JP2001043279A - Pharmacy system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To speedily perform the retrieval, display and effective utilization of required information by enabling immediate switching to another input screen when a prescribed key is operated on an item where a cursor exists on a prescription design job screen. SOLUTION: A pharmacist constitutes the prescription design job screen for planning how-to-prescribe by utilizing various pieces of information related with a prescription in advance. When the pharmacist monitors a cursor position on the prescription design job screen and prescribed key input is detected, correspondent processing is performed. For example, when the list box of patient names is opened by locating the cursor on a patient name input part, the patient list box is expanded by performing prescribed key input 'control J' and the list box for displaying not only the patient names but also the birthdays, telephone numbers and sexes is opened. Besides, by performing the key input of 'control R', a patient input reference screen is displayed and the cursor points the part of reading KANA on the patient names.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a dispensing pharmacy business support system, and more particularly to a dispensing support system for efficiently performing various documents and various processes accompanying dispensing. Get involved.

[0002]

2. Description of the Related Art In the dispensing business, it is necessary to perform dispensing from paper prescriptions prepared in medical institutions and various information in pharmacies, but it has been difficult to utilize such information efficiently. Pharmacy information includes drug history (age,
Gender, weight, insurance, address phone number, medical history, side effects history, allergy history, concomitant medication, lifestyle habits, preferences, family history, patient psychology, patient personal information including compliance, medication history, medication history, Pharmaceutical information (pharmaceutical law, Pharmaceutical Affairs Law, medical treatment regulations, health insurance law), pharmaceutical information (records related to dispensing), drug information (pharmaceutical package inserts, side effect information, interaction information, drug price information, product standard information) , The Psychotropic Drug Control Law and the Stimulant Control Law).

[0003] The conventional dispensing support system is mainly designed to perform office work and is designed on the premise that non-pharmacists handle it. Therefore, it can be said that the function of supporting the pharmacist's dispensing design was insufficient.

[0004] In the dispensing design work, it is required that a pharmacist make an input based on professional judgment ability using various information. However, although the conventional dispensing support system has a function of information retrieval and reference input, each task is not organically coupled, so that a necessary task cannot be performed in real time in pharmacy business.

[0005] The preservation of various data related to the dispensing business and sufficient measures against unauthorized tampering while maintaining the reliability of such data have been taken. In addition, such stored data can be efficiently searched for as necessary. The conventional dispensing support system was weak from the viewpoint of taking out.

At the same time, there has been no system in the past that records various errors relating to the dispensing operation or the history of each operation, or satisfies the requirements for authenticity of such recording.

[0007]

However, in recent years, the information activities required by pharmacists in legal practice regarding dispensing have become complicated, and as a result, the efficiency of dispensing operations has also been required. As described above, in the conventional system, there is no system that supports the entire dispensing operation organically and efficiently. Most of the systems that support each function of dispensing related work by computer support only each function, and these single functions are organically linked, and the pharmacist can achieve the maximum effect with the minimum amount of work. There is a long-awaited need for a system that supports the entire dispensing business.

[0008] The core of the dispensing work is the patient interviewing work and the dispensing design work, which are required in this work, and the required information activities are becoming complicated, but it is possible to respond to this. A simple system. In order to realize this, dispensing is performed from the prescription, but a system that supports information activities necessary for patient interview work and dispensing design work efficiently in a short time may be used.

[0009] In addition to prescriptions, pharmacists also conduct patient interviews and dispensing design work, not only from prescriptions, but also from the history of drug use at pharmacies (age, gender, weight, insurance, address telephone number, past illness, side effect history, allergy history, concurrent use) Patient's personal information including drugs, lifestyle, preferences, family history, patient psychology, compliance, etc., medication history, medication counseling history, dispensing related records), drug information (pharmaceutical package insert, side effect information, interaction) Information, drug price information, product standard information), and various information such as legal documents related to dispensing (Pharmacist Law, Pharmaceutical Affairs Law, rules on medical treatment, Health Insurance Law, Drug Psychotropic Drug Control Law, Stimulant Drug Control Law), etc. Need to be done.

In order to realize high-quality drug treatment, a pharmacy designer is required to efficiently search and refer to the above-mentioned various information and directly input character information. Since a pointing device is used in the current window-related system, it is necessary to release the hand from the home position of the keyboard, and it has been difficult for the pharmacist to efficiently search and input information. It was also difficult for pharmacists to enter records in free expressions. Therefore, there has been a demand for a system capable of searching and inputting all information without releasing the hand from the home position of the keyboard.

In the dispensing design work, it is necessary to display an input reference screen so that necessary input references can be made quickly at each input section of the screen. Therefore, it would be more convenient if there was a system capable of directly performing the necessary search reference directly from the item where the cursor is located.

[0012] In the case of drug-related input in the dispensing design work, the prescription prepared by the doctor of the medical institution describes the name of the drug as either a product name or a component name. Similarly, quantitative points are described in either product unit quantities or principal component quantities. Whichever the name of the drug is input, if it is properly displayed and processed in the system, it will also be a confirmation of the judgment and evaluation of the pharmacist, and will also be a record of how the doctor described the prescription. Therefore, it would be very convenient if there is a system that can input the name of the drug either as the product name or the component name, and also can quantitatively support either the product unit amount or the main component amount.

According to Article 25-2 of the Pharmacists Act, pharmacists are required to provide information necessary for proper use of dispensed medicines. However, it is practically difficult for all the dispensed medicines to describe the efficacy, side effect information, interaction information, and precautions on life immediately immediately after dispensing by handwriting or verbal description. In general, using an independent information providing system or the like that is not related to a series of dispensing or drug history, the information that is not unique to each patient registered in advance for each drug is routinely and temporarily. It is documented and provided as basic information.

In a dispensing support system, it is possible to unify dispensing design input and information provision and perform management and operation. As a series of dispensing design input operations, it has been desired to select or freely input information to be provided to a patient from a plurality of pieces of information by using prescription contents, past drug history, patient information, and the like as judgment materials. By doing so, the most appropriate information can be provided to the patient. In addition, for information that does not need to be unique, the necessary information is automatically selected, so that it is possible to quickly create the information.In addition, the information provided in the past is stored as a drug history Such a system should be able to refer to and transfer information at the time of dispensing design input, so that continuation and reliable information provision should be realized.

[0015] The conventional system is not sufficient for searching the drug history. The drug history should be able to be searched and referenced promptly at the time of dispensing, the content of the description should be at a glance, a record that can reproduce the dispensing content based on the drug history,
Requirements for storage for three years from the last reference date are required. With a general handwritten (paper) drug history, it has been difficult to achieve searchability and listability as the scale and content increase. Further, it is difficult to satisfy the requirements in terms of listability and storage period in the drug history of the conventional computer system.

To solve this problem, all the requirements for the drug history should be satisfied by storing and managing the drug history in the form of two-dimensional drug history-detailed drug history-compressed drug history. In particular, the two-dimensional drug history should be able to achieve a high level of listing, the detailed drug history should be reproducible, and the compressed drug history should be long-term preservability. Further, it is also required that these medication histories can be switched and displayed and printed immediately according to the necessity in the prescription design work and the medical history reference work.

[0017] The drug history is a kind of medical record, and it is required to ensure its authenticity. For example, it is required that the correction be deleted by double lines so that the contents before the correction can be confirmed, and that the correction be made. It has been pointed out that a conventional general drug history computer is capable of rewriting and deleting information, and has a problem in authenticity.

For such problems, it is necessary to provide a system in which the finalized information cannot be falsified or deleted. First, it is impossible to change the information relating to drug treatment once the dispensing design is finalized. Need to be Secondly, if it becomes necessary to correct or cancel the dispensing process, it is possible to register the information as revocation information in order to prevent misuse of that information, Therefore, a function that is stored on data as information that cannot be transferred and output is desired.

At present, prescriptions created by medical institutions are not generally digitized, and a system for efficiently storing the prescriptions in a database as image data and retrieving necessary parts when needed is desired. I was

It is anticipated that drug picking work that does not require pharmacological (professional) judgment in dispensing work will be performed by non-pharmacists in the future. From the viewpoint of the Pharmaceutical Affairs Law, it is necessary for a pharmacist to instruct and supervise the picking operation in order to allow a non-pharmacist to perform the picking operation. That is, there is a demand for a system that automatically gives a work instruction to a picking person from dispensing design data.

In addition, it is necessary to verify that the picked drug is exactly the same as the one instructed by the pharmacist, because a dispensing error can be a problem that can affect the life and death of the patient. That is, it is necessary to have a function of comparing the picking instruction with the picking action and checking whether the picking action is correct.

At present, in the dispensing business, it is required to record points of interviews with patients and guidance on medication in a medication use history. However, it was not possible to record such an action. There has been a demand for a system that can easily bring out the state of an interview with a patient when necessary. Similarly, it is very convenient if the image information of the medicine to be delivered to the patient can be extracted when necessary.

In the past, there were various pharmacy systems. However, there were many cases in which the conventional computer drug history was evaluated as not having a sufficient function as a drug history. The reason is that various functions for managing the database of the dispensing support system, such as the history of taking the drug, cannot be centrally used for management reference in real time. The immediacy of the display and output is insufficient, and it is not possible to operate the medicine history management sufficiently. There has been a long-awaited need for a system that realizes these functions voluntarily by the user.

There were systems which realized various functions at high speed, but the price was high because expensive hardware was used. It has been desired to provide a versatile and inexpensive system that realizes multi-function, that is, various kinds of data organically and at high speed.

Further, some patients often forget to use the medicine, such as forgetting to take the medicine. Also, depending on the type of medicine, forgetting to drink may be a major therapeutic problem, but a system that prevents this, that is, instructs the use when necessary, has been awaited.

[0026]

Means for Solving the Problems In order to solve the above problems, the present invention has adopted the following method. First, a part that assists each input will be described. The system of the present invention comprises a terminal for inputting and outputting necessary information and a patient information database. In this system, a dispensing design operation screen is constructed in which the pharmacist uses the various information related to the prescription to plan how to perform the dispensing.

Various types of information include medication history (patient's personal information, medication history, medication counseling history, records related to dispensing), drug information (pharmaceutical package insert, side effect information, interaction information, drug price information, product standard) Information), and legal documents related to dispensing (Pharmacist Law, Pharmaceutical Affairs Law, Rules for Medical Care, Health Insurance Law, Drug Psychotropic Drug Control Law, Stimulant Drug Control Law), etc. Patient's personal information includes age, gender, weight, insurance, address and telephone number, medical history, history of side effects, history of allergies, concomitant medications,
It refers to lifestyle, preferences, family history, patient psychology, compliance, etc.

In the above-mentioned screen, the position of the cursor is always recognized, and when a predetermined key operation is performed on an item where the cursor is present, switching to another input screen without returning to the menu each time, copying of a predetermined portion, etc. What is necessary is just to provide the user interface means which can implement | achieve a required function directly, such as a thing. In other words, when inputting a specific item part of a certain screen, if you want to refer to the information related to that item, you need to check the item where the cursor is located and switch to the information screen related to that item. Each item may be registered in advance so that processing can be performed by a predetermined key operation. Then, the same key operation may be unified in the system.

Next, a method of the dispensing design support will be described. An input / output device that inputs and outputs information necessary for dispensing design for the purpose of supporting dispensing design work, which plans how a pharmacist uses dispensing and related information, a drug information database, a doctor information database,
It is composed of a patient information database and a stock information database. A: Patient search confirmation means B: Patient information reference means C: Unregistered prescribed matter registration means D: Dispensing design prescribed matter input means E: Drug information retrieval means Just do it.

In the above-described patient search, the patient name (Kanji, English,
Katakana), alias of patient name, insurance number, date of birth of patient, gender, phone number of patient, and at least one item table selected from patient's address are created in advance, and the patient name (kanji, alphabet, Katakana), alias of patient name, insurance number, patient's date of birth, gender, patient's phone number, and at least one selected from patient's address can be used to retrieve necessary patient data. So that

This patient search is performed by selecting one or more of the above-mentioned patient names (Kanji, English characters, Katakana), aliases of patient names, insurance numbers, birth dates of patients, genders, patient telephone numbers, and patient addresses. May be displayed in the list box. Alternatively, enter two or more items selected from the patient's name (Kanji, English, Katakana), another name of the patient's name, insurance number, patient's date of birth, gender, patient's phone number, and patient's address. , The search condition may be narrowed down, and the patient data resulting from the search condition may be displayed in a list box.

As described above, when the patient is not a registered patient, the input screen for a predetermined item is directly called without stopping the search. The required items to be registered are the insurance benefit ratio, insurance number, insurance symbol, dependent / non-dependent, patient name (Kanji, English, Katakana), alias of patient name,
At least one item selected from an insurance number, a patient's date of birth, gender, patient's phone number, and patient's address, and this may be displayed in a list box.

The patient information in the patient information reference means is at least one information selected from drug use history information, patient specific information, and drug use history management guidance content information. More preferably, the drug taking history information is displayed on a two-dimensional matrix screen of the date and the type of the drug, and data obtained up to a predetermined number of times from the latest date may be read out from the patient database and displayed. The medicine taking history information before the predetermined number of dates may be displayed by scrolling back by inputting a key. A system for displaying the detailed information of the medicine taking history, that is, the selected past dispensing design information by selecting a necessary portion in the matrix of the medicine taking history information, and transferring and using the information in a new dispensing design as necessary. And

Here, the patient's unique information includes the insurance payment ratio, the insurance number, the insurance symbol, the distinction between the dependent and non-dependent, the patient's name (Kanji, English, Katakana), the alias of the patient's name, the insurance number, the patient's birth year It is at least one selected from the date, gender, patient's phone number, and patient's address.

The above-mentioned unregistered predetermined items are at least one item related to a prescribing physician selected from a doctor's name, a medical institution, and a department name, a drug name, a dosage form, a Ministry of Health and Welfare code, a local government name, a drug name (English), and a drug. Name (reading), manufacturer, packaging condition of chemicals,
Drug price, usage status, usage history, packaging amount, potency, drug price listing, maximum administration days, pre-formulation, ingredients, usage, caution, at least one drug-related item selected from aliases, pharmacy name, drug name, Barcode, dosage form, potency, packaging, volume, manufacturer, wholesaler infusion warehouse, current warehouse volume, order quantity, order point (minimum quantity to place an order), storage location, final withdrawal date, scheduled order, ordering (Indicating whether or not an order is being placed), at least one inventory-related item selected from the memo.

