JP2018063516A - Medicine inventory management system and medicine inventory management method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To optimize a circulation unit of a medicine in response to a consumption pattern or the like of the medicine in a medical institute or the like so as to achieve improvement of a cash flow of the medical institute, optimal inventory retention, improvement of treatment efficiency, reduction of preparation work cost and improvement of medical security in a medicine inventory management system for remotely capturing and recording environmental conditions of the medicine during transportation or storage.SOLUTION: The medicine inventory management system includes: environment maintenance storage means for storing a medicine while maintaining environmental conditions of the medicine; storage environment detection means for acquiring information on the environmental conditions in the environment maintenance storage means; storage state detection means for detecting the storage of the medicine by the environment maintenance storage means; environment maintenance transportation means for transporting the medicine while maintaining the environmental conditions; transportation environment detection means for acquiring information on the environmental conditions in the environment maintenance transportation means; transportation state detection means for detecting the transportation of the medicine by the environment maintenance transportation means; and change information providing means for providing change information to change a package unit of the medicine in response to a consumption pattern or the like in a medical institute or the like.SELECTED DRAWING: Figure 6

Description

  The present invention relates to a pharmaceutical inventory management system and a pharmaceutical inventory management method.

  In recent years, the handling volume of medicines called specialty medicines such as anti-cancer agents, hemophilia treatment agents, biopharmaceuticals, plasma fractionation products, vaccine preparations, companion diagnostics, rare disease preparations, and regenerative medicine products has increased. It has increased. These specialty medicines often require ambient environment management including strict temperature management such as 2 to 8 ° C., 15 to 25 ° C., and 0 ° C. or less, and high traceability. On the other hand, since these pharmaceutical products tend to have characteristics such as difficulty in demand forecasting and short expiration dates, they are used in medical institutions and insurance pharmacies (hereinafter collectively referred to as medical institutions, etc.). Drugs are often not consumed as scheduled. In addition, these pharmaceutical products tend to be expensive.

  Under these circumstances, medical institution, etc., has become a problem with the above-mentioned pharmaceutical inventory management and traceability management workload, and worsening cash flow due to an increase in fixed and discarded inventory. Responses to urgent delivery requests from customers, etc., and increased costs related to inventory management have become issues. In addition, when a distributor or insurance pharmacy accepts a drug that is immovable or surplus at a medical institution, there is a clear basis for determining whether the medical institution or the like has been appropriately controlled (temperature management, etc.). In particular, there is a situation in which the processing of fixed drugs or surplus drugs does not proceed smoothly even among medical institutions, etc., especially for drugs in the specialty area.

  However, pharmaceutical manufacturers and distributors grasp and record in real time the medical environment, insurance pharmacies, patient homes and inhabited facilities, and the surrounding environment of the above-mentioned pharmaceuticals while moving, and distribute and receive the results. At present, it cannot be said that the system and method for linking with the ordering / returning / billing system are well established.

  Many of the above-mentioned pharmaceuticals often have a standard unit such as one vial, one ampule, one kit, etc. as a packaging unit at the distribution stage. However, in this packaging unit, there are packaging units composed of a plurality of standards, and after opening the packaging unit package in medical institutions, etc. There is also a problem that leads to disposal.

  In addition, in the above-mentioned pharmaceuticals, there are cases where they are used alone, but there are many cases where a plurality of types of pharmaceuticals are used in combination for each patient based on a treatment plan (regimen or the like) for each disease. In these pharmaceutical preparations, medical staff such as pharmacists and nurses perform mixing work to mix multiple injections and infusions in aseptic dispensing rooms in facilities such as medical institutions. Since this work requires high-level work, there is a risk of disposal due to preparation mistakes, etc., and the work cost increases with the increase in the number of the above-mentioned pharmaceuticals. In addition, there is a need for further improvements in safety management systems, including prevention of medical accidents to patients as well as prevention of worker exposure risks, bacterial infections, and virus infections due to sharing of injection devices.

However, the inventory status and consumption information of medicines including medical institutions and distributors, as well as the patient's home, are integrated, and depending on the packaging unit of the medicine, the package is separated and repackaged into 1 ampule, 1 vial, etc. A system that encodes and manages pharmaceuticals in a form, and a system that improves the medical service by grasping the actual treatment status at the patient's home based on the information, is strict quality control including expensive and temperature management In fact, there are currently no specialty drugs that require traceability.

  In addition, by repackaging the above medicines in a form in which mixing work has been completed for each patient or regimen from the distribution stage and supplying it to the medical institution or patient's home, reducing the cost of preparation work in the medical institution, There is currently no system to strengthen the safety management system.

Japanese Patent No. 3639408 JP-T-2006-503206 Japanese Patent No. 4316129 JP 2006-48500 A JP 2003-242223 A

  The present invention has been made to solve the above-mentioned problems, and its purpose is to provide a pharmaceutical inventory management system for remotely grasping and recording the environmental conditions of pharmaceuticals during transportation and storage, and for pharmaceuticals in medical institutions, etc. Depending on the consumption mode, etc., optimize the packaging unit in the distribution stage of pharmaceuticals, improve the cash flow of medical institutions, hold appropriate inventory, improve treatment efficiency, reduce preparation work costs, and improve medical safety Is to realize.

The present invention has been made to solve the above-mentioned problems, and environmental maintenance storage means for storing a pharmaceutical while maintaining the environmental conditions according to the pharmaceutical;
Storage environment detection means for acquiring information on the environmental conditions in the environment maintenance storage means;
Storage state detection means for detecting that the medicine is stored by the environmental maintenance storage means;
An environmental maintenance transport means capable of transporting the medicine while maintaining environmental conditions according to the medicine; a transport environment detection means for acquiring information on the environmental condition in the environmental maintenance transport means;
Transport state detection means for detecting that the medicine is being transported by the environmental maintenance transportation means, and the medicine until the medicine is delivered from the environmental maintenance storage means installed in a medical institution or the like. A pharmaceutical inventory management system that acquires historical information on transportation and storage conditions and historical information on environmental conditions,
The pharmaceutical product, when shipped from a pharmaceutical manufacturer that manufactures the pharmaceutical product, is a packaging unit in which a predetermined number of standard units of the pharmaceutical product are gathered and transported and stored,
A pharmaceutical inventory management system, further comprising change information providing means for providing change information for changing a packaging unit of the medicine according to a consumption mode or the like in the medical institution or the like.

  Here, as described above, strict ambient environment management is required for specialty medicines. And since it is difficult to guarantee the quality of a pharmaceutical that has been exposed to an environment that deviates from the environmental conditions required for the pharmaceutical, it may be difficult to use it in a medical institution or the like.

On the other hand, the pharmaceutical inventory management system according to the present invention includes an environmental maintenance storage means for storing pharmaceuticals while maintaining predetermined environmental conditions, and a storage environment detection means for acquiring information on the environmental conditions in the environmental maintenance storage means, Storage state detection means for detecting that the medicine is stored by the environmental maintenance storage means, environmental maintenance transportation means for transporting the medicine while maintaining the predetermined environmental conditions, and information on the environmental conditions in the environmental maintenance transportation means A transportation environment detection means for acquiring and a transportation state detection means for detecting that the medicine is being transported by the environmental maintenance transportation means.

  In other words, it is premised that the medicine is stored in an environmental maintenance storage means for storing the medicine while maintaining the environmental conditions according to the medicine. Then, the environmental conditions in which the drug is required by the information from the storage environment detection means for acquiring information on the environmental conditions in the environmental maintenance storage means and the storage state detection means for detecting that the medicine is stored by the environmental maintenance storage means. Information on the time of exposure to an environment that is out of the range and the extent to which it is out of the required environmental conditions is obtained, and based on this information, it is determined whether or not the medicine can be used.

