JP2019135632A - Medicine inventory management system and medicine inventory management method - Google Patents

Abstract

To enable more reliable quality assurance at medical institutions and reduce distribution costs of an entire industry by using a common medicine inventory management system for a plurality of distributors.SOLUTION: A common medicine inventory management system includes: environmental maintenance storage means for storing medicines while maintaining environmental conditions; storage environment detection means for acquiring information related to the environmental conditions; storage state detection means for detecting that the medicines are stored by the environmental maintenance storage means; delivery instruction means for instructing delivery of the medicines for standard delivery sources; delivery instruction distribution means that distributes the delivery instructions into the standard delivery instructions for standard delivery sources and non-standard delivery instructions for non-standard delivery sources; delivery processing means for delivering all medicines related to the delivery instructions to the delivery destinations of the medicines; and delivery information transmission means for transmitting information to the non-standard delivery destinations that the medicines related to the non-standard delivery instructions have been delivered by the delivery processing means.SELECTED DRAWING: Figure 4

Description

  The present invention relates to a pharmaceutical stock management system and a pharmaceutical stock 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. However, pharmaceutical distributors and manufacturers grasp and record in real time the medical environment, insurance pharmacies, patient homes and facilities, and the surrounding environment of such drugs while moving, and distribute and receive the results. There has been no system or method that can be linked to ordering / returning or billing systems.

  Technology related to this includes environmental maintenance storage means for storing pharmaceuticals while maintaining the environmental conditions corresponding to the pharmaceuticals, storage environment detection means for acquiring information on environmental conditions in the environmental maintenance storage means, and pharmaceuticals in environmental maintenance storage A return condition determination means comprising: a storage state detection means for detecting that the medicine is stored; and a return environment determination means for determining whether or not the medicine can be returned from the detection information by the storage environment detection means and the storage state detection means. Is a drug return that determines whether or not a drug can be returned based on the time when the drug was exposed to the environment outside the environmental conditions and / or the degree to which the drug deviated from the environmental conditions after the drug was shipped from the manufacturer. A management system is known (see Patent Document 1).

  By using the system as described above, distributors, medical institutions, insurance pharmacies, patients' homes and facilities, and the surrounding environment of pharmaceuticals on the move are tracked and recorded, and the results are distributed, ordered, returned, and billed. It can be linked. As a result, based on a clearer basis, it is possible to accept a return request for a pharmaceutical product from a medical institution and resell the pharmaceutical product.

  Here, medical institutions purchase medicines from various distributors, but in order to perform strict quality control including traceability, security and temperature management of medicines, some distributors use the above system. Only having it has a limited effect, and there is an inconvenience that it is necessary to double-manage a medicine managed by the above-mentioned system and a medicine not. On the other hand, in order to manage all medicines handled by medical institutions using the above-described system, it is necessary for all distributors and manufacturers to perform common management using the above-described system.

Japanese Patent No. 6235650

  The present invention has been made in order to solve the above-described problems, and the purpose of the present invention is to ensure that the quality of pharmaceuticals is more reliable in medical institutions by using as many distributors as possible a common pharmaceutical inventory management system. It is to provide a technology that can guarantee and reduce the distribution cost of the entire industry.

The present invention has been made to solve the above-described problems. When a pharmaceutical product is delivered to a delivery destination by a plurality of delivery sources, that is, a standard delivery source and a non-standard delivery source, the stock of the pharmaceutical product at the delivery destination is stored. A pharmaceutical inventory management system for managing
Environmental maintenance storage means for storing the medicine while maintaining the environmental conditions according to 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 that the medicine is stored by the environmental maintenance storage means;
Based on the detection information by the storage environment detection means and the storage state detection means, a delivery command means for issuing a delivery instruction for the pharmaceutical product to the reference delivery source;
The delivery instruction from the delivery instruction means is the standard delivery instruction for the medicine to be delivered from the reference delivery source to the delivery destination of the medicine and the outside of the reference for the medicine to be delivered from the non-standard delivery source to the delivery destination of the medicine. A delivery command distribution means for allocating to a delivery command,
A delivery processing means for delivering all the medicines related to the delivery instruction by the delivery instruction means to a delivery destination of the medicine;
A delivery information transmitting means for transmitting information indicating that the medicine related to the non-standard delivery instruction has been delivered to the non-standard delivery source by the delivery processing means;
A pharmaceutical inventory management system comprising:

