JP2007293910A - Pharmacy system integrating a plurality of functions - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a support system for efficiently and simply performing dispensing. <P>SOLUTION: This system comprises: a dispensing design module; a dispensing design data registering means for registering dispensing design data inputted by the dispensing design module in a patient information database; a medicine information data registering means for registering medicine information data in a medicine information database; a doctor information data registering means for registering doctor information data in a doctor information database; a medicine stock managing means for referring to, registering and updating a database of a medicine stock; an accounting means for performing accounting processing with reference to the dispensing design data of the patient information database; a picking operation instruction data generating means for generating picking operation instruction data; a picking operation instructing means for performing picking operation instruction operation with reference to the operation instruction data; a medicine bag, medicine bag for preparing cautionary statement and cautionary statement preparing means by referring to the dispensing design data of the patient information database; a dispensing design determining means for finally determining the dispensing design data; and a health care insurance claims processing means for performing health care insurance claims processing. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

The present invention relates to a support system for dispensing pharmacy business, and more particularly to a dispensing support system that efficiently performs various documents and various processes associated with dispensing.

In dispensing operations, it is necessary to dispense from paper prescriptions created by medical institutions and various information in pharmacies, but it was difficult to efficiently utilize these information. Various information in the pharmacy includes medication history (age, sex, weight, insurance, address phone number, history, side effects, allergies, concomitant medications, lifestyle, preferences, family history, patient psychology, compliance, etc. Patient personal information, medication history, medication instruction history, records related to dispensing), drug information (medical product attachments, side effect information, interaction information, drug price information, product specification information), legal documents related to dispensing ( Pharmacist Law, Pharmaceutical Affairs Law, Medical Care Regulations, Health Insurance Law, Antipsychotic Drug Control Law, and Stimulant Control Law).

Conventional dispensing support systems have been designed on the assumption that they are handled by non-pharmacists, with the main purpose of performing office work. Therefore, it can be said that the function of supporting the pharmacist's dispensing design was insufficient.

Dispensing design work uses various information, and it is required that the pharmacist inputs based on professional judgment ability. However, although the conventional dispensing support system has a function of information retrieval reference input, the operations are not organically combined and the operations required in real time in the pharmacy cannot be performed.

Sufficient measures are taken against illegal tampering while preserving various data related to dispensing operations and maintaining the reliability of such data, and the viewpoint of efficiently retrieving such stored data and retrieving it as necessary In view of the situation, the conventional dispensing support system was weak.

At the same time, there has been no system that records various mistakes related to dispensing operations or the history of each operation or meets the requirements for authenticity of such records.

Recently, however, the information activities that pharmacists are required in legal practice concerning dispensing have become more complex, and as a result, dispensing operations have been required to be more efficient. As described above, in the conventional system, there is no system that organically and efficiently supports the entire dispensing operation. Most of the systems that support each function of dispensing-related work with a computer are systems that support only each function, and these single functions are organically linked, and the pharmacist achieves the maximum effect with the minimum amount of work. There is a long-awaited system that supports the entire dispensing operation.

The core of the dispensing work is the patient interview work and the dispensing design work, but the work required here is complicated and the necessary information activities are becoming more complex. do it. In order to realize this, dispensing is performed from a prescription, but a system that efficiently supports information activities necessary for patient interview work and dispensing design work in a short time may be used.

In addition to prescriptions for patient interviews and pharmacy design work performed by pharmacists, the history of drug use at the pharmacy (age, sex, weight, insurance, address phone number, past illness, side effect history, allergy history, concomitant medications, life Patient personal information consisting of habits, preferences, family history, patient psychology, compliance, etc., medication history, medication instruction history, records related to dispensing), pharmaceutical information (medical package insert, side effect information, interaction information, drug price) Information, product standard information), and legal documents related to dispensing (Pharmacist Law, Pharmaceutical Affairs Law, Health Care Regulations, Health Insurance Law, Antipsychotic Drug Control Law, Stimulant Control Law), etc. There is.

The person in charge of dispensing design is required to efficiently search and refer to the above-mentioned various information and directly input character information in order to realize high-quality drug treatment. Since a pointing device is used in the current window-related system, it is necessary to release the hand from the keyboard home position, making it difficult for the pharmacist to input information efficiently. It was also difficult for pharmacists to enter records in free expression. Therefore, there is a need for a system that can search and input all information without leaving the keyboard home position.

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

In the drug-related input in the dispensation design work, the name of the medicine is described by either the product name or the ingredient name in the prescription prepared by the doctor of the medical institution. Similarly, quantitative points are described in either product unit amounts or principal component amounts. Regardless of which name of the medicine is entered, if it is properly displayed and calculated in the system, it will be a confirmation of the judgment evaluation of the pharmacist and a record of how the doctor has written the prescription. Therefore, it will be very convenient if there is a system that can input both the product name and the ingredient name as well as the quantitative input and the product unit quantity or the main ingredient quantity.

According to Article 25-2 of the Pharmacist Law, pharmacists are required to provide information necessary for proper use of the dispensed drugs. However, it is practically difficult to provide all the drugs that have been dispensed with handwritten or verbal explanations immediately after the dispensing of the efficacy effect, side effect information, interaction information, and daily attention. In general, by using an independent information provision system that is not related to a series of preparations and medication histories, the information that is not specific to each patient registered in advance for each drug is routinely and transiently stored. It is documented and provided as general information.

In the dispensing support system, it is possible to unify dispensing design input and information provision, and to perform management 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 using prescription contents, past drug history, patient information, and the like as judgment materials. By doing so, information most suitable for the patient can be provided. In addition, for information that does not need to be unique, it is possible to quickly create information because necessary information is automatically selected, and the contents of information provided in the past are stored as drug history. If it is a system that can be used, it should be possible to refer to and transcribe at the time of dispensing design input, so that it is possible to provide information with high continuity and reliability.

