JP2016014923A - Manually dispensed medicine data processing device and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To resolve inconvenience of unit-dose packaging in a prescription unit in which, when distributing medicines for each administration period of time, in addition to a heavy work burden such as a distribution of the medicine or management thereof, even the medicine to be used in an upcoming administration period of time has to be prepared in advance.SOLUTION: A manually dispensed medicine data processing device comprises: a prescription data holding area 22 that can plurally hold input prescription data: prescription detail instruction data 23 that shows the prescription data with the prescription data split into data on a part already used in creating manually dispensed medicine data pertain to a medicine to be preliminarily dispensed in a preliminary dispensing cassette (16) and data on a part not yet used therein in an administration unit; and a split packaging instruction creation program 24 that selects, as for the prescription data, data on a medicine targeted for preliminary dispensing and meeting the administration period of time in the administration unit from the data on the not-yet used part in the prescription detail instruction data 23, and creates manually dispensed medicine data on the basis of the selected data. The prescription data is processed in the administration unit smaller than in the prescription unit, and thereby prescription-detailed manually dispensed medicine data is created.

Description

The present invention creates, based on prescription data, drug handing data used for manual handing guidance and handing agent control when pre-preparing a medicine with a medicine pre-handling device such as a medicine handing device or a drug handing agent device. The present invention relates to a drug handling data processing apparatus.
The present invention also relates to a drug handling data processing program that is installed in an information processing apparatus (computer) and causes the information processing apparatus to function as a drug handling data processing apparatus.

The prescription data is an electronic data of the content of the prescription prescription extracted as it is or a part of it is extracted based on the prescription mode, and can be packaged by a prescription instruction machine in accordance with the prescription instruction And instructions for drugs that cannot be packaged by the drug packaging machine are also included.
Drug handing data includes prescriptions related to non-implemented drugs that can be packaged with a drug preparatory drug packager that is included in the prescription data but are not implemented in the drug packager. Electronic data including an instruction part.

The drug handing device is for pre-handing the above-mentioned non-implemented medicines to the pre-handing cassette in preparation for automatic discharge by the medicine packaging machine, and the drug handing agent device performs the handing work. It is a substitute for a machine.
A number of compartments that can open and close the bottom plate are formed in the pre-soaking cassette, and non-mounted medicine is pre-soed in each compartment based on the drug handing data.
Based on the prescription data and the drug handing data, the prescription medicine compatible medicine prepacking machine also reserves the prescription instruction part related to the mounted medicine, which is the medicine that can be dispensed by its own medicine feeder, in the pre-handling cassette. The prescription instruction part relating to the non-packaged medicine that has been sowed is also automatically processed and packaged.

  An initial medicine handing device (see, for example, Patent Document 1) includes a spare paper cassette in which a number of compartments to be pre-sprayed are formed, an operating member that receives medicines simultaneously from the compartments of the spare paper cassette, It is equipped with an indicator that shows the position and range of the compartments to be used for the medicine input among the compartments of the whispering cassette. Among them, the operating member is arranged in the housing of the medicine packaging machine, The display unit is provided in a spare paper cassette so that it can be pulled out from the casing of the packaging machine.

  In addition, the medicine packaging machine is equipped with a number of medicine feeders that accommodate a large number of one kind of mounting medicine and sequentially discharge them, corresponding to various medicines, and from these medicine feeders an appropriate mounting medicine is provided according to the prescription. The non-mounting medicine is preliminarily transferred from the pre-rolling cassette to the operating member on the premise that the non-mounting medicine is handed over to the pre-handing cassette, and the non-mounting medicine is discharged according to the discharge of the mounting medicine. Are sequentially discharged from the actuating member and put together into a packaging device to wrap them one after another in a wrapping band.

Among them, some medicine packaging machines (for example, refer to Patent Documents 3 and 4) print patient identification information such as a patient name and application time information after lunch for each package.
In addition, the medicine handing device (see, for example, Patent Documents 5 and 6) is configured separately from the medicine packaging machine, and the medicine is dispensed in advance in several preliminary handing cassettes several times in advance. Some of them can now be shared by a plurality of medicine packaging machines.
In addition, a drug handing agent device has been developed in which a hand making operation is performed by a machine (see, for example, Patent Document 8). In this device, a drug transfer mechanism is temporarily mounted based on drug handing information (drug handing data). By taking out the non-mounted medicine from the storage container and putting it into the compartment of the preliminary placement cassette for temporary placement, the accuracy and efficiency of medicine distribution to the preliminary placement cassette is improved.

