JPH05242169A - Processor for prescription by medicine-preparing work - Google Patents

Abstract

PURPOSE:To process various operations carried out at a pharmacy according to a prescription, simultaneously and in parallel without duplication nor omission by classifying the contents of the input prescription by the kinds of the medicine- preparing works and outputting them. CONSTITUTION:A full-automatic medicine dispensing and bagging machine 1 consisting of a medicine storing and taking-out device and a dispensing and bagging device 24 is connected to a manipulating device 41 on an on-line basis. The manipulating device 41 consists of a keyboard 42, a CRT 43, a memory 44 which uses a floppy disk, a printer 45, and a CPU 46 which controls those units and full-automatic medicine dispensing and bagging machine 1 according to a specific program. The contents of the prescription which is inputted on the keyboard 2 are classified by the kinds of the preparing works and the classified prescription information is printed out on the printer 45.

Description

TECHNICAL FIELD The present invention relates to a prescription processing apparatus used in a pharmacy such as a hospital. [Prior Art] Generally, in pharmacies such as hospitals, it is necessary to count, weigh, divide, package, inspect, and package various necessary medicines such as tablets, powders, and liquids, and deliver them to patients. We are doing various work. Of these, the tablet dispensing operation is simply counted and packaged, so it can be performed in a general environment without special equipment.
Dispensing powder is to take it out of the container, mix it with other powders if necessary, weigh it, and divide it into packages.Therefore, do it in a room equipped with a dust collection facility that collects the powder scattered in the air. It is preferable that the liquid preparation for internal use is generally prepared by mixing pure water (purified water) with a powder or liquid preparation and weighing it.
Since it is bottled, it is preferably performed in a clean room called a clean room. The drug is poisonous,
In addition to powerful drugs and narcotics, there are antibiotics, cautionary drugs for diabetes, circulatory organs, etc., as well as controlled drugs with conditions such as storage temperature and humidity, and these drugs are clearly distinguished from ordinary drugs. Need to be stored in. Therefore, in the pharmacy, not only the storage location of the drug but also the location where the dispensing work is performed tends to be diversified. Moreover, while new drugs are developed one after another and are handled by pharmacies, it is difficult to switch to new drugs entirely because the drugs that were handled up to that point are reliable and may be continuously prescribed after that. Therefore, the types of drugs handled by pharmacies are increasing, and the dispensation work for them is becoming more complicated, subdivided, and specialized. [Problems to be Solved by the Invention] However, conventionally, a pharmacist sequentially performs various kinds of complicated work in a pharmacy using a prescription received from a doctor. When the street work is required, the outpatient must wait in front of the pharmacy for a long time until the five tasks are completed in order and completed. In order to solve this, for example, even if a specialized pharmacist is in charge of each work and wants to perform the necessary work concurrently, the prescription received from the doctor should be classified into the work for each pharmacist and written. However, it is difficult for each pharmacist to check the work to be done by each doctor because the prescription is not written by each doctor. However, there is a problem that it is practically impossible to perform them concurrently. The present invention is a prescription that solves the problems of the above-mentioned conventional ones and can perform various kinds of work performed in a pharmacy based on a prescription received from a doctor in parallel without overlapping or dropping. An object is to provide a processing device. [Means for Solving the Problems] In order to achieve the above object, the present invention comprises means for inputting the content of a prescription, and means for classifying the content of the prescription input by the input means according to the type of dispensing operation. Means for outputting the prescription information classified by the classification means. [Operation] By adopting the above means according to the present invention, the content of the prescription is classified by the classifying means according to the type of dispensing operation and then output from the output means. Therefore, according to the prescription information output from the output means. Necessary work can be done in parallel at the same time. [Embodiment] An embodiment of the present invention shown in the drawings will be described below. FIG. 1 shows an embodiment of the present invention, 1 is a fully automatic medicine packing machine, 41 is an operating device, both of which are connected online. The fully-automatic medicine packaging machine 1 is composed of a medicine storage / delivery device 2 and a packaging device 24.
