out from the container storage unit 31 and moved, and the powder is discharged while being weighed from the moved drug container 30. However, the automatic powder packaging machine that can be used in the dispensing support system of the present invention is not limited to this.

The automatic powder packaging machine is a drug container for storing powder inside (hereinafter, also referred to as a powder storage container) and a drug container used for dispensing powder to a distribution plate (hereinafter, also referred to as a temporary powder storage container). May be different containers instead of the same container. In this case, the automatic powder packaging machine moves the powder storage container from the shelf (cassette shelf) for storing the powder storage container to the weighing device (weighing unit), and the weighing device transfers a predetermined amount based on the prescription data to the powder storage container. May be discharged into a temporary powder storage container. After that, the temporary powder storage container is moved from the weighing device, placed on the mounting unit (vibration device) associated with the distribution plate (disk), and the drug (powder) in the container contained in the temporary powder storage container. The operation of discharging all of the above to the distribution pan may be carried out.
That is, instead of the above-mentioned container mounting device 39 having the vibration means 56 and the weight measuring means, the vibration device and the weighing device may be provided separately. At that time, the operation of discharging (taking out) the powder from the drug container while weighing it and the operation of discharging the powder from the drug container to the distribution dish may not be performed at the same time, but may be performed separately at different locations. .. In other words, the powder may be directly poured from the storage drug container into the distribution dish, and the powder discharged from the storage drug container is temporarily stored in another container and then distributed from the other container. The powder may be added to the container.

In addition, the automatic powder packaging machine may be configured to discharge the powder from the powder storage container while holding the powder storage container in the container storage unit. In this case, the container storage unit (cassette shelf) has a plurality of stages (for example, three stages), and a space is formed under each stage. At this time, the drug container is arranged in a ring shape on the small shelves constituting each stage, and the weighing device (electronic balance) is arranged in the space under each stage (each small shelf). Further, the space under each stage shall be large enough to accommodate another container for dispensing (hereinafter, also referred to as a temporary powder storage container) in a state where the weighing device is arranged. Then, the robot moves the temporary powder storage container to the bottom of one small shelf and places it on the weighing device. On the other hand, one small shelf is rotated about the vertical axis to move a predetermined drug container above the weighing device. Then, by discharging the powder while weighing (weighing) from the predetermined drug container, the predetermined amount of powder based on the prescription data is discharged into the powder temporary storage container conveyed on the weighing device. .. After that, the temporary powder storage container is moved by a robot and placed on the mounting unit (vibration device) associated with the distribution plate (disk), and the drug (powder) in the container stored in the temporary powder storage container is placed. Discharge everything to the distribution pan.
That is, it is not always necessary to separate the powder storage container from the container storage unit and discharge the powder at a position away from the container storage unit. A mechanism for discharging powder may be provided in the container storage unit or the powder storage container itself, the powder may be discharged to the dispensing container in the vicinity of the powder storage container, and the powder may be charged from the dispensing container to the distribution dish.

In the above-described embodiment, the example in which the prescription data is created by the external PC 20 and the created prescription data is transmitted to the upper control device 2 has been described, but the information regarding the prescription input by the external PC 20 is transmitted to the upper control device 2. It may be transmitted and the prescription data may be created by the upper control device 2.

In the above-described embodiment, the fully automatic powder packaging machine 3 is configured to automatically execute the packaging processing assigned in the sorting operation in order, but the present invention is not limited to this.
The fully automatic powder packaging machine 3 does not automatically execute the packaging process assigned in the sorting operation, but executes a predetermined operation (a series of operations performed in order from the state in which the above-mentioned prescription standby screen 100 is displayed). Therefore, the packaging process may be executed. That is, after executing the sorting operation, the dispensing process may not be started unless the dispenser goes to the installation location of the fully automatic powder packing machine 3 and executes a predetermined operation.

In the above-described embodiment, an example in which the dispensing support system 1 is provided with a fully automatic powder packing machine 3, a manual powder packing means 4, and an automatic tablet packing machine 5 has been described, but the present invention is not limited to this. Absent. A plurality of these may be provided.
Therefore, the above-mentioned transfer operation is selected by selecting one of the plurality of manual powder packaging means 4 as the transfer destination by the dispenser performing a predetermined operation with the fully automatic powder packaging machine 3. The operation of switching the distribution destination to one manual powder dispensing means 4 may be used.

