JPH04307062A - Prescription processor for medicine preparator - Google Patents

Abstract

PURPOSE:To eliminate duplication and emission of various workings by sorting the contents of a prescription by a sorting means into first file information to be processed with a preparator and second file information to be processed otherwise to output. CONSTITUTION:A fully automatic drug packing machine 1 as one example of preparators is made up of a drug housing/withdrawing device 2 and a packer 24 and the drug housing/withdrawing device 2, is provided with a plurality of vertical type withdrawing bodies 3... in a box body 2'. Multiple stages of racks 6 set one upon another are arranged in each withdrawing body 3 and are each provided with a plurality of tablet feeders 8. The tablet feeders 8 have a housing section to house multiple tablets of one type and a discharging section to discharge the tablets in the housing section one at a time. The packing machine 1 is controlled through an operating unit comprising a microcomputer. Here, the contents of a prescription are sorted into first file information to be processed with the packing machine 1 and second file information to be processed otherwise to control.

Description

DETAILED DESCRIPTION OF THE INVENTION [Field of Industrial Application] The present invention relates to a prescription processing device used in pharmacies such as hospitals.

[Prior Art] In general, pharmacies in hospitals etc. accept prescriptions, count, weigh, divide, package, audit, and bag various necessary drugs such as tablets, powders, and liquids before delivering them to patients. We are doing a variety of work. Of these, tablet dispensing involves simply counting and packaging, so it can be done in a general environment without special equipment.
Dispensing powders involves taking them out of containers, mixing them with other powders as necessary, weighing them, and dividing them into packages, so it should be done in a room equipped with dust suction equipment to collect the powders scattered in the air. is preferable, and the preparation of liquid preparations for internal use is generally carried out by mixing powder or liquid preparations with pure water, weighing,
Since it is packed in bottles, it is preferable to carry out the process in a clean room. Also, drugs include poisonous drugs,
In addition to powerful drugs and narcotics, there are antibiotics, drugs for diabetes, circulatory system, and other drugs that require caution, as well as controlled drugs that have conditions such as storage temperature and humidity. must be stored. Therefore, in pharmacies, not only the locations where medicines are stored, but also the locations where dispensing operations are performed tend to be diversified. Moreover, while new drugs are being developed one after another and are available at pharmacies, it is difficult to completely switch to new drugs because the drugs that were previously available are reliable and may continue to be prescribed. As a result, the types of drugs that pharmacies handle continue to increase, and their dispensing operations are becoming increasingly complex, segmented, and specialized.

[Problems to be solved by the invention] However, in the past, pharmacists performed various complex and wide-ranging tasks in pharmacies using prescriptions received from doctors. When outpatients are physically unwell, they have to wait in front of the pharmacy for a long time until the five tasks are completed in order. In order to solve this problem, for example, a dispensing device such as a fully automatic tablet packaging machine that selects a predetermined type of tablet from a pre-stored variety of tablets and packs a predetermined number of tablets is used. The system automates the dispensing work for drugs that can be processed by the dispensing device, and even if the pharmacist tries to concentrate on dispensing only the drugs that cannot be processed by the dispensing device, the dispensing device can process the prescriptions received from the doctor. There is no classification of drugs that can be processed and drugs that cannot be processed, and each doctor writes prescriptions differently, so it is difficult to distinguish between the work that should be assigned to the dispensing device and the work that pharmacists should do themselves. This is time-consuming and error-prone, and as a result, there are problems in that necessary dispensing operations may be performed by both the dispensing device and the pharmacist, or may not be performed by either device and may be omitted. This invention solves the above-mentioned problems of the conventional methods, and automatically divides various tasks performed at a pharmacy based on a prescription received from a doctor into tasks that should be processed by the dispensing device and tasks that should be processed by other devices. It is an object of the present invention to provide a prescription processing device that can accurately and accurately classify various types of tasks and thereby reliably process various necessary tasks without duplicating or omitting them.

[Means for Solving the Problems] In order to achieve the above object, the present invention includes a dispensing device, a means for inputting the contents of a prescription, and a process for processing the contents of the prescription input by the input means in the dispensing device. means for classifying the first file information into first file information and second file information to be processed otherwise; means for applying the first file information classified by the classification means to the dispensing device; 2. A means for outputting file information.