As shown in FIGS. 2 to 5, the medicine storing / extracting device 2 includes vertical drawers 3, 3, ... Adjacent to each other in a box 2 ′ having an open front surface. The drawer body 3 can be pulled out from the front opening of the box body 2 ′ along a rail (not shown) when the lock button 4 provided on the front surface is pushed to release the lock and the handle 5 is pulled and pulled forward. Further, when all the vertical drawers 3, 3, ... Are stored in the box 2 ', the front opening of the box 2'is closed. , 6 are a plurality of shelves vertically stacked on each vertical drawer 3, and 7, 7, ... are vertical drawers 3.
In the rear of the shelves 6, 6, ... (One of the left and right when viewed from the front of the box body 2 '), a duct provided penetrating vertically between the shelves 6, 8 ,. Each tablet feeder 8 includes a storage section 9 for storing a large number of tablets of one type, and a discharge section 10 for discharging each tablet in the storage section 9 one by one when receiving an appropriate discharge signal. With
Shelf 6 so that discharged tablets enter duct 7 and fall
It is to be positioned above. Reference numeral 11 denotes a hopper provided at the lower part of the box body 2 ′ so as to communicate 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'has a rare prescription frequency, is easily destroyed by slight force, or has a special shape. Therefore, a distribution container 12 and a bucket conveyor 13 for handling tablets of a type not stored in the tablet feeders 8, 8, ... Are provided. 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 toward the front along a rail (not shown) in which a rail groove 14 is fitted, and the partition plate 1.
A plurality of (21 in the illustrated embodiment) compartments 16, 16, ... Partitioned by 5, 15 ,.
The partition plates 15, 15, ... Have substantially circular holes 17, 17 ,.
Is formed, and the gutter-like body 18 having a substantially semi-circular cross section extending through these holes 17, 17, ...
Provided for the bottom plate common to 6, 16, ...
A substantially circular partition plate 19, 19, ... that substantially closes the holes 17, 17, ... is fixed to the gutter 18, and the gutter-shaped body 18 is rotated when a knob 20 provided at the front end of the distribution container 12 is rotated. 1
Rotate about 180 ° around the central axes of 9, 19, ... And flip up and down, whereby the tablets stored in each of the compartments 16, 16, .. .. Reference numeral 21 is a lid of the distribution container 12. The bucket conveyor 13 has a large number of buckets 22 endlessly arranged below the distribution container 12 such that 21 buckets 22, 22, ... Are located directly below the compartments 16, 16 ,. When the motor 23 is driven by receiving the drive signal of, the buckets 22 are intermittently conveyed forward by one by one, and the tablets in the bucket 22 coming to the front end are sequentially dropped into the hopper 11. There is. In this medicine storing / extracting device 2, the tablet feeders 8, 8, ... Can be arranged at a high density in any of the front-back, left-right, and up-down directions of the device, so that a very compact number of tablet feeders 8 can be arranged. , 8 and so on, and the number of tablet feeders 8, 8, ... Is large, the tablet feeder 8 is too far from the outlet of the hopper 11.
The tablet take-out speed is comparatively high because of not having 8, ... Further, the tablet feeders 8, 8, ... Can be brought to the front of the operator simply by pulling out the respective vertical drawers 3, so that the tablet refilling operation to the tablet feeders 8, 8 ,. Further, since all the tablet feeders 8, 8, ... Of the vertical drawer 3 can be operated on one side of the drawn vertical drawer 3, the work efficiency is high. Further, when all the vertical drawers 3, 3, ... Are stored in the box 2 ', all tablets can be sealed together with the tablet feeders 8, 8, ... in the box 2', thus enhancing the dustproof effect. In addition, the air conditioning effect is high when the inside of the box body 2'is air-conditioned as required, and the box body 2'and the vertical drawers 3, 3, ...
