JP2006296912A - Prescription filling supporting system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To automatically determine a preparation process for preparing one or more kinds of medicines in order to prepare an injection medicine, to reduce load for determining the preparation process, to utilize information on the preparation process, to enhance the efficiency of preparation work dramatically, to prevent any operating errors such as preparation mistakes assuredly, and so on in a prescription filling supporting system. <P>SOLUTION: A master data base, an injection prescription data base, a preparation pattern storing means, and a preparation process determining means are provided to automatically determine the preparation process for preparing one or more kinds of medicines administered to a patient. In addition, a preparation voice information creating means M21 and a preparation voice information outputting means M22 are provided to output voice explaining the content of the preparation at each of a plurality of steps of the determined preparation process. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a prescription drug dispensing support system that assists in dispensing an injection to be applied to a plurality of patients in a hospital.

  Conventionally, in hospitals, etc., prescription information such as patient name, department name, drug name (type), (prescription) amount and method of taking, etc. entered in a prescription is input and stored / managed using a computer. Things are generally done. The stored / managed prescription information can be appropriately read out using a computer and used for prescription confirmation and the like. In addition, using the prescription information that has been input, a technique for printing a patient name, a drug name, a medication method, and the like on a medicine bag, and a technique for creating a drug information book on which drug information and the like are printed are well known.

  Now, when dispensing (preparing) injections at hospital pharmacies, etc., work is done to dispense multiple types of drugs in accordance with prescriptions and store them in supply containers (supply bottles, infusion bags, syringes, etc.). The dispensing procedure (including operations such as drug weight measurement, solid drug dissolution, and drug dilution) is determined empirically or according to a predetermined dispensing procedure manual or the like. The same applies to the preparation of injections containing anticancer agents.

  By the way, in the conventional dispensing support system, after inputting prescription information using a computer, when specifying the patient ID and instructing the output of the dispensing procedure, the current prescription information input on the display, A technique for displaying pre-prepared dispensing information for pre-dispensing for this time and matching result information between the current pre-scription information and the previous pre-scription information based on the inputted previous pre-scription information is publicly known (See Patent Document 1).

  In addition, the multiple types of drugs to be dispensed are classified into drugs that are packaged with an automatic drug packaging machine and drugs that are not processed with an automatic drug packaging machine. There is a known dispensing support system that outputs and dispenses based on the output content (see Patent Document 2).

  Here, conventionally, when dispensing an injection, the procedure for dispensing a plurality of types of drugs and co-injecting them into a supply container is determined empirically or according to a predetermined dispensing procedure manual or the like. That is, the dispensing procedure is not automatically determined, and therefore the load for determining the dispensing procedure is large. That is, it takes time to determine the dispensing procedure, and there is a risk that dispensing will be performed by an inappropriate dispensing procedure.

Therefore, the applicant of the present application can automatically determine a dispensing procedure for dispensing a plurality of types of drugs in order to dispense an injection, reduce the load for determining the dispensing procedure, and increase the efficiency of the dispensing operation. The configured prescription drug dispensing support system has been put into practical use (see Patent Document 3).
JP 2002-259564 A JP-A-9-140775 JP 2004-208842 A

  As described above, conventionally, when dispensing injections, the procedure for dispensing multiple types of drugs and co-injecting them into the supply container is determined empirically or according to a predetermined dispensing procedure manual, etc. The burden of deciding the dispensing procedure will be large, the efficiency of dispensing work will decline, and therefore hospitals that treat many patients will steadily dispense injections to be applied to multiple patients, respectively. May become difficult.

  Therefore, the applicant of the present application puts the prescription drug dispensing support system described in Patent Document 3 into practical use, automatically determines a dispensing procedure for dispensing a plurality of types of drugs, and prints the contents of the dispensing procedure on a sheet of paper or displays it on a display. However, every time the dispensing operator visually checks the contents of the dispensing procedure displayed on the paper or display while dispensing, he / she distracts from the drugs and equipment used for dispensing. It is difficult to grasp the details of the procedure easily and reliably, and it may cause a mistake in the dispensing procedure. In particular, when a dispensing worker dispenses an anticancer drug, the dispensing procedure is often complicated, and a safety cabinet (clean bench) is used and both hands are put into the work space. Therefore, the above problem becomes more remarkable.

  In addition, when the dispensing procedure consisting of a plurality of steps includes a weight measuring step for measuring the weight of a container such as a supply container or a drug using an electronic balance, in the weight measuring step, the container is measured and the measured value is obtained. In order to record and to record so that the measured value can be found in which container of which step, a complicated measurement recording operation is necessary, which is an obstacle to increase the efficiency of the dispensing operation. . As described above, although the dispensing procedure is automatically determined, the information on the dispensing procedure cannot be used more effectively at present.

  In addition, it is necessary to write information (prescription information, etc.) related to the injection drug in the supply container that stores the injected injection, and also in the medicine bag that stores the drug. Conventionally, a label that adheres to the supply container There is a technique for printing out prescription information on a label that adheres to a medicine bag. Moreover, the prescription medicine dispensing support system described in Patent Document 3 describes a technique for issuing a dispensing procedure manual in which the contents of a dispensing procedure determined automatically are printed. However, if these dispensing procedure manuals, supply container labels, and medicine bag labels are issued separately, the overall printing load (printing time) increases, and these are issued as if they are not physically connected. Therefore, it is necessary to be careful about sticking the label to the sticking object, and in the worst case, there is a risk of sticking wrongly.

  An object of the present invention is to automatically determine a dispensing procedure for dispensing a plurality of types of drugs in order to dispense (prepare) an injection in a prescription drug dispensing support system, and to reduce the burden of determining the dispensing procedure. The information of the dispensing procedure is effectively utilized, the efficiency of dispensing work is remarkably improved, and work mistakes such as dispensing mistakes are surely prevented.

  The prescription drug dispensing support system according to claim 1 is a prescription drug dispensing support system for assisting in dispensing injection drugs to be applied to a plurality of patients in a hospital, a master database storing master data of a large number of drugs, and a patient A dispensing pattern showing a procedure for dispensing a plurality of kinds of medicines applied at a time and storing them in a supply container, with or without a solid medicine, with or without a liquid medicine, with or without a dissolving agent, with or without a diluent Dispensing pattern storage means for presetting and storing a plurality of dispensing patterns with some or all of the types of containers as parameters, prescription information for prescription for each patient, and application target of prescription information Based on the information read from the master database for the drug and information on the dispensing pattern stored in the dispensing pattern storage means Dispensing procedure determining means for determining a dispensing procedure comprising a plurality of steps for dispensing a medicine, and voice output for the contents of dispensing in each of the plurality of steps of the dispensing procedure based on information on the dispensing procedure determined by the dispensing procedure determining means Dispensing voice information creating means for creating voice information for use, and dispensing voice information output means for outputting the contents of dispensing in each of a plurality of steps of the dispensing procedure based on the voice information created by the dispensing voice information creating means It is characterized by comprising.

  Prescription information for each patient by the dispensing procedure determination means, information read from the master database about the drug to be applied among the prescription information, and information on the dispensing pattern stored in the dispensing pattern storage means, applied to the patient A dispensing procedure including a plurality of steps for dispensing a plurality of types of drugs to be performed is determined. Thus, since an appropriate dispensing procedure for dispensing an injection can be automatically determined, the load for determining the dispensing procedure can be reduced. In addition, since the dispensing voice information creating means and the dispensing voice information output means are provided, the dispensing contents in each of the plurality of steps of the dispensing procedure determined by the dispensing procedure determining means can be output as a voice, so that the dispensing operator (pharmacist) Can easily and reliably grasp the contents of the dispensing by listening to the voice (can facilitate the grasp of the contents of the dispensing), and can easily concentrate on the dispensing work. That is, the information of the dispensing procedure can be effectively used, the efficiency of the dispensing operation can be greatly improved, and dispensing errors can be reliably prevented.

In the invention of claim 1, the following configuration can be adopted.
When dispensing is performed in accordance with the dispensing procedure determined by the dispensing procedure determining means, step recognition means capable of recognizing the start of each step of the dispensing procedure is provided, and the dispensing voice information output means is stepped by the step recognition means. When the start of is recognized, the contents of the dispensing in that step are output as a voice (claim 2).

  Audit voice information creating means for creating voice information for voice output for each content of a plurality of audit items for auditing injections dispensed according to the dispensing procedure determined by the dispensing procedure determining means, and audit voice information creating means Audit voice information output means for outputting the audit contents of each of the plurality of audit items based on the created voice information.

  The dispensing procedure consisting of a plurality of steps includes a weight measurement step of measuring the weight of a predetermined container with an electronic balance, and when dispensing according to the dispensing procedure determined by the dispensing procedure determining means, each step of the dispensing procedure The step recognition means that can recognize the start of the instrument, and when the start of the weight measurement step is recognized by the step recognition means, the weight of the container is automatically measured by placing the container on the electronic balance in the weight measurement step. And an automatic measurement recording means for recording the measurement value as the actual measurement value of the predetermined container.

  Dispensing procedure printing paper for printing the dispensing procedure determined by the dispensing procedure determining means, a part of which is a dispensing procedure printing paper formed on a label part that is detachably adhered from the paper substrate, Print output means for printing out the dispensing procedure on a portion other than the label portion of the dispensing procedure printing paper based on the information on the dispensing procedure, and printing out information on an injection to be dispensed according to the dispensing procedure on the label portion. (Claim 5).