The unregistered predetermined item input means always recognizes the position of the cursor on each screen, and if a list corresponding to the item exists in the database according to the item where the cursor is located, the list is called from the database. What is necessary is just to input the data of the necessary items by selecting the list box display means to be displayed in the box and the selecting means for selecting the necessary items from the list box.

The prescribed items of the dispensing design are the patient name, the patient's date of birth, the patient's address, the patient's telephone number, the prescription issuance date, the reception date, the reception time, the prescribing doctor's name, the prescription medical institution name, the department name, the insurance code, and the insurance number. , Payment method, delivery date, presence of information paper,
Drug name, dosage form, potency, packaging condition, packaging unit, drug unit,
At least one item selected from the amount of medicine, usage, and number of days.

The dispensing design predetermined item input means always recognizes the position of the cursor on each screen, and when a list corresponding to the item exists in the database according to the item on which the cursor exists, calls the list from the database. What is necessary is just to select and input required item data by a list box display unit to be displayed in a box and a selecting unit to select a required item from the list box.

The drug information retrieving means includes a drug name, a drug type, a Ministry of Health and Welfare code, a local government name, a drug name (English), a drug name (read), a maker, a package state of a drug, a drug price, a use state, a use state history, and a packaging. Amount, titer, drug price listing, longest administration days, pre-formulation,
At least one selected from ingredients, usage, precautions, and aliases
There is provided a display means for taking an AND as needed by inputting one of them and calling and displaying the AND from the pharmaceutical information database.

The device for inputting / outputting the dispensing design necessary information on the GUI screen is composed of a keyboard and a screen, and the change to the necessary field screen can be switched directly without using a pointing device. I just need.

This system has a stock information database, and when a medicine is selected, the stock information database is referred to and the stock information of the corresponding medicine is displayed, whereby the dispensing design work becomes more efficient.

In an input / output device for inputting / outputting necessary information on dispensing design, a frequently used information text is registered in advance in each field, and a field content determinator that can determine the content of the field is input on any field screen. Thus, when necessary, the information list can be called and the necessary information text can be selected to copy and input a necessary portion of the registered text information. If the index of the field content determinator for calling this information text is arranged in a hierarchical structure, it is possible to quickly call the necessary information text.

Next, drug input in the dispensing design work will be described. The pharmacist uses the information related to the prescription to plan how to dispense. In order to support the dispensing design work, a drug corresponding to a predetermined patient is input. Has an index consisting of a set of specified names,
When inputting the name of an arbitrary attribute of a drug, display means for displaying a drug list searched from the attribute corresponding to the input with the name of the attribute, or displaying with a predetermined attribute different from the attribute, a drug from the list Selection / determination means for selecting and confirming to specify a specific drug registration means for registering the determined and identified drug with a unique ID or registering with a name of a predetermined attribute, and specifying a name for identifying the input drug. An attribute recording means for registering an attribute or an input name registering means for registering an input name for recording a name for specifying the inputted medicine is provided.

The attribute of the name of the drug includes a trade name (Japanese name), and at least one selected from a trade name (English name), a component name (Japanese name), a component name (English name), and another name.
Attributes. The predetermined attribute is a product name or a component name or both. That is, usually, a list of product names is displayed regardless of the attribute input as a candidate for selection, and if necessary, for example, if the attribute of the input name is a component name, the attribute is a list of component names. Should be displayed as Alternatively, not only the product name but also the component name may be displayed as selection candidates.

By having the index as described above, even if the person in charge of inputting the name of an arbitrary attribute that specifies a drug, the system can display a list of drugs corresponding to this input in the list box. Becomes possible,
Then, the medicine is uniquely determined by selecting the medicine from among them. At the time of display, a product name, a component name, or both may be displayed as necessary. Further, since the attribute of the input name for specifying the medicine or the input name is also registered and stored, the type of input may be displayed as necessary.

A similar method may be used for quantitative input of pharmaceuticals. That is, the input unit for inputting the amount of the drug corresponding to the predetermined patient has a conversion table for the prescription amount and the component amount, and the drug amount input means for inputting the prescription amount or the component amount and the prescription amount using the conversion table. A conversion means is provided for converting a prescription amount to a component amount when input, and for converting a component amount to a prescription amount when a component amount is input, and a display control means for displaying the converted component amount at a predetermined location. It should be left.

A support system for increasing the efficiency of providing information to patients, which will become increasingly important in the future, will be described. It consists of a terminal that inputs and outputs necessary information, a patient information database, and a system that supports information on the patient in a dispensing design work support system that plans how the pharmacist uses the information related to prescriptions to make dispensing. An information provision content storage means for storing the information in the information database is provided.

Further, the above-mentioned information provision contents storage means is provided with information provision contents reference means for referring to a necessary portion of the information provision contents stored by the information provision contents storage means as needed during dispensing design work. It is sufficient to provide a registration unit for registering in the information provision content item part by utilizing a necessary part of the information provision content reference unit as needed at the time of design work.

The registration means inserts the information provision content into the information provision content item section preferentially when the information provision content relating to the relevant drug in the relevant patient information database is present,
When the information provision content regarding the above-mentioned medicine is not in the patient information database When there is one candidate for the information provision content registered in advance for the corresponding medicine, the information provision content is directly inserted and there are a plurality of candidates for the information provision content Information providing contents inserting means in which each candidate is displayed and the information providing contents selected by selecting from the candidates are inserted, and the information providing contents inserted by the information providing contents inserting means are changed by the pharmacist If it is determined that there is a need, a registration means may be provided for changing and registering a part or the whole and registering it.

The registered information providing content may be printed on an information providing paper, a medicine bag, or both as necessary. If the registered information provision contents need to be corrected in a patient interview, a correction registration means for registering the correction contents in the patient information database may be provided. In this way, it is possible to cope with the correction even if the correction occurs when meeting the patient. Since the content of the information provision requires different information provision for each patient, an information provision sheet has conventionally been newly created for each interview. According to this system, the past information provision contents are stored in the database, and this can be easily utilized, so that the burden on the pharmacist can be reduced.

Next, a description will be given of a method for improving the efficiency of the drug history search which is important in designing the dispensing. In the dispensing design screen in the dispensing design work support system, which consists of a terminal that inputs and outputs necessary information and a patient information database, the pharmacist uses the information related to prescriptions to plan how to make dispensing. A drug taking history display means for directly displaying a drug taking history display screen of the corresponding patient by returning to a key event driven by selecting and performing a predetermined key operation without returning to a menu is provided. The drug taking history information is a date and a kind of a drug. It is easier to understand if displayed on the two-dimensional matrix screen.

In the two-dimensional matrix display, only information that can be displayed on one screen is read out from the patient information database and displayed. This is intended to increase the speed by calling only necessary information from the patient information database and not calling extra information.

The range of the drug history information may be displayed by reading a predetermined number of times from the latest date. Needless to say, the number of times to enter one screen may be selected as needed. The medicine taking history information before the predetermined number of times may be displayed by scrolling back by inputting a predetermined key. In this case, it is called back from the patient information database.

In the matrix of the medicine taking history information, detailed information on the medicine taking history, that is, the selected past dispensing design information may be displayed by selecting a necessary part. By doing so, it is possible to easily see a history past a predetermined number of times.

Alternatively, a selection screen display means for displaying a specific condition drug use history selection screen for selecting a past specific drug use history of the patient, a selection means for selecting necessary items on the use history selection screen, and the selection means May be provided with a predetermined medicine taking history display means for displaying the above-mentioned specific medicine taking history selected by the above.

The selection items on the dose history selection screen are at least one item selected from a medical institution name, a medical treatment subject name, a drug name, a drug group name, and a date, and are selectively input from the contents displayed in the list box. Alternatively, input means is provided for directly inputting or copying and inputting items already input on the dispensing design screen.

The selected medication taking history is information selected from dispensing design information for each predetermined medical institution, dispensing design information for each clinical subject, dispensing design information for each drug, dispensing design information for each drug group, and dispensing design information for a predetermined period. Should be fine.

Next, a description will be given of a convenient function for simplifying the input when there is a change or correction at the time of dispensing design or meeting with a patient. An input unit for inputting predetermined items corresponding to a predetermined patient for the purpose of dispensing design work in which a pharmacist uses information related to a prescription to plan dispensing or face-to-face with the patient In the input unit for inputting a record, frequently used text information is registered in each field in advance, and an item content determinant input means for inputting an item content determinant that can determine the content of the item on an arbitrary screen, Text information list calling means for calling a registered text information list corresponding to the item required by the input item content determinator, display control means for displaying the text information list in a list box at a predetermined position, text information An information text selecting means for selecting a required information text from a list; And preferably provided with input means for inputting a predetermined portion.

This text information list is further conveniently grouped according to each item and provided with a hierarchical structure corresponding to the group and provided with an index for each hierarchical structure. The content determinator may be determined by registering an arbitrary word set in advance in correspondence with the text information and selecting or directly inputting the registered word from a list box. The text information is assumed to be a system that can be arbitrarily registered. In this way, the amount of input work related to the pharmacist's dispensing design is reduced, and work efficiency can be improved.

Next, a system for maintaining the authenticity of the record relating to the dispensing will be described. A dispensing design data comprising a terminal for inputting and outputting necessary information, a patient information database, and a dispensing design data in a dispensing design work support system for planning how the dispensing is performed by a pharmacist using information related to a prescription; The dispensing design data has a confirmation flag indicating whether or not the design data is confirmed. At the stage when the dispensing design data is confirmed, a confirmation flag is set to indicate that the dispensation design data is confirmed. The item section must not be modifiable.

Here, the patient dispensing design data is an identifier for recognizing the individual patient, the patient name (Kanji, English, Katakana),
Patient name alias, insurance number, patient's date of birth, gender, patient's phone number, patient's address, drug name, physician's name, medical institution name, drug name, prescription amount, usage, volume, number of days patient record ( Information from the patient: other departments, previous medical conditions, allergy history,
Alcohol, tobacco, constitution, living environment, occupational environment, pregnancy status, physical condition, etc.), medication instructions, and all information recorded and confirmed by the pharmacist at the time of dispensing (Special notes on dispensing, matters related to drug efficacy, safety assurance) , And other necessary items).

Here, the determination of the dispensing design data will be described. The definition of dispensing design data is to register that the pharmacist's dispensing design and the dispensing action based on the dispensing design have been finalized on the system when finalized by the pharmacist's final audit and patient interview. It is even better to authenticate the pharmacist in charge if necessary.

It is recognized that the dispensing design data is appropriate to be changed or erroneously corrected before confirmation, that is, before delivering the medicine to the patient. However, after giving the drug to the patient, it is considered that the modification of the part related to the drug history in particular may be falsified, and it is necessary to prevent this. Therefore, a mechanism has been required so as not to be falsified separately from other items. This is a mechanism to deal with this.

The above-mentioned patient dispensing design data has a cancellation flag for determining whether or not the data has been canceled. If there is an error or a change in the predetermined item portion, the cancellation flag of the dispensing design data is added to the cancellation flag. If there is a cancellation flag setting means for setting a flag indicating that the information is cancellation information, the information flagged in the cancellation flag cannot be changed at all, and if all the canceled information is stored as a drug history, Good.

In addition, one cancellation flag may be provided for each dispensing design data as a whole, or may be provided for each item of each dispensing design data. Either one may be selected as necessary.

The above-mentioned predetermined items include a patient name, a drug name, a prescribed amount, a usage, a volume, the number of days of administration, and a patient record (information from the patient: other medical departments, past illnesses, allergy history, alcohol, tobacco, constitution, living environment). , Occupational environment, pregnancy status, physical condition,
And other necessary items), at least one item selected from the information on medication instructions, and all information that the pharmacist has recorded and confirmed at the time of dispensing (characteristics of dispensing, drug efficacy, safety assurance, and other necessary items) do it.

Then, in order to prove that the pharmacist in charge has input, predetermined items may be provided with a definite authentication means for performing definite authentication at the time of finalization. In the final authentication, if the authentication is performed by performing a checksum of a predetermined item, the accuracy of the authentication is further improved.

Next, the storage of the dispensing design data in the stage before the determination will be described. It consists of a terminal that inputs and outputs necessary information, a patient information database, and a pharmacist uses the information related to prescriptions to plan how to make dispensing. In the step (2), a log storage means for storing the history of the change of the dispensing design data in the patient information database as a log is provided.

The contents of this log are at least one selected from the contents before the item change, the contents after the change, the reason for the change, the person in charge of the change, the date, and the date and time.

Here, the patient dispensing design data includes the identifier for recognizing the individual patient and the patient name (Kanji, English,
Katakana), alias of patient name, insurance number, patient's date of birth, gender, patient's phone number, patient's address, drug name, physician's name, medical institution name, drug name, prescription amount, usage, volume, days of administration Patient records (information from patients: other medical departments, past illnesses, allergy history, alcohol, tobacco, constitution, living environment, occupational environment, pregnancy status, physical condition, etc.), medication instructions, pharmacists record and confirm when dispensing At least one data selected from all the information (special notes on dispensing, drug efficacy, safety assurance, and other necessary items) may be used.

Next, a method for enabling efficient handling of the prepared prescription will be described. Index creation means for creating an index of a prescription issued by a medical institution, index encoding storage means for encoding and storing this index into a two-dimensional code, and attaching the encoded two-dimensional code to the prescription document or simultaneously with the prescription Scanning means for scanning a printed prescription document with a two-dimensional code, image extracting means for separating and extracting the two-dimensional barcode from the prescription document, and decoding the two-dimensional code separated by image analysis and extraction An index decoding means for extracting a required index and a database storage means for storing an image scanned based on the decoded index in a database as an image database may be used.