If it is composed of a light-blocking material, it has a high light-blocking effect and can prevent the deterioration of the tablet. The packing device 24 is conventionally known, and 25 is a hopper 1
1. A tablet loading mechanism for loading the tablets taken out from 1 into a packaging body, 26 is a reel wound with a packing strip 27, 28 is a feeding mechanism for feeding the packing strip 27 from the reel 26 and feeding it, 29
Is a marking line welding mechanism for forming a vertical marking line on the delivered packing strip 27, and 30 is printing various data such as a patient code and date on the divided packaging body of the packing strip 27. A medicine bag printing mechanism, 31 is a sealing line welding mechanism for sealing the upper edge opening of the packaging body in which the tablets have been completely charged, 32 is an outlet of the sealed packaging body, and 33 is a viewing window. As shown in FIG. 1, the operating device 41 includes a keyboard 42, a CRT 43,
Memory 44 using a floppy disk and printer 4
5 and a CPU 46 for controlling all of them and the fully automatic medicine packing machine 1 according to a predetermined program. The keyboard 42 is, as shown in FIG. 8, a JIS key 47 for inputting a patient code by using a character key and a book key 48 for inputting a drug name registered in advance by using the JIS key 47 as an address key. And a character input key 49 for selecting whether to use the JIS key 47 as a character key (when set) or as an address key (when reset), and the start key 5
0, input key 51, numeric keypad 52, clear key 5
3, a number of days key 54, a cursor movement key 55, an erase key 56, a check key 57, and a packaging start key 58. 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, for example, the blank screen 5 shown in FIG. 10a is displayed.
9a is displayed on the CRT 43. Next, the character input key 4
When 9 is pressed once to set and the patient code is entered by the JIS key 47, the screen 59b shown in FIG. 10b in which the patient code is written is displayed on the CRT 4
Display in 3. Next, when the input key 51 is pressed, it is checked whether or not the same patient code displayed on the screen 59b is registered in the memory 44. If not registered, the character input key 49 is pressed again. After resetting and resetting, the medicine name is entered with the book key 48,
Next, when the dose of the drug for each day is input with the ten keys 52, the number of days key 54 is further pressed, and the number of prescription days of the drug is input with the ten keys 52, the name of each drug and per day For example, the screen 59c shown in FIG. 10c in which the doses and the prescription days are sequentially written is displayed on the CRT 43, and when the registration is already registered, the registered patient code and past prescription are read from the memory 44. And display it on the CRT 43 (Screen 5
9c). Next, when the input key 51 is not pressed and the cursor is appropriately positioned by the cursor movement key 55 and the delete key 56 is pressed, the screen 59c is displayed.
The contents of the portion indicated by the cursor are erased, and the drug name, the dose for each time per day, the number of prescriptions, etc. are newly written in the portion. While the screen 59c in which all the predetermined contents are written is displayed on the CRT 43, the input key 51 is pressed and the check key 57 is pressed.
When is pressed, a predetermined check program that checks the adequacy of the prescription including contraindications and the past prescription of the patient is called, and the content displayed on the screen 59c is unsuitable for prescribing. Printer 4
5 is activated to print it out, and when the content displayed on the screen 59c is not suitable for prescription, the content is to be processed by the fully automatic medicine packing machine 1 (that is, tablets). Is classified into A file, and other medicines (that is, powders, liquids, and tablets that are not processed by the full automatic medicine packing machine 1) are classified into B files, and B files are further classified according to the type of dispensing work (that is, dispensing of powders). Work, liquid dispensing work, and tablet dispensing work not processed by the full-automatic medicine packaging machine 1) and register it in the memory 44, and also the printer 45
Is operated to print out the relevant prescription information (that is, the dispensing work for each of the tablet, powder, and liquid should be performed). Further, when the packaging start key 58 is pressed without pressing the check key 57, the contents displayed on the screen 59c are the A file for the medicines to be processed by the fully automatic medicine packing machine 1, and the B file for the other medicines. Further, the B file is further classified according to the type of dispensing work and registered in the memory 44, and the contents of the A file are packaged by operating the fully automatic medicine packing machine 1 according to a predetermined program. Processing, while B
For the contents of the file, the printer 45 is operated to print out the prescription information. In addition, check key 5
7 is not pressed and the packaging start key 58 is not pressed, the screen 59 displayed on the CRT 43 is displayed for a predetermined time.
c is switched to the blank screen 59a. When using the above prescription processing device, first start key 5
Press 0 and press the character input key 49 once to set it, then press J
The IS key 41 is operated to input the patient code, and the input key 51 is pressed. At this time, the display screen of the CRT 43 is the screen 59.
