CN112133448A - Drug sorting device - Google Patents
Drug sorting device Download PDFInfo
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- CN112133448A CN112133448A CN202010825133.8A CN202010825133A CN112133448A CN 112133448 A CN112133448 A CN 112133448A CN 202010825133 A CN202010825133 A CN 202010825133A CN 112133448 A CN112133448 A CN 112133448A
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Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J3/00—Devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B07—SEPARATING SOLIDS FROM SOLIDS; SORTING
- B07C—POSTAL SORTING; SORTING INDIVIDUAL ARTICLES, OR BULK MATERIAL FIT TO BE SORTED PIECE-MEAL, e.g. BY PICKING
- B07C5/00—Sorting according to a characteristic or feature of the articles or material being sorted, e.g. by control effected by devices which detect or measure such characteristic or feature; Sorting by manually actuated devices, e.g. switches
- B07C5/36—Sorting apparatus characterised by the means used for distribution
- B07C5/361—Processing or control devices therefor, e.g. escort memory
- B07C5/362—Separating or distributor mechanisms
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B07—SEPARATING SOLIDS FROM SOLIDS; SORTING
- B07C—POSTAL SORTING; SORTING INDIVIDUAL ARTICLES, OR BULK MATERIAL FIT TO BE SORTED PIECE-MEAL, e.g. BY PICKING
- B07C5/00—Sorting according to a characteristic or feature of the articles or material being sorted, e.g. by control effected by devices which detect or measure such characteristic or feature; Sorting by manually actuated devices, e.g. switches
- B07C5/34—Sorting according to other particular properties
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B07—SEPARATING SOLIDS FROM SOLIDS; SORTING
- B07C—POSTAL SORTING; SORTING INDIVIDUAL ARTICLES, OR BULK MATERIAL FIT TO BE SORTED PIECE-MEAL, e.g. BY PICKING
- B07C5/00—Sorting according to a characteristic or feature of the articles or material being sorted, e.g. by control effected by devices which detect or measure such characteristic or feature; Sorting by manually actuated devices, e.g. switches
- B07C5/36—Sorting apparatus characterised by the means used for distribution
- B07C5/38—Collecting or arranging articles in groups
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- G—PHYSICS
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- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
- G06Q10/08—Logistics, e.g. warehousing, loading or distribution; Inventory or stock management
- G06Q10/087—Inventory or stock management, e.g. order filling, procurement or balancing against orders
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H70/00—ICT specially adapted for the handling or processing of medical references
- G16H70/40—ICT specially adapted for the handling or processing of medical references relating to drugs, e.g. their side effects or intended usage
Abstract
The invention provides a medicine classifying device which automatically recognizes the orientation, posture, shape, size, kind, expiration date and other properties of a medicine and stores the medicine while ensuring high degree of freedom; the drug sorting device of the present invention includes: the medicine sorting device comprises a recognition part for recognizing medicine data including at least the shape, size and type of a medicine, a storage part for storing the medicine, a storage information storage part for storing the storage state of the medicine in the storage part, and a storage part for storing a medicine-related data table in which data related to the medicine is recorded.
Description
(this application is a divisional application of patent applications entitled "drug sorting device" filed in Tokyo, Japan, application No. 201580043387.1, application date 2015, 08 and 20), applied for
Technical Field
The present invention relates to a drug sorting device.
Background
Currently, there is a case where a prescribed medicine prescribed to a patient is returned to a department managing medicine prescriptions in a medical institution due to a prescription change or the like (returned medicine). Patent document 1 discloses the following rejected drug sorting apparatus: that is, the returned medicine sorting device automatically recognizes and stores the returned medicines in order to achieve efficiency of the processing work of the returned medicines and to prevent human errors in the work.
[ Prior art documents ]
[ patent document ]
Patent document 1: japanese laid-open patent publication No. 2013-215343
Disclosure of Invention
Generally, the properties of the rejected drug, such as the type, shape, size, and life span, are different from each other. However, in the conventional rejected drug sorting device including the device disclosed in patent document 1, no particular consideration is given to the case where rejected drugs having different properties are stored while securing a high degree of freedom in consideration of the efficiency of subsequent dispensing work and other factors. More specifically, no particular consideration is given to the case where rejected medicines having different properties are stored while ensuring a high degree of freedom so that they can be freely distributed in accordance with prescription information, for example.
The object of the present invention is to automatically identify medicines supplied in a non-aligned state, which are different in properties such as type, shape, size, and life span, and to store them while securing a high degree of freedom.
A drug sorting device according to a first embodiment of the present invention includes: the medicine sorting device comprises a recognition part for recognizing medicine data including characters of at least shape, size and type of a medicine, a storage part for storing the medicine, a storage information storage part for storing storage conditions of the medicine in the storage part, and a storage part for storing a medicine-related data table in which data related to the medicine is recorded.
(effect of the invention)
According to the medicine sorting device of the present invention, it is possible to automatically recognize the direction and posture of a medicine, and properties such as shape, size, kind, and life span, and to store the medicine while securing a high degree of freedom such that, for example, free distribution corresponding to prescription information can be realized.
Drawings
Fig. 1 is a schematic configuration diagram of a rejected medicine management system according to a first embodiment of the present invention.
Fig. 2 is a schematic diagram showing the layout of a database stored in a medicine return control device of a returned medicine management system according to an embodiment of the present invention, where (a) is a schematic diagram showing the layout of a returned medicine dispensing device stock table, (B) is a schematic diagram showing the layout of a returned medicine dispensing device dispensing table, and (C) is a schematic diagram showing the layout of a returned medicine dispensing device recovery table.
Fig. 3 is a schematic diagram of a layout of a local database to which an instruction terminal of a returned medication management system according to an embodiment of the present invention is connected.
Fig. 4 is a configuration diagram of a reject medicine dispensing device and a dispensing line system including the reject medicine dispensing device.
Fig. 5(1) is a diagram showing a process flow at the time of distribution, and fig. 5(2) is a diagram showing a process flow at the time of collection.
Fig. 6 is a flowchart of the distribution process according to the first embodiment of the present invention.
Fig. 7(a) is a main screen view of the reject medication management system according to the first embodiment of the present invention, and fig. 7(b) is a button displayed when various setting buttons are touched on the main screen view of the reject medication management system.
Fig. 8 is a drawing of a medicine collection screen of the returned medicine management system according to the first embodiment of the present invention.
Fig. 9 is a flowchart for extracting target data of the drug recovery process of the returned drug administration system.
Fig. 10 is a flowchart of an example of processing for creating a record in a returned medication dispensing apparatus recovery table.
Fig. 11 is a flowchart of the recovery process according to the first embodiment of the present invention.
Fig. 12 is a screen view of an automatic collection setting (mode setting) of the rejected medicine management system according to the first embodiment of the present invention.
Fig. 13 is a view (overview) of an automatic collection setting screen of the rejected medicine management system according to the first embodiment of the present invention.
Fig. 14 is a screen view of a list of drug expiration date registration in the drug return management system according to the first embodiment of the present invention.
Fig. 15 is a diagram of a drug expiration date registration screen of the drug return management system according to the first embodiment of the present invention.
Fig. 16 is another setting screen view of various settings of the rejected medicine management system according to the first embodiment of the present invention.
Fig. 17 is a returned medicine setting screen view of the returned medicine management system according to the first embodiment of the present invention.
Fig. 18 is a view of a return permission setting screen of the return medication management system according to the first embodiment of the present invention.
Fig. 19 is a flowchart of the processing based on the return permission setting performed by the return permission setting screen.
Fig. 20 is a drawing of a rejected product pallet hospital building registration screen of the rejected product medication management system according to the first embodiment of the present invention.
Fig. 21 is a diagram of an in-out inquiry screen of the returned medication management system according to the first embodiment of the present invention.
Fig. 22 is a diagram of a summary table of medicines by number of buildings output by the distribution line system according to the first embodiment of the present invention.
FIG. 23 is a flowchart of a process for labeling a label of a drug summary table.
Fig. 24(a) is a diagram of a recycle rewrite card output by the distribution pipeline system according to the first embodiment of the present invention, and fig. 24(b) is a flowchart of processing for outputting the recycle rewrite card.
(symbol description)
2 … returned product medicament dispensing device 3 … local database
4 … indicating terminal 5 … database
6 … medicine return control device 12 … receiver
14 … recognizer 15 … storage part
16 … distribution section 101 … distribution pipeline system
103 … supply elevator 105 … bottle dispenser
107 … random dispenser 109 … Special dispenser
111 … refrigerated dispenser 113 … bagger
115 … Printer Unit 117 … discharge Elevator (with rewrite)
119 … piling elevator
Detailed Description
Hereinafter, preferred embodiments according to the present invention will be described with reference to the drawings.
In the following description of the embodiment, a reject medicine that is not used in a hospital or the like is used as a medicine to be stored in a reject medicine management system (medicine sorting apparatus). Here, in the embodiment according to the present invention, the stored medicine is not limited to unused returned medicine. That is, the stored medicine may be a medicine obtained by randomly storing a new medicine purchased from a manufacturer in a storage box. Further, the random storage may be storage of the same medicines without arranging them, or may be storage of a plurality of new unused medicines simultaneously.
[ first embodiment ] to provide a toner
1. Form a
1.1. Constitution of returned medicine management system (medicine sorting device)
Fig. 1 is a schematic diagram of a schematic configuration of a rejected medicine management system (medicine sorting apparatus) according to a first embodiment of the present invention. The returned medicine management system according to the first embodiment includes a returned medicine dispensing device (housed medicine dispensing device) 2, an instruction terminal 4, and a medicine return control device (medicine housing 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 overall system control. The control unit includes a processor such as a CPU (central processing unit) or an MPU (microprocessor), and executes a predetermined program to realize functions described later. The input unit is a part that generates or receives input data for the device, and is generally configured by 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, and the like. The storage unit stores a program run by a control unit (processor), parameter data necessary for model generation, and the like. The external device interface is a part that functions as an interface with an external device such as a printer. The communication interface unit is a unit that operates as an interface for communication with an external network. The processor (control unit), the input unit, the display unit, the storage unit, the external device interface unit, and the communication interface unit are connected to each other via an appropriate bus.
The instruction terminal 4 is constituted by an information processing apparatus 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 of data related to the medicine.
Further, the medicine return control device (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 overall system control. The control unit includes a processor such as a CPU or MPU, and executes a predetermined program to realize functions described below. The input unit is a part that generates or receives input data for the device, and is generally configured by 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, and the like. The storage unit stores a program run by a control unit (processor), parameter data necessary for model generation, and the like. The external device interface is a part that functions as an interface with an external device such as a printer. The communication interface unit is a unit that operates as an interface for communication with an external network. The processor (control unit), the input unit, the display unit, the storage unit, the external device interface unit, and the communication interface unit are connected to each other via an appropriate bus.