  Moreover, in this invention, it is premised on conveying a pharmaceutical by the environmental maintenance transport means which transports, maintaining the environmental conditions according to this pharmaceutical. Then, the environmental conditions where the drug is required by the information from the transport environment detection means for acquiring information on the environmental conditions in the environmental maintenance transport means and the transport state detection means for detecting that the medicine is transported by the environmental maintenance transport means Obtain information about the time of exposure to the environment outside of the environment and the extent to which it is outside the required environmental conditions, and determine whether or not the drug can be used in consideration of this information.

  With these configurations, it is possible to objectively evaluate degradation of pharmaceutical quality based on clear data, and determine whether pharmaceuticals can be used or returned based on an accurate basis from the perspective of maintaining quality. It becomes possible to do. In the present invention, the environmental conditions include, for example, ambient temperature, humidity, illuminance, atmospheric pressure, impact, vibration, and the like.

  Further, in the present invention, the pharmaceutical product is a packaging unit that is a unit for transportation and storage by gathering a predetermined number of standard units of the pharmaceutical product when shipped from a pharmaceutical manufacturer that manufactures the pharmaceutical product. . Here, the standard unit refers to a unit such as 1 vial, 1 ampoule, or 1 kit. That is, in the present invention, when a pharmaceutical product is shipped from a pharmaceutical manufacturer, a predetermined number of vials, ampoules, and kits are collected and packaged as a packaging unit.

  Usually, pharmaceuticals are transported and stored based on the above packaging units (ie, packages), the packages of each packaging unit are opened at medical institutions, etc., and divided into standard units such as vials and ambles before the pharmaceuticals are collected. used. However, depending on the use mode (including consumption) and the regimen of a pharmaceutical in a medical institution, it may not be desirable for the medical institution or the like to be delivered as a packaging unit at the time of shipment from a pharmaceutical manufacturer.

  On the other hand, in this invention, the change information provision means which provides the change information for changing the said pharmaceutical which concerns on the said packaging unit according to the consumption aspect etc. in the said medical institution etc. is provided. That is, the optimal new standard unit number and / or packaging unit number is derived from information such as the consumption mode of the pharmaceutical in a medical institution and information on the standard unit and / or packaging unit at the time of pharmaceutical manufacturer shipment, Provide the change information. Thus, for example, in the case of a distributor, based on the change information, the standard unit and / or packaging unit of the pharmaceutical product at the time of shipment from the pharmaceutical manufacturer is changed so that the optimal number of standard unit and / or packaging unit pharmaceutical products are included. Can be changed. As a result, it becomes possible to supply a more appropriate amount of pharmaceuticals according to the consumption mode of a medical institution or the like.

Further, according to the present embodiment, when changing the medicine related to the packaging unit according to the consumption mode in the medical institution, etc., the consumption mode of the pharmaceutical in the medical institution, etc. by the change information providing means Using the detection information from the storage environment detection means, the storage state detection means, the transport environment detection means, and the transport state detection means, together with the information of the standard and / or packaging unit information at the time of shipment of the pharmaceutical manufacturer, The packaging unit of medicines can be changed. If it does so, it is possible to perform the quality guarantee of the pharmaceutical which concerns after the change of a specification unit and / or a packaging unit more reliably.

  Moreover, in this invention, you may make it the said change information provision means provide the division | segmentation information for dividing | segmenting the packaging unit of the said pharmaceutical according to the consumption aspect etc. in the said medical institution. Here, depending on the mode of use (including consumption) and the regimen of pharmaceuticals in medical institutions, etc., even if they are supplied as packaging units at the time of shipment from pharmaceutical manufacturers as medical institutions, all of the supplied pharmaceuticals It may not be necessary. In such a case, the remaining medicines are stored for a long time in an environmental maintenance storage means such as a medical institution, and as a result, there is a case where a waste such as the expiration of the expiration date and disposal occurs.

  On the other hand, in the present invention, the change information providing means divides the pharmaceutical product related to the packaging unit into packaging units including a smaller number of standard units according to the consumption mode in the medical institution or the like. Provide information. That is, an optimal new number of packaging units is derived from information on the consumption mode of the pharmaceuticals at a medical institution or the like and information on packaging units at the time of pharmaceutical manufacturer shipment, and the division information is provided. Thereby, for example, a distributor can divide a medicine packaging unit at the time of shipment from a pharmaceutical manufacturer based on the division information and change the medicine so that an optimal number of standard medicines are included. As a result, it is possible to prevent the inconvenience that the medicine is wasted in a medical institution or the like. The division information in the above can be said to be an example of change information of the present invention.

  Further, in the present invention, the change information providing means is combination information for changing the packaging unit by combining an appropriate number of the standard units in a plurality of types of the pharmaceuticals according to the consumption mode in the medical institution or the like. May be provided.

  Here, in the case of treatment of a specific disease, for example, cancer, in a medical institution or the like, a specific pharmaceutical may be combined and administered in accordance with a medical guideline called a regimen. In such a case, as a medical institution or the like, a plurality of types of drugs as described above are set (including drugs such as infusions prepared in advance by mixing) rather than a package of one type of drugs. May be desirable from a cost and therapeutic efficiency and medical safety perspective. Assuming such a case, in the present invention, the change information providing means combines the appropriate number of the standard units in a plurality of types of the pharmaceuticals according to the consumption mode in the medical institution, etc. Provided combination information to change.

  As a result, a pharmaceutical set can be provided in a form closer to the mode used in a medical institution or the like along the regimen, and preparation cost in the medical institution etc. can be reduced, treatment efficiency can be improved, and medical safety can be improved. In addition, it is possible to prevent some standard units of pharmaceuticals from being surplus and being wasted. The combination information here is an example of the change information of the present invention.

Further, in this case, when changing the packaging unit by combining an appropriate number of the standard units in a plurality of types of medicines, together with the combination information by the change information providing means, storage environment detection means, storage state detection means The medicines can be combined using the detection information from the transport environment detection means and the transport state detection means. Then, for example, it is possible to optimize the expiration date as a set by combining the periods until the expiration date of the combined medicines. In addition, when combining medicines, it is easier and more reliable to guarantee the quality of a medicine set, such as removing medicines that have been stored out of environmental conditions from the combination and combining them with other lots of medicines. Can be done.

Further, in the present invention, the storage state detection means and the transport state detection means include an identification element attached to the medicine and a reading sensor that reads a predetermined signal from the identification element,
The identification element may be attached to the medicine in the changed packaging unit. That is, if the packaging unit of a pharmaceutical product is changed during the distribution process of the pharmaceutical product, for example, if the packaging unit of the pharmaceutical product is divided or combined with a standard unit, the identification element is attached to the new packaging unit. And Thereby, it becomes possible to collectively manage the history of transportation and storage and the management of environmental conditions for the medicines in the changed packaging unit.

  According to this, it is possible to determine whether or not the required environmental conditions are maintained for a pharmaceutical or pharmaceutical set in a more desirable mode for a medical institution, etc., and to determine whether or not the medical or pharmaceutical set can be used in the medical institution or the like. It can be made easy.

  In the above description, the present invention is specified as a pharmaceutical inventory management system having means for providing information for changing the packaging unit of a pharmaceutical. However, the present invention may be specified as a pharmaceutical inventory management method using the above pharmaceutical inventory management system.