In such a conventional device, the drug handing data processing device for processing the drug handing data includes a medicine pre-handling device, a control device for the medicine packaging machine, a group management device for distributing prescription data and dispensing instructions to the device, It is embodied by an appropriate information processing device that handles data processing, such as an analysis device that analyzes prescription data and determines the dispensing procedure. Some are implemented in a centralized manner by a data processing program, while others are implemented in a distributed manner by a drug handling data processing program installed in a plurality of information processing apparatuses.
Regardless of the implementation mode, the conventional drug handing data processing apparatus is configured to process prescription data in prescription units / patient units when creating drug handing data.

  More specifically, in order not to mix drugs for a plurality of patients in one pre-soaking cassette, non-implementing medicines assigned to pre-soaking to one pre-soaking cassette are limited to non-implementing medicines related to one prescription data. ing. Therefore, if one prescription / one patient's drug is not enough for one preparatory cassette, it is possible to create drug manual data for preliminarily making multiple preparatory cassettes. A part of the non-implemented medicine related to one prescription data and a part of the non-implemented medicine related to the other prescription data are preliminarily sprinkled in one of the two pre-soaking cassettes and There is no need to create so-called prescription chopped drug handing data in which the remaining portion of the non-mounting medicine and the remaining portion of the non-mounting medicine according to the other prescription data are preliminarily sprinkled in the other pre-rolling cassette.

Japanese Patent Laid-Open No. 6-80103 Japanese Patent Laid-Open No. 7-222001 JP 2006-321516 A JP 2007-202932 A JP 2007-209600 A JP 2007-297066 A JP 2012-130361 A JP 2012-187283 A

As described above, in the conventional drug handing data processing device, the prescription data is processed by the prescription unit / patient unit at the time of creating the drug handing data to avoid preparatory preparatory preparatory treatment, thereby handling the dispensing person. While making it easy to understand so as not to mix up the preliminary cassettes that should be handled, the pharmacist can clearly understand the separation of medicines and ranges to be handled manually, while reducing the mental burden on the pharmacist. The occurrence of errors is suppressed.
However, if the preparation of the drug handing data is limited to the prescription unit, the burden on the person other than the dispenser may become heavy or the efficiency may be deteriorated, which is inconvenient.

  To describe a specific case, first, drugs for several days are often prescribed at a time, and a number of sachets are created in a chain, and these are delivered together to a patient. Aside from the case where it is over, when a medicine is distributed to a large number of inpatients at every application period such as morning, evening, and evening (see Patent Document 7, for example), multiple patients who have the same application period from many bandages In addition to separating and distributing them, the remaining bandages and packages with different application times must be stored and managed for later use, increasing the burden of distribution and management, As much as the drug whose application time is imminent, it must be prepared as early as the drug whose application time is not imminent.

In addition, the preparatory cassette is attached to and detached from the medicine packaging machine for each patient, but each time the medicine packaging machine pauses the packaging operation, so if there are many patients with fewer prescription drugs, the medicine packaging machine will operate. The rate drops.
Furthermore, since it depends on the contents of the prescription, it cannot be generally stated, but if pre-prepared in prescription units / patient units, in many cases, the types and number of drugs to be prepared increase.
Also, because it depends on the sorting method, it cannot be said unequivocally. However, if the drugs to be installed are different in multiple drug packaging machines, in many cases, all usages and drugs are subject to the provision check by prescription and by patient. Thus, the more prescription data to be processed, the more strict the method of sorting to the medicine packaging machine, and the more easily the medicines to be preliminarily handled.

On the other hand, as described above, patient identification information and application time information are printed for each package (see, for example, Patent Documents 3 and 4), and collation information is held on an information carrier attached to the preliminary firing cassette. Human error is effectively suppressed in information processing by improvements such as prevention of misuse (for example, see Patent Documents 5 and 6) and confirmation of medicines to be preliminarily sprinkled with imaging data (for example, see Patent Document 8) As a result, the burden on the dispenser is not excessive even if the preparatory treatment in the prescription unit / patient unit is not concerned.
Therefore, in order to eliminate the disadvantages as described above, a drug manual data processing device or a drug manual data processing that processes prescription data in an application unit smaller than the prescription unit and creates prescription-detailed drug manual data. Realizing the program is a technical challenge.

  The drug handing data processing device of the present invention has been developed to solve such a problem, and is stored in a prescription data holding unit capable of holding a plurality of inputted prescription data and the prescription data holding unit. Held in the prescription data holding means in a drug handing data processing device comprising a medicine handing data creating means for creating medicine handing data relating to a medicine to be preliminarily dispensed in a preliminary dispensing cassette based on prescription data being stored Prescription data indicating means for prescribing prescription data, which includes partial data already used in the preparation of the drug handing data and partial data not yet used in the application unit. When a plurality of prescription data is held in the prescription data holding means, the prescription detailing means for the plurality of prescription data From the partial data that is not used, the data of the medicines to be preliminarily dispensed and the medicines to be applied are selected in application units, and the drug handing data is created based on the selection data. It is characterized by that.