  The prescription drug dispensing support system according to claim 6 is a prescription drug dispensing support system for assisting in dispensing an injection to be applied to a plurality of patients in a hospital, a master database storing master data of a large number of drugs, and a patient A dispensing pattern showing a procedure for dispensing a plurality of kinds of medicines applied at a time and storing them in a supply container, with or without a solid medicine, with or without a liquid medicine, with or without a dissolving agent, with or without a diluent Dispensing pattern storage means for presetting and storing a plurality of dispensing patterns with some or all of the types of containers as parameters, prescription information for prescription for each patient, and application target of prescription information Based on the information read from the master database for the drug and information on the dispensing pattern stored in the dispensing pattern storage means A dispensing procedure determining means for determining a dispensing procedure comprising a plurality of steps for dispensing a medicine, and the dispensing procedure comprising the plurality of steps includes a weight measuring step for measuring the weight of a predetermined container with an electronic balance, and the dispensing procedure When dispensing is performed according to the dispensing procedure determined by the determining means, a step recognizing unit capable of recognizing the start of each step of the dispensing procedure, and when the start of the weight measurement step is recognized by the step recognizing unit, An automatic measurement recording means for automatically measuring the weight of the container by placing the container on the electronic balance in the weight measurement step and recording the measured value as the actual measurement value of the predetermined container is provided. And

  Since an appropriate dispensing procedure for dispensing an injection can be automatically determined, the effect of reducing the load for determining the dispensing procedure is the same as in the first aspect. Moreover, by providing the step recognition means and the automatic measurement recording means, when dispensing is performed according to the dispensing procedure determined by the dispensing procedure determining means, the start of each step of the dispensing procedure can be recognized, and the weight measurement step When the start is recognized, the weight of the container is automatically measured by placing the container on the electronic balance in the weight measurement step, and the measurement value can be recorded as the actual measurement value of the predetermined container. The load of the dispensing work performed by the dispensing worker can be reduced, and it becomes easy to concentrate on the dispensing work. In other words, it is possible to effectively utilize the information of the dispensing procedure, remarkably increase the efficiency of the dispensing operation, and reliably prevent a mistake in measuring the weight of a predetermined container and a mistake in recording the measured value (actually measured value).

In the invention of claim 6, the following configuration can be adopted.
The step recognizing means recognizes the start of the next step of the weight measuring step in response to the fact that the measured value of the predetermined container is recorded by the automatic measurement recording means in the weight measuring step. When the container placed on the electronic balance is removed from the electronic balance, the automatic measurement recording means records the measurement value immediately before the removal as an actual measurement value (Claim 8).

  Predicted weight value calculating means for predicting the weight value of the predetermined container, contrast display means for displaying the weight value predicted by the predicted weight value calculating means and the measured value measured by the automatic measurement recording means in a comparable manner; (Claim 9). A warning means is provided for warning when an actual measurement value measured by the automatic measurement recording means does not exist within a predetermined allowable measurement range including the weight value predicted by the predicted weight value calculation means.

  Dispensing procedure printing paper for printing the dispensing procedure determined by the dispensing procedure determining means, a part of which is a dispensing procedure printing paper formed on a label part that is detachably adhered from the paper substrate, Print output means for printing out the dispensing procedure on a portion other than the label portion of the dispensing procedure printing paper based on the information on the dispensing procedure, and printing out information on an injection to be dispensed according to the dispensing procedure on the label portion. (Claim 11).

  A prescription drug dispensing support system according to claim 12 is a prescription drug dispensing support system for assisting in dispensing an injection to be applied to a plurality of patients in a hospital, a master database storing master data of a large number of drugs, and a patient A dispensing pattern showing a procedure for dispensing a plurality of kinds of medicines applied at a time and storing them in a supply container, with or without a solid medicine, with or without a liquid medicine, with or without a dissolving agent, with or without a diluent Dispensing pattern storage means for presetting and storing a plurality of dispensing patterns with some or all of the types of containers as parameters, prescription information for prescription for each patient, and application target of prescription information Based on information read from the master database for the medicine and information on the dispensing pattern stored in the dispensing pattern storage means A dispensing procedure determining means for determining a dispensing procedure consisting of a plurality of steps for dispensing the medicine, and a dispensing procedure printing paper for printing the dispensing procedure determined by the dispensing procedure determining means, a part of which is a paper base Based on the dispensing procedure printing paper formed on the label part that is peelably adhered from the material and the information of the dispensing procedure, the dispensing procedure is printed out on a part other than the label part of the dispensing procedure printing paper, and this Print output means for printing out information on an injection to be dispensed according to a dispensing procedure on a label portion.

  Since an appropriate dispensing procedure for dispensing an injection can be automatically determined, the effect of reducing the load for determining the dispensing procedure is the same as in the first aspect. In addition, a dispensing procedure printing paper and a print output means are provided, and the dispensing procedure printing paper is formed on a label part that is partly adhered to the paper base so as to be peelable, and the dispensing procedure printing paper is based on the dispensing procedure information. The procedure is printed on a portion other than the label portion of the dispensing procedure printing paper, and information on the injection to be dispensed according to this dispensing procedure is printed on the label portion. Therefore, the dispensing procedure is printed on the dispensing procedure printing paper. The label part which printed the information (prescription information etc.) regarding the said injection in the procedure book can be formed integrally, and can be issued. In other words, it is possible to reduce the overall printing load (printing time) for these issuances and to issue them in a physically connected state, so it is definitely possible to perform label adhesion work on adhesive objects. become.

In the invention of claim 12, the following configuration can be adopted.
As the label part, a first label part for adhering to a supply bottle or an infusion bag as a supply container and a second label part for adhering to a syringe as a supply container are provided, and the print output means is When the supply container is a supply bottle or an infusion bag based on information on the dispensing procedure or injection prescription information, information on the injection is printed on the first label portion, and when the supply container is a syringe, Information on the injection is printed on the second label portion (claim 13). As the label portion, a third label portion for adhering to the medicine bag is further provided (claim 14).

  According to the prescription drug dispensing support system of claim 1, the prescription information for each patient by the dispensing procedure determination means, the information to be read from the master database for the medicine to be applied among the prescription information, and the dispensing pattern storage means Based on the stored information on the dispensing pattern, it is possible to determine a dispensing procedure including a plurality of steps for dispensing a plurality of types of medicines to be applied to a patient. Therefore, it is possible to reduce the load for determining the dispensing procedure. In addition, since the dispensing voice information creating means and the dispensing voice information output means are provided, the dispensing contents in each of the plurality of steps of the dispensing procedure determined by the dispensing procedure determining means can be output as a voice, so that the dispensing operator (pharmacist) Can easily and reliably grasp the contents of the dispensing by listening to the voice (can facilitate the grasp of the contents of the dispensing), and can easily concentrate on the dispensing work. That is, the information of the dispensing procedure can be effectively used, the efficiency of the dispensing operation can be greatly improved, and dispensing errors can be reliably prevented. As a result, it greatly contributes to assisting in dispensing the injection, and it becomes possible to smoothly dispense the injection to be applied to a plurality of patients such as hospitals that treat many patients.

  According to the prescription medicine dispensing support system of claim 2, when dispensing according to the dispensing procedure determined by the dispensing procedure determining means, comprising a step recognition means capable of recognizing the start of each step of the dispensing procedure, When the start of the step is recognized by the step recognizing means, the dispensing voice information output means outputs the contents of the dispensing at that step as a voice, so that the dispensing operator can definitely hear the contents of the dispensing at that step. .

  According to the prescription medicine dispensing support system of claim 3, the audit for creating the voice information for voice output for each content of the plurality of audit items for auditing the injection medicine dispensed according to the dispensing procedure determined by the dispensing procedure determining means Since the audit operator comprises voice information creating means and audit voice information output means for outputting the audit contents of each of the plurality of audit items based on the voice information created by the audit voice information creating means, By listening to the voice, the contents of the audit can be easily and reliably grasped, it becomes easy to concentrate on the audit work, the efficiency of the audit work can be improved, and an audit error can be prevented.

  According to the prescription medicine dispensing support system of claim 4, by providing the step recognition means and the automatic measurement recording means, when dispensing according to the dispensing procedure determined by the dispensing procedure determination means, each of the dispensing procedure When the start of the step can be recognized and the start of the weight measurement step is recognized, the weight of the container is automatically measured by placing the container on the electronic balance in the weight measurement step, and the measured value is Since it can record as a measured value of a predetermined container, the burden of the dispensing operation performed by the dispensing operator can be reduced, and it becomes easy to concentrate on the dispensing operation. In other words, it is possible to effectively utilize the information of the dispensing procedure, remarkably increase the efficiency of the dispensing operation, and reliably prevent a mistake in measuring the weight of a predetermined container and a mistake in recording the measured value (actually measured value).

  According to the prescription medicine dispensing support system of claim 5, the dispensing procedure printing paper and the print output means are provided, and the dispensing procedure printing paper is formed on a label part that is partly peelable and adhered to the paper substrate, Based on the information on the dispensing procedure, the dispensing procedure is printed on a portion other than the label portion of the dispensing procedure printing paper, and information on the injection to be dispensed according to the dispensing procedure is printed on the label portion. A label part on which information (prescription information, etc.) related to the injection is printed can be integrally formed and issued on a dispensing procedure manual in which the dispensing procedure is printed on a dispensing procedure printing sheet. In other words, it is possible to reduce the overall printing load (printing time) for these issuances and to issue them in a physically connected state, so it is definitely possible to perform label adhesion work on adhesive objects. become.

  According to the prescription medicine dispensing support system of claim 6, since an appropriate dispensing procedure for dispensing an injection can be automatically determined, the effect of reducing the load for determining the dispensing procedure is the same as in claim 1. There are other effects similar to those of the fourth aspect. As a result, it greatly contributes to assisting in dispensing the injection, and it becomes possible to smoothly dispense the injection to be applied to a plurality of patients such as hospitals that treat many patients.

  According to the prescription medicine dispensing support system of claim 7, the step recognition means receives the fact that the actual measurement value of the predetermined container is recorded by the automatic measurement recording means in the weight measurement step, Since the start of the step is recognized, the start of the step can be automatically recognized and the dispensing content of the step can be output as a voice without the dispensing operator performing any step switching operation.