Further, in the case of a system provided with a plurality of fully automatic powder packing machines 3, the plurality of fully automatic powder packing machines 3 may have the same powder stored inside, and at least two fully automatic powder packing machines 3 are used internally. The powders stored in may be different. Here, "the powders stored inside are different" means that the powders stored in one of the two fully automatic powder packing machines 3 and the powders stored in the other are all different, and the powders stored in one of them are different. Includes a configuration in which only some of the powders stored on the other hand are the same.
Similarly, when a plurality of automatic tablet packing machines 5 are provided, the tablets stored inside by the plurality of automatic tablet packing machines 5 may be the same or different.

Then, in the sorting operation, a plurality of fully automatic powder packing machines 3 and a plurality of automatic tablet packing machines 5 that can be sorted are selected as the sorting destination. If a plurality of fully automatic powder packaging machines 3 or a plurality of automatic tablet packaging machines 5 can perform packaging processing, the allocation destination is based on the amount of stored drug and the number of untreated packaging processing. May be determined. That is, the one with a small number of untreated packaging treatments or the one with a large storage amount of the drug to be packaged in the packaging treatment may be selected as the allocation destination.
For example, both the first fully automatic powder packaging machine 3 and the second fully automatic powder packaging machine 3 can perform packaging processing, and when the sorting operation is executed, the first fully automatic powder packaging machine 3 is the second. It is assumed that the number of untreated packaging processes is larger than that of the fully automatic powder packaging machine 3 of the above. In this case, the second fully automatic powder packaging machine 3 is assigned as the allocation destination.
Further, in the case of packaging a plurality of powders in a separate packaging process, the above-mentioned "one with a large storage amount of a drug" may be a case where the total storage amount of the plurality of powders to be packaged is large, and the packaged plurality of powders There may be a large storage volume of one or more powders selected.

Further, when a configuration is provided in which at least one of a fully automatic dispensing machine 3, a manual powder packing means 4, and an automatic tablet packing machine 5 is provided, the instruction sheet output operation is performed from a plurality of dispensing devices including the same type of dispensing device. Identification information that uniquely identifies one dispensing device may be output. To explain by way of example, it is assumed that the system is equipped with two fully automatic powder packing machines 3, and the fully automatic powder packing machines 3 are the first machine and the second machine, respectively. In this case, in the above example, when the packaging process is assigned to the fully automatic powder packaging machine 3, "automatic" is output, but instead of this, "automatic 1" or "automatic 2" is output. ..
Similarly, in the inspection screen output operation, identification information that uniquely identifies the dispensing device to which the packaging process is assigned and the dispensing device that actually executed the packaging process (information that individually identifies each dispensing device). May be output.

In the above-mentioned instruction sheet output operation, an example of printing various information on a paper medium from the printing device 13 of the host control device 2 and outputting the information has been shown, but the present invention is not limited to this.
For example, the instruction sheet 83 may be output from a printing device of another device belonging to the dispensing support system 1 (for example, a printing device 62 of the drug weighing device 6), or may be output from a printing device such as a printer outside the system. May be good. Further, the operation is not limited to the operation of outputting on a paper medium, and may be displayed in a state where it can be visually recognized by, for example, an external mobile terminal (for example, a mobile phone or a tablet PC). Further, the same content as the information printed on the instruction sheet 83 may be output on the display device of another device belonging to the dispensing support system 1, but it is output in a portable state from the viewpoint of improving the efficiency of the dispensing work. It is desirable to do.

Similarly, the inspection screen output operation is not limited to the operation of visually outputting to the display device 11 of the host control device 2, but also the paper medium discharged from the device belonging to the dispensing support system 1 or the printing device outside the system. It may be output (printed) to an output medium. Further, it may be output to a display device of a device belonging to the dispensing support system 1 or a device outside the system (including a mobile terminal).

In the above embodiment, the example in which the two-dimensional code 92 is printed on the medicine bag 90 is shown, but the code to be printed on the medicine bag 90 may be, for example, a one-dimensional code such as a bar code. Any information can be obtained by reading the information with the information reading device of the fully automatic powder packaging machine 3.
Further, the two-dimensional code 92 may be printed directly on the medicine bag or may be output on a label or the like created separately from the medicine bag. That is, instead of the above-mentioned medicine bag manufacturing operation, the medicine bag and the label or the like to which the code is attached may be output respectively, and the label or the like may be attached to the medicine bag to prepare the medicine bag.