The drug history search was also insufficient in the conventional system. The medical history must be able to be searched and referenced promptly at the time of dispensing, the list should be listed, the records should be able to reproduce the contents of the dispensing according to the medical history, and stored for 3 years from the last reference date. ing. With a general handwritten (paper) medical history, it has been difficult to realize searchability and listability as the scale and contents increase. In addition, in the drug history of the conventional computer system, it is difficult to satisfy the requirements in terms of listability and storage period.

In order to solve this, if the drug history is stored and managed in the form of two-dimensional drug history-detailed drug history-compressed drug history, all the requirements of drug history should be satisfied. In particular, it should be possible to achieve a high level of two-dimensional drug history with a high level of listing, a detailed drug history with reproducibility, and a compression drug history with long-term preservation. Furthermore, it is also desired that these drug histories can be switched and displayed immediately and printed according to the necessity in prescription design work and drug history reference work.

The medical history is a kind of medical record, and it is required to ensure its authenticity. For example, in correction correction, it is required to erase and add a double line so that the contents before correction can be confirmed. It has been pointed out that conventional general medicine history computers can rewrite and delete information and have problems with authenticity.

It is necessary to have a system that cannot tamper with and delete the final information for such problems, and firstly, it is necessary to make it impossible to change information related to drug treatment once the dispensing design is finalized. There is. Secondly, if there is a need for correction or cancellation at the time of dispensing, it is possible to register the information as cancellation information for the purpose of preventing misuse of the information, and drug history information Therefore, there is a demand for a function that can be stored on data as information that cannot be used for transfer output.

At present, most prescriptions created by medical institutions are not digitized, and there has been a long-awaited system for efficiently storing them in a database as image data so that necessary parts can be taken out when necessary.

It is anticipated that drug picking operations that do not require pharmaceutical (professional) judgment in dispensing operations will become non-pharmacist operations in the future. In order to make a non-pharmacist perform the picking work from the viewpoint of the Pharmaceutical Affairs Law, it is necessary for the pharmacist to instruct and supervise the picking work. That is, there is a demand for a system that automatically instructs a picker in charge from dispensing design data.

It is also necessary to verify that the drug picked is exactly the same as the pharmacist's instructions because dispensing errors can be a life-threatening problem for the patient. In other words, it is necessary to compare the picking instruction with the picking action and check whether it is correct.

Currently, in dispensing operations, it is required to record the main points of interviews with patients and guidance on medications in the history of medication. However, it was not possible to record such actions. There has been a demand for a system that can easily pull out the interview with the patient when necessary. Similarly, it is very convenient if image information of medicines to be delivered to a patient can be extracted when necessary.

There have been various pharmacy systems in the past. However, there are many cases where the conventional computer drug history is evaluated as not having sufficient functions as a drug history. The reason for this is that various functions for managing the database of the dispensing support system such as medication history cannot be used in a centralized real-time management reference. The immediacy of the display and output is insufficient, and it is not possible to operate enough for drug history management. A system that realizes these functions on a user-oriented basis has been desired.

In order to solve the above problems, the present invention comprises a terminal for inputting / outputting necessary information, a drug information database, a doctor information database, a patient information database, and an inventory information database, and A: a dispensing design module, B: the dispensing design module Dispensing design data registration means for registering the dispensation design data input by the patient information database, C: Pharmaceutical information data registration means for registering the pharmaceutical information data in the pharmaceutical information database, D: Registering the doctor information data in the doctor information database Physician information data registration means, E: Pharmaceutical inventory management means for reference registration update in the pharmaceutical inventory database, F: Accounting processing means for performing accounting processing with reference to the dispensing design data in the patient information database, G: Patient information database Picking with reference to dispensing design data Picking work instruction data generating means for generating work instruction data, H: Picking work instruction means for performing picking work instruction processing with reference to the work instruction data, I: Medicine bag with reference to dispensing design data in the patient information database, attention A medicine bag for creating a note, a note creating means, J: a dispensing design determining means for finally determining dispensing design data, and K: a system including each part of an insurance claim processing means for performing insurance claim processing with reference to a patient information database It was adopted.

First, a description will be given of a part that assists each input in the input / output terminal. A dispensing design work screen to be displayed on the terminal when the pharmacist plans how to dispense using various information related to the prescription is configured.

Various types of information include medication history (patient personal information, medication history, medication guidance history, records related to dispensing), drug information (medical package insert, side effect information, interaction information, drug price information, product specification information) , And legal documents related to dispensing (Pharmacist Law, Pharmaceutical Affairs Law, Medical Care Regulations, Health Insurance Law, Antipsychotic Drug Control Law, Stimulant Control Law), etc. The patient's personal information refers to age, sex, weight, insurance, address phone number, medical history, side effect history, allergy history, concomitant medications, lifestyle habits, preferences, family history, patient psychology, compliance, etc.

The above-mentioned dispensing design work screen always recognizes the position of the cursor, and if a predetermined key operation is performed on the item where the cursor exists, the screen is switched to another input screen without returning to the menu, or a predetermined portion is copied. What is necessary is just to provide user interface means that can directly implement necessary functions. In other words, when you want to refer to information related to an item when you are entering a specific item on a screen, check the item where the cursor is 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. And the same key operation should just be unified in the system.

A: The dispensing design module is composed of a predetermined information input screen for inputting by a pharmacist utilizing prescriptions and various information, an input means, and a predetermined information reference display module for supporting the input. The predetermined information reference display module is a pharmaceutical product. Reference display means for searching and displaying predetermined items with reference to at least one database selected from an information database, a doctor information database, a patient information database, and an inventory information database is provided.

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

This dispensing design module has prescription data capturing / displaying means for capturing and displaying prescription data by digital data or fax. If necessary, the digital prescription data may be captured by at least one method selected from a method in which a two-dimensional bar code is read by a sheet scanner, analyzed, and captured by a communication line.

The prescription used for the dispensing design outputs the 2D code created from the design information in the form of a label, attaches this 2D code label, reads it in a batch, and stores the image data in the database using the data of the 2D code as an index. Can be stored as

C: The drug information data registration means has an input screen so that the person in charge of input can enter each drug name (component name, product name), drug price, Ministry of Health and Welfare Code, product standard, manufacturer name Set up a frame. Similarly, the doctor information data registration means has an input screen and each input frame can be provided so that the person in charge of input can input the medical institution name, address, telephone number, medical subject, and doctor name data of each doctor. That's fine.