  Further, the drug handing data processing program of the present invention specifies a program that is a main part of the above-mentioned drug handing data processing apparatus, and the prescription data holding means capable of holding a plurality of prescription data inputted by the computer And, for the prescription data held in the prescription data holding means, the partial data that has already been used for the preparation of the drug handing data relating to the medicine to be preliminarily handed to the pre-handling cassette and the partial data that has not yet been used are applied. When a plurality of prescription data are held in the prescription data holding means, which are separated by units, and the prescription data holding means, the plurality of prescription data is preliminarily determined from the partial data unused in the prescription specifying means. Data of drugs that are to be sprinkled and that are suitable for application are selected in application units, and based on these selection data, the drug hand is selected. Is a program for functioning as a drug manual preparation data creating means for creating come data.

  In such a drug handing data processing apparatus of the present invention and a computer in which the drug handing data processing program of the present invention is installed, when prescription data including prescription instructions for a preparatory drug to be dispensed is provided Since the prescription data is inputted and held by the prescription data holding means, and the drug handing data is created by the medicine handing data creation means based on the prescription data, the medicine handing data is automatically generated from the prescription data. At this time, if a plurality of prescription data is held in the prescription data holding means, prescription-sliced drug handing data is created from the plurality of prescription data.

  In other words, when multiple prescription data are held, for those prescription data, the partial data that has already been used to create the drug handing data and the partial data that has not yet been used are applied by the prescription specifying means in application units. From the partial data not shown in the prescription detailing means, the drug handing data creation means selects the data of the medicines that are the preparatory target drugs and that are suitable for the application time. Then, drug handling data is created. As a result, prescription data is processed in application units smaller than the prescription unit and prescription-sliced drug handing data is created, so the prescription shredder is the same for both non-implemented drugs and mounted drugs. If the wrapping is performed according to a simple procedure, the above-mentioned inconvenience is solved.

Specifically, since the medicines that match the application time are collected and packaged in application units (by usage), the nurse only needs to deliver the packaged medicine to the patient before or at the time of application. No further management is required. For example, even if one day is passed, management is easy because of usage.
In the case of dispensing for hospitals where there are multiple wards / rooms, the effect is further enhanced if the ward / room identity is reflected in the preliminary sowing and packaging in addition to the equality of application time.
In addition, since the data of a plurality of patients can be processed as a lump of data, the downtime of the packaging machine can be reduced. Furthermore, for example, “morning only” becomes data by usage (application unit data), so the “next usage” is not necessary, and the minimum necessary assortment is sufficient.

Further, by limiting from “all usage (prescription unit / patient unit)” to “the usage (application unit)”, the required chemicals are also limited, and the amount that can be covered by the implementation varies.
For this reason, even when there are a plurality of medicine packaging machines and the mounted medicines are different in each of the plurality of medicine packaging machines, the sorting is not as strict as the patient unit. For example, when only the morning portion is packaged, it is easy to sort because it is not related to the day and evening portions.
And the more provisions for mounted medicines, the less “prepared” and the better the overall efficiency.

Example 1 of the present invention shows the structure of a drug handling data processing device and a drug handling data processing program, (a) is a block diagram of a dispensing system including the drug handling data processing device, (b) is a drug It is a block diagram of a package management program including a handmade data processing program. It is a top view of a preliminary burning cassette. (A)-(c) are all examples of packaging. (A)-(b) are all examples of packaging.

A specific form for carrying out the drug handing data processing apparatus of the present invention will be described with reference to Example 1 below.
The embodiment 1 shown in FIGS. 1 to 4 embodies the above-described solving means (claims 1 and 2 at the beginning of the application).
In the illustration, for the sake of simplification and the like, a lot of block diagrams are used, and those necessary for the explanation of the invention and related ones are mainly shown.

  About the Example 1 of the chemical | medical agent manual data processing apparatus of this invention, the specific structure is demonstrated referring drawings. FIG. 1A is a block diagram of a dispensing system 10 that includes a packaging management device 12 that also serves as a medicine handing data processing device, and FIG. 1B is a packaging that includes a medicine handing data processing program. 2 is a block diagram of a management program 20. FIG. FIG. 2 is a plan view of the two preliminary burning cassettes 16a and 16b arranged side by side. When the cassettes are not distinguished from each other, they are simply referred to as a preliminary firing cassette 16.

