JP6743820B2 - Drug storage/delivery device - Google Patents

Description

The present invention relates to a medicine accommodation/delivery device.

The drug prescribed to the patient may be returned to the department that manages the drug prescription in the medical institution due to a change in the prescription (returned drug). Patent Document 1 discloses a returned medicine storage device that automatically recognizes and stores a returned medicine in order to improve the efficiency of the processing operation of the returned medicine and prevent human error in this operation.

JP, 2013-215343, A

Generally, returned medicines have various properties such as type, shape, size, and expiration date. However, in the conventional returned medicine storage device including the one disclosed in Patent Document 1, returned medicines having different properties should be stored with a high degree of freedom in consideration of factors such as the efficiency of the subsequent dispensing work. No particular consideration has been given to. More specifically, no particular consideration is given to storing returned medicines having various properties with a high degree of freedom so that they can be dispensed freely according to prescription information, for example. ..

Further, the returned medicine storage device can store a new medicine delivered from the pharmaceutical manufacturer and taken out from the storage box. That is, the returned medicine storage device can operate as a medicine storage device for general medicines including new medicines and returned medicines. However, even in this case, no particular consideration has been given to storing medicines having different properties with a high degree of freedom so that the medicines can be dispensed freely according to prescription information. Become.

The present invention automatically secures a high degree of freedom by automatically recognizing drugs supplied in a non-aligned state in a drug storage/delivery device having various properties such as types, shapes, sizes, and expiration dates. The task is to store.

The medicine accommodating and dispensing device according to the first embodiment of the present invention is
A recognition unit that recognizes drug data including at least first information that is identification information or specific information and second information that is attribute data of the drug;
A storage unit for storing medicines,
A storage information storage unit for storing storage status data of medicines in the storage unit,
A storage unit that stores a drug master that records drug data, including drug data recognized by the recognition unit and first information for each drug;
Relating the drug storage status data of the drug stored in the storage information storage unit by associating the drug data of the drug for which the storable region in the storage unit is specified with the data of the storage position of the storable region,
In the medicine accommodation and dispensing device for storing the medicine,
For any drug in the drug master, an upper limit value that is the upper limit number that is stored in the storage unit, a constant value that is a constant that is stored in the storage unit, and a lower limit number that is stored in the storage unit. At least one of the lower limit values is
The set values are recorded in association with at least the drug data in the drug master.

According to the medicine accommodating and dispensing device of the present invention, it is possible to automatically recognize the orientation and posture of a medicine and properties such as shape, size, type, and expiration date, and freely dispense according to prescription information. It is possible to store drugs with a high degree of freedom.

1 is a schematic configuration diagram of a contained drug management system according to a first embodiment of the present invention. It is a 1st block diagram of the accommodation medicine delivery apparatus and the delivery line system containing an accommodation medicine delivery apparatus. It is a 2nd block diagram of the accommodation medicine delivery apparatus and the delivery line system containing an accommodation medicine delivery apparatus. It is a perspective view of the conventional cassette dispensing machine. It is a partially expanded perspective view of the conventional cassette dispensing machine. FIG. 6A is a diagram showing a part of the layout of the medicine master stored in the medicine accommodation control device in the medicine administration system according to the first embodiment of the present invention. FIG. 6(2) is a diagram showing a part of the layout of the inventory list stored by the drug accommodation control device in the contained drug management system according to the first embodiment of the present invention. It is a figure which shows the layout of the local database connected to the instruction|indication terminal in the accommodation medicine management system which concerns on Embodiment 1 of this invention. FIG. 8(1) is a conceptual diagram of the storage state of medicines for which the upper limit of storage is not set. FIG. 8(2) is a conceptual diagram of the storage state of the medicine for which the upper limit of storage is set. FIG. 9(1) is a conceptual diagram of the storage state of the medicine in which the upper limit, the constant, and the lower limit of storage are set. FIG. 9(2) is a conceptual diagram of the accommodation state of the medicine for which the accommodation constant and the lower limit are set. FIG. 9(3) is a conceptual diagram of the storage state of the medicine for which the storage constant is set. It is a virtual conceptual diagram of the accommodation state of the chemical|medical agent in the storage part of the accommodation medicine delivery device. It is an example of a screen of cassette setting. It is an example of a screen of cassette setting. It is a flow chart which shows a flow of processing in which a stored medicine management system updates the number of actual stocks and the number of effective stocks when a stored medicine delivery device stores medicines. It is an example of a screen display of a stock list of medicines. It is an example of a main screen. It is a screen example of a cassette inquiry. It is a screen example of a cassette inquiry. It is a screen example of a cassette inquiry. It is an example of a screen of inventory inquiry. FIG. 20(1) is a flow chart of the payout process in the conventional stored medicine management system. FIG. 20(2) is a flowchart of the payout process in the stored medicine management system according to the first embodiment of the present invention. FIG. 21A is a flowchart of the temporary tightening process. FIG. 21(2) is a flowchart of the closing process. FIG. 22(1) is a screen display example showing the overall stock status in the storage section of the stored medicine dispensing device according to the first embodiment of the present invention. FIG. 22(2) is a screen display example showing the overall stock status in the storage unit of the conventional stored medicine dispensing apparatus.

Hereinafter, preferred embodiments of the present invention will be described with reference to the drawings.

In the following description of the embodiments, as medicines to be stored in the stored medicine management system (medicine storage/delivery device), a new medicine delivered from a pharmaceutical manufacturer and an unused returned medicine in a hospital or the like will be mentioned. There is. Thus, in the embodiment according to the present invention, the medicine to be contained may be a new medicine or an unused returned medicine.

[Embodiment 1]
1. Configuration 1.1. Configuration of stored medicine management system (medicine storage/delivery apparatus) FIG. 1 is a diagram showing a schematic structure of a stored medicine management system (medicine storage/delivery apparatus) according to Embodiment 1 of the present invention. The stored medicine management system according to the first embodiment includes a stored medicine dispensing device 2, an instruction terminal 4, and a medicine storage control device 6.

The instruction terminal 4 shown in FIG. 1 includes a control unit (processor), an input unit, a display unit, a storage unit, an external device interface unit, and a communication interface unit. The control unit (processor) performs arithmetic processing and control of the entire system. The control unit includes a processor such as a CPU and an MPU, and executes a predetermined program to realize the functions described below. The input unit is a unit that generates or receives input data for the device, and is usually composed of a keyboard, a mouse, a touch panel, and the like. The display unit is a unit for displaying the processing result and the like by the processor (control unit), and is configured by a liquid crystal display, an organic EL display, a plasma display, or the like. The storage unit stores a program running in the control unit (processor), parameter data necessary for model generation, and the like. The external device interface unit is a unit that operates as an interface with an external device such as a printer. The communication interface unit is a unit that operates as an interface for communicating with an external network. The processor (control unit), input unit, display unit, storage unit, external device interface unit, and communication interface unit are connected to each other by an appropriate bus. The instruction terminal 4 is composed of an information processing device such as a desktop computer, a notebook computer, a workstation, or a tablet terminal. Further, the instruction terminal 4 includes a local database 3 as a storage unit for data regarding medicines.

Further, the medicine accommodation control device 6 includes a control unit (processor), an input unit, a display unit, a storage unit, an external device interface unit, and a communication interface unit. The control unit (processor) performs arithmetic processing and control of the entire system. The control unit includes a processor such as a CPU and an MPU, and executes a predetermined program to realize the functions described below. The input unit is a unit that generates or receives input data for the device, and is usually composed of a keyboard, a mouse, a touch panel, and the like. The display unit is a unit for displaying the processing result and the like by the processor (control unit), and is configured by a liquid crystal display, an organic EL display, a plasma display, or the like. The storage unit stores a program running in the control unit (processor), parameter data necessary for model generation, and the like. The external device interface unit is a unit that operates as an interface with an external device such as a printer. The communication interface unit is a unit that operates as an interface for communicating with an external network. The processor (control unit), input unit, display unit, storage unit, external device interface unit, and communication interface unit are connected to each other by an appropriate bus. The medicine storage control device 6 is configured by an information processing device such as a desktop personal computer, a notebook personal computer, a workstation, or a tablet terminal. The medicine accommodation control device 6 is further connected to a database 5 that stores a plurality of tables 7a, 7b, 7c... As a storage unit for data regarding medicines.

The database 5 includes drug-related data tables such as a drug master 7a, an inventory list table 7b, and an inventory drug file 7c. On the other hand, the local database 3 attached to the instruction terminal 4 includes a drug-related data table such as the stored drug inventory table 9.

The medicine master 7a is a master file that uses the medicine code as a key item (key field) and has characteristic data and attribute data of each medicine. As shown in FIG. 6(1), each record has fields (items) such as a drug name, an inventory upper limit (upper limit amount), an inventory constant (maximum mounting amount), an inventory lower limit (filling reference amount), and a size. Including. The drug master of the first embodiment may be a master file for drugs used by each hospital.

In addition, in the first embodiment, the medicine master 7a may include “payout target/non-target flag” data. This “dispensing target/non-targeting flag” is data for controlling whether or not the medicines of the same individual type are to be accommodated (stored) in the accommodated medicine dispensing device 2 and to be dispensed.

The inventory list table 7b is a table that stores the data on the inventory status of each drug stored in the stored drug delivery device 2 in real time using the drug code as a key item (key field). As shown in FIG. 6(2), each record includes at least fields (items) such as the medicine name, the actual stock quantity (the number of stored articles), and the effective stock quantity. If a medicine is stored (accommodated) in the medicine dispenser 2, the actual inventory quantity (accommodation quantity) and the effective inventory quantity in the record having the medicine code corresponding to the medicine increase. If the stored drug delivery device 2 is dispensed or collected, the actual inventory number (accommodation number) or the effective inventory number in the record having the drug code corresponding to the drug is reduced. The relationship between the actual stock quantity and the effective stock quantity will be described later.