E: The medicine stock management means has a function of inputting a received medicine at the time of receipt inspection and updating and registering the medicine quantity in the medicine inventory database, and withdraws the corresponding medicine from the predetermined quantity inventory after the dispensing design is confirmed.

Further, E: The pharmaceutical stock management means may have an inventory output means for outputting necessary information on stock at an arbitrary time.

F: The accounting means can issue multiple receipts when there are uncertainties in the calculation criteria. This indeterminate factor is “when an information provision form has been issued but it is unclear whether or not the patient will receive this information provision form”, “an information provision form has been issued but the patient has not received the information provision form Case ". And this accounting processing means should just issue a receipt after the dispensation design data confirmation process in which the uncertain element of a calculation standard is eliminated.

F: The accounting processing unit includes a settlement unit that settles the settlement with at least one processing unit selected from a prepaid card processing unit, a receivable processing unit, a credit card processing unit, and a debit card processing unit.

H: The picking work instruction means has a picking work instruction screen display means for displaying the picking work instruction data on the instruction screen or a work instruction printing means for printing the picking work instruction, and if necessary, this picking work instruction means. Is provided with a picking work audit system for determining whether the data of the picking work instruction and the content of the picking work are in accordance with the picking work instruction.

This audit system is provided with a discriminating means for discriminating whether the picking coincides with the picking data of the work instruction. The audit system calculates and outputs at least one selected from the picking error rate for each worker, the picking error rate for each drug, the work efficiency for each worker, and the work efficiency for each drug as necessary. If grasping calculation output means is provided, further efficiency can be achieved.

When it is necessary to be more precise, this auditing means is measured by a total weight calculating means for calculating the total weight based on the work instruction, a total weight measuring means for measuring the picked total weight, and the total weight measuring means described above. It is only necessary to provide coincidence comparing means for comparing the coincidence of the total weight with the total weight calculated by the calculating means.

Further, it is possible to improve work efficiency by providing a calculation means for optimizing at least one of the picking work instruction means, the place where the medicine is placed, the movement of the worker, and the order of picking and outputting the result of the calculation. Become.

The above-mentioned medicine bag and precautionary note preparation means may have instruction data generation means for generating instruction data for using a medicine. If necessary, the above-mentioned instruction data for use may include the use time (time for using the medicine). For this instruction data for use, it is possible to reduce forgetting to use if the usage time of the instruction data is extracted and the instruction data is converted into voice and transmitted to the patient's mobile phone terminal during the usage time. Alternatively, the instruction data for use has the same effect even if the use time of the instruction data is extracted and the instruction data is transmitted to the portable radio 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 equipped with a display or an instruction data display terminal. Alternatively, the instruction data may be a two-dimensional barcode printed and the medicine bag provided with the display, or the two-dimensional barcode may be taken in and analyzed by the image reading unit of the instruction data display terminal to display the instruction data. Alternatively, the instruction data may be sent to a medicine bag equipped with a display or an instruction data display terminal by optical communication or radio waves.

This system is a networked system, and if necessary, A: If the dispensing design module is installed independently from multiple windows or adjacent to one window, and the requests received at multiple windows are concentrated, It is possible to efficiently use skilled pharmacists.

The above-mentioned drug information database includes drug name, dosage form, Ministry of Health and Welfare Code, Pharmacopeia name, drug name (English), drug name (reading), manufacturer, drug packaging status, drug price, usage status, usage status history, packaging volume, It consists of at least one selected from titer, drug price listing, longest administration day, pre-formulation, ingredients, usage, precautions, and alias. The doctor information database described above may be composed of medical institution names, medical subjects, and doctor names. The above-mentioned patient information database may be composed of prescription information, dispensing design information, dispensing records, and records of interactions with patients. The dispensing design information may be composed of information before and after the dispensing design is confirmed.

The record of the interaction with the patient may be composed of at least one of image information and audio information. The above-mentioned inventory information database includes the pharmacy name, drug name, barcode, dosage form, titer, packaging, capacity, manufacturer, wholesale warehouse, current stock quantity, order quantity, order point (minimum quantity for placing an order) , Storage location, last withdrawal date, order plan, ordering (indicating whether or not ordering), and at least one selected from memos.

Item content determinator input means for inputting an item content determinator capable of confirming the content of an item on an arbitrary screen by registering frequently used text information in each field in advance as required, and confirming the input item content Text information list calling means for calling the registered text information list corresponding to the above-mentioned items required by the child, display control means for displaying this text information list in a list box at a predetermined position, and text information list An information text selecting means for selecting a necessary information text and an input means for transferring a necessary portion of the information text and inputting it to a predetermined portion are provided.

It is more convenient if this text information list is grouped corresponding to each item, has a hierarchical structure corresponding to the group, and an index is provided for each hierarchical structure. This content determinator may be determined by registering an arbitrary phrase set in advance corresponding to the text information and selecting the registered phrase from a list box or directly inputting it. Each text information is set as a system that can be arbitrarily registered. In this way, the input work amount related to the pharmacist's dispensing design is reduced, and the work efficiency can be improved.

User interface means is provided that directly recognizes the position of the cursor on each screen and directly realizes a predetermined function corresponding to each item without returning to the menu by operating a predetermined key on the item where the cursor exists. deep.

This system only needs to capture the voice data of the person in charge at the time of interaction with the patient and give it an index and store it in the patient information database as necessary. Similarly, it captures the image data of the patient at the time of interaction with the patient and assigns the index. And stored in the patient information database.

Alternatively, the voice data of the person in charge can be captured at the time of interaction with the patient, converted into text by voice recognition, indexed, and stored in the patient information database, or the system captures the drug to be delivered to the patient with the image recording device and assigned the index, It is more effective if it is stored in the patient information database.