[Operation] By employing the above means, the contents of the prescription are classified by the classification means into first file information to be processed by the dispensing device and second file information to be processed by other devices. The file information is applied to the dispensing device, and the second file information is output from the output means, so that the contents of the first file information and the contents of the second file information do not overlap or drop out. It will definitely be processed.

[Embodiments] Hereinafter, embodiments of the present invention shown in the drawings will be described. FIG. 1 shows an embodiment of the present invention, where 1 is a fully automatic medicine packaging machine as an example of a dispensing device, 41 is an operating device, and both are connected online. The fully automatic drug packaging machine 1 includes a drug storage/retrieval device 2 and a packaging device 24.
It is composed of. As shown in FIGS. 2 to 5, the drug storage/retrieval device 2 includes vertical drawers 3, 3, .
Each vertical drawer 3 can be pulled out from the front opening of the box 2' along a rail (not shown) by pressing the lock button 4 provided on the front to release the lock, then placing your hand on the handle 5 and pulling it toward you. , and all vertical drawer bodies 3,
3,... are stored in the box 2', the front opening of the box 2' is sealed. 6, 6, ... are multiple shelves provided vertically stacked on each vertical drawer body 3, 7, 7
, ... are ducts 8, 8, ... provided behind the shelves 6, 6, ... (on either the left or right side when viewed from the front of the box body 2') in each vertical drawer body 3, passing through the upper and lower spaces. are a plurality of tablet feeders arranged in parallel on each shelf 6, each tablet feeder 8
comprises a storage section 9 that stores a large number of tablets of one type, and an ejection section 10 that ejects the tablets from the storage section 9 one by one upon receiving an appropriate ejection signal, and the ejected tablets enter the duct 7. It is positioned on the shelf 6 so that it falls down. 11 is a hopper provided in the lower part of the box body 2' in communication with all the ducts 7, 7, . . . The lower part of the vertical drawer 3 in the third row from the left when viewed from the front of the box 2' contains items that are rarely prescribed, easily destroyed by a slight force, or have a special shape. ,
Therefore, a dispensing container 12 and a bucket conveyor 13 are provided for handling tablets of a type not stored in the tablet feeders 8, 8, . . . . As shown in FIGS. 4, 6, and 7, the distribution container 12 is configured to be able to be pulled out from the vertical drawer 3 along a rail (not shown) fitted with a rail groove 14, and partition plates 15, 15, A plurality of (21 in the illustrated embodiment) compartments 16, 16, partitioned by...
...are arranged side by side. Almost circular holes 17, 17, ... are formed in the partition plates 15, 15, ..., and these holes 17, 1
7. A gutter-like body 18 having an approximately semicircular arc cross section extending through...
is provided as a common bottom plate for all the compartments 16, 16, . . . , and substantially circular partition plates 19, 19, . hand,
The gutter-like body 18 is connected to the knob 2 provided at the front end of the dispensing container 12.
When turning 0, the partition plates 19, 19, . . . rotate approximately 180 degrees around the center axis and are flipped vertically, thereby causing the tablets stored in each of the compartments 16, 16, . . . to fall downward at once. It is designed to let you do so. 21 is the distribution container 12
It is the lid of The bucket conveyor 13 has 21 buckets 22, 22, .
A large number of buckets 22 are arranged in an endless row so as to be located directly below the buckets 6, 16, . The tablets in the bucket 22 are conveyed forward and are successively dropped into the hopper 11. This drug storage/retrieval device 2 has tablet feeders 8, 8,
... can be arranged at high density, and therefore a very large number of tablet feeders 8, 8, ... can be provided in a compact device. Since the tablet feeders 8, 8, . Further, by simply pulling out each vertical drawer 3, the tablet feeders 8, 8, ... can be brought in front of the operator's eyes, so that the tablet feeders 8, 8, ...
Tablet supply work can be carried out easily and quickly, and all the tablet feeders 8, 8, . . . of the vertical drawer 3 can be operated on one side of the vertical drawer 3 that has been pulled out. It has high work efficiency. Furthermore, by storing all the vertical drawers 3, 3, ... in the box 2', all the tablets can be sealed together with the tablet feeders 8, 8, ... in the box 2', which improves the dustproof effect. In addition, if the box body 2' is air-conditioned as necessary, the air conditioning effect will be high, and if the box body 2' and the vertical drawers 3, 3, ... are made of light-shielding material, ▲ It has a high light shielding effect and can prevent deterioration of tablets.