  According to the prescription medicine dispensing support system of the eighth aspect, when the automatic measurement recording means removes the container placed on the electronic balance from the electronic balance, it records the measurement value immediately before the removal as the actual measurement value. In addition, stable and accurate measurement values immediately before the removal can be recorded as actual measurement values, and when measuring the total weight of a plurality of containers, the containers after work are placed on the electronic balance one by one. By placing all the containers on the electronic balance and removing one of the containers from the electronic balance, the total weight of these containers can be accurately measured and recorded.

  According to the prescription medicine dispensing support system of claim 9, the predicted weight value calculating means for predicting the weight value of the predetermined container, the weight value predicted by the predicted weight value calculating means, and the actual measurement measured by the automatic measurement recording means Since a comparison display means for displaying the values in a comparable manner is provided, it is possible to easily compare the predicted weight value (predicted value) with the actual measurement value, and when the predicted value and the actual measurement value do not substantially match, You can see that a dispensing error has occurred.

  According to the prescription medicine dispensing support system of claim 10, a warning is given when there is no actual measurement value measured by the automatic measurement recording means within a predetermined allowable measurement range including the weight value predicted by the predicted weight value calculation means. Since the warning means is provided, when the actual measurement value does not exist within the allowable measurement range, it can be surely known by the warning by the warning means.

  According to the prescription medicine dispensing support system of the eleventh aspect, the same effect as the fifth aspect is obtained.

  According to the prescription drug dispensing support system of claim 12, since an appropriate dispensing procedure for dispensing an injection can be automatically determined, the effect of reducing the load for determining the dispensing procedure is the same as in claim 1. There are other effects similar to those of the fifth aspect.

  According to the prescription medicine dispensing support system of claim 13, as the label part, a first label part for sticking to a supply bottle or an infusion bag as a supply container and a second label for sticking to a syringe as a supply container. A label portion, and the print output means, based on the information on the dispensing procedure or the prescription information on the injection, if the supply container is a supply bottle or an infusion bag, information on the injection on the first label portion When the supply container is a syringe, the information on the injection is printed on the second label portion. Therefore, the dispensing procedure is printed on the dispensing procedure printed on the dispensing procedure printing paper. 1, the second label part can be integrally formed and issued, and information on the injection is reliably printed on the first label part or the second label part according to the supply container, and the label part can be easily attached to the supply container Sure It can be pressure-sensitive adhesive.

  According to the prescription medicine dispensing support system of claim 14, since the third label part for adhering to the medicine bag is further provided as the label part, the dispensing procedure printed on the dispensing procedure printing paper, Furthermore, the 3rd label part which printed the information regarding an injection for a medicine bag can be formed integrally, and can be issued.

  The prescription drug dispensing support system of the present invention is a system for assisting in dispensing injection drugs to be applied to a plurality of patients in a hospital, a master database storing master data of a large number of drugs, and once for each patient. It is a dispensing pattern showing a procedure for dispensing a plurality of types of drugs to be applied and storing them in a supply container, the presence or absence of a solid drug, the presence or absence of a liquid drug, the presence or absence of a dissolving agent, the presence or absence of a diluent, the type of supply container, A plurality of dispensing patterns having a part or all of them as parameters, a dispensing pattern storage means that stores a plurality of dispensing patterns in advance, prescription information for prescriptions for each patient, and a master for application of the prescription information Based on the information read from the database and the information on the dispensing pattern stored in the dispensing pattern storage means, a compound that dispenses a plurality of types of drugs to be applied to the patient. Preparation procedures consisting of the step is obtained by a preparation procedure determining means for determining a.

  As shown in FIGS. 1 to 3, the prescription drug dispensing support system PS includes, for example, a host computer 1 installed in a hospital H, a personal computer 2 (personal computer) installed in a [ward] of the hospital H, and an outpatient building. The personal computer 3 installed in the [medicine management room] and the printer 4a and the chemical picking device 10, the personal computer 5 and printer 5a installed in the [formulation room], the barcode reader 5b and the speaker 5c. The electronic balance 11, the personal computer 6 installed in the [sterile dispensing room], the barcode reader 6a, the speaker 6b, the electronic balance 12, and the like. Although not shown, a clean bench is installed in the [Aseptic Dispensing Room], and in particular when dispensing an injection containing an anticancer drug, the medicine is handled in the clean bench and dispensing work is performed. .

  As shown in FIG. 1, the host computer 1 and the personal computers 2 to 6 are connected via a local area network (LAN) so that they can communicate with each other by wire or wirelessly. Each of the personal computers 2 to 6 has a personal computer main body, a display, a keyboard, a mouse, and the like. The personal computer main body is provided with a CPU, ROM, RAM, input / output interface, hard disk drive, CD drive, and the like. One or more personal computers are provided as the personal computers 2 to 6.

For example, an OS such as “WINDOWS (registered trademark)” is installed in each of the personal computers 2 to 6, and programs for executing various processes described later that operate on the OS are stored.
As shown in FIG. 1, the host computer 1 includes, for example, a hard disk (or CD or other storage device), a patient database DB1, a (medicine) master database DB2, a prescription database DB3, an injection prescription database DB4, a prescription check database. A database such as DB5 is stored.

Next, processing performed by the host computer 1 and the computers 2 to 5 and work performed by a pharmacist and the like will be described with reference to FIG.
(1) “Ordering process”
The prescription 20 of the prescription 20 created for the hospitalized patient is input using the personal computer 2 and the prescription 20 of the prescription 20 created for the outpatient is used and input using the personal computer 3 Prescription data is created from the prescription input information and stored in the prescription database DB3 of the host computer 1.

(2) “Injection prescription data extraction process”
The personal computer 2, 3 or the host computer 1 extracts (creates) injection prescription data as prescription information for direct injection into the body from the prescription data and stores it in the injection prescription database DB 4 of the host computer 1. . Moreover, the injection prescription text data which can identify the injection prescription data (for dispensing the injection containing the anticancer agent) for the anticancer agent aseptic dispensing request from the plurality of injection prescription data, And is output to the personal computer 4.

  As shown in FIG. 20, each injection prescription data in the injection prescription database DB4 includes a patient ID (0123456789) and a serial number (0001), an order date (2002/6/1), a contact number (00122), which are session numbers, RP number (1), sequence number (1), implementation date (2002/6/1), administration start time (9:00), drug row number (1, 2, 3, 4) for each ordered drug, order Drug code (ent 50, ent 10, show 10, Solita T3) and drug name (injection endoxan 500mg / V, injection endoxan 100mg / V, injection distilled water 100mL, Solita T3 500m) And order quantity (1000, 450, 1, 1), order unit (mg, mg, book, book), payout amount (2, 5, 1, 1), payout unit (V, V, book, book) Is included.

(3) "Data distribution process"
Based on the injection prescription text data created in the “injection prescription data extraction process” by the personal computer 4, the injection prescription data for the anticancer agent aseptic dispensing request is read from the injection prescription data in the injection prescription database DB4, For each injection prescription data, the injection prescription data is divided into either temporary / outpatient prescription data (injection prescription data for outpatients) or regular prescription data (injection prescription data for hospitalized patients).

(4) “Prescription check process”
For each injection prescription data for the anticancer drug aseptic dispensing request by the personal computer 4, the medicine master data read from the master database DB2 corresponding to the injection prescription data and the prescription check data read from the prescription check database BD5 Based on this, it is checked whether the content of the prescription is prescriptionally OK or NG (for example, whether or not a plurality of types of drugs that are contraindicated for mixing are not included). For example, the prescription check process is performed in real time for temporary / outpatient prescription data, and is performed through manual operation of the personal computer 4 for regular prescription data.

(5) “Prescription change input process”
Using the personal computer 4, the prescription change or the prescription is canceled in response to the prescription change request / cancellation request for the injection prescription data that has become NG mainly in the “prescription check processing”. Along with the change in the injection prescription data, the data such as the drug name included in the injection prescription data is also changed, and the injection prescription data before the change is stored as history data in, for example, the prescription database DB4.

(6) “Dispensing procedure analysis decision process”
The personal computer 4 automatically analyzes the injection prescription data that is OK in the “prescription check process”, determines the dispensing procedure, and creates the dispensing procedure data. At the same time, a dispensing procedure manual 21 shown in FIG. 11 is issued by the printer 4a based on the dispensing hand data. Based on the injection prescription data, the medicine bag label 22 and the supply container label 23 are integrated with the dispensing procedure manual 21. Printed. In addition, a TPN anticancer agent-specific injection summary table 24, a ward injection prescription 25, an outpatient injection prescription 26, various statistical tables 29, and the like are also printed.

(7) “Picking data creation process”
It is performed by the personal computer 4 together with preparation of dispensing procedure data in the “dispensing procedure analysis determination process”, and medicine codes (medicine names) of a plurality of kinds of medicines to be dispensed and containers (ampoules, vials, etc.) containing each medicine ) Is generated and is output to the drug picking apparatus 10.

(8) “Chemicals preparation work”
The medicine picking apparatus 10 automatically dispenses necessary medicines out of the medicines stored in the medicine picking apparatus 10 based on the medicine picking data or instructs the medicine picking. The pharmacist or the like attaches the created medicine bag label 22 (recording the name and order value of the necessary medicine) to the medicine bag 30 and confirms the prepared medicine by looking at the medicine name written on the medicine bag label 22 and the like. While putting in the medicine bag 30. And it conveys to the [formulation room], for example, takes out the medicine prepared from the medicine bag 30 there, and conveys it to the [sterile dispensing room]. In the medicine picking apparatus 10, the amount of medicine stock stored in the medicine picking apparatus 10 is managed, and a list of the medicine inventory amount is printed and issued by a printer.

