JP4437450B2 - Dispensing system using mobile terminals - Google Patents

Description

  The present invention relates to a dispensing system that records while supporting a dispensing action, and more specifically, a portable terminal-based dispensing in which a server presents prescription contents and collects recorded data using a portable terminal provided to a dispensing operator. About the system.

In the medical field, in order to prevent the occurrence of man-made accidents in human-centered medical practices, while supporting medical practices using personal digital assistants (PDAs, mobile terminals) given to healthcare professionals A medical practice management method for recording has been proposed (see, for example, Patent Document 1).
On the other hand, in the dispensing field, automatic dispensing machines such as fully automatic tablet packing machines and semi-automatic powder packing machines have been put into practical use, and in order to operate them appropriately and efficiently, host computers of medical institutions A dispensing control method has also been realized in which prescription data and the like are downloaded from the data, the data is classified according to the type of the dispensing machine, and then assigned to a plurality of dispensing machines (see, for example, Patent Document 2).

  However, in the case of dispensing, there are still many tasks that are not automated and rely on human hands. For example, weighing powders, collecting medicines not contained in automatic machines, arranging medical materials such as catheters, and crushing tablets are basically manual operations. Even in dispensing work that can be automated, many small-scale pharmacies are manual work. For this reason, even in the field of dispensing, attempts have been made to record dispensing while supporting dispensing operations using a portable information terminal provided to a dispensing operator in order to clarify and prevent dispensing mistakes.

Japanese Patent No. 2691859 JP 2003-099529 A (first page)

  By the way, dispensing is basically performed by a single worker through a series of operations according to a prescription. However, due to the large number of types of drugs and the wide range of equipment / equipment installation conditions, some of the prescriptions are used. One or a plurality of dispensing instructions that take over the prescription content may be created, and a plurality of workers may share the work according to such a dispensing instruction. Even in this case, it is a principle that one worker completes the dispensing work related to one dispensing instruction. On the other hand, as a rule, the final audit is to check all the prescriptions by yourself. The basic unit of prescriptions and dispensing instructions is a drug, and at least the same type of drug must be processed alone.

However, there are exceptions that cannot be passed through. For example, there are cases where some of the same medicines are taken as tablets and the rest are crushed into powder before taking them. In this case, the person who prepares the tablets and the person who grinds the tablets are usually different. Therefore, even for the same type of medicine, the treatment cannot be completed by one person. In addition, it cannot be said that there is no emergency situation or unexpected situation where the worker must leave the work halfway without unavoidable.
In such an exception, dispensing mistakes are likely to occur, so effective measures are required.

Therefore, when realizing a dispensing system that records while supporting dispensing actions using a portable terminal given to a dispensing worker, the above-mentioned dispensing operation is performed in order to achieve the purpose of clarifying and preventing dispensing errors. It is important to reflect the characteristics of the system in the dispensing system.
Specifically, taking into account that the dispensing work is performed according to prescriptions and dispensing instructions, the basic unit of dispensing is in principle a drug, and that the unit can be exceptionally finer than the drug, etc. It is a technical problem to make it easier to use a mobile terminal dispensing system in which a server uses a mobile terminal to present prescription contents and collect recorded data by improving the system so that it can handle as many things as possible. It becomes.

  The mobile terminal-based dispensing system of the present invention (Solution 1) was created to solve such a problem. The prescription data includes a prescription identification code, a dispensing staff identification information, an audit staff identification information, A server that stores the identification code that is printed, a screen that can display the prescription content, a wireless communication unit, and the identification code read by the reading unit to the server together with the person identification information. In a mobile terminal-use dispensing system comprising: a transmission means for transmitting by communication means; and a mobile terminal having a reception means for receiving prescription content from the server by the wireless communication means and displaying the prescription content on the screen. , Each medicine data of the prescription data is held in association with a dispensing instruction identification code, and the identification code received from the portable terminal is When it is a prescription identification code, prescription data related thereto is selected and all the drug data is transmitted to the portable terminal, and when the identification code received from the portable terminal is the dispensing instruction identification code, the associated drug data is displayed. Extracting and transmitting the extracted data to the portable terminal.