The packaging device 24 is conventionally known, and includes a tablet loading mechanism 25 for loading the tablets taken out from the hopper 11 into a packaging body, 26 a reel around which a packaging strip 27 is wound, and 28
29 is a dividing line welding mechanism that forms longitudinal division lines on the rolled-out packaging strip 27; and 30 is a section of the packaging strip 27. A medicine bag printing mechanism prints various data such as a patient code and date on the prepared sachet; 31 is an enclosing line welding mechanism that seals the upper edge opening of the sachet into which tablets have been inserted; and 32 is a sealed sealing line welding mechanism. The outlet 33 for taking out the sachet is a viewing window. As shown in FIG. 1, the operating device 41 includes a keyboard 42 and a CRT 43.
, a memory 44 using a floppy disk, a printer 45, and a CPU 46 that controls all of these and the fully automatic medicine packaging machine 1 according to a predetermined program. As shown in FIG. 8, the keyboard 42 is a JIS keyboard used as character keys to input patient codes.
key 47, a book key 48 that uses the JIS key 47 as an address key to enter a registered drug name, and a book key 48 that uses the JIS key 47 as a character key (when set) or as an address key ( character input key 49, start key 50, input key 51, numeric keypad 52, clear key 53, number of days key 54, cursor movement key 55, erase key 56, check key 57 and a packaging start key 58
It is equipped with. The CPU 46 is configured to operate according to a predetermined program, as shown in the flowchart of FIG. That is, when the start key 50 is pressed, a blank screen 59a shown in FIG. 10a is displayed on the CRT 43, for example. Next, when the character input key 49 is pressed once to set it and a patient code is input using the JIS key 47, the screen 59b on which the patient code is written, for example, shown in FIG.
43. Next, when the input key 51 is pressed,
It is checked whether the same patient code as the patient code displayed on the screen 59b is registered in the memory 44, and if it is not registered, the character input key 49 is pressed again to reset, and then the book key 48 is pressed. When a drug name is entered, then the daily dose of the drug is entered using the numeric keypad 52, and the number of days key 54 is pressed and the number of prescription days for the drug is entered using the numeric keypad 52, those For example, the CRT 43 displays a screen 59c shown in FIG. The prescription is read from the memory 44 and displayed on the CRT 43 (see screen 59c). Next, when the input key 51 is not pressed and the cursor is appropriately positioned using the cursor movement key 55 and the erase key 56 is pressed, the screen 59
The contents of the area indicated by the cursor on c are erased, and the user waits for the drug name, each dose per day, the number of prescription days, etc. to be newly written in the area. When the input key 51 is pressed and the check key 5 is pressed while the screen 59c on which all predetermined contents are written is displayed on the CRT 43.
When 7 is pressed, a predetermined check program is called to check the suitability of the prescription, including any combination contraindications and the relationship with the patient's past prescriptions, and the content displayed on the screen 59c is unsuitable for prescription. In this case, the printer 45 is activated to print out a printout to that effect, while the screen 59c
If the content displayed is not inappropriate for prescribing, the content is transferred to the drug (
In other words, tablets) are classified into A file, and other drugs (i.e., powders, liquids, and tablets not processed by the fully automatic drug packaging machine 1) are classified into B file and registered in the memory 44, and the printer 45 is activated. to print out the prescription information (that is, what should be done for powders, liquids, and tablets that are not processed by the fully automatic drug packaging machine 1). Also check key 5
If the packaging start key 58 is pressed without pressing 7, the contents displayed on the screen 59c are classified into files A for drugs to be processed by the fully automatic drug packaging machine 1 and files B for other drugs. The content of the A file is then operated by the fully automatic drug packaging machine 1 according to a predetermined program to process the packaging, while the content of the B file is operated by the printer 45 to process the content. Print out prescription information. Furthermore, when the check key 57 is not pressed and the packaging start key 58 is not pressed for a predetermined period of time, the screen 59c displayed on the CRT 43 is switched to a blank screen 59a. When using the above prescription processing device,
First, press the start key 50, press the character input key 49 once to set it, operate the JIS keys 41 to input the patient code, and press the input key 51. If the display screen of the CRT 43 remains at the screen 59b at this time, press the character input key 49 again to reset it, operate the book key 48 to input the drug name written on the prescription, and operate the numeric keypad 52. The user inputs the daily dose of the drug, presses the number of days key 54, operates the numeric keypad 52, and inputs the number of days for which the drug is prescribed.

