JP2006081837A - Medicinal preparation managing system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To achieve the accurate packing in a same prescription without errors by carrying out the proper inspection even when a manual prescription is mixed while implementing the automation of medicinal preparations as much as possible. <P>SOLUTION: An inspecting instrument 2 has a control part 8 which makes an automatic packer 3 start the packing by collating the prescription data for picking inspection subjected to the picking inspection to be transmitted from a portable terminal 4 with the prescription data for picking inspection generated from the prescription data. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a dispensing management system for appropriately managing medicine prescribed at a pharmacy in a medical institution.

  Conventionally, a dispensing pharmacy terminal for associating a master file for each dispensing pharmacy managed by a medical-related wholesaler side with a code relating to a dispensing obtained from a prescription from the medical institution side, and the associated code The structure provided with the collation terminal which reads the chemical | medical agent information attached | subjected to the chemical | medical agent shelf, and collates these codes | codes and chemical | medical agent information is disclosed (for example, refer patent document 1).

JP 2003-62044 A

  However, in the conventional configuration, only the contents of the prescription and the medicine to be dispensed are collated. Dispensing is merely disclosed by a pharmacist at a dispensing pharmacy, and is not mentioned in a powder dispensing device for automatic packaging. In other words, there is no idea of automatic packaging of medicines to be prescribed. Therefore, even if the prescription contains medicines that can be automatically packaged (dispensed), the pharmacist must dispense them all. Moreover, even if equipped with a device capable of automatic packaging, it cannot be handled.

  Therefore, the present invention provides a dispensing management system capable of appropriately auditing and packaging the same prescription without error even when manual dispensing is mixed while automating dispensing as much as possible. Let it be an issue.

  As a means for solving the above-mentioned problems, the present invention creates prescription data for powder inspection for automatic dispensing in a packaging device and prescription data for picking audit that must be manually dispensed based on prescription data. A control unit, a prescribing data, a prescription data for powder audit, a storage unit for storing prescription data for picking audit, an auditing device comprising a transmitting / receiving unit capable of transmitting and receiving the prescription data for picking auditing, and the auditing device A transmitting / receiving unit that transmits / receives manual dispensing data to / from the transmitting / receiving unit, a reading unit that is provided in a cassette that stores medicine and detects an identification unit corresponding to a code associated with the stored medicine, and the reading unit Mobile terminal equipped with a control unit that reads the identification unit and collates with the prescription data for picking audit received by the transmission / reception unit And the control unit of the inspection apparatus automatically packs by comparing the picking audit prescription data transmitted from the portable terminal with the picking audit prescription data created based on the prescription data. The packaging with the apparatus is started.

  According to the present invention, the prescription data is separated into prescription data for powder audit and prescription data for picking audit, and the picking audit process on the mobile terminal is completed, thereby collating with prescription data for picking audit in the auditing device. As described above, manual dispensing can be properly audited while performing automatic dispensing, and packaging with the same prescription can be made without error.

  Embodiments according to the present invention will be described below with reference to the accompanying drawings.

<Overall configuration>
FIG. 1A is a schematic diagram illustrating the entire dispensing management system according to the present embodiment. In this dispensing management system, based on prescription data received from the receipt computer 1 (data relating to the contents of a prescription created by a doctor), the powder inspection device 2, the powder packaging device 3, or a portable terminal that is a picking inspection means 4 (PDA: Personal Digital Assistance) is used to manage dispensing by transmitting and receiving data.

  The receipt computer 1 stores various master files and the like in a storage unit (not shown), and inputs prescription data (the contents of a prescription created by a doctor) input from a host computer (not shown) to the powder inspection device 2. To do.