  The present invention is a pharmaceutical inventory management system that assumes a case where a pharmaceutical product is delivered to a delivery destination by a plurality of delivery sources of a standard delivery source and a non-standard delivery source. Then, the delivery destination of the medicine issues a delivery command for both the medicine to be delivered from the reference delivery source and the medicine to be delivered from the outside delivery source to the reference delivery source. On the other hand, the standard delivery source manages and transports pharmaceuticals handled by non-standard delivery sources in addition to pharmaceuticals handled by standard delivery sources, and delivers them to the delivery destination. Then, information indicating that the drug to be delivered by the non-standard delivery source has been delivered to the delivery destination by the standard delivery source is transmitted from the standard delivery source to the non-standard delivery source.

  According to this, it is possible to reduce the distribution cost of the entire pharmaceutical distribution industry in which pharmaceuticals are delivered from a plurality of suppliers to the destinations. In addition, the quality control of each delivery source is reduced by the delivery of pharmaceutical products with different quality and availability judgment including the expiration date by performing original quality control. be able to. Here, the delivery source may be two parties of the standard delivery source and the one non-standard delivery source, or may be three or more parties including the standard delivery source and a plurality of non-standard delivery sources.

  Moreover, in this invention, the environmental maintenance storage means which stores a pharmaceutical, maintaining the environmental conditions according to this pharmaceutical is provided. In addition, a storage environment detection unit that acquires information on environmental conditions in the environmental maintenance storage unit, and a storage state detection unit that detects that the medicine is stored by the environmental maintenance storage unit. Then, the delivery command means in the present invention is the time when the medicine is exposed to the environment outside the environmental conditions after the medicine is shipped from the manufacturer by the detection information by the storage environment detection means and the storage state detection means. And / or issuing a delivery instruction for the medicine to the reference supplier based on the degree of deviation from the environmental conditions.

  Here, as described above, strict ambient environment management is required for specialty medicines. In some cases, it is difficult to assure the quality of a pharmaceutical that has been exposed to an environment that deviates from the environmental conditions required for the pharmaceutical.

On the other hand, in the present invention, it is assumed that the medicine is stored in an environmental maintenance storage means for storing the medicine while maintaining the environmental conditions corresponding 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 degree to which it is out of the required environmental conditions is acquired, and based on this information, a drug delivery instruction is issued to the reference supplier. According to this, it is possible to objectively evaluate the deterioration of drug quality based on clear data, and it is possible to determine whether or not a drug can be used based on an accurate basis from the viewpoint of maintaining quality. It becomes. And it becomes possible to issue a more accurate delivery order.

  In addition, according to the present invention, it is possible to apply the above-described high-accuracy quality control and delivery instructions not only to the standard delivery source but also to the pharmaceutical product to be delivered from the non-standard delivery source. It is possible to improve the overall distribution cost and distribution quality. 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 storage state detection means includes an identification element affixed to the pharmaceutical product,
ID of the identification element attached to each of the medicine to be delivered from the standard delivery source to the delivery destination of the medicine, the medicine to be delivered from the non-standard delivery source to the delivery destination of the medicine, and information on the medicine It is good also as providing the identification information memory | storage means to memorize | store and relate. According to this, in the non-standard supplier, both the medicine that should be delivered from the standard supplier to the medicine delivery destination and the medicine that should be delivered from the non-standard supplier to the medicine delivery destination are more reliable. In addition, the storage environment can be more reliably managed and the quality can be ensured. In addition, the accuracy of the delivery command by the delivery command means can be further increased.

  In the present invention, the information processing apparatus may further include delivery completion information transmitting means for transmitting information indicating that the medicine related to the non-standard delivery instruction is confirmed to the delivery destination to the non-standard delivery source. Good.

