JP6911975B2 - Drug delivery support system, collation control program - Google Patents

Description

The present invention relates to a drug distribution support system and a collation control program for supporting drug distribution work.

Conventionally, in pharmacies and the like, a drug packaging device (see Patent Document 1) that packages a drug such as a tablet or powder into a drug package at each time of administration may be used. Then, the medicine package packaged by the drug packaging device is transported to a resident facility such as a hospital or a long-term care facility, and distributed to the resident by a drug distribution person such as a nurse.

Japanese Unexamined Patent Publication No. 2011-104077

By the way, when a bar code is printed on the medicine package in the medicine packaging device and the medicine package is distributed to a resident at the occupancy facility, a collation using the barcode printed on the medicine package is used. Work may be done. However, depending on the operation system or equipment of the occupancy facility, the number of collation objects to be collated with the bar code of the medicine package in the collation work and the number of the collation objects may differ, and the bar code printed on the drug package may be different. The information that should be included in may differ.

An object of the present invention is to increase the versatility of a drug distribution support system capable of determining the appropriateness of drug distribution at the time of drug distribution to a user at a destination of a drug package.

The drug distribution support system according to one aspect of the present invention is a drug distribution support system including an information terminal and a drug packaging device. Then, the information terminal describes the first collation information read from the first code information described in the plurality of packaging containers in which one or a plurality of drugs are packaged at each time of administration and the plurality of collation target articles. A collation processing unit that collates a plurality of second collation information read from a plurality of second code information, a setting processing unit that sets the contents of each of the second collation information according to a user operation, and the setting. It is provided with an output processing unit that outputs the settings made by the processing unit. Further, the chemical packaging device is set based on the setting contents by the setting processing unit, and the first code information indicating the first collation information capable of collating each of the second collation information is sent to the packaging container. A printing processing unit for printing is provided.

Further, the drug distribution support system receives the setting contents by the setting processing unit output from the output processing unit, and based on the setting contents, the said in the first code information printed by the printing processing unit. It is conceivable to include a print setting processing unit for setting the contents of the first collation information.

Further, it is conceivable that the plurality of second collation information includes the information of the first item common to the plurality of users and the information of the individual second items different for each user. In this case, the collation processing unit reads the information of the first item from the second code information and then reads different information about the same first item from the first code information. It is conceivable to use the information of the first item as a collation target when collating the first collation information to be read.

Further, it is conceivable that the contents of the plurality of second collation information set by the setting processing unit include the reading order of the second collation information. In this case, it is conceivable that the collation processing unit determines whether or not the second code information corresponding to each of the second collation information has been read according to the reading order of each of the second collation information.

In addition, it is conceivable that the plurality of second collation information includes at least the dosing time and the dosing person identification information.

In addition, the collation control program according to the present invention includes a first step of reading a plurality of second collation information from a plurality of second code information described in a plurality of collation target articles, and one or a plurality of drugs at each time of administration. The second step of reading the first collation information from the first code information described in the plurality of packaging containers packaged in the above, and the third step of collating the first collation information and the plurality of the second collation information. This is a collation control program for causing the processor to execute.

Further, in the third step, after the plurality of the second collation information is read from the plurality of the second code information described in the plurality of collation target articles, the second collation information described in the packaging container is described. When the first collation information is read from the 1-code information, it is conceivable that the first collation information and a plurality of the second collation information are collated.

Further, when the plurality of first collation information read from the first code information includes the information of the same item, the collation control program obtains the information of the same item included in the plurality of first collation information. It is conceivable that the collation control program is for causing the processor to further execute the fourth step of collation.

According to the present invention, it is possible to increase the versatility of the drug distribution support system capable of determining the suitability of the drug distribution when the drug is distributed to the user at the destination of the drug package.

FIG. 1 is a block diagram showing a schematic configuration of a drug distribution support system according to an embodiment of the present invention. FIG. 2 is a diagram showing an example of drug distribution management information used in the drug distribution support system according to the embodiment of the present invention. FIG. 3 is a flowchart showing an example of a flow of drug distribution work executed at a pharmacy and a delivery destination where the drug distribution support system according to the embodiment of the present invention is installed. FIG. 4 is a schematic diagram showing an example of a flow of drug distribution work executed at a pharmacy and a delivery destination in which a drug distribution support system according to an embodiment of the present invention is installed. FIG. 5 is a flowchart showing an example of a procedure of prescription data issuance processing executed by the drug distribution support system according to the embodiment of the present invention. FIG. 6 is a diagram showing an example of packaged data generated by a prescription data issuing process executed by the drug distribution support system according to the embodiment of the present invention. FIG. 7 is a diagram showing another example of the sachet data generated by the prescription data issuance process executed by the drug distribution support system according to the embodiment of the present invention. FIG. 8 is a flowchart showing an example of the procedure of the drug packaging process executed by the drug distribution support system according to the embodiment of the present invention. FIG. 9 is a diagram showing an example of a packaging result of a drug packaging process executed by the drug distribution support system according to the embodiment of the present invention. FIG. 10 is a flowchart showing an example of a procedure of the accommodation collation process executed by the drug distribution support system according to the embodiment of the present invention. FIG. 11 is a flowchart showing an example of a procedure of collation processing at the time of delivery executed by the drug distribution support system according to the embodiment of the present invention. FIG. 12 is a flowchart showing an example of a procedure of collation processing at the time of receipt executed by the drug distribution support system according to the embodiment of the present invention. FIG. 13 is a flowchart showing an example of a procedure of the drug distribution time matching process executed by the drug distribution support system according to the embodiment of the present invention. FIG. 14 is a block diagram showing a schematic configuration of a drug distribution support system according to another embodiment of the present invention. FIG. 15 is a diagram showing an example of a dosing time sheet, a meal tag, and a medicine package used in the medicine distribution support system according to another embodiment of the present invention. FIG. 16 is a flowchart showing an example of the procedure of the facility side setting process and the print setting process executed by the drug distribution support system according to another embodiment of the present invention. FIG. 17 is a diagram showing an example of a screen displayed in a facility-side setting process executed by the drug distribution support system according to another embodiment of the present invention. FIG. 18 is a diagram showing an example of a screen displayed in a facility-side setting process executed by the drug distribution support system according to another embodiment of the present invention. FIG. 19 is a diagram showing an example of a screen displayed in a facility-side setting process executed by the drug distribution support system according to another embodiment of the present invention. FIG. 20 is a flowchart showing an example of a procedure of the drug distribution time matching process executed by the drug distribution support system according to another embodiment of the present invention. FIG. 21 is a diagram showing an example of a screen displayed in a drug distribution time collation process executed by the drug distribution support system according to another embodiment of the present invention. FIG. 22 is a diagram showing an example of a screen displayed in a drug distribution time collation process executed by the drug distribution support system according to another embodiment of the present invention. FIG. 23 is a flowchart showing another example of the procedure of the drug distribution time matching process executed by the drug distribution support system according to another embodiment of the present invention.

[First Embodiment]
Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings for the purpose of understanding the present invention. The following embodiments are examples that embody the present invention, and do not limit the technical scope of the present invention.

[Drug distribution support system 10]
As shown in FIG. 1, the drug distribution support system 10 according to the embodiment of the present invention includes a dispensing support device 1, a reading terminal 2, a drug packaging device 3, a printer 4, a drug distribution support device 5, and a mobile terminal 6. And a reading terminal 7 and the like. The dispensing support device 1, the reading terminal 2, the drug packaging device 3, and the printer 4 are wirelessly or wiredly connected to each other via a network N1. Further, the drug distribution support device 5, the mobile terminal 6, and the reading terminal 7 are connected to each other so as to be able to communicate wirelessly or by wire via the network N2. The network N1 and the network N2 are LAN, WAN, the Internet, an intranet, and the like.

The dispensing support device 1, the reading terminal 2, the drug packaging device 3, and the printer 4 are arranged in a pharmacy A where the drug is dispensed. The dispensing support device 1 is an example of a terminal on the pharmacy side, but its location may be outside the pharmacy A as long as it can be connected to the network N1. On the other hand, the drug distribution support device 5, the mobile terminal 6, and the reading terminal 7 are arranged at each of the LTCF B, which is the delivery destination of the medicines dispensed at the pharmacy A. The LTCF B is a facility in which a plurality of users who take the medicines dispensed at the pharmacy A live. The LTCF B is only an example of a predetermined drug distribution group, and for example, an area including the homes of a plurality of predetermined users or a delivery route is also an example of the drug distribution group. Further, the drug distribution support device 5 is an example of a facility-side terminal, but its location is outside the LTCF B if it is connected to the network N2 and can be used in the LTCF B. May be good. Further, it is conceivable that the dispensing support device 1 also has the function of the drug distribution support device 5.

[Chemical packaging device 3]
The drug packaging device 3 is a dispensing device capable of packaging a drug in a drug package 81 (see FIG. 4) at each time of administration based on the prescription data input from the dispensing support device 1. For example, the drug packaging device 3 is a tablet packaging machine for packaging tablets or a powder packaging machine for packaging powder. Specifically, the tablet packaging machine has a plurality of drug cassettes containing a plurality of types of tablets, and according to prescription data, the tablets are dispensed from the drug cassette and packaged in the drug package 81 at each time of administration. Perform the action. In addition, the powder packaging machine executes a packaging operation of packaging the charged powder in the medicine package 81 at each time of administration according to the prescription data. The medicine package 81 used for these packaging operations is an example of a packaging container. Further, it is also conceivable that the tablet packaging machine or the powder packaging machine can package the tablets and the powder at each time of administration. In the drug packaging device 3, the drug package 81 is formed by heating and melting a part of a continuous long drug package sheet provided in the drug packaging device 3, and each of the drug packages 81 is formed. Perforations are formed between them for easy separation.

The drug packaging device 3 includes a control unit 31 that controls the drug packaging device 3 and a packaging printer 32 that prints information on the drug package 81. The control unit 31 includes a CPU, a ROM, a RAM, and the like. In accordance with the control instruction from the control unit 31, the package printer 32 indicates the user who takes the medicine contained in the medicine package 81 in the medicine package 81 (an example of the user identification information). , The first medicine distribution information including the time of taking the medicine contained in the medicine package 81 and the predetermined delivery destination identification information is printed. The delivery destination identification information is information such as a delivery destination ID or a delivery destination name indicating the LTCF B in which the user of the medicine in the medicine package 81 is occupying, and is registered in the user master described later. There is. In addition, instead of the character indicating the time of administration, or together with the character indicating the time of administration, a predetermined number of the time code for administration (for example, a two-digit number) or a pictogram indicating the time of administration, etc. It is also conceivable that the image of is printed on the medicine bag 81. Here, the number of the dosing time code may be printed as a character, but when the drug packaging device 3 has a function of printing the pictogram, the control unit 31 utilizes the function. It is also conceivable to print an image registered in advance as a numerical image of the dosing time code in place of the pictogram. This makes it possible to have the medicine package 81 print the number of the dosing time code in the existing system.

In particular, in the drug packaging device 3, the packaging printer 32 prints a code 811 (see FIG. 4) such as a one-dimensional code or a two-dimensional code indicating the first drug distribution information on the drug package 81. .. Here, the control unit 31 when printing the first drug distribution information on the medicine package 81 using the package printer 32 is an example of the first recording unit. As another embodiment, it is conceivable that the first drug distribution information is printed on a first recording medium such as a label attached to the drug package 81. It is also conceivable that a first recording medium such as an IC tag is attached to the medicine package 81. In this case, it is conceivable that the drug packaging device 3 is provided with a recording means such as an IC reader / writer that records the first drug distribution information on the first recording medium.