  Further, the mobile terminal-use dispensing system of the present invention is (Solution means 2), which is the mobile terminal-use dispensing system of the above-described solution means 1, wherein the prescription identification code is printed when the prescription data is printed on printing paper such as a prescription or a medicine bag. In addition, a printing apparatus for printing the dispensing instruction note identification code is also provided.

  Further, the mobile terminal-use dispensing system of the present invention is (Solution means 3), the mobile terminal-use dispensing system of the above-mentioned solution means 2, wherein the server is arranged to identify the person in charge of dispensing and the person in charge of inspection with respect to the prescription data. The identification information is associated with each medicine data of the prescription data.

  In such a mobile terminal-based dispensing system of the present invention (Solution 1), when a dispensing operator who is in charge of the work at the time of dispensing and auditing causes the portable terminal to read the identification code, the identification code is The server is notified wirelessly together with the person-in-charge identification information set in advance or read by the same portable terminal. As a result, the recorded data is collected in the server, and the prescription content is presented from the server to the portable terminal. At this time, when the identification code is the prescription identification code, all the prescription data related to the prescription data is carried from the server to the portable terminal. Wirelessly transmitted to the terminal and displayed on the screen of the mobile terminal. When the identification code is a dispensing instruction identification code, drug data related to the identification code is extracted, and the extracted data is displayed on the mobile terminal.

In this way, when presenting prescription contents and collecting recorded data using a mobile terminal provided to the dispensing operator, whether the identification code read by the mobile terminal is a prescription or a dispensing instruction Depending on the prescription and prescription content of the prescription, it is possible to present the prescription and the prescription and the prescription and the prescription and the prescription and the current prescription work, The procedure is not disturbed, and the operator does not feel uncomfortable.
Therefore, according to the present invention, it is possible to make it easy to use a mobile terminal-based dispensing system in which a server uses a mobile terminal to present prescription contents and collect recorded data.

  In the portable terminal-based dispensing system of the present invention (solution 2), not only the prescription data but also the prescription identification code as well as the prescription identification code are printed on the prescription and the medicine bag. If you select an appropriate identification code from the prescription or medicine bag that is natural for the worker and read it on the mobile terminal, the prescription contents of the prescription can be displayed in full, or it can be divided according to the dispensing instruction Thus, the prescription content of a desired dispensing instruction can be selected and displayed.

In this way, when it is necessary to read the identification code for confirmation of prescription data printing contents, dispensing confirmation for each medicine in the dispensing work / audit work, input of the audit result information, etc., the desired identification code is immediately Can be read by the mobile terminal, and the convenience when the mobile terminal-based dispensing system is introduced into the current dispensing work being performed in accordance with the prescription and the dispensing instruction is further enhanced.
Therefore, according to the present invention, it is possible to make the mobile terminal-use dispensing system in which the server uses the mobile terminal to present the prescription content and collect the recorded data more easily.

Furthermore, in the portable terminal-based dispensing system of the present invention (Solution means 3), the server associates the dispensing person identification information and the inspection person identification information with the prescription data for each medicine data of the prescription data. As a result, for example, even if the person in charge of dispensing or the person in charge of auditing has changed for each drug, which is the basic basic unit in dispensing operations, this can be recorded accurately. It will contribute to improving the accuracy of the cause elucidation of dispensing errors.
Therefore, according to the present invention, it is possible to realize a mobile terminal-use dispensing system that is easy to use by presenting prescription contents and collecting recorded data, and that is highly useful for recorded data.

About the portable terminal utilization dispensing system of such this invention, the specific form for implementing this is demonstrated by the following Examples 1-2.
The embodiment 1 shown in FIGS. 1 to 4 embodies all the above-described solving means 1 to 3 (claims 1 to 3 as originally filed), and the embodiment 2 shown in FIG. It is a modification.

  About the Example 1 of the portable terminal utilization dispensing system of this invention, the specific structure is demonstrated referring drawings. FIG. 1 is a block diagram showing the overall structure, and FIGS. 2A and 3B are configuration diagrams of prescription data.