The medicine return control device 6 is constituted by an information processing device such as a desktop computer, a notebook computer, a workstation, or a tablet terminal. The medicine return control device 6 is further connected to a database 5 that is a storage unit for medicine-related data and stores a plurality of tables 7a, 7b, and 7c … ….
The database 5 includes a medicine-related data table such as a rejected medicine dispensing device stock table 7a, a rejected medicine dispensing device dispensing table 7b, a rejected medicine dispensing device collection table 7c, and a rejected medicine dispensing device common setting table and a medicine master document (see fig. 2). On the other hand, the local database 3 attached to the instruction terminal 4 includes a medicine-related data table such as a returned medicine inventory table 9 (see fig. 3).
The reject medicine dispensing apparatus stock table 7a is a table (database) showing the contents of the reject medicines stored in the reject medicine dispensing apparatus 2, and a new record is generated at the time of the return operation of the reject medicine dispensing apparatus 2. Fig. 2(a) shows a layout of a rejected medicine dispensing apparatus stock table 7 a.
The reject medicine dispensing device distribution table 7b is a table (database) showing the reject medicines and the distribution contents existing in the reject medicine dispensing device 2 as the target of the dispensing operation, and a new record is generated at the time of the returning operation of the reject medicine dispensing device 2. Fig. 2(B) shows the layout of the dispensing table 7B for the reject medicine dispensing device.
The returned medicine dispensing apparatus recovery table 7c is a table (database) showing the returned medicines and the reasons for recovery, etc. existing in the returned medicine dispensing apparatus 2 that have been recovered, and a new record is generated at the time of the recovery operation of the returned medicine dispensing apparatus 2. Fig. 2(C) shows the layout of the returned medicine dispensing device collection table 7C.
The "collection" operation in the present embodiment is an operation of collectively dispensing the medicines satisfying a specific condition from the storage unit 15, and the specific condition includes various conditions such as "expiration date has been reached" or "specific medicine type". Therefore, the "recovery" action is an action clearly different from the "dispensing" action of the medicine based on the prescription data. The term "effective period" may be referred to as "useful period" instead, but the two terms have the same meaning.
The drug master file is a master file in which a drug code is set as a key item (key field) and which includes characteristic data and attribute data of each drug. The drug master document according to the present embodiment may be a master document relating to drugs used in each hospital.
The reject medicine stock table 9 of the local database 3 is a local file indicating a storage position (address) in the storage unit 15 of the reject medicine dispensing apparatus 2, and a new record is generated at the time of the return operation of the reject medicine dispensing apparatus 2. The layout of reject pharmaceutical inventory table 9 is shown in fig. 3.
The storage information storage unit is a storage area for storing the medicine stored in the storage unit 15, and may be included in the storage unit of the instruction terminal 4 or the storage unit of the medicine return control device (medicine storage control device) 6.
The reject drug dispensing device (accommodated drug dispensing device) 2 is configured to recognize an unused reject drug accommodated in a reject drug management system (drug sorting device) by a recognition unit 14 (described later) while exchanging necessary data with the drug return control device 6 and the instruction terminal 4, and store the reject drug in a storage unit 15 (described later) based on the recognition. That is, the reject medication dispensing apparatus 2 grasps data relating to the properties of the medication, such as "medication identification code" (constituted by the return time day serial number returned to the reject medication dispensing apparatus 2), "the unit number of the reject medication dispensing apparatus itself", "(the medicine bar code" marked on each medicine), "the expiration date", "the diameter and the entire length of the medicine", "the orientation and the posture of the medicine", and sends a notification to the reject medication management system to search the storage position in the storage unit 15 based on these data, based on the identification operation of the identification unit 14. The returned medicine management system searches for a filling position, that is, a vacant position and a placement manner in the storage unit 15 of the returned medicine dispensing device 2 using the storage information storage unit based on data from the returned medicine dispensing device 2.
The vacant position and the placement manner of the returned medicine in the storage part 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 storage trays are disposed on the respective shelves. A plurality of rows are provided in the storage tray of each rack, and each row has a plurality of lateral (directional) positions. The storage trays are classified into trays for (medicines of) S size, (medicines of) M size, and trays for (medicines of) L size. When the reject medicine management system receives (data of) the size of the reject medicine from the reject medicine dispensing apparatus 2, it determines S, M, L which size the reject medicine is, and specifies the corresponding storage tray. Further, the rejected medicine management system searches for whether or not an area in which medicines of the size can be arranged (including a margin area between medicines) is present using the storage information storage unit (i.e., performs a search), and determines filling position information (i.e., "shelf, column, and horizontal position" data, which will be described later) if an area in which medicines of the size can be arranged is present. In this case, the position where the mask (mask) is set (described later) is excluded from the search target.
The instruction terminal 4 notifies the rejected medicine dispensing apparatus 2 of filling position information determined as a result of the search, that is, data of "shelf, column, and horizontal position" (which will be described later), together with data of "medicine identification code" or "unit number of the rejected medicine dispensing apparatus itself". The returned medicine dispensing device 2 classifies and stores the returned medicines in the storage unit 15 based on the received filling position information.
After sorting and storing the rejected medicines in the storage unit 15, the rejected medicine management system masks the filling position in the storage information storage unit. Thus, the situation in which the medicines are repeatedly arranged (stored) at the same position does not occur thereafter. In this way, in the storage information storage unit, a mask is set at a position where the medicine is disposed in the storage tray, and the mask is removed at a position where the medicine is not present (due to dispensing or the like), so that the position exists as a region where the medicine can be disposed (filled). As described above, the reject medication management system searches the configurable area and tries to find a location where the medication to be configured can be most efficiently configured (stored). Therefore, no wasteful storage space is generated in the storage portion 15.
The medicine return control device 6 extracts a medicine code from the "medicine barcode" received from the returned medicine dispensing device 2, searches the medicine master file in the database 5 using the medicine code as a key item, and thereby grasps data such as the kind, name, and classification (storage under refrigeration, anti-cancer agent, hard medicine, and the like) of the medicine. Further, the data indicating the occurrence of the storage in the storage unit 15 of the reject medicine dispensing device 2 is immediately notified from the reject medicine dispensing device 2 to the medicine return control device 6 and the instruction terminal 4, and the medicine return control device 6 (as will be described later) creates records in the reject medicine dispensing device inventory table 7a (see fig. 2 a) and the reject medicine dispensing device inventory table 7B (see fig. 2B), and instructs the terminal 4 to create a record in the reject medicine inventory table 9 (see fig. 3) in the local database 3. At this time, the data on the stored medicine is stored in the return medicine stock table 9 in the local database 3 in association with the data on the filling position in the storage unit 15.
When dispensing a medicine, the medicine return control device 6 generates a dispensing instruction specifying a condition for dispensing a medicine, and transmits the instruction to the returned medicine dispensing device 2. The reject medicine dispensing device 2 performs a dispensing operation in accordance with a dispensing instruction received from the medicine return control device 6.
Even when the entire dispensing line system 101 (see fig. 4) including the reject medicine dispensing device 2 (described later) is stopped at night, for example, there are cases where only the return operation of the reject medicine dispensing device 2 and the operation of the instruction terminal 4 corresponding thereto are operated. In this case, only the contents of the returned drug inventory table 9 of the local database 3 are updated. Therefore, when the entire distribution line system 101 is restarted the next morning, a process is performed to acquire the tables (the returned-product-medicine-dispensing-device stock table 7a, the returned-product-medicine-dispensing-device stock table 7b, the returned-product-medicine-dispensing-device collection table 7c, and the like) stored in the database 5 and the local database 3 (the returned-product-medicine stock table 9, and the like) attached to the instruction terminal 4 in synchronization with each other.
The reject medicine dispensing device 2 and the instruction terminal 4, and the reject medicine dispensing device 2 and the medicine return control device 6 are connected via RS-232C and the like, respectively. The instruction terminal 4 and the medicine return control device 6 are connected via a LAN or the like.
1.2. Composition of distribution pipeline system
The upper part of fig. 4 shows the overall configuration of a dispensing line system 101 including the reject medicine dispensing device 2 according to the present embodiment. Trays for the dispensing or recovery of reject medication are passed within dispensing line system 101. The dispensing line system 101 may be configured by various devices according to the specifications of the user, and for example, in fig. 4, it is configured by a supply elevator 103, a bottle dispenser 105, a reject medicine dispenser 2, a random dispenser 107, a special dispenser 109, a refrigerated dispenser 111, a bagger 113, a printer unit 115, a discharge elevator (tape rewriting) 117, and a stacking elevator 119.
The supply elevator 103 is a device that fills the trays flowing from left to right in the distribution line system 101. The bottle dispenser 105 is a device that dispenses an infusion bag (physiological saline). The random dispensing machine 107 is a device that dispenses ampoules. The special dispenser 109 is a device that dispenses ampoules (5 ampoules, etc.) of a special shape. The refrigerated dispenser 111 is a dispensing device dedicated to ampoules that must be kept refrigerated. The bagging machine 113 is a device that fills a bag (medicine bag) with a medicine dispensed to the bagging machine 113. The printer unit 115 is a device that prints a label to which infusion notes (a list of medicines dispensed into a tray according to a prescription) or administration target patient information (attached to a medicine bag or the medicine itself) are attached. The random dispenser 107 or the special dispenser 109 dispenses a new ampoule (i.e., non-reject medication). In addition, the random distributor 107 or the special distributor 109 in the distribution pipeline system 101 may be constituted by any arbitrary distributor.
The dispensing line system 101 may be configured differently from the case shown in fig. 4, and may include, for example, two or more reject medicine dispensing devices 2. Additionally, the dispensing line system 101 may comprise a cartridge injection dispenser. In general, there are a system of storing specific medicines in a cartridge dedicated to the medicines in order and a system of storing specific medicines in a cartridge dedicated to the medicines at random. The random dispensing machine 107 is a system for randomly storing a specific medicine in a cassette dedicated to the medicine.
The above-described cassette type injection medicament dispenser is a device for dispensing an ampoule contained in a cassette from the cassette. A cartridge storing a medicament is inserted and held in a cartridge type injectable medicament dispenser. A plurality of cartridges are arranged in the vertical (vertical) direction and the horizontal direction of the cartridge type injection medicine dispenser. The medicine corresponding to each cassette is stored inside the cassette. When the cartridge type injection medicine dispenser receives a signal for dispensing a specific medicine from the medicine return control device 6 or the instruction terminal 4, the specific medicine is dispensed from the cartridge storing the specific medicine.
In addition, a virtual box (concept) corresponding to the above cassette injection medicine dispenser may be constructed. The storage unit 15 of the returned medicine dispensing apparatus 2 described later is not constructed by an actual cassette, and can store medicines virtually or logically in accordance with the concept of a cassette.