In addition, the drug packaging device 3 continuously packages the drug to be taken by one user into a series of the drug packages 81 at each time of administration, and a predetermined drug distribution process for each user. It is possible to carry out a time-specific packaging process in which the medicines taken by a plurality of users belonging to the group are arranged for each time of administration and continuously divided into a series of the medicine packages 81. In the drug packaging device 3, the code 811 is printed on each of the drug packages 81 by the packaging printer 32 regardless of which of the user-specific packaging process and the time-specific packaging process is executed. ..

When the time-specific packaging process is executed, it is conceivable that the series of medicine packages 81 are delivered without being separated. Therefore, the packaging printer 32 only delivers the first or last medicine package 81. It is also conceivable that the code 811 is printed as another embodiment. In this case, in the containment time collation process (see FIG. 10) described later, the first drug distribution information printed on the first or last drug package 81 among the drug packages 81 connected at each time of administration is collated. Be the target.

[Printer 4]
The printer 4 is a medicine bag 82 used for collectively accommodating the medicine packages 81 of a plurality of users belonging to a predetermined medicine distribution group at the same dosing time (an example of a delivery container: see FIG. 4). It is used to print information on a label 821 (an example of a second recording medium: see FIG. 4) affixed to. Specifically, the printer 4 has a label 821, a dosing time corresponding to the medicine package 81 housed in the medicine bag 82, and predetermined delivery destination identification information according to a control instruction from the dispensing support device 1. Print (record) the second drug distribution information including. In particular, the printer 4 prints a code 822 (see FIG. 4) such as a one-dimensional code or a two-dimensional code indicating the second drug distribution information on the label 821. Then, the label 821 is used by being attached to the medicine bag 82. The delivery destination identification information is information indicating the LTCF B in which the user of the medicine in the medicine package 81 is occupying, and is registered in advance in the user master described later.

The label 821 is an example of a means for recording the second medicine distribution information on the medicine bag 82, and the printer 4 may directly print the second medicine distribution information on the medicine bag 82. Considered as a form. It is also conceivable that a second recording medium such as an IC tag is attached to the medicine bag 82. In this case, it is conceivable that the dispensing support device 1 is provided with a recording means such as an IC reader / writer that records the second drug distribution information on the second recording medium. The printer 4 is also used to print a prescription corresponding to the prescription data according to the print data received from the dispensing support device 1.

[Dispensing support device 1]
The dispensing support device 1 is a personal computer including a control unit 11, a data storage unit 12, a communication interface 13, a display device 14, an operation device 15, a drive device 16, and the like. The single unit of the dispensing support device 1 may be regarded as a drug distribution support system according to the present invention. Further, a higher-level system (not shown) such as an electronic medical record system for inputting prescription data into the dispensing support device 1 or a prescription input terminal is connected to the dispensing support device 1 via the network N1. It should be noted that the dispensing support device 1 may be configured so that prescription data can be input using the operation device 15.

The control unit 11 includes a CPU, a ROM, a RAM, and the like. The CPU is a processor that controls the dispensing support device 1 by executing processing according to various control programs. The ROM is a non-volatile memory in which a program such as a BIOS executed by the CPU is stored in advance. The RAM is a volatile memory or a non-volatile memory used for deploying various control programs by the CPU and temporarily storing data.

The data storage unit 12 is a non-volatile storage means such as a hard disk or SSD that stores various application programs and various data executed by the control unit 11. Specifically, the data storage unit 12 is subjected to a prescription data issuance process (see FIG. 5), a storage time collation process (see FIG. 10), a delivery time collation process (see FIG. 11), and the like, which will be described later. The dispensing support program to be executed is remembered.

For example, the control unit 11 functions as a second recording unit 111, a determination unit 112, and a first notification unit 113 by executing various processes according to the dispensing support program.

The second recording unit 111 is used when the printer 4 is used to accommodate the medicine package 81 of a plurality of users belonging to the predetermined LTCF B (drug distribution group) at the same dosing time. The code 822, which is the second drug distribution information including the time of administration and the delivery destination identification information of the LTCF B, is printed (recorded) on the label 821 attached to the drug bag 82.

The determination unit 112 determines the dosing time and the delivery destination identification information of the first drug distribution information read from the medicine package 81, and the dosing time and the delivery destination of the second medicine distribution information read from the medicine bag 82. It is determined whether or not the identification information matches. The reading terminal 2 reads the first drug distribution information and the second drug distribution information.

The first notification unit 113 notifies the determination result of the determination unit 112. For example, the first notification unit 113 causes the reading terminal 2 or the display device 14 to display whether or not the determination results of the determination unit 112 match. It is also conceivable that the first notification unit 113 displays an error message only when the determination results of the determination unit 112 do not match.

In addition, various databases such as a drug master, a user master, a pharmacist master, a prescription classification master, a clinical department master, and a ward master are also stored in the data storage unit 12. For example, the drug master includes drug code, drug name, JAN code (or RSS), drug bottle code, classification (dosage form: powder, tablet, liquid medicine, external medicine, etc.), specific gravity, drug type (ordinary drug, Includes information on poisons, narcotics, powerful drugs, antipsychotics, therapeutics, etc.), formulation changes, excipients, precautions, etc. In addition, the drug master also contains side effect related information regarding side effects that may occur on a drug-by-drug basis. As a result, in the dispensing support device 1, when the content of the side effect is selected, for example, the control unit 11 uses the side effect-related information and the prescription data for a drug that is likely to cause the side effect. It is also possible to carry out a suspect drug identification process to identify based on. In addition, the taker master includes the taker ID, name, gender, age, address, medical history, family information, clinical department, and hospitalization ward of each taker, as well as the above-mentioned health facility B corresponding to the place of residence. Contains information such as delivery address identification information. It should be noted that the taking person is a concept including a resident living in the LTCF B and a patient receiving medical treatment at a medical institution.

In addition, the data storage unit 12 has a prescription data storage unit 121 and a drug distribution management information storage unit 122. The prescription data storage unit 121 stores the prescription data acquired from the higher-level system (not shown) in a database format. The prescription data includes, for example, prescription delivery date, order number, prescription classification, BCD, user ID, user name, user birth date, drug information (drug code, drug name, dose, etc.), dosage form. Information such as information (internal use, external use, etc.), usage information (including time of administration), medical treatment type (outpatient department, hospitalization, etc.), clinical department, etc. are included.

The drug distribution management information storage unit 122 stores the drug distribution management information D1 in which the delivery destination identification information, the dosing time, and the user identification information are associated with each other. Here, FIG. 2 is a diagram showing an example of the drug distribution management information D1. As shown in FIG. 2, the drug distribution management information D1 includes a delivery date, a delivery destination ID and a long-term care facility name of the LTCF B, which is delivery destination identification information, a dosing time, and a user identification information. The user ID and name are stored in association with each other.

Specifically, the control unit 11 generates the drug distribution management information D1 based on the prescription data of a plurality of users input from the higher-level system (not shown) and the user master. The drug distribution management information D1 shown in FIG. 2 shows information corresponding to the dosing time for one day, but is not limited to this. For example, the control unit 11 generates the drug distribution management information D1 corresponding to an arbitrary predetermined dosing period that is simultaneously delivered from the pharmacy A to the LTCF B, such as for a plurality of days or one week. ..

Further, in the drug distribution management information D1 shown in FIG. 2, a case where two LTCFs B1 and LTCFs B2 are registered as the LTCFs B will be described as an example, but one or three or more will be described. The LTCF B may be registered in advance as a delivery destination. Further, in the present embodiment, the case where the LTCF B is set as one drug distribution group will be described. For example, in the LTCF B, a room or a floor in which a plurality of users are occupying is arranged. It can also be set as a drug group.

The communication interface 13 is a network that executes data communication wirelessly or by wire with the reading terminal 2, the chemical packaging device 3, and the printer 4 via the network N1 according to a predetermined communication protocol. Have a card etc. The display device 14 is a display means such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 11. The operating device 15 is an operating means operated by a user to input various information to the dispensing support device 1. Specifically, the operating device 15 includes a keyboard and a mouse (pointing device) that accept input operations of various information according to the display screen of the display device 14.

The drive device 16 can read the dispensing support program from a computer-readable recording medium 17 on which the dispensing support program is recorded. The recording medium 17 is a CD, DVD, BD, USB memory, or the like. Then, in the dispensing support device 1, the dispensing support program read from the recording medium 17 by the drive device 16 by the control unit 11 is installed in the data storage unit 12.

[Reading terminal 2]
The reading terminal 2 is a reading means such as a bar code reader that reads the first drug distribution information and the second drug distribution information from the code 811 and the code 822 attached to the medicine package 81 and the medicine bag 82. be. The first drug distribution information and the second drug distribution information read by the reading terminal 2 are input to the dispensing support device 1. When a first recording medium or a second recording medium such as an IC tag on which the first drug distribution information or the second drug distribution information is recorded is attached to the medicine package 81 or the medicine bag 82, the reading terminal is used. Reference numeral 2 denotes a reading means such as an IC reader / writer that reads information from the first recording medium or the second recording medium. Further, the reading terminal 2 may be a mobile terminal such as a mobile phone, a smartphone, a PDA, a media player, or a tablet terminal as long as information can be read from the code 811 and the code 822.

[Drug distribution support device 5]
On the other hand, the drug distribution support device 5 is a personal computer including a control unit 51, a data storage unit 52, a communication interface 53, a display device 54, an operation device 55, a drive device 56, and the like.

The control unit 51 includes a CPU, a ROM, a RAM, and the like. The CPU is a processor that controls the drug distribution support device 5 by executing processing according to various control programs. The ROM is a non-volatile memory in which a program such as a BIOS executed by the CPU is stored in advance. The RAM is a volatile memory or a non-volatile memory used for deploying various control programs by the CPU and temporarily storing data.

The data storage unit 52 is a non-volatile storage means such as a hard disk or SSD that stores various application programs and various data executed by the control unit 51. Specifically, the data storage unit 52 is provided with a drug distribution support program for causing the control unit 51 to perform a receiving time collation process (see FIG. 12), a drug distribution time collation process (see FIG. 13), and the like, which will be described later. It is remembered.

For example, the control unit 51 functions as a display control unit 511, a delivery destination determination unit 512, and a second notification unit 513 by executing various processes according to the drug distribution support program.

When the first drug distribution information is read from the drug package 81, the display control unit 511 stores the face image of the user corresponding to the user ID of the first drug distribution information in the data storage unit 52. Read from and display. Specifically, the display control unit 511 receives the user based on the resident master described later stored in the master storage unit 521 when the first drug distribution information is read by the mobile terminal 6. The face image of is displayed on the mobile terminal 6.

The delivery destination determination unit 512 determines whether or not the delivery destination identification information of the second drug distribution information read from the medicine bag 82 at the delivery destination matches the delivery destination identification information corresponding to the delivery destination. judge. That is, the delivery destination determination unit 512 determines whether or not the delivery destination is correct as the delivery destination to which the medicine bag 82 should be delivered.

The second notification unit 513 notifies the determination result by the delivery destination determination unit 512. For example, it is conceivable that the second notification unit 513 causes the display device 54 or the reading terminal 7 to display whether or not the determination results of the delivery destination determination unit 512 are in agreement. It is also conceivable that the second notification unit 513 displays an error message only when the determination results of the delivery destination determination unit 512 do not match.

Further, the data storage unit 52 includes a master storage unit 521 and a conversion information storage unit 522. The master storage unit 521 stores a resident master including information such as a resident ID, a resident name, a facial image, a medical history, or a drug history of the resident who is occupying the LTCF 521. The face image is registered in advance as an image such as a face photograph or a caricature showing the appearance of the resident.

The conversion information storage unit 522 contains predetermined conversion information in order to realize compatibility between the user master managed by the pharmacy A and the resident master managed by the LTCF B. It is remembered. For example, the conversion information is information indicating a correspondence relationship between the user ID and the resident ID. It is also conceivable that the taker ID in the taker master is a combination of the delivery destination identification information corresponding to the LTCF B and the resident ID.