  This portable terminal-based dispensing system (see FIG. 1) is wirelessly connected to the dispensing server 20, the access point 30, the medicine bag printing device 31, and the access point 30 connected via a hub 25 (HUB) via a LAN (Local Area Network). In order to input prescription data, for example, a prescription order entry system 10 is connected to a network or a prescription reading device (not shown) is connected to the dispensing server 20. The printing device 31 is installed in the dispensing room in the same manner as the automatic dispensing machine 32, the dispensing table 33, the inspection table 34, etc., and these are arranged along the flow of dispensing operations. The automatic dispensing machine 32 capable of online operation is connected to the LAN by the hub 25 in the same manner as the printing device 31, but an access point 30 is installed in the vicinity of the offline dispensing table 33 and the inspection table 34. A plurality of portable information terminals 50 are prepared so as to be distributed to all workers including the person in charge of dispensing and the person in charge of auditing, and are used within a range where communication with the access point 30 is possible. .

The hardware of the dispensing server 20 may be a general-purpose computer, a storage means such as a hard disk 21 capable of storing prescription data and recording data, a LAN connection at the hub 25 and a network connection function with the prescription order entry system 10. If it is attached, it is enough.
The hub 25 may be a commercially available general-purpose switching hub if a wired LAN can be constructed, and the access point 30 may be a general-purpose commercially available product if a wireless LAN can be constructed.
The inspection table 34 may be a simple work table as long as the dispensed medicine can be spread and checked against the prescription, but a transport device, an audit support device, a counting inspection device, etc. may be attached (for example, a special inspection device). (See Kaihei 11-206856, JP-A-2002-279068).

  The dispensing table 33 only needs a storage unit such as a shelf for storing various drugs and a work place such as a work table for taking out necessary drugs and collecting them in a medicine bag or tray. The table may be combined with an electronic balance or a semi-automatic powder dispenser (see, for example, JP-A-2002-85523), and a dispensing table for medicines in PTP (Press Through Pack) packaging automatically picks up the specified number of sheets. (For example, refer to Japanese Patent Application Laid-Open No. 2000-167023), and a medicine storage device that can be taken out from an aligned storage cassette with a single touch may be placed on a desk. For example, refer to JP 2001-198190 A).

The automatic dispensing machine 32 is, for example, a fully automatic tablet packaging machine (see, for example, Japanese Patent Laid-Open No. 11-226088), and automatically receives the necessary amount according to the received classification data, that is, the corresponding dispensing instruction data from the dispensing server 20. It comes to have stock of medicine.
The medicine bag printer 31 employs a printer capable of printing on at least one side using the medicine bag 40 as printing paper (see, for example, Japanese Patent No. 2905460). Here, when prescription data such as a patient name and a medicine name is printed. In addition to this, the prescription identification code 41 and the dispensing instruction identification codes 42 and 43 are also printed as barcodes. The prescription identification code 41 is assigned for each prescription, and the dispensing instruction identification codes 42 and 43 are also assigned for each dispensing instruction. The prescription identification code is a number assigned to uniquely identify the prescription, and the dispensing instruction identification code is a number assigned to uniquely identify the dispensing instruction.

  The portable information terminal 50 includes a wireless communication unit 51 that performs wireless communication with the access point 30, a bar code reader 52 (reading unit) that can read the identification codes 41, 42, and 43 printed on the medicine bag 40, For example, a commercially available portable terminal including a liquid crystal screen 53 capable of displaying the prescription content of a prescription or a dispensing instruction and an operation member 54 for inputting selection, confirmation, or other instructions is commercially available. General-purpose products (see, for example, Patent Document 2). The portable information terminal 50 is installed with an extension processing program in addition to the basic processing program.

