JPH09140775A - Processor for medicine preparation job - Google Patents

Abstract

PURPOSE: To prevent a medicine preparation job from being overlapped or omitted by classifying the medicine preparation jobs corresponding to the kinds of medicines based on the contents of medical prescriptions and outputting the medicine preparation contents to be dealt with for each medicine preparation job. CONSTITUTION: A start key 50 is depressed, a character input key 49 is once depressed and set, a patient code is inputted by operating a JIS key 47, and an input key 51 is depressed. Next, the names of medicines described on the medical prescription are inputted by a book key 48. Further, the quantity of each medicine to be daily taken in each time is inputted by a ten key 52 and the number of dosing days, for which these medicines are prepared, are respectively inputted by a number-of-days key 54 and the ten key 52. Thus, a picture is displayed on a CRT. When there is any error in the contents of this picture, a cursor moving key 55 is operated, a cursor is positioned at the part of error and data are inputted again. When the picture is coincident with the contents of medical prescription, any one of input key 51, check key 57 and wrapping start key 58 is operated. Thus, the medicine preparation job is started.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a processing apparatus for dispensing business used in pharmacies such as hospitals.

[0002]

2. Description of the Related Art Generally, in pharmacies such as hospitals, from receiving prescriptions to counting, weighing, dividing, packing, inspecting and packing various necessary drugs such as tablets, powders, liquids, etc., and delivering them to patients. Various work is done. 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 in packages.Therefore, do it in a room equipped with a dust collection facility that collects the powder dispersed in the air. It is preferable that the liquid medicine for internal use is generally prepared by mixing pure water (purified water) with the powder or liquid medicine 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.These drugs are clearly separated 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 operation 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 their dispensing work is becoming more and more complicated, subdivided, and specialized.

[0003]

However, in the past, since the pharmacist successively carried out various complicated operations in the pharmacy using the prescription received from the doctor as it is, for example, the content of the prescription is 5 kinds. When the above work is required, the outpatient must wait in front of the pharmacy for a long time until the five works are completed in order and completed. In order to solve this problem, for example, a dispensing device such as a fully-automatic tablet dispensing machine that selects a predetermined type of tablets from a large number of pre-stored tablets and dispenses a predetermined number of tablets is used. Then, for the drugs that can be processed by the dispensing device, the dispensing work is automated, and even if the pharmacist concentrates on the drugs that cannot be processed by the dispensing device, the prescription received from the doctor is processed by the dispensing device. Since the drugs that can be processed and the drugs that cannot be processed are not classified and written by each doctor, the work to be assigned to the dispensing device and the work to be performed by the pharmacist should be separated. It is time-consuming and error-prone, so the necessary dispensing work may be duplicated between the dispensing device and the pharmacist, or both may be dropped and dropped. Problems such that you may or Tsu there was.

The present invention solves the above-mentioned problems of the prior art and ensures that various operations performed in a pharmacy based on a prescription received from a doctor can be reliably processed without duplication or omission. It is an object of the present invention to provide a processing device for dispensing business which can be performed.

[0005]

In order to achieve the above object, the present invention provides a means for inputting the content of a prescription and a content of the prescription input by the input means prior to execution of a dispensing operation based on the content. It is provided with means for classifying the required dispensing work by type and means for outputting the contents of each dispensing work sorted by the sorting means.

[0006]

According to the present invention, by adopting the above means, the contents of the prescription are classified by the classifying means according to the type of the dispensing work and then outputted from the output means. Therefore, the prescription outputted from the output means. According to the information, it is possible to perform necessary work at the same time in parallel.