That is, the present invention comprises an environmental maintenance storage means for storing a pharmaceutical while maintaining the environmental conditions according to the pharmaceutical,
Storage environment detection means for acquiring information on the environmental conditions in the environment maintenance storage means;
Storage state detection means for detecting that the medicine is stored by the environmental maintenance storage means;
An environmental maintenance transport means capable of transporting the medicine while maintaining environmental conditions according to the medicine; a transport environment detection means for acquiring information on the environmental condition in the environmental maintenance transport means;
Transport state detection means for detecting that the medicine is being transported by the environmental maintenance transportation means, and the medicine until the medicine is delivered from the environmental maintenance storage means installed in a medical institution or the like. A drug inventory management method using a drug inventory management system that acquires history information on transportation and storage conditions and history information on environmental conditions,
The pharmaceutical product, when shipped from a pharmaceutical manufacturer that manufactures the pharmaceutical product, is a packaging unit in which a predetermined number of standard units of the pharmaceutical product are gathered and transported and stored,
The pharmaceutical inventory management method may be characterized in that the packaging unit of the pharmaceutical is changed according to the consumption mode in the medical institution or the like.

  Further, the present invention may be the above-described pharmaceutical inventory management method, wherein the pharmaceutical packaging unit is divided according to the consumption mode in the medical institution or the like.

  The present invention also relates to the above-mentioned pharmaceutical product, characterized in that the packaging unit of the pharmaceutical product is changed by combining an appropriate number of the standard units in a plurality of types of the pharmaceutical product according to the consumption mode in the medical institution or the like. It may be an inventory management method.

  In the present invention, the storage state detection means and the transport state detection means include an identification element attached to the medicine and a reading sensor that reads a predetermined signal from the identification element, and the identification element is the change The above-mentioned pharmaceutical inventory management method may be applied to a pharmaceutical product in a packaged unit.

  In the present invention, the above means can be used in combination as much as possible.

  According to the present invention, in a pharmaceutical inventory management system that remotely grasps and records the environmental conditions of pharmaceuticals during transportation and storage, the packaging unit of the pharmaceuticals is optimized according to the consumption mode of the pharmaceuticals in medical institutions, etc. It is possible to improve the cash flow of medical institutions, retain appropriate inventory, reduce preparation work costs, improve treatment efficiency and medical safety.

It is a figure which shows the aspect of distribution of the conventional pharmaceutical. It is a figure for demonstrating the system configuration | structure of the pharmaceutical stock management system used as the premise of the Example of this invention. It is a figure which shows the outline of the hardware constitutions of the basic server in the Example of this invention. It is a flowchart which shows the first half part of the process of the possibility determination of returned goods used as the premise of the Example of this invention. It is a flowchart which shows the second half part of the process of the return | returnability determination which is a premise of the Example of this invention. It is a figure which shows the outline of the distribution | circulation mode of the pharmaceutical and information in the Example of this invention. It is a flowchart which shows the change information provision routine in the Example of this invention. It is a functional block diagram of the pharmaceutical stock management system in the Example of this invention. It is a figure which shows the outline of the 2nd distribution aspect of the pharmaceutical and information in the Example of this invention.

  FIG. 1 is a diagram showing the distribution and claims of conventional pharmaceuticals. In FIG. 1, block 1 indicates a pharmaceutical manufacturer, block 2 indicates a distributor, block 3 indicates a medical institution such as a hospital, a clinic, or an insurance pharmacy. A block 4 indicates a patient who receives treatment or medication at a medical institution 3 or the like (and his / her home). Note that the distributors in FIG. 1 may include all of the traders that intervene between the pharmaceutical manufacturer 1 and the medical institution 3 such as wholesalers and transporters. In addition, the pharmaceutical manufacturer 1 or the insurance pharmacy may play the role of the distributor 2 by itself.

  Conventionally, since the pharmaceutical 5 in the specialty area produced by the pharmaceutical manufacturer 1 requires strict temperature control, it has been purchased by the distributor 2 in a state of being stored in a cold storage container 6 capable of temperature control during movement. . In addition, the medicine 5 is stored in the distributor 2 in a state in which the temperature is controlled in the refrigerated storage 7 until it is sold by the distributor 2. When the sales destination medical institution 3 or the like is decided, the medicine 5 is delivered from the refrigerated storage 7 and transported to the medical institution 3 again while being stored in the cold container 16.

  In the medical institution 3 or the like, the medicine 5 is taken out from the cold storage container 16 and stored in the refrigerated storage 17. Further, when the patient is dosed, the drug is taken out from the refrigerated storage 17 and given. Further, when the medicine 5 is delivered to the patient and is administered by the patient himself / herself in the patient's home 4 or the like, the medicine 5 is delivered from the refrigerated storage 17 of the medical institution 3 and stored in the cold container 36. The patient's home is transported to 4. In the patient's home 4 or the like, the medicine 5 is taken out from the cold container 36 and stored and stored in the refrigerated storage 37. Thereafter, the medicine 5 is delivered from the refrigerated storage 37 and dispensed by the patient as necessary.

  In the distribution mode of the conventional medicine shown in FIG. 1, for example, the pharmaceutical manufacturer 1 is in the distributor 2, the medical institution 3, the patient's home 4, or the distribution route from the medical article manufacturer 1 to the distributor 2. In the distribution channel from the distributor 2 to the medical institution 3 or the distribution channel from the medical institution 3 to the patient's home 4 etc., it was unclear whether or not the temperature management of the medicine 5 was appropriately performed. . Similarly, the distributor 2 is in the medical institution 3 or the patient's home 4 or in the distribution path from the distributor 2 to the medical institution 3 or the distribution path from the medical institution 3 to the patient's home 4 or the like. It was unclear whether or not the temperature control of the pharmaceutical 5 was appropriately performed.

  For this reason, it has been difficult to guarantee the quality of the pharmaceutical 5 in the medical institution 3 or the patient's home 4. In addition, for example, even if the medicine 5 becomes surplus in the medical institution 3 due to the patient's hospital transfer, sudden change in physical condition, death, etc. and a request for return is made, the pharmaceutical manufacturer 1 and the distributor 2 Since it cannot be determined whether or not 5 is usable, there is a case where it is impossible to respond to a return request or resell.

  FIG. 2 shows a distribution mode of the medicine 5 in the medicine stock management system according to the present embodiment for improving the above disadvantages. In FIG. 2, the actual distribution route of the medicine 5 is indicated by a solid arrow, and the information route is indicated by a broken arrow. In the present embodiment, the identification element 5a in which the ID of the medicine 5 is recorded is attached to the medicine 5 (the medicine itself or the medicine packaging). Moreover, the reading sensor 6a which can detect the identification information of the pharmaceutical 5 by the identification element 5a and the temperature sensor 6b which can acquire the internal temperature history information are attached to the cold storage container 6 as an environmental maintenance transportation means. The output signals of the reading sensor 6a and the temperature sensor 6b are transmitted to the information management device 8 by wireless communication and recorded as necessary. Thereby, the information about whether or not the medicine 5 having a predetermined ID is stored in the cold container 6 and the temperature history information in the cold container 6 can be recorded in real time.

  As a result, it is possible to detect that the drug 5 is reliably stored in the cold container 6 during the transfer of the drug from the drug manufacturer 1 to the distributor 2, and it is possible to detect the temperature history in the cold container 6. It has become. Similarly, during the movement of the medicine 5 between the distributor 2 and the medical institution 3 or between the medical institution 3 and the patient's home 4 by the reading sensors 16a and 36a and the temperature sensors 16b and 36b, It can be detected that the medicine 5 is securely stored in the cold containers 16 and 36, and the temperature history in the cold containers 16 and 36 can be detected.