  The portable information terminal 50 executes the basic processing program to set the dispensing person identification information that also serves as the operation mode switch to the dispensing mode and the audit person identification information that serves as the operation mode switch to the audit mode. When the identification code is read by the barcode reader 52, the read identification code is transmitted to the dispensing server 20 together with the person-in-charge identification information by the wireless communication means 51 (transmission means), When the communication unit 51 receives the prescription content from the dispensing server 20, the received prescription content is displayed on the screen 53 (reception unit), the display item on the screen 53 is selected according to the operation of the operation member 54, It is possible to input information for dispensing confirmation regarding selection items, information input for audit results, division instructions, and the like. When dispensing confirmation or audit result information input is made, the prescription identification code or dispensing instruction identification code related to the display content, the selected drug code, and the person identification information are transmitted to the dispensing server 20. Yes.

  In addition, the portable information terminal 50 executes a program for expansion processing to receive a selection of a medicine and an information input for confirmation of dispensing in the dispensing mode, and press a specific key or a specific procedure of the operation member 54. When the division instruction is input by the above operation, the information input for dispensing confirmation is interrupted and the re-input of the division instruction is requested just in case. Then, when it is also input, it is requested to input a quantity (hereinafter referred to as a divided quantity) to be dispensed in advance by a part of the quantity prescribed for the drug selected at that time. Is input to the dispensing server 20, information indicating that there has been a divided input, the number of divided portions, a prescription identification code or dispensing instruction identification code to be displayed, a selected drug code, and person-in-charge identification information. It is supposed to be. As for the quantity remaining without being dispensed, when prescription contents are received from the dispensing server 20 later, the prescription contents screen display, drug selection, confirmation input can be performed, and further division instructions are also entered. Can be done.

  Furthermore, when the portable information terminal 50 receives the selection of the medicine and the input of the audit result information in the audit mode, the dispensing time-sharing data of the medicine received from the dispensing server 20 and displayed on the screen 53 is attached. For the medicines (specifically, for the medicine whose division state value described later is not “None” but “parent” or “child”), the confirmation of the division state based on the dispensing time division data is requested. It has become. For confirmation, it is possible to simply ask for confirmation, but here we carefully check the total number before division and each quantity after division (specifically, the division state described later is “ The total number is confirmed based on the data display of the “parent”, and the data of the division state “child” is also displayed, and the number of divided parts is also confirmed based on the data display).

Then, each time confirmation is obtained, the prescription identification code or the dispensing instruction note identification code, the selected medicine code, and the person-in-charge identification information related to the display contents are transmitted to the dispensing server 20.
In this case as well as in the above case, the person-in-charge identification information notified from the portable information terminal 50 to the dispensing server 20 is the person-in-charge identification information for identifying the person in charge of dispensing if the operation mode is the dispensing mode. If the mode is the audit mode, it is the audit person identification information for identifying the audit person.

  An appropriate file management function and a database are incorporated in the dispensing server 20 in order to integrate and manage these by communication, and a plurality of / many prescription data 22 are stored and held in the hard disk 21. The prescription data 22 includes a prescription identification code for specifying a prescription, drug data indicating prescription contents, patient specifying information (not shown), and the like. The drug data includes a drug code for specifying the drug and a quantity indicating the dose / application amount. One or more sets of such drug data are stored in each prescription data 22 according to the prescription. Is included. Further, the prescription data 22 includes a dispensing instruction identification code, dispensing person identification information, and audit person identification information for each medicine data, and these are associated in a direct manner.

  The dispensing server 20 that holds the prescription data 22 receives the prescription data from the prescription order entry system 10 or the like by program processing, and stores it in the hard disk 21. At this time, each medicine code of the prescription data 22 is stored. A dispensing instruction identification code is attached to the label. A known dispensing control method in which prescription data is classified according to the type of dispensing machine and then assigned to a plurality of dispensing machines as a premise for generating an appropriate dispensing instruction identification code (see Patent Document 1). Etc. are realized. When the prescription data 22 is stored in the hard disk 21 or based on a schedule or the like, the prescription data 22 is sent to the medicine bag printing device 31 to print the medicine bag.