Alternatively, when the index information required by the medical institution is converted into a two-dimensional code in advance and brought into the pharmacy together with the prescription, the index of the prescription issued by the medical institution is stored in the two-dimensional code, and the two-dimensional code is attached. Scanning means for scanning prescription documents, image analysis means for separating and extracting two-dimensional barcodes from the prescription documents, and index decoding means for decoding the image-analyzed and separated and extracted two-dimensional codes and extracting necessary indexes. What is necessary is just to employ | adopt the structure of the database storage means which stores the said scanned image in a database as a database of an image based on the decoded index.

The prescription issued by the medical institution is such that if the doctor performs a digital signature, stores the digital signature in the two-dimensional code at the same time as the index, and authenticates the digital signature through the network after decoding the two-dimensional code. No authenticity issues arise. The prescription index is an identifier that identifies the individual patient, the patient name (Kanji, English, Katakana), the alias of the patient name, insurance number, the patient's date of birth, gender, patient's phone number, patient's address, drug name, At least one selected from a doctor name and a medical institution name may be used.

The contents of the prescription may be converted into a two-dimensional code. In this case, the contents of the prescription issued by the medical institution are stored in the two-dimensional code, and the prescription document attached with the two-dimensional code is scanned. Scanning means, image analysis means for separating and extracting a two-dimensional code from a prescription document and extracting the image,
The prescription content decoding means for decoding the dimensional code and extracting the prescription content, and the prescription registration means for registering the decoded prescription may be used.

In the same manner as described above, the doctor issues a digital signature to the prescription issued by the medical institution, stores the digital signature in the two-dimensional code at the same time as the index, decodes the two-dimensional code, and passes this digital signature through the network. You only need to authenticate. The contents stored in the two-dimensional code include an identifier for recognizing the individual patient, the patient name (kanji, alphabet, katakana), an alias for the patient name, an insurance number, the patient's date of birth, gender, patient's phone number, At least one selected from the patient's address, drug name, doctor name, and medical institution name may be used.

If necessary, this two-dimensional code is obtained by encoding and storing an encrypted prescription, and decoding after decoding the two-dimensional code makes it possible to prevent information leakage.

Next, efficient picking will be described. The pharmacist conducts pharmaceutical and prescription audits using information related to prescriptions, plans how to dispense, generates picking data for picking drugs for a given patient, and defines the conditions for identifying these picking data. If picking is performed, picking by a non-pharmacist becomes possible. Here, the above-mentioned predetermined items must always include the insurance type, the prescribing physician, the patient's name, the drug name described in the component name or the product name, and the amount of the drug described in the prescription amount or the component amount.

Encoding means for encoding the picking data into a two-dimensional code, printout means for printing out the encoded two-dimensional code, display means for displaying the picking data on a display device,
What is necessary is just to have picking data output means which outputs picking data, and to perform picking assistance.

It is needless to say that the picking data needs to include at least one selected from the information for specifying the medicine, the place where the medicine is placed, the quantity, and the picking order. More preferably, the picking work instructing means is provided with a calculating means for optimizing at least one of the place where the medicine is placed, the movement of the worker, and the order of picking, and if the result of the calculation is output, the picking work is made more efficient. .

The two-dimensional code storing the picking data may be read by the handy terminal, displayed on the handy terminal, and the picking staff may perform the picking operation based on the read data. Alternatively, medicines may be automatically collected based on information captured by a two-dimensional code storing picking data or output picking data.

A mechanism for checking whether or not the result of picking is correct will be described because a wrong medicine may endanger the patient's life. The pharmacist uses the information related to the prescription to plan dispensing. For the purpose of dispensing design work, refer to dispensing design data generated by input means for inputting predetermined items corresponding to a predetermined patient. A picking data generating means for picking a medicine of a predetermined patient, and a picking work inspecting means for judging whether the picking data and the contents of the actual picking work are as instructed.

The picking data is at least one selected from information that can specify the medicine, the place, quantity, and order of the medicine. The picking data is converted into a two-dimensional code and output. The picking data of the output two-dimensional code is output. May be read by the handy terminal, and when the picker picks the read content, the picking act may be compared with the code to check whether there is any abnormality.

This inspection means calculates and outputs at least one of a picking error rate for each worker, a picking error rate for each medicine, a work efficiency for each worker, and a work efficiency for each medicine. By providing the output means, it is possible to reduce the mistake of the person in charge of picking.

The inspection means includes a total weight calculating means for calculating the total weight based on the work instruction, a total weight measuring means for measuring the total weight picked, and a total weight measured by the total weight measuring means. It becomes more certain if there is a coincidence comparing means for comparing the degree of coincidence with the calculated total weight.

Next, a description will be given of a system for dealing with litigation related to mistakes that will increase in the future, that is, storage of meeting records with patients. A dispensing pharmacy, consisting of a patient information database and a device for recording a meeting with a patient using a camera or microphone or both for the purpose of recording and recording when meeting with the patient, and collecting images and / or voices of dialogue with the patient A collection unit, an index generation unit that generates an index for the collected data, and a registration unit that registers the data collected based on the index in the patient information database may be provided.

A method for checking the medicine and amount of the powder medicine will be described. The pharmacist uses the information related to the prescription to plan dispensing. For the purpose of dispensing design work, refer to dispensing design data generated by input means for inputting predetermined items corresponding to a predetermined patient. Weighing data generating means for weighing powdered medicine of a predetermined patient, encoding means for encoding the weighing data into a two-dimensional code, printout means for printing out the encoded two-dimensional code, Image capturing means for image capturing the printed two-dimensional code, decoding means for analyzing the captured image and decoding it to the weighing data, and comparing the decoded weighing data with the weighing data transmitted from the electronic balance. A comparison means is provided, and a determination means for determining whether the weighing is accurate based on the comparison result is provided. Put.

The above-mentioned predetermined items need only include the patient name, the name of the medicine, and the amount of the medicine. The above-mentioned weighing data includes a medicine name and a printed barcode or a two-dimensional code for specifying the medicine attached to the medicine container in order to determine whether or not the weighed medicine is the correct medicine. A medicine specifying means for analyzing the captured image and specifying the medicine name of the medicine container, and a judgment means for comparing the result of the medicine specification means with the weighing data to determine whether or not the medicine is the weighing object. It is good. Then, the judgment result may be notified by voice or image as needed.

Next, a description will be given of a method of processing the automatic packaging machine offline for the corresponding patient. The pharmacist uses the information related to the prescription to plan dispensing. For the purpose of dispensing design work, refer to dispensing design data generated by input means for inputting predetermined items corresponding to a predetermined patient. Tablet package data generating means for generating tablet package data for a predetermined patient, encoding means for encoding the above-mentioned tablet package data into a two-dimensional code, and printout for printing out the above-mentioned encoded two-dimensional code Out means, image capturing means for image-capturing the printed two-dimensional code, decoding means for analyzing the captured image and decoding it into the tablet packing data, and automatically dividing the decoded tablet packing data. Transmission means for transmitting to the packaging machine; and automatic packaging means for performing automatic packaging based on the tablet packaging data described above. Okebayoi. And the above-mentioned predetermined items are patient name, drug name,
It is only necessary to include the amount and usage of the drug.

An audio data collecting means for recording the contents of guidance to a pharmacist patient at the pharmacy for the purpose of recording and recording when meeting a patient, an index generating means for generating an index for the audio data, A registration unit for registering the collected voice data in the patient information database may be provided. By doing so, it is possible to easily search for the interaction with the patient later.

The index generating means may be automatically extracted from the dispensing design data of a predetermined patient database. If necessary, the voice data may be converted into text by voice recognition means, and the converted text data may be registered in the patient database as described above.

Here, the index relates to the patient, the time, and the information item. The display means for converting the data registered in the patient information database into the table of the time and the information item for each patient using the index and displaying the same. When it is prepared, it is efficient because the business can be performed while viewing the screen with the list.

If a dictionary of terms relating to time and information items is provided, and an index is generated based on the result of recognition of data registered in the patient information database with reference to this dictionary, the efficiency of automatic index generation is increased. Here, the information items may be confirmation items relating to the patient's condition and contents of guidance to the patient. The confirmation items regarding the patient's condition are effective because they are consistent with tasks such as taking the medication status, changes in physical condition during medication, the occurrence of side effects, consultation at other departments, and the calculation of a guidance fee for taking a drug when it is food and drink.

An apparatus for recording a medicine bag by an image acquisition device for the purpose of image recording and preservation of a medicine to be delivered to a patient at a pharmacy at the time of delivery of the medicine, and a patient information database, and an image for collecting an image of the delivered medicine. There are provided collecting means, index generating means for generating an index for the collected data, and registering means for registering the collected data in the patient information database based on the index. Here, the index generating means may automatically extract the dispensing design data from a predetermined patient database. By doing so, it is possible to leave evidence regarding drug delivery, and it is easy to search later.

The system of the whole dispensing support will be described.
Terminals for inputting and outputting necessary information, drug information database,
It is composed of a doctor information database, a patient information database, and an inventory information database. A: dispensing design module B: dispensing design data registration means for registering dispensing design data input by the dispensing design module in the patient information database C: drug information Drug information data registration means for registering data in the drug information database D: Doctor information data registration means for registering doctor information data in the doctor information database E: Drug inventory management means for referencing and updating the drug inventory database F: Patient information database G: a picking work instruction data generating means for generating picking work instruction data by referring to dispensing design data in a patient information database H: referring to the work instruction data Pickin Picking work instructing means for performing work instruction processing I: Medicine bag referring to dispensing design data in patient information database, medicine bag for creating precautionary note, means for creating precautionary note J: Dispensing design finalizing means for finally finalizing dispensing design data K: Include each unit of insurance claim processing means for performing insurance claim processing with reference to the patient information database.

The dispensing design module comprises a prescribed information input screen for a pharmacist to input using prescriptions and various information, input means, and a prescribed information reference display module for assisting the input. Reference display means is provided for searching and displaying predetermined items by referring to at least one database selected from a drug information database, a doctor information database, a patient information database, and an inventory information database.

The predetermined information includes package insert information of the drug, information provided to the patient edited for each drug, combination information of the drug, drug history of the patient (past prescription information, past dispensing design information), and information of the drug and the patient. It may be at least one piece of information selected from combination information, combination information of medicine and stock, stock information, component name and product name information, and drug shape information.

This dispensing design module is provided with a prescription data capturing and displaying means for capturing and displaying prescription data by digital data or facsimile. If necessary, the digital prescription data may be captured by at least one method selected from a method of reading a two-dimensional barcode with a sheet scanner, analyzing and capturing the data, and a method of capturing the data via a communication line.

The prescription used for the dispensing design outputs a two-dimensional code created from the design information in the form of a label, attaches the two-dimensional code label, collectively reads it with a scanner, and uses the data of the two-dimensional code as an index in a database. May be stored as image information.

The drug information data registration means is provided with an input screen so that the person in charge can input the name of each drug (component name, product name), drug price, Ministry of Health and Welfare code, product standard, and manufacturer name. A frame is provided. Similarly, the physician information data registration means has an input screen, and provides each input frame so that the input person can input the name of the medical institution to which each doctor belongs, address, telephone number, medical treatment subject, and doctor name data. I just need.

The medicine inventory management means has a function of inputting the received medicine at the time of acceptance of the receipt and updating and registering the quantity of the medicine in the medicine inventory database. Further, the medicine inventory management means can withdraw the medicine from the predetermined quantity inventory after the dispensing design is determined. I just need.

Further, the medicine inventory management means only needs to have inventory output means for outputting necessary information on inventory at an arbitrary time.

The above-mentioned accounting means can issue a plurality of receipts when there is an uncertain element in the calculation standard. This uncertain element issues an information providing sheet, and it is unclear whether the patient will receive the information providing sheet. In this case, the information providing paper is issued, and the patient does not receive the information providing paper. Then, the accounting processing means may issue a receipt after the dispensing design data finalizing process in which the uncertainties of the calculation standard are eliminated.

The accounting processing means performs the settlement by a prepaid card processing means, a receivables processing means, a credit card processing means,
A payment means for performing payment by at least one processing means selected from the debit card processing means is provided.

The picking work instructing means has picking work instruction screen displaying means for displaying picking work instruction data on an instruction screen or a work instruction printing means for printing a picking work instruction sheet. The means is provided with a picking work audit system for determining whether the data of the picking work instruction and the contents of the picking work are in accordance with the picking work instruction.

This inspection system is provided with a judging means for judging whether picking matches picking data of a work instruction. The inspection system calculates and outputs at least one selected from a picking error rate for each worker, a picking error rate for each medicine, a work efficiency for each worker, and a work efficiency for each medicine as necessary. The efficiency can be further improved by providing a grasp calculation output means.

When it is necessary to further improve the accuracy, the inspection means includes a total weight calculating means for calculating the total weight based on the work instruction, a total weight measuring means for measuring the total weight picked, and the aforementioned total weight measuring means. It is sufficient to provide a coincidence comparing means for comparing the degree of coincidence between the total weight measured by the above and the total weight calculated by the calculating means.

[0107] If there is provided an operation means for optimizing at least one of the picking operation instructing means, the place for placing the medicine, the movement of the operator, and the order of picking, the result of the operation is output so that the work efficiency can be improved. Becomes possible.

The medicine bag and precautionary note creating means may have an instruction data generating means for generating instruction data for using the medicine. If necessary, the above-mentioned instruction data for use may include the use time (time for using the medicine). As for the instruction data for use, the use time of the instruction data is extracted, and the instruction data is converted into voice and transmitted to the patient's mobile phone terminal at the use time, so that forgetting to use can be reduced. Alternatively, the same effect can be obtained by extracting the use time of the instruction data from the instruction data for use and transmitting the instruction data to the portable wireless terminal of the patient during this use time.

Alternatively, the instruction data generated by the instruction data generating means may be sent to a medicine bag provided with a display or an instruction data display terminal. Alternatively, the instruction data may be obtained by printing a two-dimensional barcode and reading and analyzing the two-dimensional barcode by a medicine bag provided with the display or an image reading unit of the instruction data display terminal to display the instruction data. Alternatively, the instruction data may be sent by optical communication or radio wave to a medicine bag provided with a display or an instruction data display terminal.