  In the pharmaceutical inventory management system shown in FIG. 2, the identification information of the pharmaceutical 5 by the identification element 5a is also stored in the refrigerated storages 7, 17, and 37 provided in the distributor 2, the medical institution 3 and the patient's home 4 or the like. Are attached, and temperature sensors 7b, 17b, 37b capable of acquiring temperature history information are attached. The output signals of the reading sensors 7a, 17a, 37a and the temperature sensors 7b, 17b, 37b are transmitted and recorded in real time to the information management device 8 by wireless communication. As a result, information on whether or not the medicine 5 having a predetermined ID is stored in the refrigerated storage 7, 17, 27 and the temperature history information in the refrigerated storage 7, 17, 37 can be recorded in real time. It has become.

  In the above description, the identification element 5a and the reading sensors 7a, 17a, and 37a constitute storage state detection means. The identification element 5a and the reading sensors 6a, 16a, and 36a constitute a conveyance state detection unit. Further, the temperature sensors 6b, 16b, and 36b correspond to a transportation environment detection unit. The temperature sensors 7b, 17b, and 37b correspond to storage environment detection means. The refrigerated storages 7, 17, and 37 in the present embodiment are not limited to the box type, and may be a room unit such as a cold room or a floor unit.

Here, the identification element 5a may be, for example, an IC tag or an RFID tag (including both active and passive methods). In this case, the reading sensors 6a, 16a, 36a, 7a, 17a, and 37a are RFID tags. It may be a leader. In addition, the identification element 5a and the reading sensors 6a, 16a, 36a, 7a, 17a, and 37a may be configured by devices capable of short-range wireless communication such as Bluetooth (registered trademark). In addition, the identification element 5a may be a device that emits a magnetic field or light that can be identified by the ID of the medicine 5. In this case, the reading sensors 6a, 16a, 36a, 7a, 17a, and 37a are magnetic sensors or optical devices. It may be a sensor. Furthermore, the identification element 5a does not have to actively transmit a signal such as an electromagnetic field or light, and may be, for example, a label printed with a bar code or a QR code (registered trademark). In this case, the reading sensors 6a, 16a, 36a, 7a, 17a, and 37a may be bar code readers or QR code (registered trademark) readers.

  In addition, as described above, the reading sensors 6a, 16a, 36a, 7a, 17a, 37a and the temperature sensors 6b, 16b, 36b, 7b, 17b, 37b are provided with a communication function, and the information management device 8 has the ID of the medicine 5. The information management device 8 may receive and record the information on the location and the temperature history information in real time, and the information may be received and recorded. 16b, 36b, 7b, 17b, 37b itself, the cold storage containers 6, 16, 36, or the refrigerated storage 7, 17, 37 may be provided with a storage function so that each information can be recorded and accumulated independently.

  In the present embodiment, the distribution process from the medical product manufacturer 1 to the distributor 2 after the pharmaceutical 5 is manufactured, stored, and shipped (purchased from the distributor 2) by the pharmaceutical manufacturer 1 in the above configuration, the distributor 2 in the storage process, the distribution process from the distributor 2 to the medical institution 3, the storage process in the medical institution 3, the distribution process from the medical institution 3 to the patient's home 4, and the storage process in the patient's home 4 The medicine 5 is surely stored in the refrigerated containers 6, 16, 36 or the refrigerated storages 7, 17, 37, and it can be confirmed whether or not appropriate temperature management has been performed.

  In the above, examples of cases where the patient self-administers at the patient's home 4 include cancer, autoimmune disease, hemophilia, rheumatoid arthritis, osteoporosis, growth hormone secretion deficiency short stature and others It is assumed that the patient or his / her family directly administers and manages the pharmaceutical 5 directly at home, such as self-injection in rare diseases or specific diseases. In this case, the pharmaceutical 5 may be subdivided into smaller units, as will be described later, such as one, one tablet or one (in the case of vials, ampoules, syringes, etc.) or the like. A plurality of types of medicines may be packaged in sets.

  In this case, the identification element 5a may be attached to each divided medicine or each divided case, for example. In addition, the cold container 36 in the present embodiment may be smaller than the cold containers 6 and 16. Further, a small case (not shown) is stored in the cold container 36, and the medicine 5 is further stored for each medicine subdivided in the case or in a subdivided case, and the reading sensor 36a is in the small case. It is good also as providing in.

  The refrigerated storage 37 in the patient's home 4 may be smaller than the refrigerated storages 7 and 17. Further, a small case (not shown) is accommodated in the refrigerated storage 37, and the medicine 5 is further accommodated in each case or each subdivided case in the case, and the reading sensor 37a It is good also as providing in a small case. Furthermore, the reading sensor 37a may be provided in a subdivided bag of the medicine 5.

Here, the information management apparatus 8 of FIG. 2 includes a backbone server 8a and an intermediate server 8b as servers for managing information related to the distribution of the medicine 5 in the distributor 2. The core server 8a is information related to processing from the order of the medicine 5 from the medical institution 3 by the distributor 2 to the delivery of the medicine 5 to the medical institution 3, the information on the inventory of the distributor 2, the information on the packaging change and the recall. A server that manages information related to billing processing. It also manages information related to automatic replenishment, withdrawal request, etc. when returning from the medical institution 3.

  On the other hand, the intermediate server 8b receives sales information (sales price, customer information, transaction conditions, etc.), which is information obtained from the core server 8a of the distributor 2, as well as from the cold storage container server 8c and the refrigerated storage server 8d described later. It is a server that manages information. The intermediate server 8b is information related to the ID, location or presence / absence (including positional information during transportation, inventory information in the refrigerated storage 7 and stock information due to withdrawal), etc. from the cold storage container server 8c and the refrigerated storage server 8d. In addition, the processing of the temperature history information and the information related to the return / resale process of the medicine 5 in this embodiment is performed, and sales information and the like are exchanged with the backbone server 8a.

  Furthermore, the intermediate server 8b provides information to the pharmaceutical manufacturer 1 as necessary. For example, information and temperature history regarding the ID, location or presence / absence (including position information during transportation, stocking information in the refrigerated storage 7 and stock information by dispensing), etc. from the cold storage container server 8c and the refrigerated storage server 8d Information is shared between the intermediate server 8b and the pharmaceutical manufacturer 1. Accordingly, it is possible to receive determination, advice, additional information, etc. from the pharmaceutical manufacturer 1 in determining whether or not the pharmaceutical 5 can be used. As a result, it is possible to improve the accuracy of the determination of availability and shorten the period required for the determination.

  The cold storage container server 8c is a server that collects information from the cold storage containers 6, 16, and 36, and receives output signals from the reading sensors 6a, 16a, and 36a and the temperature sensors 6b, 16b, and 36b in real time. ·Remember. For example, in the distribution route of the medicine 5 between the distributor 2 and the medical institution 3 in the present embodiment, more specifically, the container ID and the product identifier ID from the cold storage container 16 to the cold storage container server 8c. , Time information, position information, and temperature history information are transmitted. Further, shocks, network information, etc. may be transmitted. These pieces of information are transmitted from the cold storage container server 8c to the intermediate server 8b owned by the distributor.

  On the other hand, the refrigerated storage server 8d is a server that collects information from the refrigerated storages 7, 17, and 37, and outputs output signals from the reading sensors 7a, 17a, and 37a and the temperature sensors 7b, 17b, and 37b in real time. Receive and store with. For example, in this embodiment, the storage ID, product identifier ID, time information, position information, temperature, network information from the reading sensor 17a of the refrigerated storage 17 of the medical institution 3 to the refrigerated storage server 8d. , Warehousing and consumption information is sent. Then, similar information is transmitted from the refrigerated storage server 8d to the intermediate server 8b owned by the distributor.