  In addition, when receiving a communication message indicating that the identification code has been read from the portable information terminal 50, the dispensing server 20 checks whether the identification code is a prescription identification code or a dispensing instruction identification code, and this is the prescription identification code. In some cases, prescription data 22 associated therewith is selected and all the drug data is transmitted to the portable terminal 50. On the other hand, when the identification code received from the portable information terminal 50 is a dispensing instruction identification code, the associated drug data is extracted from the prescription data 22, and the extracted data is transmitted to the portable terminal 50. Yes. In any case, the transmission destination portable terminal 50 is the portable information terminal 50 that has read and sent the identification code.

  Furthermore, the dispensing server 20 stores dispensing time division data indicating the division state of the drug data in the prescription data 22 for the data obtained by dividing the information input for dispensing confirmation by the portable information terminal 50 as described above. In association with the division, a plurality of associations between the dispensing person identification information and the inspection person identification information are performed in correspondence with the division, and in order to enable the association, the prescription data 22 (see FIG. 2A) , See FIG. 3B), for each medicine data, a data item of the division state (dispensing time division data) is secured, and if there is no division, the value of the division state is set to “None”, and there is division The division status value is set to “parent” at the point of division, and the increment derived from the division (division expansion data, dispensing time division data) is added and added immediately after the parent, and the division status value is “ It has become as to be in. "

  In addition, the prescription data 22 can include dispensing person identification information and audit person identification information not only at the “parent” value but also at the “child” value in the division state. Then, the dispensing server 20 associates the dispensing time division data indicating the divided state as described above with respect to the data performed by dividing the information input for dispensing confirmation by the portable terminal 50 among the drug data in the prescription data 22. Without stopping, a plurality of associations between the dispensing person identification information and the audit person identification information are performed.

  About the portable terminal utilization dispensing system of this Example 1, the use aspect and operation | movement are demonstrated referring drawings. FIG. 2 shows a normal operation state, where (a) is prescription data, (b) is an example of tablet packaging, (c) is prescription data, (d) is an example of PTP packaging of capsules, and (e) is Prescription data. FIG. 3 shows an operation state with division, where (a) is an example of PTP packaging of capsules, and (b) to (d) are prescription data. FIG. 4 shows another operation state, and both (a) and (b) are prescription data.

First (see Fig. 2), when dispensing and audits are conducted as a rule, that is, one dispensing person completes the dispensing operation related to one dispensing instruction at the time of dispensing, and all the contents of the prescription at the final audit. The work procedure and device operation will be explained for the case where one person in charge of the audit confirms.
The newly received prescription data 22 is stored in the hard disk 21 by the dispensing server 20 with an appropriate dispensing instruction identification code for each drug data.

  In this example (see FIG. 2 (a)), there are four types of prescription contents of drug codes “A1”, “A2”, “A3”, “A4”, and drugs with codes “A1”, “A2”. Is assigned a dispensing instruction identification code “B 1” related to the automatic dispensing machine 32, and a dispensing instruction identification code “B 2” related to the dispensing table 33 is assigned to the drugs with the codes “A 3” and “A 4”. . In addition, in the prescription data 22, in order to make it possible to associate dispensing person identification information, inspection person identification information, and dispensing time-sharing data with the drug data, these items are also secured for each drug data. However, the dispensing person identification information is initialized to “−”, the inspection person identification information is also set to “−”, and the division state is initialized to “none”.

  When the prescription data 22 reaches the prescription number, the prescription data 22 is transmitted to the medicine bag printing device 31, and the prescription identification code 41, the dispensing instruction identification code 42, and the dispensing instruction are stored in the medicine bag 40 together with the prescription contents of the prescription. A note identification code 43 is printed (see FIG. 1). These codes 41 to 43 are printed at different positions, and only one prescription identification code 41 is printed on the upper left, and a plurality of possible dispensing instruction identification codes 41 and 42 are printed separately on the lower left and lower right. The Specifically, “B1” is printed as the dispensing instruction note identification code 41, and “B2” is printed as the dispensing instruction note identification code 42.