(9) “Dispensing work”
A pharmacist or the like reads the barcode of the dispensing procedure manual 21 (or the barcode of the supply container label 23) with the barcode reader 6a of the personal computer 6 and displays the dispensing procedure content on the display of the personal computer 6 based on the dispensing procedure data. The dispensing procedure screen is displayed, and if necessary, the dispensing procedure screen 21 or the dispensing procedure screen displayed on the display of the personal computer 6 is viewed. Further, the dispensing procedure is emitted from the speaker 6b based on the dispensing procedure data. According to the audio guide of the contents, handling a plurality of kinds of drugs and dispensing work.

(10) “Audit work”
An injection is audited after dispensing, and it is judged whether it is OK or NG. At that time, a pharmacist or the like reads the barcode of the supply container label 23 affixed to the supply container of the injection medicine with the barcode reader 5b of the personal computer 5, and displays an audit screen including the audit items on the display of the personal computer 5. If necessary, the audit screen displayed on the personal computer 65 display is viewed, and the audit result for each audit item is input according to the audio guide of the audit item issued from the speaker 5c. The anticancer agent aseptic dispensing contact 31 and the anticancer agent aseptic preparation / audit record 32 are printed by the printer 5a.

(11) “Reanalysis instruction processing”
When the personal computer 4 or 5 or 6 becomes NG in the dispensing operation, the inspection operation or the like, an instruction to determine the analysis of the dispensing procedure is performed in order to perform the dispensing operation again.

  Here, as shown in FIG. 5, the prescription dispensing support system PS dispenses a master database DB2 that stores master data of a large number of drugs and a plurality of types of drugs that are applied to a patient at one time. Dispensing pattern showing the procedure to be accommodated in the dispensing pattern, with some or all of the presence / absence of a solid drug, the presence / absence of a liquid drug, the presence / absence of a dissolving agent, the presence / absence of a diluent, and the type of supply container Is stored in the injection prescription database DB4 as prescription information of the prescription 20 for each patient, and a dispensing pattern storage means M1 (hard disk of the personal computer 4) that is preset and stored in a plurality of ways (eight in total, dispensing patterns 1 to 8). Injection prescription data, data to be read from the master database DB2 for the drug to be applied among the injection prescription data, and dispensing Dispensing procedure determining means M2 (data processing device of the personal computer 4) for determining a dispensing procedure comprising a plurality of steps for dispensing a plurality of types of medicines to be applied to a patient, based on the dispensing pattern data stored in the turn storage means M1. It has.

  Each of a large number of master data in the master database DB2 (for example, master data of 500 mg / V of endoxan for injection) includes a drug code (ent 50), a drug name (endoxan for injection 500 mg / V), Dosage form unit name (V), volume unit name (none), component unit name (mg), volume converted value (none), component converted value (500), chemical container that prescribes the type of container that contains the drug Category (vial), anticancer drug shape category (solid), storage category (cold place), designated category (fulminant drug), standard amount of drug to be stored in container (500mg), drug weight, dissolution diluent classification code (none) ), Effective dissolution diluent classification code (1010,1080), required dissolution volume (25mL), solution concentration (20mg), specific gravity, upper limit of dilution (no), supply container availability (none), filter availability (no) ), Mixed injection capacity (none), capacity Flop weight (no), pH information (5.0 to 6.0), mixed injection when the solution name (Endoxan injection solutions) that contains information.

  As shown in FIG. 6, the dispensing patterns 1 to 8 are dispensing patterns with the presence or absence of a solid anticancer agent, the presence or absence of a liquid anticancer agent, the presence or absence of a dissolving agent, the presence or absence of a diluent, and the type of supply container as parameters. It has become.

  Dispensing pattern 1 is when there is a solid anticancer agent (one type), no liquid anticancer agent, there is a dissolving agent, there is a diluent, and the supply container is a container containing a diluent (including information indicating the type of the supply container) The required amount calculated from the dissolved anticancer drug 1 (solution) based on the solution concentration by dissolving the solid anticancer drug 1 in a container containing the solid anticancer drug 1 Into a supply container and dilute with diluent.

  Dispensing pattern 2 is a dispensing pattern with a solid anticancer agent (2 types), no liquid anticancer agent, no dissolving agent, with a diluent (also used as a dissolving agent), and the supply container is a container with a diluent. Yes, put the diluent in the container containing the solid anticancer drug 1 to dissolve the solid anticancer drug 1, dissolve the solid anticancer drug 2 in the container containing the solid anticancer drug 2, The necessary amount calculated from the dissolved anticancer drugs 1 and 2 (solution) based on the solution concentration is placed in a supply container and diluted with a diluent.

  Dispensing pattern 3 has a solid anticancer agent (1 type), other solid drugs (1 type), no liquid anticancer agent, no dissolution agent, with diluent (also used as a dissolution agent), diluted supply container This is a dispensing pattern in the case of a liquid container, in which a diluent is put in a container containing a solid anticancer drug 1 to dissolve the solid anticancer drug 1, and a diluent is put in a container containing the solid drug 1 to form a solid Drug 1 is dissolved, the necessary amount calculated from the dissolved anticancer drug 1 (solution) based on the solution concentration is placed in a supply container and diluted with a diluent, and the solution concentration is calculated from the dissolved solid drug 1 (solution). Put the required amount calculated in (1) into a supply container and dilute with diluent.

  Dispensing pattern 4 is a dispensing pattern in the case where there is no solid anticancer agent, there is a liquid anticancer agent (one type), there is no solubilizer, there is a diluent, and the supply container is a container with a diluent. Put 1 in the supply container and dilute with diluent.

  Dispensing pattern 5 is a dispensing pattern when there is no solid anticancer agent, there is a liquid anticancer agent (one type), there is no dissolving agent, there is a diluent, the supply container is a container with diluent, and a part of the diluent is extracted. After extracting a part of the diluent from the supply container, the liquid anticancer agent 1 is put into the supply container and diluted with the diluent.

  Dispensing pattern 6 is a dispensing pattern with a solid anticancer agent (one type), no liquid anticancer agent, with a dissolving agent, no diluent, and a supply container with a syringe. The dissolution agent is put in a container to dissolve the solid anticancer drug 1, and a necessary amount calculated based on the solution concentration is aspirated from the dissolved solid anticancer drug 1 (solution) with a syringe.

  Dispensing pattern 7 is a dispensing pattern in the case where there is no solid anticancer agent, there is a liquid anticancer agent (one type), there is no dissolving agent, there is a diluent, and the supply container is an infusion bag, and the diluent is put in the infusion bag. Then, enter the liquid anticancer drug 1 into the infusion bag and dilute.

  Dispensing pattern 8 is for solid anticancer agents (2 types), liquid anticancer agents (1 type), no solubilizer, dilute solution (also used as a solubilizer), and supply container is a dilute solution container Dispensing pattern of the supply container into the container containing the solid anti-cancer agent 1 to dissolve the solid anti-cancer agent 1 and then adding the diluent of the supply container to the container containing the solid anti-cancer agent 2 Dissolve the solid anticancer agent 2 and place the liquid anticancer agent 1 in the supply container and dilute it with the diluent, and supply the required amount calculated from the dissolved anticancer agent 1 (solution) based on the solution concentration The required amount calculated based on the solution concentration from the dissolved anticancer agent 2 (solution) is placed in the supply container and diluted with the diluent.

  7 and 8 show specific prescription examples 1 to 13. FIG. In any of these prescription examples 1 to 13, the dispensing procedure is determined based on any one of the dispensing patterns 1 to 8, and the dispensing is shown on the right side of each dispensing pattern shown in FIG. Formulation examples to which the pattern is applied (for example, prescription examples 1 to 3 for dispensing pattern 1 and prescription examples 4 and 5 for dispensing pattern 2) are shown.

A specific description will be given by taking Formulation Example 1 as an example.
About the prescription contents of this prescription example 1; prescription drug name, its order value (dose), the amount to be dispensed, etc.
(Chemical name) (Order value) (Payout amount)
Endoxan for injection 500mgV 1000mg (50mL) 2V
Endoxan for injection 100mgV 450mg (22.5mL) 5V
100mL distilled water for injection (dissolving agent) 1 (book) 1 bottle
Solita T3 No. 500mL (Diluent) 1 (book) 1 bottle
The total (total liquid volume) is 572.5 mL.
The payout amount (2V, 5V, 1 bottle, 1 bottle) is automatically calculated (confirmed) in the dispensing procedure analysis determination process. In addition, the required amount of 500 mgV for endoxan for injection; 50 mL, the required amount of 100 mgV for endoxan for injection; 22.5 mL, the total liquid volume: 572.5 mL are automatically calculated.

In the case of Formulation Example 1, a dispensing procedure consisting of 10 steps is determined as follows.
(1) Affix the barcode label 23 to the container of Solita T3, which is a supply container. (2) The initial weight of the Solita T3 container is measured.
(3) Endoxan for injection; The initial total weight of two vials each containing 500 mg is measured.
(4) Endoxan for injection; Dissolve in each vial containing 500 mg;
(5) Endoxan for injection; Weigh each vial containing 500 mg of solution.
(6) Endoxan for injection: The total weight of 5 vials each containing 100 mg is measured.
(7) Endoxan for injection; Dissolving agent in each vial containing 100 mg; 5 mL is added to dissolve endoxan for injection.
(8) Endoxan for injection; Weigh each vial containing 100 mg of solution. (9) Dissolved endoxan for injection; 500 mg / V and dissolved endoxan for injection; 72.5 mL of the required amount calculated based on the dissolution concentration of 100 mg / V endoxane solution is mixedly injected into Solita T3.
(10) Measure final weight of solitary T3 container after dispensing medicine.

The calculation of the necessary amount will be described.
This calculation of the required amount is a calculation for mixing the order of the solid anticancer agent in the supply container when the solid anticancer agent whose order value is not a multiple of the standard amount is dispensed.