[0007]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS FIG. 1 shows an embodiment of a processing apparatus for dispensing business according to the present invention, in which 1 is a fully automatic medicine packing machine as an example of a dispensing apparatus, 41 is an operating device, and both are Connected online. The fully-automatic medicine packing machine 1 is composed of a medicine storing / extracting device 2 and a packing device 24. As shown in FIGS. 2 to 5, the medicine storage and withdrawal device 2
Has vertical drawers 3, 3, ... Adjacent to each other in a box 2 ′ having an open front surface, and each vertical drawer 3 has a lock button 4 provided on the front surface. When the lock is released by pushing and the handle 5 is pulled and pulled toward you, it can be pulled out from the front opening of the box 2 ′ along a rail (not shown), and all the vertical drawers 3, 3 can be pulled out. , ...
When is stored in the box 2 ', the front opening of the box 2'is hermetically sealed. 6 and 6 are a plurality of shelves that are vertically stacked on each of the vertical drawers 3, 7, 7 ,.
In each of the vertical drawers 3, the ducts 8, 8, ... Are provided behind the shelves 6, 6, ... (One of the left and right sides when viewed from the front of the box 2 ') so as to pass vertically between them. A plurality of tablet feeders arranged side by side on each shelf 6, and 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 the tablets in the storage section 9 one by one when receiving an appropriate discharge signal. It is positioned on the shelf 6 so that it can enter and drop. 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 a 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 so that it can be pulled out from the vertical drawer 3 along the rail (not shown) into which the rail groove 14 is fitted, and the partition plate 15, A plurality of (21 in the illustrated embodiment) compartments 1 partitioned by 15, ...
6, 16, ... Are juxtaposed. Partition plates 15, 15, ...
Are formed with substantially circular holes 17, and a gutter-shaped body 18 having a substantially semi-circular cross section extending through these holes 17, 17, ... Is provided in all the compartments 16, 16 ,. , Which are provided for a common bottom plate, are fixed to the gutter-shaped body 18 so as to substantially close the holes 17, 17, ..., And the gutter-shaped body 18 is attached to the distribution container 12. When the knob 20 provided at the front end is rotated, it is turned upside down by rotating about 180 ° around the central axis of the partition plates 19, 19, ..., By this, the tablets stored in each of the compartments 16, 16 ,. Is to be dropped at a time. Reference numeral 21 is a lid of the distribution container 12. The bucket conveyor 13 has 21 buckets 22, 22, ... Below the distribution container 12.
Is arranged directly below the compartments 16, 16, ..., and a large number of buckets 22 are endlessly arranged side by side. When a proper drive signal is received, the motor 23 is driven, whereby one bucket 22 is provided. The tablets in the bucket 22 which are sequentially conveyed forward by each minute and sequentially come to the front end are dropped into the hopper 11. This medicine storing and extracting device 2 is
The tablet feeders 8, 8, ... Can be arranged at a high density in any of the front, rear, left, right and up and down directions of the apparatus, so that a very large number of tablet feeders 8,
Can be equipped with a tablet feeder 8,
Although the number of tablets 8, ... Is large, the tablet feeders 8, 8, ... Are not arranged too far from the outlet of the hopper 11, so that the tablet take-out speed is relatively high. Further, the tablet feeders 8, 8, ... Can be brought to the front of the operator simply by pulling out the respective vertical drawers 3, and therefore, the tablet refilling work to the tablet feeders 8, 8 ,. All of the tablet feeders 8, 8 of the vertical drawer 3 are formed on one side of the drawn vertical drawer 3.
The operation efficiency is high because it can be operated. Furthermore, all the vertical drawers 3, 3, ...
When stored inside, all tablets will be placed in the tablet feeders 8, 8, ...
The entire box 2'can be hermetically sealed, so that the dustproof effect can be enhanced, and when the box 2'is air-conditioned, the air conditioning effect is high, and the box 2'and If the vertical drawers 3, 3, ... Are made of a light-shielding material, the light-shielding effect is high and the tablet deterioration can be prevented. The packaging device 24 is conventionally known, 25 is a tablet loading mechanism for loading the tablets taken out from the hopper 11 into a packaging body, 26 is a reel around which a packing strip 27 is wound, 28 Is a feeding mechanism for feeding and feeding the packing strip 27 from the winding frame 26, 29 is a marking line welding mechanism for forming a marking line in the longitudinal direction on the feeding strip 27 for packing, and 30 is a section of the packing strip 27 A medicine bag printing mechanism for printing various data such as a patient code and a date on the packaged body, 31 is a sealing line welding mechanism for sealing the upper edge opening of the packaged body in which tablets have been charged, and 32 is a sealed body An outlet of the packet, 33 is a viewing window. As shown in FIG. 1, the operating device 41 includes a keyboard 4
2, a CRT 43, a memory 44 using a floppy disk, a printer 45, and a CPU 46 that controls all of them and the fully automatic medicine packing machine 1 according to a predetermined program. As shown in FIG. 8, the keyboard 42 includes 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. , 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)
, Start key 50, input key 51, numeric keypad 5
2, a clear key 53, a number of days key 54, a cursor movement key 55, an erase key 56, a check key 57,
A packaging start key 58 is provided. 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, for example, is displayed on the CRT 43. Next, the character input key 49 is pressed once to be set and then JIS
When the patient code is entered by the key 47, the patient code is written, for example, the screen 59b shown in FIG. 10b.
Is displayed on the CRT 43. 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 input by the book key 48, the dose for each time of the medicine is input by the numeric keypad 52, and the number of days 54 is pressed and the numeric key 52 is pressed by the numeric key 52. When the number of prescription days is input, the name of each drug, each dose per day, and the number of prescription days are sequentially written, for example, FIG. 10c.
Is displayed on the CRT 43. On the other hand, if it is already registered, the registered patient code and past prescription are read from the memory 44 and displayed on the CRT 43 (see screen 59c). Next, when the cursor is appropriately positioned by the cursor movement key 55 and the delete key 56 is pressed while the input key 51 is not pressed, the contents of the portion pointed by the cursor on the screen 59c are erased, and the medicine is displayed at that portion. Wait for the new name, daily dose, prescription days, etc. to be written. When the input key 51 is pressed and the check key 57 is pressed in the state where the screen 59c in which all the predetermined contents are written is displayed on the CRT 43, a combination contraindication and a relationship with the past prescription of the patient are included. A predetermined check program for checking the adequacy of prescription is called, and when the content displayed on the screen 59c is not suitable for prescription, the printer 45 is operated to print out the fact, and on the other hand, on the screen 59c. When the displayed contents are not suitable for prescription, the contents are file A for the medicines (that is, tablets) to be processed by the fully automatic medicine packing machine 1, and other medicines (that is, powders, liquids and all medicines). Tablets not processed by the automatic medicine packing machine 1 are classified into B files and registered in the memory 44, and the printer 45 Actuates the prescription information (i.e. powders, to be done dispensing work for tablets not treated with liquid and fully automatic medicine packing machine 1) is a printed output. 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 medicine to be processed by the fully automatic medicine packing machine 1, and the B file for the other medicines. The contents of the A file are classified and registered in the memory 44, and the contents of the A file are operated by the fully automatic medicine packing machine 1 according to a predetermined program to perform the packing process, while the contents of the B file are stored in the printer 45. It is operated to print out the prescription information. In any case, since the tablets using the dispensing container 12 are processed by the fully automatic medicine packing machine 1,
Divided into files, but distributed by pharmacist 12
It is something that you have to hand over,
The pharmacist is configured to urge the pharmacist to perform necessary hand-spreading work by an appropriate means that can be recognized by the pharmacist. Further, when the check key 57 is not pressed and the packaging start key 58 is not pressed for a predetermined time, the screen 59c displayed on the CRT 43 is switched to the blank screen 59a.