The stock medicine file 7c is a file (table) in which one record is generated for each medicine stored in the stored medicine dispensing apparatus 2. Each record has data items relating to each medicine, such as “medicine identification code”, “medicine code”, and “payment completion date and time”. As will be described later, this “drug identification code” is assigned to each contained drug, which is composed of, for example, “accommodation date and time of accommodating medicine dispensing device in accommodating tray”+“serial number”. This is a unique identification code.

The “collection” operation according to the first embodiment is an operation of collectively dispensing the medicines corresponding to a specific condition from the storage unit 15 of the contained drug dispensing device 2, and the specific condition has “the expiration date. It includes various conditions such as "cut out" and "being a specific drug type". Therefore, the “collection” operation and the “dispensing” operation of the medicine performed based on the prescription data are similar in that the contained medicine dispensation device 2 outputs the corresponding medicine to the outside, but they are different operations. is there.

The stored medicine inventory table 9 of the local database 3 is a local storage for storing data such as a storage position (address) (that is, a shelf, a row, a horizontal position) in the storage unit 15 of the stored medicine dispensing apparatus 2 and an expiration date (expiration date). This is a file, and a new record is generated during the containing operation of the contained medicine dispensing device 2. FIG. 7 shows the layout of the stored medicine inventory table 9.

The storage information storage unit is a storage area that stores the storage state of the medicine in the storage unit 15 of the medicine accommodation device 2, and may be included in the storage unit of the instruction terminal 4 or the storage of the medicine accommodation control device 6. It may be included in the section.

The stored medicine delivery device 2 exchanges necessary data with the medicine storage control device 6 and the instruction terminal 4, and at the same time stores new medicines and unused returned medicines stored in the stored medicine management system (medicine supply/delivery device) ( The recognizing unit 14 recognizes the stored medicines (which will be described later), and stores the stored medicines in its own storage unit 15 (which will also be described later) according to the recognition. That is, the accommodated medicine dispensing device 2 is based on the recognition operation of the recognition unit 14 and is a “medicine barcode” (attached to each medicine), an “expiration date”, a “diameter and length of the medicine”, a “direction of the medicine and Data regarding the property of the medicine such as “posture” is grasped, and based on these data, the stored medicine management system is notified to search the storage position in the storage unit 15. The stored medicine management system searches for a filling position, that is, an empty position and a placement in the storage unit 15 of the stored medicine delivery apparatus 2, using the stored information storage unit, based on the data from the stored medicine delivery apparatus 2.

The vacant position and how to place the stored medicine in the storage unit 15 will be described. As will be described later, the storage unit 15 is provided with a plurality of shelves in the vertical direction, and a storage tray is arranged on each shelf. The storage tray of each shelf is provided with a plurality of rows, and each row further comprises a plurality of lateral (directional) positions. The storage trays are classified into those for S size (drug) and for M size (drug) and L size (drug). When the stored medicine management system receives (the data of) the stored medicine size from the stored medicine dispensing apparatus 2, the stored medicine management system determines whether the stored medicine is of size S, M, or L, and identifies a storage tray corresponding to the size. To do. Then, the contained drug management system tries to find (that is, searches) whether or not there is an area (including a margin area between medicines) where medicines of the size can be arranged, using the stored information storage unit, If so, the filling position information (that is, "shelf, row, lateral position" data (which will be described later)) is determined. At this time (described later), the position where the mask is set is excluded from the search target.

The stored medicine management system notifies the stored medicine dispensing device 2 of the filling position information determined as a result of the search, that is, "shelf, row, horizontal position" data (which will be described later) together with data such as "medicine barcode". To do. The stored medicine dispensing device 2 sorts and stores the stored medicines in the storage unit 15 based on the received filling position information.

After sorting and storing the stored medicines in the storage unit 15, the stored medicine management system masks the filling position in the stored information storage unit. As a result, thereafter, the medicines are not placed (stored) on top of each other at the same position. In this way, in the storage information storage unit, the mask is set at the position where the medicine is placed on the storage tray, and the mask is removed at the position where the medicine is not present (due to dispensing or collection), and the position can be arranged (filled). Exists as an area. As described above, the contained drug management system tries to find a place where the medicine to be arranged can be arranged (stored) most efficiently in searching for the arrangeable area. Therefore, there is no useless storage space in the storage unit 15.

Further, the medicine accommodation control device 6 extracts the medicine code from the “medicine bar code” received from the accommodated medicine dispensing apparatus 2, searches the medicine master in the database 5 using this medicine code as a key item, and the kind and name of the medicine. Understand data such as classification (storage in a cold place, anticancer drug, powerful drug, etc.). Further, data indicating occurrence of storage in the storage unit 15 of the stored medicine delivery device 2 is immediately notified from the stored medicine delivery device 2 to the medicine storage control device 6 and the instruction terminal 4, and the medicine storage control device 6 displays ( As will be described later), the stock status of each stored medicine in the stock list table 7b is updated, and a new record is created in the stock medicine file 7c. At the same time, the instruction terminal 4 creates a new record in the stored medicine inventory table 9 (see FIG. 7) in the local database 3. At this time, the stored medicine inventory table 9 in the local database 3 stores the data on the stored medicine, the data on the filling position in the storage unit 15, and the data on the expiration date in association with each other.

At the time of dispensing or collecting the medicine, the medicine housing control device 6 generates a dispensing instruction or a collecting instruction in which conditions of the dispensing medicine or the collected medicine are specified, and transmits it to the stored medicine dispensing apparatus 2. The stored medicine delivering device 2 performs a delivering/collecting operation according to the delivering/collecting instruction received from the medicine storing control device 6.

The stored medicine dispensing device 2 and the instruction terminal 4, and the stored medicine dispensing device 2 and the medicine storage control device 6 are connected to each other via RS-232C or the like. Further, the instruction terminal 4 and the medicine accommodation control device 6 are connected via a LAN or the like.

In this embodiment, each data can be classified as follows. First, for example, the medicine identification code is medicine identification information. Further, for example, the name (drug) and the drug code are specific information of the drug. Further, for example, the size (size), total length/diameter, and shape of the medicine are attribute data of the medicine. Further, for example, the medicinal component, efficacy, etc. of the medicine are characteristic data of the medicine.

1.2. Configuration of Dispensing Line System The diagram shown in the upper part of FIG. 2 is a first overall configuration diagram of the dispensing line system 101 including the stored medicine dispensing device 2 of the first embodiment. A tray for dispensing and collecting the stored medicine passes through the dispensing line system 101. The dispensing line system 101 may have various device configurations depending on the specifications of the user. For example, in FIG. 2, the supply lifter 103, the bottle dispensing machine 105, the stored medicine dispensing apparatus 2, the cassette dispensing machine 200, the special dispensing machine 109, It is composed of a cold place dispenser 111, a bagging machine 113, a printer unit 115, a discharge lifter (with rewrite) 117, a stacking lifter 119 and the like.

The supply lifter 103 is a device that fills a tray that flows through the payout line system 101 from left to right. The bottle dispenser 105 is a device that dispenses an infusion bag (saline solution). The cassette dispenser 200 is a device that dispenses ampoules packed in a cassette from the cassette. The special dispensing machine 109 is a device that dispenses a specially shaped ampoule (such as a 5-unit ampoule). The cold place dispenser 111 is a dispenser dedicated to ampoules that need to be stored in a cold place. The bag-filling machine 113 is a device that fills a bag (medicine bag) with the medicine dispensed up to the bag-filling machine 113. The printer unit 115 is a device that prints an injection prescription (a list of medicines dispensed in a tray based on a prescription) or a label with information on a patient to be administered (attached to a medicine bag or medicine itself). The cassette dispenser 200 or the special dispenser 109 dispenses a new ampoule (that is, a new drug that is a non-returned drug). It should be noted that the cassette dispensing machine 200 and the special dispensing machine 109 in the dispensing line system 101 can be configured by any dispensing machine.

FIG. 4 is a perspective view of a conventional cassette dispenser 200. The cassette 202 for storing the medicine is inserted from the front surface to the rear surface of the cassette dispensing machine 200 and held in the cassette dispensing machine 200. As shown in FIG. 4, a large number of cassettes 202 are arranged in the vertical (vertical) direction and the horizontal direction of the cassette dispenser. FIG. 5 is a partially enlarged perspective view of the conventional cassette dispenser 200, particularly the inside 204 of the cassette 202. The medicine corresponding to each cassette 202 is stored in the inside 204 of the cassette 202. When the cassette dispenser 200 receives a signal for dispensing a specific drug from the drug accommodation control device 6 or the instruction terminal 4, the cassette dispenser 200 dispenses the specific drug from the cassette 202 that stores the specific drug.

The dispensing line system 101 may be configured differently from that shown in FIG. 2, and may include, for example, two or more contained medicine dispensing devices 2.

The figure shown in the upper part of FIG. 3 is a second overall configuration diagram of the dispensing line system 100 including the stored medicine dispensing device 2 of the first embodiment. The dispensing line system 100 shown in FIG. 3 is constituted by only the stored medicine dispensing device 2 according to the first embodiment as a dispensing machine. As described above, the dispensing line system 100 may include only the stored medicine dispensing device 2 according to the first embodiment as a dispensing machine.