  In addition, the place where each server in the information management apparatus 8 is installed is not particularly limited. For example, all the servers 8a to 8d may be installed in the facility of the distributor 2, or, as shown in FIG. 2, the backbone server 8a and the intermediate server 8b are installed in the facility of the distributor 2, and the cold storage container The server 8c may be installed in the facility of the management company of the cold storage containers 6 and 16, and the refrigerated storage server 8d may be installed in the management company of the refrigerated storage 7 and 17. In addition, each server in the information management device 8 is the same line as a system used by a medical institution (electronic medical record, ordering system, receipt processing system, electronic medicine history, electronic medicine notebook, etc.) or an independent line. It may be connected, and the means may be connected by an Internet line or a telephone line. All or some of the servers may be installed on the cloud.

In the above pharmaceutical inventory management system, the temperature management of the pharmaceutical 5 is performed using the cold containers 6 and 16 when the pharmaceutical 5 is moved between the pharmaceutical manufacturer 1 and the distributor 2 and between the distributor 2 and the medical institution 3. However, the environmental maintenance transportation means in the present invention is not limited to this. For example, the medicine 5 may be stored and transported directly in a refrigerator in a refrigerator car, a freezer in a freezer car, a dedicated vehicle for cold storage, a cargo bed of an aircraft, or a ship. However, in this case, it is desirable to manage and record the transfer time and temperature of the medicine 5 between the refrigerator car, the refrigerator car, and the refrigerator storages 7 and 17. The medical institution 3 purchased and returned to the distributor 2 or the pharmaceutical manufacturer 1 of the medicine 5 with the ownership, or the transportation of the medicine 5 from the insurance pharmacy to the insurance pharmacy, etc. It is desirable for the trucking business operator to implement it based on the Road Transportation Law and the Trucking Truck Business Law with facilities and systems. In addition, about the attachment place to the pharmaceutical 5 of the identification element 5a, the manufacturing factory and storage facility of the pharmaceutical manufacturer 1 may be sufficient, and the country is not specifically limited.

FIG. 3 is a schematic configuration diagram showing a hardware configuration of the backbone server 8a. As shown in FIG. 3, the core server 8a includes network interface devices such as a central processing unit (CPU) 80a, a random access memory (RAM) 80b, a hard disk drive (HDD) 80c, such as a network interface card (NIC) 80d. Prepare. The HDD 80c stores an OS (Operating System) and application software programs, and the CPU 80a executes these programs to provide the functions described in this specification. The backbone server 8a does not need to be configured by a single computer, and the backbone server 8a may be realized by a plurality of computers cooperating via a network. The intermediate server 8b, the cold storage container server 8c, and the refrigerated storage server 8d basically have the same hardware configuration.

Next, the flow of the medicine 5 and information and processing in the present embodiment will be described focusing on the distribution between the distributor 2 and the medical institution 3. In the following description, the distributor 2 is described as being divided into an operation center 2a and a distribution center 2b.
<Orders to delivery>
First, the flow from the order of the medicine 5 by the medical institution 3 to the delivery by the distributor 2 will be briefly described. In the medical institution 3 or the like, the number of stocks (set number and ordering points) for various medical products 5 is set and sent to the distribution center 2a of the distributor 2 in the form of a list. This information is transmitted to the backbone server 8a and the intermediate server 8b. Thereby, the target value of the stock quantity in the medical institution 3 is determined. The means for providing this list is not particularly limited, such as telephone, e-mail, and FAX.

  When the medicine 5 is taken out from the refrigerated storage 7 of the medical institution 3 or the like, the information is transmitted to the refrigerated storage server 8d. Further, the information is sent from the refrigerated storage server 8d to the backbone server 8a and the intermediate server 8b. Then, in the intermediate server 8b, the number of orders is calculated based on the inventory setting information, and an order is notified to the medical institution 3 or the like, and a delivery process is performed in the distribution center 2b from the intermediate server 8b via the backbone server 8a. The medicine 5 subjected to the delivery process is stored in the cold container 16 and shipped to the medical institution 3 or the like. At that time, after information related to the ID of the medicine 5 is input to the identification element 5 a, the identification element 5 a is attached to the medicine 5.

  Further, when stored in the cold container 16, information on the ID of the medicine 5 is read by the reading sensor 16 a of the cold container 16 and transmitted to the cold container server 8 c. Furthermore, transmission of the temperature history information in the cold container 16 from the temperature sensor 16a to the cold container server 8c is started. These pieces of information are also transmitted from the cold storage container server 8c to the intermediate server 8b. As a result, the number and types of medicines 5 to be delivered to the medical institution 3 are securely stored in the cold container 16 and the temperature in the cold container 16 is maintained in an appropriate temperature range included in the ID information. It is confirmed that

  When the cold container 16 arrives at the medical institution 3 or the like, the medicine 5 is transferred from the cold container 16 to the refrigerated storage 17. This information is transmitted from the reading sensor 17a of the refrigerated storage 17 to the refrigerated storage server 8d, and is also transmitted from the storage server 8d to the intermediate server 8b and the backbone server 8a. At this time, the inventory quantity of the medical institution 3 in the intermediate server 8b is updated. Thereafter, the temperature history information in the refrigerated storage 17 is transmitted from the temperature sensor 17a to the refrigerated storage server 8d, and further transmitted to the intermediate server 8b. As a result, the number and type of medicines 5 corresponding to the number of stocks set by the medical institution 3 are surely stored in the refrigerated storage 17, and the temperature in the refrigerated storage 17 is included in the ID information. It is transmitted and recorded in real time to the intermediate server 8b that the temperature is maintained within a certain temperature range.

<Use-Billing>
When the medicine 5 is administered to the patient in the medical institution 3 or the like, the take-out person, the processing category, and the patient ID information are input by the input device provided in the refrigerated storage 17 and the medicine 5 is taken out. Then, the information is transmitted to the refrigerated storage server 8d and the intermediate server 8b. At that time, in the intermediate server 8b, information on the use of the medicine 5 is recorded and the inventory quantity is updated. Further, information on the use of the medicine 5 is transmitted to the basic server 8a, and a bill issuance process is performed in units of a billing deadline of each medical institution or the like.

  Next, the flow of return processing in this system example will be described in detail with reference to FIGS. 4 and 5 are flowcharts showing the flow of return processing in this embodiment. The horizontal axis indicates the order of processing. The vertical axis indicates the subject of each process. In the return processing, first, at the medical institution 3 etc., when a request for return of the medicine 5 stored in the refrigerated storage 17 occurs (step S1 in the figure), the medical institution 3 etc. The operation center 2a is notified of a return request. This return request may be started from an active return proposal notification from the distributor 2 to the medical institution 3 or the like, and its means is not particularly limited, such as telephone, e-mail and FAX. Further, the return candidate list may be provided in advance from the operation center 2a of the distributor 2 to the medical institution 3 using means such as telephone, e-mail, and FAX.

  When a return request is received at the operation center 2a of the distributor 2 (step S2), as shown in step S3, the operation center 2a of the distributor 2 is contacted to the distribution center 2b, and an order related to automatic replenishment of the medicine 5 at the distribution center 2b. The point / set number is corrected. That is, in this step, when there is a request for return by the medical institution 3 or the like, it is detected that the medicine 5 has been taken out of the refrigerated storage 17 and the order is not automatically placed for replenishment. Yes. Thereby, as shown in step S4, information such as BOXID (ID for each package of medicine 5), set number, ordering point, product code, etc. is transmitted to the intermediate server 8b and recorded.

  Next, as shown in step S <b> 5, a person in charge belonging to the distribution center 2 b of the distributor 2 goes to the medical institution 3 with the cold container 16. And as shown to step S6, the input about returned goods is performed by the input device of the refrigerated storage 17 installed in the medical institution 3 or the like. This input may be performed by the medical institution 3 as shown in step S7. Then, the person in charge in the distribution center 2b of the distributor 2 takes out the medicine from the refrigerated storage 17 and moves it to the cold container 16 as shown in step S8.