  According to this, the information on the fact that the drug related to the non-standard delivery directive has been processed by the delivery processing means and the drug related to the non-standard delivery directive to the non-standard delivery source is confirmed with the delivery destination. Both information indicating that the delivery has been completed is transmitted. Accordingly, it is possible for the non-standard delivery source to collate both pieces of information, and to confirm that the delivered medicine is actually delivered to the delivery destination and confirmed. As a result, it is possible to increase the accuracy of operation at a non-standard delivery source and to improve the reliability of the system.

Further, in the present invention, an environmental maintenance transport means capable of transporting the pharmaceutical product while maintaining an environmental condition corresponding to the pharmaceutical product, and a transport environment detection means for acquiring information on the environmental condition in the environmental maintenance transport device When,
A transport state detecting means for detecting that the medicine is transported by the environmental maintenance transport means;
Further comprising
The delivery instruction means is configured to issue a delivery instruction of the medicine to the reference delivery source based on detection information by the storage environment detection means, the transport environment detection means, the storage state detection means, and the transport state detection means. You may make it emit.

Here, in the distribution of pharmaceuticals as described above, pharmaceuticals are not only stored at the required environmental conditions in distributors and medical institutions, but are also being transferred from manufacturers to distributors, distributors to medical institutions, etc. However, it is necessary to transport the pharmaceuticals in a state where the required environmental conditions are maintained. Furthermore, to accurately detect the time and / or degree of exposure to an environment outside the required environmental conditions after the drug is shipped from the manufacturer, the distributor In addition, it is necessary to check not only the storage state of pharmaceuticals in medical institutions, but also the state during transportation from manufacturers to distributors and from distributors to medical institutions.

  Therefore, in the present invention, an environmental maintenance transport means capable of transporting a medicine while maintaining the environmental conditions according to the medicine, and a transport environment detection means for acquiring information on the environmental condition in the environmental maintenance transport means, And a conveyance state detection means for detecting that the medicine is being conveyed by the environmental maintenance conveyance means, wherein the return determination means is the storage environment detection means, the conveyance environment detection means, and the storage state detection means And based on the detection information by the said conveyance state detection means, it decided to issue the delivery instruction | command of the said pharmaceutical with respect to the said reference | standard delivery source.

  According to this, after the pharmaceutical product is shipped from the manufacturer, it is possible to more accurately detect the time when the pharmaceutical product is exposed to the environment outside the required environmental conditions and / or the degree of deviation from the required environmental condition. It becomes possible to judge the quality of the medicine and issue a delivery instruction more accurately.

Further, the present invention provides an environmental maintenance storage means for storing the pharmaceutical product while maintaining the environmental conditions according to the pharmaceutical product,
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,
A medicine inventory management method for managing inventory of the medicine at a delivery destination when delivering the medicine to a delivery destination by a plurality of delivery destinations of a standard delivery source and a non-standard delivery source,
A delivery command step for issuing a delivery command for the medicinal product to the reference delivery source based on detection information by the storage environment detection unit and the storage state detection unit;
The delivery order from the delivery order step includes the standard delivery order for the medicine to be delivered from the base supplier to the medicine delivery destination, and the outside of the standard for the medicine to be delivered from the non-standard delivery source to the medicine delivery destination. A delivery command distribution step for distributing to a delivery command,
A delivery processing step for delivering all of the medicines related to the delivery instruction in the delivery instruction step to a delivery destination of the medicines;
A delivery information sending step for sending information to the non-standard delivery source that the medicine related to the non-standard delivery instruction has been delivered in the delivery processing step;
A pharmaceutical inventory management method characterized by comprising:

Further, the present invention, the storage state detection means includes an identification element affixed to the pharmaceutical product,
An identification element attaching step for attaching the identification element to each of the medicine to be delivered from the reference delivery source to the delivery destination of the medicine and the medicine to be delivered from the non-standard delivery source to the delivery destination of the medicine;
In the above-mentioned pharmaceutical inventory management system, further comprising an identification information storage step of storing the identification element attached to each pharmaceutical in the identification element attachment step and information relating to the pharmaceutical in association with each other. There may be.