As a result, in the drug distribution support device 5, the control unit 51 can convert the user ID in the user master managed by the pharmacy A into the resident ID based on the conversion information. It is possible. Therefore, in the drug distribution support system 10, the system on the pharmacy A side and the system on the LTCF B side can be configured separately, and the information of the resident master on the LTCF B side can be obtained. There is no need to tell Pharmacy A side.

The communication interface 53 includes a network card or the like that executes data communication wirelessly or by wire with the dispensing support device 1 or the like via the network N1 according to a predetermined communication protocol. The display device 54 includes display means such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 51, a speaker that outputs sound according to a control instruction from the control unit 51, and the like. This is an example of the display unit on the terminal side. The operating device 55 is an operating means operated by a user to input various information to the drug distribution support device 5. Specifically, the operation device 55 includes a keyboard and a mouse (pointing device) that accept input operations of various information according to the display screen of the display device 54.

The drive device 56 can read the drug distribution support program from a computer-readable recording medium 57 on which the drug distribution support program is recorded. The recording medium 57 is a CD, DVD, BD, USB memory, or the like. Then, in the drug distribution support device 5, the drug distribution support program read by the drive device 56 from the recording medium 57 is installed in the data storage unit 52 by the control unit 51.

[Mobile terminal 6]
The mobile terminal 6 is, for example, a mobile phone, a smartphone, a PDA, a media player, a tablet terminal, or the like, and distributes the medicine package 81 housed in the medicine bag 82 to the user at the LTCF B. Carried by the drug clerk. The mobile terminal 6 includes a control unit 61 and a camera 62.

The control unit 61 includes a CPU, RAM, ROM, and the like, and controls the mobile terminal 6. In the mobile terminal 6, various processes are executed by the control unit 61 according to a pre-installed application program. The camera 62 is a photographing means for capturing an image or a moving image. The control unit 61 has a code reading function for reading a one-dimensional code or a two-dimensional code included in the image or video captured by the camera 62. Specifically, the mobile terminal 6 can read information from the one-dimensional code or the two-dimensional code printed on the medicine package 81 and the medicine bag 82 by using the code reading function. Then, the control unit 61 transmits the information read by the camera 62 to the drug distribution support device 5. The mobile terminal 6 also includes a display unit for displaying various information and an operation unit for receiving various operations.

[Reading terminal 7]
Similar to the reading terminal 2, the reading terminal 7 is a reading means such as a bar code reader that reads information from a one-dimensional code or a two-dimensional code printed on the medicine package 81 or the medicine bag 82. Then, the information read by the reading terminal 7 is input to the drug distribution support device 5. When a recording medium such as an IC tag is attached to the medicine package 81 or the medicine bag 82, the reading terminal 7 is a reading means such as an IC reader / writer that reads information from the recording medium. It is also possible to use the mobile terminal 6 as the reading terminal 7 and omit the reading terminal 7.

[Example of drug distribution work]
Subsequently, with reference to FIGS. 3 and 4, the flow of the drug distribution work executed in the pharmacy A and the LTCF B in which the drug distribution support system 10 is used will be described. Specifically, steps S1 to S5 shown in FIG. 3 are executed at the pharmacy A, and steps S6 to S7 are executed at the LTCF B. Note that FIG. 4 is a diagram schematically showing the flow of the drug distribution work when the drug is delivered from the pharmacy A to the LTCF B1 and the LTCF B2, which are examples of the LTCF B.

<Step S1>
First, in the dispensing support device 1, the control unit 11 selects the LTCF B to deliver the drug in response to the user operation of the operating device 15, and issues prescription data corresponding to the LTCF B. The prescription data issuance process is executed (S1).

<Step S2>
Then, in the dispensing support device 1, the control unit 11 generates packaging data based on each of the prescription data issued in step S1, and inputs the packaging data to the drug packaging device 3. As a result, automatic dispensing by the drug packaging device 3 is started (S2). As a result, as shown in FIG. 4, each of the above-mentioned medicine packages 81 containing the medicines taken by the users belonging to each of the above-mentioned LTCF B is obtained.

Further, in the step S2, in the chemical packaging device 3, the control unit 31 uses the packaging printer 32 to obtain the code 811 indicating the first drug distribution information as shown in FIG. Print on the medicine package 81. The first drug distribution information includes the user ID, the time of administration, and the delivery destination identification information. The name of the person taking the medicine, the date and time of taking the medicine, the time of taking the medicine, and the like are also printed on the medicine package 81. It is also conceivable that the first drug distribution information includes information on the date and time of administration.

Further, in step S2, the control unit 11 uses the printer 4 to attach the code 822 indicating the second drug distribution information to the drug bag 82, as shown in FIG. 4, the label 821. To print. The second drug distribution information includes the dosing time and the delivery destination identification information. The long-term care facility name, the date and time of administration, the time of administration, and the like are also printed on the medicine bag 82.

<Step S3>
When the dispensing work by the drug packaging device 3 is completed, the pharmacist in charge of inspection subsequently inspects the drug dispensed by the drug packaging device 3 (S3). For the inspection, it is conceivable to use an image inspection system that images the medicine dispensed by the medicine packaging device 3 and automatically performs the inspection based on the captured image. For example, when the time-specific packaging process is executed in the drug packaging process, the image inspection system divides the images of the drug packages 81 arranged for each time of administration in the LTCF unit, and the image is divided. An inspection image is generated for each user, which is arranged according to the time of administration. Then, the image inspection system inspects the medicine dispensed by the medicine packaging device 3 based on the inspection image.

<Step S4>
Next, as shown in FIG. 4, the delivery person accommodates each of the medicine packages 81 to be delivered to each of the LTCF B in the medicine bag 82 corresponding to the time and delivery destination of the medicine package 81 ( S4). At this time, the delivery person uses the reading terminal 2 to read the first drug distribution information and the second drug distribution information from each of the medicine package 81 and the medicine bag 82. As a result, the control unit 11 of the dispensing management device 1 determines whether or not the first drug distribution information and the second drug distribution information match in the accommodation time matching process described later.

<Step S5>
After that, the delivery person delivers each of the medicine bags 82 to the delivery destination (S5). At this time, the delivery person reads the second medicine distribution information from each of the medicine bags 82 by using the reading terminal 2. As a result, the control unit 11 of the dispensing management device 1 determines whether or not there is a leak in the medicine bag 82 to be delivered to the delivery destination in the delivery time collation process described later.

<Step S6>
Next, at each of the LTCFs B, when each of the medicine bags 82 is received from the pharmacy A, the person in charge of drug distribution reads the second drug distribution information from the code 822 of the drug bag 82 using the reading terminal 7. (S6). As a result, the control unit 51 of the drug distribution support device 5 delivers the delivery destination identification information included in the second drug distribution information and the delivery of the LTCF B in which the reading terminal 7 is arranged in the drug receiving process described later. It is determined whether or not the destination identification information matches.

<Step S7>
After that, the person in charge of drug distribution at the LTCF B distributes each of the medicine packages 81 contained in the medicine bag 82 corresponding to the time of taking the medicine to the resident (S7). At this time, in the medicine distribution work, since the medicine packages 81 of the plurality of users are collectively housed in the medicine bag 82 for each time of taking, the LTCF B, which is the delivery destination, receives each time of taking. It is possible to take out the medicine package 81 of a plurality of users from the medicine bag 82 and easily administer the medicine to each of the users. Further, in step S7, the person in charge of drug distribution reads the first drug distribution information from each of the drug packages 81 using the mobile terminal 6. As a result, the control unit 51 of the drug distribution support device 5 determines the resident corresponding to the user ID based on the user ID included in the first drug distribution information in the drug distribution time matching process described later. The face image 64 is read from the resident master stored in the master storage unit 521 of the data storage unit 52 and displayed on the mobile terminal 6.

[Various processes executed by the drug distribution support system 10]
Hereinafter, with reference to FIGS. 5 to 13, an example of various processes executed in the drug distribution support system 10 when the drug distribution operation (see FIG. 3) is executed will be described. The execution subject of various processes executed in the drug distribution support system 10 is not limited to that described here, and may be executed by the control unit of various devices constituting the drug distribution support system 10.

[Prescription data issuance process]
First, with reference to FIG. 5, the prescription data issuing process executed by the control unit 11 of the dispensing support device 1 in the step S1 will be described.

<Step S11>
In step S11, the control unit 11 determines whether or not the prescription data issuance operation has been performed for the one or more LTCFs B. Specifically, the control unit 11 selects one or a plurality of the LTCFs B according to the user operation of the operating device 15 in the dispensing support device 1, and issues prescription data for each of the LTCFs B. Accept. Then, when the prescription data issuance operation is performed (S11: Yes), the process proceeds to step S12. Until the prescription data issuance operation is performed (S11: No), the process waits in step S11.

<Step S12>
In step S12, the control unit 11 decomposes and arranges the prescription data of each of the users belonging to each of the LTCF B for each time of the same administration in the LTCF to which the user belongs. Generate.

For example, as shown in FIG. 6, the control unit 11 generates group prescription data in which prescription data of a plurality of users belonging to each of "Long-Term Care Health Facility B1" and "Long-Term Care Health Facility B2" are grouped. After that, as shown in FIG. 7, the control unit 11 arranges the prescription data corresponding to each of the users belonging to the “Long-Term Care Health Facility B1” and the “Long-Term Care Facility B2” for each dosing time based on the group prescription data. Generate the changed packaging data. In addition, the packaged data includes data (empty data) indicating that even for a user who does not have a drug corresponding to the time of administration.

<Step S13>
Then, in step S13, the control unit 11 outputs the packaging data to the chemical packaging device 3. As a result, in the chemical packaging device 3, the chemical packaging process (see FIG. 8) described later is executed according to the packaging data. As another embodiment, it is conceivable that the printer 4 or the like to which the dispensing support device 1 is connected prints out a one-dimensional code or a two-dimensional code indicating the packaged data. As a result, the chemical packaging device 3 can perform the packaging operation according to the packaging data by reading the packaging data from the printed paper with a harcode reader or the like.

[Chemical packaging process]
Next, with reference to FIG. 8, the chemical packaging process executed by the control unit 31 of the chemical packaging device 3 in the step S2 will be described. In the present embodiment, the case where the time-specific packaging process is executed as the drug packaging process will be described as an example, but the user-specific packaging process may be executed.

<Step S21>
First, in step S21, the control unit 31 waits for the input of the packaged data from the dispensing support device 1 (S21: No). Then, when it is determined that the packaged data has been input (S21: Yes), the control unit 31 shifts the process to step S22.

<Step S22>
In step S22, the control unit 31 sets the first LTCF B1 of the packaging data as a packaging target. Specifically, when the packaging data shown in FIG. 7 is input, the control unit 11 sets the “Long-Term Care Health Facility B1” as the packaging target in the first step S22. Then, when the step S22 is executed from the second time onward, the control unit 11 sets the second and subsequent hospital rooms as packaging targets in order. That is, when the packaging data shown in FIG. 7 is input, the control unit 31 sets the “Long-Term Care Health Facility B2” as the packaging target in the second step S22.

<Step S23>
In step S23, the control unit 31 starts packaging with the first dosing time corresponding to the LTCF B selected as the packaging target in step S22 of the packaging data as the packaging target. ..

Specifically, when the packaged data shown in FIG. 7 is input, the control unit 31 takes the “△ month △ day after breakfast” of the “Long-Term Care Health Facility B1” in the first step S23. Starts packaging with the target of packaging. Then, when the step S23 is executed from the second time onward, the control unit 31 starts the packaging in order for the second and subsequent administration times. That is, when the sachet data shown in FIG. 7 is input, the control unit 31 sets the dosing time of "△ month △ day after lunch" of "Long-Term Care Health Facility B1" in the second step S23. Start packaging as a packaging target.