  As shown in FIG. 1B, the powder inspection device 2 includes a transmission / reception unit 5, a gateway 6, a storage unit 7, a control unit 8, and a printer 9. The transmission / reception unit 5 receives prescription data from the receipt computer 1 and transmits / receives data (by radio) between the powder medicine packaging device 3 and the portable terminal 4. The gateway 6 sorts the transmitted prescription data into picking and powder inspection. Here, it is divided into a heat sealing agent (medicine packaged by heat sealing) and other powders and tablets that are not packaged. The storage unit 7 stores various master files and various table files. The master file stores a medicine master, a patient master, a filling master, and the like. In the medicine master, in addition to the name of the medicine, the dispensing corner to which the medicine belongs is registered. In the dispensing corner, for example, powder heat (packed powder by heat sealing), tablet / capsule heat (tablets or capsules packed by heat sealing), external use (packing etc.), liquid medicine, etc. included. The medicine master includes a standard cassette master, a standard JAN master, and a medicine bottle master. The standard cassette master stores the name of the medicine (drug code) to be picked up and the number of fillings. The standard JAN master stores the name of the drug, the standard quantity, etc., associated with the barcode (JAN code: Japanese Article Number Code: common product code in Japan) attached to the drug box received from the pharmaceutical company. Yes. The medicine bottle master stores names, quantities, etc. of medicines contained in the medicine bottle. Based on the prescription data received from the receipt computer 1, the control unit distributes data to be transmitted to the powder packaging device 3 and the PDA 4 and executes each process described below. The medicine code can be composed of a computer code, a Ministry of Health and Welfare code, a YJ code, a HOT number, a JAN code, and the like.

  The powder medicine packaging device 3 has a conventionally well-known configuration and packages medicines one by one based on an input signal from the powder medicine inspection device 2.

  As illustrated in FIG. 1B, the mobile terminal 4 includes a transmission / reception unit 10, a barcode reader 11 (reading unit), a display unit 12, a storage unit 13, and a control unit 14. The portable terminal 4 is assigned to each dispenser, and a plurality of portable terminals 4 can operate. The transmission / reception unit 10 performs transmission / reception with the transmission / reception unit 5 of the powder inspection device 2, receives prescription data (prescription data for picking audit before the completion of the audit), and picking information (prescription data for picking audit after the completion of the audit). Send. The bar code reader 11 reads a bar code (cassette number: identification unit) attached to a cassette 15 in which a medicine is stored and a bar code (JAN code) attached to a chemical box. The display unit 12 is composed of a screen such as a liquid crystal, and changes the display content according to each process described later.

<Operation>
Next, the operation of the dispensing management system having the above configuration will be described.

  In this system, as shown in the process flow of FIG. 2, the prescription data transmitted from the receipt computer 1 is received by the powder inspection device 2 and separated into prescription data for powder inspection and prescription data for picking. "I do. Then, “powder audit processing” is performed based on the prescription data for powder audit, and “picking audit processing” is performed based on the prescription data for picking. When the picking audit process is completed, the data is transmitted from the PDA 4 to the powder inspection apparatus 2. Therefore, after performing the “data integration process” as necessary, the powder packaging apparatus 3 performs the “packaging process”. Start. Picking is to collect medicines indicated in the prescription, and auditing is to check whether the type and amount of the dispensed medicine match the contents of the prescription. However, in the picking audit process, the PDA 4 is used to perform picking and auditing simultaneously.

(Data separation processing)
The data separation process is performed according to the flowchart of FIG. That is, the medicines included in the prescription data are sequentially extracted one by one (step S1), and assigned with reference to the prescription data usage and the dispensing instruction content (step S2). And it is judged whether it is a lock-up system (step S3). That is, if the medicine is a powder or a tablet that is not packaged by heat sealing, the powder packaging apparatus 3 can perform the packaging process, so that it can be transmitted to the powder packaging apparatus 3 as it is. On the other hand, if it is a heat sealing agent, since it cannot be directly packaged by the powder packaging apparatus 3, it is determined as the drug data to be picked (step S4). Thereby, prescription data can be separated into prescription data for powder inspection and prescription data for picking, and auditing can be started respectively.

(Powder inspection process)
Since the powdered medicine inspection process is the same as in the prior art, the description thereof is omitted (for example, see Japanese Patent Application Laid-Open Nos. 2004-148036 and 2002-85526).

(Picking audit process)
In the picking audit process, a dispensing process, an issuing process, and a filling process are sequentially performed.

(Dispensing treatment)
There are three types of dispensing processing: linked processing, single processing, and DO processing.