In the present invention, it is possible to make a system configuration capable of uniformly managing data related to various dispensing operations, and a system capable of uniformly operating all dispensing functions, inventory management functions, accounting functions, insurance processing functions, etc. It becomes. In addition, since it has an information management function that guarantees the authenticity of information required for medical records, it is a highly reliable and safe system.

As an embodiment of the present invention, it is composed of a terminal for inputting / outputting necessary information, a pharmaceutical information database, a doctor information database, a patient information database, and an inventory information database, and A: a dispensing design module, B: input by the dispensing design module Dispensing design data registration means for registering dispensing design data in the patient information database, C: Drug information data registration means for registering drug information data in the drug information database, D: Doctor information data for registering doctor information data in the doctor information database Registration means, E: Drug inventory management means for reference registration update in the drug inventory database, F: Accounting processing means for performing accounting processing with reference to the dispensing design data in the patient information database, G: Dispensing design data in the patient information database Refer to picking work order data Picking work instruction data generating means to be formed, H: Picking work instruction means for performing picking work instruction processing with reference to the work instruction data, I: Creating a medicine bag and precautionary notes with reference to the dispensing design data in the patient information database A system including each part of a medicine bag, a cautionary note preparation means, J: a dispensing design confirmation means for finally confirming the dispensing design data, and K: an insurance claim processing means for performing insurance claim processing with reference to a patient information database was adopted. The operation of the embodiment will be described below with reference to the drawings.

1184310014281_0
FIG. 1 shows the overall flow of the operation of this embodiment. Based on a prescription issued by a medical institution, first, dispensing design is performed in the dispensing design input processing 101, but the past drug administration history information, drug information, inventory information, and drug shape information of the corresponding patient are called from the database 114 and referred to, and the dispensing design is performed. Do business. Next, when necessary items are applied in the dispensing design, a dispensing design provisional final determination process 102 is performed, and the result is registered in the patient information database of the database 114.

Each necessary data is extracted from the aforementioned database. Here, 104 information provision paper output, 105 medicine bag output, 106 picking instruction creation processing and accounting slip (receipt) creation processing are performed. Here, the medicine bag output process 105 is printed on a label, and the picking instruction creation process and the accounting slip creation process 103 are output to paper. Next, the person in charge of picking performs the drug picking 106 based on the picking instruction printed on the paper. Then, a picking two-dimensional barcode inspection process is performed at 108 to determine whether the picked medicine is the same as the instruction.

Reference numeral 115 denotes a process for an interview with a patient. In the medicine history display / dispensing design display processing 109, the medicine history display and the dispensing design data display are called to perform an interview with the patient. If correction is required, 107 dispensing design correction is performed. The patient is then given medicines and information provision forms. When an input (with respect to the dispensing design provisionally confirmed data) is generated by the interview with the patient, the drug treatment information is inputted in the medication treatment information input processing 110, the dispensing design all information confirmation processing is performed in 111, and necessary items are stored in the database. Registration is performed at 114. In the inventory process 112, the confirmed medicine is withdrawn from the inventory database. In step 113, the final determined amount is accounted for. Insurance claim processing is performed from this confirmed patient database 114.

Here, the drug information database of 114 databases includes the attached text information of the drug in advance, the drug effect information adapted to this system, the drug combination information, the ingredient name and product name information, the drug price, the side effect, the prescription amount and the ingredient amount. The items are set so that the relationship information and the drug shape information can be registered. When new registration is required, it is possible to register each time or collectively.

In addition, an item in the patient information database is set for a problem of compatibility with a patient-specific drug. The items in the doctor information database are the medical institution, subject, and doctor name.

Information related to drug inventory is registered in the inventory information database. At the time of drug acceptance inspection, an item for receipt inspection is set up, and if an entry is made in this part, the number of arrivals is added to the quantity in the drug inventory database. 112). And since each process with respect to an inventory database is performed in real time, the stock quantity in arbitrary time can be output.

Next, the process for confirming the dispensing design data will be described. Dispensing design input is performed at 101, and provisional design provisional confirmation is performed at 102. However, there is an uncertain factor, and there is a possibility that it will be changed later. This may or may not occur when an information content provision service is generated. Therefore, in the system of the present embodiment, accounting slips for each case are 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 form is issued and the accounting process in that case is performed. That is, the information content providing service occurs. In 111, processing with an information content providing service is performed. In 112, the fact is registered in the database 114. In the opposite case, that is, when the information content providing service does not occur, processing without information content providing service is performed at 111. In 113, the fact is registered in the database 114.

For the settlement of accounting, an electronic settlement system may be added to the system, and processing is possible with a prepaid card, a credit card, and a debit card. In addition, a non-accrual processing function is also added in case the payment is not made on the final processing date due to the convenience of the patient. In other words, it is only necessary to provide an item for unpaid money in the patient database.

(Input in dispensing design)
2 to 40 are business support screens of the pharmacy system according to the present invention.
FIG. 41 is a flow diagram of the dispensing design of the present invention. The cursor position is monitored on the dispensing design work screen. When a predetermined key input is detected, a corresponding process is performed. In the screen of FIG. 7, since the cursor 701 is in the patient name input unit 702, the patient name list box 703 is open. Here, by inputting a predetermined key input controlJ, the patient list box expands and a list box is displayed in which not only the patient name but also the date of birth, telephone number, and gender are displayed as shown in the screen of FIG. Further, by inputting the key control R, the screen of FIG. 8, that is, the patient input reference screen is displayed, and the cursor is located at the part of the patient name.

In the example of the screen of FIG. 9, the cursor is at the date of birth, and if the key input controlJ is keyed in the same manner as described above, not only the date of birth but also the patient name telephone number and gender are displayed as shown in FIG. Processing to open the displayed list box is performed. Similarly, if the cursor is moved to the telephone number, the patient telephone number is displayed as shown in the screen of FIG. In the same manner as described above, when a predetermined key input controlJ is input, a list box for displaying the patient name, date of birth, telephone number, and gender is opened as shown in FIG.