Further, the present invention is a delivery completion information transmitting step for transmitting to the non-standard delivery source information indicating that the medicine related to the non-standard delivery instruction has been confirmed and delivered to the delivery destination;
The pharmaceutical inventory management method described above, further comprising: the information transmitted in the delivery information transmitting step and the delivery information collating step for collating the information transmitted in the delivery completion information transmitting step. Also good.

In addition, the present invention provides an environmental maintenance transport means capable of transporting the pharmaceutical product while maintaining an environmental condition corresponding to the pharmaceutical product, and a transport environment detection means for acquiring information on the environmental condition in the environmental maintenance transport device, ,
A transport state detecting means for detecting that the medicine is transported by the environmental maintenance transport means;
Further comprising
In the delivery instruction step, the medicine delivery instruction to the reference delivery source based on the detection information by the storage environment detection means, the transport environment detection means, the storage state detection means, and the transport state detection means. The above-mentioned pharmaceutical inventory management method may be characterized in that

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

  According to the present invention, as many distributors as possible can use a common and reliable pharmaceutical inventory management system to ensure more reliable quality assurance in medical institutions and to distribute distribution costs throughout the industry. Can be reduced.

It is the figure shown about the pharmaceutical stock management system used as the base of this invention. It is a figure which shows the outline of the hardware constitutions of the basic server which concerns on the Example of this invention. It is the figure shown about the distribution | circulation of the conventional pharmaceutical in the case of a some distributor, and the aspect of a claim. It is the figure shown about the pharmaceutical stock management system which concerns on the Example of this invention. It is a figure which shows the distribution | circulation of the pharmaceutical based on the Example of this invention, and the management flow of claim. It is an example of the claim item of the claim sent from the reference distributor to the non-standard distributor in the embodiment of the present invention. It is a functional block diagram of the pharmaceutical stock management system which concerns on the Example of this invention.

  FIG. 1 is a diagram showing a pharmaceutical inventory management system as a base of the present invention. 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.

  The pharmaceutical 5 in the specialty area produced by the pharmaceutical manufacturer 1 is required to be strictly temperature-controlled. Therefore, it has been purchased by the distributor 2 in a state of being stored in the cold storage container 6 capable of temperature management 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 FIG. 1, the actual distribution route of the medicine 5 is indicated by a solid line arrow, and the information route is indicated by a broken line 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 5 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. 1, the identification information of the pharmaceutical 5 by the identification element 5a is also provided in the refrigerated storages 7, 17, and 37 provided in the distributor 2, the medical institution 3 and the patient's home 4 and 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, with the above configuration, the distribution process from the pharmaceutical 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, the distributor 2 In the storage process in the distribution center, 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, the storage process in the patient's home 4, It is possible to confirm whether or not the medicine 5 has been stored in the cold storage containers 6, 16, 36 or the refrigerated storages 7, 17, 37 and 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. 1 is provided with 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, payout 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 2.

  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 2.

  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 the system used by the medical institution 3 (electronic medical record, ordering system, receipt processing system, electronic medicine history, electronic medicine notebook, etc.), or an independent line. It may be connected by the Internet 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. 2 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, with reference to FIG. 3 and FIG. 4, the distribution situation of the drug 5 when a plurality of distributors 2 are involved in the drug inventory management system as the base of the present invention will be described. In FIG. 2, the distributor 2 is composed of a reference distributor 2a capable of operating the pharmaceutical inventory management system shown in FIGS. 1 and 2, and other non-standard distributor 2b. This non-standard distributor 2b may be one supplier or a plurality of suppliers. In the present embodiment, for the sake of simplicity, the non-standard distributor 2b will be described as one supplier.