In the present embodiment, hereinafter, the dispensing line system 100 will be described focusing on the configuration including only the stored medicine dispensing device 2 according to the first embodiment as a dispensing machine.

1.3. Configuration of Stored Medicine Dispensing Device The diagram shown in the lower part of FIG. 3 is a schematic block diagram of the stored medicine dispensing device 2 in the stored medicine management system according to the first embodiment. The stored medicine dispensing device 2 stores a new drug (such as an ampoule or a vial) or an unused returned medicine, a dispensing operation for dispensing the stored stored medicine, and a collection for collecting the stored stored medicine. You can perform actions and so on. The stored medicine dispensing device 2 includes a receiving unit 12, a recognition unit 14, a storage unit 15, and a dispensing unit 16.

The receiving part 12 is configured to receive, for example, seven storage trays. The storage tray is, for example, a tray that first stores a new drug (such as an ampoule or a vial) or an unused returned drug. The recognition unit 14 recognizes the medicine stored in the medicine storage/delivery device. That is, the recognition unit 14 determines the orientation, posture, shape, diameter, and total length of a drug (such as a new drug or an unused returned drug) placed on each storage tray, a barcode including a drug code, and an expiration date. Data such as is recognized by image processing. The stored medicine recognized by the recognition unit 14 is stored in the storage unit 15.

The accommodating medicine such as ampoules and vials is adsorbed by the first adsorption nozzle and the first adsorption pad of the first robot included in the accommodating medicine dispensing device 2, and is recognized from the accommodating tray by the first robot. Are transferred to. Further, the stored medicines are adsorbed by the second suction nozzles and the second suction pads provided in the second robot included in the stored medicine dispensing device 2, while being adsorbed by the second robot from the recognition unit 14 to the storage unit 15. Are transferred to. The first adsorption nozzle and the second adsorption nozzle releasably adsorb the accommodated drug by the vacuum supplied from the vacuum source, and the first adsorption pad and the second adsorption pad made of rubber are respectively attached to the tips. It is installed.

The dispensing unit 16 dispenses the drug stored in the storage unit 15 to a tray passing through the dispensing line system 100 according to a prescription instruction from the drug accommodation control device 6. Further, the dispensing unit 16 collects the stored medicine stored in the storage unit 15 into a tray passing through the inside of the payout line system 100 according to a recovery instruction input from the instruction terminal 4 and generated by the medicine storage control device 6.

As will be described later, the recognition unit 14 may read only the barcode, and in that case, the size (diameter, total length, etc.) data of the drug is recorded in the drug master 7a. become.

Further, as will be described later, the recognition unit 14 may be a handy type barcode reading device. Here, the handy-type bar code reading device is a conventional reading device that reads information related to the bar code by manually bringing the scanner close to the bar code. In this case, data of the size (diameter, total length, etc.) of the medicine is recorded in the medicine master 7a, and further, as will be described later, the medicine is manually transferred from the storage tray to (the filling position of) the storage unit 15. Will be transferred.

Further, as will be described later, a stored medicine dispensing device in which the recognition unit is a handy type barcode reading device and the storage unit and dispensing unit are conventional cassette dispensing machines can be configured.

1.3.1. Configuration of Virtual Cassette in Stored Medicine Dispensing Device In the stored medicine management system (stored medicine dispensing apparatus 2, medicine storage control device 6, instruction terminal 4) according to the first embodiment, the cassette dispensing machine 200 shown in FIGS. Virtually corresponding virtual cassette (concept) has been constructed. The storage unit 15 of the stored medicine dispensing device 2 is not constructed by an actual cassette, but stores the stored medicine virtually or logically according to the concept of the cassette.

As described above, the drug master 7a included in the database 5 connected to the drug accommodation control device 6 includes data of the upper limit of inventory, the constant of inventory, and the lower limit of inventory for each drug (drug code) (see FIG. )reference). Although individual medicines (medicines) are stored in various storage positions (storage addresses) in the storage unit 15 of the stored medicine dispensing apparatus 2, if the medicines are put together for each medicine, the same medicine is virtually included in the storage unit 15. A certain area will be provided in the storage area. The concept of the virtual cassette is to manage the area for each of the same chemicals by limiting the stock upper limit (in terms of quantity), the stock constant, and the stock lower limit. The inventory upper limit, inventory constant, and inventory lower limit are also referred to as an upper limit amount, a maximum mounting amount, and a filling reference amount, respectively.

It should be noted that the prerequisite for the drug subject to the concept of the virtual cassette is that the “dispensing target/non-target flag” in the drug master 7a is “dispensing target”.

Here, the “stock constant (maximum mounting amount)” is the number corresponding to a virtual allocation area in which only the medicine can be placed. This "stock constant (maximum mounting amount)" is a basic numerical value in the concept of the virtual cassette. Next, the “stock upper limit (upper limit amount)” is an upper limit value of the number of drugs that may virtually be occupied in the storage unit 15. However, there is a possibility that other chemicals may enter the area that can be virtually occupied by the upper limit value. Further, the “stock lower limit (filling reference amount)” is a boundary value for notifying the outside that the remaining amount of the medicine is small.

In the record for each drug (drug code) in the drug master, all of the inventory upper limit (upper limit amount), inventory constant (maximum mounting amount), and inventory lower limit (filling reference amount) may be set. May not be set. However, if none of the upper inventory limit (upper limit amount), inventory constant (maximum mounting amount), or lower inventory limit (filling reference amount) is set, it means that the virtual cassette is not set for the drug. Become.

An example of setting the upper limit of inventory (upper limit amount), the inventory constant (maximum mounting amount), and the lower limit of inventory (filling reference amount) will be described. FIG. 8(1) is a conceptual diagram of the storage state of chemicals when neither the inventory upper limit (upper limit amount), the inventory constant (maximum mounting amount), nor the inventory lower limit (filling reference amount) is set. Show. In this case, if there is at least one stock quantity, it means that the stock quantity is “appropriate”. FIG. 8(2) shows a conceptual diagram of the storage state of medicines when only the upper limit of inventory (upper limit amount) is set. In this case, if the stock quantity exceeds the "upper limit", the stock quantity is "excess". If the number of stocks is one or more and "the upper limit" or less, it means that the stock quantity is "appropriate". Since the "upper limit" is set, the concept of the virtual cassette is applied to this medicine.

FIG. 9(1) shows a conceptual diagram of the storage state of chemicals when the inventory upper limit (upper limit amount), the inventory constant (maximum mounting amount), and the inventory lower limit (filling reference amount) are all set. .. In this case, if the stock quantity exceeds the "upper limit", the stock quantity is "excess". If the number of stocks is "constant" or more and "upper limit" or less, it means that the "proper" stock quantity. If the stock quantity is equal to or more than the “lower limit” and less than the “constant”, the stock quantity is “insufficient”. If the number of stocks is one or more and less than the "lower limit", it means that the stock is "remaining". If the stock quantity is less than one, it means that the stock quantity is "out of stock". Since the “constant” and “upper limit” are set, the concept of the virtual cassette is applied to this medicine.

FIG. 9(2) shows a conceptual diagram of the storage state of chemicals when the inventory constant (maximum mounting amount) and the inventory lower limit (filling reference amount) are set. In this case, if the stock quantity is equal to or larger than the “constant”, the stock quantity is “appropriate”. If the stock quantity is equal to or more than the “lower limit” and less than the “constant”, the stock quantity is “insufficient”. If the number of stocks is one or more and less than the "lower limit", it means that the stock is "remaining". If the stock quantity is less than one, it means that the stock quantity is "out of stock". Since the "constant" is set, the concept of the virtual cassette is applied to this drug.

FIG. 9(3) shows a conceptual diagram of the storage state of chemicals when only the inventory constant (maximum mounting amount) is set. In this case, if the stock quantity is equal to or larger than the “constant”, the stock quantity is “appropriate”. If the number of stocks is one or more and less than the "constant", it means that the stock quantity is "insufficient". If the stock quantity is less than one, it means that the stock quantity is "out of stock". Since the "constant" is set, the concept of the virtual cassette is applied to this drug.

FIG. 10 is an example of a schematic diagram showing a virtual entire storage area provided in the storage unit 15 of the stored medicine dispensing device 2. Area 1 is a virtual area for storing drugs not covered by the virtual cassette. Area 2 is a virtual area for storing the target drug of the virtual cassette. The hatching in the "virtual cassette (drug A)" indicates that the drug A up to the "constant" is stored in the hatched area. The area defined by the dotted line on the left of the hatching area of the "virtual cassette (drug A)" indicates the existence of the "appropriate" area and the "upper limit". Similarly, the hatching in the “virtual cassette (drug B)” or the “virtual cassette (drug C)” indicates that up to the “constant” drug B or drug C is stored in the hatched region, respectively. The area defined by the dotted line on the left of the hatching area of the “virtual cassette (drug B)” or the “virtual cassette (drug C)” indicates the existence of the “appropriate” region (for the drug B or the drug C) and the “upper limit”. Show. As shown by the arrows in the upper part of FIG. 10, the “upper limit” and the “constant” for each drug are values that can fluctuate depending on the registration settings in the drug master 7a. Further, as indicated by the arrow in the lower part of FIG. 10, the ratio between the region 1 and the region 2 can be changed by increasing or decreasing the target chemicals of the virtual cassette.

1.3.1.1. The number of effective stocks in the virtual cassette The stock list table 7b included in the database 5 connected to the medicine storage control device 6 according to the first embodiment of the present invention has two items as the stock quantity for each medicine code, that is, "actual stock". The "inventory quantity" and the "effective inventory quantity" are managed. The “actual inventory quantity” is the inventory quantity for each medicine code that is actually stored in the storage unit 15 of the stored medicine dispensing device 2. On the other hand, the “effective stock quantity” is the number of medicines (stock) within the expiration date (expiration date) of the “actual stock quantity”. That is, the number of effective stocks is the (stock) number of drugs that can be dispensed among the drugs in the storage unit 15.