  This dispensing system 10 (see FIG. 1 (a)) is a prescription analysis device 11, a sachet management device 12, a medicine pre-disposal device 13, a medicine sachet 15 with an operation console 14, and management related to pharmacy other than sachet. Equipment and dispenser. The medicine packaging machine is provided with three medicine packaging machines 15a, 15b, and 15c. However, when the individual packaging machines are not distinguished, they are simply referred to as the medicine packaging machine 15. In the dispensing system 10, the medicine handling data processing device is embodied as a part of the packaging management device 12, and the medicine handling data processing program is a part of the packaging management program 20 installed in the packaging management device 12. It is embodied as a part. Further, the dispensing system 10 communicates with a known prescription ordering system / prescription order entry system via a communication line (see, for example, Patent Document 4). In this system configuration example, the prescription illustrated by a broken line is shown. The ordering system is an external device.

  The prescription analyzer 11 receives and obtains prescription data transmitted one after another from such a prescription ordering system or the like, and in addition to the well-known prescription accepting device (not shown) or the above-described console 14, The prescription data that has been input and transferred is also acquired, and the prescription data is analyzed to prepare dispensing data for each dispensing block. Dispensing data may carry over all prescription instructions for prescription data, or may carry over some prescription instructions depending on the contents of the dispensing, but the subject of the present invention is the drug handing data processing for packaging, here Then, since the prescription data / dispensing data related to the packaging is handled, the two are called prescription data without distinction. Then, the prescription analysis apparatus 11 delivers prescription data related to the medicine packaging that can be dispensed by the medicine packaging machine 15 to the packaging management apparatus 12, and delivers other prescription data to the other dispensing management apparatus.

  The package management device 12 is a computer in which data can be transmitted / received to / from other devices 11, 13, and 14, that is, an information processing device (see FIG. 1A), and a package management program 20 is installed (FIG. 1B). )reference). The package management program 20 is generally summarized (for example, refer to Patent Documents 2 and 4), and a prescription data input program 21 for inputting prescription data for packaging delivered from the prescription analyzer 11 and its program processing one after another. A prescription data holding area 22 for holding a plurality of inputted prescription data, and a packing instruction for the medicine packing machines 15a, 15b and 15c and a packing instruction for the medicine pre-dispersing device 13 are created based on the prescription data. A packaging instruction creation program 24 is included, and the created packaging instruction is delivered to the corresponding medicine pre-dispersing device 13 and the console 14 connected to the corresponding medicine packaging machine 15.

  When the medicine pre-disposal device 13 (see FIG. 1 (a), Patent Documents 5, 6 and 8) receives a packaging instruction (medicine handing data) for its own device from the packaging management device 12, the packaging instruction is received. In accordance with the above, the pre-handing operation to the pre-handing cassette 16 is guided (see Patent Documents 5 and 6) or the operation command is issued (see Patent Document 8). In addition to making the dispenser or the proxy device perform the information, the information itself specifying the contents of the preliminary preparation or the identification information for accessing the information for specifying the preliminary preparation is written in an electronic tag 18 (verification information carrier) such as an RFID. It is like that. The preliminary burning cassette 16 has a large number of 66 compartments 17, 17,..., For example, in 6 rows and 11 columns (see FIG. 2), but when the compartment 17 is insufficient with only one spare firing cassette 16a. For example, a guide for prompting replacement to another spare-handling cassette 16b and additional spare-handling, and writing to the electronic tag 18 of the spare-handling cassette 16b are also performed.

  The medicine packaging machine 15 (see FIG. 1 (a), Patent Documents 3 to 6 and 8) operates according to the control of the console 14 that has received a packaging instruction for its own machine from the packaging management device 12, and thus In this case, the required amount of packaged medicine to be packaged is discharged and supplied from the corresponding drug feeder while non-packaged About a mounting chemical | medical agent, a required amount is discharged and supplied from the action | operation part of the built-in pre-spreading mechanism (built-in pre-spreading apparatus, for example, refer patent document 5, 6, 8) which is not shown in figure.

  This built-in preliminary punching mechanism is capable of attaching / detaching the preliminary punching cassette 16, and the medicine packaging machine 15 has its electronic tag 18 when the preliminary punching cassette 16 pre-sparing the non-mounted medicine is mounted on the preliminary punching mechanism. From the above, the collation information such as the pre-burning content specifying information and the identification information is read, and the read information is collated with the packaging instruction data to determine whether the pre-burning cassette 16 is appropriate. The non-mounting medicine is collectively transferred to the operating part of the preliminary rolling mechanism to prepare for automatic packaging based on the packaging instruction.

  The packaging management program 20 of the packaging management device 12 (see FIG. 1B) includes the above-described prescription data input program 21, prescription data holding area 22 (prescription data holding means), and a packaging instruction creation program 24 (pharmaceutical hand). In addition to the sowing data creation means), prescription detail data 23 (prescription detailing means) is also provided. Among them, the prescription data input program 21 and the prescription data holding area 22 need only exhibit the above-described general function, and may be embodied by a known method. The packaging process in the packaging machine 15, the preliminary sowing in the medicine preparatory device 13, and the packaging instruction for them are also modified in response to the processing unit being subdivided from the prescription data unit to the application unit. It has become.