In the example of the screen of FIG. 12, the cursor is at the doctor name, and when the key input controlJ is keyed in the same manner as described above, not only the doctor name but also the medical institution name and department name are displayed as shown in FIG. The list box is opened.

(Screen for dispensing design support)
FIG. 42 shows the configuration of a screen prepared for business support. First, it is only necessary to input necessary items on the business screen 4201. FIG. 2 shows a case where the cursor is on the reception date portion, and sorting is performed on an item with each cursor.

If control R is entered here, a non-input dispensing design screen is displayed. If the item name is specified from the list box in the portion where the cursor is present, if control C is entered, the dispensing design input reference screen 4202 is switched and the screen specified earlier is displayed. FIG. 3 shows an example thereof, where the patient name is a new patient. And since the cursor is mainly on insurance selection, insurance related matters for new patients are opened in the list box.

As shown in FIG. 4, when the cursor is in the public selection 401 for insurance selection, a related item list box 402 is displayed. 5 and 6 show the case where the cursor is at the medicine. Further, in the case of inputting in detail regarding the medicine to be dispensed, it is entered on the dispensing design specification (prescription specification) input screen 4231 in FIG.

When controlR is entered from the above-mentioned undesignated dispensing design screen, a screen with the cursor at the patient name opens as shown in FIG. FIG. 8 shows that the patient name, date of birth, home phone, and gender are displayed in the list box in order to make it easier to identify the patient name by entering controlJ. FIG. 9 similarly shows the case where the cursor is 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 key is input, the list box is expanded as shown in FIG.

FIG. 11 shows the case where the cursor is on the telephone-home item. Also in this case, when the control J key is input, the list box is expanded as shown in FIG. FIG. 12 shows a case where the cursor is on the doctor name item, and a doctor name list box is opened. Similarly, when it is not possible to select only by this, the control J is further key-input to display not only the doctor name but also the medical institution name and department name as shown in FIG.

FIG. 14 shows the case where the cursor is on the medical institution name item, in which case a list of medical institutions is displayed in the list box. FIG. 15 shows the item of the department name, and the department name is displayed in the list box in the same manner.

If the patient is unregistered or the health-related registration contents are changed, the screen is displayed on the patient input reference screen 4203 in FIG. 42, the insurance input reference screen 4204 or the insurance input reference screen 4208 from there. It is sufficient to input by switching. An example of the patient input reference screen is shown in FIG. Similarly, if the prescriber is unregistered or the registered contents are changed, the prescription doctor input reference screen 4205 may be switched. An example of the prescriber input reference screen is shown in FIG.

Further, when the drug is unregistered or the registered content is changed, it may be switched to the drug input reference screen 4206 in FIG. An example of the medicine input reference screen is shown in FIG. Then, if it is necessary to input more detailed information about the medicine, the screen may be switched to the media input reference screen 4207. An example of the screen is shown in FIG. When it is necessary to input information provision regarding a medicine, the information provision input reference screen 4209 may be switched. FIG. 19 shows a patient drug information input reference screen as an example of the information provision input reference screen.

Further, in the dispensing design screen 4202 of FIG. 42, when the user wants to know the past medicine history of the patient, the screen may be switched to the forward reference screen 4210. Here, in FIG. 20 and FIG. 21, the medicine history of the corresponding patient for the past predetermined number of times is shown in a matrix of each medicine 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 the data file maintenance screen 4211. Here, FIG. 25 shows a case where the cursor is in the item part 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.

Similarly, FIG. 26 shows a data file maintenance screen in which the cursor is in the medicine name item section and the medicine name is displayed in the list box. FIG. 27 is an expanded list box of the screen of FIG. 26 by the control J key input, and the drug name, dosage form, manufacturer, and welfare code are displayed in the list box.

FIG. 28 shows that the dosage form is displayed in the list box with the cursor positioned in the item of the dosage form on the same screen. FIG. 29 is a similar screen, where the cursor is in the item of the Ministry of Health and Welfare Code item and a list of the Ministry of Health and Welfare code is displayed.

FIG. 30 is a data file maintenance screen for an invoice, where the pharmacy list box is open because the cursor is at the pharmacy. The list box is expanded by inputting the control J key as shown in FIG. 31, and the pharmacy name, wholesaler name, slip number, delivery date, and cancel mark are displayed in the list box.

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

If it is desired to refer to the stock input, the screen may be switched to 4228 in FIG. 42, and the stock change screen is shown in FIG. In order to check the drug stock order status, the screen should be switched to the 4226 drug order status display screen. The screen is shown in FIG. In order to refer to the performance information, the screen may be switched to the 4227 performance information reference screen. The screen is shown in FIG.

(Display patient information)
FIG. 43 shows the flow of the screen structure for business support in each input process. Here, it is assumed that the patient has already been confirmed. First, a predetermined key operation is performed from the dispensation design work screen 4301 to the 2302 medication history screen 4302. FIGS. 20 and 21 show the past seven times of medication and the dispensing information of the medication in a two-dimensional matrix. FIG. 21 shows the duration of dispensing the medication and the medication, and FIG. It shows where the dispensing period is displayed for each week in which the drug is dispensed. Or, similarly, a predetermined medicine operation is used to go to the front medicine medication history selection screen. If necessary, a specific date is selected to call a dispensing design screen for the specific date and time of the corresponding patient in 4304 from the link.

Here, a change input to the medical institution name, department name or other medical institution name or department name of the patient is performed as necessary. Similarly, enter the drug name or drug group. Then, retrieval is performed by taking all “and”, and the dispensing design screen of the specific date and time of the corresponding patient is called 4304. Here, the patient is specified, but the patient and the medical institution name “and” may be specified without specifying the patient.

(2D barcode index creation)
FIG. 44 shows a flow for creating an index of a two-dimensional code. After provisional determination of the dispensing design data, an index is extracted from the dispensing design data at 4401. Here, the extracted data includes items of patient name, doctor name, medical institution name, and department name. The extracted data is encoded into a two-dimensional code at 4402 and printed with a label at 4403. This label is affixed to the prescription and read in 4404 by a scanner and captured as an image. This is shown in FIG. Reference numeral 4501 denotes a two-dimensional code label.