When a drug is subject to the concept of the virtual cassette described above, the “available stock quantity” can be used as the stock quantity. That is, it is assumed that "20" is assigned as the "maximum mounting amount (stock constant)" in the virtual cassette of a certain drug, and the actual stock quantity and the effective stock quantity at a certain time point are "20". After that, if "3" of them are out of the "effective stock quantity" due to expiration (expiration of the expiration date), the actual stock quantity is 17, but the effective stock quantity is 17. Therefore, at a later point in time, up to the “maximum mounting amount (stock constant)”, three new medicines can be stored in the storage unit 15 of the stored medicine dispensing apparatus 2.

11 and 12 are examples of screens used by the instruction terminal 4 for setting various numerical values in the virtual cassette. In FIG. 11, data for each drug is shown in each row. In the screen shown in FIG. 11, when the row of medicines for each “medicine name” is selected and the “Set” button 20 is clicked, a drawing for setting the specific numerical values of FIG. 12 is further displayed. In FIG. 12, the maximum mounting amount (stock constant), the filling reference amount (stock lower limit), and the upper limit amount for each medicine can be set (that is, (virtual) cassette setting can be performed). The “effective stock quantity” is to be compared with the maximum mounting amount, the filling reference amount, and the upper limit amount in FIGS. 11 and 12. That is, the value of the number of available stocks can be targeted for comparison with the stock upper limit (upper limit amount), the stock constant (maximum mounting amount), and the stock lower limit (filling reference amount) as the stock number.

In the screen of FIG. 11, in the “Extraction condition” area, enter the conditions of “Yes”/“No” (pull-down bar menus 22 and 24) for the settings of “Maximum mount amount” and “Upper limit amount”. , The drug data can be narrowed down and searched. Further, in the "cassette area region 40", the current storage state of the storage unit 15 of the stored medicine dispensing device 2 is displayed.

The expiration date data in the stored medicine inventory table 9 of the local database 3 and the available inventory number data in the inventory list table 7b of the database 5 are synchronized. That is, at the end of the day, when a record of "expiration date" expires (end) in the stored medicine inventory table 9 of the local database 3, which medicine code has an expiration date, The drug accommodation control device 6 is notified via the instruction terminal 4. Receiving the notification, the medicine accommodation control device 6 updates (decreases) the value of the "effective stock quantity" of the record of the target drug code in the stock list table 7b of the database 5 to be connected.

Further, FIG. 13 is a flowchart showing a flow of processing in which the stored medicine management system updates the actual stock quantity N1 and the effective stock quantity N2 when the stored medicine payout device stores medicines. First, it is determined whether or not the drug type is readable (for example, whether or not the drug barcode can be obtained) (ST52). If not possible (ST52, NO), there is no warehousing and nothing is updated in the inventory list table 7b of the database 5. If the drug type is readable (ST52, YES), it is then determined whether the expiration date is readable (ST54). If it is readable (ST54, YES), the medicine is stored (ST56), the actual inventory quantity is incremented by 1 (ST58), and then it is determined whether the medicine is within the expiration date (ST60). If the drug is within the expiration date (YES in ST60), the available stock quantity is incremented by 1 (ST62). If the medicine is not within the expiration date (ST60, NO), the effective stock quantity in the stock list table 7b of the database 5 is not updated.

If it is determined in ST54 that the expiration date cannot be read (ST54, NO), then it is determined whether or not the medicine whose expiration date cannot be read is stored in the first place (ST64). If it is determined that the goods are not stored (ST64, NO), there is no goods stored and nothing is updated in the inventory list table 7b of the database 5. If it is determined that the medicine is to be stored (YES in ST64), the medicine is stored (ST66), the actual inventory quantity is incremented by 1 (ST68), and the medicine whose expiration date is unknown is subject to payout (that is, actual use). It is determined whether or not (ST70). If it is determined that the product is to be paid out (that is, actually used) (ST70, YES), the effective stock quantity is set to the same quantity as the actual stock quantity (ST72, YES). It should be noted that the determination as to whether or not to store a drug whose expiration date cannot be read is registered in advance in the drug master for each drug type based on internal regulations and the like in the hospital.

In ST70, if it is determined that the drug whose expiration date is unknown is not to be paid out (that is, actually used) (ST70, NO), it is subsequently determined whether or not the expiration date is input. (ST74). If it is determined that no input has been made (ST74, NO), the number of available stocks in the stock list table 7b of the database 5 is not updated. If it is determined that the drug is input (ST74, YES), the expiration date is input (ST76), and it is determined whether the drug is within the expiration date (ST78). If the drug is within the expiration date (YES in ST78), the effective stock quantity is incremented by 1 (ST62). If the medicine is not within the expiration date (ST78, NO), the effective stock quantity in the stock list table 7b of the database 5 is not updated.

It should be noted that the determination as to whether or not the drug is within the expiration date (in ST60 and ST78) is generally made by comparing the expiration date with the current time (time), but the determination method is not limited to this. Not a thing. For example, in order to prevent the drug from staying in the storage of the stored drug dispensing device and effectively utilize the inventory, or to ensure safety, the date when a certain period is subtracted from the expiration date of the drug and the current (time ) And may be judged by comparing with. Alternatively, the determination may be made by comparing the expiration date with the current time (time) plus a certain period of time. At this time, it is determined whether or not the medicine is within the expiration date based on the period input from the input unit, the expiration date of the medicine, and the present (time). The period input to the input unit is, for example, a period determined by the internal regulations of the hospital. In addition, the value input from the input unit may be the set date instead of the period. At this time, it is judged from the set date, the expiration date of the medicine, and the present (time) whether the medicine is within the expiration date.

Further, in the above description, at the end of the day, when a record of “expiration date” has occurred in the stored medicine inventory table 9 of the local database 3, which medicine code has an expiration date, It has been described that the medicine accommodation control device 6 is notified via the instruction terminal 4. Receiving the notification, the medicine accommodation control device 6 updates (decreases) the value of the "effective stock quantity" of the record of the target drug code in the stock list table 7b of the database 5 to be connected. Also in this determination of “expiration date”, as described above, the date when the period determined by the internal regulations of the hospital is subtracted from the expiration date of the medicine may be compared with the present time (time). At this time as well, it is judged whether the medicine is expired or not, from the period determined by the internal regulations of the hospital, the expiration date of the medicine, and the current time (time), which are input from the input unit.

As described above, the expiration date data of the contained medicine, that is, the expiration date data in the contained medicine inventory table 9 of the local database 3 and the effective inventory quantity data of the inventory list table 7b of the database 5 are synchronized. Has been.

1.3.1.2. Example of screen display of inventory list table FIG. 14 shows, for example, an instruction based on the inventory list table 7b and the drug master 7a included in the database 5 connected to the drug accommodation control device 6 in the contained drug management system according to the first embodiment. 9 is a screen display example of a drug inventory list table displayed on the display of the terminal 4. In the inventory list table, "drug code" and "drug name" are common items between the inventory list table 7b and the drug master 7a. The “actual inventory quantity” and the “effective inventory quantity” are data items stored in the inventory list table 7b (see FIG. 6(2)). The “constant”, “upper limit”, “lower limit”, and “size” are data items set in the medicine master 7a, and the “stock constant (maximum mounting amount)”, “stock upper limit (upper limit amount)”, and “stock” in the medicine master 7a. Lower limit (filling reference amount)” (see FIG. 6(1)). Further, if the value of the “stock constant (maximum mounting amount)” or the value of “stock upper limit (upper limit amount)” is stored for a certain drug in the drug master 7a, the storage unit of the stored drug dispensing device 2 for that drug. This means that a virtual cassette is set in 15. The “◯” mark in the “virtual cassette” item of the inventory list table of FIG. 14 indicates this. In the inventory list table shown in FIG. 14, only the first line (medicine code: A Yak) has a value of “inventory constant (maximum mounting amount)”, “inventory upper limit (upper limit amount)”, and “stock lower limit (filling reference amount)”. Since it is not stored, the virtual cassette is not set for "drug code: A yak" (the virtual cassette is set for all other drugs).

Further, each content of the item "stock status" in the stock list table of FIG. 14 is determined by the relationship between the current "effective stock quantity" and the "constant" "upper limit" "lower limit". For example, in the first line (medicine code: A yak), no value is stored for "inventory constant (maximum mounting amount)", "stock upper limit (upper limit amount)", and "stock lower limit (filling reference amount)". If the “effective stock quantity” is 1 or more, the “stock status” is “appropriate”. In the 2nd and 3rd lines (medicine code: B yak, C yak), only the value of "stock upper limit (upper limit amount)" is stored, so (as in the second line) "effective stock number" is If one or more and less than or equal to the "upper limit", the "inventory status" becomes "appropriate", and if the "available stock quantity" exceeds the "upper limit" (as in the third line), the "stock status" becomes "excess". ..

In the 4th to 8th lines, a value is stored in each of "inventory constant (maximum mounting amount)", "stock upper limit (upper limit amount)", and "stock lower limit (filling reference amount)". In the 4th line (drug code: Yak), the "effective stock quantity" is between "constant" and "upper limit", so the "stock status" is "appropriate". In the 5th line (medicine code: Yaku), the "effective stock quantity" exceeds the "upper limit", so the "stock status" becomes "excess". In the 6th line (medicine code: F yak), the "effective stock quantity" is equal to or more than the "lower limit" and less than the "constant", so the "stock status" is "insufficient". In the 7th line (medicine code: G yak), since the "effective stock quantity" is one or more and less than the "lower limit", the "stock status" is "remaining". In the 8th line (medicine code: G yak), since the “effective stock quantity” is less than one, the “stock status” is “out of stock”.