  In such a case, conventionally, as shown in FIG. 3, when a shortage occurs in the medicine 5 from the medical institution 3 or the like, an order is made to the standard distributor 2a and the non-standard distributor 2b. An order has been made to the pharmaceutical manufacturer 1 from the distributor 2a and the non-standard distributor 2b. And the pharmaceutical 5 was delivered (purchased) from the pharmaceutical manufacturer 1 to each of the standard distributor 2a and the non-standard distributor 2b. Furthermore, the pharmaceutical 5 has been delivered and delivered to the medical institution 3 alone from the standard distributor 2a and the non-standard distributor 2b.

  However, in this case, the reference distributor 2a was able to guarantee the quality of the drug 5 by the above-described drug inventory management system regarding the storage and delivery of the drug 5. More specifically, after being manufactured, stored, and shipped (purchased from distributor 2) by pharmaceutical manufacturer 1, the distribution process from pharmaceutical manufacturer 1 to distributor 2, the storage process in distributor 2, and distributor 2 In the distribution process from the medical institution 3 to the medical institution 3, it was ensured that the medicine 5 was securely stored in the cold storage containers 6 and 16 or the refrigerated storage 7 and appropriately temperature-controlled. On the other hand, it is difficult for the non-standard distributor 2b to make such a guarantee. Therefore, while it is desirable for the medical institution 3 to receive the pharmaceutical 5 from a plurality of distributors 2a and 2b for reasons such as sound business customs and stable supply, it has been delivered from the reference distributor 2a. There is a disadvantage that a difference in reliability occurs between the medicine 5 and the medicine 5 delivered from the non-standard distributor 2b.

  In addition, when the non-standard distributor 2b tries to ensure the same reliability as the standard distributor 2a for the medicine 5, the non-standard distributor 2b independently makes a capital investment in the same pharmaceutical inventory management system. In addition, there was a situation that the distribution efficiency of the entire industry would be reduced.

On the other hand, in this embodiment, as shown in FIG. 4, the reference distributor 2a stores the medicines 5 handled by the non-standard distributor 2b in the cold storage containers 6 and 16 and the refrigerated storage 7 and appropriately stores them. It was decided to ensure that the temperature was controlled. That is, the medical institution 3 places an order with the reference distributor 2a for the medicine 5 handled by the non-standard distributor 2b in addition to the medicine 5 handled by the reference distributor 2a. The standard distributor 2a orders the pharmaceutical manufacturer 1 in addition to its own order, as well as the medicine 5 that is handled by the non-standard distributor 2b. The pharmaceutical manufacturer 1 uses the cold container 6 to jointly deliver the pharmaceutical 5 related to the order from both the standard distributor 2a and the non-standard distributor 2b.

  The reference distributor 2a attaches the identification element 5a to the medicines 5 for the reference distributor 2a and the non-reference distributor 2b. Then, with respect to the medicines 5 for the reference distributor 2a and the non-standard distributor 2b, the medicine 5 related to the order from both the reference distributor 2a and the non-standard distributor 2b is used for the reference distributor using the cold container 6 Co-purchase up to 2a. And the pharmaceutical 5 which concerns on the purchase of both the reference | standard distributor 2a and the non-standard distributor 2b is jointly stored using the refrigerated storage 7. Further, the cold storage container 16 is used to jointly deliver the medicine 5 related to the order from both the reference distributor 2a and the non-standard distributor 2b to the medical institution 3 or the like.

  Then, the reference distributor 2a receives an order from the medical institution 3 for the prescribed medicine 5 handled by the non-standard distributor 2b, and transmits information indicating that it has been delivered to the non-standard distributor 2b. From 2b to the standard distributor 2a, expenses related to joint management, joint delivery, and the like are paid.

  Next, the flow of the pharmaceutical stock management system 10 in the present embodiment will be described with reference to FIG. In FIG. 5, a case will be described in which the standard distributor 2a has stock and does not place an order with the pharmaceutical manufacturer 1. In the flow shown in FIG. 5, first, in S101, based on the output of the reading sensor 17a, in the medical institution 3 or the like, the medicine 5 in the refrigerated storage 17 is consumed and falls below the inventory set value (order point). Detected. Then, the process proceeds to S102, where an automatic replenishment input is made to the medical institution server 3a (described later) in the medical institution 3 and the shortage of the medicine 5 is ordered from the reference distributor 2a. Here, the medical institution server 3a in the medical institution 3 corresponds to a delivery instruction means. The step of S102 corresponds to a delivery command step. When the process of S102 ends, the process proceeds to S103.