  More specifically, the prescription detailed data 23 has already been used for the prescription data held in the prescription data holding area 22 for the packing instruction creation processing S3 (creation of drug handing data) of the packaging instruction creation program 24. Partial data and partial data that have not been used yet are shown separately by application unit (see FIG. 1 (b), dashed line), and from the unused partial data (see below the dashed line) If the packaging instruction creating process S3 for selecting a suitable drug and using the used partial data (see the upper side of the one-dot chain line) is applied to all the prescription data containing the unused partial data, the application time is indicated. Although it is embodied in one shared data, it is not limited to a batch, and if other processing such as interrupt packaging processing is inserted in between, each prescription data is associated with each corresponding one Application time It is embodied in a set of multiple data shown.

  Whether or not the medicine is suitable for application is determined depending on whether it is distributed at the same time or at another time in preparation for application for some drugs carved by application unit. For example, if a large number of hospitalized patients are being given a daily dose of medicine that is scheduled to be applied on the same day, the daily dose of the drug for that day is a drug that matches the time of application. Different drugs are not drugs with the correct application time. Also, for a large number of hospitalized patients, the drug scheduled to be applied in the morning is distributed the night before or early morning, the drug scheduled to be applied in the day is distributed in the morning, the drug scheduled to be applied in the evening is distributed in the afternoon, and the drug scheduled to be applied in the evening In the evening, the medicines applied in the morning are the medicines with the correct application time, the drugs applied in the morning are the drugs with the appropriate application time, and the drugs applied in the evening are the drugs with the appropriate application time. The medicines applied are also suitable for the time of application, and the medicine applied in the morning and the medicine applied other than in the morning, and the medicine applied in the daytime and the medicine applied in the time other than the day must not be the drugs with the appropriate time of application. become.

  The packaging instruction creation program 24 (see FIG. 1B) first selects a prescription instruction to be used for creating a packaging instruction from the prescription data holding area 22 (step S1). Therefore, a prescription instruction is selected based on application standards from prescription data held in the prescription data holding area 22. When there is only one prescription data held in the prescription data holding area 22, the same prescription data is processed continuously even if the processing unit of the packing instruction is not subdivided. Since the instruction is created, the selection of the prescription instruction on the basis of application may be limited when a plurality of prescription data is held in the prescription data holding means 22, but in this example, the prescription data is not included for simplicity. It is supposed to be done at one time.

  Selection based on application standards is performed for all prescription data held in the prescription data holding area 22 or for all prescription data in which at least unused part partial data that has not been used yet in the packaging instruction creation process remains. This is done by selecting a drug (see the portion sandwiched between the one-dot chain line and the two-dot chain line in the figure) having the correct application time from the partial data that is regarded as unused partial data in the prescription detail data 23. At this time, depending on the criteria for determining that the application time does not match, for example, when the application time is in the morning, only one medicine for each application is selected from each prescription data. In some cases, drugs for multiple applications may be selected from each prescription data, but in any case, drug selection / non-selection is separated by application unit (in the figure). (The one-dot chain line and the two-dot chain line are located at the application boundary).

  When the data selection of the medicines to be packaged with the appropriate application time is completed, the packaging instruction creation program 24 then selects the data for each ward if possible so that the post-packaging drugs can be easily distributed. Sorting by sort order such as by room, by patient, or by patient, and making a packaging instruction for the packaging machine. Then, at this stage, the packaging instruction for the packaging machine that still remains in the main data is divided into appropriate sizes and the medicine packaging machine 15a , 15b, 15c (step S2). At that time, the medicine packaging machine 15 having a large number of mounted medicines and a small number of non-mounted medicines is preferentially allocated, but the work load is distributed so that the allocation destination is not limited to a specific medicine packaging machine 15. .

  After deciding the distribution of the packaging instruction for the packaging machine, the packaging instruction creating program 24 (step S3), for all the medicine packaging machines 15 that are the allocation destination, the main part of the allocated part packaging instruction for the packaging machine After adding identification information of the medicine packaging machine 15 to be assigned to the data and completing the packaging instruction data for the packaging machine, the packaging instruction data for the packaging machine is sent to the console 14 connected thereto. , The portion related to the non-implemented medicine of the assigned medicine packaging machine 15 is extracted from the packaging instruction data for the packaging machine and used as the preliminary packaging instruction (medicine handing data). It is intended to be handed over to the device 13.