Further, in the above-described embodiment, the sorting operation is executed by the upper control device 2, but the present invention is not limited to this. For example, the sorting operation may be executed by another dispensing device belonging to the system such as the fully automatic powder packing machine 3. For example, information regarding the prescription may be transmitted from the external PC 20 to the fully automatic powder packaging machine 3, and the fully automatic powder packaging machine 3 may create prescription data, execute a distribution operation, and execute a payout information transmission operation. That is, a dispensing support system in which the dispensing device belonging to the system executes the operation executed by the above-mentioned upper control device 2 without providing the upper control device 2 can be considered.

Subsequently, a dispensing support system 301 different from the dispensing support system 1 of the above-described embodiment will be described in detail with reference to FIG. It should be noted that the same parts as those described in the above-mentioned dispensing support system 1 will be omitted in detail.

In the dispensing support system 301 of the present embodiment, in addition to the devices of the dispensing support system 1 described above, the PTP drug automatic assortment device 310 (first drug dispensing means) and the manual PTP drug assortment means 311 (second drug dispensing means) Means), a plurality of dispensing devices (pharmaceutical dispensing means) composed of an automatic liquid dispensing machine 312 and a manual liquid dispensing means 313. Then, these dispensing devices also transfer data to the upper control device 2 in the same manner as the other dispensing devices (fully automatic powder packing machine 3, manual powder packing means 4, tablet automatic packing machine 5) belonging to the system. It is connected in a state where it can send and receive.

The PTP drug automatic assortment device 310 is an apparatus that automatically executes a dispensing process (preparation process) of PTP-wrapped tablets (hereinafter, also referred to as PTP drugs) based on prescription data.
That is, the PTP drug automatic assortment device 310 has a plurality of PTP drug cassettes (not shown), and a plurality of types of PTP drugs are stored in one or a plurality of tablet cassettes for each type. ing. Then, based on the prescription data, a predetermined amount of PTP drug is taken out from one or a plurality of PTP drug cassettes, and the taken-out PTP drug is placed on a take-out tray (not shown) and discharged (automatic PTP drug). It is possible to execute the assortment operation). Further, the PTP drug automatic assortment device 310 includes a display device and an input device integrally or separately formed.

Specifically, the manual PTP drug assortment means 311 is a picking assisting device. That is, it is used when a dispenser picks a drug from a drug rack and manually dispenses (arranges) the drug, and reads and reads information about the drug from a code (bar code, etc.) attached to the drug rack or the like. It collates the prescribed drug with the prescribed drug.

The liquid agent automatic dispensing machine 312 is a device that automatically dispenses the liquid agent based on the prescription data.
That is, the liquid agent automatic dispensing machine 312 has a plurality of liquid agent original bottles (supply container, not shown) and a plurality of dosing bottles (providing container, not shown) inside. Then, each of the plurality of types of liquid preparations is stored in one or a plurality of liquid medicine original bottles. In addition, a plurality of types of dosing bottles of different sizes are housed inside in an empty state.
Then, the liquid agent automatic dispensing machine 312 takes out a predetermined amount of the liquid agent from the predetermined liquid agent original bottle based on the prescription data, pours the liquid agent into the medication bottle, and pays the medication bottle containing the liquid agent. It is possible to execute the operation (automatic liquid dispensing operation). In this automatic liquid medicine dispensing operation, a medication bottle to be used is selected according to the amount to be taken out, and the liquid medicine taken out is poured into the selected empty medication bottle.

The manual liquid medicine dispensing means 313 is a device mainly used for measuring liquid medicine, and has a main body device, an information reading means for drug collation, and a printing device (details are not shown). ..
The main unit has a liquid amount meter (not shown), and this liquid amount measuring device includes a liquid amount measuring device capable of measuring the amount of liquid by ultrasonic waves using a measuring container such as a graduated cylinder. It consists of at least one of the electronic balances. The information reading means is specifically a bar code reader, and the printing device is specifically a printer.

The PTP drug automatic assortment device 310, the manual PTP drug assortment means 311, the liquid agent automatic dispensing machine 312, and the manual liquid agent dispensing means 313 are the same as the above-mentioned dispensing device, the CPU, the main storage device, and the auxiliary storage. It has a calculation unit, a storage unit, and a communication unit formed by a device, an I / О port, and the like.

In the dispensing support system 1 of the above-described embodiment, either when there is a tablet that can be packaged by the tablet automatic packing machine 5 in the prescription or when there is powdered medicine, the dispensing process (dispensing process of the drug) is performed in the system. The sorting operation assigned to the dispensing device was executed.
On the other hand, in the distribution operation executed by the dispensing support system 301 of the present embodiment, in addition to this, even if there are a PTP drug and a liquid drug in the prescription, these dispensing processes are assigned to the dispensing device in the system.