If it is still b, press the character input key 49 again to reset it, operate the book key 48 to enter the medicine name written on the prescription, and operate the ten key 52 to take the medicine separately each time per day. The amount is input, the number of days key 54 is pressed, and the ten keys 52 are operated to input the number of days of prescription of the medicine. Then, the screen 59c is displayed on the CRT 43. However, if there is an error in the contents of the screen 59c due to an operation error, etc., the cursor movement key 55 is operated to position the cursor at the wrong position. Then, after pressing the delete key 56, the drug name, the dose for each time per day, the number of prescription days, etc. are correctly input. on the other hand,
As described above, when the patient code is input and the input key 51 is pressed, the display screen of the CRT 43 changes from the screen 59b to the screen 59b.
When the screen is switched to c, the contents of the screen 59c are compared with the contents of the prescription, and when the contents of the screen 59c include an item to be changed, the cursor moving key 55 is operated to make the change. The cursor is positioned at an appropriate position, the delete key 56 is pressed, and the drug name written on the prescription, the dose for each time per day, the number of prescription days, and the like are input. When the content of the screen 59c matches the content of the prescription, the input key 51 is pressed, and then either the check key 57 or the packaging start key 58 is pressed. When the check key 57 is pressed, the content of the screen 59c, that is, the content of the prescription, is checked for adequacy of the prescription including contraindications for the patient and the relationship with the past prescription of the patient. Will be printed out to that effect and the information can be transmitted to the doctor. If it is not suitable for prescribing, the prescription content is file A for the drug (that is, tablet) to be processed by the fully automatic drug dispensing machine 1, and the other drug (that is, powder, liquid drug and fully automatic drug dispensing machine 1). The tablets that are not processed in step B are classified into B files, and the B files are further classified according to the type of dispensing operation (that is, powder dispensing operation, liquid dispensing operation, and tablet dispensing operation not processed by the fully automatic drug dispensing machine 1). ) And registered in the memory 44, and the printer 45 prints out the prescription information (that is, the dispensing work for each of the tablets, powders, and liquids), and therefore the prescription output from the printer 45. You can compare the information with the prescription and check 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 the A file for the drugs to be processed by the fully automatic medicine packing machine 1, the B files for the other drugs, and the B files are further classified according to the type of dispensing work. In addition to being registered in the memory 44, the contents of the A file are packaged by the fully automatic medicine packaging machine 1 according to a predetermined program. That is, the discharging section 10 of the tablet feeder 8 corresponding to the contents of the A file is operated to discharge the tablets in the storing section 9 one by one, drop the tablets through the duct 7 to the hopper 11, and if necessary, the motor. Two
3 is driven and the bucket conveyor 13 intermittently conveys the buckets 22 one by one forward, and the tablets in the buckets 22 that have come to the front end are sequentially dropped to the hopper 11. Then, the tablets dropped on the hopper 11 are packaged according to the contents of the A file by the operation of the packaging device 24. Further, regarding the contents of the B file, the printer 45 prints out prescription information classified according to the type of dispensing operation, and therefore each pharmacist in charge checks the work to be performed according to the prescription information output from the printer 45. It is possible to perform dispensing work while doing. Although the prescription processing device is configured by combining the fully automatic medicine packing machine 1 and the operating device 41 in the above embodiment, it is needless to say that the present invention can be configured by only the operating device 41. Further, although the content of the prescription is key-inputted in the above embodiment, an appropriate input means other than key input may be used,