The above-described drug master file can be provided with data of an upper stock limit, a stock constant, and a lower stock limit for each drug (drug code). In the storage unit 15 of the returned medicine dispensing device 2, the medicines (medicines) are stored in various storage locations (storage addresses)), but if the medicines are collected for each medicine, the same medicine virtually has a certain area within the entire storage area of the storage unit 15. It is a viewpoint of a virtual box that the region for each of the same medicines is controlled by the upper stock limit (in number), the stock constant, and the lower stock limit.
Here, the "stock constant" is the number corresponding to the virtual dispensing area where only the medicine can be placed. The "stock constant" is a basic value in the concept of a virtual box. There are cases where the "inventory constant" is referred to as the "maximum installation amount". Next, the "stock upper limit" is an upper limit value of the number of the medicines that can be virtually occupied in the storage unit 15. However, in an area which can be virtually occupied by the upper limit value, there is a possibility that another medicine is put in. Further, the "inventory lower limit" is a limit value for notifying the outside that the remaining amount of the medicine is only a little. There are cases where the "inventory lower limit" is referred to as "filling reference amount".
The record of each medicine (medicine code) in the medicine master file may be set to all of the upper stock limit, the stock constant, and the lower stock limit, or may be set to none of them. As described above, the medicine stored in the storage unit 15 of the reject medicine dispensing apparatus 2 and the medicine stored in the cassette of the cassette injection medicine dispensing apparatus may be referred to as "cassette medicines" hereinafter from the viewpoint of a virtual cassette.
1.3. Structure of returned medicine dispensing device
Fig. 4 is a schematic block diagram of a reject medicine dispensing device 2 in a reject medicine management system according to the first embodiment. The reject medicine dispensing device 2 can perform a return operation for storing unused reject medicines (of ampoules, vials, and the like), a dispensing operation for dispensing the stored reject medicines, and a collecting operation for collecting the stored reject medicines. The reject medicine dispensing device 2 includes a receiving portion 12, an identifying portion 14, a storing portion 15, and a dispensing portion 16.
The receiving unit 12 is configured to receive, for example, seven reject trays (see fig. 20). The reject tray is a tray that first accommodates rejected medicines such as ampoules and vials that are not used in each patient building of a hospital, for example. The recognition unit 14 recognizes the medicine contained in the medicine sorting device. That is, the recognition unit 14 recognizes data such as the orientation, posture, shape, diameter, and overall length of the reject medicine placed on each reject tray, and the medicine code and expiration date by image processing. The returned medicine identified by the identification unit 14 is stored in the storage unit 15.
The reject medicine such as an ampoule or a vial is sucked by the first suction nozzle and the first suction pad included in the first robot included in the reject medicine dispensing device 2, and is transferred from the reject tray to the recognition unit 14 by the first robot. Further, the rejected medicines are sucked by a second suction nozzle and a second suction pad provided in a second robot included in the rejected medicine dispensing apparatus 2, and are transferred from the recognition unit 14 to the storage unit 15 by the second robot. The first and second suction nozzles are nozzles for releasably sucking the rejected chemical by vacuum supplied from a vacuum source, and have rubber first and second suction pads attached to the tips thereof, respectively.
The dispensing unit 16 dispenses the medicine stored in the storage unit 15 into a tray passing through the inside of the dispensing line system 101 in accordance with the prescription instruction from the medicine return control device 6. The dispensing unit 16 also dispenses the medicine stored in the storage unit 15 into the tray passing through the dispensing line system 101, based on a dispensing instruction (virtual prescription instruction) input from the instruction terminal 4 and generated by the medicine return control device 6.
2. Movement of
2.1. Return action of returned medicament dispensing device
The reject medicine dispensing device 2 receives the reject tray on which the reject medicine is placed in the receiving section 12, recognizes the reject medicines by the recognition section 14, and sorts and stores the reject medicines in the storage section 15 based on the recognition, thereby performing the reject operation of the reject medicines. Further, the returned medicine management system is configured to: the user of the returned medicine management system can give an instruction to start the return operation to either the returned medicine dispensing apparatus 2 or the instruction terminal 4.
The receiving unit 12 of the reject medicine dispensing apparatus 2 receives, for example, seven reject trays on which reject medicines such as ampoules and vials are placed. As shown in fig. 20, the seven reject trays are stacked in the receiving unit 12 and temporarily stored.
The lowermost returned product tray of the seven returned product trays stacked and temporarily stored may be made to function as an ng (no good) tray. That is, the rejected medicine dispensing device 2 can also perform an operation of setting "NG" to move to the NG tray, the operation being determined that the rejected medicine is not originally required to be put into the storage portion 15. As objects to be moved to the NG tray, the following three types can be cited, for example.
[1] The shape of the medicine is not that of a common ampoule or vial
[2] A "non-returnable medicine" on a "return permission setting" screen described later
[3] For the drug not registered in the drug master file contained in the database connected to the drug return control device 6
Whether or not each of the rejected medicines matches the above-mentioned items [1] to [3] is determined by the recognition unit 14 and the control unit of the instruction terminal 4. In particular, when determining whether or not [2] or [3] is satisfied, the database connected to the drug return control device 6 is referred to (as will be described later with reference to [2 ]). The reject tray other than the lowermost reject tray may function as an NG tray. In this case, the lowermost reject tray may function as a non-NG tray.
The reject medicine placed on each reject tray (excluding NG trays) is recognized by the recognition unit 14 through image processing. At this time, data such as a barcode including a medicine code and a valid period is acquired.
In addition, each of the returned medicines is assigned a "medicine identification code". The "medicine identification code" is a unique identification code consisting of, for example, "return time date of return from the return tray to the return medicine dispensing device" + "continuous sign".
The reject medicine dispensing apparatus 2 transmits the recognized data to the medicine reject control apparatus 6 and the instruction terminal 4. Based on the transmitted data, the medicine return control device 6 creates records in the returned medicine dispensing device inventory table 7a (see fig. 2 a) and the returned medicine dispensing device inventory table 7B (see fig. 2B), and instructs the terminal 4 to create a record in the returned medicine inventory table 9 (see fig. 3) in the local database 3.
The returned medicines identified by the identification 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 a plurality of rows of storage trays are provided in the shelves. Further, each column has a plurality of lateral (directional) positions. That is, the storage unit 15 uniquely determines the storage position (storage address) of the medicine based on the "rack, row, and horizontal position". The information of "rack, column, and horizontal position" is recorded in the local database 3, that is, the record of the reject drug inventory table 9 shown in fig. 3, in the fields of "filling rack number", "filling column number", and "filling horizontal position".
2.2. Dispensing action of returned medicament dispensing device
As described above, the dispensing section 16 of the returned medicine dispensing apparatus 2 dispenses the medicine stored in the storage section 15 into the tray passing through the inside of the dispensing line system 101 in accordance with the prescription instruction from the medicine return control apparatus 6.
The medicine return control device 6 performs "dispensing processing" in the following manner: that is, a method of receiving prescription data from an external system (e.g., a hospital integrated system), referring to the returned medication dispensing device dispensing table 7B (see fig. 2B), and dispensing the medication preferentially when there is a record including the drug code of the target. After the dispensing process, the medicine return control device 6 transmits dispensing instruction data including a medicine code, the number of dispensed bottles, and the like to the returned medicine dispensing device 2. For other medicines not present in the reject medicine dispensing device 2, the medicine return control device 6 transmits the dispensing instruction data to the random dispenser 107 or the refrigerated dispenser 111 to be dispensed from the random dispenser 107 or the refrigerated dispenser 111 on the dispensing line system 101.
The returned medicine dispensing device 2 and the returned medicine management system search the medicine codes in the records of the returned medicine inventory table 9 (see fig. 3) in the local database 3 based on the dispensing instruction data (medicine code, number of bottles) transmitted, and determine (re-extract) the extracted medicines again. At this time, the "expiration date" item of each record in the rejected medicine inventory table 9 is referred to. This is because, as described later, there are cases where a rejected medicine whose expiration date is unknown and a rejected medicine whose expiration date is close to the expiration date are preferentially dispensed. Further, since there is a possibility that other prescription instructions are cancelled or the like after the dispensing process by the medicine return control device 6, the returned medicine dispensing device 2 performs a re-determination (re-extraction). When a specific extraction (distribution) operation is performed, data of fields of "filling rack number, filling column number, filling horizontal position" is used.
When the number of stock bottles in the storage unit 15 is larger than the number of bottles to be dispensed for a certain medicine, the medicine return control device 6 and the returned medicine dispensing device 2 determine the priority (priority order) of dispensing as follows. First, when the "expiration date" in the returned medicine dispensing apparatus inventory table 7a or the returned medicine inventory table 9 is unknown (that is, the data on the "expiration date" is blank), priority is given to this. Next, the "valid period" of the returned medicine dispensing apparatus inventory table 7a or the returned medicine inventory table 9 is prioritized on the side closer than the "valid period".
The following is also envisaged: that is, when the reject medicine dispensing apparatuses 2 are combined in a plurality of units in the dispensing line system 101, the reject medicines having the same expiration date may exist among the plurality of reject medicine dispensing apparatuses 2. In this case, the priority may be determined among the plurality of reject medicine dispensing devices 2 (i.e., among the units).
As will be described later, a medicine whose "expiration date" is unknown may not be a target of dispensing. In this case, as described above, the priority of distribution may be determined based on the priority determined by the content of the "expiration date" or the priority between the cells.
Fig. 5(1) is a diagram showing a process flow at the time of distribution. The statistical monitor 86 in fig. 5(1) is a functional component of the drug return control apparatus 6. The statistics monitor 86 monitors the prescription data 85 that is updated by the external system. The statistics monitor 86 performs assignment processing on the records of the returned medicine dispensing apparatus assignment table 7b based on the updated prescription data 85. Thus, the medicine return control device 6 generates the dispensing instruction data 87, and upon receiving the generated dispensing instruction data 87, the returned medicine dispensing device 2, the random dispenser 107, the cold dispenser 111, and the like perform the ampoule sorting (dispensing) process 91, and the dispensing line system 101 creates the summary table 89.
Fig. 6 is a specific flowchart of the dispensing process of the returned medicine dispensing device 2 and the returned medicine management system shown in fig. 5 (1). First, the medicine return control device 6 collects prescription data 85 from the external system and periodically performs processing (statistical settlement processing) (ST 41). The medicine return control device 6 checks whether or not a record of the target medicine exists in the returned medicine dispensing device dispensing table 7b (ST42), and if so, performs a dispensing process on the record of the medicine (ST 43). If not, the medicine return control device 6 transmits the prescription data 85 to a dispenser (for example, the random dispenser 107 or the refrigerated dispenser 111) other than the returned medicine dispensing device 2. The statistical settlement processing (ST41) may be performed immediately after the distribution processing (ST 43).