Here, FIG. 9A is a diagram showing an example of a packaging result when the drug packaging process is executed based on the packaging data shown in FIG. 7. In the packaging result shown in FIG. 9A, the medicines taken by a plurality of users belonging to the same LTCF B are continuously packaged at each time of administration. Specifically, the medicine package 81 corresponding to the users "Ichiro Yuyama", "Jiro Yuyama", and "Saburo Yuyama" of the LTCF B1 is continuously displayed every △ month △ day after breakfast, lunch, and dinner. Is formed. After the △ month △ day, the next day △ month □ day is also packaged in the same manner.

In addition, when the prescription data includes information (type, time of use, etc.) of unpackaged medicines such as eye drops, liquid medicines, or external medicines that are not packaged in the medicine package 81, the packaged data includes the information. , It is conceivable that the information of the non-packaging drug is included in addition to the data of the drug packaged by the drug packaging device 3. In this case, the control unit 31 writes or pictograms information such as the presence of the extra-packaged drug and the content of the extra-packaged drug in the drug package 81 corresponding to the time when the extra-packaged drug is used. It is conceivable to print with (image). As a result, the presence of the extra-packaged drug can be easily grasped when the drug package 81 is distributed, and forgetting to use the extra-packaged drug can be suppressed. Further, even when the medicine package 81 corresponding to the time of use of the extra-packaged medicine does not exist, the control unit 31 outputs the empty medicine package 81 and the extra-packed medicine is contained in the medicine package 81. It is conceivable to print information such as the existence and the contents of the extrapacked chemicals in characters or pictograms (images). As a result, even if there is an extra-packaged drug that should be used at a time different from the time when the drug package 81 is taken, the presence of the extra-packaged drug can be easily grasped by referring to the drug package 81. It is possible to prevent forgetting to use the extra-packaged chemicals.

<Step S24>
Next, in step S24, the control unit 31 sequentially determines whether or not there is a drug to be taken at the time of taking the data of each of the users included in the packaged data. Then, the control unit 31 shifts the process to step S241 when there is no drug to be taken at the time of administration in the data, that is, when the data is empty data (S24: No). On the other hand, when the data contains a drug to be taken at the time of administration, that is, when the data is not empty data (S24: Yes), the process is shifted to step S25.

<Step S25>
In step S25, the control unit 31 executes a packaging operation for the data included in the packaging data. Specifically, the control unit 31 prints the name and timing of the user and the code 811 indicating the first drug distribution information on the drug package 81 by the package printer 32, and prints the data on the data. The corresponding drug is packaged in the drug package 81.

<Step S241>
On the other hand, in step S241, the control unit 31 creates an empty medicine package 81 printed by the packaging printer 32 to the effect that there is no medicine to be taken at the time of administration. Specifically, the name of the person taking the medicine, the time of taking the medicine, the code 811 and the information indicating that there is no medicine (there is no medicine) are printed on the empty medicine package 81.

<Step S26>
Then, in step S26, the control unit 31 determines whether or not the packaging for the same dosing time started in step S23 has been completed. Here, when it is determined that the packaging at the same dosing time has been completed (S26: Yes), the control unit 31 shifts the process to step S27. On the other hand, if it is determined that the packaging at the same dosing time has not been completed (S26: No), the control unit 31 returns the process to the step S24.

<Step S27>
In step S27, the control unit 31 determines whether or not the packaging of the same LTCF B, which was set as the packaging target in step S22, at the entire administration time has been completed. Here, when it is determined that the packaging at the time of all administration has been completed (S27: Yes), the control unit 31 shifts the process to step S28. On the other hand, if it is determined that the packaging at the time of all administration has not been completed (S27: No), the control unit 31 shifts the process to step S271.

<Step S271>
In step S271, the control unit 31 executes a sachet division process for clearly indicating the timing at which the dosing time is switched, and returns the process to step S23. For example, the delimiter process is to provide one empty medicine package 81. As a result, it is possible to easily grasp the timing of switching the dosing time in the medicine package sheet in which the medicine package 81 obtained as a result of the medicine packaging treatment is continuously formed. In addition, various information for drug inspection and inspection regarding the contents of each drug package 81 connected in front of the empty drug package 81 may be printed. Further, the delimiter process may be to cut the medicine package sheet in which the medicine package 81 is continuously formed once. As a result, the drug packaging device 3 can automatically obtain a continuum of the drug packages 81 for each time of administration. It should be noted that omitting the delimiter process is also considered as another embodiment.

<Step S28>
Then, in step S28, it is determined whether or not the packaging for all the LTCFs B included in the packaging data has been completed. Here, when it is determined that the packaging of each of the LTCF B has been completed (S28: Yes), the control unit 31 ends the series of chemical packaging processing and returns the processing to the step S21. On the other hand, if it is determined that the packaging of each of the LTCF B has not been completed (S28: No), the control unit 31 shifts the process to the step S22 and performs the next packaging operation for the LTCF B. Start.

In the present embodiment, the case where the time-specific packaging process is executed in the drug packaging process has been described as an example, but the user-specific packaging process is executed in the drug packaging process. You may. Here, FIG. 9B is a diagram showing the result of packaging when the packaging treatment for each user is executed for the “Long-Term Care Health Facility B1” according to the group prescription data shown in FIG. In the packaging result shown in FIG. 9B, the medicines taken by one user are continuously packaged at each time of administration. Specifically, in the example shown in FIG. 9B, the user "Ichiro Yuyama" after breakfast, after lunch, after dinner, after breakfast, after lunch, and after dinner on △ month □ day, respectively. The medicine package 81 corresponding to the above is continuously formed. Then, after the user "Ichiro Yuyama", the drug package 81 corresponding to each time of administration is continuously formed for the user "Jiro Yuyama" who belongs to the same LTCF B1.

[Verification processing at the time of accommodation]
Subsequently, with reference to the flowchart of FIG. 10, the accommodation time matching process executed by the control unit 11 of the dispensing support device 1 in the step S3 will be described.

When the user-specific packaging process is executed, when the medicine package 81 is stored in the medicine bag 82 in step S3, each of the medicine packages 81 is separated and stored in each of the medicine bags 82. NS. On the other hand, when the time-specific packaging process is executed, when the medicine package 81 is stored in the medicine bag 82 in step S3, each of the medicine packages 81 may be separated and stored in each of the medicine bags 82. However, the plurality of medicine packages 81 that are connected at each time of administration may be housed in the medicine bag 82 without being separated. Through such a storage operation, the pharmacy A prepares a plurality of the medicine bags 82 in which the medicine packages 81 of the plurality of medication recipients corresponding to each time of administration are collectively stored.

<Step S31>
In step S31, the control unit 11 determines whether or not the second drug distribution information has been read from the code 822 of the drug bag 82 by the reading terminal 2. Here, when the control unit 11 determines that the second drug distribution information has been read (S31: Yes), the process shifts to step S32. On the other hand, the process waits in step S31 until the second drug distribution information is read (S31: No). The control unit 11 determines the difference between the first drug distribution information of the drug package 81 and the second drug distribution information of the drug bag 82, for example, the presence or absence of the user ID that exists only in the first drug distribution information. It is possible to judge according to. Of course, the first drug distribution information and the second drug distribution information may include information that can be identified.

<Step S32>
In step S32, the control unit 11 receives the medicine package 81 housed in the same medicine bag 82 based on the second medicine distribution information of the medicine bag 82 and the medicine distribution management information D1 read in step S31. One or more of the above-mentioned medicine packages 81 are specified as predetermined. Specifically, the control unit 11 stores the drug of the user ID whose delivery destination identification information and the dosing time are the same as those of the second drug distribution information in the drug distribution management information D1. The 81 is specified as the medicine package 81 to be housed in the medicine bag 82.

<Step S33>
Then, in step S33, the control unit 11 determines whether or not the first drug distribution information has been read from the code 811 of the drug package 81 by the reading terminal 2. Here, when the control unit 11 determines that the first drug distribution information has been read (S33: Yes), the process shifts to step S34 until the first drug distribution information is read (S33). : No), the determination in step S33 is repeated.

<Step S34>
In step S34, the control unit 11 delivers the delivery destination identification information of the second drug distribution information read in step S31, the dosing time, and the first drug distribution information read in step S33. It is determined whether or not the prior identification information and the time of administration match. Here, the step S34 is a process executed by the determination unit 112 of the control unit 11. Further, in step S34, the control unit 11 stores the first drug distribution information read in step S33 and the determination result in step S34 in the data storage unit 12 as a reading history. As a result, the dispensing support device 1 can refer to and output the reading history.

<Step S35>
Then, in step S35, the control unit 11 notifies the determination result in step S34. Here, the step S35 is a process executed by the first notification unit 113 of the control unit 11. Specifically, the control unit 11 notifies the user of the determination result by displaying the determination result on the display device 14 or the reading terminal 2. As a result, the user can recognize the determination result. Therefore, human error in the drug distribution work in which the drug packages 81 of a plurality of users are collectively stored in the drug bag 82 at each time of administration and delivered to the delivery destination is suppressed. The method of notifying the determination result is not limited to the display, and the determination result may be notified by voice or a light emitting mode.

<Step S36>
After that, in step S36, the control unit 11 determines whether or not to end the reading operation of the first drug distribution information from the medicine package 81 housed in the medicine bag 82 by the reading terminal 2. Specifically, the control unit 11 ends the reading operation when the user continuously operates the reading terminal 2 or the next reading operation of the first drug distribution information from the medicine package 81 is performed. It is determined not to do so (S36: No), and the process shifts to the step S33. As a result, the reading of the first drug distribution information from each of the medicine packages 81 housed in the medicine bag 82 is executed in order. On the other hand, the control unit 11 receives an end signal from the reading terminal 2 in response to a user's end operation on the reading terminal 2, or from the medicine bag 82 different from the medicine bag 82 read in step S31. When the second drug distribution information is read, it is determined that the reading operation is completed (S36: Yes), and the process is shifted to step S37.

<Step S37>
In step S37, the control unit 11 determines whether or not the first drug distribution information has been read from all the drug packages 81 to be contained in the same drug bag 82 based on the drug distribution management information D1. do. Here, the step S37 is a process executed by the determination unit 112 of the control unit 11. Here, when the control unit 11 determines that the first drug distribution information has been read from all the medicine packages 81 to be stored in the medicine bag 82 (S37: Yes), the control unit 11 ends the storage time collation process. The process returns to step S31. When it is determined that the reading is completed by reading the second drug distribution information from the different drug bags 82, the same process is executed based on the second drug distribution information in the subsequent step S31 and subsequent steps. On the other hand, when the control unit 11 determines that the first drug distribution information has not been read from all the drug packages 81 to be contained in the drug bag 82 (S37: No), the process shifts to step S38.

<Step S38>
In step S38, the control unit 11 notifies the determination result in step S37 and returns the process to step S33. Specifically, the control unit 11 indicates that, based on the drug distribution management information D1, the drug package 81 to be housed in the drug bag 82 includes the drug package 81 that has not been read in step S33. And the unread information of the medicine package 81 is displayed on the display device 14 or the reading terminal 2. As a result, the leakage of the medicine package 81 into the medicine bag 82 is suppressed. For example, the control unit 11 displays the ID or name of the user corresponding to the medicine package 81, which is not read in step S33, among the medicine packages 81 to be stored in the medicine bag 82, together with the time of administration. ..

[Verification processing at the time of delivery]
Subsequently, with reference to the flowchart of FIG. 11, the delivery-time collation process executed by the control unit 11 of the dispensing support device 1 in the step S5 will be described.

<Step S41>
In step S41, the control unit 11 determines whether or not the delivery destination identification information has been input by the reading terminal 2. Specifically, the delivery person inputs the delivery destination identification information indicating the LTCF B, which is the delivery destination of the medicine bag 82 to be shipped, to the reading terminal 2. Further, the delivery person uses the reading terminal 2 to read the delivery destination identification information previously attached to a container such as a container to be accommodated when the medicine bag 82 to be shipped is delivered, thereby reading the delivery destination. It is also possible to enter the identification information. Here, when the control unit 11 determines that the delivery destination identification information has been input (S41: Yes), the process shifts to step S42. On the other hand, until the delivery destination identification information is input (S41: No), the process waits in the step S41.