[If the prescribed drug includes a PTP drug]
When there is one or more kinds of PTP drugs in the prescription, it is determined whether or not the number can be handled by the PTP drug automatic assortment device 310 (for example, 4 kinds or less).
Then, when the number of types is a corresponding number and all of them are PTP drugs that can be dispensed (arranged) by the PTP drug automatic assortment device 310, this dispensing process is assigned to the PTP drug automatic assortment device 310. .. On the contrary, when one or more drugs cannot be dispensed by the PTP drug automatic assortment device 310, the target dispensing process is assigned to the manual PTP drug assortment means 311.
When the number of types is larger than the number that can be handled, it is determined whether or not the PTP drug automatic assortment device 310 can pay out each drug that is less than or equal to the number that can be handled. Then, in the same manner as described above, when the PTP drug automatic assortment device 310 can be used for dispensing, the target dispensing process is assigned to the PTP drug automatic assortment device 310, and when it cannot be withdrawn, the manual PTP drug assortment device 310 Assign to means 311.

[If the prescribed drug contains a liquid solution]
In addition, if there is a liquid medicine in the prescription, it is determined whether or not the liquid medicine can be dispensed by the liquid medicine automatic dispensing machine 312, and if it is possible, the target dispensing treatment is automatically dispensed. Assign to the machine 312. On the other hand, when the dispensing treatment cannot be executed by the automatic liquid medicine dispensing machine 312, the target dispensing treatment is assigned to the manual liquid medicine dispensing means 313.

Then, in the same manner as described above, after executing the distribution operation, the payout information transmission operation of transmitting the information necessary for the dispensing process to the dispensing device to which the dispensing process is assigned is executed. In addition, the instruction sheet output operation and the medicine bag making operation are also carried out as appropriate.

That is, in the dispensing support system 1 of the above-described embodiment, when there is powder in the prescription, the manual drug dispensing means (manual powder dispensing means 4) and the automatic drug dispensing means (fully automatic powder packing machine 3 are automatic powder dispensing machines 3). Dispensing treatment (packaging treatment) is assigned to any of the packaging means). In addition to this, in this dispensing support system 301, even if there is a PTP drug or a liquid drug in the prescription, a dispensing process (preparation process, dispensing process) is performed on either the manual drug dispensing means or the automatic drug dispensing means. Assigned. In this case, as a matter of course, the manual drug dispensing means is the manual PTP drug assortment means 311 and the manual liquid agent dispensing means 313, and the automatic drug dispensing means is the PTP drug automatic assortment device 310 and the liquid agent automatic. It is a dispensing machine 312.
The automatic drug dispensing means uses drugs (powder, tablets, blister packs, liquid drugs, etc.) stored inside, weighs or counts the drugs to be dispensed, and delivers a predetermined amount or a predetermined number of drugs to the patient. It is a device (dispensing device and drug dispensing means) that automatically performs a series of operations of discharging in a provided form (a form housed in a medicine package or a container, or a form housed in a blister pack).
On the other hand, the manual drug dispensing means includes a work in which a dispenser manually takes out a container containing a drug from a medicine rack or the like, a work in which a drug is weighed (counted), and a manual or device (packaging device). One or more dispensing devices (drug dispensing means) used in any of the tasks in which the drug is used to provide the drug to the patient.

Then, in the case where the PTP drug is present in the prescription and the case where the liquid drug is present in the prescription, the dispensing process is preferentially assigned to the automatic dispensing means as described above.

Further, the PTP drug automatic assortment device 310 performs a predetermined operation after receiving the information transmitted in the payout information transmission operation and before starting the execution of the packaging process assigned in the distribution operation. So, the transfer operation can be executed.
The transfer operation executed by the PTP drug automatic assortment device 310 is an operation of switching the allocation destination of the dispensing process assigned to itself to the manual PTP drug assortment means 311 in the same manner as the transfer operation of the fully automatic powder packing machine 3 described above. Is.

Further, in the above-mentioned dispensing support system 301, the liquid agent automatic dispensing machine 312 may be capable of executing the transfer operation. That is, it may be possible to switch the allocation destination of the dispensing treatment assigned to itself to the manual liquid medicine dispensing means 313.
Further, in the above-described embodiment, the automatic tablet packaging machine 5 capable of performing both the automatic tablet packaging operation and the manual tablet packaging operation is adopted. However, instead of this, two dispensing devices including an automatic tablet packaging device capable of an automatic tablet packaging operation and a manual tablet packaging means capable of a manual tablet packaging operation may be adopted. Then, the automatic tablet packaging device may be capable of switching the allocation destination of the packaging process assigned to itself to the manual tablet packaging means.