When the medicine return control device 6 confirms that the record of the target medicine exists in the returned medicine dispensing table 7b (ST 42: yes) and the record of the target medicine is subjected to the dispensing process (ST43), the dispensing instruction data 87 is transmitted to the returned medicine dispensing device 2(ST 44). On the other hand, the reject medicine dispensing apparatus 2 determines (extracts again) a record of the corresponding medicine code again from the reject medicine inventory table 9 of the local database 3. At this time, as described above, the item of "expiration date" of each record in the rejected medicine inventory table 9 is referred to (ST 45). The "filling rack, filling line, filling horizontal position" of the medicine is identified from the determined (extracted) data, and the medicine is returned to the medicine dispensing device 2 and dispensed (ST 46).
The medicine return control device 6 receives the delivery of the rejected medicine dispensing device 2, and updates the "delivery end date (delivery end date, delivery end time)" recorded in the rejected medicine dispensing device delivery table (ST 47). The returned medication management system updates the "date of delivery completion (delivery completion date, delivery completion time)" recorded in the returned medication inventory table 9 (ST 48). At the same time, the returned medication management system sets the field of "reason for distribution" in the record of the returned medication inventory table 9 as data indicating "distribution". The reject medicine management system receives the dispensing of the reject medicine dispensing device 2, and removes the mask from the position in the storage information storage unit where the medicine is not stored due to the dispensing. Therefore, in the stored information storage unit, this position becomes a configurable (filling) area.
2.3. Actions of returned medicament management system
The operation of the returned medication management system will be described. Fig. 7(a) is a main screen view of a rejected medicine management system according to a first embodiment. The operation screen of the returned medication management system including the main screen is displayed and operated by the instruction terminal 4. The user can select various processes (functions) on the home screen. The reject medication management system performs processing according to the selection of the user. As examples of main processes (functions) that can be executed by the reject medication management system, the following processes can be given.
[1] Drug recovery process
[2] Expiration date registration processing
[3] Return permission setting processing
[4] Patient building registration process
[5] Various display processes
Hereinafter, the operation of the returned medication management system will be described for each process.
2.3.1. Drug recovery process
2.3.1.1. The situation implemented by using a medicine recovery picture
The drug recovery process is performed in the order of (a) setting of the drug recovery process conditions, (b) extraction of the drug to be recovered, and (c) execution of recovery.
When the medicine collecting button 30 is touched (or clicked) on the main screen shown in fig. 7(a), the screen is changed to the medicine collecting screen shown in fig. 8. The medicine collection screen includes, in the left part, an extraction condition setting unit 56 for collection. When the user inputs detailed conditions or checks a check box (a) setting of the drug collection processing conditions) related to the detailed conditions and clicks an extraction execution button, the extraction condition setting unit 56 instructs the terminal 4 to display (data of) the drug matching the extraction conditions on the upper right portion of the screen.
The data extraction and the extracted data display are performed based on the records of the rejected medicine dispensing apparatus stock table 7a (or the rejected medicine stock table 9 of the local database 3) and the medicine master file included in the database 5 connected to the medicine return control apparatus 6. The process for extracting target data for the drug recovery process will be specifically described with reference to fig. 9.
The control unit of the instruction terminal 4 reads out each record of the rejected medicine dispensing apparatus inventory table 7a (ST02, ST 03). Next, the control unit of the instruction terminal 4 determines whether or not the extraction condition is a condition related to the data stored in the main file of the medicine, or whether or not the extraction condition is a condition related to the data stored in (each record of) the returned-product-medicine dispensing-apparatus stock table 7a (or the returned-product-medicine stock table 9) (ST 04).
When the extraction condition set on the medicine collection screen is a condition related to the data stored in the medicine master file, the control unit of the instruction terminal 4 searches the medicine master file using the medicine codes included in the respective records of the rejected medicine dispensing device inventory table 7a as key items (ST 05). When the contents of the field data (for example, a medicine type flag) in each record of the searched medicine master file match the retrieval conditions, the control unit of the instruction terminal 4 retrieves and displays the self-rejected medicine dispensing apparatus inventory table 7a (ST06, ST07, ST08, ST 09).
For example, when "psychotropic drugs" are selected as the extraction conditions of the drug collection screen in fig. 8 and "1" is set in the "drug type flag" of the record of the drug master file searched for using the drug code included in a certain record of the returned drug dispensing apparatus inventory table 7a as a key item, the control unit of the instruction terminal 4 displays the extraction of the record of the returned drug dispensing apparatus inventory table 7a by setting the contents of the field data in the record of the searched drug master file to match the extraction conditions.
On the other hand, when the extraction condition set on the medicine collecting screen is a condition related to the data stored in (each record of) the returned-product medicine dispensing apparatus inventory table 7a (or the returned-product medicine inventory table 9) (for example, the extraction condition is "long-term retention", "the expiration date has reached", "the expiration date is near", or the like), extraction and display are performed based on the field (for example, the field of "expiration date" or "production date" or the like) of the returned-product medicine dispensing apparatus inventory table 7a (or the returned-product medicine inventory table 9) (ST10, ST11, ST12, ST13) (extraction of the medicine to be collected (b)). The above processing is performed for all records in the returned medication dispensing apparatus inventory table (ST03, ST 14). A
Fig. 10 is a flowchart mainly showing a specific process of step ST10 of fig. 9 when the extraction condition is "near term of validity". That is, the flowchart shown in fig. 10 is a flowchart for performing the following processing: that is, for each record in the returned-product-medicine inventory table 9 in the local database 3, it is checked whether or not the processing meets the recovery and extraction condition of "near term of validity" based on the data of the "term of validity" item in the record. In the flowchart, the rejected medicine dispensing apparatus stock table 7a and the rejected medicine stock table 9 of the local database 3 are synchronized to process two data files.
First, data of "days until expiration" is set and stored (ST 22). The data of "number of days until expiration" may be set, for example, by using one of the functions of the various setting buttons on the main screen image in fig. 7 (a). The set data may be stored in a reject medicine dispensing apparatus common setting table connected to the medicine return control apparatus 6, for example. Next, the user selects the check box of "validity period" of the extraction condition setting unit 56 for collection on the medicine collection screen shown in fig. 8.
When the check box of "expiration date" is selected, the control unit of the instruction terminal 4 reads out the records of the reject medicine inventory table 9 in order (ST 24). The control unit of the instruction terminal 4 calculates (determines) whether or not the expiration date is near, using the data of "expiration date" in the record of the rejected medicine stock table 9 and the data of "number of days of near expiration date" stored in the rejected medicine dispensing apparatus common setting table (ST 26). When the validity period is calculated (judged) to be close, the control unit of the terminal 4 is instructed to perform extraction and display (ST27, ST 28). The above processing is performed for all the records of the returned medication stock table 9 of the local database 3 (ST25, ST 29).
In addition, when "medicine cassettes" described above are excluded from the objects of medicine collection, the check box for "medicine cassette exclusion" is checked. When the "medicine over the upper limit" button 55 is touched (or clicked), only the medicine in the (virtual) cassette that exceeds the "upper limit in stock" is set as the target of medicine collection. When the check box of "out of the dispensing target" is checked, a medicine that is not dispensed by the reject medicine dispensing device 2 among the non-mounted medicines other than the mounted medicines (that is, the "cassette medicines") is set as a target for medicine collection. This makes it possible to clearly classify the medicines dispensed from the dispensing line system 101 and the medicines manually dispensed.
Next, the recovery execution of (c) will be described. When the "collection execution" button 57 on the medicine collection screen shown in fig. 8 is touched (or clicked), the control unit of the instruction terminal 4 instructs the return medicine dispensing device 2 to collect the medicine. At this time, the control unit of the instruction terminal 4 refers to the rejected medicine dispensing apparatus stock table 7a and writes new data (records) into a rejected medicine dispensing apparatus collection table 7C (see fig. 2C) included in the database 5 connected to the medicine return control apparatus 6.
Fig. 5(2) is a diagram showing a processing flow at the time of recovery. The collection monitor 88 in fig. 5(2) is a functional member of the medicine return control device 6, and constantly monitors whether or not the instruction terminal 4 has newly written data in the returned medicine dispensing device collection table 7C (see fig. 2 (C)). Specifically, the collection check monitor 88 monitors whether or not the "collection connection number" field in the returned medication dispensing apparatus collection table 7c is increased. By the occurrence of new writing of data to the returned medicine dispensing device collection table 7c, the collection monitor 88 of the medicine return control device 6 generates virtual prescription instruction data (collection data) 90. The generated virtual prescription instruction data (collection data) 90 is transmitted from the medicine return control apparatus 6 to the returned medicine dispensing apparatus 2, and ampoule sorting processing (collection work) 92 is performed.
Since the instruction data here is recycle data rather than actual prescription data, it is referred to as "virtual prescription instruction data". Here, the "virtual prescription" is, unlike the prescription for each patient sent from an external system (for example, the hospital integrated system), virtual dispensing instruction information for dispensing a medicine in accordance with the various extraction conditions, and causes the reject medicine dispensing apparatus 2 to perform the same operation as the dispensing based on the normal prescription.
After receiving the "virtual prescription instruction data", the reject medicine dispensing apparatus 2 refers to and searches the reject medicine inventory table 9 in the local database 3 based on the medicine identification code included in the virtual prescription instruction data, grasps the "filling rack number, filling column number, and filling horizontal number" of the medicine to which the medicine identification code is added, and performs the actual collection operation ((c) collection execution) based on the grasped "filling rack number, filling column number, and filling horizontal number".
FIG. 11 is a flowchart showing the details of the recovery process shown in FIG. 5 (2). First, the instruction terminal 4 extracts the drug data to be collected according to the extraction conditions set on the drug collection screen, and instructs the user to collect the extracted drug (ST 61). Immediately after the collection instruction, the instruction terminal 4 refers to the returned product medicine dispensing apparatus stock table 7a, and writes a new record into the returned product medicine dispensing apparatus collection table 7 c. When the collection monitoring monitor 88 of the medicine return control device 6 checks that a new record is created in the returned medicine dispensing device collection table 7c (ST63), the virtual prescription designation data (collection data) 90 is issued (ST 64). Upon receiving the virtual prescription instruction data (recovery data) 90, the returned medication dispensing apparatus 2 extracts the record of the medicine identification code of the virtual prescription instruction data (recovery data) 90 from the returned medication inventory table 9 (ST 65). The reject medicine dispensing apparatus 2 identifies the "filling rack, filling line, and filling lateral position" of the medicine by using the extracted data, and performs the collecting operation based on the identified "filling rack, filling line, and filling lateral position" (ST 66).