<Step S42>
In step S42, the control unit 11 simultaneously delivers to the same LTCF B indicated by the delivery destination identification information based on the delivery destination identification information and the drug distribution management information D1 input in step S41. Identify one or more of the drug bags 82 to be done. Specifically, the control unit 11 specifies the medicine bag 82 having the same delivery destination identification information and the delivery date as the medicine bag 82 to be delivered to the LTCF B at the same time.

<Step S43>
Then, in step S43, the control unit 11 determines whether or not the second drug distribution information has been read from the code 822 of the drug bag 82 by the reading terminal 2. Here, when the control unit 11 determines that the second drug distribution information has been read (S43: Yes), the process shifts to step S44 until the second drug distribution information is read (S43). : No), the determination in step S43 is repeated.

<Step S44>
In step S44, the control unit 11 determines whether or not the delivery destination identification information input in step S41 and the delivery destination identification information of the second drug distribution information read in step S43 match. judge. Here, the step S44 is a process executed by the determination unit 112 of the control unit 11. Further, in the step S44, the control unit 11 stores the second drug distribution information read in the step S43 and the determination result in the step S44 as a reading history in the data storage unit 12. As a result, the dispensing support device 1 can refer to and output the reading history.

<Step S45>
Then, in step S45, the control unit 11 notifies the determination result in step S44. Here, the step S45 is a process executed by the first notification unit 113 of the control unit 11. Specifically, the control unit 11 notifies the user of the determination result by displaying the determination result on the display device 14 or the reading terminal 2. As a result, the user can recognize the determination result. Therefore, human error in the drug distribution work in which the drug packages 81 of a plurality of users are collectively stored in the drug bag 82 at each time of administration and delivered to the delivery destination is suppressed. The method of notifying the determination result is not limited to the display, and the determination result may be notified by voice or a light emitting mode.

<Step S46>
After that, in step S46, the control unit 11 determines whether or not to end the reading operation of the second drug distribution information from the medicine bag 82 delivered to the same LTCF B by the reading terminal 2. Specifically, the control unit 11 does not end the reading operation when the user continuously operates the reading terminal 2 or the next reading operation of the second medicine distribution information from the medicine bag 82 is performed. (S46: No), and the process is shifted to step S43. As a result, the reading of the second drug distribution information from each of the drug bags 82 delivered to the same LTCF B is executed in order. On the other hand, the control unit 11 is different from the delivery destination identification information input when the end signal is input from the reading terminal 2 or in the step S41 in response to the user's end operation on the reading terminal 2. When the delivery destination identification information is input, it is determined that the reading operation is completed (S46: Yes), and the process proceeds to step S47.

<Step S47>
In step S47, the control unit 11 distributes the second drug from all the drug bags 82 to be simultaneously delivered to the same LTCF B corresponding to the delivery destination identification information based on the drug distribution management information D1. Determine if the information has been read. Here, the step S47 is a process executed by the determination unit 112 of the control unit 11. Here, when the control unit 11 determines that the second drug distribution information has been read from all the drug bags 82 to be delivered to the LTCF B at the same time (S47: Yes), the delivery time matching process is terminated. The process proceeds to step S41. If it is determined that the reading is completed by inputting different delivery destination identification information, the same processing is executed based on the delivery destination identification information in the subsequent steps S41 and subsequent steps. On the other hand, when the control unit 11 determines that the second drug distribution information has not been read from all the drug bags 82 to be delivered to the LTCF B at the same time (S47: No), the process shifts to step S48. ..

<Step S48>
In step S48, the control unit 11 notifies the determination result in step S47 and returns the process to step S43. Specifically, the control unit 11 is not read in step S43 of the medicine bag 82 to be simultaneously delivered to the LTCF B corresponding to the delivery destination identification information based on the medicine distribution management information D1. The presence of the medicine bag 82 and the unread information on the medicine bag 82 are displayed on the display device 14 or the reading terminal 2. As a result, the omission of delivery of the medicine bag 82 to the LTCF B is suppressed. For example, the control unit 11 delivers the medicine bag 82 that should be delivered to the LTCF B at the same time corresponding to the delivery destination identification information, such as the time of administration corresponding to the medicine bag 82 that has not been read in step S43. Display with the destination identification information.

[Processing at the time of receipt]
Next, with reference to the flowchart of FIG. 12, an example of the procedure at the time of receiving processing executed by the control unit 51 of the drug distribution support device 5 in the step S6 will be described.

<Step S51>
In step S51, the control unit 51 determines whether or not the second drug distribution information has been read from the drug bag 82. Here, the process waits in step S51 until the second drug distribution information is read from the drug bag 82 (S51: No). On the other hand, when it is determined that the second drug distribution information has been read from the drug bag 82 (S51: Yes), the process proceeds to step S52.

<Step S52>
In step S52, the control unit 51 indicates the delivery destination identification information included in the second drug distribution information read in step S51 and the LTCF B in which the drug distribution support device 5 is installed. It is determined whether or not the information matches the delivery destination identification information registered in advance in the drug distribution support device 5. Here, the step S52 is a process executed by the delivery destination determination unit 512 of the control unit 51. Further, in the step S52, the control unit 51 stores the second drug distribution information read in the step S51 and the determination result in the step S52 in the data storage unit 52 as a reading history. As a result, the drug distribution support device 5 can refer to and output the reading history.

<Step S53>
Then, in step S53, the control unit 51 notifies the determination result in step S52. Specifically, the control unit 51 causes the display device 54 or the reading terminal 7 to display the determination result. Here, the step S53 is a process executed by the second notification unit 513 of the control unit 51. As a result, the person in charge of drug distribution can easily and surely recognize that the LTCF B is correct as the delivery destination of the drug bag 82 by confirming the determination result. Therefore, erroneous delivery of the medicine bag 82 is suppressed.

[Verification processing at the time of drug delivery]
Next, with reference to the flowchart of FIG. 13, an example of the procedure of the drug distribution time matching process executed by the control unit 51 of the drug distribution support device 5 in the step S7 will be described.

<Step S61>
In step S61, the control unit 51 determines whether or not the first drug distribution information has been read from the drug package 81. Here, the process waits in step S61 until the first drug distribution information is read from the drug package 81 (S61: No). On the other hand, when it is determined that the first drug distribution information has been read from the drug package 81 (S61: Yes), the process proceeds to step S62.

<Step S62>
In step S62, the control unit 51 corresponds to the user based on the user ID, the conversion information, and the resident master included in the first drug distribution information read in step S61. Identify the person. Further, in the step S62, the control unit 51 stores the first drug distribution information read in the step S61 and the specific result in the step S62 as a reading history in the data storage unit 52. As a result, the drug distribution support device 5 can refer to and output the reading history.

<Step S63>
Then, in step S63, the control unit 51 sends the time of administration of the medicine package 81 and the name and face image 64 of the resident corresponding to the user specified in step S62 to the mobile terminal 6. Display (see FIG. 4). Here, the step S63 is a process executed by the display control unit 511 of the control unit 51. As a result, the person in charge of drug distribution can easily and surely recognize that the resident is correct as a person taking the medicine of the medicine package 81 by checking the face image 64 of the resident. Therefore, drug distribution mistakes by the person in charge of drug distribution are suppressed. Further, according to the configuration of the drug distribution support system 10, by displaying the face image 64, it is not necessary for each of the residents to wear a wristband or the like for identifying the resident. It is suitable for the operation of LTCF B. As another embodiment, it is conceivable that a plurality of the face images 64 having different facial expressions or shooting angles for one resident are registered in advance in the resident master. As a result, the person in charge of drug distribution can more accurately determine the resident based on each of the face images 64.

[Second Embodiment]
In the present embodiment, when the medicine package 81 is transported from the pharmacy A to the LTCF B and distributed to the user who is also a resident of the LTCF B, the suitability of the delivery can be determined. The drug support system 200 will be described. The same components as those described in the above-described embodiment may be designated by the same reference numerals and the description thereof may be omitted.

As shown in FIG. 14, the drug distribution support system 200 according to the present embodiment includes the dispensing support device 1, the drug packaging device 3, the printer 4, the mobile terminal 6, and the like. The drug packaging device 3 is provided one or more for each pharmacy A. In the drug packaging device 3, one or a plurality of drugs are packaged in a drug package 81 at each time of administration, and the plurality of drug packages 81 have a first code indicating predetermined first collation information. Information 811 is printed by the packaging printer 32. For example, the first collation information includes a dosing time and a dosing person ID. The first code information 811 is, for example, a one-dimensional code such as a bar code or a two-dimensional code such as a QR code (registered trademark). The mobile terminal 6 is an example of one or a plurality of information terminals provided for each of the health facilities B, and can read information from a one-dimensional code such as a barcode or a two-dimensional code such as a QR code (registered trademark). Is possible.

Then, as described below, in the drug distribution support system 200 according to the present embodiment, the first code information 811 printed on the drug package 81 by the drug packaging device 3 is the first. The collation information can be arbitrarily set by the mobile terminal 6.

In the drug distribution support system 200, the control unit 61 of the mobile terminal 6 includes a collation processing unit 611, a setting processing unit 612, and an output processing unit 613. Specifically, the mobile terminal 6 includes a non-volatile storage unit 63 for storing information such as a collation control program. The collation control program is downloaded from a predetermined server device via, for example, the Internet, and installed in the mobile terminal 6. Then, the control unit 61 functions as the setting processing unit 612 and the collation processing unit 611 by executing various processes according to the collation control program.

The collation processing unit 611 is based on the first collation information read from the first code information 811 described in the medicine package 81 and the plurality of second code information 911 described in the plurality of collation target articles. By collating with the plurality of second collation information to be read, the suitability of the medicine distribution of the medicine package 81 is determined. The second code information 911 is, for example, a one-dimensional code such as a bar code or a two-dimensional code such as a QR code (registered trademark), and the second code information 911 described in each of the items to be collated is It shows the same or different second collation information. For example, the second collation information includes one or both of the dosing time and the dosing person ID. The setting processing unit 612 sets the contents of each of the second collation information to be collated with the first collation information according to the user operation. The output processing unit 613 outputs the contents set by the setting processing unit 612. For example, the output mode of the setting contents by the output processing unit 613 is printing, display, mail transmission, etc. In the present embodiment, the output processing unit 613 sends the setting contents by mail to the dispensing support device 1. This will be described by taking as an example.

Further, in the drug distribution support system 200, the control unit 31 of the drug packaging device 3 includes a print processing unit 311. Specifically, the chemical packaging device 3 includes a non-volatile storage unit 33 that stores information such as a packaging control program. Then, the control unit 31 functions as the print processing unit 311 by executing various processes according to the packaging program. The print processing unit 311 sets the first code information 811 indicating the first collation information that can be collated with each of the second collation information, which is set based on the setting contents by the setting processing unit 612. Is printed on the medicine package 81. The first collation information is a part or all of the drug distribution data.

Further, in the drug distribution support system 200, the control unit 11 of the dispensing support device 1 includes a print setting processing unit 117. Specifically, the control unit 11 functions as the print setting processing unit 117 by executing various processes according to the dispensing support program. The print setting processing unit 117 receives the setting content set by the setting processing unit 612 from the mobile terminal 6, and prints the first code information printed by the print processing unit 311 based on the setting content. The content of the first collation information in 811 is set. Further, when the setting content is input by a user operation on the operating device 15 of the dispensing support device 1, the print setting processing unit 117 obtains the first collation information based on the input setting content. The content may be set. Instead of the dispensing support device 1, the drug packaging device 3 receives the setting content from the mobile terminal 6, and the control unit 31 of the drug packaging device 3 receives the setting content based on the setting content. It is also conceivable to set the first collation information in the first code information 811. In this case, the control unit 31 is an example of the print setting processing unit.