From the above, the invention related to the present invention has a plurality of drug dispensing means capable of dispensing treatment for executing dispensing, assortment, or dispensing of drugs based on prescription data, and the plurality of drug dispensing means , The first drug dispensing means and the second drug dispensing means capable of dispensing the same drug form are included, and the drug capable of the dispensing treatment is prescribed by the first drug dispensing means and the second drug dispensing means. In this case, the dispensing process is executed by the drug dispensing means, which is one of the first drug dispensing means and the second drug dispensing means, and the dispensing operation is executed to execute the dispensing operation. The process is assigned to one drug dispensing means, and before the dispensing process assigned in one of the distribution operations is executed, information indicating the result of the distribution operation is output in a state in which the user can confirm it. It is a dispensing support system that executes the first output operation.
In the related invention, at least one of the plurality of the drug dispensing means has a transfer function of transferring the dispensing process assigned to itself to the other drug dispensing means after executing the sorting operation, and the sorting operation. Is an operation of permanently or temporarily determining the drug dispensing means for executing the dispensing process, and it is preferable that the determination of the distribution operation is switched when the dispensing process is transferred.
Further, a preferred embodiment of the related invention described above is that the second output operation is executed after the execution of the first output operation, and the second output operation is assigned to one drug dispensing means in the distribution operation. A state in which the user can confirm information that identifies the drug dispensing means that has actually performed the dispensing process, provided that the dispensing process is executed by any of the drug dispensing means and the execution is completed. It is more preferable that the operation is to output with.
In the second output operation, it is more preferable that the information regarding the transfer history is output when the dispensing process is transferred after the distribution operation.
In the above-mentioned further preferable embodiment, in the first output operation and the second output operation, it is more preferable to output the information regarding the distribution of the dispensing treatment together with the information necessary for the inspection of the prescribed drug.

By the way, when providing a drug to an inpatient, the period between the time when the doctor issues a prescription for the inpatient and the time when the drug dispensed at the dispensing station (pharmaceutical department, etc.) in the hospital is carried to the inpatient ward. Patients may be transferred (moving from ward). That is, the doctor inputs information (data) about the prescription to the external PC 20 (electronic medical record terminal), the prescription data is created from the input information of the electronic medical record program, and the patient is transferred after the prescription data is registered. In some cases.

In such a case, when the dispensing is completed by the above-mentioned dispensing support system 1 and the dispensed drug is delivered to the inpatient, even if the patient delivers the drug to the ward that was hospitalized when the prescription data was created, that ward. There is a situation where no patient is prescribed the drug. When such a situation occurred, it was troublesome for nurses and others working in the ward to find the patient's whereabouts.

As a device for solving such a problem, as shown in FIG. 15, there is a ward information management system 401 that can be used in combination with the above-mentioned dispensing support system 1.
Hereinafter, the ward information management system 401 will be described in detail, but the same parts as described above will be omitted in detail.

As shown in FIG. 15, the ward information management system 401 of the present embodiment includes a ward information management device 402 (ward information management means) and a plurality of list display devices 408 (list display terminals).

In this embodiment, a personal computer is adopted as the ward information management device 402.
That is, the ward information management device 402 has a main body device including a calculation unit, a storage unit (storage means), and a communication unit, and a display device and an input device attached to the main body device, similarly to the upper control device 2 described above. .. Then, the ward information management device 402 can transmit and receive data (signals) to and from the external PC 20, the list display device 408, the external device (not shown), and the like via the premises communication network (LAN) by the communication unit. ing.

The list display device 408 can display the ward information confirmation screen 409 (see FIG. 16, details will be described later), and can input predetermined information (details will be described later) while the ward information confirmation screen 409 is displayed. Device.
A stationary computer (personal computer) or a mobile terminal (tablet PC, smartphone, notebook PC, etc.) can be adopted as the list display device 408. In the present embodiment, the list display device 408 is a portable terminal (portable terminal), and a tablet PC is adopted.

That is, the list display device 408 also includes a calculation unit, a storage unit (storage means), and a communication unit, and the communication unit provides data (signals) to each other via the ward information management device 402 and the premises communication network (LAN). ) Can be sent and received.
Further, the list display device 408 includes an operation display unit (not shown). The operation display unit is a touch panel, and is formed by superimposing (integrally forming) a display device such as a liquid crystal display or an organic EL display and a contact type input device such as a touch sensor. That is, the list display device 408 also has a display device that displays various information and an input device that accepts user operations.