In addition, when extracting the preparatory packaging instruction (medicine handing data) from the packaging instruction for the packaging machine, the order of the prescription instructions is maintained so that the drug packaging machine 15 can grasp the correspondence between the two later. In addition, if necessary or convenient, appropriate information indicating a correspondence relationship such as a correspondence mark common to the both is added.
Then, the packaging instruction creation program 24 (step S4) advances the destination indicated by the prescription detail data 23 by the amount used for the data processing of those packaging instructions (in the figure, two points from the one-dot chain line) Change the prescription destination to the chain line).

Further, the dispensing system 10 can also perform an interrupt process. In order to cope with changes or additions to prescriptions for patients whose physical condition has suddenly changed, interrupt processing that changes the order in prescription units (see Patent Document 2, for example), repackaging that changes the order in parcel units This process can also be performed (see, for example, Patent Document 4).
Specifically, before the packaging instruction data is distributed to the medicine packaging machine 15, it is dealt with by performing the same processing as the normal processing by the packaging management device 12 or the like.

Even after distributing the packaging instruction data to the medicine packaging machine 15, the instruction data for printing the change mark on the packaging before the change if the medicine packaging machine 15 has not yet started the packaging. The stamp data and additional and changed packaging instruction data are sent to the medicine packaging machine 15. At that time, the distributed data is normally packaged for the distributed data, and the added / changed packages are created following the end of the series of previously packaged packages.
In addition, when the drug to be manually handled is included in the added / changed portion, whether to process with the drug preparatory device 13 or the built-in preparatory mechanism (not shown) of the drug packaging machine 15, for example, the work amount You can also choose the one that is convenient for you.

After the medicine packaging machine 15 starts packaging based on the sorted packaging instruction data, since the printing process or the like according to the above-mentioned stamp data cannot be surely performed, automatic packaging by the medicine packaging machine 15 is performed. To give up, the processing in the dispensing system 10 is merely to transmit the journal data for printing the dispensing instruction relating to the added / changed medicine to the medicine packaging machine 15. By issuing dispensing instructions, workers and auditors are notified of the details of additions and changes, and processing is entrusted.
After the completion of the packaging, the audit information used in the final audit is provided to an audit department (not shown).

About the dispensing system 10 (the medicine handing data processing apparatus and the medicine handing data processing program) of the first embodiment, its use mode and operation will be described with reference to the drawings.
FIGS. 3A to 3C and FIGS. 4A to 4B are examples of a series of packaging.

Here, it will be described how medicine packaging is performed under the operation in which a medicine prescribed by a doctor is distributed to a large number of inpatients three times each morning, noon and night.
When the prescription data is created by the prescription ordering system or the like, it is successively sent to the prescription analyzer 11, and prescription data relating to the medicine packaging that can be dispensed by the medicine packaging machine 15 is included in the prescription analyzer 11. Is delivered to the packaging management device 12 for use in creating packaging instruction data.

  The processing in the packaging management device 12 at that time will be described in detail. Since the medicine to be distributed in the morning needs to be packaged early in the morning or late in the previous day, the execution of the packaging instruction creation program 24 is performed earlier than that. From one or a plurality of prescription data held in the prescription data holding area 22, more specifically, from partial data unused in the prescription detailed data 23 of each prescription data to the morning of the day The data of the medicines to be packaged that are suitable for the application in terms of being distributed to the corresponding ward of the corresponding ward and used by the patient in the morning are selected in application units (step S1). ).

  Then, the selection data is rearranged appropriately to create the main part of the packaging instruction for the packaging machine, and the packaging instruction is further distributed to the plurality of medicine packaging machines 15 (step S2). The packaging instruction data for the packaging machine 15 for each packaging machine 15 is completed and transmitted to the operation console 14 of the assigned medicine packaging machine 15, and the preliminary packaging instruction data for the preliminary medicine delivery device 13 (pharmaceutical handing data). ) Is extracted and created, and transmitted to the medicine pre-dispersing device 13 (step S3).

  Even if the transmission destinations are different in this way, since the corresponding preparatory packaging instruction data and the packaging instruction data for the packaging machine include the identification information of the same medicine packaging machine 15, etc. As a result, the state in which the compatibility between the pre-sowing cassette 16 and the medicine packaging machine 15 can be understood is maintained. Then, the data indicated by the prescription detail data 23 is advanced by the amount used for the data processing (step S4). The creation / distribution processing of the instruction data (drug handling data) is completed.

  When the packaging instruction data becomes available on the dispensing device, it happens that the packaging instruction data for the packaging machine was created based only on the prescription instructions for the mounted drug, but the preliminary packaging instruction data (medicine handing data) was created. In the medicine packaging machine 15 to which the packaging instruction data that has not been assigned is allocated, the medicine packaging can be started quickly without waiting for the preliminary sowing. The medicine packaging machine 15 to which the packaging instruction data for the packaging machine corresponding to the instruction data (pharmaceutical handing data) is allocated, completes the corresponding pre-soaking operation and mounts the pre-soaked pre-soaking cassette 16 on its own machine. Wait and start the medicine package.