  Then, as shown in step S9, the refrigerated storage server 8d reads time information and identification element data in the refrigerated storage 17 in addition to the BOXID, processing category, and product code of the medicine 5 taken out from the refrigerated storage 17. It is transmitted from the sensor 17a. At that time, the refrigerated storage server 8d performs return registration as shown in step S10.

  Further, as shown in step S11, the BOX ID, the processing classification, the product code, the time information, and the identification element data are also transmitted from the refrigerated storage server 8d to the intermediate server 8b. In the intermediate server 8b, as shown in step S12. The return data is written in the record information memory, and the inventory quantity in the inventory quantity memory is updated as shown in step S13.

  Next, the medicine 5 is moved from the refrigerated storage 17 to the cold storage container 16 and stored therein, and then moves to the distribution center 2b of the distributor 2. Here, even during the movement, information from the reading sensor 16a and the temperature sensor 16b of the cold container 16 is continuously transmitted and recorded in the cold container server 8c and the intermediate server 8b. Then, in the distribution center 2b of the distributor 2, as shown in step S14, the ID of the cold container 16 is input. Then, as shown in step S15, BOXID, time information, identification element data, and the like are transmitted to the cold insulation container server 8c in addition to the temperature history information at the time of delivery from the medical institution 3 or the like to the distribution center 2b of the distributor 2. The

  Next, in the operation center 2a of the distributor 2, the temperature history information is checked as shown in step S16. At that time, as shown in step S17, the temperature history information is stored in the record information memory while being associated with the information received in the cold insulation container server 8c.

  Next, as shown in step S18 in FIG. 5, the distribution center 2b determines whether or not a return (book entry) is possible. Here, in addition to the temperature history information, whether or not the product can be returned is determined based on expiration date information, distribution information, and the like. For example, in the temperature history information, the time when the ambient temperature of the medicine 5 is out of the temperature range (for example, 2 to 8 ° C.) determined by the ID information is 4 hours or less, and the temperature when the temperature is outside is 25 ° C. or less (in this case) , The degree of deviation is 17 ° C or less), and the remaining period until the expiration date is 6 months or more, and the medicine is not subject to packaging change or recall, Returns may be acceptable.

Although the specific numerical value is not limited to this value, even if it is judged whether or not the product can be returned based on at least one condition of the time out of the set temperature range, the degree of the time out, and the remaining period until the expiration date. Good. For example, in the temperature history information, when the ambient temperature of the medicine 5 is out of the temperature range (for example, 2-8 ° C, 1-30 ° C, 15-25 ° C, etc.) determined by the ID information, Regardless of the conditions, returned goods may not be accepted. In addition, it is desirable to determine the conditions for determining whether or not to allow the return in the above based on the package insert (specification) of the medicine 5 and GDP (Good Distribution Practice).

  In addition, the determination of whether or not the return can be made in step S18 may be automatically performed in the intermediate server 8b, and the result of the determination may be automatically displayed. Since all the information necessary for this determination is transmitted from the cold storage container server 8c and the refrigerated storage server 8d, it is determined whether the product can be returned by comparing the transmitted information with a separately stored threshold value. May be. In that case, the intermediate server 8b corresponds to the determination means in the present invention.

  If it is determined in step S18 that the product cannot be returned, the medicine 5 is stored again in the cold container 16 in step S19 and returned to the refrigerated storage 17 of the medical institution 3 or the like. Then, as shown in step S20, the refrigerated storage server 8d receives time information and identification element data as warehousing information in addition to the BOX ID, processing category, and product code of the medicine 5, and returns processing as shown in step S21. Is canceled.

Furthermore, as shown in step S22, time information and identification element data are transmitted as warehousing information in addition to the BOX ID, processing category, and product code of the medicine 5 from the refrigerated storage server 8d to the intermediate server 8b. Then, as shown in step S23, the warehousing data is written in the record information memory in the intermediate server 8b, and the stock quantity in the stock quantity memory is updated as shown in step S24.

  On the other hand, if it is determined in step S18 that the product can be returned, the return is handled by the operation center 2a of the distributor 2 as shown in step S25, and the return is completed in the distribution center 2b of the distributor 2 as shown in step S26. Input is made. Thereby, as shown in step S27, BOXID, time information, identification element data, and the like are transmitted to the intermediate server 8b in addition to temperature information at the time of delivery from the medical institution 3 to the distribution center 2b of the distributor 2. Then, an operation result log is recorded as shown in step S28.

  As described above, according to the pharmaceutical inventory management system which is the premise of the present invention, even when there is a return request from a medical institution 3 etc. for a medicine in the specialty area, with a clear basis from the viewpoint of quality maintenance, It is possible to determine whether the product can be returned. As a result, it is possible to respond to the return request of the medical institution 3 and the like, and it is possible to reduce waste due to the disposal of the medicine 5 in the distributor 2 and the medical institution 3. It becomes possible to realize saving of social security resources.

  In the above pharmaceutical inventory management system, the intermediate server 8b shares information regarding the ID, location, etc. of the pharmaceutical 5 and temperature history information with the pharmaceutical manufacturer 1 from the cold container server 8c and the refrigerated storage server 8d. . Accordingly, it is possible to receive determination, advice, additional information, etc. from the pharmaceutical manufacturer 1 in determining whether the pharmaceutical 5 can be returned. As a result, it is possible to improve the accuracy of the determination as to whether or not the product can be returned and shorten the time required for the determination. In the present embodiment, the process of determining whether or not the product can be returned (step S18) may be outsourced to the pharmaceutical manufacturer 1, or the automatic response from the system is received in conjunction with the server system of the pharmaceutical manufacturer 1. It is good.

  In the above pharmaceutical inventory management system, the temperature management of the pharmaceutical 5 is performed using the cold containers 6 and 16 when the pharmaceutical 5 is moved between the pharmaceutical manufacturer 1 and the distributor 2 and between the distributor 2 and the medical institution 3. However, the environmental maintenance transportation means in the present invention is not limited to this. For example, the medicine 5 may be stored and transported directly in a refrigerator in a refrigerator car, a freezer in a freezer car, a dedicated vehicle for cold storage, a cargo bed of an aircraft, or a ship. However, in this case, it is desirable to manage and record the transfer time and temperature of the medicine 5 between the refrigerator car, the refrigerator car, and the refrigerator storages 7 and 17. The medical institution 3 purchased and returned to the distributor 2 or the pharmaceutical manufacturer 1 of the medicine 5 with the ownership, or the transportation of the medicine 5 from the insurance pharmacy to the insurance pharmacy, etc. It is desirable for the trucking business operator to implement it based on the Road Transportation Law and the Trucking Truck Business Law with facilities and systems.

  Next, the change of the packaging unit in the distribution stage of the pharmaceutical 5 in the above-described pharmaceutical stock management system will be described. FIG. 6 shows a distribution mode of the pharmaceutical 5 in the present embodiment. Here, in the pharmaceutical inventory management system shown in FIG. 2, which is a premise of the present invention, the pharmaceutical 5 shipped from the pharmaceutical manufacturer 1 is configured in standard units such as 1 vial, 1 amble, and 1 case. A predetermined number (for example, 10) of medicines 5 of this standard unit are packaged in a box, and the identification element 5 is attached to the box to form a packaging unit. Depending on the facility characteristics (scale, department, specialty, etc.) of the medical institution 3 and the product characteristics of the drug 5 (number of patients, dosage, presence of similar drugs, etc.), the drug 5 related to such a package may be consumed. There are cases where it cannot be completed.