As described above, in the storage unit 15 of the stored medicine dispensing device 2 according to the first embodiment, the regions for each medicine are the upper limit of inventory (upper limit amount), the inventory constant (maximum mounting amount), and the lower limit of inventory (filling reference amount). ) Is controlled by the concept of a virtual cassette that is managed by adding constraints.

Below, an example of the screen of the instruction terminal 4 that displays the stock upper limit (upper limit amount), stock constant (maximum mounting amount), stock lower limit (filling reference amount), effective stock number, and actual stock number in the virtual cassette ( Main screen, cassette inquiry screen, inventory inquiry screen) will be described.

FIG. 15 is an example of a main screen of the stored medicine management system displayed on the instruction terminal 4. On the main screen shown in FIG. 15, the stock status of the medicines stored in the virtual cassette in the storage section 15 of the stored medicine dispensing apparatus 2 is displayed by the “cassette medicine stock” button 42. First, in the virtual cassette, if there is at least one virtual cassette for which the number of effective stocks is zero, it is displayed as "out of stock". Even if there is no virtual cassette corresponding to "out of stock", if there is at least one virtual cassette whose effective stock quantity is less than the filling standard quantity (lower stock limit) and is 1 or more, "remaining stock" is displayed. There is no virtual cassette that corresponds to "out of stock" or virtual cassette that corresponds to "remaining", and in all virtual cassettes, the effective stock quantity is the maximum mounted quantity (stock constant) and the filling standard quantity (lower stock limit). If there is a gap, "appropriate" is displayed. Also. The “excess chemical presence/absence” button 46 indicates “excess chemical presence” if there is at least one virtual cassette with the effective stock quantity exceeding the upper limit quantity, and there is no virtual cassette with the effective stock quantity exceeding the upper limit quantity. For example, "No excess chemicals" is displayed.

FIG. 16 is an inquiry (cassette inquiry) screen displayed on the instruction terminal 4 for each cassette in the contained drug management system in which the virtual cassette is set. On the cassette inquiry screen, when the "cassette list" button 52 of "extraction conditions" is clicked, the stock status of medicines and setting numerical values in all virtual cassettes are displayed. That is, the medicine name, the stock amount, the maximum mounting amount, the filling reference amount, the upper limit amount, and the state are displayed. The stock quantity here is the stock quantity of the medicines that can be used for dispensing, that is, the “effective stock quantity”. If the number of available stocks is 0, the "state" is displayed as "out of stock", and if the number of available stocks is less than the filling reference amount (stock lower limit) and is 1 or more, "remaining" is displayed. If the effective stock quantity is between the maximum mounting quantity (stock constant) and the filling standard quantity (stock lower limit), it is displayed as "appropriate", and if the effective stock quantity exceeds the upper limit quantity, "excess" is displayed. To be done.

FIG. 17 is a screen in a state where the "filling table all cassettes" button 54 of "extraction conditions" is clicked on the cassette inquiry screen (shown in FIG. 16). As shown in FIG. 17, when the “filling table all cassettes” button 54 of “extraction conditions” is clicked on the cassette inquiry screen, chemicals whose effective stock quantity is less than the maximum mounting quantity are displayed. That is, a list of chemicals having a filling amount to be replenished until the maximum mounting amount is reached is displayed. The “replenishment amount” in FIG. 17 is a number obtained by subtracting the number of effective stocks from the maximum mounting amount (that is, “replenishment amount”=“maximum mounting amount”−“effective stock number” in FIG. 17).

FIG. 18 is a screen in a state in which the “less than or equal to the filling table reference amount” button 56 of “extraction conditions” is clicked on the cassette inquiry screen (shown in FIG. 16). As shown in FIG. 18, when the “less than or equal to the filling table reference amount” button 56 of “extraction condition” is clicked on the cassette inquiry screen, medicines whose effective stock quantity is less than the filling reference amount are displayed. That is, a list of medicines having a filling amount to be replenished until the filling reference amount is reached is displayed. The “replenishment amount” in FIG. 18 is a number obtained by subtracting the number of effective stocks from the filling standard amount (that is, “replenishment amount”=“filling reference amount”−“effective stock number” in FIG. 18).

FIG. 19 is an inventory inquiry screen displayed on the instruction terminal 4 in the contained drug management system in which the virtual cassette is set. For each drug in each virtual cassette, the amount of stock (the number of stocks) and the like are shown in one line, but in this screen shown in FIG. 19, the "stock amount" shows the actual number of stocks. The "upper limit amount" indicates the upper limit of inventory. In this way, the value of the actual inventory quantity may be targeted for comparison with the inventory upper limit (upper limit quantity), the inventory constant (maximum mounting quantity), and the inventory lower limit (filling reference quantity) as the inventory quantity. ..

2. Operation 2.1. Accommodating operation of the accommodated medicine dispensing device The accommodated medicine dispensing device 2 accepts the accommodating tray on which a new medicine or an unused returned medicine is placed in the receiving section 12, recognizes the medicine in the recognizing section 14, and follows the recognition. By sorting and storing the items in the storage unit 15, a new drug or an unused returned drug is stored. The stored medicine management system is configured such that the user of the stored medicine management system can issue a start instruction of the storing operation at either the stored medicine dispensing device 2 or the instruction terminal 4.

The receiving unit 12 of the stored medicine dispensing device 2 receives, for example, seven storage trays on which new medicines (such as ampoules and vials) and unused returned medicines are placed. Each of these seven storage trays is stacked in the receiving unit 12 and temporarily stored.

Of the seven accommodating trays that are stacked and temporarily stored, the lowest accommodating tray can also function as an NG (No Good) tray. That is, the stored medicine dispensing device 2 can also perform an operation in which the stored medicine is judged to be unnecessary to be stored in the storage unit 15 in the first place as “NG” and is transferred to this NG tray. Examples of the objects to be transferred to the NG tray include the following.
[1] Drugs that are not in the shape of general ampoules or vials.
[2] Those that are set as "non-payment target" in the "payout target/non-target flag" in the medicine master 7a.
The recognition unit 14 and the control unit of the instruction terminal 4 determine whether each medicine corresponds to the above [1]. The storage trays other than the lowermost storage tray may function as the NG tray. At this time, the lowermost storage tray may function as a non-NG tray.

The medicines placed on the individual storage trays (excluding the NG trays) are recognized by the recognition unit 14 by image processing. At that time, a bar code including a drug code and data such as an expiration date are acquired.

A "drug identification code" is assigned to each contained drug. This "medicine identification code" is a unique identification code composed of, for example, "date and time of accommodation of accommodation tray in accommodated medicine dispensing device" + "serial number".

The stored medicine dispensing device 2 transmits the recognized data to the medicine storage control device 6 and the instruction terminal 4. Based on the transmitted data, the medicine accommodation control device 6 updates the actual inventory quantity (by medicine) and/or the effective inventory quantity in the inventory list table 7b (see FIG. 6(2)), and the inventory medicine file 7c. A new record including the "drug identification code" and the "drug code" is created. At the same time, the instruction terminal 4 creates a new record including the “drug identification code” and the “drug code” in the stored drug inventory table 9 (see FIG. 7) in the local database 3.

The medicines recognized by the recognition unit 14 are sorted and stored in the storage unit 15. The storage unit 15 is provided with a plurality of shelves in the vertical direction, and each shelf is provided with a plurality of rows. Furthermore, each row comprises a plurality of lateral (directional) positions. That is, in the storage unit 15, the storage position (storage address) of the medicine is uniquely determined by (shelf, row, horizontal position). This (shelf, row, lateral position) information is stored in the stored medicine inventory table 9 shown in FIG. 7, which is the local database 3, as fields of “filling shelf number”, “filling column number”, and “filling lateral position”. Recorded in the record.

In addition, when the medicine storage control device 6 updates the actual inventory quantity and/or the effective inventory quantity for each medicine in the inventory list table 7b based on the transmitted data, the "effective inventory quantity" is changed to the "stock upper limit (upper limit amount)". )”, the stored medicine delivery device 2 may be configured so that the stored medicine delivery device 2 returns the excess amount of the medicine to the NG tray. Here, when the "effective stock quantity" exceeds the "stock upper limit (upper limit quantity)", the stored medicine dispensing device 2 is configured to store the medicine in the storage unit 15 or returned to the NG tray (that is, It is desirable to be able to input data to be selected from the outside via the instruction terminal 4 or the medicine accommodation control device 6 as to whether or not it is configured to be stored in the storage unit 15).

2.1. (1) Return Operation and Filling Operation The accommodating operation can be divided into a returning operation and a filling operation. The return operation is an operation of storing the returned medicine in the accommodated medicine dispensing device 2. The filling operation is an operation of accommodating a medicine which is not a returned medicine in the accommodation medicine dispensing device 2. As described above, the user of the housed medicine management system gives an instruction to start the housed operation on the screen of the housed medicine dispensing device 2 or the instruction terminal 4. On the screen for instructing the start of the accommodation operation, for example, when the accommodation operation start button is pressed once (one click), the subsequent accommodation operation is recognized as a "return operation" by the accommodation medicine management system, and the accommodation operation is performed. The stored medicine management system is configured such that when the start button is pressed twice (double-clicked), the subsequent storage operation is recognized as a “filling operation” by the stored medicine management system.