This system is a system connected by a network, and if necessary, the above-mentioned dispensing design module can be installed independently of a plurality of windows or adjacent to one window, and if the requests received at a plurality of windows are concentrated, the skill can be obtained. It is possible to efficiently use a pharmacist with a certainty.

The above-mentioned drug information database contains drug names,
Dosage form, Ministry of Health and Welfare code, Pharmaceutical name, drug name (English), drug name (read), manufacturer, packaging condition of drug, drug price, use condition, use condition history, packaging amount, potency, drug price listing, longest administration days , Pre-formulations, ingredients, usage, precautions, and other names. The doctor information database described above may be composed of medical institution names, medical treatment subjects, and doctor names. The patient information database described above may be composed of prescription information, dispensing design information, dispensing records, and records of interactions with the patient. The dispensing design information may be composed of information before the dispensing design is decided and after the dispensing design is decided.

The record of the exchange with the patient may be constituted by at least one of image information and audio information. The aforementioned inventory information database contains pharmacy names, drug names,
Barcode, dosage form, potency, packaging, volume, manufacturer, wholesaler infusion warehouse, current warehouse volume, order quantity, order point (minimum quantity to place an order), storage location, final withdrawal date, scheduled order, ordering (Indicating whether an order is being placed) or at least one selected from a memo.

Item contents determinator input means for registering text information which is frequently used in each field in advance as necessary and inputting an item contents determinator capable of deciding the contents of an item on an arbitrary screen; Text information list calling means for calling a registered text information list corresponding to the above-mentioned item required by the item content determinator, display control means for displaying the text information list in a list box at a predetermined position, text information list There is provided an information text selecting means for selecting a necessary information text from among the information texts, and an input means for transferring a necessary part of the information text and inputting it to a predetermined part.

This text information list is further conveniently grouped according to each item and provided with a hierarchical structure corresponding to the group, and an index is provided for each hierarchical structure. The content determinator may be determined by registering an arbitrary word set in advance in correspondence with the text information and selecting or directly inputting the registered word from a list box. The text information is assumed to be a system that can be arbitrarily registered. In this way, the amount of input work related to the pharmacist's dispensing design is reduced, and work efficiency can be improved.

User interface means for always recognizing the position of the cursor on each screen and performing a predetermined key operation on the item on which the cursor is located to directly realize a predetermined function corresponding to the item without returning to the menu. Is provided.

In this system, the voice data of the person in charge can be fetched at the time of exchange with the patient if necessary, and an index can be added and stored in the patient information database. Similarly, the image data of the patient can be fetched at the time of exchange with the patient. May be stored in the patient information database.

Alternatively, at the time of exchange with the patient, the voice data of the person in charge may be taken in, converted to text by voice recognition, indexed, and stored in the patient information database. If added and stored in the patient information database, it is more effective.

The system includes a terminal for inputting / outputting necessary information and a patient information database. In a system for supporting a pharmacy design business in which a pharmacist uses the information related to a prescription to plan dispensing, a patient information database is used. By providing extraction means for extracting instruction data for the patient to use the medicine and transmitting means for transmitting the extracted information to the portable terminal of the patient, forgetting to use the medicine can be reduced.

[0119] The instruction data includes the usage time, and the transmission time to the portable terminal may be the usage time.
The instruction data can also specify the quantity and type of the drug to be used, and include precautions when using the drug as necessary. This portable terminal has a display panel in a shape that can be always carried by the patient, and the above-described instruction data may be displayed on this display panel to make the patient to be a patient. Alternatively, the instruction data may be transmitted to a mobile phone or a PHS that can be always carried by the patient and converted to voice.

A terminal for inputting / outputting necessary information, a patient information database, and a pharmacist using prescription-related information to plan how to perform dispensing. And a dispensing design adjustment delivery counter for dispensing medicines and a dispensing design input center for inputting dispensing design work. At least two of the above-mentioned reception dispensing adjustment delivery counter and input center may be connected to a network. The reception / dispensing / adjustment / delivery counter may be provided with a prescription transmitting means for transmitting the prescription to the dispensing design input center in the form of digital image data via facsimile or a network. Further, there are provided extraction means for extracting necessary items from data registered in the patient information database input at the input center, and transmission means for transmitting the extracted data to the pharmacy. The transmitted extraction data may be medicine picking data for picking up a necessary medicine at the pharmacy, medicine bag label data to be passed to the patient, and information providing content data may be included as necessary.

A terminal for inputting / outputting necessary information, a patient information database, and a patient-facing support module in a dispensing design work support system for planning how a pharmacist dispenses using information related to prescriptions. It is composed of a dispensing design support module. The patient facing support module and the dispensing design support module share a patient database and are connected via a network. And this patient meeting support module is for prescription reception, dispensing,
What is necessary is just to provide the information provision means which provides the information required for medicine delivery.

[0122]

BEST MODE FOR CARRYING OUT THE INVENTION In the present invention, since the system is configured so that data relating to various dispensing operations can be managed in a unified manner, the dispensing operation personnel can quickly search and display necessary information when necessary. Becomes In addition, since the system has an information management function for ensuring the authenticity of information required for medical records, the system is highly reliable and secure.

[0123]

Embodiment 1 The present invention will be described in further detail based on an actual example. 1 to 40 show screens of the pharmacy system according to the present invention.

FIG. 41 is a flowchart of the first embodiment of the present invention. The position of the cursor is monitored on the dispensing design work screen. When a predetermined key input is detected, a corresponding process is performed. In the screen shown in FIG. 7, a list box for patient names is open because the cursor is located at the patient name input section. Here, by inputting a predetermined key input control J, the patient list box is expanded to open a list box displaying not only the patient name but also the date of birth, telephone number, and gender as shown in the screen of FIG. Also co
The screen shown in FIG. 8, that is, the patient input reference screen is displayed by key input of "control R", and the cursor is located at the phonetic portion of the patient name.

In the example of the screen shown in FIG. 9, the cursor is located at the date of birth, and a predetermined key input control
When the key is input as lJ, a process of opening a list box displaying not only the date of birth but also the patient's name, telephone number and gender as shown in FIG. 10 is performed. Similarly, when the cursor is moved to the telephone number, the patient telephone number is displayed as shown in the screen of FIG. As described above, when a predetermined key input control J is keyed in, a process for opening a list box for displaying the patient name, date of birth, telephone number, and gender is performed as shown in FIG.

In the example of the screen shown in FIG. 12, the cursor is located at the doctor's name, and a predetermined key input control
When the key is input as lJ, a process of opening a list box displaying not only the doctor's name but also the name of the medical institution and the department as shown in FIG. 13 is performed.

[0127]

[Second Embodiment] FIG. 422 shows the flow of the screen configuration of the second embodiment. First, necessary items may be input on the business screen 4201. FIG. 1 shows a case where the cursor is located at the MAGIC portion and FIG. 2 shows a case where the cursor is located at the reception date portion. Sorting is performed on items where each cursor is located.

Here, when control R is input, a dispensing design screen that has not been input is displayed. When the item name is specified from the list box in the portion where the cursor is located, if control C is input, the screen is switched to the dispensing design input reference screen 4202 and the screen specified earlier is displayed. FIG. 3 shows an example of this case, where the patient name is a new patient. And since the cursor is mainly on the insurance selection, the new patient's insurance matters are opened in the list box.

Similarly, when the cursor is located at the position of public 1 for insurance selection, it takes the form shown in FIG. 4, and related items are displayed in the list box. 5 and 6 show the case where the cursor is located at the medicine. In the case of inputting a drug to be dispensed in more detail, the input is made on a dispensing design specification (prescription specification) input screen 4231.

If the input is not entered, that is, if
When the user inputs "control R", a screen with the cursor at the patient name opens as shown in FIG. Figure 8 shows the contro
The patient's name, date of birth, home phone, and gender are displayed in the list box to make it easier to identify the patient name by inputting lJ. FIG. 9 shows a case where the cursor is similarly placed on the patient's date of birth, in which case the date of birth is displayed in the list box. Here, when the control J is keyed in, the list box is expanded as shown in FIG.

FIG. 11 shows a case where the cursor is located at the item of telephone-home. In this case as well, when the user inputs a key "J", the list box is expanded as shown in FIG. FIG. 12 shows a case where the cursor is located on the item of the doctor name, and the list box of the doctor name is opened. Similarly, when the selection cannot be made by this method alone, by further keying in the control J, not only the doctor name but also the medical institution name and the department name are displayed as shown in FIG.

FIG. 14 shows a case where the cursor is located on the item of medical institution name. In this case, a list of medical institution is displayed in the list box. FIG. 15 shows the item of the family name, and the family name is displayed in the list box in the same manner.

Here, when the patient is not registered or the registered contents related to health are changed, a screen 4203 is referred to a patient input reference screen, from which a screen 4204 is referred to an insurance input reference screen or a screen 4208 is referred to an insurance input reference screen. May be switched to perform input, and this is shown in FIG. Similarly, when the prescriber is unregistered or the registered contents are changed, the screen may be switched to the prescriber input reference screen of A0205, and the state at that time is shown in FIG.

If the drug is unregistered or the registered contents are changed, the screen may be switched to the drug input reference screen 4206, and the state at that time is shown in FIG. When it is necessary to input more detailed information on the medicine, the screen may be switched to the medical input reference screen 4207, which is shown in FIG. 420 if you need to enter information about the drug
It is sufficient to switch to the information provision input reference screen of FIG. 9, and this is shown in FIG.

If it is desired to know the past drug history of the patient on the dispensing design screen 4202, the screen may be switched to the forward reference screen 4210. Here, FIG. 20 and FIG. 21 show the drug history of the patient for the past seven times in the form of a matrix of each drug and its dispensing date. FIG. 22 is a screen showing a similar matrix on a weekly basis.

Next, when it is necessary to perform data file maintenance, the screen is switched to a data file maintenance screen 4211. Here, FIG. 25 shows a case where the cursor is located at the item section of the general name of the drug on the data file maintenance screen, and the drug classification number, English name and Japanese name are displayed in the list box.

FIG. 26 shows a data file maintenance screen in which the cursor is located at the item name of the medicine name, and the medicine name is displayed in the list box. FIG. 27 is a view in which the list box of the screen of FIG. 26 is expanded by inputting the control J key. In the list box, a drug name, a dosage form, a maker, and a Ministry of Health and Welfare code are displayed.

FIG. 28 also shows the same screen, where the cursor is located at the dosage form item and the dosage form is displayed in the list box. FIG. 29 also shows a similar screen in which the cursor is located at the item of the Ministry of Health and Welfare Code, and a list of Ministry of Health and Welfare Codes is being displayed.

FIG. 30 shows a data file maintenance screen of the delivery note, in which the pharmacy list box is open because the cursor is located at the pharmacy. And the place where the list box is expanded by the control J key input is shown in FIG. 31. In the list box, the pharmacy name, wholesaler name,
The slip number, delivery date, and cancellation mark are displayed.

FIG. 32 is also a data file maintenance screen of the delivery note. The cursor is located at the bar code item section, and the bar code and various items of the medicine are displayed in the list box. FIG. 33 is a similar screen. Since the cursor is located at the item section of the pharmacy for order processing, the list box displays the pharmacy, the date of order processing, and the wholesaler.

When it is desired to refer to the stock input, the screen may be switched to 4228, and FIG. 36 shows a screen for changing the stock. To check the drug stock order status, the screen may be switched to a drug order status display screen 4226. The screen is shown in FIG. 4227 to refer to feature information
What is necessary is just to switch a screen to a writing information reference screen. The screen is shown in FIG.

[0142]

Third Embodiment FIG. 43 shows a flow of the third embodiment. 430
Reference numeral 2 denotes a drug database, which creates an index in which product names, component names, and aliases are associated with the respective drugs for search. First, when a drug is input by an arbitrary name, the corresponding list is called in 4301 with reference to the above-mentioned index of the drug database 4302. Here, when the input is a component name, a list of component names is displayed at 4303, and when the input is a product name or an alias, a list of product names is displayed.

In step 4304, a medicine is selected and confirmed from the list. Reference numeral 4307 denotes a patient information database. In 4305, a medicine is registered in the database 4307 with a unique ID for uniquely and uniquely specifying a medicine.
In this case, you may register with a product name. Next, the attribute of the input name is similarly stored in the patient information database 4307.
It is sufficient to register at 06. Then, when it is necessary to display the specific medicine of the specific patient, the medicine database is called from the unique ID of the medicine registered in the patient information database, and the alias may be called according to the product name, the component name, and the need. With such a system configuration, even if the input of a medicine is input with an arbitrary attribute name regardless of its attribute, the medicine can be uniquely determined and the necessary name can be displayed.

FIG. 39 shows a screen for entering a product name and a component name. When the name of the ingredient, nifedipine sustained release capsule, is entered in the name of the drug, Sepamit-R-CAP10 is displayed in the name of the drug.
Is displayed. Sepamit-R-CAP is similarly used for the drug name.
When "10" is entered, "nifedipine sustained release capsule" is displayed as the drug name 2.

FIG. 40 shows the state of the product unit amount and the contained main component amount. In the upper part of FIG. 40, when 150 MG is input into the product unit quantity input section, the converted actual weighing amount is displayed as 1.5 G as shown in the lower part of FIG.

[0146]

Fourth Embodiment FIG. 44 shows a flow of the fourth embodiment. Here, it is assumed that a drug has already been specified. When the amount of chemical is input in either the component amount or the prescription amount, 4401
In the above, conversion is performed by referring to the conversion table of the database 4402 to the prescription amount if the input is the component amount, and to the component amount if the input is the prescription amount. In step 4403, the result is input to the predetermined part of the component amount and the prescribed amount.

[0147]

Fifth Embodiment FIG. 45 shows a flow of the fifth embodiment. Here, a flow for creating an information providing sheet when a patient is determined and a dispensing design is provisionally determined is shown. In step 4501, an information provision content input screen is called, and in step 4502, input is performed. At this time, the past information provision contents of the same patient from the patient information database 4503 are displayed in the call list box. Then, the user selects from this list and makes an input.
If there is no suitable candidate in the list box, the key may be directly input.