Upon receiving the collection operation of the returned medication dispensing apparatus 2, the medication return control apparatus 6 updates the "dispensing end date (dispensing end date, dispensing end time)" of the record of the medicine identification code including the virtual prescription instruction data in the returned medication dispensing apparatus inventory table 7 a. At the same time, the medicine return control device 6 updates "the date of the end of dispensing (the date of the end of dispensing, the time of the end of dispensing)" of the record of the medicine identification code including the virtual prescription instruction data in the returned medicine dispensing device collection table 7c (ST 67). The returned medication management system updates the "date of delivery completion (delivery completion date, delivery completion time)" recorded in the returned medication inventory table 9 (ST 68). At the same time, the returned medicine management system sets the field of "distribution reason" in the record of the returned medicine inventory table 9 as data indicating "instruction to collect". After receiving the recovery operation of the returned medicine dispensing apparatus 2, the returned medicine management system removes the mask from the position where the medicine stored in the storage information storage unit is not present due to the recovery operation, as in the dispensing operation. Therefore, in the stored information storage unit, this position becomes a configurable (filling) area.
2.3.1.2. The situation implemented by utilizing the automatic recovery setting picture
In addition, the instruction terminal 4 may perform the above-described "(a) setting of the drug recovery processing conditions" on another screen. When various setting buttons 34 are touched (or clicked) on the main screen image shown in fig. 7(a), a group of setting screen image buttons (34a to 34e) for branching to various setting screen images as shown in fig. 7(b) is displayed. Here, when the "automatic recycle setting" button 34a is touched (or clicked), an automatic recycle setting (mode setting) screen shown in fig. 12 is displayed. This screen is a screen for giving an instruction to the reject medicine dispensing apparatus 2 in advance to perform the collection operation on a predetermined time day (time) or when predetermined conditions are sufficient.
In the screen shown in fig. 12, "predetermined time of day (time)" is set in the lower part of the screen. The "predetermined condition is sufficient" means, for example, "when the magazine is full" or "when all the returned medicines in the returned tray are returned to the end" as shown in fig. 12. The "full magazine" or "complete return of the returned medicines in the returned trays" is set by turning ON the full-magazine button 58a or the return-complete button 58 in the automatic recovery setting (mode setting) screen shown in fig. 12.
In the automatic collection setting (mode setting) screen shown in fig. 12, the setting of the drug collection processing conditions is performed by inputting detailed conditions through the automatic collection condition setting unit 56a on the upper part of the screen or by checking check boxes for the detailed conditions.
When the "expiration date" check box of the automatic collection condition setting unit 56a of the automatic collection setting (mode setting) screen shown in fig. 12 is checked and the screen is returned to the main screen of fig. 7(a), if the instruction terminal 4 determines that the target record exists in the reject drug dispensing apparatus inventory table 7a, the display of the button 22 of the main screen of fig. 7(a) is changed from "no drug approaching the expiration date" to "drug approaching the expiration date", and the button 22 is blinked. Here, when the "medicine near expiration date" button 22 is touched or clicked, a medicine collection screen shown in fig. 8 showing (data of) medicines that match the extraction conditions is displayed. Thereafter, when the "recycle execution" button 57 is clicked, a recycle instruction is executed.
In addition, even when the recovery instruction is not given by the "recovery execution" button 57, the recovery instruction to the reject medicine dispensing apparatus 2 is executed according to the conditions for automatic recovery and the time and day set on the automatic recovery setting (mode setting) screen of fig. 12.
The same processing as described above is executed also when a check box such as "long-term retention" of the automatic collection condition setting unit 56a on the automatic collection setting (mode setting) screen shown in fig. 12 is checked. The "medicine over upper limit" button 56b, the check box for "medicine cases other than cassette medicines", and the check box for "medicine out of dispensing object" also have the same functions as the respective buttons or check boxes in the medicine collection screen of fig. 8.
In this manner, on the automatic collection setting (mode setting) screen shown in fig. 12, a predetermined time day (time) or a predetermined condition is set as a reference for performing the collection operation. That is, the collection operation is performed on the predetermined time day (time) or when the predetermined condition is sufficient. Here, the reject medicine management system may be configured to: the drug recovery process of the present embodiment is performed when the filling rate of the drug in the storage unit 15 of the rejected drug dispensing device 2 becomes equal to or higher than a predetermined threshold value. The "filling ratio" herein is a ratio of the number of medicines actually stored in the storage unit 15 to the maximum number of medicines storable in the storage unit 15.
The automatic collection condition setting unit 56a of the automatic collection setting (mode setting) screen shown in fig. 12 is also provided with a check box for "return designation". The data indicated by the check box of the "return designation" indicates that the medicine is the subject of return medicine management (medicine classification). When the check box of "return designation" is checked, the medicine designated to be returned on the data becomes the subject of automatic collection. Whether or not the return is designated in the data is determined based on the contents of the "designated medicine flag" field of the returned medicine inventory table 9 (that is, if the "designated medicine flag" is set, the return is designated). In addition, whether or not the target is "return designation" may be distinguished for each medicine, and for example, a setting screen for each medicine may be separately provided in the instruction terminal 4.
Further, the automatic collection condition setting unit 56a of the automatic collection setting (mode setting) screen shown in fig. 12 is also provided with a check box for "no medicine is loaded". The data indicated by the "medicine non-loaded" check box indicates that the medicine is not the object of rejected medicine management (medicine classification) (i.e., is not loaded in a rejected medicine management system (medicine classification device)). The non-carried medicine includes, for example, a medicine which is used only in a special operation and is used less frequently, a medicine which should be treated carefully, and the like. When the check box of "no medicine is loaded" is checked, the medicine set as the non-medicine loaded on the data becomes the target of automatic collection. Whether or not the data is set to non-loaded medicine is determined based on the content of the "non-loaded medicine flag" field in the rejected medicine inventory table 9 (that is, if the "non-loaded medicine flag" is set, it is determined to be non-loaded medicine). In addition, whether or not the medicine is classified as "non-medicine-loaded" for each medicine may be separately provided on the instruction terminal 4, for example.
The check box for "return designation" and the check box for "no medicine loaded" may be provided to the extraction condition setting unit 56 on the left side of the medicine collection screen shown in fig. 8.
In the returned medication management system, a plurality of conditions for automatic collection, time and day (i.e., automatic collection mode) may be set. As described above, when the various setting buttons 34 are touched (or clicked) on the main screen image shown in fig. 7(a), a group of setting screen image buttons (34a to 34e) for branching to various setting screen images as shown in fig. 7(b) is displayed. When the "automatic collection setting" button 34a is touched (or clicked), an automatic collection setting (mode setting) screen shown in fig. 12 is displayed, and here, an "automatic collection setting" screen displaying a list of a plurality of conditions for automatic collection and time and day may be displayed first, as shown in fig. 13.
In the automatic collection setting screen shown in fig. 13, when the "mode addition" button 150 is touched (or clicked), the automatic collection setting (mode setting) screen shown in fig. 12 is displayed next and for the first time. When the drug recovery processing conditions are set on the automatic recovery setting (mode setting) screen shown in fig. 12 and the "login" button is touched (or clicked), the screen returns to the automatic recovery setting screen shown in fig. 13 after the drug recovery processing conditions are registered. Upon this return, the registered drug collection processing conditions are included in the list and displayed. As described above, when the "mode addition" button 150 in fig. 13 is touched and the setting and registration of the medicine collecting process conditions in fig. 12 are performed a plurality of times, the automatic collecting setting screen shown in fig. 13 displays a plurality of medicine collecting process conditions, that is, the conditions/time of day (automatic collecting mode) for automatic collection after setting and registration in the reject medication management system.
The "mode change" button shown in fig. 13 is a button for moving to a screen for changing the automatic collection mode, and the "mode delete" button is a button for deleting the automatic collection mode. The selection check 156 column is a check column for selecting the drug recovery processing conditions. When a plurality of selection checkup 156 fields are selected, the selected drug collection processing conditions (for example, the AND conditions) are combined to determine the actual drug collection processing conditions. Further, data relating to a plurality of drug collection processing conditions may be stored in the local database 3, for example, in a setting table shared by rejected drug dispensing apparatuses. Specifically, data such as a medicine collection process performed when the return process is completed (that is, a medicine collection process performed when "predetermined conditions are sufficient") or a medicine collection process performed when a timer is set (that is, a medicine collection process performed on "predetermined time (time)" is stored.
As described above, by the drug recovery processing by the rejected drug management system, unnecessary rejected drugs or inappropriate rejected drugs unsuitable for storage are appropriately and appropriately purged from the rejected drug dispensing apparatus 2. This can prevent unnecessary stock or wasteful stock from being generated in the storage unit 15. Therefore, the efficiency or reliability (safety) of the dispensing operation of the rejected medicine dispensing device 2 can be improved.
2.3.1.3. Modification of drug recovery processing
A modified example of the drug recovery process will be described. The receiving unit 12 of the reject medicine dispensing apparatus 2 shown in fig. 20 is configured to receive seven reject trays. The receiving unit 12 of the reject medicine dispensing apparatus 2 may be configured to receive eight or more reject trays.
Here, the return completion time button 58 ON the automatic collection setting (mode setting) screen shown in fig. 12 is in the "ON" state, and "timing at which all the returned medicines in the returned tray are returned" is set as timing for performing automatic collection.
In this case, the reject medicine management system may display a pop-up (pop-up) button of "do automatic collection", and a yes/no button on the screen of the instruction terminal 4, instead of immediately instructing the reject medicine dispensing device 2 to perform an automatic collection operation, at the time when the return of seven reject trays (six trays if NG trays are set) is completed. The returned medicine management system may be configured as follows: that is, when the yes button is selected, the reject medicine management system issues an instruction to the reject medicine dispensing apparatus 2 to perform an automatic collection operation; when the "no" button is selected, the rejected medicine management system instructs the rejected medicine dispensing device 2 to perform an automatic collection operation by finishing the return of the eighth and subsequent rejected trays (seven and subsequent rejected trays if an NG tray is set).
2.3.2. Expiration date registration processing
2.3.2.1. Registering an unknown expiry date
When the rejected medicine management system determines that there is a record in the rejected medicine dispensing device inventory table 7a that the "validity period" is unknown (i.e., not entered), the display of the button 28 on the main screen of fig. 7(a) is changed from "no medicine whose validity period is unknown" to "medicine whose validity period is unknown", and the button 28 is blinked. Here, when the "medicine with unknown expiration date" button 28 is touched (or clicked), a medicine expiration date registration list screen shown in fig. 14, in which a list of (data of) medicines whose "expiration date" field is unknown is displayed, is displayed. As described above, the term "expiration date" may be referred to as "lifetime" instead, but the terms have the same meaning.
In the medicine expiration date registration list screen shown in fig. 14, the display of the list can be reduced by the setting of the extraction condition setting unit 62.