  The interlocking process is performed according to the flowcharts of FIGS. 4A and 4B. First, it is determined with reference to the dispensing corner master which dispensing mode has been selected (step S11). The dispensing mode is selected on the dispensing mode selection screen shown in FIG. The dispensing mode includes “prescription selection” for selecting all prescription data for a certain patient, and “dispensing corner selection” for individually selecting any drug included in the prescription data. According to the selected dispensing mode, the corresponding prescription data is extracted with reference to the received prescription table, the received prescription description table, and the medicine bottle master, and the prescription selection screen shown in FIG. 6 is displayed (step S12).

  On the prescription selection screen of PDA 4, all of the dispensers (patients) are displayed in a list in the patient column as an initial display. Since the display range is limited, four persons are displayed in ascending order of patient ID number, and can be scrolled by operating the “▲” button and the “▼” button. Patients can be narrowed down by the first letter of the patient name (kana). That is, when the dispenser column is operated, the row names (line A to line W) are displayed in a pull-down manner, so that it is possible to narrow down the pharmacists to be dispensed by selecting a desired line. It is also possible to directly enter the exchange ticket number or patient ID number in the exchange ticket field or patient ID field, and perform a search by operating the search button. When the update button is operated, the prescription data received from the receipt computer 1 is read again, and the display content is updated. When the delete button is operated, the prescription data of the patient selected in the patient list is deleted. When the delete all button is operated, the read prescription data of all patients is deleted. In the delete button and the all delete button, when the dispensing mode is selected, only the medicine in the selected dispensing corner is deleted.

  The patient is specified by the operation on the prescription selection screen (step S13), and the OK button is operated to switch to the prescription medicine list screen shown in FIG.

  On the prescription drug list screen, the dispensing status (here, “Dispensing” is displayed), the name of the dispensing person (here, “Suzuki Yakutaro” is displayed), the patient name (here, “Yaburo Saburo” is displayed), A dispensing mode (here, “all” is displayed) and a list of prescription drugs are displayed. It is possible to change the pharmacist who dispenses by operating the dispenser button. When the approval amount button is operated, a picking target setting screen (not shown) is displayed. On the picking target setting screen, it is possible to set whether or not to be a target drug, dispensing setting and standard setting for the drug.

  When the patient is selected and the OK button is operated on the prescription selection screen, the received prescription data is copied and a processing flag is set. That is, a combination of the reception prescription table and the reception prescription specification table is stored in the temporary storage table for each patient, and other processing persons do not dispense the same prescription by setting a processing flag (step S14). ).

Subsequently, the temporary storage table, the medicine master, and the patient master are read with the prescription medicine list screen displayed (step S15). The cassette number is read by the barcode reader 11 provided in the PDA 4 for the cassette 15 containing the medicine to be dispensed. By this reading operation, the medicine master (including the standard cassette master, standard JAN master, and medicine bottle master) is referred to and an error check is performed (step S16). In the error check, whether the data called based on the read cassette number is related to the medicine (step S17), whether it is in the prescription (step S19), and whether the standard is the same as the prescription medicine. (Step S21) is determined. If it is determined that there is an error, a warning is displayed on the corresponding screen (not shown) (steps S18, S20, S22).
In the error check, the amount of medicine to be administered to the patient is also checked with reference to the approved amount master. The approved amount master is composed of patient information (age, sex, height, weight) from the patient master and drug information (specified amount) from the drug master.

  When the cassette number of the cassette 15 containing the appropriate medicine that matches the prescription data is read, the medicine data is acquired, and the medicine name and the like are displayed on the medicine detail screen shown in FIG. 8 (step S23). In the drug details screen, in addition to the drug name, the type of drug (here, “drama” is displayed in the upper right of the screen, and it is aroused to be a powerful drug.), Comment (here, “patient with cirrhosis” ”Is displayed carefully,” indicates the precautions when administering the drug to the patient.), Taking time, number of picking, etc. are displayed. Thereby, it can be checked whether the contents of dispensing are appropriate or not. Here, if the OK button is operated, it is stored in a session variable on the memory (step S24), and picking information (content displayed on the medicine details screen) is held in the session variable (step S25). That is, the picking information is temporarily stored in the memory of the powder inspection device 2.

  In this way, when the picking audit process is completed for all of the medicines displayed on the prescription medicine list screen, the name and quantity of all the medicines picked by operating the send button are obtained from the session variables and stored in the database. (Step S26). Specifically, prescription data that has been prescription is stored in the picking query, and print data for picking is stored in the print picking query. Further, the reception prescription table locked by setting the processing flag as described above is released.