  In S103, the reference distributor 2a automatically distributes the distributor for the data of the medicine 5 to be ordered. That is, among the data of the medicine 5 ordered from the medical institution 3, the handling item data stored in the backbone server 8 a includes the medicine 5 handled by the reference distributor 2 a and the medicine 5 handled by the non-standard distributor 2 b. Are automatically distinguished based on The process of S103 corresponds to a delivery command distribution step, and the backbone server 8a on which the process of S103 is executed corresponds to a delivery command distribution unit.

  Among the medicines 5 automatically distributed in S103, regarding the medicine 5 handled by the non-standard distributor 2b, a notification that the medicine 5 is scheduled to be replenished at this time is sent to the automatic mail or the like in S108. Sent. Then, in S104, the identification element 5a is attached to all the medicines 5 ordered by the medical institution 3 or the like. The process of S104 corresponds to an identification element attaching step. Next, in S105, various kinds of information about each medicine 5, for example, medicine name, standard, capacity, lot, expiration date, etc. are registered in association with the ID of the identification element 5a. A shipping inspection document is issued for the registration result. The process of S105 corresponds to an identification information storage step. The backbone server 8a on which the process of S105 is executed corresponds to identification information storage means. Further, the medicine 5 is boxed in the cold container 6 in S106. At that time, a shipping inspection document is issued for each cold storage container 6. When the process of S106 ends, the process proceeds to S107.

In S107, the cold container pasting list is output. This is a cold storage container 6
A list of distributors automatically distributed in S103 for the medicines 5 stored in the container 5 is for pasting to the cold container 6. Here, the processing of S104 to S107 corresponds to a delivery processing step. The backbone server 8a on which the processes of S104 to S107 are executed corresponds to a delivery processing unit. When the process of S107 ends, the process proceeds to S110. In S110, the cold insulated container 6 to which the cold insulated container pasting list is pasted leaves the distribution center of the reference distributor 2a. When the process of S110 ends, the process proceeds to S111.

  In S111, the delivered medicine 5 is checked in the medical institution 3 or the like. Then, the receipt is stamped on the delivery and receipt of the medicine 5 for the non-standard distributor 2b prepared at the time of delivery. When the process of S111 ends, the process proceeds to S112. In S <b> 112, the delivered medicine 5 is stored in the refrigerated storage 17. Then, the receipt for the non-standard distributor is returned to the distribution center of the standard distributor 2a in S113. The delivery related to this automatic replenishment is now complete, and at that time, the contents of the receipt for the non-standard distributor 2b are automatically transmitted from the standard distributor 2a to the non-standard distributor 2b by automatic mail. A delivery completion notice is made. In S113, the process of automatically transmitting the contents of the receipt for the non-standard distributor 2b from the standard distributor 2a to the non-standard distributor 2b by automatic mail corresponds to a delivery completion information transmission step. The backbone server 8a on which the processing is executed corresponds to a delivery completion information transmission unit.

  Here, it returns to the description after the process of S106. When the process of S106 is completed, the process of S109 is executed in parallel with the process of S107. In S109, the shipping inspection document issued in S106, the delivery document and the receipt are transmitted to the non-standard distributor 2b by automatic mail transmission. The process of S109 corresponds to a delivery information transmission step. Further, the backbone server 8a on which the process of S109 is executed corresponds to delivery information transmission means. Then, in S114, the non-standard distributor 2b uses the management system in the non-standard distributor 2b based on the contents of the receipt and the delivery note transmitted in S109, and the receipt and standard for the non-standard distributor 2b. A delivery note for the outside distributor 2b is issued.