In the list of the medicine expiration date registration list screen shown in fig. 14, when one line is touched (or clicked), the medicine expiration date registration screen shown in fig. 15 is displayed. On this screen, image data of the medicine associated with the touched row acquired by the recognition unit 14 of the reject medicine dispensing apparatus 2 is displayed. In the drug expiration date registration screen, the expiration date is input (registered) by the user based on the image data of the drug. The registration screen may include a field for inputting an ID (identifier) of the registrant, and the ID of the registrant may be simultaneously input (registered) via the field. In addition, for each medicine assigned an individual medicine identification code (i.e., each medicine identification code), image data of the medicine is stored in the local database 3.
The expiration date registration processing by the rejected medicine management system allows additional registration of an expiration date even for a medicine whose expiration date is not recognized. This makes it possible to further increase the number of medicines to be subjected to the term of validity management in the rejected medicine dispensing apparatus 2, and further, to prevent the occurrence of an inadvertent stock and also to prevent the occurrence of a waste situation in which usable medicines are not used and exceed the term of validity.
2.3.2.2. Processing for reading valid period again
The "reread" button 63 of the medicine expiration date registration list screen shown in fig. 14 is a button for use in the following cases: that is, the rejected medicine stored in the storage unit 15 of the rejected medicine dispensing device 2 is re-identified by the image processing of the identification unit 14, and the data including the expiration date is acquired again.
Specifically, the "read again" button 63 is touched (or clicked) at the same time as one row of the list of the medicine expiration date registration list screen is touched (or clicked). By doing so, the rejected medicine dispensing device 2 returns the medicines indicated by the touched row from the storage unit 15 to the recognition unit 14, and again causes the recognition unit 14 to perform recognition by image processing. After acquiring the data including the expiration date again, the rejected medicine dispensing device 2 stores the medicine read out again in the storage unit 15 again. At this time, the instruction terminal 4 stores data indicating that the return medicine stock table 9 has been read again in the field of the re-read flag.
By the above-described processing related to the "reread" button 63 displayed on the medicine expiration date registration list screen of the instruction terminal 4, the expiration date can be acquired again by the identification unit 14 of the rejected medicine dispensing apparatus 2 for medicines whose expiration dates are not identified. This makes it possible to further increase the number of medicines to be subjected to the term of validity management in the rejected medicine dispensing apparatus 2, and further, to prevent the occurrence of an inadvertent stock and to prevent the occurrence of a waste situation in which usable medicines are not used and exceed the term of validity.
In addition, the reject medicine management system and the instruction terminal 4 can also execute control not to perform the processing related to the "reread" button 63 described above with respect to the medicine in which the data indicating that reread is performed is stored in the field of the reread flag in the reject medicine inventory table 9. By performing such control, the reject medication management system can avoid repetition of unnecessary and wasteful re-reading processing (re-recognition processing).
In the medicine expiration date registration list screen shown in fig. 14, it is preferable that the medicines to be dispensed or collected are not displayed in the list in order to prevent the expiration date data from being improperly changed.
2.3.2.3. Dispensing permission processing by use-period unknown medicine dispensing setting
When various setting buttons 34 are touched (or clicked) on the main screen image shown in fig. 7(a), a group of setting screen image buttons (34a to 34e) for branching to various setting screen images as shown in fig. 7(b) is displayed. Here, when the "other setting" button 34c is touched (or clicked), the other setting screen shown in fig. 16 is displayed. Whether or not to dispense the medicine with unknown expiration date can be controlled by the "medicine with unknown expiration date dispensing ON/OFF" button 160 in the other setting screen shown in fig. 16.
That is, when the medicine delivery with unknown expiration date is in the "ON" state by the "drug delivery with unknown expiration date ON/OFF" button 160, the "drug delivery with unknown expiration date in the ON state" is stored in the storage unit of the instruction terminal 4 (for example, the reject medicine delivery apparatus common setting table in the local database 3), and thus the medicines related to the record with unknown expiration date in the reject medicine delivery apparatus inventory table 7a are also the target of the delivery process. Further, when the medicine delivery with unknown expiration date is in the "OFF" state by the "drug delivery with unknown expiration date ON/OFF" button 160, the "drug delivery with unknown expiration date in the OFF state" is stored in the storage unit (e.g., the reject medicine delivery apparatus common setting table of the local database 3) of the instruction terminal 4, and thus the medicines related to the record with unknown expiration date of the reject medicine delivery apparatus inventory table 7a are not the target of the delivery process.
Further, a screen set for an operation in the dispensing process of a medicine whose expiration date (lifetime) is unknown is prepared. Fig. 17 is a screen image of "reject medicine setting" which is a screen image set for an operation of a process of dispensing an arbitrary medicine out of medicines whose expiration dates (use dates) are unknown. In the setting screen button group (34a to 34e) for branching to various setting screens shown in fig. 7(b), when the "maintenance" button 34e is touched (or clicked) and further the "reject medicine setting" button (not shown) is touched (or clicked), the reject medicine setting screen shown in fig. 17 is displayed.
When an arbitrary medicine is designated and the "delivery permission all the time" button 166 is selected in the "expiration date (valid date)" section ON the left side of the screen, the medicines related to the record in the rejected medicine dispensing apparatus stock table 7a become the target of the dispensing process regardless of the state of the "drug delivery clear-expiration date" button 160 in the other setting screen shown in fig. 16 and regardless of the state of the "expiration date" in the rejected medicine dispensing apparatus stock table 7 a.
ON the other hand, when the "distribution permission setting correspondence" button 164 is selected in the "expiration date (valid date) invalidation" section ON the left side of the screen, the "unclear-expiration date medicine distribution ON/OFF" button 160 ON the other setting screen shown in fig. 16 is matched, and it is determined whether or not the medicine related to the record in the rejected medicine distribution device inventory table 7a is the target of the distribution process. Therefore, the returned medicine can be set as a collection target, not a dispensing target.
In this way, it is possible to set in detail how the medicine whose expiration date is unknown is manipulated in the dispensing process.
2.3.3. Return permission setting processing
When various setting buttons 34 are touched (or clicked) on the main screen image shown in fig. 7(a), a group of setting screen image buttons (34a to 34e) for branching to various setting screen images as shown in fig. 7(b) is displayed. Here, when the "return permission setting" button 34b is touched (or clicked), the return permission setting screen shown in fig. 18 is displayed. This screen is a screen for setting a medicine that can be returned to the returned medicine dispensing device 2. That is, by setting the condition of the unreleasable medicine that should not be returned on the setting screen shown in fig. 18, the return process desired by the user can be executed. More specifically, this screen is a screen for giving an instruction in advance to the returned medicine dispensing apparatus 2 to perform the return operation for a medicine other than the predetermined medicine (i.e., a medicine other than the unreleasable medicine) and the predetermined time zone.
In the screen shown in fig. 18, the "predetermined time zone" is set at the lower part of the screen. The screen shown in fig. 18 is configured such that "unreleasable medicine" is set on the top of the screen. For example, when a check box of "medicine exceeding the upper limit" is checked, the medicine exceeding the "inventory upper limit" in the (virtual) box becomes a non-returnable medicine. When the check box of "out of dispensing target" is checked, the medicine that is not dispensed by the medicine dispensing device 2 for returned medicine among the unaffiliated medicines other than the installed medicine (that is, "medicine cartridge") becomes unreleasable medicine.
When the time zone is set in the lower part of the screen, the reject medicine dispensing apparatus 2 is instructed to perform the reject operation only in the time zone. When the unreleasable medicine is set on the upper part of the screen, the returned medicine dispensing apparatus 2 is instructed to move the unreleasable medicine in the returned tray to the NG tray.
Fig. 19 is a flowchart of the return processing performed on the medicine on the return tray based on the return permission setting set on the return permission setting screen shown in fig. 18. First, when the start time set on the return permission setting screen is reached, the present process is started (ST 81). The identification unit 14 of the rejected medicine dispensing device 2 performs an operation of identifying the medicines on the rejected trays one by one (ST 82). When the setting (conditional) concerning the unreleasable medicine is not made on the upper part of the return permission setting screen (ST 84: no), the returned medicine dispensing apparatus 2 stores the medicine in the storage part 15. At the same time, the control unit of the instruction terminal 4 creates new records in the rejected medicine dispensing device stock table 7a, the rejected medicine dispensing device stock table 7b, and the rejected medicine stock table 9 (of the local database 3) in preparation for the subsequent processes (dispensing process, collecting process, and the like) (ST 89). Further, the identification unit 14 of the rejected medicine dispensing device 2 continues the medicine identification operation (ST 82). A
When the setting (conditional) concerning the unreleasable medicine is present on the upper part of the return permission setting screen (ST 84: yes), the control section of the instruction terminal 4 reads out the medicine master file based on the medicine code included in the barcode recognized by the recognition section 14 of the returned-product medicine dispensing device 2(ST 85). When the control unit of the instruction terminal 4 determines that the item (field) data of the medicine master file has a non-returnable condition (ST 86: yes) or has another non-returnable condition (ST 87: yes), the returned medicine dispensing apparatus 2 moves the medicine to the NG tray. At the same time, the control unit of the instruction terminal 4 sets the NG flag to "1" and writes the NG comment in preparation for the subsequent processing (distribution processing, collection processing, aggregation processing, and the like), and then creates records in the rejected medicine distribution device inventory table 7a and the rejected medicine inventory table 9 (of the local database 3), respectively (ST 90).
On the other hand, when the control unit of the instruction terminal 4 determines that there is no non-returnable item (field) data in the drug master file (ST 86: no) and there is no other non-returnable item (ST 87: no), the returned drug dispensing apparatus 2 stores the drug in the storage unit 15. At the same time, the control unit of the instruction terminal 4 creates new records in the rejected medicine dispensing device inventory table 7a, the rejected medicine dispensing device inventory table 7b, and the rejected medicine inventory table 9 (of the local database 3) in order to prepare for the subsequent processes (dispensing process, collecting process, and the like) (ST 89). Further, the identification unit 14 of the rejected medicine dispensing device 2 continues the medicine identification operation (ST 82).
The processing according to the flowchart shown in fig. 19 is terminated when the medicine to be identified by the identification unit 14 is no longer present (ST 83: yes) (ST 91). At the end time set in FIG. 18 (ST 88: YES), the process ends (ST 91).
By the return permission setting processing by the return medication management system, it is possible to call attention to the fact that there is a place (a refrigerator, a theater management box, or the like) where the medication is not originally to be stored in the return medication dispensing apparatus 2 in terms of storage management, and there is no case where a person approaching or exceeding the expiration date or even a person whose expiration date is unknown is stored in the return medication dispensing apparatus 2 and the space of the medication which is originally to be stored is occupied. As a result, the return processing can be performed more efficiently.