Next, in 4504, the information provision content is provisionally determined, and the information provision sheet is output in A0505. Although the information providing paper is output here, it may be printed on a medicine bag. If there is an explanation to the patient and there is a correction, the process returns to 4502 and the information provision content is input again. If there is no correction, an information providing sheet is issued, and the determined information providing content is registered in the patient information database 4503 in 4507.

[0149]

[Embodiment 6] Fig. 46 shows a flow of the screen configuration of the embodiment 6. Here, it is assumed that the patient has already determined the screen. First, a predetermined key operation is performed from the dispensing design work screen 4601 to go to the 4602 two-dimensional medicine taking history screen. 20 and FIG. 21 show the past seven medicines and the dispensing information of the medicines in a two-dimensional matrix. FIG. 21 shows the period during which the medicines and the medicines are being dispensed.
Reference numeral 2 shows a display of a drug and a dispensing period in units of one week in which the drug is dispensed. Alternatively, similarly, a predetermined key operation is performed to move to the front medicine taking history selection screen. Here, if necessary, a specific date is selected to call up the dispensing design screen of the specific patient 4604 at the specific date and time from the link.

Here, a change input to the medical institution name or department name of the patient or the name of another medical institution or department name is performed as necessary. Similarly, a drug name or a drug group is input.
Then, a search is performed by taking all the ANDs, and a dispensing design screen 4604 at a specific date and time of the corresponding patient is called. Here, the patient was identified, but without identifying the patient, a
nd may be specified.

[0151]

Seventh Embodiment FIG. 47 shows a flow of the seventh embodiment. When there is an item for inputting an information text in the item on the dispensing design work screen, it is detected at 4701 whether or not the cursor is located at the item, and the information text registered in advance is called from the database A0702 and displayed at 4703. From this list, the operator copies necessary information text in 4704 to a predetermined portion in option 4705. Then, in 4706, if correction is necessary, the correction is made, and if no correction is required, it is registered in the corresponding item as it is.

[0152]

Eighth Embodiment FIG. 48A shows the contents of the patient information of the eighth embodiment after the dispensing design data is determined. (B) shows the content after the determination of the dispensing design data in the stage before the determination of the dispensing design data. After the dispensing design data is determined, that is, after the medicine is delivered to the patient, the determination flag is set to Y and change is prohibited.
If a change is absolutely necessary, the cancellation flag is registered and stored as cancellation. Then, the same patient information is created and registered with the newly changed contents. If necessary, electronically authenticate the person in charge at the time of confirmation.

Before the dispensing design data is determined, that is, before the medicine is delivered to the patient, the determination flag is set to N, and a change / modification is allowed. However, the change log is recorded in the log recording unit. The log record contains the details of the change, the reason for the change, the person in charge, the date and time, and the reason for the change is not automatically changed unless the input screen is automatically started and input.

[0154]

Ninth Embodiment FIG. 49 shows the flow of the ninth embodiment. After provisionally determining the dispensing design data, at 4901, an index is extracted from the dispensing design data. Here, the extracted data is the items of patient name, doctor name, medical institution name, and department name date. The extracted data is encoded into a two-dimensional code in 4902, and label printing is performed in 4903. Then, the label is affixed to the prescription, and the image is read by a scanner at 4904 and taken in as an image. This is shown in FIG.

Next, the index is decoded by separating the two-dimensional code from the image taken in 4905 and decoding it. And using this index 490
The image of the prescription is registered in the database of No. 7 at 4906. The index information used here was patient reading, patient name, patient birth date, insurance form, insurance code, and reception date.

A case where a prescription issued by a medical institution has a two-dimensional code will be described. This is shown in FIG. Here, a digital signature is added in order to further enhance authenticity. Reference numeral 5109 denotes a medical institution, and reference numeral 5110 denotes a flow of a dispensing pharmacy system.

First, a digital signature is given to the prescription by the doctor in charge, which is 5101. The authentication data is stored in the database of the medical institution or the database A09-202 of the authentication center. Then 51
At 03, the prescription index information and the digital signature of the corresponding physician are two-dimensionally encoded. And this 2
The medical institution issues a prescription with a dimension code, which is accepted by the dispensing pharmacy.

Next, at 5104, the prescription with the two-dimensional code is scanned. At 5105, the two-dimensional code is separated and the index is decoded. In step 5106, the digital signature is authenticated with the database 5102 through the network. The result is registered in the database of 5108 at 5107.

[0159]

Embodiment 10 FIG. 52 shows a flow of embodiment 10. After provisional determination of the dispensing design data, picking data is extracted from the aforementioned dispensing design data at 5201. Here, the extracted data is the type, dosage form, and quantity of the drug. Next, the extracted data is encoded into a two-dimensional code at 5202. At step 5203, the picking instruction with the two-dimensional code is output.

In step 5204, the two-dimensional code is read into the handy terminal. In 5205, the picking data is decoded from the two-dimensional code. Picking staff is 52
At 06, a two-dimensional code or bar code provided in the box to be picked is scanned. Warn the picker if the picking data does not match.

At this time, a log of the picking time and the correctness of the picking is recorded in the handy terminal. Then, the picking order and the place of the medicine are optimized by data mining together with the record of the place of the medicine. In the picking inspection, if the weight of the medicine to be picked is registered, the total weight of the medicine to be picked is calculated, the weight is combined with the weight of the medicine bag, and the weight is measured after the picking is completed.

[0162]

[Eleventh Embodiment] FIG. 53 shows the flow of the eleventh embodiment. 5
At 301, images and sounds of the patient and a person interviewing the patient are collected with a microphone and a camera. Next, 5302
And performs voice recognition to convert the voice of the patient interviewer into text. At 5303, an index is extracted from the aforementioned dispensing design data. The index here is the patient name,
Drug name, date and time. Then, in step 5304, the image and sound in text and the sound are registered in the patient information database 5305 based on the above-mentioned index. In this way, it is possible to easily search for a conversation with the patient using the above-mentioned index.

[0163]

[Embodiment 12] FIG. 54 is a diagram for explaining a method of checking the medicine and amount of powder medicine. A pharmacist uses the information related to the prescription to plan dispensing. Necessary places of dispensing design data generated by input means for inputting predetermined items corresponding to a predetermined patient for the purpose of supporting dispensing design work. , Weighing data for weighing the powdered medicine of a predetermined patient is created, and a checklist paper is output. The paper is a powder weighing checklist, and a QR code which is a two-dimensional code is provided at the lower right of the checklist. The QR code is taken into a scanner, image processing is performed, and weighing data is taken.

The actual powder medicine is weighed and its data is transmitted to the judgment part. At the same time, the weighing data taken in by the scanner is transmitted and judgment is made by the judgment part. Similarly, the QR code storing the name of the medicine attached to the medicine container is image-captured, fetched and decoded, and the name of the medicine is sent to the determination unit, and the name of the medicine is checked in the same manner.

[0165]

Thirteenth Embodiment FIG. 55 is an explanation of a method of processing an automatic packaging machine offline for a corresponding patient. A pharmacist uses the information related to the prescription to plan dispensing. Necessary places of dispensing design data generated by input means for inputting predetermined items corresponding to a predetermined patient for the purpose of supporting dispensing design work. To create tablet packing data for packing tablets of a predetermined patient, and output a checklist paper. The paper is a tablet packaging checklist, and a QR code, which is a two-dimensional code, is located at the lower right of the checklist. This QR code is taken into a scanner and image processing is carried out to take in tablet packing data. Next, the taken-in tablet packaging data may be transmitted to an automatic packaging machine and automatically packaged.

[0166]

[Embodiment 14] FIG. 56 shows a flow of the embodiment 14. 5
At 601, an image of a patient and a medicine to be delivered to the patient is collected by a camera. At 5602, an index is extracted from the aforementioned dispensing design data. The index here is the patient name, drug name, and date and time. Then, in 5603, the image is registered in the patient information database 5604 based on the above-mentioned index.

[0167] The image of the drug may be photographed when a CCD camera is installed above and used when necessary, or the surface of the counter may be made of transparent glass and the CCD camera may be installed in the counter.

[0168]

Fifteenth Embodiment FIG. 57 shows a flow of generating a patient database in the fifteenth embodiment. In the input of interview data 5701 with the patient, past data entered in a memo at the time of interview with the patient or data that is just input in real time in front of the patient being interviewed is input. Word recognition 57
In 02, analysis is performed with reference to the term dictionary 5703 relating to the business, and in item determination 5704, information items and time related to data are extracted. If the determination is successful, in the generation of index 5706, the extracted information items,
Generate an index based on time. If the determination fails, in a return input 5705, a preset input screen is displayed on the monitor and the information item input by the operator is sent to the index generation 5706. In the database registration 5607, the generated index and data are associated with each other and registered in the patient database 5608. The time used for the index is the current time if interviewing,
If it is a memo of past data, it is the date and time described.

FIG. 58 is a flow chart of calling and displaying patient data in the fifteenth embodiment. Data call 5801
Then, the past patient data registered in association with the index is called. The patient database 5802 is
Kanja information is stored using the patient name as a key,
An information item is added as index information. In table generation 5803, a matrix screen is created in which time is set on the horizontal axis and information items are set on the vertical axis, and displayed on a monitor on a display 5804. FIG. 59 is an example of a matrix screen.

By displaying the registered patient information in this way, the quality and efficiency of the work when interviewing the patient again after registration and when creating a medical history of the patient are improved.

[0171]

Sixteenth Embodiment FIG. 60 shows a flow of the sixteenth embodiment. First, a dispensing design is performed in 6001 based on a prescription issued by a medical institution. However, the dispensing design work is performed by calling and referencing past drug use history information, drug information, stock information, and drug shape information of the relevant patient from the 6004 database. Next, when the necessary items are applied in the dispensing design, the dispensing design provisional determination processing 60 is performed.
02, and the result is registered in the patient information database 6004.

The necessary data is extracted from the aforementioned database. Here, information providing paper output of 6004, 6
A medicine bag output of 005, a picking instruction of 6006 and an accounting slip (receipt) are created. Here, the medicine bag output was printed on a label, and the picking instruction and accounting slip were output on paper. Next, at step 6006, the picking staff performs picking of the medicine based on the picking instruction output on the paper. At 6005, a picking inspection is performed to determine whether the picked medicine is the same as the instruction.

Reference numeral 6015 denotes a process for an interview with a patient. In step 6009, the display of the drug history display and the display of the dispensing design data are called, and the patient is interviewed. If a correction is necessary, a dispensing design correction of 6007 is performed. Then, a medicine and an information providing paper are delivered to the patient. When an input (with respect to the dispensing design provisionally confirmed data) is generated by an interview with the patient, drug treatment information is input at 6010 and 600
In step 5, the dispensing design all information confirmation process is performed, and necessary items are registered in the database 6014. The drug determined in 6012 is withdrawn from the inventory database. 6013
Then, the finalized amount is accounted for. The insurance claim processing is performed from the determined patient database.

Here, the drug information database of the 6014 database contains in advance the attached text information of the drug, drug effect information adapted to this system, drug combination information, component name and trade name information, drug price, side effects, prescription Items are set so that relationship information between the amount and the component amount, drug shape information, and the like can be registered. If a new registration is required, it can be registered each time or collectively.

[0175] Items concerning compatibility with the drug specific to the patient are set in the patient information database. The items of the doctor information database were the affiliated medical institution, medical treatment subject, and doctor name.

[0176] Information on drug stocks is registered in a stock information database. At the time of drug acceptance inspection, an item for acceptance inspection is set up, and if an entry is made in this part, the number of receipts will be added to the quantity in the drug inventory database, and the withdrawal of inventory will be performed after all information on dispensing design data is determined (after 6011 6013). Since each process for the stock database is performed in real time, the stock amount at any time can be output.

Next, the process for determining the dispensing design data will be described. A dispensing design input is performed at 6001 and a dispensing design is temporarily determined at 6002, but there is an uncertain factor, and there is a possibility that it will be changed later. It may or may not occur when the information content providing service occurs. Therefore, in the system of this embodiment, an accounting slip in each case is created. That is, the system outputs two accounting slips.

In the interview with the patient, it is determined whether or not this information content providing service is necessary. If necessary, an information providing sheet is issued and the accounting process in that case is performed. That is, this is a case where an information content providing service occurs. Then, in 6011, processing for the presence of the information content providing service is performed. Then, in 6013, the effect is registered in 6014. In the opposite case, that is, when the information content providing service does not occur, a process without the information content providing service is performed in 5511. Then, in 6013, the effect is registered in 6014.

An electronic settlement system may be added to the settlement system of the accounting, and the system can be processed by a prepaid card, a credit card, or a debit card. In addition, a receivables processing function is also added in case a payment is not made on the settlement processing day for the convenience of the patient. That is, the item of receivable may be provided in the patient database.

[0180]

Seventeenth Embodiment FIG. 61A shows a flow of the seventeenth embodiment. First, the use data of the medicine of the patient is extracted from the database 6102 of the patient at 6101. The content here is to take two tablets A and one tablet B after each meal. The patient's meal time is 7:00 am and 1 pm
It's 2 o'clock, 7 p.m. Next, this usage data is
At the pager base center. 6104
In the center database 6
Register at 106.

The use data is transmitted to the pager of the patient at 6105 at 7:00 am, 12:00 pm, and 7:00 pm. At 6107, the contents of use are displayed on the pager of the patient. The state is shown in FIG. Here, it is a transmission at 7:00 pm, and two tablets A and one B
Instructions to take tablets after dinner. Only the trigger of the pager sound and / or vibration without display may be given. Alternatively, the above-described instruction data may be voice-synthesized, transmitted to the mobile phone at a time, and sound may be played.

In this case, the portable terminal may be a medicine bag with an LCD display screen or a dedicated display device that is not wirelessly connected. The medicine use information is stored in a two-dimensional code, and the medicine bag with the display screen or the exclusive display is stored. The reading may be performed using a small scanner provided in the apparatus, and when the time comes, the patient may be notified by vibration or sound to prompt the patient to use the apparatus. The use information of the medicine may be read by wire or infrared into the medicine bag with the display screen or the dedicated display device.