  For example, in the case of prescription example 1, the ordered injectable endoxan 500 mgV → 1000 mg matches the order value (1000 mg) using 2 V (500 mg × 2 = 1000 mg) of a standard product containing 500 mg per 1 V (vial). However, 100 mgV → 450 mg of injectable endoxan 100 mgV → 450 mg would use 5 V (100 mg × 5 = 500 mg) of the standard product accommodated 100 mg per 1 V (vial) and would exceed the order value (450 mg).

  The concentration of endoxane for injection is determined to be 20 mg / mL based on the master data. Therefore, the amount of solubilizer for dissolving 500 mg of endoxan for injection and 100 mg of endoxane for injection is also determined. However, using this concentration of 20 mg / mL, endotoxin 1000 mg and 450 mg for injection; a total of 1450 mg (order value) of injectable endoxan solution (this is the required amount) is 1000 mg ÷ 20 mg / mL +450 mg ÷ 72.5mL is obtained from the formula of 20mg / mL. The above calculation is automatically performed when determining the dispensing procedure.

  The dispensing procedure consisting of a plurality of steps (1-10 steps above) of Prescription Example 1 determined as described above is a step of measuring the initial weight of the supply container, and the final weight of the supply container after dispensing containing the medicine. Includes steps to do. Such a step is also included in the dispensing procedure consisting of a plurality of steps of Prescription Examples 2 to 13. In this way, it is possible to reliably measure the weight of the drug, solution, and diluent finally mixed in the supply container.

  The dispensing procedure consisting of a plurality of steps of Formulation Example 1 includes (uses) a solid anticancer drug (solid drug), and therefore the step of measuring the weight of the container containing the solid drug before dissolving the solid anticancer drug. , A step of dissolving a solid drug by putting a dissolving agent or a diluent in the container, a step of measuring the weight of the container after the dissolution of the solid drug, and a dissolving liquid or a dissolving agent being further dissolved in the container A step of co-injecting the required amount in the solid drug solution into the supply container. Such a step is also included in a dispensing procedure including a plurality of steps of prescription examples 2 to 5, 9, and 11 to 13. In this way, the weight of the diluent or dissolved solution placed in the container for dissolving the solid drug can be reliably measured, and the necessary amount of the solid drug solution can be reliably mixed and injected into the supply container.

  The dispensing procedure consisting of a plurality of steps of Formulation Example 1 may include a step of measuring the weight of the container before and after the medicine (solid medicine solution) contained in the container is mixedly injected into the supply container. However, for the step of measuring the weight of the container before mixing the drug stored in the container into the supply container, if there is a solid drug (used) (also in the case of Formulation Example 1), This is the same as the step of measuring the weight of the container after the dissolution of the solid drug. Such a step may be included in a dispensing procedure consisting of a plurality of steps of Prescription Examples 2 to 13. In this way, it is possible to reliably measure the weight including the medicine co-injected into the supply container from the medicines accommodated in the container.

  Moreover, when the dilution liquid accommodated in a supply container can become a solubilizer which melt | dissolves a solid chemical | medical agent like prescription example 4,5,11,13, from several steps of this prescription example 4,5,11,13. The dispensing procedure comprises a step of measuring the weight of the supply container immediately after dissolving the solid drug with the dissolving agent. In this way, it is possible to reliably measure the weight used to dissolve the solid drug as the dissolving agent from the diluent contained in the supply container.

  Here, the prescription dispensing support system PS, as shown in FIG. 9 and FIG. 10, dispenses the dispensing procedure printing paper 40 for printing the dispensing procedure determined by the dispensing procedure determination means M2 and the dispensing procedure printing paper 40. Character information file M10 (hard disk of personal computer 4), print information creation means M11 (data processing device of personal computer 4), print output means M12 provided for printing and issuing dispensing procedure manual 21 (see FIG. 11) (Such as a printer 4a).

  As shown in FIG. 10, the dispensing procedure printing paper 40 has a rectangular paper base material 40a, the same shape and the same size as the paper base material 40a, and is peelably adhered to the paper base material 40a, and the surface is formed on the printing surface. A part of the adhesive paper 40b is formed on the first to third label portions 41 to 43 that are separated from the other parts and are detachably adhered to the paper base material 40b. For example, the dispensing procedure printing paper 40 is the same size as the A4 paper, and the arrangement, shape, and size of the first to third label portions 41 to 43 are set as shown in FIG.

  Each of the label portions 41 to 43 is formed by making a frame-shaped cut in advance in the adhesive paper 40b, and information for injecting medicine is printed on the first label portion 41 to supply the adhesive bottle or the infusion bag. A container label 23 is formed, information relating to an injection is printed on the second label portion 42, a supply container label 23 for adhering to the syringe is formed, and information relating to the injection is printed on a third label portion 43, and a medicine bag A medicine bag label 22 for adhering to 30 is formed.

  As shown in FIG. 9, in the character information file M10, for example, the names and operations (mixed injection, dilution, measurement, etc.) of each medicine that can constitute the dispensing procedure data of the dispensing procedure determined by the dispensing procedure determination means M2. In association with the data relating to the information, information relating to characters consisting of a large number of nouns (drug names), verbs, particles, auxiliary verbs, conjunctions, punctuation marks, etc. is stored, and the dispensing procedure data and character information file M10 are printed by the print information creation means M11 Print information for printing output is created for the contents of dispensing in each of the plurality of steps of the dispensing procedure, and the print output means M12 creates print information for printing information based on the print information created by the print information creating means M11. The dispensing contents in each of the plurality of steps of the dispensing procedure are printed out on portions other than the first to third label portions 41 to 43 of the dispensing procedure printing paper 40. It is.

  Further, in the print output means M12, when the supply container is a supply bottle or an infusion bag based on the injection prescription data, information on the injection is printed on the first label portion 41, and the second label portion 42 When printing is not performed and the supply container is a syringe, information on the injection is printed on the second label portion 42 and not printed on the first label portion 41. In addition, information related to the injection is also printed out on the third label portion 43. Here, a barcode is printed on the first label portion 41 or the second label portion 42 of the dispensing procedure printing paper 40 in association with the dispensing procedure data, and the first to third labels of the dispensing procedure printing paper 40 are also displayed. The barcode is also printed on portions other than the portions 41 to 43. Thus, the dispensing procedure manual 21 as shown in FIG. 11 is issued.

  By the way, the dispensing procedure data of the determined dispensing procedure consisting of a plurality of steps is stored in the dispensing procedure data file. By reading the barcode printed on the dispensing procedure manual 21 by the barcode reader 6a on the personal computer 6, Dispensing procedure data corresponding to the barcode is read from the dispensing procedure data file, and the screens of FIGS. 12 and 13 are displayed on the display 6b of the personal computer 6 by display data based on the dispensing procedure data.

  FIG. 12 is a dispensing procedure step partial display screen, and FIG. 13 is a dispensing procedure step list display screen. A touch panel is provided on the surface of the display 6b, and various operations such as a screen operation can be executed via the touch panel or by operating a keyboard or a mouse.

  Now, the dispensing procedure step partial display screen of FIG. 12 and the dispensing procedure step list display screen of FIG. 13 can be switched. For example, when the dispensing procedure step partial display screen of FIG. 12 is displayed on the display 6b, By touching the touch panel portion corresponding to the “procedure list”, it is possible to switch to the dispensing procedure step list display screen of FIG. 13, and when the dispensing procedure list step display screen of FIG. Can be switched to the dispensing procedure step partial display screen of FIG.

  In the screens of FIGS. 12 and 13, in addition to the dispensing procedure, the operator name and the patient ID, the department name, the implementation date, the contact number, the RP number, the patient name, etc. as the basic patient information are commonly used. Is displayed. And in the dispensing procedure step partial display screen of FIG. 12, one step in the process of a plurality of steps is displayed.

  Here, the prescription dispensing support system PS, as shown in FIG. 14, includes a voice information file M20 (hard disk of the personal computers 5 and 6), a dispensing voice information creation means M21 (data processing device of the personal computer 6), a dispensing voice information output. Means M22 (speaker 6b etc.), step recognition means M23 (data processing device of personal computer 6), automatic measurement recording means M24 (data processing device of personal computer 6), predicted weight value calculating means M25 (data processing device of personal computer 6) , Warning means M26 (data processing device of personal computer 6), auditing voice information creation means M27 (data processing device of personal computer 5), and auditing voice information output means M28 (speaker 5c etc.).

  In the audio information file M20, for example, the dispensing procedure data of the dispensing procedure determined by the dispensing procedure determining means M2 is associated with data relating to each drug name and operation (mixed injection, dilution, measurement, etc.) that can be configured, Information related to speech consisting of a number of nouns (medicine names), verbs, particles, auxiliary verbs, conjunctions, etc. is stored, and based on the dispensing procedure data and the stored information of the speech information file M20 by the dispensing speech information creation means M21, Voice information for voice output is created for the contents of dispensing in each of the plurality of steps of the dispensing procedure, and a plurality of dispensing procedures are created based on the voice information created by the dispensing voice information creating means M21 by the dispensing voice information output means M22. The contents of dispensing in each step are output as audio.

  The step recognizing means M23 is means capable of recognizing the start of each step of the dispensing procedure when dispensing is performed according to the dispensing procedure determined by the dispensing procedure determining means M2, and a predetermined container (for example, In the weight measurement step for measuring the weight of the supply container, vial, etc.), the start of the next step after the weight measurement step is recognized in response to the actual measurement value of the predetermined container being recorded by the automatic measurement recording means M24. To do.

  Further, the step recognition means M23 is configured to recognize the start of the next step by touching the touch panel portion corresponding to the “next step” on the screen of FIG. However, when the actual measurement value of the predetermined container is recorded by the automatic measurement recording means M24, each of the subsequent steps until the subsequent weight measurement step (or the final step when there is no weight measurement step) is not the weight measurement step. You may make it recognize collectively the start of a step. As a result, all steps can be automatically recognized without performing an operation such as touching the touch panel portion corresponding to the “next step”.