2.3.4. Patient building registration process
When the patient building registration button 38 is touched (or clicked) on the main screen image shown in fig. 7(a), a patient building registration screen image shown in fig. 20 is displayed. This screen is a screen for registering the name of the patient building of the return origin for each return tray received in the receiving section 12 of the return medication dispensing apparatus 2. As described above, the receiving unit 12 of the reject medicine dispensing apparatus 2 is configured to be able to receive seven reject trays at maximum, for example. That is, as shown in the patient building registration screen of fig. 20, the receiving unit 12 includes seven tray receiving shelves. When a reject tray is actually set on each tray receiving rack, a reject tray image is displayed on the left part of the patient building registration screen in fig. 20 in accordance with the tray.
The displayed returned product trays can be registered after the name of the patient building of the return source of the returned product tray is selected in the right part of the registration screen of the patient building. The data of the name of the patient building can be stored in a database (for example, a returned medicine dispensing apparatus stock table 7a) in association with the data of each returned medicine.
By registering the name of the patient building of the returned product tray by the returned product medicine management system, the condition of the returned product medicine of each patient building can be rapidly and clearly grasped. In particular, the data of the name of the patient building can be used as statistical data for creating a specific table or the like.
2.3.5. Various display processes
Various information of various shapes and colors can be displayed on the main screen shown in fig. 7 (a). For example, in the left part of the screen, the number of tray receiving racks that are left empty (that is, no reject tray is actually set) in the receiving unit 12 of the reject medicine dispensing device 2 is displayed (shown as "empty 5" in fig. 7(a), for example). In addition, whether or not the medicine is moved to the lowermost NG tray (shown as "no medicine" in the figure by way of example) is displayed.
In addition, the composition ratio of the medicines stored in the storage unit 15 of the reject medicine dispensing device 2 by size (i.e., according to S, M, L) is displayed in real time on the right part of the screen by a graph. Here, the "composition ratio by size" means a ratio of the medicines having the corresponding size in the rack corresponding to each size (S, M, L).
In addition, the suction pad replacement information can be displayed on the main screen shown in fig. 7 (a). For example, the storage unit of the medicine return control device (medicine storage control device) 6 stores the date and the year of installation or replacement of the adsorption pads (first adsorption pad and second adsorption pad) made of rubber as the date of start of use of the adsorption pads. The returned medicine management system (medicine sorting device) is configured as follows: when a predetermined period (for example, twenty days two months) has elapsed since the start date of use of the adsorption pad, three months "close to the first adsorption pad (or the second adsorption pad) to be replaced" are displayed on the main screen of the instruction terminal 4. Further, the rejected medicine management system (medicine sorting device) is configured to: when a predetermined period (for example, three months) has elapsed since the start date of use of the adsorption pad, the main screen of the instruction terminal 4 displays "three months have elapsed for which the first adsorption pad (or the second adsorption pad) should be replaced. Please replace it immediately. ".
Further, the storage unit of the medicine return control device (medicine storage control device) 6 stores the number of operations of the adsorption nozzles and the adsorption pads (first adsorption nozzles and first adsorption pads, second adsorption nozzles and second adsorption pads) (that is, the number of times of adsorption of the adsorption pads) after the replacement date of the adsorption pads (first adsorption pads and second adsorption pads). The returned medicine management system (medicine sorting device) is configured as follows: when the number of operations from the start date of use of the adsorption pad exceeds a predetermined number (e.g., 27000 times), a main screen of the instruction terminal 4 displays "30000 times of use for which the first adsorption pad (or the second adsorption pad) should be replaced is approached. ". Further, the rejected medicine management system (medicine sorting device) is configured to: when the number of operations from the start date of use of the adsorption pad exceeds a predetermined number (for example, 30000 times), the main screen of the instruction terminal 4 displays "use of 30000 times for which the first adsorption pad (or the second adsorption pad) should be replaced has been exceeded". Please replace it immediately. ".
Further, the identification unit 1 of the reject medicine dispensing device (accommodated medicine dispensing device) 2 may be provided with a suction pressure monitor for periodically monitoring the suction pressure of the suction pad. Furthermore, the reject medicine management system (medicine sorting device) may be configured to: when the suction pressure of the suction pad (first suction pad, second suction pad) monitored by the suction pressure monitor is lower than a predetermined value, a "decrease in the suction pressure of the first suction pad (or second suction pad)" is displayed on the main screen of the instruction terminal 4. Please replace it. ".
Preferably: in the rejected medicine management system (medicine sorting apparatus), a screen for setting whether or not to display the adsorption pad replacement information in the above main screen is constructed and can be used in the instruction terminal 4. Likewise, it is preferred that: in the returned drug management system (drug sorting apparatus), a screen for setting a predetermined use period for replacing the adsorption pad, a predetermined number of times of operation for replacing the adsorption pad, and a predetermined minimum suction pressure value for replacing the adsorption pad is constructed, and the screen can be used in the instruction terminal 4.
On the main screen shown in fig. 7(a), the "cassette medicine stock" button 21b displays the stock status of cassette medicines in the storage section 15 of the cassette injection medicine dispensing machine and reject medicine dispensing device 2. First, if there is at least one box with zero inventory count among the boxes, it is indicated as "out of stock". Even if there is no box corresponding to "out of stock", if there is at least one box whose stock is less than the filling reference amount (lower stock limit) by "1" or more, it is indicated as "stock less". If there is no box corresponding to "out of stock" or a box corresponding to "less stock", and the stock count is between the maximum mount amount (stock constant) and the fill reference amount (stock lower limit) in all the boxes, it is indicated as "proper". In addition, the stock information of the boxes in the distribution line system 101 may be displayed in the home screen.
2.3.6. Warehouse entry and exit history display processing
In the main screen image shown in fig. 7a, when the query button 32 is touched (or clicked) and further the "warehouse entry query" button (not shown) is touched (or clicked), the warehouse entry query screen image (warehouse entry history screen image) shown in fig. 21 is displayed. Here, when the "extraction condition" in the left part of the screen is input, a list of the input data, i.e., the returned drug data, or a list of the output data, i.e., the distribution data and the collection data, which meet the extraction condition is displayed based on the data stored in the database 5 and the local database 3. At this time, the number of pieces of data included in the list (list of rejected medicine data satisfying the extraction conditions, or list of delivery data and collected data satisfying the extraction conditions) is displayed in the lower right portion of the screen.
A list of delivery data is displayed on the right side of the delivery inquiry screen (delivery history screen) shown in fig. 21. In addition, an item of "distribution cause" is displayed in the list of the delivery data. The reason for distribution includes "distribution" and "instruction recovery". The display of the dispensing reason is based on the data stored in the "dispensing reason" field of the returned medication inventory table 9 of the local database 3. In addition, since the dispensing instruction data 87 (see fig. 5(1)) is generated from the returned medication dispensing apparatus dispensing table 7b at the time of the dispensing process, the returned medication management system stores data indicating "dispensing" in the field of "dispensing cause" of the returned medication stock table 9 of the local database 3 after receiving the dispensing instruction data. On the other hand, at the time of the collection process, since the collected data (virtual prescription instruction data) 90 (see fig. 5(2)) is generated from the returned medication dispensing apparatus collection table 7c, the returned medication management system stores data indicating "instruction to collect" in the field of "reason for dispensing" of the returned medication stock table 9 of the local database 3 after receiving the collected data.
As described above, a list of delivery data is displayed on the right portion of the delivery inquiry screen (delivery history screen) shown in fig. 21. In the displayed list, when one line of data relating to an arbitrary medicine is touched (or clicked), a screen (validity period registration confirmation screen) displaying the following data may be displayed: that is, the image data including the "expiration date (use date)" of the medicine associated with the touched (or clicked line, which is acquired by the recognition unit 14 of the returned medication dispensing apparatus 2, and the "expiration date (use date)" data in the returned medication dispensing apparatus inventory table 7 a. By using this valid period registration confirmation screen, it is possible to confirm whether or not the valid period data read by the counterfeit medicine dispensing device 2 is correct.
In addition, since the displayed list shows data on the medicines that are not present in the returned medicine dispensing apparatus 2 that have been dispensed or collected, it is possible to confirm whether or not the expiration date data read by the returned medicine dispensing apparatus 2 is correct for these medicines. Further, since such a valid period registration confirmation screen also displays data on a medicine that is not present in the rejected medicine dispensing apparatus 2 that has been dispensed or collected, in order to prevent the valid period data from being improperly changed, it is preferable that: the expiration date data cannot be changed from the screen at least for a medicine that is not present in the dispensed reject medicine dispensing apparatus 2.
2.3.7. Correlated display of bar codes assigned to a plurality of drugs and selection of drugs
There are cases where a plurality of medicines are assigned to one medicine barcode. In this case, the reject medication management system can display a screen indicating that a plurality of medicines are distributed on the instruction terminal 4. Further, on the screen of the instruction terminal 4, one of the plurality of medicines can be selected. Upon selection, the reject medication management system uses the selected medication as the medication corresponding to the medication barcode.
2.3.8. Output of drug summary sheet
The dispensing pipeline system 101 including the reject medication management system is capable of outputting forms from a network-connected printer. Fig. 22 shows a drug summary table 70 for each patient building as one of the tables. The drug summary table by patient building 70 is a table for summarizing and outputting the drugs dispensed from the dispensing line system 101 by patient building on each dispensing execution day. The number of bottles dispensed for each drug is shown in the table.
In the case where the number of bottles to be dispensed for each medicine is included in the medicine-by-patient summary table 70, a mark (star mark in fig. 22) 72 indicating the number of bottles to be dispensed for each medicine is displayed on the right side of the number-of-bottles display of the medicine.
Fig. 23 is a flowchart of a process in which the distribution line system 101 including the returned medication management system outputs the medication summary table 70 for each building based on the distribution instruction data 87 output from the medication return control device 6. The reject medication management system sequentially extracts the dispensing instruction data 87 after the dispensing is executed (ST 102). With respect to the sequentially taken dispensing instruction data 87 after the execution of the dispensing, the reject medicine management system collects the number of bottles of each dispensed medicine for each dispensing execution day/for each patient building. At this time, if the medicine to be dispensed from the reject medicine dispensing device 2 is included in the dispensed medicine, the reject medicine management system stores a "reject medicine" flag for the dispensed medicine (ST 104). When the dispensing instruction data 87 after the dispensing execution is finished (ST 103: yes), the reject medication management system ends the processing concerning aggregation.
Next, the dispensing line system 101 including the returned medication management system prints the number of bottles per dispensed medicine for each dispensing execution day/building of a patient (ST 105). At this time, if the number of bottles for each dispensed medicine contains a medicine dispensed from the rejected medicine dispensing apparatus 2, that is, if a "rejected medicine is present" flag is stored for the dispensed medicine to be printed, the dispensing line system 101 including the rejected medicine management system prints a mark in the vicinity of the number-of-bottles data of the dispensed medicine (ST 107). When the summary data of the dispensed medicines is finished (ST 108: YES), the process concerning printing is finished (ST 109).