[0183]

Eighteenth Embodiment FIG. 62 shows a flow of the eighteenth embodiment. Here, 5709 is a pharmacy for receiving prescriptions and delivering medicines to patients, and 6210 is an input center for performing dispensing design input operations. First, in step 6201, the received prescription is imaged, and the image is transmitted in the input center in step 6202. You may fax the prescription at this time.
Alternatively, an image may be read, digitized, and transmitted via a network.

Next, the input center receives an image of the prescription at 6202, and the pharmacist performs a dispensing design input at 6204 based on this image. Then, predetermined data is extracted in 6205, and the extracted data is transmitted in 6206. Here, the predetermined data is picking data for picking a medicine, a medicine bag label, information provision contents, and notes.

Then, the necessary information is received at 6207, and the medicine of the patient is picked at 6208, the contents of the medicine bag label information are printed, and delivered to the patient together with the medicine.

[0186]

As described above, according to the present invention, since the system configuration is such that the data relating to various dispensing operations can be unifiedly managed in the support of the dispensing operation, the information necessary for the person in charge of the dispensing operation when necessary. The search display can be quickly utilized. In addition, since the system has an information management function for ensuring the authenticity of information required for medical records, the system is highly reliable and secure.

[Brief description of the drawings]

FIG. 1 Business screen (cursor: MAGIC item)

[Figure 2] Business screen (cursor: reception date item)

[Figure 3] Dispensing design screen (cursor: insurance selection main item)

[Figure 4] Dispensing design screen (cursor: insurance selection public one item)

FIG. 5: Dispensing design screen (cursor: drug item)

FIG. 6 is a dispensing design screen (cursor: drug item)

FIG. 7: Dispensing design screen (cursor: patient name item)

FIG. 8: Dispensing design screen (cursor: patient name item)

FIG. 9: Dispensing design screen (cursor: date of birth item)

FIG. 10: Dispensing design screen (cursor: date of birth item)

FIG. 11 is a dispensing design screen (cursor: telephone-home item)

FIG. 12 is a dispensing design screen (cursor: physician name item)

FIG. 13 is a dispensing design screen (cursor: doctor name item)

FIG. 14 is a dispensing design screen (cursor: medical institution item)

FIG. 15 is a dispensing design screen (cursor: department name item)

FIG. 16: Patient information input screen

FIG. 17 is a prescription doctor input reference screen

FIG. 18: Drug input reference screen

FIG. 19: Patient drug information input reference screen

FIG. 20: Drug history forward reference screen

FIG. 21: Drug history forward reference screen

FIG. 22: Drug history forward reference screen

FIG. 23: Medis input reference screen

FIG. 24 is a dispensing design specification (prescription input) input reference screen

FIG. 25 is a data file maintenance screen.

FIG. 26 is a data file maintenance screen.

FIG. 27 is a data file maintenance screen.

FIG. 28 is a data file maintenance screen.

FIG. 29 is a data file maintenance screen.

FIG. 30 is a data file maintenance (delivery) screen

FIG. 31 is a data file maintenance (delivery) screen

FIG. 32: Data file maintenance (inventory management) screen

FIG. 33: Data file maintenance (inventory management) screen

FIG. 34: Assist screen

FIG. 35: Assist screen

FIG. 36: Stock medicine change reference screen

[Fig. 37] Reference screen for pharmaceutical inventory order status

FIG. 38: Noh information reference screen

FIG. 39: Dispensing design screen (input of component name and input of product name)

FIG. 40: Dispensing design screen (input of component amount and input of prescription amount)

FIG. 41 is a flowchart of the first embodiment.

FIG. 42 is a flowchart of the second embodiment.

FIG. 43 is a flowchart of a third embodiment.

FIG. 44 is a flowchart of a fourth embodiment.

FIG. 45 is a flowchart of a fifth embodiment.

FIG. 46 is a flowchart of a sixth embodiment.

FIG. 47 is a flow chart of the seventh embodiment.

FIG. 48 is a flowchart of an eighth embodiment.

FIG. 49 is a flowchart of a ninth embodiment.

FIG. 50: Prescription with 2D code

FIG. 51 is a flowchart (2) of the ninth embodiment.

FIG. 52 is a flowchart of a tenth embodiment.

FIG. 53 is a flowchart of an eleventh embodiment.

FIG. 54 is a flowchart of the twelfth embodiment.

FIG. 55 is a flowchart of the thirteenth embodiment.

FIG. 56 is a flow chart of the fourteenth embodiment.

FIG. 57 is a flowchart for creating a DB according to the fifteenth embodiment;

FIG. 58 is a DB display flow according to the fifteenth embodiment.

FIG. 59 is a matrix screen

FIG. 60 is a flowchart of an example 16;

FIG. 61 is a flowchart of a seventeenth embodiment.

FIG. 62 is a flowchart of an eighteenth embodiment.

[Explanation of symbols]

 6001 Dispensing design input 6007 Dispensing design correction 6009 Drug history display, dispensing design display 6014 Personal database

Claims (143)