  In addition, when the transmission button is clicked in a state where the picking audit process has not been completed for all the drugs displayed on the prescription drug list screen, a warning is displayed that there is unprocessed data. Even if there is unprocessed data, if it is to be ended, it is possible to end the dispensing without completing it by operating the OK button on the warning display screen.

  The single process is a process when dispensing is performed on a patient basis without selecting the dispensing mode performed in the interlocking process. Therefore, the prescription selection screen shown in FIG. 6 is displayed on the initial screen with reference to the patient master, and the same process is performed by specifying the patient.

  The said DO process is a process in the case of performing the same prescription with reference to the prescription performed in the past about a certain patient. That is, when the DO prescription is operated on the initial screen, a list of patients who have been prescribed in the past is displayed, so the corresponding patient is selected on the prescription selection screen, and the same processing is performed thereafter.

(Issuance process)
The issuing process is performed in order to print a medicine confirmation slip. The medication confirmation slip is issued separately from the medication instruction form, and is issued to confirm whether or not the picking audit process actually performed in dispensing matches the content of the computer process. Thereby, it can be confirmed whether the operation | work of a dispenser (pharmacist) is performed appropriately, and it becomes a motivation for a dispenser (pharmacist) to perform a dispensing operation | work appropriately without error. The issuance process is normally performed automatically after all the picking audit processes are completed, but is performed according to the flowchart of FIG. 9 as necessary when reissuing.

  First, the barcode reader 11 of the PDA 4 reads the barcode (cassette number) attached to the cassette 15 to be filled with chemicals (step S31). Based on the read cassette number, the medicine data is extracted from the standard cassette master stored in the storage unit 7 of the powder inspection apparatus 2 into the temporary storage table, and the medicine confirmation form screen shown in FIG. 10 is displayed ( Step S32). Subsequently, when a patient issuing a medicine confirmation slip is selected on the medicine confirmation slip screen (step S33), prescription data of the selected patient is copied to the print query table (step S34). Thereby, the medicine confirmation slip for the patient selected by the printer 9 is printed. However, if it is necessary to process both the powder audit prescription data and the picking prescription data for the same patient, the medicine confirmation slip is printed only when both data are copied to the print query table. FIG. 11 shows an example of a medicine confirmation slip. This medicine confirmation slip is for handing over to the patient after dispensing is completed.

(Filling process)
The filling process is a process performed when filling the cassette 15 with the medicine, and is performed according to the flowchart of FIG. First, the barcode (cassette number) attached to the cassette 15 is read by the barcode reader 11 of the PDA 4 (step S42). Then, referring to the standard cassette master stored in the storage unit 7 of the powder inspection device 2 based on the read cassette number (when stored in a medicine bottle, the medicine bottle master), the name of the medicine to be accommodated in the cassette 15 and The stock quantity is displayed (step S43). Further, the JAN code of the medicine to be stored is read (step S44). The JAN code is a drug master standard JAN in which a barcode attached to a medicine box containing medicine supplied from a pharmaceutical company is read by the barcode reader 11 of the PDA 4 and stored in the storage unit 7 of the powder inspection device 2. Read by referring to the master.

  If the cassette number and the JAN code are read in this way, the two are compared to determine whether they are the same medicine (medicine code) and the same standard (JAN code) (step S45). ). That is, even if the medicine code (code number peculiar to each medicine) is the same, if the standard (the prescription amount of the medicine) is different, the content of the prescription is completely different, so the medicine code and the JAN code are compared. The reason why the cassette number is used instead of the JAN code for the cassette 15 is to prevent it from being erroneously determined by reading the JAN code of the medicine box twice with the barcode reader 11.

  If the medicine code and the JAN code do not match, the temporarily stored data is cleared, and the process returns to step S41 to repeat the above processing. If the two codes match, “filling” is displayed on the medicine filling screen shown in FIG. 13, and the filling number, lot number, and expiration date are entered (step S46). Then, by operating the filling button, the medicine name and the number of fillings are reflected in the database (filling master stored in the storage unit 7 of the powdered medicine inspection device 2), and filling information is held in a session variable on the memory (step S47). .