  In S115, the contents of the receipt for the non-standard distributor 2b issued by the non-standard distributor 2b in S114 and the return to the distribution center of the standard distributor 2a in the process of S113 are returned to the non-standard distributor 2b. The contents of the received receipt for the non-standard distributor 2b are collated. The process of S115 corresponds to a delivery information collation step. If the two contents match, the process proceeds to S116, and a receipt for the non-standard distributor 2b and an invoice for the non-standard distributor 2b are formally issued by the non-standard distributor 2b. The receipt for the non-standard distributor 2b and the delivery for the non-standard distributor 2b are brought to the medical institution 3 by mail, e-mail, etc., and the receipt is stamped in the medical institution 3 . Thereby, the automatic replenishment of the medicine 5 this time is completed.

  After the above processing is completed, the medical institution 3 pays the reference distributor 2a and the non-standard distributor 2b corresponding to the delivered medicine 5. On the other hand, the non-standard distributor 2b pays the expenses as shown in FIG. 6 to the reference distributor 2a. Here, the cost related to the distribution processing corresponds to the cost for performing the processing of S104 to 107 on the drug 5 handled by the non-standard distributor 2b. The expense relating to the product insurance is an expense for sharing the portion corresponding to the medicine 5 handled by the non-standard distributor 2b out of the insurance premiums subscribed for the delivery of the goods. Expenses related to joint delivery are allocated to the medicine 5 handled by the non-standard distributor 2b out of the expenses for delivering the cold container 16 from the distribution center of the standard distributor 2a to the medical institution 3 in S110 to S111. It is a cost to do. The cost related to the system management is a cost for sharing the portion corresponding to the medicine 5 handled by the non-standard distributor 2b out of the costs necessary for the operation and maintenance of the information management device 8. The backbone server 8a includes a function for automatically calculating these costs and issuing a bill.

  In FIG. 7, the functional block diagram of the pharmaceutical stock management system 10 concerning a present Example is shown. 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.

  The basic server 8a is provided with delivery command distribution means, delivery processing means, delivery information transmission means, identification information storage means, and delivery completion information transmission means. Detection information from the storage environment detection unit, storage state detection unit, transport environment detection unit, transport state detection unit, and the like is transmitted to the core server 8a via the cold storage container server 8c and the refrigerated storage server 8d. The medical institution server 3a, which is the server of the medical institution 3 is provided with a delivery instruction means. The medical institution server 3a is communicably connected to the backbone server 8a.

  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. Furthermore, the delivery command distribution means, delivery processing means, delivery information transmission means, identification information storage means, and delivery completion information transmission means are realized including the CPU 80a of the backbone server 8a. The delivery command means is realized including the CPU of the medical institution server 3a.

  As described above, according to the present embodiment, the medicine 5 is delivered from the distributors 2a and 2b, which are a plurality of delivery sources, to the medical institution 3 etc., which is a delivery destination, using its own equipment. The distribution cost of the entire pharmaceutical distribution industry can be reduced. In addition, by managing the original quality of the drug 5 by the distributors 2a and 2b, the management burden of the medical institution 3 and the like due to the delivery of the drug 5 with different quality and availability determination to the medical institution 3 is reduced. Can be reduced.

  Further, in the description of the present specification, the description has been made on the assumption that the drug in the specialty area, but the object to which the present invention is applied is applied to other drugs, medical materials, medical devices, test reagents, and the like. Also good.

DESCRIPTION OF SYMBOLS 1 ... Pharmaceutical manufacturer 2 ... Distributor 3 ... Medical institution etc. 4 ... Patient 5 ... Pharmaceutical 5a ... Identification element 6, 16 ... Cold storage container 6a, 16a ... Reading Sensor 6b, 16b ... Temperature sensor 7, 17 ... Refrigerated storage 7a, 17a ... Reading sensor 7b, 17b ... Temperature sensor 8 ... Information management device 8a ... Core server 8b ... Intermediate server 8c: Cold storage container server 8d: Refrigerated storage server 80a: CPU
80b ... RAM
80c ... HDD
80d ... NIC

Claims (8)