  Then, when the start of the step is recognized by the step recognition unit M23 by the dispensing voice information output unit M22, the contents of the dispensing at that step are output by voice. For example, in FIG. 12, when the start of step 2 is recognized, a voice “Please measure the initial weight of Solita T3” is emitted from the speaker 6b. Further, for example, when the start of step 3 of the dispensing procedure shown in FIG. 11 is recognized, the start of step 4 is also recognized, and “66 mL of Randa Injection 2V is mixed into 500 mL of physiological saline, and Randa Injection is mixed. Please measure the weight of the subsequent physiological saline 500mL "from the speaker 6b.

  The automatic measurement recording means M24 automatically measures the weight of the container by placing the container on the electronic balance 12 in the weight measurement step when the step recognition means M23 recognizes the start of the weight measurement step. The measurement value is recorded as an actual measurement value of a container (predetermined container; object to be measured) to be measured in this weight measurement step. In this case, the container placed on the electronic balance 12 is removed from the electronic balance 12. Sometimes, the measurement value immediately before the removal is recorded as the actual measurement value.

  In the weight measurement step, the predicted weight value calculation means M25 predicts the weight value of the object to be measured based on, for example, injection prescription data or the weight value of the container measured up to this step. In the screen of FIG. 12, in this weight measurement step, the weight measurement result (actual value) of the object to be measured is displayed on the lower side where the contents of the dispensing of the step are displayed, and the object of the object to be measured is displayed on the lower side. The number, predicted value, and weight value (real-time weight value received from the electronic balance 12) are displayed.

  In this way, the predicted weight value of the object to be measured and the actual measurement value are displayed so as to be comparable, and the display 6b displaying this display form corresponds to the comparison display means. The warning means M26 displays, for example, on the display 6b when the actual measurement value measured by the automatic measurement recording means M24 does not exist within the predetermined allowable measurement range including the weight value predicted by the predicted weight value calculation means M25. Alarms, turn on warning lamps, emit warning sounds and warning sounds.

  Audit voice information creation means M27 creates voice information for voice output for each content of a plurality of audit items for auditing injections dispensed according to the dispensing procedure determined by dispensing procedure determination means M2, and outputs audit voice information The means M28 outputs the audit contents of each of the plurality of audit items based on the voice information created by the audit voice information creation means M27.

  Next, the processing performed by the personal computer 4 in the [medicine management room] is based on the flowcharts of FIGS. 15 to 17 (where Si (i = 1, 2, 3,...) In the flowcharts indicate each step). I will explain. It is assumed that a program for executing this processing is stored in a storage medium such as a ROM or a hard disk of the personal computer 4.

  First, when the injection prescription data is read (S1), the injection prescription data is assigned to either temporary / outpatient prescription data or regular prescription data (S2), and then each read prescription data is read. A prescription check is performed (S3). A prescription change input (prescription stop) is performed mainly when the prescription check in S3 results in NG (S4).

  Next, when there are a plurality of drug injection prescription data determined to be OK in the prescription check, these drug injection prescription data are rearranged so as to be in a predetermined order (for example, in order of application time), and according to the order. For each injection prescription data, an analysis determination process (S5) of the dispensing procedure of the injection prescription data is executed.

Here, the analysis determination process of the dispensing procedure will be described in detail based on the flowcharts of FIGS. 16 and 17 (however, Si (i = 20, 21, 22... In the flowcharts indicate each step)). .
As shown in FIG. 16, when the analysis determination process of the dispensing procedure is started, an anticancer agent is determined based on the injection prescription data and the master data of the medicine for the injection prescription data (S20). In S20, it is distinguished whether the anticancer agent is solid or liquid, and when there are a plurality of anticancer agents, a combined contraindication check of these anticancer agents is performed, and the discharge amount of the container containing the anticancer agents ( The number of ampoules, vials, etc.) is calculated, and an error occurs when no anticancer drug is detected.

  Next, a solubilizing agent is determined (S21). If there is a solubilizing agent, the presence of the solid anticancer agent to be dissolved is checked, and whether the solubilizing agent is permitted to be used for the solid anticancer agent. A check is made to determine whether the amount of the lysing solution is sufficient, and the dispensed amount (number of ampoules, vials, etc.) of the container in which the dissolving agent is stored is calculated.

  Next, the diluent is determined (S22). In S22, whether or not the diluent and the anticancer agent are blended is checked, and at the same time, if used as a solubilizer, the amount is checked to be sufficient, and the diluent container is mixedly injected. It is checked whether the possible amount is sufficient, the dispensed amount of the container containing the diluent is calculated, and if there is no diluent, an error occurs.

  Next, a supply container is determined (S23), and in this S23, basically, a container that stores the diluent is determined as the supply container. However, if the supply container is unusable and registered, a syringe ( Tube) or an infusion bag is used, and when there are a plurality of containers containing the diluent, the infusion bag is determined as a supply container. In the case of a syringe, the appropriate syringe size (10 mL, 20 mL, 50 mL) is automatically determined according to the amount of mixed injection, and the syringe of that size is determined.

  Thereafter, instruction information for attaching the bar code label 23 to the supply container is created (S24), then instruction information for measuring the weight of the supply container is created (S25), and then there is a solid anticancer drug. It is determined whether or not (S26). Therefore, when there is a solid anticancer drug (S26; Yes), the weight measurement instruction information of the solid anticancer drug (the container containing the solid anticancer drug) before dissolution is created (S27).

  Thereafter, dissolution information of the solid anticancer agent is created with the dissolving agent or diluent (S28), and then an instruction for measuring the weight of the solid anticancer agent (the container containing the anticancer agent) is dissolved. Information is created (S29). It should be noted that the volume of the anticancer agent solution prepared by dissolution (that is, the concentration of the dissolution solution) is calculated using a preset volume determination table.

  Next, it is determined whether or not to use the diluent in the supply container as a dissolving agent for dissolving the solid anticancer agent (S30). Therefore, when the diluent of the supply container is used as a solubilizer (S30; Yes), instruction information for measuring the weight of the supply container is created (S31), and the process returns to S26, and the diluent of the supply container is used as the solubilizer. If not used (S30; No), the process returns to S26. Here, in S26, when there is a solid anticancer agent, S27 and thereafter are executed, and when returning to S26, it is considered that there is no solid anticancer agent and S27 and thereafter are not executed again. However, if there is another solid anticancer agent, S27 and subsequent steps are executed again for the other solid anticancer agent.

  Next, when there is no solid anticancer agent (S26; No), as shown in FIG. 14, it is determined whether there is a liquid anticancer agent (S32). Therefore, if there is a liquid anti-cancer agent (S32; Yes), the liquid anti-cancer agent mixed injection instruction information to the supply container is created (S33), and then the liquid anti-cancer agent is mixed into the supply container. Instruction information for weight measurement of the supply container is created (S34), and the process returns to S32. Here, in S32, when there is a liquid anticancer agent, S33 and subsequent steps are executed, and when returning to S32, it is considered that there is no liquid anticancer agent, and S33 and subsequent steps are not executed again.

  Next, when there is no liquid anticancer agent (S32; Yes), it is determined whether or not there is a solid anticancer agent (solution) in a container other than the supply container, that is, whether or not S28 has been executed. (S35). When it is determined in S35 that there is a dissolved solid anticancer agent (S35; Yes), mixed injection instruction information is prepared in the supply container for the dissolved solid anticancer agent (solution) (S36). Instruction information for measuring the weight of the indicator container after co-injection of the anticancer agent (solution) is created (S37), and the process leans to S35.

  In S35, when there is a solid anticancer agent (solution), after S36 is executed, and when returning to S35, it is considered that there is no solid anticancer agent (solution). However, when there is another solid anticancer agent (solution), S36 and subsequent steps are executed again for the other solid anticancer agent (solution). And when there is no solid anticancer agent (S35; No), it ends.

  Thus, a plurality of types of medicines to be applied to a patient are dispensed, and the dispensing pattern is determined as one of the dispensing patterns 1 to 8, and the dispensing pattern data, the injection prescription data, and the application target of the injection prescription data Based on the master data read from the master database DB1 for the drug, a specific dispensing procedure for dispensing a plurality of types of drugs applied to the patient is determined, and the dispensing procedure data is created. The dispensing procedure data is stored in the hard disk of the personal computer 6 or the like.

  Here, about the dispensing procedure data, the case of the prescription example 1 is demonstrated as a specific example. As shown in FIG. 22, the dispensing procedure data includes preparation line number (1 to 10) data and procedure content data corresponding to the preparation line number data. The procedure content data includes the work source chemical line number, the work source classification (1; drug name, 2; solution), the work source name included in the work source, and the volume state classification (1; solution) included in the volume / state. Volume, 2; mixed injection solution, 3; before mixed injection, 4; after mixed injection, 5; before dissolution, 6; after dissolution, 7; immediately after dissolution, 8; after suction, 9; Have.

  In addition, the procedure content data includes the work chemical number and work name included in the work place, the shape classification (1; container, 2; supply container) and shape name included in the shape, and the work classification included in the work. (1; Bar code pasting, 2; Weight measurement, 3; Dissolution, 4; Mixed injection, 5; Mixed injection + filter, 6; Partial extraction, 7; Suction), operation name, and number of symmetry The weight measurement values can be recorded in association with each other. This form of dispensing procedure data will be created.

  Next, after the process of S5, as shown in FIG. 15, medicine picking data is created (S6), and the medicine picking data is transmitted and output to the medicine picking apparatus 10 (S7). Next, the injection prescriptions 25 and 26 are printed (S8), and the dispensing procedure manual 21 is printed and issued integrally with the medicine bag label 22 and the supply container label 23 (S9). Further, statistical / history data is created (S10), injection prescription data is created (S11), various statistical materials are printed (S12), audit data is created (S13), and the process ends.