Hereinafter, in the present embodiment, as shown in FIG. 15, in the LTCF B, a dosing time sheet 91 in which each taking time is described, and a meal tag 92 in which the taking person's name (resident's name) is described. A case where the suitability of the medicine package 81 is determined by using the medicine package 81 distributed to the resident will be described. That is, in the present embodiment, the dosing time sheet 91 and the food tag 92 are examples of the articles to be collated. More specifically, the user of the mobile terminal 6 in the LTCF B first reads the second code information 911 indicating the current dosing time as the second collation information from the dosing time sheet 91 with the mobile terminal 6. Next, the user reads the second code information 911 indicating the user ID (user identification information) as the second collation information from the food tag 92 with the mobile terminal 6. After that, the user reads the first code information 811 including the dosing time and the dosing person ID from the medicine package 81 with the mobile terminal 6. As a result, the two second collation information read from the two second code information 911 and the first collation information read from the first code information 811 are collated.

As shown in FIG. 15A, the dosing time sheet 91 contains the second code information 911 indicating each taking time as the second collation information. As shown in FIG. 15B, the food tag 92 contains the second code information 911 indicating the user ID as the second collation information. Further, as shown in FIG. 15C, the medicine package 81 contains the first code information 811 indicating the first collation information, and the first collation information includes at least the time of administration. And the user ID are included. The second code information 911 indicating a plurality of the second collation information may be described in one collation target article such as the dosing time sheet 91 or the meal tag 92, and in this case, a plurality of the second code information 911. Each of the second collation information of the above is collated with the first collation information. Further, as will be described later, information common to each of the second collation information may be collated with each other.

[Processing on the mobile terminal 6 side: Setting processing on the facility side]
Subsequently, with reference to FIG. 16, an example of the procedure of the facility-side setting process executed by the control unit 61 of the mobile terminal 6 will be described. The facility-side setting process is started, for example, when a user operation for starting the initial setting is performed on the mobile terminal 6.

<Step S301>
In step S301, the setting processing unit 612 of the control unit 61 displays an initial setting screen for setting the content of the second collation information to be collated with the first collation information read from the medicine package 81. Specifically, on the initial setting screen, operation keys for starting setting of item setting information, barcode setting information, scenario information, and the like are displayed. The item setting information is information indicating a check item to be collated in the drug distribution collation process described later, and the bar code setting information is information indicating a data structure of the second code information 911. Further, the scenario information is information indicating the contents of one or a plurality of scenarios set as a specific collation method in the drug distribution time collation process. Here, FIGS. 17 to 19 are diagrams showing an example of screen transition after the initial setting screen is displayed.

First, when the operation key for setting the item setting information is operated on the initial setting screen, the setting processing unit 612 displays the item list screen P11 as shown in FIG. 17A on the mobile terminal 6. It is displayed on the display part of. On the item list screen P11, information on the check items that have already been set is displayed in a list, a delete key for deleting the check item, a detail key for displaying the details of the check item, and a new check. The registration key for registering the item is displayed. Then, when the registration key is operated, the setting processing unit 612 causes the item setting screen P12 to be displayed on the display unit of the mobile terminal 6.

On the item setting screen P12, the "item ID", "item name", and "number of digits" corresponding to the check items can be input. For example, in the "item ID", an arbitrary numerical value having a predetermined number of digits can be entered, and in the "item name", any character indicating a check item such as the time of administration and the user ID can be entered. A numerical value indicating how many digits the content of the check item is included in the second code information 911 is input in the "number of digits". It is also conceivable that each of the "item ID" and the "item name" is selected from a preset combination. Further, on the item setting screen P12, a check box K51 for setting whether or not the processing can be continued when it is determined that the collation results do not match in the collation process at the time of drug delivery is provided is provided. Has been done.

Then, when the registration key is operated after the "item ID", "item name", and "number of digits" are input on the item setting screen P12, the input contents on the item setting screen P12 are the item setting information. It is set as the check item in the above, stored in the storage unit 63, and transmitted to the dispensing support device 1.

Further, on the item setting screen P12, a master key K52 for setting details is displayed. Then, when the master key K52 is operated, the setting processing unit 612 causes the display unit of the mobile terminal 6 to display a detailed list screen P13 showing a list of detailed items in the check items. Here, FIG. 17C is a diagram showing an example of the detailed list screen P13.

As shown in FIG. 17C, on the detailed list screen P13, the “item ID” and “item name” of the check item input on the item setting screen P12 are displayed. Further, on the detailed list screen P13, detailed items already set for the check item are displayed in a list, and a delete key for deleting the detailed item, a detailed key for displaying the details of the detailed item, and the like. And the registration key for registering a new detailed item is displayed. Then, when the registration key is operated, the setting processing unit 612 causes the detailed item setting screen P14 to be displayed on the display unit of the mobile terminal 6. Here, FIG. 17D is a diagram showing an example of the detailed item setting screen P14.

As shown in FIG. 17D, on the detailed item setting screen P14, it is possible to input a "code" and a "name" indicating the detailed items of the check item. For example, in the "code", an arbitrary numerical value can be entered in the "number of digits" set on the item setting screen P12, and in the "name", "after breakfast, after lunch, after dinner, etc." Arbitrary characters indicating the contents corresponding to "code" are input. Then, when the registration key is operated after the "code" and "name" are input on the detailed item setting screen P14, the input contents on the detailed item setting screen P14 are the check items in the item setting information. It is set as a detailed item and stored in the storage unit 63. The setting processing unit 612 may transmit the item setting information to the dispensing support device 1.

On the other hand, when the operation keys for setting the contents of each of the second code information 911 are operated on the initial setting screen, the setting processing unit 612 displays the barcode setting screen as shown in FIG. 18A. P21 is displayed on the display unit of the mobile terminal 6. On the barcode setting screen P21, items such as "BCD-ID", "type", "name", and "total number of digits" can be input, and a list of registered second barcodes 911 is also displayed. ..

An arbitrary numerical value having a predetermined number of digits for identifying the second code information 911 is input to the "BCD-ID", and the barcode type of the second code information 911 (type). For example, as Code39, etc.), it is selected and input from any bar code type displayed by pull-down or the like. In the "name", an arbitrary name indicating the bar code type of the second code information 911 is input. Further, in the "total number of digits", the total number of digits of the information read from the second code information 911 is input as a numerical value. When the "total number of digits" is set to 0, the number of digits of the information read from the second code information 911 is not limited and can be read up to the maximum value range. For example, a variable length barcode can also be read. It is possible. Further, when the scan key is operated during the display of the barcode setting screen P21 and the second code information 911 is actually read by the mobile terminal 6, the setting processing unit 612 reads the second code information 911. It may be automatically entered in "total number of digits" and "type" based on the second code information 911.

Then, on the bar code setting screen P21, when the scan key is operated to read the second code information 911 using the camera 62, or when the operation key of "registration" is operated, the said The setting processing unit 612 causes the display unit of the mobile terminal 6 to display the detailed setting screen P22 for setting the details of the second code information 911. Here, FIG. 18B is a diagram showing an example of the detailed setting screen P22.

As shown in FIG. 18B, on the detailed setting screen P22, input operations such as "BCD-ID", "type", "total number of digits", "location", and "selection item" can be performed. .. When the second code information 911 is read, the mobile terminal 6 actually uses the camera 62 for the "read data", "total number of digits", and "type" on the detailed setting screen P22. The numerical value read from the second code information 911, the number of digits of the numerical value, and the bar code type are displayed in. When the second code information 911 is not read, a predetermined numerical value such as "123456 ..." is used as the "read data" for the total number of input digits. Is displayed. In the "location", a numerical value indicating from what digit of the numerical value read from the second code information 911 the information of the check item selected in the selected item is input.

Then, in the "selection item", the check items such as "dose time" and "taker ID" are selectively input. As a result, the item setting information and the bar code setting information according to the present embodiment are related by the check item. Among the numerical values included in the read data, the numerical values of the number of digits already assigned to the check items having different "BCD-ID" values are displayed so as to be identifiable by, for example, a display mode such as a color scheme. The operation of assigning a numerical value having the same number of digits to different check items is prohibited.

After that, when the registration key is operated on the detailed setting screen P22, the input contents on the detailed setting screen P22 are stored in the storage unit 63 as the barcode setting information and transmitted to the dispensing support device 1. .. As a result, when the control unit 61 reads the second barcode information 911, it is possible to extract information corresponding to each of the check items from the second code information 911.

When a plurality of the mobile terminals 6 are provided in the same or related health facility B, the item setting information or the barcode setting information is provided by the setting processing unit 612 in any of the mobile terminals 6. Once registered, the setting processing unit 612 may distribute the item setting information or the barcode setting information to the other mobile terminal 6 for sharing. Further, the item setting information or the barcode setting information is stored in a server or the like that can be connected via the Internet, and each of the mobile terminals 6 can download the item setting information or the barcode setting information. It is also conceivable that the setting processing unit 612 updates the item setting information or the barcode setting information stored in the server or the like.

<Step S302>
In step S302, the setting processing unit 612 determines whether or not the barcode setting information has been registered. Specifically, the setting processing unit 612 determines that the barcode setting information has been registered when the registration key is operated on the detailed setting screen P22. The operation of the registration key is also performed when the barcode setting information is updated. Then, when the setting processing unit 612 determines that the barcode setting information has been registered (S302: Yes), the process shifts to step S303, and when it determines that the barcode setting information has not been registered (S302: Yes). S302: No), the process shifts to step S304.

<Step S303>
Then, in step S303, the output processing unit 613 of the control unit 61 transmits the barcode setting information set by the setting processing unit 612 to a preset destination by e-mail, a browser, or the like. For example, the output processing unit 613 displays a selection screen for allowing the user to select an arbitrary destination from a plurality of preset pharmacies A, and sends the barcode setting information to the destination selected on the selection screen. Send. The barcode setting information may be printed at the LTCF B or recorded on a recording medium such as a CD or a USB memory and provided to the pharmacy A.

<Step S304>
In step S304, the setting processing unit 612 determines whether or not an operation for starting the setting of the scenario information has been performed on the initial setting screen. Here, if it is determined that the setting of the scenario information has started (S304: Yes), the process proceeds to step S305, and if the setting of the scenario information has not started (S304: No), the process proceeds. Return to step S302.

In step S305, the setting processing unit 612 displays the scenario setting screen P31 for setting the scenario information, and executes the scenario setting process for accepting the setting operation of the scenario information by the user. Here, FIG. 19 is a diagram showing an example of the scenario setting screen P31.

As shown in FIGS. 19A and 19B, on the scenario setting screen P31, identification information for identifying each scenario included in the scenario information and business for identifying the contents of the scenario are performed. You can enter a name, identification information and a name to identify each phase in the scenario. Further, on the scenario setting screen P31, the information to be read in the phase can be selected and set from one or a plurality of first code information 811 and second code information 911 set in the barcode information. It is possible. Further, for each of the phases, it is possible to set whether or not to read a plurality of times for each of the first code information 811 or the second code information 911. Further, on the scenario setting screen P31, the reading order of the first code information 811 and the second code information 911 can be set. In the following, the phase "1" may be referred to as a first phase, and the phase "2" may be referred to as a second phase.

For example, in FIG. 19A, "dose time" is selected as the type of barcode to be read in the first phase, and the "dose time" is set when multiple readings are not allowed. It is shown. In this case, in the first phase, the "dose time" common to a plurality of users is read once.