The storage units of the ward information management device 402 and the list display device 408 store programs for executing various operations described later and various data, respectively. That is, by operating the ward information management device 402 and the list display device 408 according to the program stored in the storage unit, various operations (various processes) of the ward information management system 401 are executed.
Further, the patient database is stored as such data in the storage unit of the ward information management device 402.

The patient database stores information that identifies the ward in which each patient is hospitalized. That is, the information that identifies the patient (patient ID, patient name, etc.) and the information that identifies the ward in which the patient is hospitalized (hereinafter, also referred to as an inpatient ward) (ward name, etc.) are stored in association with each other.
Specifically, the information that identifies the ward in which the patient is hospitalized (patient's hospital ward) includes information that identifies the current hospital ward, as well as past hospital wards (for example, when a prescription is issued, etc.) in the past. It may contain information that identifies the inpatient ward at a particular point in time. It may also include information that identifies a ward that will be hospitalized in the future (a ward that will be hospitalized after a certain point in the past or the present as a reference point).

Subsequently, the operation executed by the ward information management system 401 will be described.
Similar to the above, when the doctor inputs information (data) related to the prescription to the external PC 20 and executes a predetermined operation, the prescription data is created. Then, the prescription data is transmitted to the ward information management device 402.
That is, information on the content of the prescription and information for identifying and managing the prescription itself (prescription number and the like) are transmitted to the ward information management device 402. If the patient who has been prescribed is hospitalized or will be hospitalized, the transmitted prescription data will be information that identifies the ward in which this patient is hospitalized or the ward to be hospitalized when the prescription data is created. Is included.

On the other hand, when the patient is transferred to another building, that fact is input by an external device or the like each time. Then, the information indicating the contents input from the external device or the like is transmitted to the ward information management device 402, and the ward information management device 402 updates the patient database. That is, the ward to which the patient is transferred is memorized as the ward in which the patient is currently hospitalized.

Further, the ward information management device 402 executes an association operation for associating the received prescription data with the information stored in the patient database.
This association operation is an operation executed on condition that the ward information management device 402 receives the prescription data. That is, in this operation, the patient who has been prescribed is identified based on the prescription data, and the patient database is referred to based on the information that identifies this patient, so that information on the hospital ward of the patient who has been prescribed is provided. get. Then, it associates the prescription data with the information about the inpatient ward (links the information about the contents of the prescription with the information for identifying and managing the prescription itself (prescription number) and the information about the inpatient ward).

Then, by executing a predetermined operation on the list display device 408, the ward information display operation for displaying the ward information confirmation screen 409 is executed as shown in FIG. Specifically, when the ward information display operation is executed, the information associated with the association operation described above is transmitted from the ward information management device 402 to the list display device 408. Then, the display of the ward information confirmation screen 409 is executed.

The ward information confirmation screen 409 has a search condition input area 420 and a list display area 421, and is a screen for displaying a table created based on the information associated with the above-mentioned association operation. Specifically, the display target is narrowed down based on the information input in the search condition input area 420, and the information for identifying the patient and the information for identifying the inpatient ward of the patient are targeted for the patients who meet the conditions. The table containing the above is displayed in the list display area 421.
For example, in the example of FIG. 16, a patient who has been prescribed a drug whose dosing date is October 7, 2019 is targeted for display. Then, for each patient to be displayed, information for identifying the patient (information specified by the patient ID display unit 421f and the patient name display unit 421g) and information for identifying the inpatient ward in which the patient is currently hospitalized. A table including (currently information specified by the ward display unit 421k) is displayed.

Specifically, the search condition input area 420 includes a date input area 420a, a prescription category selection area 420b, an order number input area 420c, a patient ID input area 420d, a prescription category input area 420e, and a prescription ward input area. It has 420f.
Each area belonging to the search condition input area 420 is a part for designating the narrowing conditions. If the conditions are not specified in all of the plurality of areas belonging to the search condition input area 420, the narrowing down is not performed. Further, among the respective areas, when the conditions are specified in a plurality of areas, the ones satisfying all of the plurality of conditions specified in the plurality of areas are displayed.

In the date input area 420a, it is possible to select either the “dispensing date” or the “dosing date” and input the start date and end date of the period. That is, patients who are prescribed a drug whose dispensing date is within the specified period (within the entered period), with the condition that the "dispensing date" or "dosing date" of the prescribed drug is within the predetermined period. , Patients who have been prescribed a drug whose dosing date is within the specified period can be specified as a display target. By inputting the same date as the start date and the end date of the period, the designated period can be set to the designated date.