The screen 59c will then be displayed on the CRT 43, but if there is an error in the content of the screen 59c due to an operational error, etc., use the cursor movement key 55 to position the cursor at the incorrect location. Then, after pressing the delete key 56, the drug name, each dose per day, the number of prescription days, etc. are correctly input again. On the other hand, if the display screen of the CRT 43 switches from the screen 59b to the screen 59c when the patient code is input and the input key 51 is pressed as described above, the contents of the screen 59c are compared with the contents of the prescription. If the contents of the screen 59c include items to be changed, operate the cursor movement key 55 to position the cursor at the area to be changed, press the erase key 56, and then delete the items written on the prescription. Enter the drug name, each dose per day, the number of prescription days, etc. And screen 59c
If the contents match the contents of the prescription, the user presses the input key 51 and then either the check key 57 or the packaging start key 58. When the check key 57 is pressed, the contents of the screen 59c, that is, the contents of the prescription, are checked for suitability of the prescription, including any contraindications to the prescription and the relationship with the patient's past prescriptions.If the prescription is inappropriate, the printer 45 This information will be printed out and the information can be conveyed to the doctor. In addition, if it is not inappropriate to prescribe, the prescription contents are A file for drugs (i.e., tablets) processed by the fully automatic drug packaging machine 1, and files for other drugs (i.e., powders, liquids, and fully automatic drug packaging machine 1). Tablets that are not processed by the automatic drug packaging machine 1) are classified into B files and registered in the memory 44, and the printer 45 performs dispensing work for the prescription information (i.e., powders, liquids, and tablets that are not processed by the fully automatic drug packaging machine 1). Therefore, the prescription information output from the printer 45 and the prescription can be compared and checked again. On the other hand, when the packaging start key 58 is pressed, the contents of the screen 59c, that is, the contents of the prescription, are classified into files A for drugs processed by the fully automatic drug packaging machine 1 and files B for other drugs. In addition to being registered in the memory 44, the fully automatic medicine packaging machine 1 will package and process the contents of the A file according to a predetermined program. That is, the discharging section 10 of the tablet feeder 8 corresponding to the contents of the A file operates to discharge the tablets from the storage section 9 one by one,
The tablets in the buckets 22 are dropped through the duct 7 to the hopper 11, and when necessary, the motor 23 is driven and the bucket conveyor 13 intermittently transports the buckets 22 forward one by one, so that the tablets in the buckets 22 reach the front end one by one. is dropped into the hopper 11. The tablets that have fallen into the hopper 11 are then divided and packaged according to the contents of the A file by the operation of the packaging device 24. Also, regarding the contents of the B file, please refer to the printer 4.
5 is printed out, so that the pharmacist can perform dispensing work while confirming the work to be performed in accordance with the prescription information output from the printer 45.

In addition, in the above embodiment, the fully automatic drug packaging machine 1 and the operating device 4 are
Although the prescription processing device has been constructed by combining the fully automatic medicine packaging machine 1 with the operating device 41, it goes without saying that the present invention can be constructed by combining the operating device 41 with an appropriate dispensing device other than the fully automatic drug packaging machine 1. Further, in the above embodiment, only one dispensing container 12 is shown in the fully automatic drug packaging machine 1, but if a plurality of dispensing containers 12 are prepared, the dispensing container 12 containing tablets in advance can be immediately pulled out of the vertical drawer as needed. Although 21 compartments 16, 16, . A tablet dispensing and dropping device may be provided, and the fully automatic drug packaging machine 1 may be capable of handling not only tablets but also other drugs. Further, in the above embodiment, the JIS key 47 and the book key 48 are used to input the patient code and drug name in the operating device 41, but for example, each page of a cartridge made up of a set of multiple sheets has characters for the patient code. It is also possible to use a type that has a large number of item keys in which you can freely write information such as drug names, drug names, etc.
It goes without saying that the disc may be other than a floppy disk, and that the present invention can be modified in various ways to the above-described embodiments.