Further, in FIG. 19B, "meal tag" and "medicine package" are selected as the types of barcodes to be read in the second phase, and the "medicine package" is allowed to be read multiple times. The setting status of the case is shown. Further, in the scenario setting screen P31 shown in FIG. 19B, the reading order of the food tag 92 is set to “1” and the reading order of the medicine package is set to “2”. In this case, in the second phase, the bar code of the "food tag" can be read once for each user, and then the bar code of the "medicine package" can be read a plurality of times. In the present embodiment, the case where the phase is set up to "2" will be described as an example, but the phase may be set up to "3" or more.

[Processing on the dispensing support device 1 side: Print setting processing]
Next, with reference to FIG. 16, an example of the procedure of the print setting process executed by the print setting process unit 117 of the control unit 11 in the dispensing support device 1 will be described.

<Step S401>
In step S401, the print setting processing unit 117 of the control unit 11 determines whether or not the barcode setting information has been registered. Specifically, when the print setting processing unit 117 receives the barcode setting information from the mobile terminal 6, the barcode setting information is stored in the data storage unit 12, and the barcode setting information is registered. Judge. Further, the print setting processing unit 117 also determines that the bar code setting information has been registered even when the bar code setting information is input in response to a user operation on the operation device 15. That is, it is also possible for the user to manually input the barcode setting information into the dispensing support device 1 based on a sheet or the like on which the contents of the barcode setting information set in the LTCF B are printed. .. Here, when the control unit 11 determines that the barcode setting information has been registered (S401: Yes), the process shifts to step S402, and determines that the barcode setting information has not been registered (S401: Yes). No), the process is made to stand by in step S401.

<Step S402>
In step S402, the print setting processing unit 117 attaches the first code information to the medicine package 81 in each of the medicine packaging devices 3 connected to the dispensing support device 1 based on the barcode setting information. Set the printing conditions of 811. As a result, in each of the drug packaging devices 3, the first code information 811 is printed on the drug package 81 based on the barcode setting information. Therefore, in the pharmacy A, the content of the first collation information printed on the medicine package 81 by each of the medicine packaging devices 3 can be set by the operation of the mobile terminal 6 in the LTCF B. Each user of the LTCF B can arbitrarily set the collation method of the medicine package 81 and the like.

Specifically, in the barcode setting information, when the "type" of the barcode whose name is "medicine package" is "Code 39" and the location of the time of administration in the barcode is "3", the print setting process is performed. Part 117 is a printing condition so that the code indicating the time of administration of the medicine package 81 is included in the third and subsequent digits among the 6-digit numerical information indicated by the first code information 811 printed on the medicine package 81. To set. Further, in the barcode setting information, when the "type" of the barcode whose name is "food tag" is "Code 39" and the location of the user ID in the barcode is "5", the print setting processing unit. The printing condition is set so that 117 is included in the fourth and subsequent digits indicating the user ID of the medicine package 81 among the 6-digit numerical information indicated by the first code information 811 printed on the medicine package 81. do.

The code indicating the dosing time and the number of digits of the taking person ID are preset digits, but when the item setting information is received from the mobile terminal 6, it is set by the item setting information. A code indicating the time of administration and the number of digits of the user ID may be set according to the number of digits. Further, it is conceivable that a common user ID is set in advance between the pharmacy A and the LTCF B for the user ID. Further, the correspondence information in which the patient ID in the pharmacy A and the user ID in the LTCF B are associated in advance is stored in the mobile terminal 6, and the mobile terminal automatically automatically responds to the correspondence information. The patient ID may be converted into the user ID.

In particular, the print setting processing unit 117 prints the first collation information so that the first code information 811 includes only the information necessary for collating the check item set in the bar code setting information. Can be set. For example, when the check item included in the barcode setting information is the dosing time and the taking person ID, the first collation information is set to include only the taking time and the taking person ID information. Can be considered. As another embodiment, it is conceivable that the first collation information includes not only the information necessary for collation of the check items but also other information.

Further, it is conceivable that the print setting processing unit 117 configures the first collation information according to a reading order set in advance for each of the check items. Specifically, in the scenario information, it is set that the reading order of the dosing time sheet 91 is No. 1 and the reading order of the meal tag 92 is No. 2 among the check items. It is conceivable that the scenario information is transmitted from the mobile terminal 6 to the dispensing support device 1. In this case, the print setting processing unit 117 sequentially starts with the first digit of the numerical value read as the first collation information, the dosing time collated with the dosing time sheet 91, and the dosing ID collated with the food tag 92. It is conceivable to set the printing conditions so that the information is printed in the order of.

[Processing on the mobile terminal 6 side: Matching process at the time of drug distribution]
Next, with reference to FIG. 20, an example of the drug distribution time collation process executed by the collation processing unit 611 of the control unit 61 in the mobile terminal 6 will be described. For example, the drug distribution time matching process is started when a user operation to start drug distribution to the mobile terminal 6 is performed.

<Step S501>
In step S501, the collation processing unit 611 indicates the second code information set in advance as a check item (hereinafter, referred to as a first item) belonging to the first phase common to a plurality of users. The collation check screen P41 prompting the reading of 911 is displayed. Specifically, the collation processing unit 611 displays the collation check screen P41 according to preset layout information based on the item setting information and the bar code setting information. The check item belonging to the first phase is a check item set in advance as an item common to a plurality of residents, and is the time of administration in the present embodiment. For example, the date of administration, the room (group), and the like. It may be a symptomatology.

Here, FIG. 21A is a diagram showing an example of the collation check screen P41 before reading the second code information 911 corresponding to the first item. As shown in FIG. 21 (A), on the collation check screen P41, the "dose time", "meal tag", and "medicine package" are displayed in order from the top according to the reading order. In particular, on the collation check screen P41, the check items are displayed by classifying them into the "dosing time sheet" which is the name of the first phase and the "drug distribution" which is the name of the second phase.

If the reading order of the check items belonging to the same phase is not set, the second code information 911 corresponding to the check items belonging to the same phase may be read in no particular order. When the reading order is not set in this way, check items such as "meal tag" and "medicine package" belonging to the same phase may be arranged in the order of item ID on the collation check screen P41.

<Step S502>
In step S502, the collation processing unit 611 waits for the reading of the second code information 911 corresponding to the first item (S502: No). Specifically, the collation processing unit 611 has the BCD-ID of the check item in which the numerical value of the number of digits set in the barcode setting information among the information read by the mobile terminal 6 corresponds to the first item. If it is the same as, it is determined that the second code information 911 corresponding to the first item has been read. When the number of digits is not set as the barcode setting information, the collation processing unit 611 finds that the number of digits read from the second code information 911 is set in the barcode setting information. It is also conceivable to judge that it is normal when the number of digits is equal to or more than the maximum value plus the number of digits of the first item.

Then, when it is determined that the second code information 911 corresponding to the first item has been read (S502: Yes), the process proceeds to step S503. The first item may be plural, and when a plurality of the first items are registered, the processes of steps S502 to S503 are repeatedly executed as many times as the number of times. Further, a plurality of the second code information 911 is read for the same first item, and in the collation process in step S507 described later, the first collation is read from any of the plurality of the first items and the medicine package 81. It may be determined whether or not the information matches.

As shown in FIG. 21 (B), when the second code information 911 corresponding to the first item "dose time" is read, the collation check screen P41 corresponds to, for example, "dose time". "After breakfast" is displayed as the content read from the second code information 911. If the name is not set on the detailed setting screen P14, a numerical value indicating the time of administration is displayed instead of "after breakfast".

<Step S503>
In step S503, the collation processing unit 611 displays the reading result of the second code information 911 corresponding to the first item on the collation check screen P41. Here, FIG. 21B is a diagram showing an example of the collation check screen P41 after reading the second code information 911 corresponding to the first item. In addition, the collation processing unit 611 performs a collation check for a message prompting the reading of the second code information 911 corresponding to a check item (hereinafter, referred to as a second item) preset as the check item to be read next. It is displayed on the screen P41. The second item is preset as an item that is not common to a plurality of residents, and specifically, in the present embodiment, it is a user ID.

<Step S504>
Next, in step S504, the collation processing unit 611 determines whether or not the second code information 911 corresponding to the second item has been read. Then, when it is determined that the second code information 911 corresponding to the second item has been read (S504: Yes), the process proceeds to step S505, and the second code information 911 corresponding to the second item is read. If it is determined that the process has not been performed (S504: No), the process proceeds to step S506. The second item may be plural, and when a plurality of the second items are registered, the processes of steps S504 to S505 are repeatedly executed as many times as the number of times.

<Step S505>
In step S505, the collation processing unit 611 displays the reading result of the second code information 911 corresponding to the second item on the collation check screen P41. Here, FIG. 21C is a diagram showing an example of the collation check screen P41 after reading the second code information 911 corresponding to the second item. As shown in FIG. 21 (C), when the second code information 911 corresponding to the second item "food tag" is read, the collation check screen P41 corresponds to, for example, "food tag". "Ichiro Yuyama" is displayed as the user name corresponding to the user ID indicated by the second code information 911. If the name is not set on the detailed setting screen P12, the user ID may be displayed as it is instead of the user name "Ichiro Yuyama".

<Step S506>
Next, in step S506, the collation processing unit 611 determines whether or not the first code information 811 of the medicine package 81 has been read. Then, when it is determined that the first code information 811 has been read (S506: Yes), the process proceeds to step S507. If it is determined that the first code information 811 has not been read (S506: No), the process returns to step S504.

<Step S507>
In step S507, the collation processing unit 611 describes the first collation information read from the first code information 811 of the medicine package 81, and a plurality of the first collation information described in each of the dosing time sheet 91 and the food tag 92. The plurality of second collation information read from the second code information 911 is collated. That is, the collation processing unit 611 reads the plurality of second collation information such as the dosing time and the dosing person ID from the plurality of second code information 911, and then describes the second code information in the medicine package 81. When the first collation information such as the dosing time and the user ID is read from the 1 code information 811, the first collation information and the plurality of the second collation information are collated. In this way, since the reading of the first code information 811 of the medicine package 81 is determined as the start timing of the collation process, the time and effort of the user who performs the collation process start operation is reduced.

For example, when the first collation information is a four-digit numerical value, the collation processing unit 611 reads the numerical values from the first to two digits of the first collation information and the dosing time sheet 91. It is conceivable to collate with the second collation information. Similarly, it is conceivable that the collation processing unit 611 collates the first third to second digit numerical values of the first collation information with the second collation information read from the food tag 92.

Further, the collation processing unit 611 may determine that the collation results do not match when the number of information included in the first collation information and the number of the second collation information do not match. If the second collation information to be collated with the first collation information is not read, it is conceivable that the collation results of the second collation information do not match. Further, even when the second collation information corresponding to more information than the information included in the first collation information is read, it is conceivable that the collation results of the second collation information do not match.

<Step S508>
Then, in step S508, the collation processing unit 611 displays the collation result in step S507 on the display unit of the mobile terminal 6. Here, FIGS. 22 (A) to 22 (C) are views showing an example of the collation check screen P41 on which the collation result is displayed. If all the collation results match, the collation processing unit 611 displays a message indicating that the collation results match, as shown in FIG. 22 (A).

On the other hand, when the check item (for example, the time of administration) in which the check for continuation / non-presence setting is checked in the item setting information does not match, the collation processing unit 611 shows as shown in FIG. 22 (B). , A message prompting the confirmation operation that the collation result is inconsistent and whether or not to continue the processing is displayed. Further, when the check item (for example, the user ID) in which the continuation presence / absence setting is not checked in the item setting information is inconsistent, the collation processing unit 611 shows as shown in FIG. 22 (C). Displays a message indicating that the collation results do not match and that the process is cancelled.