  The processing performed by the personal computer 6 in the [sterile dispensing room] will be described based on the flowchart of FIG. 18 (where Si (i = 40, 41,...) In the flowchart represents each step). It is assumed that a program for executing this processing is stored in a storage medium such as a ROM or a hard disk of the personal computer 6.

  When the barcode of the dispensing procedure manual 21 brought into the [sterile dispensing chamber] is read by the barcode reader 6a (S40), the dispensing procedure data corresponding to the dispensing procedure manual 21 is read (S41). Then, based on the dispensing procedure data, the dispensing procedure screens of FIGS. 10 and 11 are displayed on the display (S42), and the contents of the absence of dispensing are sequentially output by voice (S43), and the dispensing process is performed (S43). S44). A pharmacist or the like looks at the dispensing procedure manual 21 and the dispensing procedure screen of the personal computer 4 as necessary, and further listens to the voice of the dispensing contents to perform the dispensing operation.

  In the dispensing process of S44, a weight value is input when switching the step display of the dispensing procedure or measuring the weight by operating the keyboard or mouse or automatically. In addition, it is desirable that the weight value input be configured by operating the touch panel due to the characteristics of the sterile room. As described above, the input weight measurement value is recorded together with the dispensing procedure data, and is stored in the hard disk or the like of the personal computer 5 or 6.

  The processing performed by the personal computer 5 in the [formulation room] will be described based on the flowchart of FIG. 19 (where Si (i = 50, 51, 52...) In the flowchart represents each step). It is assumed that a program for executing this processing is stored in a storage medium such as a ROM or a hard disk of the personal computer 5.

  When the barcode of the medicine bag label 22 brought into the [formulation room] is read by the barcode reader 5b (S50), an audit data table corresponding to the read barcode information (patient information) is read. This audit data table is created when determining the dispensing procedure, and as shown in FIG. 23, the patient ID and serial number, which are session numbers, order date, contact number, RP number, sequence number, audit number, audit Contains data in the data section.

  The audit content data is made up of the audit content, the calculation weight value preparation line number 1, and the calculation weight value preparation line number 2 in association with the audit line number data. (Corresponding to an audit result for a predetermined audit item) can be input in association with each other and can be recorded and held. Based on this audit data table, information necessary for auditing the dispensed injection is displayed on the display (S52), and the contents of the audit are output by voice (S53).

  Next, the anticancer drug preparation / audit record 32 is printed (S54), the weight of the supply container is measured by the electronic balance 11, the weight of the supply container is input (S55), and then the pharmacist is printed. The audit result is entered in the check column of the anticancer drug dispensing record 32, and the anticancer drug aseptic dispensing report 31 is printed (S56), and the process is terminated.

The operation and effect of the prescription drug dispensing support system PS described above will be described.
According to this prescription medicine dispensing support system PS, a master database DB2 is provided, and a dispensing pattern showing a procedure for dispensing a plurality of kinds of drugs to be applied to a patient once in a dispensing pattern storage means M1 and storing them in a supply container. A dispensing pattern (dispensing patterns 1 to 8) having some or all of the presence or absence of a solid drug, the presence or absence of a liquid drug, the presence or absence of a dissolving agent, the presence or absence of a diluent, and the type of supply container as parameters. A plurality (8) of presets were stored.

  Then, the dispensing pattern determining means M2 stores the injection prescription data as the prescription information of the prescription 20 for each patient, the data read from the master database DB2 for the medicine to be applied among the injection prescription data, and the dispensing pattern storage means M1. Based on the data of the prepared dispensing pattern, a dispensing procedure including a plurality of steps for dispensing a plurality of types of drugs applied to the patient is determined. In this way, since an appropriate dispensing procedure for dispensing a plurality of types of drugs in order to dispense an injection can be automatically determined, the burden of determining the dispensing procedure can be reduced.

  In addition, since the dispensing voice information creating means M21 and the dispensing voice information output means M22 are provided, the dispensing contents at each of the plurality of steps of the dispensing procedure determined by the dispensing procedure determining means M2 can be output as a voice. By listening to the voice, the (pharmacist) can easily and reliably grasp the contents of the dispensing (can assist the grasping of the contents of the dispensing), and can easily concentrate on the dispensing work. That is, the information of the dispensing procedure can be effectively used, the efficiency of the dispensing operation can be greatly improved, and dispensing errors can be reliably prevented. As a result, it greatly contributes to assisting in dispensing the injection, and it becomes possible to smoothly dispense the injection to be applied to a plurality of patients such as hospitals that treat many patients.

  When dispensing is performed in accordance with the dispensing procedure determined by the dispensing procedure determining means M2, it is provided with step recognition means M23 capable of recognizing the start of each step of the dispensing procedure, and the dispensing voice information output means M22 is provided by the step recognition means M23. When the start of the step is recognized, the dispensing content at that step is output as a voice, so that the dispensing operator can definitely hear the dispensing content at that step.

  Audit voice information creating means M27 for creating voice information for voice output for each content of a plurality of audit items for auditing injections dispensed in accordance with the dispensing procedure determined by the dispensing procedure determining means M2, and audit voice information creating means Since the audit voice information output means M28 for outputting the audit contents of each of the plurality of audit items based on the voice information created in M27 is provided, the audit operator can easily and reliably listen to the voice. This makes it easy to focus on audit work, improve audit efficiency, and prevent audit mistakes.

  When the start of the weight measurement step is recognized by the step recognition means M23, the weight of the container is automatically measured by placing the container on the electronic balance 12 in the weight measurement step, and the measured value is measured. Since the automatic measurement recording means M24 that can record the measured value of the object is provided, it is possible to reduce the load of the dispensing operation performed by the dispensing operator, and to concentrate on the dispensing operation. That is, it is possible to effectively utilize the information of the dispensing procedure, to greatly increase the efficiency of the dispensing operation, and to reliably prevent measurement errors of measured objects and recording errors of measured values (actual measurement values).

  The step recognizing means M23 recognizes the start of the next step of the weight measuring step in response to the fact that the measured value of the predetermined container is recorded by the automatic measurement recording means M24 in the weight measuring step. Even if no step switching operation is performed, the start of a step can be automatically recognized, and the dispensing content of that step can be output as a voice.

  When the container placed on the electronic balance 12 is removed from the electronic balance 12, the automatic measurement recording means M24 records the measurement value immediately before the removal as an actual measurement value, so that stable and accurate measurement immediately before the removal is performed. When the total weight of a plurality of containers can be measured, the containers after the work is placed on the electronic balance 12 one by one, and all the containers are stored on the electronic balance 12. By removing one of the containers from the electronic balance 12, the total weight of these containers can be accurately measured and recorded.

  Predicted weight value calculating means M25 for predicting the weight value of the object to be measured is provided, and the weight value predicted by the predicted weight value calculating means M25 and the actual value measured by the automatic measurement recording means M24 are displayed so as to be comparable. Therefore, it is possible to easily compare the predicted weight value and the actual measurement value, and when the predicted value and the actual measurement value do not substantially coincide with each other, it is possible to know that a dispensing error has occurred by looking at it.

  Since the warning means M26 is provided to warn when the actual measurement value measured by the automatic measurement recording means M24 does not exist within the predetermined allowable measurement range including the weight value predicted by the predicted weight value calculation means M25, the actual measurement value is provided. Is not within the allowable measurement range, it can be surely known by the warning by the warning means M26.

  The dispensing procedure printing paper 40 and the print output means M12 are provided, and the dispensing procedure printing paper 40 is attached to a label portion (first to third label portions 41 to 43) that is partly adhered to the paper substrate 40a so as to be peelable. Based on the information of the dispensing procedure formed, the dispensing procedure is printed out on a portion other than the label portions 41 to 43 of the dispensing procedure printing paper 40, and information on the injection to be dispensed according to this dispensing procedure is labeled 41 to 43 are printed out, so that the dispensing procedures printed on the dispensing procedure printing sheet are formed integrally with label portions 41 to 43 on which information (such as prescription information) related to the injection is printed. Can be issued. In other words, it is possible to reduce the overall printing load (printing time) for these issuances and to issue them in a physically connected state, so it is definitely possible to perform label adhesion work on adhesive objects. become.

  As the label part, a first label part 41 for adhering to a supply bottle or an infusion bag as a supply container and a second label part 42 for adhering to a syringe as a supply container are provided. In the case where the supply container is a supply bottle or an infusion bag based on the information on the dispensing procedure or the prescription information of the injection, information on the injection is printed on the first label portion 41, and the supply container is a syringe Since the information about the injection is printed on the second label portion 42, the first and second label portions 41 for different supply containers are added to the dispensing procedure manual 21 printed on the dispensing procedure printing paper 40. , 42 can be formed integrally and issued, information on the injection can be reliably printed on the first label portion 41 or the second label portion 42 according to the supply container, and the label portions 41, 42 can be placed on the supply container. Single, it can be reliably pressure-sensitive adhesive. Furthermore, the 3rd label part 43 which printed the information regarding an injection for a medicine bag can be integrally formed and issued to the dispensing procedure manual 21.

It can be changed as follows.
1] In the case of dispensing an injection containing an anticancer drug, the procedure for dispensing a plurality of kinds of drugs is determined, but the same applies to the case of dispensing an injection containing no anticancer drug. A dispensing procedure can be determined.

2] In the dispensing operation, the weight of a container such as an ampoule or a vial to be discarded (empty) may be measured. Thereby, it becomes possible to measure the weight of the diluent or the dissolving agent put into the container or supply container from an ampoule or a vial more accurately. In this case, a dispensing procedure including a plurality of steps including the step of measuring the weight of the container to be discarded may be determined.