Next, the index is decoded by separating and decoding the two-dimensional code from the image captured at 4405. The prescription image is registered in 4406 in the database 4407 using this index. The index information here is patient read, patient name, patient date of birth, insurance form, insurance code, and reception date.

A case where a medical institution issues a prescription with a two-dimensional code will be described. This is shown in FIG. In order to further improve authenticity, a digital signature is added here. Reference numeral 4609 denotes a medical institution, and reference numeral 4610 denotes a dispensing pharmacy system flow.

First, let the prescription be digitally signed by the doctor in charge, which is 4601. This authentication data is stored in the database of the medical institution or the database 4602 of the authentication center. Next, in 4603, the prescription index information and the digital signature of the corresponding doctor are two-dimensionally encoded. The medical institution issues this prescription with a two-dimensional code, and the dispensing pharmacy accepts it.

Next, at 4604, the prescription with the two-dimensional code is scanned. In 4605, the two-dimensional code is separated and the index is decoded. Then, authentication of the electronic signature is performed with the database 4602 through the network in 4606. The result is registered in the database 4608 at 4607.

(Picking data creation / use)
FIG. 47 shows a flow of creating / using picking data. After provisional determination of the dispensing design data, picking data is extracted from the aforementioned dispensing design data at 4701. Here, the extracted data is the type, dosage form, and quantity of the medicine. Next, this extracted data is encoded into a two-dimensional code at 4702. In 4703, the picking instruction with the two-dimensional code is output.

In 4704, the two-dimensional code is read into the handy terminal. In 4705, the picking data is decoded from the two-dimensional code. In 4706, the person in charge of picking scans the two-dimensional code or bar code provided in the box to be picked. If it does not match the picking data, a warning is issued to the picker.

At this time, picking time and picking accuracy are recorded at the handy terminal. The picking order and the medicine placement location are optimized by data mining together with the record of the medicine placement location. The picking audit can be made more accurate by registering the weight of the medicine to be picked, calculating the total weight of the medicine to be picked, measuring the weight after the picking is completed, and determining the weight after the picking is completed.

(Saving interview image / sound data)
FIG. 48 shows a flow of image / audio data storage. In 4801, an image and sound of the person in charge interviewing the patient and the patient are collected with a microphone and a camera. Next, in 4802, voice recognition is performed and the voice of the patient interviewer is converted to text. In 4803, an index is extracted from the aforementioned dispensing design data. The index here is patient name, drug name, and date. In step 4804, the patient information database 4805 registers the image and sound as text based on the above-described index and the sound. In this way, it is possible to easily search for dialogues with patients using the above-mentioned index.

(Business check using 2D code)
FIG. 49 is a diagram illustrating a case of checking the medicine and amount of powder medicine. The pharmacist plans how to dispense using information related to prescriptions. Necessary portions of the dispensing design data generated by the input means for inputting predetermined items corresponding to a predetermined patient for the purpose of supporting the dispensing design work. With reference to this, weighing data for weighing the powder medicine of a predetermined patient is created and a checklist paper is output. The paper is a powder weighing check list, and there is a QR code which is a two-dimensional code at the lower right of the check list. This QR code is loaded into a scanner, image processing is performed, and weighing data is loaded.

The actual powder medicine is weighed and the data is transmitted to the determination part. At the same time, the weighing data taken in by the scanner is transmitted and the determination unit performs the determination. The QR code storing the medicine name attached to the medicine container is similarly captured, captured and decoded, and the medicine name is sent to the determination unit to similarly check the medicine name.

(Storage of drug image data)
FIG. 50 shows a flow of storing drug image data. At 5001, the camera collects images of the patient and the drug delivered to the patient. In 5002, an index is extracted from the aforementioned dispensing design data. The index here is patient name, drug name, and date. In 5003, an image is registered in the patient information database 5004 based on the above-described index.

The medicine image may be taken when necessary with a CCD camera installed on the upper side, or the counter surface may be made of transparent glass and the CCD camera may be installed in the counter.

(Patient data generation and matrix display)
FIG. 51 shows a flow of patient database generation. In the interview data input 5101 with the patient, the past data inputted in a memorandum at the time of the interview with the patient or the data just inputted in real time before the patient who is currently interviewing is inputted. In the word recognition 5102, analysis is performed with reference to the business-related term dictionary 5103, and information items and time related to the data are extracted in the item determination 5104. If the determination is successful, an index generation 5105 generates an index based on the extracted information item and time. If the determination is unsuccessful, an input screen set in advance is displayed on the monitor in the replay input 5106 and information items input by the operator are sent to the index generation 5105. In the database registration 5107, the generated index and data are associated and registered in the patient database 5108. The time used for the index is the current time for interviews and the written date for memos of past data.

FIG. 52 is a flowchart for calling and displaying patient data. In the data call 5201, the past patient data registered in association with the index is called. In the patient database 5202, the Kanja information is stored using the patient name as a key, and time and information items are added as index information. In the table generation 5203, a matrix screen is generated with the time on the horizontal axis and the information items on the vertical axis, and displayed on the monitor in the display 5204. FIG. 53 shows an example of a matrix screen.

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

(Notification of instruction data)
FIG. 54 shows a flow of instruction data notification. First, in step 5401, drug usage data of the corresponding patient is extracted from the patient database 5402. The content here is to take 2 tablets A and 1 tablet B after each meal. The patient's mealtime is 7 am, 12 pm, and 7 pm. This usage data is then transmitted to the pager base center at 5403. In 5404, the usage data is registered in the center database 5406.

Usage data is transmitted to the corresponding pager at 5405 at 7 am, 12 pm, and 7 pm. In 6107, the usage contents are displayed on the patient's pager. This is shown in FIG. Here, it is a transmission at 7:00 pm, and it is an instruction to take 2 tablets A and 1 tablet B after dinner. Only a pager's sound and / or vibration may be given without indication. Alternatively, the above-described instruction data may be synthesized by voice and transmitted to the mobile phone at a time to play the voice.