[Claims] 1. A screen for supporting a dispensing design operation, comprising a terminal for inputting and outputting necessary information and a patient information database, wherein a pharmacist plans how to perform dispensing using information related to a prescription. Wherein a user interface means for always recognizing the position of the cursor and directly performing a predetermined function corresponding to the item by operating a predetermined key on the item where the cursor is present without returning to the menu. Pharmacy system. 2. An input / output device for inputting / outputting information necessary for dispensing design for the purpose of supporting dispensing design work in which a pharmacist plans how to dispens using prescriptions.
It consists of a drug information database, a doctor information database, a patient information database, and an inventory information database. A: Patient search confirmation means B: Patient information reference means C: Unregistered prescribed item registration means D: Dispensing design prescribed item input means E: Pharmaceutical A pharmacy system comprising: information search means. 3. The patient search / confirmation means determines whether or not the patient is a registered patient by referring to a patient information database, and if the patient is a registered patient, selects and confirms the patient, calls the patient data, and is not a registered patient. 3. The pharmacy system according to claim 2, wherein an input screen for a predetermined item can be directly called in such a case. 4. Searching for a patient includes searching for a patient name (kanji, alphabet, katakana), an alias of the patient name, an insurance number, a patient's birth date,
4. The pharmacy system according to claim 3, wherein necessary patient data can be called by inputting at least one selected from gender, patient's telephone number, and patient's address. 5. The search for the patient is selected from the patient's name (kanji, alphabet, katakana), another name of the patient's name, insurance number, patient's date of birth, gender, patient's phone number, and patient's address. 5. The pharmacy system according to claim 4, wherein, by inputting the above items, target patient data is displayed in a list box. 6. The search for the patient is selected from the patient's name (kanji, alphabet, katakana), another name of the patient's name, insurance number, patient's date of birth, gender, patient's phone number, and patient's address. The pharmacy system according to claim 4, wherein the above items are input, and an AND of each item is taken to narrow down search conditions, and the narrowed result is displayed in a list box. 7. In the case where the patient is not registered, the predetermined items are an insurance payment ratio, an insurance number, an insurance symbol, a distinction between dependents and non-dependents, a patient name (kanji, English characters, katakana), and another name of the patient name. 4. The pharmacy system according to claim 3, wherein the pharmacy system is at least one item selected from the group consisting of: insurance number, patient's date of birth, gender, patient's telephone number, and patient's address. 8. The pharmacy system according to claim 7, wherein said predetermined items are displayed in a list box. 9. The patient information in the patient information reference means is at least one information selected from drug use history information, patient specific information, and drug use history management guidance content information. Pharmacy system according to the item. 10. The patent, wherein the medicine taking history information is displayed on a two-dimensional matrix screen of a date and a kind of the medicine, and data from a latest date to a date that is a predetermined number of times is read from a patient database and displayed. The pharmacy system according to claim 9. 11. The pharmacy system according to claim 10, wherein the medicine taking history information before the predetermined number of dates is displayed by scrolling back by inputting a key. 12. In the matrix of the drug taking history information, by selecting a necessary portion, detailed information of the drug taking history, that is, selected past dispensing design information is displayed and, if necessary, transferred to a new dispensing design. 10. The pharmacy system according to claim 9, wherein the pharmacy system is used. 13. The patient-specific information includes an insurance payment ratio, an insurance number, an insurance symbol, a distinction between dependents and non-dependents, a patient name (kanji, alphabetic characters, katakana), an alias of the patient name, an insurance number, and a patient's name. 10. The pharmacy system according to claim 9, wherein the pharmacy system is at least one selected from a date of birth, gender, telephone number of the patient, and address of the patient. 14. The pharmacy system according to claim 2, wherein said unregistered predetermined items are at least one prescriber-related item selected from a doctor's name, a medical institution, and a department name. 15. The unregistered prescribed items include a drug name, a dosage form, a Ministry of Health and Welfare code, a component name, a drug name (reading), a maker, a drug price, a drug price listing, a drug name (English), a drug name (reading), It is characterized by at least one drug-related matter selected from the packaging condition, use condition, use condition history, packaging amount, potency, maximum administration days, pre-formulation, ingredients, usage, caution, and other names of the drug. The pharmacy system according to claim 2. 16. The unregistered predetermined items include a pharmacy name, a drug name,
Barcode, dosage form, potency, packaging, volume, manufacturer, wholesaler infusion warehouse, current warehouse volume, order quantity, order point (minimum quantity to place an order), storage location, final withdrawal date, scheduled order, ordering 3. The pharmacy system according to claim 2, wherein the item is at least one item related to inventory selected from a memo (indicating whether or not an order is being placed). 17. The unregistered predetermined item input means always recognizes the position of a cursor on each screen, and if a list corresponding to the item exists in the database according to the item on which the cursor exists, the list is stored in the database. 3. The pharmacy system according to claim 2, further comprising: a list box display unit for displaying a call list box, and a selection unit for selecting necessary items from the list box. 18. The dispensing design prescribed items include a patient name, a patient birth date, a patient address, a patient telephone number, a prescription issuance date, a reception date, a reception time, a prescription physician name, a prescription medical institution name, a department name, and an insurance code. , Insurance number, payment method, delivery date, patient information provision contents, preparation of information paper, drug name, dosage form, potency, packaging condition, packaging unit, drug unit, drug amount, usage, and days selected at least 3. The pharmacy system according to claim 2, wherein the pharmacy system is one item. 19. The dispensing design predetermined item input means always recognizes the position of a cursor on each screen. If a list corresponding to the item exists in the database according to the item where the cursor exists, the list is entered in the database. 2. The apparatus according to claim 2, further comprising: a list box display unit for displaying a call list box, and a selection unit for selecting necessary items from the list box.
Pharmacy system according to the item. 20. The medicine information retrieving means includes a medicine name, a dosage form, a Ministry of Health and Welfare code, a local government name, a medicine name (English), a medicine name (read), a maker, a medicine packaging state, a medicine price, a use state, and a use state. Display means to call up and display from the pharmaceutical information database by inputting at least one selected from history, packaging amount, potency, drug price listing, maximum administration days, pre-formulation, ingredient, usage, caution, and alias 3. The pharmacy system according to claim 2, wherein: 21. A GU for inputting / outputting the dispensing design necessary information
Cursor moving means which is composed of a keyboard and a screen in a device for inputting / outputting an I screen, and which can be changed to a screen containing necessary items by using a key event driven processing means without using a pointing device to freely move a cursor to necessary items. 3. The pharmacy system according to claim 2, comprising: 22. The pharmacy system according to claim 2, wherein said system has a stock information database, and when a medicine is selected, the stock information database is referenced to display stock information. 23. In the input / output device for inputting / outputting the dispensing design necessary information, a frequently used information text is registered in each field in advance, and a field content determinator that can determine the content of the field on an arbitrary field screen is provided. The information list is called when necessary by inputting, and a necessary portion of the registered text information can be copied and input by selecting a necessary information text. Pharmacy system according to the item. 24. The pharmacy system according to claim 23, wherein an index of a field content determinator for calling the information text has a hierarchical structure. 25. A drug information database in an input unit for inputting a drug corresponding to a predetermined patient for the purpose of supporting a dispensing design operation in which a pharmacist plans how to make a dispensing using information related to a prescription. Having an index consisting of a set of names that specify the medicines of the attributes of the medicine, when entering the name of any attribute of the medicine, a medicine list searched from the attribute corresponding to the input is displayed by the name of the attribute, or Display means for displaying with a predetermined attribute different from the attribute, selection and determination means for selecting and confirming a drug from the list, and registering the determined and identified drug with a unique ID or with a name of a predetermined attribute A specific medicine registering means for registering; an attribute recording means for registering an attribute of a name for specifying the inputted medicine; Pharmacy system, comprising an input name registration means for registering an input name to be recorded has a name that identifies the medicines. 26. The attribute of the name of the drug includes a trade name (Japanese name), a trade name (English name), a component name (Japanese name),
26. The pharmacy system according to claim 25, wherein the attribute is at least one attribute selected from a component name (English name) and an alias. 27. The method according to claim 25, wherein the predetermined attribute is a product name or a component name or both.
Pharmacy system as described. 28. An input unit for inputting an amount of a drug corresponding to a predetermined patient for the purpose of a dispensing design operation in which a pharmacist plans how to make a dispensing using information related to a prescription. And a pharmaceutical amount input means having a conversion table for the contained principal component amount and the product unit amount or the contained principal component amount, and when the product unit amount is inputted using the conversion table, the contained principal component amount is calculated from the product unit amount. A conversion means for converting the content of the main component into a product unit when the content is converted into a quantity and a content of the main component, and a display control means for displaying the product unit quantity and the content of the main component in the result of the conversion. A pharmacy system comprising: 29. A system for supporting a dispensing design operation, comprising a terminal for inputting / outputting necessary information, a patient information database, and a drug information database, wherein a pharmacist plans how to perform dispensing using information related to prescriptions. 3. A pharmacy system according to claim 1, further comprising information provision content storage means for storing the information provision content for the patient in a patient information database. 30. A system for supporting a patient in a dispensing design business, comprising a terminal for inputting and outputting necessary information and a patient information database, wherein the pharmacist plans how to perform dispensing using information related to a prescription. An information provision content storage means for storing the information provision content in the patient database, and an information provision content reference means for referring to a necessary portion of the information provision content stored by the information provision content storage means as needed during dispensing design work. A pharmacy system having registration means for registering in the information provision content item part by utilizing a necessary part of the information provision content reference means as necessary at the time of dispensing design work. 31. When the registration means has information provision contents relating to a corresponding drug in the corresponding patient information database, the registration means preferentially inserts the information provision contents into the information provision contents item portion, and the information provision contents relating to the medicine are determined by the When there is only one candidate for the information provision content registered in advance for the drug when the candidate is not in the patient information database, the information provision content is directly inserted, and when there are a plurality of candidates for the information provision content, each candidate is displayed and each candidate is displayed. Information providing means for inserting the information providing contents selected by selecting from among the information providing contents, and registering means for changing and inputting and registering the information providing contents inserted by the information providing contents inserting means as necessary. The pharmacy system according to claim 30, characterized in that: 32. The pharmacy system according to claim 30, wherein said registered information providing contents are printed on an information providing paper and / or a medicine bag. 33. The registration information providing device according to claim 30, further comprising a correction registering means for registering the correction information in the patient information database when the registration information needs to be corrected in a patient interview. Pharmacy system according to the item. 34. A dispensing design system comprising a terminal for inputting and outputting necessary information, a patient information database, and a system for supporting a dispensing design operation in which a pharmacist plans how to perform dispensing using information related to a prescription. On the screen, a patient's medication history display means for directly displaying a medication history display screen of the relevant patient by key event driven by selecting a patient and performing a predetermined key operation, or a selection screen display means for displaying a specific condition medication history selection screen And a selection means for selecting necessary items from the drug use history selection screen,
A pharmacy system comprising a predetermined medicine taking history displaying means for displaying a predetermined medicine taking history selected by the selecting means. 35. The pharmacy system according to claim 34, wherein said drug taking history information is displayed on a two-dimensional matrix screen of date and drug type. 36. The pharmacy system according to claim 35, wherein in the two-dimensional matrix display, only information that can be displayed on one screen is read out from a patient information database and displayed. 37. The pharmacy system according to claim 36, wherein said drug history information reads out and displays a predetermined number of times from the latest date. 38. The pharmacy system according to claim 37, wherein the medicine taking history information before the predetermined number of times is displayed by inputting a predetermined key and can be referred to by scrolling back. 39. The medicine taking history information matrix, by selecting a necessary part, detailed information of the medicine taking history, that is, selected past dispensing design information is displayed. Item 36. The pharmacy system according to Item 35. 40. The selection items on the specific condition taking history selection screen are at least one item selected from a doctor name, a medical institution name, a medical treatment subject name, a drug name, a drug group name, and a date, and are narrowed down by the narrowing-down condition. A copy input means for displaying the result in a list box and selecting and inputting from the contents of the list box, or directly inputting or copying and inputting an item already input on the dispensing design screen. The pharmacy system of range 34. 41. The selected prescribed medication taking history is selected from dispensing design information for each predetermined medical institution, dispensing design information for each clinical subject, dispensing design information for each drug, dispensing design information for each drug group, and dispensing design information for a predetermined period. 41. The pharmacy system according to claim 40, wherein the information is information. 42. An input unit for inputting predetermined items corresponding to a predetermined patient for the purpose of supporting a dispensing design operation in which a pharmacist uses the information related to the prescription to plan dispensing. In the input unit for inputting the meeting record with the patient, frequently used text information is registered in each field in advance, and an item content determinator for inputting an item content determinator for narrowing down the content of the item on an arbitrary screen is input. Input means, text information list calling means for calling a registered text information list corresponding to the item required by the input item content determinator, display for displaying the text information list in a list box at a predetermined position Control means, information text selecting means for selecting necessary information text from the text information list, and the information text Pharmacy system characterized by having an input means for transferring the required part of the input to the predetermined portion. 43. The text information list is grouped corresponding to each item, has a hierarchical structure corresponding to the group, and has an index for each hierarchical structure. 43. The pharmacy system according to claim 42. 44. The content determinator is characterized by registering an arbitrary phrase set in advance in correspondence with text information, and selecting or inputting the registered phrase from a list box. 43. The pharmacy system according to claim 42, wherein 45. The pharmacy system according to claim 42, wherein said text information can be arbitrarily registered. 46. A dispensing design in a dispensing design support system comprising a terminal for inputting and outputting necessary information and a patient information database, wherein the pharmacist plans how to perform dispensing using information related to a prescription. In the data, the dispensing design data has a confirmation flag indicating whether it is finalized, and the dispensing design data sets a finalization flag indicating that it is finalized in the finalization stage at the stage of finalization, and after the finalization, each of the patient information databases A pharmacy system, wherein a predetermined item portion of the information items cannot be modified. 47. The patient dispensing design data has a cancellation flag for judging whether or not the data has been canceled, and if there is an error or a change in the predetermined item portion, the dispensing design data cancels. It has a cancellation flag setting means for setting a flag indicating that the information is information, and it is not possible to change any information in which the cancellation flag is flagged, and all the canceled information is stored as a drug history. Pharmacy system. 48. The method according to claim 47, wherein said cancellation flag has one cancellation flag in each of the dispensing design data as a whole or for each item of each dispensing design data. Pharmacy system as described. 49. The predetermined items include a patient name, a drug name, a prescription amount, a usage, a volume, a number of administration days, a patient record, a medication instruction content,
47. The pharmacy system according to claim 46, wherein the pharmacist is at least one item selected from all information recorded and confirmed at the time of dispensing. 50. The pharmacy system according to claim 46, wherein said predetermined item has a definite authentication means for performing definite authentication at the time of definite. 51. The pharmacy system according to claim 50, wherein said definitive authentication is performed by storing a checksum of a predetermined item. 52. A dispensing design system comprising a terminal for inputting / outputting necessary information and a patient information database, wherein the pharmacist supports a dispensing design operation in which a pharmacist plans how to perform dispensing using information related to a prescription. A pharmacy system comprising a log storage unit for storing a history of changes in the dispensing design data in the patient information database as a log at a stage before the determination of the pharmacy. 53. The log according to claim 52, wherein the log is at least one selected from the contents before the item change, the contents after the change, the reason for the change, the person in charge of the change, the date, and the date and time. Pharmacy system. 54. The patient dispensing design data includes an identifier for recognizing the individual patient, the patient name (kanji, alphabetic characters, katakana), an alias for the patient name, an insurance number, the date of birth of the patient, the gender, the telephone number of the patient. , Patient address, drug name, doctor name,
Claims characterized by at least one selected from medical institution name, drug name, prescription amount, usage, volume, administration days patient record, medication instruction contents, and all information recorded and determined by the pharmacist when dispensing. 53. A pharmacy system according to paragraph 46 or 52. 55. Index creation means for creating a prescription or order index; index encoding storage means for encoding and storing the index into a two-dimensional code; and attaching the encoded two-dimensional code to the prescription document or simultaneously with the prescription. Scanning means for scanning the printed prescription document with the two-dimensional code; image analysis means for separating and extracting the two-dimensional barcode from the prescription document; and extracting and analyzing the two-dimensional code separated and extracted from the image. A pharmacy comprising: index decoding means for decoding and extracting the index; and database storage means for storing the scanned image based on the decoded index in a database as an image database. Stem. 56. Scanning means for storing a prescription or order index in a two-dimensional code and scanning a prescription document to which said two-dimensional code is attached,
Image analysis means for separating and extracting the two-dimensional bar code from the prescription document, index decoding means for decoding the image-analyzed and separated and extracted two-dimensional code and extracting the index, and performing the scanning based on the decoded index A pharmacy system comprising a database storage unit for storing an image in a database as an image database. 57. The prescription, wherein a physician performs a digital signature, stores the digital signature in the two-dimensional code at the same time as the index, and authenticates the digital signature through a network after decoding the two-dimensional code. 57. The pharmacy system of range 56. 58. The prescription index is an identifier for recognizing the individual patient, the patient name (kanji, alphabetic characters, katakana), another name of the patient name, insurance number, patient's date of birth, gender, patient's phone number, patient's 57. The pharmacy system according to claim 55 or 56, wherein the address is at least one selected from an address, a drug name, a doctor name, and a medical institution name. 59. Scanning means for storing the contents of a prescription issued by a medical institution in a two-dimensional code and scanning a prescription document to which the two-dimensional code is attached, and separating and extracting the two-dimensional barcode from the prescription document. A pharmacy system, comprising: an image analyzing means for extracting, a prescription content decoding means for decoding the two-dimensional code analyzed and separated and extracted to extract the prescription content, and a prescription registration means for registering the decoded prescription. . A prescription issued by the medical institution is digitally signed by a doctor, the digital signature is stored in the two-dimensional code simultaneously with the index, and after the two-dimensional code is decoded, the digital signature is authenticated through a network. 60. The pharmacy system according to claim 59, wherein: 61. The contents stored in the two-dimensional code are an identifier for recognizing the individual patient, the patient name (kanji, alphabetic characters, katakana), an alias of the patient name, an insurance number, the date of birth of the patient, gender, Patient's phone number, patient's address, drug name,