In the prescription classification selection area 420b, at least one of "regular" and "non-regular" can be selected (at least one can be checked). That is, when only "regular" is checked, the condition for narrowing down is that the prescription category of the issued prescription is "regular", and patients who satisfy the conditions are displayed. Similarly, if only "non-regular" is checked, the condition for narrowing down is that the prescription classification of the issued prescription is not "regular", and patients whose prescription classification of the issued prescription is not "regular". Is the display target.
If both are checked, both patients whose prescription classification is "regular" and patients whose prescription classification is "non-regular" will be displayed (based on the input in the prescription classification selection area 420b). Substantially no narrowing down).

In the order number input area 420c, an order number can be input, and a patient whose content is the input of the order number of the issued prescription can be displayed.
The patient ID input area 420d can input the patient ID, and the patient to which the patient ID is input can be displayed.
In the prescription classification input area 420e, the prescription classification can be input, and the patient whose content is the input of the prescription classification of the issued prescription can be displayed.
In the prescription ward input area 420f, the prescription ward can be input, and the patient whose ward was hospitalized at the time of issuing the prescription is input can be displayed.

The list display area 421 includes an order number display unit 421a, a prescription number display unit 421b, a prescription division display unit 421c, a processing division display unit 421d, a medication date display unit 421e, a patient ID display unit 421f, and a patient name display unit 421g. ing. Further, it has a clinical department display unit 421h, a doctor name display unit 421i, a prescription ward display unit 421j, a current ward display unit 421k, and a transportation ward display unit 421l.

The order number display unit 421a, the prescription number display unit 421b, the prescription classification display unit 421c, and the processing classification display unit 421d are the "order number", "prescription number", and "prescription classification" of the prescription given to the target patient, respectively. , "Processing classification", etc. are displayed.

The dosing date display unit 421e is a portion where information indicating the dosing date of the drug given to the target patient is displayed. When the "dispensing date" is selected in the date input area 420a, the dispensing date display unit (not shown) may be displayed instead of the medication date display unit 421e. The dispensing date display unit is a portion where information indicating the dispensing date of the drug given to the target patient is displayed.

Further, the patient ID display unit 421f and the patient name display unit 421g are portions for displaying the "patient ID" and "patient name" of the target patient.
The clinical department display unit 421h and the doctor name display unit 421i are parts for displaying the clinical department to which the doctor who issued the prescription to the target patient belongs and the doctor name of the doctor.

The prescription ward display unit 421j is a portion where information indicating the ward in which the target patient is hospitalized or the ward to be hospitalized is displayed when the prescription is issued (when the prescription data is created).
The ward display unit 421k is a portion where information indicating the ward in which the target patient is currently hospitalized or the ward in which the target patient is currently hospitalized is displayed.
The prescription ward display unit 421j and the current ward display unit 421k do not display information that identifies the hospitalized ward when there is no target ward.

For example, in the example of FIG. 16, the patient whose patient name is "patient 01" was hospitalized in the "south 3 ward" at the time of issuing the prescription, then transferred to the ward, and is now hospitalized in the "east 3 ward". I understand that it is. In addition, the patient whose patient name is "Patient 02" was hospitalized in the "North 1 ward" when the prescription was issued, and has not been transferred since then, and is still hospitalized in the "North 1 ward". I understand. It can also be seen that the patient whose patient name is "Patient 05" was scheduled to be hospitalized in the "North 2 Ward" when the prescription was issued, and was not hospitalized thereafter.
From the above, by confirming the prescription ward display unit 421j and the current ward display unit 421k, it is possible to confirm whether or not the patient has been transferred and which ward is currently hospitalized. In addition, it can be confirmed whether or not the patient who was scheduled to be hospitalized in the past was actually hospitalized.

The transport ward display unit 421l is a portion where information for identifying the ward to which the drug dispensed by the dispensing support system 1 is transported is displayed. For example, in the example of FIG. 16, it can be seen that the drug prescribed for the patient whose patient name is "Patient 01" was transported to the "East 3 Ward".
That is, when the drug dispensed by the dispensing support system 1 is transported to the ward, that fact is input by an external device or the like. Then, the information indicating the contents input from the external device or the like is transmitted to the ward information management device 402, and the ward information management device 402 updates the patient database. That is, in the patient database of the present embodiment, information that identifies the ward that actually carried the drug is stored in association with the information that identifies the patient.