Further, it is conceivable that the collation processing unit 611 determines whether or not the second code information 911 has been read according to a preset reading order. Specifically, the collation processing unit 611 reads the second code information 911 corresponding to the second item before the second code information 911 corresponding to the first item is read, that is, in advance. When the second code information 911 is not read in the set reading order, it is conceivable to display an error message on the display unit of the mobile terminal 6. Further, the collation processing unit 611 reads according to the reading order when the reading order is set for the plurality of the first items or when the reading order is set for the plurality of the second items. Is not executed, it is conceivable to display an error message on the display unit of the mobile terminal 6. When the types of the second code information 911 are different, the reading order is not set and it is possible to read in no particular order. In this case, the collation processing unit 611 performs the second code information 911. It is not necessary to determine whether or not is read according to a preset reading order.

Further, when the collation processing unit 611 has common information in the plurality of second collation information, it is conceivable that the collation processing unit 611 mutually collates the common information included in each of the second collation information. Be done. That is, the collation processing unit 611 not only collates the first collation information with the second collation information, but also collates a plurality of the second collation information read from different second code information 911 with each other. It is also possible to do it. As a result, for example, before the first collation information is read from the first code information 811, an error is notified at an early stage when the second collation information is read from a plurality of the second code information 911. Become.

<Step S509>
After that, in step S509, the collation processing unit 611 determines whether or not to end the collation processing at the time of administration. For example, when the collation processing unit 611 completes the collation of all the medicine packages 81 corresponding to the dosing time read in the first item, when the end operation is performed by the user, the dosing time is taken. Judge that the collation process is finished. Then, when it is determined that the dosing time collation process is completed (S509: Yes), the dosing time matching process is completed, and when it is determined that the dosing time matching process is not completed (S509: No), the processing is performed. The process returns to step S504. In step S509, when the collation of all the medicine packages 81 is completed, the collation processing unit 611 displays the completion on the display unit of the mobile terminal 6 for a preset time. , It is also conceivable that the process is automatically returned to step S504 as another embodiment.

As a result, if it is determined that the dosing time collation process is not completed, in the following steps S504 and subsequent steps, the second code information 911 is read from the meal tag 92 and the first code information is read from the medicine package 81. Each time the reading of 811 is executed, the second collation information corresponding to each of the first item and the second item is collated with the first collation information. That is, the second code information 911 corresponding to the first item is read from the plurality of medicine packages 81 until the second code information 911, which is different for the same first item, is read once. It will be used as a collation target when collating the first collation information to be read. Further, even when three or more phases are set, all the information of the phases higher than the current phase is retained and used as a collation target while the same phase is repeated.

The collation processing unit 611 stores and stores the reading history and the collation history of each of the first code information 811 and the second code information 911 in the drug distribution collation process in the storage unit 63. As a result, the control unit 61 can output the reading history, the collation history, and the like according to the user operation. Further, the collation processing unit 611 causes an error when the first collation information is read from a plurality of drug packages 81 for the same dosing time and the same user ID based on the reading history, the collation history, and the like. It is also possible to notify.

Further, the collation processing unit 611 determines the reading timing of the first collation information from the first code information 811 of the medicine package 81 before or after reading the second collation information according to the user operation. It is also possible to change to. When the first collation information is read before reading the second collation information, the second collation information read from each of the second code information 911 is sequentially collated with the first collation information. become.

Further, the collation processing unit 611 normally processes the medicine package 81 regardless of whether the first collation information is read from the first code information 811 before or after the second collation information is read. Possible configurations are also possible. For example, the collation processing unit 611 said that the first collation information of the first medicine package 81 was read and the first collation information of the second medicine package 81 was read. When the second collation information is read, the information is collated with the first collation information of the second medicine package 81. On the other hand, the collation processing unit 611 said that the first collation information of the first medicine package 81 was read until the first collation information of the second medicine package 81 was read. If the second collation information has not been read, the information read thereafter is collated with the first collation information of the second medicine package 81.

[Other examples of collation processing at the time of drug delivery]
In the drug distribution time collation process (see FIG. 20), a case where the reading order of the first code information 811 and the second code information 911 in each phase is preset in the scenario information has been described. Here, a case where the reading order of the first code information 811 and the second code information 911 in each phase is not set in advance will be described. Here, FIG. 23 is a flowchart showing another example of the drug distribution time matching process.

<Step S600>
In step S600, the collation check screen P31 is displayed on the display unit of the mobile terminal 6 in the same manner as in step S501.

<Step S601>
In step S601, the collation processing unit 611 adds one value of N indicating the phase number to be processed (N = N + 1). The initial value of N at the start of the drug delivery collation process is 0, and the value of N is reset to 0 at the start or end of the drug delivery collation process.

<Step S602>
In step S602, the collation processing unit 611 listens for reading of the check item belonging to the Nth phase (S602: No), and when the check item is read (S602: Yes), the process shifts to step S603.

<Step S603>
In step S603, the collation processing unit 611 displays the reading result of the check item belonging to the Nth phase on the display of the mobile terminal 6 in the same manner as in steps S503 and S505. Further, when the plurality of second collation information read from the second code information 911 after the start of the drug distribution collation process, the collation processing unit 611 includes information of the same item, the plurality of the first collation processing units 611. 2 It is conceivable to collate the information of the same item included in the collation information.

For example, it is conceivable that the second code information 911 described on the meal tag 92 includes not only the user ID but also information on the time of administration. In this case, when the collation processing unit 611 determines that the second code information 911 has been read in step S603, the dosing time read from the meal tag 92 is the dosing time read from the dosing time sheet 91. Executes the process of determining whether or not it matches any of them. Then, when it is determined that the dosing times do not match, the collation processing unit 611 notifies an error by a display unit or the like. As a result, before the collation process in step S606 is executed, the user is notified that there is an error in the dosing time read from the food tag 92, so that the efficiency of the drug distribution work is improved.

<Step S604>
In step S604, the collation processing unit 611 accepts an operation as to whether or not to complete the reading of the check item belonging to the Nth phase. Then, when the collation processing unit 611 accepts the operation to complete (S603: Yes), the process returns to step S601, and when the operation to not complete is accepted (S603: No), the process is performed. The process proceeds to step S505. That is, the collation processing unit 611 can read a plurality of check items belonging to the first phase as collation targets. For example, the collation processing unit 611 can read two detailed items, "after breakfast" and "before breakfast", for the check item belonging to the first phase, "after breakfast" and "before breakfast". It is possible to carry out matching of the two dosing times in parallel.

<Step S604>
In step S604, the collation processing unit 611 accepts an operation as to whether or not to complete the reading of the check item belonging to the Nth phase. Then, when the collation processing unit 611 accepts the operation to complete (S604: Yes), the process shifts to step S605, and when the operation to not complete is accepted (S604: No), the process is performed. Is returned to step S602. That is, the collation processing unit 611 can read a plurality of check items belonging to the Nth phase as collation targets.

Specifically, the collation processing unit 611 can read the second code information 911 corresponding to the user ID and the second code information 911 corresponding to the medicine package 81. For example, the collation processing unit 611 can read the medicine package 81, which is a check item belonging to the second phase, a plurality of times, and collates the plurality of medicine packages 81 taken by the same user in parallel. It is also possible to do it. Further, since the reading order of the check items belonging to the second phase is not set, the reading of the second code information 911 corresponding to the user ID from the meal tag 92, the timing of administration from the medicine package 81, and the user The reading of the second code information 911 corresponding to the ID can be executed in any order.

<Step S605>
In step S605, the collation processing unit 611 determines whether or not the final phase set in the scenario information has been completed. Then, when the collation processing unit 611 determines that the final phase has not been completed (S605: No), the processing is returned to step S601 and the processing target is advanced to the next phase. As a result, the first code information 811 or the second code information 911 indicating the check items belonging to the next phase can be read. Further, when the collation processing unit 611 determines that the final phase is completed (S605: Yes), the process shifts to step S606.

<Steps S606 to S607>
Then, in step S606, the collation processing unit 611 executes a collation process for collating the first collation information and the second collation information read up to the final phase. For example, two dosing times are read from the two second code information 911 described in the dosing time sheet 91 belonging to the first phase, and one from the second code information 911 described in the food tag 92 belonging to the second phase. Consider a case where one user ID is read and two sets of dosing time and user ID are read from the first code information 811 described in the two medicine packages 81 belonging to the second phase. In this case, the collation processing unit 611 determines whether or not each of the dosing times read from the medicine package 81 coincides with any of the dosing times read from the dosing time sheet 91, and is read from the food tag 92. It is determined whether or not the user ID and the user ID read from each of the medicine packages 81 match. Then, in step S607, the collation processing unit 611 displays the collation result in step S606 on the display unit of the mobile terminal 6.

<Step S608>
After that, in step S608, the collation processing unit 611 accepts an operation as to whether or not to return the phase to be processed. Then, when the collation processing unit 611 accepts the operation to return the phase to be processed (S608: Yes), the collation processing unit 611 shifts the process to step S609 and accepts the operation to not return the phase to be processed. If (S608: No), the process returns to step S602. Even if the operation to return the phase to be processed is not executed even after the preset waiting time has elapsed (S608: No), the process is returned to step S602.

<Steps S609 to S610>
In step S609, the collation processing unit 611 subtracts one value of N indicating the phase number of the processing target (N = N-1), and shifts the processing to step S610. In step S610, when the value of N indicating the phase number of the processing target is 0 (S610: Yes), the collation processing unit 611 ends the collation process at the time of drug distribution and indicates the phase number of the processing target. If the value of N is not 0 (S610: No), the process returns to step S602. It should be noted that the drug delivery time matching process may be terminated even when the end operation is executed by the user during the drug delivery time matching process.

1: Dispensing support device 11: Control unit 12: Data storage unit 2: Reading terminal 3: Chemical packaging device 31: Control unit 32: Packaging printer 4: Printer 5: Dispensing support device 51: Control unit 52: Data storage Unit 6: Mobile terminal 61: Control unit 62: Camera 7: Reading terminal 81: Medicine package (an example of a packaging container)
82: Medicine bag (an example of a delivery container)
10: Drug distribution support system 100: Drug distribution support system

Claims (4)

It is a drug distribution support system equipped with an information terminal used in a facility where drugs are distributed and a drug packaging device used in a place where the drug is dispensed.
The information terminal is described in the first collation information read from the first code information described in the plurality of packaging containers in which one or more medicines are packaged at each time of administration and in the plurality of collation target articles. A collation processing unit that collates a plurality of second collation information read from a plurality of second code information, a setting processing unit that sets the contents of each of the second collation information according to a user operation, and the setting processing unit. Equipped with an output processing unit that outputs the settings made by
Wherein the medicine packing apparatus, a print processing unit that prints the first code information pre Symbol second verification information each indicating a verifiable first verification information to the content encased unit, output from the output processing unit It is provided with a print setting processing unit that receives the setting contents by the setting processing unit and sets the contents of the first collation information in the first code information printed by the print processing unit based on the setting contents. , Drug distribution support system. The plurality of collation target articles include a medication timing sheet on which the dosage timing is described and a food tag on which the medication user identification information is described.
The plurality of second collation information includes the dosing time described on the dosing time sheet and the dosing person identification information described on the meal tag.
The drug distribution support system according to claim 1. The output processing unit outputs the setting contents by sending an e-mail.
The drug distribution support system according to claim 1 or 2. It is equipped with an information terminal used in a facility where drugs are distributed and a drug packaging device used in a place where the drug is dispensed, and the information terminal is packaged for each time when one or more drugs are taken. The first collation information read from the first code information described in the plurality of packaging containers and the plurality of second collation information read from the plurality of second code information described in the plurality of collation target articles. In a drug distribution support system including a collation processing unit for collation, a setting processing unit for setting the contents of each of the second collation information according to a user operation, and an output processing unit for outputting the setting contents by the setting processing unit. In the control unit mounted on the chemical packaging device,
A printing step of printing the first code information indicating the first collation information capable of collating each of the second collation information on the packaging container, and
Printing that receives the setting contents by the setting processing unit output from the output processing unit and sets the contents of the first collation information in the first code information printed in the printing step based on the setting contents. Setting steps and
A drug distribution support program to carry out.

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