In this way, in the medicine summary table 70 for each building, when the medicines dispensed from the rejected medicine dispensing device 2 are included in the number of bottles dispensed for each medicine, if a mark indicating the effect is displayed on the right side of the bottle number display, it is clear that the rejected medicines are included in the dispensed medicines.
Further, there is a case where a form (sheet) of "injection form" indicating information on the dispensed medicine is attached to the tray collected from the medicine dispensed by the dispensing line system 101. In the medicine information displayed on the injection form, a mark indicating that a reject medicine is included can be marked as in the case of the above-described pharmacy order form summary table 70.
2.3.9. Reclaiming output of rewrite cards
When the return product medicine management system performs the collection operation, the collection rewrite card 74 is given to the return product tray. The rewrite card herein is a card capable of changing display of information such as character information, graphic information, and a barcode by a rewrite device, and a colorless system or a white-turbid system can be used. As the recycle rewrite card, electronic paper or a liquid crystal display may also be used instead of the rewrite card in the above manner.
The "collection rewrite card" 74 given to the returned product tray by the distribution line system 101 including the returned product drug management system displays the collection conditions. Fig. 24(a) is a display example of the recycle condition in the recycle rewrite card 74.
The returned medicine management system refers to the returned medicine dispensing device collection table 7c to grasp the collection conditions. For example, a field such as a long-term retention flag or an adjacent validity period flag is referred to. That is, the collection rewrite card 74 displays the extraction conditions input to the medicine collection screen shown in fig. 8 (or fig. 12). The recovery rewrite card 74 can be created, for example, in a discharge elevator (tape rewrite) 117 of the distribution line system 101.
Fig. 24(b) is a flowchart of a process of outputting the recycle rewrite card shown in fig. 24 (a). First, the control unit of the medicine return control device 6 creates a new record in the returned medicine dispensing device collection table 7c by the collection operation of the returned medicine dispensing device 2(ST 122). The rejected drug management system acquires the reason for collection from the record (ST 123). The discharge elevator (with rewrite) 117 prints the reason for the recovery on the rewrite card and outputs it together with the tray for recovery (ST 124).
In this way, the recovery conditions are clearly displayed by the recovery rewrite card 74, and the process of the drug to be recovered is immediately grasped. In addition, since the tray can be prevented from being taken out by mistake, the error of the operation after the recovery can be reduced, and the operation efficiency can be improved.
Claims (14)
1. A drug sorting device is characterized in that,
the method comprises the following steps:
a recognition unit that recognizes medicine data including at least the shape, size, and type of the medicine,
a storage part for storing the medicine,
a storage information storage unit that stores a storage status of the medicine in the storage unit,
a storage part for storing a medicine-related data table in which data relating to the medicine is recorded, an
A transport unit that transports the medicine from the identification unit to the storage unit;
the medicine sorting device determines a storage location where the medicine is stored, stores the medicine, and records the stored medicine data of the medicine in the medicine-related data table in association with the storage location data, based on the medicine data obtained by identifying the stored medicine by the identification unit and the storage information stored in the storage information storage unit;
the storage part also stores a medicine main file for recording medicine data of each medicine;
judging whether the medicine is a medicine meeting non-refundable conditions according to the medicine data stored in the medicine main file, wherein the non-refundable conditions are as follows: the condition that the unreleasable medicine which is returned by the conveying part to the storage part is not used.
2. The drug sorting device of claim 1,
when prescription data from the outside is received, a medicine corresponding to the prescription data is extracted from the storage unit and dispensed, based on the stored data recorded in the medicine-related data table of the storage unit.
3. The drug sorting device of claim 2,
the stored medicine is unused returned medicine.
4. The drug sorting device of claim 2,
recording an upper limit value, which is an upper limit number stored in the storage unit, in association with the medicine data in the medicine master file for any medicine in the medicine master file,
the upper limit value can be set as a non-returnable condition.
5. The drug sorting device of claim 2,
the drug sorting device further includes:
a medicine storage control device that receives prescription data from outside and generates dispensing instruction data;
a housed medicine dispensing device that includes the identification unit and the storage unit, and that, when receiving the dispensing instruction data, extracts and dispenses a medicine corresponding to the dispensing instruction data from the storage unit based on the storage data recorded in the medicine-related data table of the storage unit; and
an instruction terminal to which a collection condition for extracting a drug collected from the drugs stored in the storage unit is input, which generates a list of the drugs stored in the storage unit collected based on the collection condition, and which instructs the drug storage control device;
the medicine storage control device receives the list of medicines stored in the storage unit from the instruction terminal, and generates recovery data;
when the housed medicine dispensing device receives the recovery data, the housed medicine dispensing device extracts and recovers the medicine corresponding to the recovery data from the storage unit based on the storage data recorded in the medicine-related data table of the storage unit.
6. The drug sorting device of claim 5,
the instruction terminal has a display device that displays a condition setting screen for setting the collection condition.
7. The drug sorting device of claim 5,
the collection condition includes at least one of a drug name, a type of the drug, a valid period of the drug, and a retention period of the drug in the drug dispensing device.
8. The drug sorting device of claim 5,
the device for dispensing the contained medicament is contained in a dispensing pipeline system;
the dispensing line system manages the medicines stored in the storage part and the medicines not stored in the storage part, and dispenses the medicines from among the medicines stored in the storage part and the medicines not stored in the storage part as management targets according to dispensing instruction data;
the dispensing line system is provided with a printing device that prints a form indicating information on the medicines that have been dispensed;
when the medicine is dispensed from the medicine stored in the storage unit, the printing device displays information indicating the contents on the form.
9. The drug sorting device of claim 5,
the device for dispensing the contained medicament is contained in a dispensing pipeline system;
the dispensing line system is provided with a printing device that prints a form indicating information on the medicines that have been dispensed or collected;
the printing device prints the recovery condition on a rewritable card.
10. The drug sorting device of claim 5,
the housed medicine dispensing device dispenses each medicine according to the priority of dispensing.
11. The drug sorting device of claim 10,
the priority is determined based on at least one of the expiration date of the medicine and the priority of the housed medicine dispensing device itself with respect to the other dispensing devices.
12. The drug sorting device of claim 3,
the drug sorting device further includes:
a medicine return control device that receives prescription data from the outside and generates dispensing instruction data;
a returned medicine dispensing device that includes the identification unit and the storage unit, and that, when receiving the dispensing instruction data, extracts and dispenses a medicine corresponding to the dispensing instruction data from the storage unit based on the storage data recorded in the medicine-related data table of the storage unit; and
an instruction terminal that receives a collection condition for extracting a medicine collected from rejected medicines, generates a list of rejected medicines collected based on the collection condition, and instructs the medicine return control device;
the medicament return control device receives the list of returned medicaments from the indicating terminal and generates recovery data;
when the returned medicine dispensing device receives the recovery data, the returned medicine dispensing device extracts and recovers the medicine corresponding to the recovery data from the storage unit based on the storage data recorded in the medicine-related data table of the storage unit.
13. An instruction terminal for drug recovery, which instructs a dispensing line system to dispense or recover returned drugs to be recovered, the instruction terminal being included in the drug sorting device according to any one of claims 1 to 12, the dispensing line system managing the returned drugs, extracting a desired drug from the managed returned drugs, and dispensing or recovering the drug,
the indicated terminal is characterized in that it is,
the indication terminal comprises:
a display device for displaying a condition setting screen for inputting a collection condition for extracting a drug to be collected from a returned drug;
a control device for generating a list of medicines to be collected according to the collection conditions set on the display device; and
a sending means that sends the generated list to the distribution pipeline system.
14. An instruction method of an instruction terminal for drug recovery, which instructs a dispensing line system to dispense or recover returned drugs to be recovered, the instruction terminal being included in the drug sorting device according to any one of claims 1 to 12, the dispensing line system managing the returned drugs, extracting a desired drug from the managed returned drugs, and dispensing or recovering the drug,
the indication method for indicating a terminal is characterized in that,
the method comprises the following steps:
displaying and inputting a condition setting screen for extracting a recovery condition for a drug to be recovered from a returned drug;
generating a list of the medicines to be recovered according to the recovery conditions set on the display device; and
sending the generated list to the distribution pipeline system.
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
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| JP5904315B1 (en) * | 2014-08-22 | 2016-04-13 | 株式会社湯山製作所 | Drug sorting device |
| CN109069346B (en) * | 2016-04-19 | 2022-02-01 | 株式会社汤山制作所 | Program for drug authentication and image processing apparatus |
| CN107973020B (en) * | 2016-10-21 | 2023-08-25 | 北京华兴长泰物联网技术研究院有限责任公司 | Recovery system and recovery method for medicine container |
| KR102644081B1 (en) * | 2017-04-14 | 2024-03-07 | 가부시키가이샤 유야마 세이사쿠쇼 | Pharmaceutical sorting device, sorting container and medication return method |
| JP2019076569A (en) * | 2017-10-26 | 2019-05-23 | Ｐｈｃホールディングス株式会社 | Drug sorting apparatus and drug put-out system with the same |
| JP6902454B2 (en) * | 2017-10-26 | 2021-07-14 | Ｐｈｃホールディングス株式会社 | Chemical sorting device and chemical dispensing system equipped with this, chemical sorting method |
| CN109637030B (en) * | 2018-11-20 | 2021-04-13 | 深圳市卫邦科技有限公司 | Medicine sharing method, dispensing robot and medicine sharing system |
| JP6587267B2 (en) * | 2019-02-06 | 2019-10-09 | 株式会社スズケン | Pharmaceutical inventory management system and method for determining the amount charged for pharmaceuticals |
| CN112001664A (en) * | 2019-05-08 | 2020-11-27 | 北京京东振世信息技术有限公司 | Method, device, equipment and storage medium for generating return task |
| JP7414418B2 (en) | 2019-07-12 | 2024-01-16 | Ｔｏｐｐａｎエッジ株式会社 | Pharmaceutical management system |
| JP7287160B2 (en) * | 2019-07-18 | 2023-06-06 | 株式会社ダイフク | picking equipment |
| CN110482091B (en) * | 2019-08-16 | 2024-01-30 | 常州市第二人民医院 | Large transfusion feeding system and large transfusion feeding management method |
| FR3101568B1 (en) * | 2019-10-03 | 2022-08-05 | Aleph Sas | METHOD FOR MANUFACTURING A FILM COMPRISING CAVITIES WITH DETERMINATION OF DRAWING PROFILES, DENSITY, THICKNESS AND/OR POROSITY OF THE FILM |
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| KR102398298B1 (en) | 2022-05-16 |
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