From the above, the transporter can grasp the ward to which the patient is transferred by checking the ward information confirmation screen 409 before transporting the drug dispensed by the dispensing support system 1 to the ward, and the ward where the patient is located. Can transport chemicals to. Further, by checking the ward information confirmation screen 409 when a nurse or the like working in the inpatient ward receives the medicine transported from the dispensing station, the ward to which the patient is transferred can be easily grasped.

The ward information management system 401 described above may be integrated with the dispensing support system 1.
That is, the dispensing support system 1 described above may have a structure including a plurality of list display devices 408, and the host control device 2 may store the same information as the ward information management device 402 and execute the same operation. That is, the dispensing support system 1 may store the patient database and execute the operation of updating the patient database, the association operation, and the ward information display operation.

Further, the ward information management device 402 and the list display device 408 may not be separately provided, and the ward information display operation may be executed by executing a predetermined operation on the ward information management device 402. That is, the ward information confirmation screen 409 may be displayed on the display device of the ward information management device 402. Therefore, when the ward information management system 401 and the dispensing support system 1 are integrated, the ward information confirmation screen 409 may be displayed on the display device 11 of the host control device 2 in the same manner.

1; Dispensing support system, 3; Fully automatic powder packaging machine (powder packaging means, automatic powder packaging machine), 4; Manual powder packaging means (powder packaging means), 6; Drug weighing device (powder weighing device), 7; powder packaging machine, 30; drug container, 31; container storage unit, 38; distribution dish, 45; drug packaging device (powder packaging device), 50; operation display unit (display device), 92; two-dimensional code (identification) display)

Claims (9)

It has a plurality of powder packaging means capable of performing a packaging process in which powders are packaged and discharged one by one based on prescription data.
When a powder is prescribed, the packaging process is executed by the powder packaging means, which is one of the plurality of powder packaging means.
By executing the sorting operation, the packaging process is assigned to one of the powdered dispensing means, and before the packaging process assigned in one of the sorting operations is executed, one of the sorting operations is performed. A dispensing support system that executes the first output operation that outputs information indicating the result in a state in which the user can confirm it. At least one of the plurality of powder packaging means has a transfer function of transferring the packaging process assigned to itself to the other powder packaging means after executing the distribution operation.
The sorting operation is an operation of permanently or temporarily determining the powder packaging means for executing the packaging process, and the determination of the distribution operation is switched when the packaging process is transferred. , The dispensing support system according to claim 1. The second output operation is executed after the execution of the first output operation.
The second output operation is actually performed on the condition that the packaging process assigned to one of the powder packaging means in the distribution operation is executed by any of the powder packaging means and the execution is completed. The dispensing support system according to claim 2, which is an operation of outputting information specifying the powdered powder packaging means that has undergone the packaging process in a state in which the user can confirm it. The dispensing support system according to claim 3, wherein in the second output operation, when the transfer of the packaging process is performed after the distribution operation, information regarding the transfer history is output. The dispensing support system according to claim 3 or 4, wherein in the first output operation and the second output operation, information regarding the distribution of the packaging process is output together with the information necessary for the inspection of the prescribed drug. At least one of the powder packaging means is an automatic powder packaging machine.
At least one of the powder packing means is a manual powder packing means composed of a separate drug weighing device and a powder packing machine, respectively.
The automatic powder packaging machine has a container storage unit for storing a plurality of drug containers containing powder, a distribution plate, and a powder packaging device inside, and the drug stored in the container storage unit. The powder is discharged from the container while being weighed, and the discharged powder is directly or temporarily stored in another container and then poured into the distribution dish from the other container, and the powder is packaged one by one from the distribution dish. It is possible to automatically execute the operation of putting it in the device and individually wrapping it.
The drug weighing device weighs a target drug and is capable of weighing the target drug.
The powder packaging machine packages and discharges each dose of the introduced weighed powder.
The dispensing support system according to any one of claims 1 to 5, wherein in the sorting operation, the dispensing process is preferentially assigned to the automatic dispensing packaging machine rather than the manual dispensing packaging means. The dispensing support system according to claim 6, wherein in the sorting operation, the packaging process is assigned based on the information of the powder contained in the drug container stored in the container storage unit when the sorting operation is executed. The dispensing support system according to claim 6 or 7, wherein the automatic powder packaging machine has a transfer function of transferring the packaging process assigned to itself to another powder packaging means. The dispensing support according to any one of claims 1 to 8, wherein the first output operation prints information indicating the result of the distribution operation on a paper medium and outputs the information, or outputs the information indicating the result of the distribution operation to a display screen of an external mobile terminal. system.

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