  Although the pre-soaking to the pre-soaking cassette 16 using the medicine pre-soaking device 13 may be the same as a known method (see, for example, Patent Documents 5, 6, and 8), the medicine handing data is applied from the prescription unit. Since it has been changed to the unit and the prescription is fragmented, manual handling according to the guidance of the drug handing device based on the drug handing data and automatic handing of the drug handing agent device are performed, The non-mounting medicine is applied to the pre-sowing cassette 16 in a prescription manner. In other words, one pre-handling cassette 16 is not limited to one prescription or one patient, and if there is a non-implemented drug scheduled to be applied on the morning of the day, it is distinguished whether there is a single prescription or multiple patients. Without doing so, the corresponding drug is dispensed in one or a series of pre-sowing cassettes 16.

  For example, if there are 1 tablet, 2 tablets, 1 tablet, 1 tablet, 0 tablet, and 1 tablet for preparatory drugs to be used on the morning of the prescription for 6 patients, the specified number in that order. Are placed in the pre-sowing cassette 16. In addition, as the manual guidance at that time, “drug name: 1-2-1-1-0-1”, “drug name: 1 each of mass Nos. 1, 3, 4, and 6 tablets, mass NO. “2 tablets each 2” is displayed. When pre-spreading into the pre-spraying cassette 16a in which 66 compartments 17 are formed in a 6-row 11-column arrangement, starting from the right rear compartment 17 and rolling the right end column, the process proceeds to the left adjacent column and finally the left front If the compartment 17 is still not enough, the next-stage pre-soaking cassette 16b is handed over. When a single spare firing cassette 16 is divided into a plurality of spare firing cassettes 16, information indicating the number of spare firing cassettes 16 is additionally written to the electronic tags 18 of those spare firing cassettes 16. Thus, it can be seen that the plurality of preliminary firing cassettes 16 are a series.

  After the preliminary whispering cassette 16 having been preliminarily fired is transported from the medicine preparatory device 13 to the medicine packaging machine 15, the medicine spare of the corresponding medicine packaging machine 15 among the medicine packaging machines 15a, 15b and 15c. When it is mounted on the punching mechanism, the data of the electronic tag 18 of the preliminary punching cassette 16 and the data of the medicine packaging machine 15 are collated to confirm the suitability and order of the cassette mounting. The automatic packaging based on the directed packaging instruction data is performed (for example, Patent Documents 1, 3 to 6, 8), and the medicine mounted on the medicine packaging machine 15 instructed to be applied at the same time and the pre-soaked medicine in the pre-soaking cassette 16 A sachet 30 enclosed with is completed.

Since the sachet 30 is made one after another without changing the pre-disposal cassette 16 for each patient, the downtime of the medicine sachet 15 is small and the operation rate is high.
In addition, such a package 30 is made by one connection (see FIG. 3A). It may be cut to an appropriate length that is easy to handle, but basically a large number of sachets 30 are arranged in the order of application time, ward, ward, and patient, so many related to drugs used in the morning The sachet 30 is collected in one lump or a small lump for each ward or ward group.

  Then, after the final audit, those parcels 30 are transported to the ward of the corresponding ward by the morning of the day (for example, Patent Document 7) and distributed to each patient. Since it is not wrapped, it is arranged in the order of the ward and ward, and the patient name and application time etc. are printed for each sachet. Since most of the distribution places follow the order of distribution as well as the medicines, a large number of parcels 30 can be distributed easily and quickly.

In this way, among the medicines prescribed for each patient, the medicine scheduled to be used on the morning of the day is efficiently distributed to each patient by the morning and used for each patient in the morning.
Detailed explanations that will be repeated will be omitted, but in the same way, among the drugs prescribed for each patient, the drugs scheduled to be used at noon on the day (see FIG. 3 (b)), each of them efficiently by noon. It is distributed to patients and used by each patient in the daytime. Similarly, among the drugs prescribed for each patient, drugs scheduled to be used on the night of that day (see FIG. 3 (c)) are distributed efficiently to each patient by night, and at night, Used for each patient.
In this way, it is only necessary to distribute the parcel 30 transported just before that in the morning, noon, and night, and since it is not necessary to store temporarily for the later time, it is easy to manage the packaged medicine.