A pharmaceutical inventory management system for managing the inventory of the pharmaceutical products at a delivery destination when delivering the pharmaceutical products to the delivery destination by a plurality of delivery sources of a standard delivery source and a non-standard delivery source,
Environmental maintenance storage means for storing the medicine while maintaining the environmental conditions according to 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 that the medicine is stored by the environmental maintenance storage means;
Based on the detection information by the storage environment detection means and the storage state detection means, a delivery command means for issuing a delivery instruction for the pharmaceutical product to the reference delivery source;
The delivery instruction from the delivery instruction means is the standard delivery instruction for the medicine to be delivered from the reference delivery source to the delivery destination of the medicine and the outside of the reference for the medicine to be delivered from the non-standard delivery source to the delivery destination of the medicine. A delivery command distribution means for allocating to a delivery command,
A delivery processing means for delivering all the medicines related to the delivery instruction by the delivery instruction means to a delivery destination of the medicine;
A delivery information sending means for sending information to the non-standard delivery source that the medicine related to the non-standard delivery order has been delivered by the delivery processing means of the standard delivery source;
A pharmaceutical inventory management system comprising: The storage state detection means includes an identification element attached to the medicine,
ID of the identification element attached to each of the medicine to be delivered from the standard delivery source to the delivery destination of the medicine, the medicine to be delivered from the non-standard delivery source to the delivery destination of the medicine, and information on the medicine The pharmaceutical inventory management system according to claim 1, further comprising identification information storage means for storing the information in association with each other.   The delivery completion information transmitting means for transmitting to the non-standard delivery source information indicating that the medicine related to the non-standard delivery instruction has been confirmed by the delivery destination and has been delivered is further provided. Pharmaceutical inventory management system described in 1. 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;
A transport state detecting means for detecting that the medicine is transported by the environmental maintenance transport means;
Further comprising
The delivery instruction means is configured to issue a delivery instruction of the medicine to the reference delivery source based on detection information by the storage environment detection means, the transport environment detection means, the storage state detection means, and the transport state detection means. The pharmaceutical inventory management system according to any one of claims 1 to 3, which is issued. 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,
A medicine inventory management method for managing inventory of the medicine at a delivery destination when delivering the medicine to a delivery destination by a plurality of delivery destinations of a standard delivery source and a non-standard delivery source,
A delivery command step for issuing a delivery command for the medicinal product to the reference delivery source based on detection information by the storage environment detection unit and the storage state detection unit;
The delivery order from the delivery order step includes the standard delivery order for the medicine to be delivered from the base supplier to the medicine delivery destination, and the outside of the standard for the medicine to be delivered from the non-standard delivery source to the medicine delivery destination. A delivery command distribution step for distributing to a delivery command,
A delivery processing step for delivering all of the medicines related to the delivery instruction in the delivery instruction step to a delivery destination of the medicines;
A delivery information sending step for sending information to the non-standard delivery source that the medicine related to the non-standard delivery instruction has been delivered in the delivery processing step;
A pharmaceutical inventory management method comprising: The storage state detection means includes an identification element attached to the medicine,
An identification element attaching step for attaching the identification element to each of the medicine to be delivered from the reference delivery source to the delivery destination of the medicine and the medicine to be delivered from the non-standard delivery source to the delivery destination of the medicine;
6. The pharmaceutical product according to claim 5, further comprising an identification information storage step of storing the identification element attached to each pharmaceutical product in the identification element attaching step in association with information related to the pharmaceutical product. Inventory management method. A delivery completion information transmitting step for transmitting information indicating that the medicine related to the non-standard delivery instruction has been confirmed to the delivery destination and delivered to the non-standard delivery source;
The pharmaceutical product according to claim 5 or 6, further comprising a delivery information collating step for collating the information transmitted by the delivery information transmitting step and the information transmitted by the delivery completion information transmitting step. Inventory management method. 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;
A transport state detecting means for detecting that the medicine is transported by the environmental maintenance transport means;
Further comprising
In the delivery command step, based on the detection information by the storage environment detection unit, the transport environment detection unit, the storage state detection unit, and the transport state detection unit, a delivery command for the pharmaceutical product to the reference delivery source The pharmaceutical inventory management method according to any one of claims 5 to 7, characterized in that:

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