The pharmacy system according to claim 59, wherein the pharmacy system is at least one selected from a doctor name and a medical institution name. 62. The pharmacy system according to claim 59, wherein said two-dimensional code is obtained by encoding and storing an encrypted version of said prescription contents, and decoding after decoding said two-dimensional code. 63. Dispensing generated by input means for inputting predetermined items corresponding to a predetermined patient for the purpose of supporting dispensing design work in which a pharmacist plans how to dispensing using information related to a prescription. A pharmacy system comprising picking data generating means for picking a medicine for a predetermined patient with reference to design data. 64. The predetermined items include a patient name, a drug name, and a quantity of a drug, and further include a patient's date of birth, a patient address, a patient's telephone number, a prescription issuance date, a reception date, a reception time, a prescribing doctor's name, a prescription medical institution Name, family name, insurance symbol, insurance number, payment method,
It may include items selected from delivery date, patient information provision content, preparation of information paper, drug name, dosage form, potency, packaging condition, packaging unit, drug unit, drug amount, usage, and number of days 64. The pharmacy system according to claim 63, characterized in that: 65. Encoding means for encoding the picking data into a two-dimensional code, printout means for printing out the encoded two-dimensional code, display means for displaying the picking data on a display device, and outputting picking data. 64. The pharmacy system according to claim 63, further comprising at least one of picking data output means for performing picking support. 66. The pharmacy system according to claim 63, wherein said picking data has at least one selected from information for specifying a drug, a place where the drug is placed, a quantity, and a picking order. . 67. The picking work instructing means includes calculating means for optimizing at least one of a place for placing a medicine, a movement of an operator, and a picking order, and is capable of outputting a result of the calculation. Claim 6
Item 4. The pharmacy system according to item 3. 68. The pharmacy system according to claim 63, wherein the two-dimensional code storing the picking data is read by a handy terminal and displayed on the handy terminal. 69. A pharmacy system according to claim 63, wherein a medicine is automatically collected based on information taken in by a two-dimensional code storing said picking data or output data. 70. A pharmacy generated by input means for inputting predetermined items corresponding to a predetermined patient for the purpose of supporting a pharmacy design business in which a pharmacist plans how to use the information related to a prescription. Picking data generating means for picking a medicine of a predetermined patient with reference to the design data, and picking work auditing means for judging whether the picking data and the contents of the actual picking work are as instructed are provided. Pharmacy system. 71. The picking data, wherein the picking data is information for specifying a medicine, a place where the medicine is placed,
71. The pharmacy system according to claim 70, wherein the pharmacy system has at least one selected from a quantity and an order. 72. In the picking support, the picking data is converted into a two-dimensional code and output, the picking data is read by a handy terminal, and the read content and the place where the medicine to be picked is placed are attached. 71. The pharmacy system according to claim 70, wherein the pharmacy system is realized by comparing codes. 73. A work situation in which the inspection means calculates and outputs at least one selected from a picking error rate for each worker, a picking error rate for each medicine, a work efficiency for each worker, and a work efficiency for each medicine. 71. The pharmacy system according to claim 70, further comprising grasping calculation output means. 74. A total weight calculating means for calculating a total weight based on the work instruction, a total weight measuring means for measuring a total weight picked, and a total weight measured by the total weight measuring means. 71. The pharmacy system according to claim 70, further comprising a coincidence comparing means for comparing the degree of coincidence with the total weight calculated by the following. 75. A pharmacy, comprising a device for recording face-to-face with a patient using a camera or a microphone or both for the purpose of preserving and recording a face-to-face with a patient, a patient information database, and an image or voice of the communication with the patient. A pharmacy system comprising: collecting means for collecting the two; index generating means for generating an index for the collected data; and registration means for registering the collected data in a patient information database based on the index. 76. Dispensing generated by input means for inputting predetermined items corresponding to a predetermined patient for the purpose of supporting dispensing design work in which a pharmacist plans how to perform dispensing using information related to a prescription. Weighing data generating means for weighing powdered medicine of a predetermined patient with reference to design data, encoding means for encoding the weighing data into a two-dimensional code, printout means for printing out the encoded two-dimensional code Image capturing means for capturing an image of the printed two-dimensional code, decoding means for analyzing the captured image and decoding it to the weighing data, comparison for comparing the decoded weighing data with the weighing data transmitted from the electronic balance. Means for determining whether the weighing is accurate based on the comparison result. Pharmacy system, characterized in that. 77. The pharmacy system according to claim 76, wherein said predetermined items include a patient name, a drug name, and a drug amount. 78. The weighing data includes a medicine name, and a printed bar code or a two-dimensional code for specifying the medicine attached to the medicine container for determining whether the weighed medicine is a correct medicine is image-capturing means. A medicine specifying means for analyzing the captured image to specify a medicine name of the medicine container, and a judgment means for comparing the result of the medicine specifying means with the weighing data to determine whether the medicine is the weighing target medicine. The pharmacy system according to claim 76, wherein: 79. Dispensing generated by input means for inputting predetermined items corresponding to a predetermined patient for the purpose of supporting dispensing design work in which a pharmacist plans how to perform dispensing using information related to a prescription. Tablet package data generating means for generating tablet package data of a predetermined patient with reference to design data, encoding means for encoding the tablet package data into a two-dimensional code, and printing the encoded two-dimensional code Print-out means for printing out, image capturing means for image-capturing the printed two-dimensional code, decoding means for analyzing the captured image and decoding it into the tablet packing data, automatic packing machine for the decoded tablet packing data Transmission means for transmitting to the tablet, and automatic packaging means for performing automatic packaging based on the tablet packaging data. Pharmacy system according to claim. 80. The method according to claim 79, wherein the predetermined items include a name of a patient, a name of a medicine, an amount of a medicine, and usage.
Pharmacy system according to the item. 81. Voice data collection means for recording a dialogue with a pharmacist patient for the purpose of recording and recording at the pharmacy when meeting with the patient, index generation means for generating an index for the voice data, A pharmacy system comprising registration means for registering collected voice data in a patient information database. 82. A pharmacy system according to claim 75 or 81, wherein said index generating means automatically extracts from a predetermined patient database. 83. The pharmacy system according to claim 75, wherein said voice data is converted into text by voice recognition means, and said converted text data is registered in a patient database. 84. The index relates to a patient, a time, and an information item, and has a display means for converting data registered in the patient information database into a table of the time and the information item for each patient and displaying the table. The pharmacy system according to claim 75 or 81, characterized in that: 85. A patent comprising a dictionary of terms relating to time and information items, wherein the index is generated based on a result of recognizing data registered in the patient information database with reference to the dictionary. Claim 84
Pharmacy system according to the item. 86. A pharmacy system according to claim 84, wherein said information items are confirmation items relating to the condition of the patient and guidance contents for the patient. 87. The method according to claim 86, wherein the confirmation items relating to the condition of the patient include a drug taking condition, a change in physical condition during taking the drug, occurrence of side effects, consultation at another department, and eating and drinking. Pharmacy system. 88. A pharmacy comprising a medicine bag, a medicine recording device, and a patient information database by an image acquisition device for the purpose of image recording and preservation of a medicine to be delivered to a patient at the time of delivery of the medicine to a patient. A pharmacy system comprising: an image collection unit for collecting; an index generation unit for generating an index for the collected data; and a registration unit for registering the collected data in a patient information database based on the index. 89. The pharmacy system according to claim 88, wherein said index generating means automatically extracts the information from a predetermined patient database. 90. A terminal for inputting and outputting necessary information, a medicine information database, a doctor information database, a patient information database, and an inventory information database. A: Dispensing design module B: Dispensing design data input by the dispensing design module Dispensing design data registering means for registering drug information in the patient information database C: drug information data registering means for registering drug information data in the drug information database D: doctor information data registering means for registering doctor information data in the doctor information database E: drug Pharmaceutical inventory management means for reference registration and updating in the inventory database F: Accounting processing means for performing accounting processing with reference to dispensing design data in the patient information database G: Picking work instruction data with reference to dispensing design data in the patient information database Picking to generate Work instruction data generating means H: Picking work instruction means for performing a picking work instruction process with reference to the work instruction data I: Medicine bag, medicine bag for creating a cautionary note, cautionary note creation with reference to dispensing design data in a patient information database Means J: dispensing design finalizing means for finally finalizing dispensing design data K: insurance claim processing means for performing insurance claim processing with reference to the patient information database 91. The dispensing design module comprises a prescribed information input screen for a pharmacist to input using prescriptions and various kinds of information, an input means, and a prescribed information reference display module for assisting the input, and the prescribed information reference display module. 90. The module according to claim 90, wherein the module has reference display means for searching and displaying a predetermined item by referring to at least one database selected from a drug information database, a doctor information database, a patient information database, and an inventory information database. Pharmacy system as described. 92. The predetermined information includes package insert information of a drug,
Information provided to patients edited for each drug, drug combination information, patient drug history (past prescription information, past dispensing design information), drug and patient combination information, drug and inventory combination information, inventory information, The pharmacy system according to claim 91, wherein the pharmacy system is at least one piece of information selected from a component name, product name information, and drug shape information. 93. The pharmacy system according to claim 90, wherein said dispensing design module has prescription data fetching display means for fetching and displaying prescription data by digital data or facsimile. 94. The digital prescription data is at least one selected from a method of reading a two-dimensional barcode with a sheet scanner, analyzing and taking it in, and a method of taking it in by a communication line. Pharmacy system according to the item. 95. The prescription used for the dispensing design is attached with a two-dimensional code created from the dispensing design information and read in batch by a scanner, and the data of the two-dimensional code is stored as an index in a database as image information. 90. The pharmacy system according to claim 91, wherein: 96. The medicine information data registration means has an input screen, and the person in charge can input the name (component name, product name), drug price, Ministry of Health and Welfare code, product standard, and manufacturer name data of each medicine. 90. The pharmacy system according to claim 90, wherein each pharmacy system has an input frame. 97. The physician information data registration means has an input screen, and the person in charge of inputting is a medical institution to which each doctor belongs, a medical treatment subject,
90. The pharmacy system according to claim 90, wherein each pharmacy system has an input frame so that doctor name data can be input. 98. The medicine inventory management means, wherein the medicines received at the time of acceptance inspection are input, and the medicine quantities in the medicine inventory database are updated and registered.
The pharmacy system according to item 0. 99. The pharmacy system according to claim 90, wherein said medicine stock management means withdraws medicines from the stock after the dispensing design is determined. 100. A pharmacy system according to claim 90, wherein said medicine inventory management means has inventory output means for outputting necessary information on stock at an arbitrary time. 101. The pharmacy system according to claim 90, wherein said accounting means issues a plurality of receipts when there is an uncertain element in the calculation standard. 102. The uncertain element issues an information providing sheet, and if it is unclear whether the patient will receive the information providing sheet, issues the information providing sheet, and if the patient does not receive the information providing sheet. 102. The pharmacy system according to claim 101, wherein: 103. The pharmacy system according to claim 90, wherein said accounting processing means issues a receipt after the dispensing design data finalizing process in which the uncertainties of the calculation standard are eliminated. [104] The accounting means may comprise a settlement means for performing settlement by at least one processing means selected from a prepaid card processing means, a receivables processing means, a credit card processing means and a debit card processing means. 90. The pharmacy system according to claim 90, characterized by the features. 105. The picking work instruction means includes picking work instruction screen display means for displaying the picking work instruction data on an instruction screen or work instruction printing means for printing a picking work instruction document. 90. The pharmacy system according to item 90. 106. The picking work instructing means has a picking work auditing system for determining whether the data of the picking work instruction and the contents of the picking work are in accordance with the picking work instruction. Pharmacy system as described. 107. The inspection system according to claim 106, wherein said inspection system has a judging means for judging whether or not picking matches picking data of a work instruction.
Pharmacy system according to the item. 108. The inspection system calculates and outputs at least one selected from a picking error rate for each worker, a picking error rate for each medicine, a work efficiency for each worker, and a work efficiency for each medicine. 108. The pharmacy system according to claim 107, further comprising grasping calculation output means. 109. A total weight calculating means for calculating a total weight based on the work instruction, a total weight measuring means for measuring a total weight picked, and a total weight measured by the total weight measuring means. 108. The pharmacy system according to claim 107, further comprising a coincidence comparing means for comparing the degree of coincidence with the total weight calculated by the following. 110. An apparatus for optimizing at least one of the picking operation instructing means, a place for placing a medicine, a movement of an operator, and an order of picking, wherein a result of the operation can be output. 90. The pharmacy system according to claim 90, wherein: 111. A pharmacy system according to claim 90, wherein said medicine bag and precautionary note creating means have instruction data generating means for generating instruction data for using a medicine. 112. An apparatus according to claim 11, wherein said instruction data for use includes a use time.
2. The pharmacy system according to claim 1. 113. The instruction data for use, wherein a use time of the instruction data is extracted, and the instruction data is converted into a voice and transmitted to the patient's portable telephone terminal at the use time. 112. The pharmacy system according to 112. 114. The pharmacy according to claim 112, wherein said instruction data for use extracts a use time of said instruction data and transmits the instruction data to a portable radio terminal of a patient at said use time. system. 115. The pharmacy system according to claim 112, wherein the instruction data generated by said instruction data generating means is sent to a medicine bag provided with a display or an instruction data display terminal. 116. The instruction data is obtained by printing a two-dimensional bar code and reading and analyzing the two-dimensional bar code by a medicine bag provided with the display or an image reading unit of an instruction data display terminal, and displaying the instruction data. 116. The pharmacy system of claim 115, wherein: 117. An apparatus according to claim 11, wherein said instruction data is sent by optical communication or radio wave to a medicine bag provided with said display or an instruction data display terminal.
Item 6. The pharmacy system according to item 5. 118. The system according to claim 90, wherein the departments of the same pharmacy are connected via a network in order to utilize the same system in real time.
Pharmacy system according to the item. 119. The pharmacy system according to claim 90, wherein a plurality of pharmacies are connected via a network in order to utilize the same system in real time. 120. The drug information database includes a drug name, a dosage form, a Ministry of Health and Welfare code, a local government name, a drug name (English), a drug name (read), a maker, a packaging form of the drug, a drug price, a use state, and a use state history. 90. The pharmacy according to claim 90, wherein the pharmacy is constituted by at least one selected from the group consisting of: packaging amount, potency, drug price listing, maximum administration days, pre-formulation, ingredients, usage, caution, and aliases. system. 121. A pharmacy system according to claim 90, wherein said doctor information database is composed of medical institution names, medical treatment subjects, and doctor names. 122. The pharmacy system according to claim 90, wherein said patient information database comprises prescription information, dispensing design information, dispensing records, and records of conversations with patients. 123. The pharmacy system according to claim 122, wherein said dispensing design information is composed of information before the dispensing design decision and after the dispensing design decision. 124. The recording of the dialogue with the patient includes image information,
The pharmacy system according to claim 122, characterized by comprising at least one piece of audio information. 125. The inventory information database includes a pharmacy name, a drug name, a bar code, a dosage form, a potency, a packaging, a capacity, a maker, a wholesaler-injected warehouse, a current warehouse quantity, an order quantity, and an order point (for placing an order). 90. The system according to claim 90, comprising at least one selected from a minimum quantity), a storage location, a final withdrawal date, an order schedule, an order in progress (indicating whether or not an order is in progress), and a memo. Pharmacy system. 126. Item content determinant input means for registering text information frequently used in each field in advance and inputting an item content determinant which can narrow down the content of an item on an arbitrary screen, and said input item Text information list calling means for calling a registered text information list corresponding to the item required by a content determinator, display control means for displaying the text information list in a list box at a predetermined position, 90. The pharmacy system according to claim 90, further comprising an information text selecting means for selecting a necessary information text from among them, and an input means for transferring a necessary part of the information text and inputting it to a predetermined part. 127. A user interface for constantly recognizing a position of a cursor on each screen and directly performing a predetermined function corresponding to the item by operating a predetermined key on an item where the cursor is present without returning to a menu. 90. The pharmacy system according to claim 90, comprising means. 128. The pharmacy system according to claim 90, wherein said pharmacy system takes in voice data of a person in charge at the time of exchange with a patient, assigns an index to the voice data, and stores the index in the patient information database. 129. The pharmacy system according to claim 90, wherein said pharmacy system takes in image data of a patient at the time of exchange with a patient, adds an index to the image data, and stores the index in the patient information database. 130. The pharmacy system according to claim 90, wherein at the time of dialogue with the patient, voice data of a person in charge is taken in, converted to text by voice recognition, indexed, and stored in the patient information database. Pharmacy system. 131. The pharmacy system according to claim 90, wherein said pharmacy system takes a medicine to be delivered to a patient by an image recording device, assigns an index to the medicine, and stores the index in said patient information database. 132. A system for supporting a dispensing design operation, comprising a terminal for inputting / outputting necessary information and a patient information database, wherein a pharmacist uses the information relating to a prescription to plan how to perform dispensing. A pharmacy system comprising: extracting means for extracting instruction data for a patient to use a medicine from an information database; and transmitting means for transmitting the extracted information to a portable terminal of the patient. 133. A pharmacy system according to claim 132, wherein said instruction data includes a use time, and said transmitting means performs said use time during said use time. 134. The instruction data can specify the quantity and type of the medicine to be used, and include a cautionary note when using the medicine as necessary.
33. The pharmacy system according to item 32. 135. A pharmacy system according to claim 132, wherein said portable terminal has a display panel, and said instruction data is displayed on said display panel. 136. The portable terminal is a portable telephone or a PH.
133. The pharmacy system according to claim 132, wherein the step S converts the instruction data into voice and transmits the voice. 137. A prescription reception support system comprising a terminal for inputting / outputting necessary information and a patient information database, wherein a prescription reception is performed in a pharmacy design business support system for planning how to use the information related to the prescription by a pharmacist. A reception dispensing adjustment delivery counter for dispensing and dispensing medicines and a dispensing design input center for dispensing design work input. At least two of the reception dispensing adjustment delivery counter terminal and the input center terminal are connected by a network. A pharmacy system characterized by the following. 138. The prescription transmitting means for transmitting the prescription to the dispensing design input center in the form of digital image data via facsimile or a network at the reception / dispensing / adjustment / delivery counter. 137. The dispensing support system described in the section. 139. An apparatus according to claim 139, further comprising: extracting means for extracting necessary items from data registered in the patient information database input at the input center, and transmitting means for transmitting the extracted data to the pharmacy. 138. The dispensing support system according to item 137. 140. The dispensing support system according to claim 137, wherein said transmitted extracted data is medicine picking data and medicine bag label data, and includes information provision content data as necessary. 141. A patient-facing support system comprising a terminal for inputting and outputting necessary information and a patient information database, wherein a pharmacist uses a dispensing design-related support system for planning how to perform dispensing using information related to a prescription. A dispensing support system comprising a module and a dispensing design support module. 142. The patient-facing support module and the dispensing design support module share a patient database and are connected via a network.
42. The dispensing support system according to claim 41. 143. The dispensing device according to claim 142, wherein said patient meeting support module has information providing means for providing information necessary for prescription reception, dispensing, and medicine delivery. Support system.