Next, the operation of the dispensing business processing apparatus configured as described above will be described. First, press the start key 50 and the character input key 49 once to set,
The JIS 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 5
If it is still 9b, press the character input key 49 again to reset it, operate the book key 48 to enter the drug name written on the prescription, and operate the ten key 52 to take the drug 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 mistake or the like, the cursor movement key 55
Is operated to position the cursor at the incorrect position, the delete key 56 is pressed, and the drug name, the dose for each time per day, the number of prescription days, etc. are correctly input. on the other hand,
When the patient code is input and the input key 51 is pressed as described above, 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 then the drug name written on the prescription, the dose for each dose 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 compounding contraindications and the relationship with the past prescription of the patient, and if it is not suitable for prescription, the printer 45 is used. 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 the file A for the medicine (that is, the tablet) to be processed by the fully automatic medicine packing machine 1, and the other medicines (that is, powder, liquid medicine and fully automatic medicine packing machine 1). The tablets that are not processed in step B should be classified into B files and registered in the memory 44, and the printer 45 should perform the dispensing operation for the prescription information (that is, powders, liquids, and tablets that are not processed by the fully automatic medicine packing machine 1). Will be printed out,
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 content of the screen 59c, that is, the content of the prescription, is the A file for the medicine to be processed by the fully automatic medicine packing machine 1, and the B file for the other medicines.
Each file is classified and registered in the memory 44, and the contents of the file A are packaged by the fully automatic medicine packing 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 them through the duct 7 to the hopper 11, and if necessary, to drive the motor. Driven by 23, the bucket conveyor 13 intermittently conveys the buckets 22 one by one forward, and the tablets in the bucket 22 coming 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, the printer 45 prints out the contents of the B file, so that the pharmacist can perform the dispensing work while confirming the work to be performed according to the prescription information output from the printer 45.

In the above embodiment, the fully automatic medicine packing machine 1 is used.
Although the prescription processing device for the dispensing device is configured by combining the operating device 41 with the operating device 41, it goes without saying that the present invention can be configured by combining the operating device 41 with an appropriate dispensing device other than the fully automatic medicine dispensing and packing machine 1. Nor. Further, in the above-mentioned embodiment, only one distribution container 12 is shown in the fully automatic medicine packing machine 1, but if a plurality of distribution containers 12 are prepared, the distribution container 12 containing the tablets in advance is immediately placed in the vertical type as needed. It is convenient because it can be loaded into the drawer body 3, and 21 compartments 16, 16, ... Are provided, but the number is not limited to this, and instead of the distribution container 12 and the bucket conveyor 13, other appropriate cases are provided. The tablet dispensing and dropping device may be provided, and the fully automatic medicine packing machine 1 may be capable of handling not only tablets but other medicines. Further, in the above 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 is used for the patient code. It is of course possible to use a type having a large number of item keys in which characters, drug names, etc. can be freely written, and the memory 44 may be other than a floppy disk. It goes without saying that various changes and modifications of the embodiment are possible.