In such a case, even if one package of the medicine 5 is delivered to the medical institution 3 or the like, if the surplus medicine 5 is stored in the refrigerated storage 17 for a long period of time and is not returned effectively, the expiration date is left as it is. In some cases, the medicine 5 was wasted. Such waste of the medicine 5 has an effect on profitability of the medical institution 3 or the like and is also a social loss, particularly in the case of the medicine 5 in the expensive and valuable specialty area.

On the other hand, in the present embodiment, for example, in the distributor 2, the package of the pharmaceutical 5 which is a packaging unit in the state shipped from the pharmaceutical manufacturer 1 is opened, and the standard unit included therein is divided. The medicines 50, 51, and 52 are packages including a small number of standard units. Identification elements 50a, 51a, and 52a are attached to the medicines 50, 51, and 52 that have been divided and whose standard units have been changed. For example, if a standard unit of 10 vials is included in a packaging unit in the pharmaceutical 5 shipped from the pharmaceutical manufacturer 1, the 10 vials are divided into 3 vials, 3 vials, and 4 vials, respectively. , 51, 52 to form new packaging units.

  In the present embodiment, the divided medicines 50 and 51 are stored in the cold container 46 and delivered to the medical institution 3 or the like and stored in the refrigerated storage 17. On the other hand, the divided medicine 52 is stored in the cold storage container 56, transported directly to the patient's home 4, and stored in the refrigerated storage 37.

  At that time, the intermediate server 8b determines the past consumption trend of the pharmaceutical 5 in the medical institution 3 and the order contents, the future consumption plan based on the regimen and the number of patients, and the packaging unit of the pharmaceutical 5 shipped from the pharmaceutical manufacturer 1 ( Distribution of information that the drug 5 containing 10 vials should be divided into 3 drugs 50, 51, and 52 each containing 3, 3, and 4 vials from information on the contents of the package) The information is displayed on the person-in-charge terminal at the vendor 2. The information that should be divided corresponds to the division information and change information of the present invention. The person in charge at the distributor 2 divides the packaging unit of the medicine 5 into the medicines 50, 51, 52 while watching the display. Thereby, in the distributor 2, it is possible to change the packaging unit of the pharmaceutical 5 more efficiently.

  In the example shown in FIG. 6, the medicine 50 and the medicine 51 are stored in the same cold container 46 and delivered to the medical institution 3 or the like. In the medical institution 3 or the like, it is stored in the refrigerated storage 17 together with the other medicines 5. On the other hand, the medicine 52 is stored in the cold storage container 56, directly transported to the patient's home 4, and stored in the refrigerated storage 37 in the patient's home 4.

  FIG. 7 shows a flowchart of a change information providing routine in the present embodiment. This routine is a program stored in the HDD 80c provided in the intermediate server 8b, and is executed at predetermined time intervals in the CPU 80a in the intermediate server 8b. When this program is executed, first, in step S101, it is determined by the person in charge of the distributor 2 whether there is a request for providing change information of the medical institution 3 or the like. More specifically, it is determined whether or not a command for providing delivery mode information, which is change information, is input from the terminal used by the person in charge. Then, until there is a request for delivery mode information provision, the processing of S101 is repeated and the input waiting state is maintained. If it is determined that there is a request for delivery mode information provision, the process proceeds to step S102.

  In step S102, the server of the medical institution 3 is accessed, and information on the delivery mode requested by the medical institution 3 is acquired. When the process of step S102 ends, the process proceeds to step S103.

  Next, in step S103, the delivery mode requested in the medical institution 3 is displayed as change information on the terminal of the person in charge in the distributor 2. When step S103 ends, this routine is once ended.

  As described above, in this embodiment, it is possible to provide information related to the request for the delivery mode in the medical institution 3 in real time. Then, the distributor 2 divides the packaging unit of the drug 5 in a state shipped from the drug manufacturer 1 along with this information, reattaches the identification element, and gives a new ID. Thereby, it becomes possible to change the packaging unit of the pharmaceutical 5 more reliably in a form along the delivery mode requested by the medical institution 3 or the like.

  FIG. 8 shows a functional block diagram of the pharmaceutical stock management system according to the present embodiment. As described above, the pharmaceutical inventory management system 10 includes the environmental maintenance storage means for storing the pharmaceutical 5 while maintaining the environmental conditions, the storage environment detection means for acquiring information on the environmental conditions in the environmental maintenance storage means, and the pharmaceutical 5 In the storage state detection means for detecting that the environmental maintenance storage means is stored, the environmental maintenance transport means capable of transporting the pharmaceutical 5 while maintaining the environmental conditions according to the pharmaceutical, and the environmental maintenance transport means A transportation environment detection unit that acquires information on environmental conditions and a transportation state detection unit that detects that the medicine 5 is transported by the environmental maintenance transportation unit. In addition, based on detection information from the storage environment detection means, storage state detection means, transport environment detection means, transport state detection means, and the like, and information from the medical institution server 3a that is a server of the medical institution 3 etc. The change information providing means for providing the change information related to the change of the distribution unit of the pharmaceutical 5 and displaying it on the display terminal 2a of the distributor 2 is provided.

  And as mentioned above, an environmental maintenance storage means is implement | achieved by the refrigerated storage 7, 17, 37 as an example. The storage environment detection means is realized by temperature sensors 7b, 17b, and 37b as an example. The storage state detection means is realized by the reading sensors 7a, 17a, 37a and the identification element 5a as an example. The environmental maintenance transport means is realized by the cold storage containers 6, 16, and 36 as an example. A conveyance environment detection means is implement | achieved by temperature sensor 6b, 16b, 36b as an example. The conveyance state detection means is realized by the reading sensors 6a, 16a, 36a and the identification element 5a as an example. Further, the change information providing means is realized including the CPU 80a of the intermediate server 8b of the information management device 8 and the like. Note that the change information provided by the change information providing means includes combination information described later in addition to the above division information.

  Next, referring to FIG. 9, in the pharmaceutical inventory management system according to the present embodiment, not only the package of the drug 5 is divided, but also the divided small packaged drugs are combined to form a new packaging unit. Will be described. In the present embodiment, a case where three types of different pharmaceutical products 5, 15, 25 are shipped from the pharmaceutical manufacturer 1 will be described. In FIG. 9, for the sake of simplicity, only the distribution mode of pharmaceuticals before and after the distributor 2 is shown.

  In this case, as shown in FIG. 9, identification elements 5 a, 15 a, and 25 a are attached to the medicines 5, 15, and 25 shipped from the medicine manufacturer 1, and are transported to the distributor 2 by the cold storage container 6. In the distributor 2, the medicine 5 is divided into medicines 50, 51 and 52. Similarly, the medicine 15 is divided into medicines 150, 151 and 152. In addition, the medicine 25 is divided into medicines 250, 251 and 252.

  In this embodiment, the medicine 50 divided from the medicine 5, the medicine 151 divided from the medicine 15, and the medicine 252 divided from the medicine 25 based on the combination information provided by the change information providing means. Are combined into a set and newly distributed as a medicine 35. A unique identification element 35a is attached to the medicine 35 related to the combination of the medicines 50, 151 and 252 so that traceability to the medical institution 3 including the product code and the home of the patient can be secured. The medicine 35 is stored in the cold container 16 and is transported to the medical institution 3 or the like.

  In this case, whether the divided medicines 50 to 52, medicines 150 to 152, and medicines 250 to 252 are combined into the medicine 35 is determined from the server of the medical institution 3 or the like 3 from the medical institution 3 or the like as in FIG. The information of the delivery mode as a set requested in (i.e., combination information) is acquired, and the information is installed in a display device that can be confirmed by a person in charge in the distributor.