  When the above filling process is completed for all the chemicals, by operating the completion button (step S48), referring to the session variable, the names of the filled chemicals and the number of fillings are collectively stored in the filling record file, It prepares for the output of the filled recording paper by the printer 9 (step S49).

(Data integration processing)
Data integration processing is required when prescription data includes medicines that are subject to both powder audit and picking audit, especially when the same medicine is processed and packaged. .

  That is, when performing both the processes, when separating into prescription data for powder audit and prescription data for picking audit in the data separation process, the picking medicine is included in the prescription data for powder audit. At this time, it is distinguished from the regular powder audit prescription data by setting a flag for the picking medicine of the powder audit prescription data. When the picking inspection process is completed and the picking medicine is prepared, the picking medicine included in the prescription data for powder inspection is changed to regular data. This makes it possible to reliably integrate the same medicine that has been processed separately in the powder medicine audit and the picking audit without error. About the chemical | medical agent used as the object of the picking audit | inspection, which chemical | medical agent is specified by providing memory | storage parts, such as an IC chip, in the tray to accommodate. Then, when the tray is conveyed to the powder packaging device 3, the picking medicine contained in the prescription data for powder inspection may be changed to regular data by reading the information stored in the storage unit 7. In addition, since the picking chemical | medical agent is packaged by the heat seal, it takes out and prepares once and sets it to the powder medicine packaging apparatus 3. FIG.

  In the above-described embodiment, only the powder packaging device 3 is disclosed as a device capable of automatic dispensing, but other devices capable of automatic dispensing such as a tablet packaging device can be incorporated into the system.

  In the embodiment, the prescription data is received by the powder inspection device. However, for example, the prescription data is received and the same processing as described above can be performed even by a control device or the like linked to each dispensing device. Is possible.

It is a schematic diagram showing the whole dispensing management system concerning this embodiment. It is a block diagram which shows the powdered medicine inspection apparatus of FIG. 1, and a portable terminal. It is a figure which shows the process flow in the dispensing management system of FIG. It is a flowchart figure which shows a data separation process. It is a flowchart figure which shows the interlocking | linkage process in a dispensing process. It is a flowchart figure which shows the interlocking | linkage process in a dispensing process. It is a figure which shows the dispensing mode selection screen displayed by the interlocking process of a dispensing process. It is a figure which shows the prescription selection screen displayed by a dispensing process. It is a figure which shows the prescription chemical | medical agent list screen displayed by a dispensing process. It is a figure which shows the chemical | medical agent detailed screen displayed by a dispensing process. It is a flowchart figure which shows issue processing. It is a figure which shows the medicine confirmation form screen displayed by an issuing process. It is a figure which shows an example of the medicine confirmation form issued by the issuing process of FIG. It is a flowchart figure which shows a filling process. It is a figure which shows the chemical | medical agent filling screen displayed by a filling process.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Receptacle computer 2 ... Powder inspection apparatus 3 ... Powder medicine packaging device 4 ... Portable terminal 5 ... Transmission / reception part 6 ... Gateway 7 ... Memory | storage part 8 ... Control part 9 ... Printer 10 ... Transmission / reception part 11 ... Bar code reader (reading part)
DESCRIPTION OF SYMBOLS 12 ... Display part 13 ... Memory | storage part 14 ... Control part 15 ... Cassette

Claims (1)

Based on the prescription data, a control unit that creates prescription data for powder audit for automatic dispensing in the packaging device and prescription data for picking audit that must be manually dispensed, the prescription data, prescription data for powder audit, And the auditing device provided with the storage part which memorizes the prescription data for picking auditing, and the transmission / reception part which can send and receive the prescription data for picking auditing,
A transmitting / receiving unit that transmits / receives manual dispensing data to / from the transmitting / receiving unit of the inspection apparatus, a reading unit that is provided in a cassette in which medicine is stored and detects an identification unit corresponding to a code associated with the stored medicine, and A mobile terminal provided with a control unit that reads the identification unit by the reading unit and performs a picking audit by collating with the prescription data for picking audit received by the transmission / reception unit,
The control unit of the auditing device compares the picking audit prescription data transmitted from the portable terminal with the picking audit prescription data and the picking audit prescription data created based on the prescription data. Dispensing management system characterized by starting packaging.