[Effect of the invention] Since this invention is configured as described above,
By simply inputting the contents of a prescription, it can be automatically classified into first file information that is processed by the dispensing device and second file information that is processed elsewhere, so that the prescription can be processed by the dispensing device. If the prescription contents include prescription contents that cannot be processed by the dispensing device, it can be reliably and automatically classified, and the classified first file information can be applied to the dispensing device. on the other hand,
It is possible to output the second file information and notify the pharmacist in charge of the dispensing work, so that the dispensing work based on the prescription may be duplicated or omitted due to the work that can be processed by the dispensing device and the work that cannot be processed by the dispensing device. Therefore, in pharmacies that accept a large number of prescriptions, the dispensing device is used exclusively for tasks that can be handled by the dispensing device, and pharmacists can concentrate only on tasks that cannot be handled by the dispensing device. By performing the dispensing work in parallel, the process can be done efficiently and in parallel, resulting in excellent effects such as significantly shortening patient waiting time compared to when dispensing equipment is not used. It has the following.

[Brief explanation of drawings]

FIG. 1 is a perspective view showing one embodiment of the present invention, and FIG.
A perspective view of a fully automatic drug packaging machine showing a state in which two vertical drawers are pulled out halfway; FIG. 3 is a front view of the machine shown in FIG. Fig. 2 is a partially cutaway side view of the model shown in Fig. 2 with the vertical drawer body pulled out in a retracted state, and Fig. 5 is a plan view of the model shown in Fig. 2 with the vertical drawer body pulled out to the end. , 6th
The figure is an enlarged exploded perspective view showing details of the dispensing container and bucket conveyor, Figure 7 is a longitudinal sectional front view of the one in Figure 6 in an assembled state, Figure 8 is an enlarged plan view of the keyboard, Figure 9 is a flow chart, and Figure 10a. Figures 10c to 10c are diagrams showing the display screen of a CRT. 1... Fully automatic drug packaging machine 2... Drug storage and extraction device
2'...Box 3...Vertical drawer 4...Lock button 5...Handle 6...Shelf 7...Duct 8...Tablet feeder 9...Storage section 10...Discharge section 11...Hopper 12...Distribution container 13...Bucket conveyor 14...Rail Grooves 15, 19...Partition plate 16...Divided room
17... Hole 18... Gutter-shaped body 20... Knob
21...Lid 22...Bucket 23...Motor
24...Packaging device 25...Tablet feeding mechanism 26...Reeling frame
27... Packaging strip 28... Feeding mechanism 29... Compartment line welding mechanism 30... Medicine bag printing mechanism 31... Enclosing line welding mechanism 32... Output port
33...Peep window 41...Operation device 42...Keyboard 43...CRT 44...Memory 45...Printer 46...CPU 47...JIS key 48...Book key
49... Character input key 50... Start key 51... Input key
52...Numeric keypad 53...Clear key 54...Number of days key
55... Cursor movement key 56... Erase key 57... Check key 58... Packaging start key 59a, 59b, 59c... Screen

Claims (1)

[Scope of Claims] 1. A dispensing device, a means for inputting the contents of a prescription, and processing information for the prescription inputted by the input means by the dispensing device and other devices. means for classifying work information for non-dispensing devices into non-dispensing device work information; means for applying the dispensing device work information classified by the classification means to the dispensing device; and outputting the non-dispensing device work information classified by the classification means. 1. A prescription processing device for a dispensing device, comprising: means for processing a prescription for a dispensing device. 2. The prescription processing device for a dispensing device according to claim 1, wherein the dispensing device includes a fully automatic drug packaging machine. 3. The fully automatic drug packaging machine is a utility model registration request that includes a fully automatic tablet packaging machine that selects a predetermined type of tablet from among many types of tablets stored in advance and packages it in a predetermined number. A prescription processing device for a dispensing device according to item 2. 4. The prescription processing device for a dispensing device according to claim 1, wherein the output means prints out the work information for the non-dispensing device.