In the contained drug management system, the filling operation is defined to give priority to the dispensing operation (which will be described later), and the dispensing operation has priority to the returning operation. First, the fact that the dispensing operation has priority over the returning operation means that the returning operation is not interrupted when the stored medicine dispensing apparatus 2 is performing the dispensing operation. This is to prioritize the payout operation, which is often performed regularly (as described later).

Next, the fact that the filling operation has priority over the dispensing operation means that the filling operation may be interrupted while the stored medicine dispensing device 2 is performing the dispensing operation. As a result, the following effects can be obtained.

Under the premise that "the dispensing operation has priority over the containing operation (including the returning operation)", when the medicine is not delivered from the contained medicine delivering device 2 (when the stock is out of stock), the delivered medicine is delivered. It is not possible to carry out the operation of taking the medicine into the device 2 each time and eliminating the shortage. Therefore, by setting the filling operation prior to the dispensing operation, when a stockout occurs, the filling operation is executed to allow the necessary medicine to be taken into the accommodated medicine dispensing apparatus 2, whereby the medicine is dispensed from the accommodated medicine dispensing apparatus 2 each time. Will be able to pay out.

Since the priority of the operation in the stored medicine dispensing apparatus 2 is “filling operation>dispensing operation>returning operation”, the filling operation interrupts the returning operation. As described above, the stored medicine management system recognizes the distinction between the return operation and the filling operation based on the number of times (the number of clicks) the accommodation operation start button (on the screen of the instruction terminal 4 or the like) is pressed.

In addition, when the filled medicine is the medicine to be dispensed at the time of filling after the shortage (error) occurs, if the dispenseable state (that is, the state in which the expiration date has not expired, for example) The stored medicine management system may be configured such that the medicine is delivered to the tray as it is (for delivery) without entering the medicine in 15 (stock shelf).

It should be noted that the stored medicine management system may be configured such that when the storage unit 15 is full during the filling operation, the medicines to be filled (contained) are thereafter transferred to the NG tray. Further, when the storage unit 15 becomes full during the return operation, the return operation is stopped thereafter, and the stopped state is maintained until the medicine in the storage unit 15 is discharged or collected. The contained drug management system may be configured.

2.1.1. Accommodating Operation of Accommodating Medicine Dispensing Device when Recognition Unit Reads Only Bar Code Subsequently, the accommodating operation of a plurality of accommodating drug dispensing devices depending on the configuration of the recognizing unit 14 will be described. First, the storing operation when the recognition unit 14 reads only the barcode will be described. At this time, the recognition unit 14 reads only the barcode. The read bar code data is transmitted from the stored medicine dispensing device 2 to the medicine storage control device 6, the medicine master 7a is searched using the medicine code included in the barcode as a key item, and the medicine size (diameter, total length, etc.) data Is understood. Based on the obtained data relating to the property of the medicine such as “diameter and total length of medicine”, the stored medicine management system determines the filling position in the storage section 15 of the stored medicine dispensing apparatus 2, that is, the empty position and the placement method. Search using the stored information storage unit. The stored medicine management system notifies the stored medicine dispensing device 2 of the filling position information determined as a result of the search, that is, “shelf, row, lateral position” data together with data such as “medicine barcode”. The stored medicine dispensing device 2 stores the stored medicine in the storage unit 15 based on the received filling position information. The recognition unit 14 may read identification information for identifying a drug.

2.1.2. Housing operation of the stored medicine dispensing device when the recognition unit is a handy type barcode reading device The housing operation of the stored medicine dispensing device 2 when the recognition unit 14 is a handy type barcode reading device will be described. First, at this time, the first robot that transfers the medicine from the receiving unit 12 to the recognition unit 14 and the second robot that transfers the medicine from the recognition unit 14 to the storage unit 15 are not provided in the stored medicine dispensing device 2. Good.

Further, at this time, the barcode of the medicine is read manually by the operator using the barcode reading device which is the recognition unit 14. The read barcode data is transmitted from the barcode reading device and the stored medicine dispensing device 2 to the medicine storage control device 6, and the medicine master 7a is searched using the medicine code included in the barcode as a key item, and the medicine size is calculated. Data (diameter, total length, etc.) is grasped. Based on the obtained data relating to the property of the medicine such as “diameter and total length of medicine”, the stored medicine management system determines the filling position in the storage section 15 of the stored medicine dispensing apparatus 2, that is, the empty position and the placement method. Search using the stored information storage unit. The stored medicine management system notifies the stored medicine dispensing device 2 of the filling position information determined as a result of the search, that is, “shelf, row, lateral position” data together with data such as “medicine barcode”. At this time also, the recognition unit 14 may read the identification information for identifying the medicine.

Here, in the storage tray of the storage unit 15 of the stored medicine dispensing device 2, a notification light including a minute LED or the like is provided for each storage address of the medicine represented by “shelf, row, lateral position”. ing. Further, when the stored medicine delivery device 2 receives the “shelf, row, lateral position” data, the stored medicine delivery apparatus 2 is configured so that the notification light corresponding to the storage address of the “shelf, row, horizontal position” lights up. Has been done. The operator manually stores the medicine whose barcode has been read using the barcode reader at the storage address where the shining notification light is located.

Alternatively, the notification light may not be provided, and instead, the data of the storage address “shelf, row, lateral position” may be displayed on the display unit of the instruction terminal 4 or the like. Further, at this time, a sensor is provided for each storage address of the medicine represented by “shelf, row, lateral position”, and the storage address “shelf, row, lateral position” displayed on the display unit of the instruction terminal 4 by the operator. In the case where the medicine is not stored in “,” the sensor may detect the absence of the medicine and give a warning by blinking a light source provided together with the sensor. On the contrary, when the operator stores the medicine at the storage address “shelf, row, lateral position” shown on the display unit of the instruction terminal 4 or the like, the sensor detects the existence of the medicine, and The configuration may be such that the light source provided together is also notified by blinking.

2.1.3. The accommodating operation of the accommodating medicine dispensing device such that the recognition unit is a handy-type bar code reading device and the storage unit and the dispensing unit are conventional cassette dispensing machines. "A stored medicine dispensing device at a certain time", which is one of the modified examples of "a stored medicine dispensing device in which the recognition unit is a handy-type bar code reader and the storing unit and the dispensing unit are conventional cassette dispensing machines". Also, this embodiment can be configured. In this case, the cassette dispenser is provided with a plurality of types of cassettes corresponding to the sizes of medicines (S, M, L sizes, total lengths of 20 mm, 35 mm, etc.) as storage portions.

For example, if there are 10 cassettes for drugs with a total length of 35 mm,
[1] Six of them are for storing the medicine A and four are for storing the medicine B, or
[2] All 10 are used for storing the medicine A,
And so on, a cassette can be constructed. The correspondence relationship between the medicine (type) and the position of each cassette is recorded in the storage unit of the medicine accommodation control device 6.

At this time, similarly to the “accommodating medicine dispensing device when the recognition unit is a handy type barcode reading device”, the first robot that transfers the medicine from the receiving unit 12 to the recognition unit 14 and the storage unit from the recognition unit 14 are stored. The second robot that transfers the medicine to the unit 15 may not be provided in the stored medicine dispensing device 2.

Further, at this time, the bar code of the medicine is read manually by the operator using the bar code reading device which is the recognition unit. The read barcode data is transmitted from the barcode reading device and the stored medicine dispensing device to the medicine storage control device 6, and the medicine master 7a is searched using the medicine code included in the barcode as a key item, and the size of the medicine ( Data such as diameter and total length are grasped. Based on the obtained data relating to the property of the medicine such as “diameter and total length of medicine”, the stored medicine management system determines the filling position in the storage portion of the stored medicine dispensing apparatus, that is, the position of the corresponding cassette in the cassette dispensing machine. Is searched using the storage unit. The stored medicine management system notifies the stored medicine dispensing device (that is, the cassette dispenser) of the filling position determined as a result of the search, that is, the position data of the cassette together with data such as a “medicine barcode”.

Here, each of the plurality of cassettes included in the cassette dispenser is provided with a notification light including a minute LED or the like. Further, the cassette dispensing machine (that is, the stored medicine dispensing device) is configured such that when the cassette dispensing machine receives the position data of the corresponding cassette, the notification light corresponding to the position data of the cassette lights up. The operator manually stores the medicine whose barcode is read by using the barcode reading device in the cassette in which the notification light is illuminated.

The notification light described above may not be provided, and instead, the position data of the corresponding cassette may be displayed on the display unit of the instruction terminal 4 or the like. Further, at this time, a sensor is provided in each of the plurality of cassettes, and when the operator does not store the medicine in the position of the cassette shown on the display unit such as the instruction terminal 4, the sensor detects the absence of the medicine and May be configured to give a warning by blinking a light source provided together with the sensor. On the contrary, when the operator stores the medicine in the cassette at the position shown on the display unit such as the instruction terminal 4, the sensor detects the existence of the medicine and blinks the light source provided together with the sensor. It may be configured such that the notification is given.

The dispensing operation is performed under the control of the medicine accommodation control device 6 as in the conventional cassette dispensing machine.

2.2. Dispensing Operation of Contained Medicine Dispensing Device As described above, the dispensation unit 16 of the accommodated medicine dispensation device 2 stores the medicine stored in the storage unit 15 in the dispensation line system 100 according to the prescription instruction from the medicine accommodation control device 6. Pay out to the passing tray.

FIG. 20(1) is a flow chart of the payout process in the conventional stored medicine management system. FIG. 20(2) is a flowchart of the payout process in the stored medicine management system according to the first embodiment of the present invention. Further, FIG. 21(1) is a flowchart of temporary tightening processing (described below), and FIG. 21(2) is a flowchart of tightening processing (described below).