The prescription data 22 is also transmitted from the dispensing server 20 to the automatic dispensing machine 32 connected via LAN. In the automatic dispensing machine 32, not all of the prescription data 22, but only the portion of the dispensing instruction identification code B1 that is compatible with the automatic dispensing machine 32, that is, the data of the dispensing instruction B1 including the drug codes A1 and A2, Sent.
When the medicines of the codes A1 and A2 are dispensed fully automatically by the automatic dispensing machine 32 (see FIG. 2B), the device identification code “C1” of the automatic dispensing machine 32 is transmitted from the automatic dispensing machine 32 to the dispensing server 20. Then, the value “C1” is written by the dispensing server 20 in the relevant item of the prescription data 22 as dispensing person identification information related to the medicines of the codes A1 and A2 (see FIG. 2C).

  Since the medicines of codes A3 and A4 (see FIG. 2 (d)) must be prepared manually, the worker with the portable information terminal 50 works at the dispensing table 33. Before starting the work, the dispensing operator operates the operation member 54 to set his / her identification code “C2” in the portable information terminal 50. At the time of dispensing, the bar code reader 52 holds the medicine bag 40 in the portable information terminal 50. The dispensing instruction note identification code 43 is read (see FIG. 1). Then, the identification code is transmitted from the portable information terminal 50 to the dispensing server 20, and the prescription content of the dispensing instruction sheet B2 is transmitted from the dispensing server 20 to the portable information terminal 50 as a reply and displayed on the screen 53. Specifically, the medicine name and quantity of the medicine codes A3 and A4 associated with the dispensing instruction identification code “B2” are displayed.

  Looking at it or looking at a paper dispensing instruction, the operator collects the medicine of code A3 and puts it in the medicine bag 40, and then operates the operation member 54 to select the medicine of code A3 on the screen 53. At the same time, information on dispensing confirmation is input. Subsequently, the same operation is performed for the medicine of code A4. Then, the information on drug selection and dispensing confirmation is transmitted from the portable information terminal 50 to the dispensing server 20 together with the identification code “C2” of the dispensing operator, and the dispensing server 20 sets the code value “C2” to the codes A3 and A4. Is written in the relevant item of the prescription data 22 as dispensing person identification information related to the medicine (see FIG. 2 (e)). This completes the dispensing of one prescription.

  When the dispensed medicine is stored together with the medicine bag 40 or contained in the medicine bag 40 and delivered to the inspection table 34, the final audit is performed by the audit worker. I have a terminal 50 and set my identification code “D1” in the portable information terminal 50. When performing an audit, the audit operator causes the portable information terminal 50 to read the prescription identification code 41 of the medicine bag 40 if he wants to see the prescription, and carries the dispensing instruction identification code 42 of the medicine bag 40 if he wants to see the dispensing instruction B2. If you want the information terminal 50 to read and see the dispensing instruction B1, the portable information terminal 50 reads the dispensing instruction identification code 41 of the medicine bag 40. If it does so, desired prescription content will be displayed on the screen 53 of the portable information terminal 50 by cooperation of the dispensing server 20 and the portable information terminal 50 (refer FIG. 1).

  Then, looking at the screen display, the audit operator operates the operation member 54 to select an appropriate medicine on the screen 53, and checks it against the actually dispensed medicine. Input is made to the portable information terminal 50. When such drug selection, check and result input are repeated for each drug, information on the drug selection and the audit result is transmitted from the portable information terminal 50 to the dispensing server 20 together with the identification code “D1” of the audit operator. The dispensing server 20 writes the code value “D1” in the relevant item of the prescription data 22 as the inspector identification information related to the drug codes A1, A2, A3, and A4 (see FIG. 2 (e)). ). This completes the audit of one prescription.