3] Each of the personal computers may be configured to be executable by a single personal computer without dividing the plurality of processes.
The present invention is not limited to the above-described embodiments, and those skilled in the art can implement various modifications to the above embodiments without departing from the spirit of the present invention. The present invention includes such modifications.

It is a block diagram which comprises the prescription medicine dispensing assistance system of an Example. It is explanatory drawing of the prescription medicine dispensing assistance system constructed | assembled in the hospital. It is explanatory drawing of the prescription medicine dispensing assistance system constructed | assembled in the hospital. It is a block diagram including the main processes of a prescription medicine dispensing assistance system. It is a block diagram of the main structures of a prescription medicine dispensing assistance system. It is a chart which shows the contents of eight kinds of dispensing patterns. It is a chart which shows the contents of prescription examples 1-8. It is a chart which shows the contents of prescription examples 9-13. It is a block diagram of the main structures of a prescription medicine dispensing assistance system. Dispensing procedure printing paper. It is a dispensing procedure manual. It is a dispensing procedure instruction screen displayed on the display. It is a dispensing procedure instruction screen displayed on the display. It is a block diagram of the main structures of a prescription medicine dispensing assistance system. It is a flowchart of the process which the personal computer of [medicine management room] performs. It is the first half of the flowchart of the dispensing procedure analysis determination process which the personal computer of [medicine management room] performs. It is the latter half of the flowchart of the dispensing procedure analysis determination process which the personal computer of [medicine management room] performs. It is a flowchart of the process which the personal computer of [aseptic dispensing room] performs. It is a flowchart of the process which the personal computer of [formulation room] performs. It is a graph which shows each information of injection prescription data. It is a chart which shows each information on master data. It is a chart which shows each information on dispensing procedure data. It is a chart which shows each information on an audit table.

Explanation of symbols

PS Prescription drug dispensing support system DB2 Master database DB4 Injection prescription database M1 Dispensing pattern storage means M2 Dispensing procedure determining means M12 Print output means M21 Dispensing voice information creating means M22 Dispensing voice information outputting means M23 Step recognition means M24 Automatic measurement recording means M25 Prediction Weight value calculating means M26 Warning means M27 Audit voice information creating means M28 Audit voice information output means 12 Electronic balance 40 Dispensing procedure printing paper 40a Paper bases 41 to 43 First to third label portions

Claims (14)

In a prescription drug dispensing support system that assists in dispensing an injection to be applied to a plurality of patients in a hospital,
A master database storing master data of a large number of drugs;
It is a dispensing pattern showing a procedure for dispensing a plurality of types of drugs to be applied to a patient and storing them in a supply container, the presence or absence of a solid drug, the presence or absence of a liquid drug, the presence or absence of a dissolving agent, the presence or absence of a diluent, Dispensing pattern storage means for presetting and storing a plurality of dispensing patterns whose parameters are part or all of the types of supply containers,
Prescription information for prescription for each patient, information to be read from the master database about the drug to be applied among the prescription information, and information on the dispensing pattern stored in the dispensing pattern storage means, a plurality of types of drugs to be applied to the patient Dispensing procedure determining means for determining a dispensing procedure comprising a plurality of steps for dispensing
Based on the information on the dispensing procedure determined by the dispensing procedure determining means, dispensing voice information creating means for creating voice information for voice output for the dispensing contents in each of the plurality of steps of the dispensing procedure;
Based on the voice information created by the dispensing voice information creating means, dispensing voice information output means for outputting the contents of dispensing in each of the plurality of steps of the dispensing procedure;
A prescription drug dispensing support system characterized by comprising: When dispensing according to the dispensing procedure determined by the dispensing procedure determining means, comprising step recognition means capable of recognizing the start of each step of the dispensing procedure,
The prescription medicine dispensing support system according to claim 1, wherein when the start of the step is recognized by the step recognizing unit, the dispensing voice information output unit outputs the dispensing content in the step by voice.   Audit voice information creating means for creating voice information for voice output for each content of a plurality of audit items for auditing injections dispensed according to the dispensing procedure determined by the dispensing procedure determining means, and audit voice information creating means The prescription drug dispensing support system according to claim 1, further comprising: an audit voice information output unit that outputs the audit contents of each of the plurality of audit items based on the created voice information. The dispensing procedure comprising a plurality of steps includes a weight measuring step of measuring the weight of a predetermined container with an electronic balance,
When dispensing is performed according to the dispensing procedure determined by the dispensing procedure determining means, step recognition means capable of recognizing the start of each step of the dispensing procedure, and when the start of the weight measurement step is recognized by the step recognition means And an automatic measurement recording means for automatically measuring the weight of the container by placing the container on the electronic balance in the weight measurement step and recording the measured value as the actual measured value of the predetermined container. The prescription drug dispensing support system according to claim 1.   Dispensing procedure printing paper for printing the dispensing procedure determined by the dispensing procedure determining means, a part of which is a dispensing procedure printing paper formed on a label part that is detachably adhered from the paper substrate, Print output means for printing out the dispensing procedure on a portion other than the label portion of the dispensing procedure printing paper based on the information on the dispensing procedure, and printing out information on an injection to be dispensed according to the dispensing procedure on the label portion. The prescription medicine dispensing support system according to claim 1 or 4, characterized by comprising: In a prescription drug dispensing support system that assists in dispensing an injection to be applied to a plurality of patients in a hospital,
A master database storing master data of a large number of drugs;
It is a dispensing pattern showing a procedure for dispensing a plurality of types of drugs to be applied to a patient and storing them in a supply container, the presence or absence of a solid drug, the presence or absence of a liquid drug, the presence or absence of a dissolving agent, the presence or absence of a diluent, Dispensing pattern storage means for presetting and storing a plurality of dispensing patterns whose parameters are part or all of the types of supply containers,
Prescription information for prescription for each patient, information to be read from the master database about the drug to be applied among the prescription information, and information on the dispensing pattern stored in the dispensing pattern storage means, a plurality of types of drugs to be applied to the patient A dispensing procedure determining means for determining a dispensing procedure comprising a plurality of steps for dispensing
The dispensing procedure consisting of a plurality of steps includes a weight measuring step of measuring the weight of a predetermined container with an electronic balance,
Step recognizing means capable of recognizing the start of each step of the dispensing procedure when dispensing according to the dispensing procedure determined by the dispensing procedure determining means;
When the start of the weight measuring step is recognized by the step recognizing means, the weight of the container is automatically measured by placing the container on the electronic balance in the weight measuring step, and the measured value is set to the predetermined value. Automatic measurement recording means for recording as an actual measurement value of the container;
A prescription drug dispensing support system characterized by comprising:   The step recognizing means recognizes the start of the next step of the weight measuring step in response to the fact that the measured value of the predetermined container is recorded by the automatic measurement recording means in the weight measuring step. Item 7. The prescription drug dispensing support system according to Item 6.   The said automatic measurement recording means records the measured value just before the removal as a measured value, when the container mounted in the electronic balance is removed from the electronic balance. Prescription drug dispensing support system.   Predicted weight value calculating means for predicting the weight value of the predetermined container, contrast display means for displaying the weight value predicted by the predicted weight value calculating means and the measured value measured by the automatic measurement recording means in a comparable manner; The prescription medicine dispensing support system according to any one of claims 6 to 8, characterized by comprising:   The apparatus further comprises warning means for warning when there is no actual measurement value measured by the automatic measurement recording means within a predetermined allowable measurement range including the weight value predicted by the predicted weight value calculation means. Item 10. A prescription drug dispensing support system according to any one of Items 6 to 9.   Dispensing procedure printing paper for printing the dispensing procedure determined by the dispensing procedure determining means, a part of which is a dispensing procedure printing paper formed on a label part that is detachably adhered from the paper substrate, Print output means for printing out the dispensing procedure on a portion other than the label portion of the dispensing procedure printing paper based on the information on the dispensing procedure, and printing out information on an injection to be dispensed according to the dispensing procedure on the label portion. The prescription medicine dispensing support system according to any one of claims 6 to 10, characterized by comprising: In a prescription drug dispensing support system that assists in dispensing an injection to be applied to a plurality of patients in a hospital,
A master database storing master data of a large number of drugs;
It is a dispensing pattern showing a procedure for dispensing a plurality of types of drugs to be applied to a patient and storing them in a supply container, the presence or absence of a solid drug, the presence or absence of a liquid drug, the presence or absence of a dissolving agent, the presence or absence of a diluent, Dispensing pattern storage means for presetting and storing a plurality of dispensing patterns whose parameters are part or all of the types of supply containers,
Prescription information for prescription for each patient, information to be read from the master database about the drug to be applied among the prescription information, and information on the dispensing pattern stored in the dispensing pattern storage means, a plurality of types of drugs to be applied to the patient Dispensing procedure determining means for determining a dispensing procedure comprising a plurality of steps for dispensing
Dispensing procedure printing paper for printing the dispensing procedure determined by the dispensing procedure determining means, a part of which is a dispensing procedure printing paper formed on a label part that is detachably adhered from the paper substrate,
Print output means for printing out the dispensing procedure on a portion other than the label portion of the dispensing procedure printing paper based on the information on the dispensing procedure, and printing out information on an injection to be dispensed according to the dispensing procedure on the label portion. When,
A prescription drug dispensing support system characterized by comprising: As the label part, a first label part for adhering to a supply bottle or an infusion bag as a supply container and a second label part for adhering to a syringe as a supply container are provided,
When the supply container is a supply bottle or an infusion bag based on the information on the dispensing procedure or the prescription information on the injection, the print output means prints out information on the injection on the first label portion, and the supply container When the is a syringe, the prescription medicine dispensing support system according to claim 12, wherein information related to the injection is printed on the second label portion.   The prescription medicine dispensing support system according to claim 13, further comprising a third label part for adhering to a medicine bag as the label part.

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