As shown in FIG. 20(2), first, the medicine storage control device 6 performs the temporary tightening process regularly (for example, once a day). In this temporary tightening process, the drug accommodation control device 6 collects prescription data from an external system (for example, a hospital integrated system) (for example, once a day) (FIG. 21(1)ST04), inventory list. By referring to the table 7b (see FIG. 6(2)), it is only confirmed whether or not the medicine of the target medicine code is in stock (FIG. 21(1) ST06). If there is a shortage of medicines, the medicine storage control device 6 outputs a “shortage vote” via the printer unit 115 (FIG. 21(1)ST08). In the shortage vote, a “drug code”, a “drug name”, and a “lack of missing items” of the drug are displayed as a set.

Here, the difference between the required quantity and the "effective stock quantity" may be displayed as the "lack of shortages". When the "stock lower limit (filling standard amount)" or "stock constant (maximum mounting amount)" is set, the difference between the required number and the "stock lower limit (filling standard amount)" may be displayed. The difference between the required number and the "stock constant (maximum mounting amount)" may be displayed. All the values of these differences may be displayed.

The user of the stored medicine management system stores the insufficient medicine in the stored medicine dispensing apparatus based on the “shortage vote” by the above-described storing operation.

Subsequently, the drug accommodation control device 6 performs a tightening process (for example, the first time) as shown in FIG. In this closing process (first time), a part of prescription data from an external system (for example, a hospital integrated system) is received (FIG. 21(2)ST24). “Part of prescription data” refers to, for example, prescription data of a part of the ward of the entire hospital. The prescription data includes data on drugs to be dispensed. The medicine storage control device 6 reduces the number of effective stocks and the number of actual stocks of the target drug (code) data in the stock list table 7b (FIG. 21(2)ST26). Further, the medicine accommodation control device 6 retrieves the stock medicine file 7c to acquire the record of the target medicine (code), and updates the “payment completion date/time (payment completion date, payment completion time)” of the record ( FIG. 21(2)ST28). Further, the stored medicine management system (or the instruction terminal 4) that has received the prescription data for the closing process searches the stored medicine inventory table 9 of the local database 3 to acquire the record of the target medicine (code), and the “payout of the record”. "Completion date and time (payout completion date, payout completion time)" is updated (ST30 in FIG. 21(2)).

The accommodated medicine dispensing device 2 receives the prescription instruction data (medicine code, number) based on the prescription data and arranges the medicines (procurement 1). In the case where the medicine accommodation control device 6 and the medicine administration system (or the instruction terminal 4) still have a shortage of medicines even when the filled medicines are added immediately after the temporary tightening process (FIG. 21(2) ST34). If YES, the "difference slip" is output via the printer unit 115 (ST36 in FIG. 21(2)). After that, the stored medicine dispensing device 2 performs a dispensing process (dispensing 1) of the medicines arranged.

Upon receipt of the paid-in medicine dispensing device 2, the stored-medicine management system removes the mask from the stored information storage unit at the position where the medicine is no longer present due to the dispensed medicine. Therefore, in the stored information storage unit, the position becomes an arrangement (fillable) area.

After the first tightening process, the procurement process, and the payout process, the tightening process, the procurement process, and the payout process are performed a plurality of times (three times in FIG. 20(2)). By performing the tightening process, the procuring process, and the paying-out process a plurality of times, the payout operation of the entire prescription data that substantially corresponds to the target prescription data of the first temporary tightening process is performed.

When the stored medicine management system outputs the “difference slip” via the printer unit 115, the stored medicine dispensing apparatus 2 temporarily stops the arranging process and the dispensing process, and fills (stores) the target drug. You may wait.

2.3. Medicine collecting operation of stored medicine dispensing apparatus The medicine collecting operation of the stored medicine dispensing apparatus 2 will be described. The medicine collecting operation is substantially the same as the dispensing operation. While the stored medicine management system receives the prescription data from the external system, the stored medicine dispensing apparatus 2 performs the dispensing operation, while the stored medicine dispensing apparatus 2 collects based on the input of the instruction data from the instruction terminal 4. Take action.

The chemical recovery operation is performed in the order of (a) setting of chemical recovery processing conditions, (b) extraction of recovery target chemicals, and (c) recovery execution. In the first embodiment, these operations are configured as the same as the payout operation.

In addition, when the medicine accommodation control device 6 updates the actual inventory quantity and/or the effective inventory quantity for each medicine of the inventory list table 7b based on the data read by the recognition unit 14 of the accommodated medicine dispensing apparatus 2, the "effective inventory" When the “number” exceeds the “stock upper limit (upper limit amount)”, the stored drug delivery device 2 may be configured such that the stored drug delivery device 2 collects the surplus drug. Here, when the "effective stock quantity" exceeds the "stock upper limit (upper limit quantity)", the stored medicine dispensing device 2 is configured to continue storing the medicine in the storage unit 15 or to collect the medicine. It is desirable that data to be selected from the outside can be input via the instruction terminal 4 or the medicine accommodation control device 6.

In addition, the instruction terminal 4 may be configured such that the medicine set as “non-payment target” in the “payout target/non-target flag” in the medicine master 7a is a collection target.

2.4. Display operation of the stored medicine management system The stored medicine management system performs various display operations based on the data stored in the inventory list table 7b, the stock medicine file 7c, and the stored medicine inventory table 9.

2.4.1. Display operation when there is a drug for which the "effective stock quantity" exceeds the "stock upper limit (upper limit amount)" A virtual cassette in which the "effective stock quantity" exceeds the "stock upper limit (upper limit amount)" in the inventory list table 7b When the medicine to be accommodated exists, the medicine accommodation control device 6 notifies the instruction terminal 4 of the medicine code and the excess number (that is, the value of “the number of available stock”−“the upper limit of inventory (upper limit amount)”). .. The instruction terminal 4 displays the drug code, the excess number, and the message that "the "effective stock number" exceeds the "stock upper limit (upper limit amount)"", and, for example, the excess drug collection operation is managed as a stored drug. Prompt system users.

On the screen display of the inventory list table of chemicals shown in FIG. 14, the instruction terminal 4 indicates that the “effective stock quantity” is “inventory” when the “effective stock quantity” exceeds the “stock upper limit (upper limit amount)”. The upper limit (upper limit amount) “is exceeded” may be emphasized and displayed. In addition, as described above, when there is a medicine whose effective stock quantity exceeds the upper limit quantity, the instruction terminal 4 uses the “excess medicine presence/absence” button 46 on the main screen shown in FIG. It may be configured to display "Yes".

2.4.2. Display operation when there is a medicine whose "effective stock quantity" is less than "stock constant (maximum mounting quantity)" In the inventory list table 7b, "valid stock quantity" is less than "stock constant (maximum mounting quantity)" If there is no medicine to be accommodated in the virtual cassette, the medicine accommodation control device 6 instructs the medicine code and the number of shortages (that is, the value of “inventory constant (maximum mount amount)”−“effective inventory quantity”). Notify the terminal 4. The instruction terminal 4 displays the medicine code, the number of shortages, and "the "effective stock number" is less than the "stock constant (maximum mounting amount)"", and, for example, the accommodation operation of the shortage is managed by the accommodation medicine. Prompt system users.

On the screen display of the inventory list table of chemicals shown in FIG. 14, the instruction terminal 4 indicates that the “effective inventory quantity” is “inventory” for a medicine whose “effective inventory quantity” is less than the “stock constant (maximum mounting amount)”. It may be configured to emphasize and display that "the number is smaller than the constant (maximum mounting amount)". Further, as described above, when the stock status is proper in all the virtual cassettes, the instruction terminal 4 displays “appropriate” in the “cassette medicine stock” button 42 on the main screen shown in FIG. May be configured as follows.

2.4.3. Display operation when there is a medicine whose "effective stock quantity" does not reach the "stock lower limit (filling reference amount)" In the inventory list table 7b, "effective stock quantity" satisfies the "stock lower limit (filling reference amount)" If there is no medicine to be accommodated in the virtual cassette, the medicine accommodation control device 6 instructs the medicine code and the number of shortages (that is, the value of “inventory constant (maximum mount amount)”−“effective inventory quantity”). Notify the terminal 4. The instruction terminal 4 displays the medicine code, the number of shortages, and "the "effective stock number" is less than the "stock lower limit (filling reference amount)"", and, for example, the accommodation operation of the shortage is carried out. Prompt system users. When the user of the in-house medicine management system fills up the shortage drug and resolves the situation where the "effective stock quantity is less than the "stock lower limit (filling reference amount)"", the drug is again displayed in the "effective stock quantity". The above-mentioned display (notification) does not occur until the situation "" is below the "stock lower limit (filling reference amount)"" occurs.

On the screen display of the inventory list table of chemicals shown in FIG. 14, the instruction terminal 4 indicates that the "effective stock quantity" is "inventory" for the medicines whose "effective stock quantity" is less than the "stock lower limit (filling reference amount)". The lower limit (filling reference amount) may be emphasized and displayed. Further, as described above, when there is a virtual cassette in which the number of effective stocks is less than the filling standard amount (stock lower limit) and is 1 or more, the instruction terminal 4 displays the “Cassette medicine” on the main screen shown in FIG. The “inventory” button 42 may be configured to display “remaining”.