Further, in the above-mentioned embodiment, the contents of the prescription are classified into tablet, powder, and liquid dispensing operations, respectively, but may be classified according to more detailed types of dispensing operations, or may be classified according to other types of dispensing operations. Of course, in the above embodiment, the prescription information is printed out. However, without being limited to this, for example, the prescription information to be dispensed at the dispensing location is displayed and output on the display screens installed at the dispensing locations. You may do it. Further, in the above-described embodiment, the JIS key 47 and the book key 48 are used to input the patient code and the medicine name in the operating device 41. However, for example, each page forming a cartridge with a set of plural sheets has a character for the patient code. It is also possible to use a type having a large number of item keys for freely writing the names of medicines, medicines, etc., and the memory 44 may be something other than a floppy disk. Needless to say, it can be modified. [Advantages of the Invention] Since the present invention is configured as described above,
By simply inputting the content of the prescription, it can be automatically classified according to the type of dispensing work. Therefore, the prescription dictated the prescription content that requires, for example, five types of work in view of the type of dispensing work. In this case, it can be reliably and automatically classified, and prescription information is output for each classified dispensing work. The contents can be divided into five types of prescription information and notified to the pharmacist who is in charge of each prescription work, so prescription-based dispensation work can be performed in parallel at the same time without overlapping or dropping, Therefore, in a pharmacy that accepts a large number of prescriptions, each pharmacist can take charge of each dispensing work efficiently and simultaneously in parallel, thus reducing the waiting time of patients. And it has a superior effect such as can be greatly reduced as compared to those.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a perspective view showing an embodiment of the present invention, and FIG.
Fig. 3 is a perspective view of a fully automatic medicine packing machine showing a state in which two vertical drawers are pulled out part way, Fig. 3 is a front view showing the pulled out vertical drawer of Fig. 2 in a cross section, and Fig. 4 is FIG. 5 is a partially cutaway side view of the one shown in FIG. 2 in a state in which the pulled out vertical drawer is stored, and FIG. 5 is a plan view showing a state in which the vertically drawn drawer shown in FIG. 2 is pulled out to the end. , Sixth
FIG. 7 is an enlarged exploded perspective view showing details of a distribution container and a bucket conveyor, FIG. 7 is a vertical sectional front view of the one shown in FIG. 6 in an assembled state, FIG. 8 is an enlarged plan view of a keyboard, FIG. 9 is a flow chart, and 10a. 10 to 10c are views showing the display screen of the CRT. DESCRIPTION OF SYMBOLS 1 ... Fully automatic medicine packing machine 2 ... Medicine storage / extraction device 2 '... Box 3 ... Vertical drawer 4 ... Lock button 5 ... Handle 6 ... Shelf 7 ... Duct 8 ... Tablet feeder 9 ... Storage 10 ... Ejection 11 ... hopper 12 ... distribution container 13 ... bucket conveyor 14 ... rail groove 15, 19 ... partition plate 16 ... compartment 17 ... hole 18 ... trough 20 ... knob 21 ... lid 22 ... bucket 23 ... motor 24 ... packaging device 25 ... tablet loading mechanism 26 ... reel 27 ... packaging strip 28 ... feeding mechanism 29 ... partition line welding mechanism 30 ... medicine bag printing mechanism 31 ... enclosing line welding mechanism 32 ... outlet 33 ... peephole 41 ... operating 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 ... Day Numeric key 55 ... Cursor move key 56 ... Erase key 57 ... Check key 58 ... Packaging start key 59a, 59b, 59c ... Screen

Claims (1)

Claims: 1. Means for inputting the content of a prescription, and means for classifying the content of the prescription input by the input means according to the type of required dispensing work prior to the execution of the dispensing work based thereon. A prescription processing device for each dispensing operation, comprising: means for outputting the content of each dispensing operation classified by the classification means. 2. The prescription processing device according to dispensing work according to claim 1, wherein the input means inputs the contents of the prescription by key. 3. The prescription processing device according to dispensing work according to claim 1, wherein the classification means classifies the contents of the prescription into each dispensing work of tablets, powders, and liquids. 4. The prescription processing device according to dispensing work according to claim 1, wherein the output means prints out the contents of each dispensing work.