The above is an example when dispensing and auditing was performed as in principle, and if it is in principle, the same thing is repeated for other prescriptions, but the following describes the work procedure and device operation in exceptional cases. To do.
An example in which the medicine of code A3 is, for example, a capsule in PTP packaging (see FIG. 3 (a)) and the prescription quantity “42” is divided into 39 and the remaining 3 will be described. Dispensing workers are different in this division. Otherwise, it is the same as the above example, and when only 39 drugs with the code A3 are collected in the medicine bag 40, the dispensing operator inevitably changes from the person with the identification code "C2" to the person with the identification code "C3" And

  In this case, the dispensing operator with the identification code “C2” selects the medicine with the code A3 on the screen 53 and gives a split instruction to the portable information terminal 50. In response to the request for re-input, 39 pieces are designated as the divided quantity, that is, the quantity to be dispensed ahead of 42 pieces. Then, the information indicating that the divided input has been made, the divided quantity “39”, the dispensing instruction identification code “B2” to be displayed or the prescription identification code, the selected medicine code “A3”, and the dispensing person identification information “ C2 ″ is transmitted from the portable information terminal 50 to the server 20.

  The dispensing server 20 that has received this performs an expansion process corresponding to the division for the corresponding prescription data 22. More specifically (see FIG. 3B), the value of the division state related to the drug of the code A3 is set to “parent”, and between the set data including the drug code A3 and the set data including the drug code A4 Two-block set data (division extension data) is inserted and added. In the first block, the quantity is set to “39”, the dispensing person identification information is “C2”, and the division state is set to “child”. In the second additional block, the quantity is “3”, the dispensing person identification information is “−”, and the division state is “child”.

  Then, the dispensing operator with the identification code “C3” puts the remaining three of the medicine with the code A3 in the medicine bag 40, inputs the corresponding dispensing confirmation information on the portable information terminal 50, and further dispenses the dispensing instruction identification code. When the same operation is performed for the medicine with the same code A4 of B2, the server 20 records data in the prescription data 22 corresponding to the medicine. More specifically (see FIG. 3C), the dispensing operator identification code “C3” is used as the dispensing person identification information in the second block added in the division of the medicine of the code A3, and the medicine code A4. Is written in the relevant item of the prescription data 22 as the dispensing person identification information related to. Thus, also in this case, the dispensing of one prescription is completed.

  As for the pre-dispensed drug, all the drugs in the prescription data 22 are audited by the audit operator with the identification code “D1” alone as described above. Audits are conducted. That is, when the above-described audit work is performed on each of the drugs with codes A1, A2, and A3, the identification code “D1” of the audit worker is used as the prescription data as the audit person identification information related to the drug codes A1, A2, and A3. 22 (see FIG. 3 (c)), but for the drug of code A3, it is requested to input the audit result information corresponding to the division state for the increase derived from the division (division extension data). It is done. Therefore, the audit of the medicine of the code A3 cannot be completed unless the audit operator inputs information into the portable information terminal 50 for the audit results for 39 out of 42 and the audit results for the remaining three. Then, when the above auditing operation is also performed on the medicine of code A4, all the inspector identification information of the corresponding prescription data 22 becomes “D1” (see FIG. 3D). It is recorded that an audit of one prescription has been completed.

  Other exceptional cases are also described. A case will be described in which it is useful to input information for dispensing confirmation with division for the same drug even if the dispensing operator does not need to change. Again (see FIG. 3 (a)), the code A3 drug is a PTP-packed capsule, and 39 of the 42 are bundled in a sheet, but the remaining 3 are uncut items and fall apart. It shall be. In such a case, if the dispensing operator with the identification code “C2” splits the information input for drug selection and dispensing confirmation into 39 pieces and 3 pieces for the medicine of the code A3, the prescription data 22 is divided. Corresponding expansion processing is performed, and dispensing time division data indicating the division state at that time is associated therewith (see FIG. 4A).

At the time of auditing, as described above, careful auditing is performed for the drug of code A3 that has been divided at the time of dispensing. Therefore, it is easy and natural for the dispensing worker to call attention to the audit worker.
In addition, when the same medicine is partially used as a tablet and the remaining person in charge pulverizes and dispenses it, it can be processed in either of the two exceptional cases described above or in the intermediate work procedure. Information input for dispensing confirmation with division for the same medicine is performed.
In addition, even when the audit worker is changed halfway for one prescription, for example, when moving from the drug of the code A3 to the drug of the code A4, the audit worker inevitably receives the identification code “D2” from the person of the identification code “D1” Even when the person is changed, this is accurately recorded (see FIG. 4B).