2.4.4. Display operation when there is a medicine whose "effective stock quantity" is 0. In the inventory list table 7b, when there is a medicine to be stored in the virtual cassette whose "effective stock quantity" is 0, the medicine is The accommodation control device 6 notifies the instruction terminal 4 of the drug code and the shortage amount (that is, the value of “stock constant (maximum mounting amount)”−“effective stock amount”). The instruction terminal 4 displays the medicine code, the number of shortages, and "the "effective stock number" has become 0", and prompts the user of the stored medicine management system to perform the accommodation operation for the shortage, for example.

At this time, on a screen (not shown) notifying of out-of-stock, other medicines that may be out-of-stock by one prescription (data) may be displayed. That is, when the medicine accommodation control device 6 dispenses medicines according to one prescription data and the effective stock quantity of the medicines to be dispensed becomes 0, the accommodation medicine management system determines the prescription (data Even if the stored medicine management system is configured to simultaneously identify (specify) other chemicals that will be out of stock in () and display the multiple chemicals (and notification of the shortage) that will be out of stock at the same time. Good.

When the user of the in-house medicine management system fills up the shortage drug and resolves the situation where "the number of "effective stock" is 0" is resolved, the situation that "the number of "effective stock" is 0" for that medicine is again The above-mentioned display (notification of out-of-stock item) does not occur until occurs.

The instruction terminal 4 emphasizes that, in the screen display of the drug inventory list table shown in FIG. 14, for a drug whose “effective stock quantity” is 0, “the “effective stock quantity” is 0”. It may be configured to be displayed. In addition, as described above, when there is a virtual cassette whose effective stock quantity is zero, the instruction terminal 4 uses the “cassette medicine stock” button 42 on the main screen shown in FIG. May be configured to be displayed.

2.4.5. Screen display operation showing the overall stock status in the storage section of the stored drug delivery apparatus FIG. 22(1) shows the overall stock status in the storage section 15 of the stored drug delivery apparatus 2 according to the first embodiment of the present invention. It is an example of a screen display shown. FIG. 22 is a display example in which specific values of individual medicines of the same type are set and the entire storage unit 15 is collectively displayed in the conceptual view of the accommodation state of the medicines shown in FIGS. 8 and 9. The screen display example of FIG. 22(1) is created based on the data stored in the inventory list table 7b. The “virtual cassette area” and the “general-purpose area” in FIG. 22A correspond to the area 2 and the area 1 in FIG. 10, respectively.

In the virtual cassette area, "stock" and "empty" are displayed separately. The “stock” in the “virtual cassette area” preferably corresponds to the actual stock quantity. "Vacancy" is divided into "out of stock", "remaining", and "shortage" and displayed. In the general-purpose area, “stock”, “excess”, and “vacant” are displayed separately.

22(2) is an example of a screen display showing the overall stock status in the storage unit of the conventional stored medicine dispensing device. A conventional virtual medicine storage device is not provided with a "virtual cassette area", and merely "stock" and "empty" are displayed separately as shown in the figure.

The stored medicine dispensing device 2 according to the first embodiment of the present invention can display more detailed storage status data that supports the filling work of the user.

2... accommodation medicine dispensing device, 3... local database, 4... instruction terminal, 5... database, 6... medicine accommodation control device, 12... receiving unit, 14... recognition Part, 15... Storage part, 16... Dispensing part, 100, 101... Dispensing line system, 103... Supply lifter, 105... Bottle dispensing machine, 107... Random dispensing machine, 109・・・Special dispenser, 111 ・・・Cold dispenser, 113 ・・・Bagging machine, 115 ・・・Printer unit, 117 ・・・Discharge lifter (with rewrite), 119 ・・・Stacking lifter.

Claims (16)

A recognition unit that recognizes drug data including at least first information that is identification information or specific information and second information that is attribute data of the drug;
A storage unit for storing medicines,
A storage information storage unit for storing storage status data of medicines in the storage unit;
A storage unit that stores a drug master that records drug data including at least first information for each drug;
Relating the drug storage status data of the drug stored in the storage information storage unit by associating the drug data of the drug for which the storable region in the storage unit is specified with the data of the storage position of the storable region,
In the medicine accommodation and dispensing device for storing the medicine,
For any drug in the drug master, an upper limit value that is the upper limit number stored in the storage unit, a constant value that is a constant stored in the storage unit, and a lower limit number stored in the storage unit At least one of the lower limit values is
The set values are recorded in association with at least the drug data in the drug master,
Drug data obtained by referring to the drug master based on the first information of the drug obtained by recognizing the drug to be stored by the recognizing unit, and storage of the drug stored in the storage information storage unit Based on the situation data, the position where the drug can be stored is specified as a storable area,
Drug accommodation and dispensing device. A recognition unit that recognizes at least first information that is identification information or specific information of the drug;
A storage unit for storing medicines,
A storage information storage unit for storing storage status data of medicines in the storage unit;
A storage unit that stores a drug master that records drug data including first information and second information that is attribute data for each drug;
The drug data of the drug whose storable area in the storage unit is specified and the data of the storage position of the storable region are associated and stored as the storage status data of the drug stored in the storage information storage unit,
In the medicine accommodation and dispensing device for storing the medicine,
For any drug in the drug master, an upper limit value that is the upper limit number stored in the storage unit, a constant value that is a constant stored in the storage unit, and a lower limit number stored in the storage unit At least one of the lower limit values is
The set values are recorded in association with at least the drug data in the drug master,
Drug data obtained by referring to the drug master based on the first information of the drug obtained by recognizing the drug to be stored by the recognizing unit, and storage of the drug stored in the storage information storage unit Based on the situation data, the position where the drug can be stored is specified as a storable area,
Drug accommodation and dispensing device. The storage unit further stores a drug-related data table that records data about a drug including the first information,
The drug-related data table stores at least drug data of a drug for which a storable area in the storage unit is specified and data of a storage position of the storable area in association with each other. Drug accommodation and dispensing device. The drug-related data table records the expiration date, the actual stock quantity, and the valid stock quantity of each medicine,
The medicine accommodation and withdrawal device according to claim 3, wherein when the expiration date of the medicine to be accommodated has not expired, the effective stock quantity of the medicine is added by storing the medicine in the medicine-related data table. The drug-related data table records the expiration date, the actual stock quantity, and the valid stock quantity of each medicine,
The medicine accommodation and withdrawal device according to claim 3, wherein when the expiration date of the medicine to be accommodated has expired, the actual inventory quantity of the medicine is added by storing the medicine in the medicine-related data table. The drug-related data table records the expiration date, the actual stock quantity, and the valid stock quantity of each medicine,
4. When the expiration date of a stored drug, which is valid inventory, has expired during storage, the available inventory number of the drug is subtracted from the expiration date of the drug in the drug-related data table. The medicine accommodating and dispensing device described. Claim: When receiving prescription data from the outside, a drug corresponding to the prescription data is extracted from the storage unit and dispensed based on at least the storage position data recorded in the drug-related data table in the storage unit. Item 7. The medicine accommodation/delivery device according to any one of Items 4-6. When the prescription data from the outside is collected collectively at regular intervals, it is checked whether or not there is an effective stock of the drug corresponding to the prescription data by referring to the drug-related data table. The medicine accommodating and dispensing device according to any one of claims 4 to 6, which emits a signal indicating that there is an outside. When all or part of the prescription data from the outside is received after the prescription data from the outside is collected in regular intervals, the actual inventory in the drug-related data table for the drug corresponding to all or part of the prescription data. And the number of effective stocks are updated, the storage status data of the drug stored in the storage information storage unit is updated, and the drug corresponding to all or part of the prescription data is extracted from the storage unit and dispensed. ,
At this time, if the effective stock quantity of the drug corresponding to all or part of the prescription data in the drug-related data table is insufficient, a signal indicating that there is a missing drug is externally issued. Storage/delivery device. When the upper limit is set for the same individual drug,
Regarding the individual same type of medicines, the effective stock quantity acquired from the medicine-related data table is compared with the upper limit value, and when the effective stock quantity is larger than the upper limit value, the effectiveness of the medicine is increased. The medicine accommodation and withdrawal device according to any one of claims 4 to 7, which issues a signal indicating that the number of stocks exceeds an upper limit value to the outside. When the constant value is set for the same individual drug,
For each individual drug of the same type, the effective stock quantity obtained from the medicine-related data table is compared with the constant value, and when the effective stock quantity is smaller than the constant value, the effectiveness of the medicine is determined. The medicine accommodation and withdrawal device according to any one of claims 4 to 7, which issues a signal indicating that the stock quantity is insufficient to a constant value to the outside. If the lower limit is set for the same type of drug,
For the same type of individual medicine, the effective stock quantity acquired from the medicine-related data table is compared with the lower limit value, and when the effective stock quantity is smaller than the lower limit value, the effectiveness of the medicine is determined. The medicine accommodation and withdrawal device according to any one of claims 4 to 7, which outputs a signal indicating that the number of stocks is less than the lower limit value to the outside. The medicine storing and dispensing device according to any one of claims 7 to 9, wherein the stored medicines are unused returned medicines and/or unused new medicines. The medicine accommodation and withdrawal device according to claim 1 or 2, wherein the medicine master further records third information which is characteristic data for each medicine. The drug-related data table records the expiration date of each drug and the number of available stocks,
The medicine accommodation and withdrawal device according to claim 3, wherein it is determined whether or not the medicine is stored in the medicine-related data table and added to the effective stock quantity of the medicine according to the expiration date of the medicine to be accommodated. The drug-related data table records the expiration date of each drug and the number of available stocks,
The medicine accommodation and withdrawal device according to claim 3, wherein it is determined whether or not to subtract the number of effective stocks of the medicine in the medicine-related data table according to the expiration date of the medicine which is the stored effective stock.

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