  The above is an example of packaging in normal processing without interrupts, but a packaging example with interrupt processing is also described. Although the packaging instruction data has already been allocated to the medicine packaging machine 15, some prescription instructions are changed before the medicine packaging machine 15 starts the packaging operation, and the changed content is the packaging of the medicine packaging machine 15. State the situation reflected in the content. First, if there is no change in the prescription instructions, the package 30 containing the medicine used by the patient A in the morning, the package 30 of the medicine used by the patient B in the morning, and the medicine used by the patient C in the morning. A package 30 (31 is attached when specifying only by a symbol), a morning medicine pack 30 for patient D, a morning medicine package 30 for patient E, and a morning medicine package 30 for patient F Are supposed to be connected in that order (see FIG. 4A).

  In this situation, if the prescription change is to change the morning use medicine of patient C, the package 31 of patient C's morning use medicine is affected by the prescription change in the series of packs 30, and the encapsulated medicine is changed. Although it is necessary to change, there is a risk of changing the packaging instruction data that has already been distributed, even if possible. For this reason, the distribution instruction data that has already been distributed is basically subjected to normal processing packaging by the medicine packaging machine 15, but two special processes are added thereto. Specifically, as shown in FIG. 4B, a change mark 31a is additionally printed when the packaging 31 is printed, and the amount of medicine that is to be used by the patient C on the morning of the day due to the prescription change A package 32 is added to the end of the series of packages 30. Then, when the parcel 30 is separated and distributed or before application, the parcel 31 with the change mark 31 a is discarded, and the parcel 32 without the change mark 31 a is used instead of the parcel 31. The

[Others]
In the above embodiment, the drug handling data processing device and the packaging management program are centrally mounted on the packaging management device 12, but may be centrally mounted on other devices or distributedly mounted on a plurality of devices. good.
In the above embodiment, the prescription ordering system or the like is an external device, but the prescription ordering system or the like is also considered as a part of the dispensing system, and the prescription data holding area 22 and the prescription detailing data 23 are provided in the prescription ordering system or the like. May be.

  In the above embodiment, when the prescription analysis device 11 delivers the prescription data to the packaging management device 12, the prescription data is delivered in a prescription unit, but the method of delivering the prescription data is not limited thereto. For example, after prescribing prescription data by application unit such as one day or morning, day, night, etc., if there are multiple prescription data, separate partial data for one day or application time related to multiple prescription data at once You may make it hand over.

  In the above embodiment, the processing using stamp data and journal data is performed at the time of interrupt processing after the distribution of the packaging instruction data, but in addition or instead, the medicine packaging machine 15 sends an alert notification. You may make it do.

  The drug handing data processing apparatus of the present invention can be applied to a system having only one medicine packing machine 15, a system having more medicine packing machines 15, or a system having a plurality of medicine pre-spreading apparatuses 13. Also, the present invention can be applied to a system that does not have the medicine pre-dispersing device 13 and can perform the pre-spreading only with the built-in type pre-dispersing device.

10 ... Dispensing system, 11 ... Prescription analyzer,
12 ... Packaging management device (medicine handling data processing device),
13 ... Preliminary drug dispensing device, 14 ... Console,
15, 15a, 15b, 15c ... medicine packaging machine,
16, 16a, 16b ... preliminary sowing cassette,
17 ... compartment, 18 ... electronic tag (verification information carrier),
20 ... Package management program (drug handling data processing program),
21 ... Prescription data input program, 22 ... Prescription data holding area,
23 ... Prescription details data, 24 ... Packaging instruction creation program,
30, 31, 32 ... Package, 31a ... Change mark

Claims (2)

  A prescription data holding unit capable of holding a plurality of inputted prescription data, and a drug hand for creating drug handing data related to a drug to be preliminarily dispensed in a preparatory cassette based on the prescription data held in the prescription data holding unit In the drug handing data processing device provided with the whispering data creating means, the partial data already used for creating the medicine handing data and the parts not yet used for the prescription data held in the prescription data holding means Prescription detailing means for separating and showing data in application units, and when the prescription data holding means holds a plurality of prescription data in the prescription data holding means, the prescription data From the partial data that is not used by the detailing means, apply the data of the pre-sprayed target drug that is suitable for the application period. Selected at the unit, so as to create the drug manually prepared data based on these selected data, I drug manual preparation data processing apparatus am according to claim.   The computer has already prepared prescription data holding means capable of holding a plurality of inputted prescription data, and preparation of drug manual data relating to a medicine to be preliminarily dispensed in a preparatory cassette for the prescription data held in the prescription data holding means. Prescription detailing means for separating used partial data and partial data not yet used in application units, and when a plurality of prescription data is held in the prescription data holding means, for the plurality of prescription data, From the partial data that is not used by the prescription specifying means, data of a preparatory drug to be applied and a drug that is suitable for application is selected in application units, and the drug manual data is selected based on the selection data. A drug manual data processing program for functioning as a drug manual data creation means to be created.

Images