Here, a medicine bag with an LCD display screen or a dedicated display device that is a portable terminal but is not wirelessly connected may be used, and drug use information is stored in a two-dimensional code and provided in the aforementioned medicine bag with a display screen or a dedicated display device. Using a small scanner, the patient may be reminded by vibration or sound when it is time to read. The usage information of the medicine may be read into the aforementioned medicine bag with a display screen or a dedicated display device by wire or infrared.

(network)
FIG. 56 shows an operation flow of the pharmacy system using the network. Here, 5609 is a pharmacy that accepts prescriptions and delivers drugs to patients, and 5610 is an input center that performs dispensing design input work. First, the prescription accepted in 5601 is imaged and this image is transmitted to the input center in 5602. You may fax the prescription at this time. Alternatively, the image may be read and digitized and transmitted via a network.

Next, an image of a prescription is received at 5602 on the input center side, and a pharmacist performs dispensing design input at 5604 based on this image. Then, predetermined data is extracted in 5605 and transmitted in 5606. Here, the predetermined data includes picking data for drug picking, a medicine bag label, information providing contents, and precautions.

In 6207, the necessary information is received, the medicine of the corresponding patient is picked in 5608, the contents of the medicine bag label information provision are printed, and delivered to the patient together with the medicine.

As described above, according to the present invention, since it is a system configuration capable of uniformly managing data related to various dispensing operations in support of dispensing operations, the dispensing function, inventory management function, accounting function, insurance processing function, etc. Can be connected to each other. In addition, since it has an information management function that guarantees the authenticity of information required for medical records, it is a highly reliable and safe system.

Overall flow of operation of this embodiment Business screen (cursor: acceptance date item) Dispensing design screen (cursor: insurance selection main item) Dispensing design screen (cursor: insurance selection public 1 item) Dispensing design screen (cursor: chemical item) Dispensing design screen (cursor: chemical item) Dispensing design screen (cursor: patient name item) Dispensing design screen (cursor: patient name item) Dispensing design screen (cursor: date of birth item) Dispensing design screen (cursor: date of birth item) Dispensing design screen (cursor: telephone-home item) Dispensing design screen (cursor: doctor name item) Dispensing design screen (cursor: doctor name item) Dispensing design screen (cursor: medical institution item) Dispensing design screen (cursor: department name item) Patient information input screen Prescriber input reference screen Drug input reference screen Patient drug information input reference screen Drug history forward reference screen Drug history forward reference screen Drug history forward reference screen Medis input reference screen Dispensing design details (prescription input) input reference screen Data file maintenance screen Data file maintenance screen Data file maintenance screen Data file maintenance screen Data file maintenance screen Data file maintenance (delivery) screen Data file maintenance (delivery) screen Data file maintenance (inventory management) screen Data file maintenance (inventory management) screen Assist screen Assist screen Inventory chemical change reference screen Pharmaceutical stock order status reference screen Noh information reference screen Dispensing design screen (component name input and product name input) Dispensing design screen (component amount input and prescription amount input) Dispensing design flow Composition of screens prepared for business support Screen structure for drug history information display 2D code indexing flow Prescription image with 2D code label Prescription database creation flow Picking data creation / use flow Image / sound data storage flow Business check using 2D code Flow of drug image data storage Patient database generation flow Patient data call display flow Example of matrix screen Instruction data notification flow Pager usage information display Operation flow of pharmacy system using network

Explanation of symbols

101 ... Dispensing design input processing 102 ... Dispensing design provisional confirmation processing 103 ... Picking instruction creation, accounting slip creation processing 106 ... Picking 112 ... Inventory processing 113 ... Accounting processing 114 ...・ Database

Claims (35)