  According to this, when a specific disease is treated with a combination of a plurality of medicines, the combination of medicines 5 can be delivered in a form more suitable for the use mode in the medical institution 3 or the like, It is possible to eliminate the combination work of each medicine in the medical institution 3 and improve the efficiency of medical practice and medical safety. Further, according to the present embodiment, the combination work in the distributor 2 can be performed by using the change information provided by the change information providing means together with the history information related to transportation and storage and the information related to the environmental conditions for each medicine. Therefore, for example, it is possible to optimize the expiration date as a set by combining the period until expiration date of the combined medicines. In addition, when combining medicines, it is easier and more reliable to guarantee the quality of a medicine set, such as removing medicines that have been stored out of environmental conditions from the combination and combining them with other lots of medicines. Can be done.

  In the implementation of the present invention, the distributor 2 is assumed not only to be a wholesaler or a logistics company, but also to a company such as a pharmaceutical manufacturing industry or a company such as an insurance pharmacy based on the Pharmaceuticals and Medical Devices Act. Also good.

  Further, as shown in the above flowchart, in this embodiment, the change information providing means accesses the server of the medical institution 3 when there is a request for information provision in the distributor 2. However, in the present invention, the method for acquiring change information (including division information and combination information) by the change information providing unit is not limited to this. For example, in a medical institution 3 or the like, when a new delivery mode occurs or an existing delivery mode is changed, information is sent in real time or every predetermined time, and this information is sent to the intermediate server 8b. It may be stored in the HDD 80c.

  In this case, when executing the change information provision routine, in S102, the HDD 80c of the intermediate server 8d is accessed instead of accessing the server of the medical institution 3 or the like. In addition, about acquisition of change information (including division information and combination information) in this case, in addition to a method of accessing the medical institution server 3a of the medical institution 3 etc., the information from the medical institution 3 etc. by e-mail or mail You may make it acquire.

  Further, in the above-described embodiment, the change information providing unit has described the example of changing the packaging unit of the pharmaceutical 5 by dividing or combining after dividing, but the mode of changing the packaging unit of the pharmaceutical 5 is described here. Not limited to. For example, changing the packaging unit of different types of medicines 5 without dividing them, combining the same kind of medicines 5, or combining with medical equipment, materials, test reagents and their accessories other than medicines A mode may be selected.

  In the above-described embodiments, the example in which the environmental condition required for the management of the pharmaceutical 5 is the ambient temperature of the pharmaceutical 5 has been described. However, the present invention is an environmental condition required for the management of the pharmaceutical 5. May be applied when is another condition. For example, the present invention may be applied to the case where humidity, illuminance, impact, vibration, atmospheric pressure, or a combination of conditions including temperature are set as environmental conditions required for management of the pharmaceutical 5.

Further, the processing in the above embodiment may be automatically processed systematically by each of the above servers based on a predetermined program as much as possible, but the present invention is not limited to the above embodiment. The invention also includes an invention as a method in which a part of the processing according to the above is manually executed by human resources.

  In the description of the present specification, the pharmaceutical 5 is an anticancer agent, a hemophilia therapeutic agent, a biologic, a plasma fractionation product, a vaccine formulation, a companion diagnostic agent, a rare disease formulation, a regenerative medicine product, or the like. Although the description has been made on the assumption that the drug is a specialty drug, the object to which the present invention is applied may be applied to drugs, medical materials, medical devices, test reagents, and investigational drugs other than the specialty drug.

DESCRIPTION OF SYMBOLS 1 ... Pharmaceutical manufacturer 2 ... Distributor 3 ... Medical institution, etc. 4 ... Patient's home 5, 15, 25, 35 ... Pharmaceutical 5a ... Identification element 6, 16, 36 ..Cooled containers 6a, 16a, 36a ... Reading sensors 6b, 16b, 36b ... Temperature sensors 7,17,37 ... Refrigerated storage 7a, 17a, 37a ... Reading sensors 7b, 17b, 37b ... Temperature sensor 8 ... Information management device 8a ... Core server 8b ... Intermediate server 8c ... Cold storage container server 8d ... Refrigerated storage server 50, 51, 52, 150, 151, 152 , 250, 251, 252 ... divided medicines 80a ... CPU
80b ... RAM
80c ... HDD
80d ... NIC

Claims (8)

Environmental maintenance storage means for storing pharmaceuticals while maintaining the environmental conditions according to the pharmaceuticals;
Storage environment detection means for acquiring information on the environmental conditions in the environment maintenance storage means;
Storage state detection means for detecting that the medicine is stored by the environmental maintenance storage means;
An environmental maintenance transport means capable of transporting the medicine while maintaining environmental conditions according to the medicine; a transport environment detection means for acquiring information on the environmental condition in the environmental maintenance transport means;
Transport state detection means for detecting that the medicine is being transported by the environmental maintenance transportation means, and the medicine until the medicine is delivered from the environmental maintenance storage means installed in a medical institution or the like. A pharmaceutical inventory management system that acquires historical information on transportation and storage conditions and historical information on environmental conditions,
The pharmaceutical product, when shipped from a pharmaceutical manufacturer that manufactures the pharmaceutical product, is a packaging unit in which a predetermined number of standard units of the pharmaceutical product are gathered and transported and stored,
A pharmaceutical inventory management system, further comprising change information providing means for providing change information for changing a distribution unit of the medicine according to a consumption mode in the medical institution or the like.   The pharmaceutical inventory management system according to claim 1, wherein the change information providing means provides division information for dividing the distribution unit of the pharmaceutical according to a consumption mode or the like in the medical institution or the like. .   The change information providing means provides combination information for changing the packaging unit by combining an appropriate number of the standard units in a plurality of types of the medicines according to the consumption mode in the medical institution or the like. The pharmaceutical inventory management system according to claim 1. The storage state detection unit and the transport state detection unit include an identification element attached to the medicine, and a reading sensor that reads a predetermined signal from the identification element,
The pharmaceutical identification management system according to any one of claims 1 to 3, wherein the identification element is attached to the medicine of the changed packaging unit. Environmental maintenance storage means for storing pharmaceuticals while maintaining the environmental conditions according to the pharmaceuticals;
Storage environment detection means for acquiring information on the environmental conditions in the environment maintenance storage means;
Storage state detection means for detecting that the medicine is stored by the environmental maintenance storage means;
An environmental maintenance transport means capable of transporting the medicine while maintaining environmental conditions according to the medicine; a transport environment detection means for acquiring information on the environmental condition in the environmental maintenance transport means;
Transport state detection means for detecting that the medicine is being transported by the environmental maintenance transportation means, and the medicine until the medicine is delivered from the environmental maintenance storage means installed in a medical institution or the like. A drug inventory management method using a drug inventory management system that acquires history information on transportation and storage conditions and history information on environmental conditions,
The pharmaceutical product, when shipped from a pharmaceutical manufacturer that manufactures the pharmaceutical product, is a packaging unit in which a predetermined number of standard units of the pharmaceutical product are gathered and transported and stored,
A pharmaceutical inventory management method, wherein the packaging unit of the pharmaceutical is changed according to a consumption mode or the like in the medical institution or the like.   6. The medicine inventory management method according to claim 5, wherein the packaging unit of the medicine is divided according to a consumption mode or the like in the medical institution or the like.   6. The medicine inventory management according to claim 5, wherein the packaging unit of the medicine is changed by combining an appropriate number of the standard units of the plurality of kinds of medicines according to a consumption mode in the medical institution or the like. Method. The storage state detection unit and the transport state detection unit include an identification element attached to the medicine, and a reading sensor that reads a predetermined signal from the identification element,
The pharmaceutical identification management method according to any one of claims 5 to 7, wherein the identification element is attached to the medicine of the changed packaging unit.

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