About the Example 2 of the portable terminal utilization dispensing system of this invention, the specific structure is demonstrated with reference to drawing. 5A and 5B show the structure, where FIG. 5A is a block diagram of the server portion, and FIG. 5B is a data structure diagram.
This mobile terminal-based dispensing system is different from that of the first embodiment described above in that the dispensing time division data and the dispensing instruction identification code are associated in an indirect manner for each drug data.

More specifically, the divided extended data 23 added when the information input for drug selection and dispensing confirmation is divided into 39 and 3 for the drug of the code A3 is held separately from the prescription data 22, for example. A data area is secured in a separate dedicated file, and a pointer pointing to the data area is written to the value of the division state.
Dispensing instruction data 24 is also secured separately from the prescription data 22 and the divided expanded data 23, and each record is configured by combining a prescription identification code and a plurality of medicine codes with each dispensing instruction identification code. Yes.

[Others]
In the above embodiment, the device identification code is automatically written as dispensing person identification information at the time of automatic dispensing, but at the time of automatic dispensing so that the portable information terminal 50 can be used at the automatic dispensing machine 32 as well. Alternatively, an operator identification code may be written. Both the device identification code and the worker identification code may be written.
The printing of the identification code is not limited to a normal one-dimensional barcode, but may be a two-dimensional code or an OCR font character.

It is a block diagram which shows the whole structure of the dispensing system using a portable terminal about Example 1 of this invention. Shows normal operating conditions, (a) is prescription data, (b) is an example of tablet packaging, (c) is prescription data, (d) is an example of PTP packaging of capsules, and (e) is prescription data. . The operation state with a division | segmentation is shown, (a) is a PTP packaging example of a capsule, (b)-(d) is prescription data. Other operation states are shown, and both (a) and (b) are prescription data. About Example 2 of this invention, the structure of a portable terminal utilization dispensing system is shown, (a) is a block diagram of a server part, (b) is a data structure figure.

Explanation of symbols

10 ... Prescription order entry system,
20 ... Dispensing server, 21 ... Hard disk, 22 ... Prescription data,
23 ... Divided expansion data, 24 ... Dispensing instruction data, 25 ... Hub (wired LAN),
30 ... access point (wireless LAN),
31 ... Medicine bag printing device, 32 ... Automatic dispensing machine, 33 ... Dispensing table, 34 ... Auditing table,
40 ... Medicine bag, 41 ... Prescription identification code, 42, 43 ... Dispensing instruction identification code,
50 ... personal digital assistant (PDA, mobile terminal), 51 ... wireless communication means (wireless LAN),
52 ... Bar code reader (reading means), 53 ... Screen, 54 ... Operation member

Claims (3)

  A server for storing prescription identification code, dispensing person identification information, and inspection person identification information in association with prescription data, a reading means for reading a printed identification code, a screen capable of displaying prescription contents, and a wireless communication means Transmitting means for transmitting the identification code read by the reading means together with person-in-charge identification information to the server by the wireless communication means, and receiving means for receiving prescription content from the server by the wireless communication means and displaying it on the screen In the portable terminal-use dispensing system comprising the portable terminal, the server holds the dispensing instruction identification code associated with each medicine data of the prescription data, and the identification code received from the portable terminal is the If it is a prescription identification code, prescription data related to it is selected and all drug data is transmitted to the portable terminal. When the identification code received from the portable terminal is the dispensing instruction identification code, drug data related to the extracted code is extracted and the extracted data is transmitted to the portable terminal. .   The portable terminal according to claim 1, further comprising a printing device that prints the dispensing instruction identification code in addition to the prescription identification code when the prescription data is printed on a printing paper such as a prescription or a medicine bag. Use dispensing system.   3. The mobile phone according to claim 2, wherein the server associates the dispensing person identification information and the audit person identification information with the prescription data for each medicine data of the prescription data. Terminal-based dispensing system.

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