It consists of a terminal that inputs and outputs necessary information, a drug information database, a doctor information database, a patient information database, and an inventory information database.
A: Dispensing design module B: Dispensing design data registration means C for registering dispensing design data input by the dispensing design module in the patient information database C: Pharmaceutical information data registration means D for registering pharmaceutical information data in the pharmaceutical information database: Doctor information data registration means E for registering doctor information data in the doctor information database E: Drug inventory management means F for reference registration update in the drug inventory database F: Accounting processing means for performing accounting processing with reference to the dispensing design data in the patient information database G: Picking work instruction data generating means for generating picking work instruction data with reference to the dispensing design data in the patient information database H: Picking work instruction means for performing picking work instruction processing with reference to the work instruction data I: Patient information Dispensing design data from the database A medical bag, a medical bag for creating a cautionary note, and a cautionary note creating means J: a dispensing design determining means for finally determining dispensing design data K: an insurance claim processing means for performing insurance claim processing with reference to a patient information database Pharmacy system characterized by including each part The dispensing design module comprises a predetermined information input screen for inputting by a pharmacist utilizing prescriptions and various information, an input means, and a predetermined information reference display module for supporting input, and the predetermined information reference display module is a pharmaceutical information database. The pharmacy system according to claim 1, further comprising reference display means for searching and displaying predetermined items with reference to at least one database selected from a doctor information database, a patient information database, and an inventory information database. The predetermined information includes package information of medicines, information provided to patients edited for each medicine, combination information of medicines, medical history of patients (past prescription information, past dispensing design information), combination information of medicines and patients, 3. The pharmacy system according to claim 2, wherein the pharmacy system is at least one piece of information selected from combination information of medicines and stocks, stock information, component name and product name information, and medicine shape information. 2. The pharmacy system according to claim 1, wherein said dispensing design module has prescription data fetching and displaying means for fetching and displaying prescription data by digital data or fax. 5. The pharmacy system according to claim 4, wherein the digital prescription data is at least one method selected from a method of reading, analyzing and reading a two-dimensional bar code with a sheet scanner, and a method of reading with a communication line. . The prescription used in the dispensing design is attached with a two-dimensional code created from the dispensing design information, read together by a scanner and stored as image information in a database using the data of the two-dimensional code as an index. The pharmacy system according to claim 2. The drug information data registration means has an input screen, and the input person can input each drug name (component name, product name), drug price, Ministry of Health and Welfare code, product standard, manufacturer name data. The pharmacy system according to claim 1, characterized by comprising: The doctor information data registration means includes an input screen, and each input frame has an input screen so that an input person can input the medical institution, medical subject, and doctor name data of each doctor. 1. A pharmacy system according to item 1. The pharmacy system according to claim 1, wherein the medicine stock management means inputs a medicine received at the time of receipt inspection and updates and registers the medicine quantity in a medicine inventory database. The pharmacy system according to claim 1, wherein the medicine stock management means withdraws the medicine from the stock after the dispensing design is confirmed. The pharmacy system according to claim 1, wherein the medicine stock management means includes an inventory output means for outputting necessary information on stock at an arbitrary time. The pharmacy system according to claim 1, wherein said accounting processing means issues a plurality of receipts when there are uncertain elements in the calculation standard. The indeterminate element is a case where an information provision form is issued, and it is unclear whether or not the patient receives the information provision form, the information provision form is issued, and the patient does not receive the information provision form. 13. A pharmacy system according to claim 12, characterized by the above. The pharmacy system according to claim 1, wherein the accounting processing means issues a receipt after the dispensing design data finalizing process that eliminates the uncertain element of the calculation standard. The accounting processing means comprises a settlement means for performing settlement with at least one processing means selected from a prepaid card processing means, a receivable processing means, a credit card processing means, and a debit card processing means. The pharmacy system according to the first item of the range. The picking work instruction means includes a total weight calculation means for calculating a total weight based on the work instruction data, a total weight measurement means for measuring the total weight picked, and a total weight measured by the total weight measurement means is the total weight calculation. Having a picking work audit system having a matching degree comparison means for comparing the degree of matching with the total weight calculated by the means, determining whether the data of the picking work instruction and the content of the picking work are in accordance with the picking work instruction, Based on the result of the determination, a work status grasping calculation output for calculating and outputting at least one selected from a picking error rate for each worker, a picking error rate for each drug, a work efficiency for each worker, and a work efficiency for each drug. And a computing means for optimizing at least one of the place where the medicine is placed, the movement of the worker, and the order of picking. Pharmacy system of claims paragraph 1, wherein the outputting the result.
The medicine bag and the cautionary note preparation means have instruction data generation means for generating instruction data including the usage time of the use for using the medicine, and extracts the usage time of the instruction data, and the patient's The pharmacy system according to claim 1, wherein the instruction data is transmitted to the portable wireless terminal. 19. The pharmacy system according to claim 18, wherein 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 during the use time. The medicine bag and cautionary note preparation means has instruction data generation means for generating instruction data including the usage time for using the medicine, and the instruction data generated by the instruction data generation means includes a display. The pharmacy system according to claim 1, wherein the pharmacy system is sent to a medicine bag or an instruction data display terminal. The instruction data is a medicine bag printed with a two-dimensional barcode and the display is provided, or the instruction data display terminal displays and displays the instruction data. 21. A pharmacy system according to item 20. 21. The pharmacy system according to claim 20, wherein the instruction data is transmitted to a medicine bag equipped with the display or an instruction data display terminal by optical communication or radio waves. 2. The pharmacy system according to claim 1, wherein in the system, each department of the same pharmacy is connected by a network in order to be used in real time by the same system. The pharmacy system according to claim 1, wherein a plurality of pharmacies are connected by a network in order to be used in real time by the same system. The drug information database includes drug names, dosage forms, Ministry of Health and Welfare codes, pharmacopoeia names, drug names (English), drug names (reading), manufacturers, drug packaging forms, drug prices, usage status, usage status history, packaging volume, strength The pharmacy system according to claim 1, wherein the pharmacy system is composed of at least one selected from a drug price, a drug price listing, a longest administration day, a pre-formulation, a component, a usage, a caution, and an alias. The pharmacy system according to claim 1, wherein the doctor information database includes a medical institution name, a medical subject, and a doctor name. The pharmacy system according to claim 1, wherein the patient information database is composed of prescription information, dispensing design information, dispensing records, and records of dialogue with patients. 28. The pharmacy system according to claim 27, wherein the dispensing design information includes information before and after the dispensing design is confirmed. 28. The pharmacy system according to claim 27, wherein the record of the dialogue with the patient comprises at least one of image information and audio information. The inventory information database includes a pharmacy name, a drug name, a barcode, a dosage form, a titer, a packaging, a capacity, a manufacturer, a wholesale warehouse, a current warehouse quantity, an order quantity, an order point (minimum quantity for placing an order), The pharmacy system according to claim 1, comprising at least one selected from a storage location, a final withdrawal date, an ordering schedule, an ordering (indicating whether or not an order is being placed), and a memo. Item content determinator input means for inputting an item content determinator capable of narrowing down the contents of an item in an arbitrary screen by registering frequently used text information in each field in advance, and required by the input item content determinator Text information list calling means for calling a registered text information list corresponding to the item, display control means for displaying the text information list in a list box at a predetermined position, and necessary information text from the text information list 2. The pharmacy system according to claim 1, further comprising: an information text selection means for selecting; and an input means for transferring a necessary portion of the information text and inputting it to a predetermined portion. User interface means that always recognizes the position of the cursor on each screen and directly realizes a predetermined function corresponding to the item without returning to the menu by performing a predetermined key operation on the item on which the cursor exists. The pharmacy system according to claim 1 characterized by the above-mentioned. The pharmacy system according to claim 1, wherein the pharmacy system captures voice data of a person in charge at the time of interaction with a patient, adds an index, and stores the index in the patient information database. The pharmacy system according to claim 1, wherein the pharmacy system captures image data of a patient at the time of interaction with the patient, adds an index, and stores the index in the patient information database. 2. The pharmacy system according to claim 1, wherein the pharmacy system captures voice data of a person in charge during dialogue with a patient, converts the data into text by voice recognition, adds an index, and stores the index in the patient information database. 2. The pharmacy system according to claim 1, wherein the pharmacy system takes in a medicine to be delivered to a patient by using an image recording device, gives an index, and stores the index in the patient information database.