[0010]

The present invention is configured as described above.
By simply entering the content of the prescription, it can be automatically classified into work information for the dispensing device that processes using the dispensing device and work information for the non-dispensing device that processes without using the dispensing device. , Therefore, if the prescription contains prescription contents that can use the dispensing device and prescription contents that cannot use the dispensing device, it can be reliably and automatically classified, and it has been classified. While the work information for the dispensing device is applied to the dispensing device, the work information for the non-dispensing device can be output to notify the pharmacist who is in charge of the dispensing work, so that the necessary dispensing work based on the prescription can be performed by the dispensing device. Dispensing device based on the work information for the dispensing device, which can be performed at the same time without overlapping or dropping by the work of using and the work without using the dispensing device. In the work process, it is possible to prompt the worker to do the necessary work. Therefore, in the pharmacy that accepts a large number of prescriptions, for the processing using the dispensing device, use the dispensing device exclusively with the help of the necessary pharmacist. However, the pharmacist can perform the dispensing work intensively only for the work to be performed without using the dispensing device, so that the pharmacist can perform the processing efficiently and concurrently, and as a result, compared with the case where the dispensing device is not used. It has an excellent effect that the waiting time of the patient can be greatly shortened.

[Brief description of the drawings]

FIG. 1 is a perspective view showing an embodiment of a processing apparatus for dispensing business according to the present invention.

FIG. 2 is a perspective view of the fully automatic medicine packing machine showing a state in which one vertical drawer is pulled out part way.

FIG. 3 is a front view showing a cross-section of the vertical type drawer body of FIG.

FIG. 4 is a partially cutaway side view of the state shown in FIG. 2 in which the pulled-out vertical drawer is stored.

5 is a plan view showing a state in which the vertical type drawer body of FIG. 2 is pulled out to the end. FIG.

FIG. 6 is an enlarged exploded perspective view showing details of a distribution container and a bucket conveyor.

FIG. 7 is a vertical cross-sectional front view of the one shown in FIG. 6 in an assembled state.

FIG. 8 is an enlarged plan view of the keyboard.

FIG. 9 is a flowchart.

FIG. 10a is a diagram showing a display screen of a CRT.

FIG. 10b is a diagram showing a display screen of a CRT.

FIG. 10c is a diagram showing a display screen of a CRT.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Fully automatic medicine packing machine 2 ... Medicine storage / extraction device 2 '... Box 3 ... Vertical drawer 6 ... Shelf 7 ... Duct 8 ... Tablet feeder 11 ... Hopper 12 ... Dispensing container 13 ... Bucket conveyor 22 ... Bucket 23 ... Motor 24 ... Packaging device 32 ... Ejection port 41 ... Operating device 42 ... Keyboard 43 ... CRT 44 ... Memory 45 ... Printer 46 ... CPU 59a, 59b, 59c ... Screen

[Procedure amendment]

[Submission date] February 3, 1994

[Procedure amendment 1]

[Document name to be amended] Statement

[Correction target item name] Claims

[Correction method] Change

[Correction contents]

[Claims]

[Procedure amendment 2]

[Document name to be amended] Statement

[Correction target item name] 0004

[Correction method] Change

[Correction contents]

The present invention solves the above-mentioned problems of the prior art, and provides a processing apparatus for dispensing operations capable of reliably processing various dispensing operations performed in a pharmacy without overlapping or dropping. The purpose is to do.

[Procedure 3]

[Document name to be amended] Statement

[Correction target item name] 0005

[Correction method] Change

[Correction contents]

[0005]

Means for Solving the Problems In order to achieve the above object, the present invention provides means for classifying a dispensing operation according to the type of drug based on prescription content, and dispensing content of a drug handled for each dispensing operation. And means for outputting.

[Procedure amendment 4]

[Document name to be amended] Statement

[Correction target item name] 0006

[Correction method] Change

[Correction contents]

[0006]

According to the present invention, by adopting the above means, the dispensing work is classified according to the kind of the drug, and the dispensing content of the drug to be handled is output for each dispensing work.

[Procedure Amendment 5]

[Document name to be amended] Statement

[Correction target item name] 0010

[Correction method] Change

[Correction contents]

[0010]

The present invention is configured as described above.
Dispensing work can be classified according to the type of drug, and the dispensing content of the drug handled for each dispensing work can be output. Therefore, various dispensing operations performed at the pharmacy can be performed without duplication or omission. It has an excellent effect that it can be surely processed, and as a result, the reliability of the dispensing operation can be greatly improved. ────────────────────────────────────────────────── ───

[Procedure amendment]

[Submission date] October 9, 1996

[Procedure amendment 1]

[Document name to be amended] Statement

[Correction target item name] Brief description of drawings

[Correction method] Change

[Correction contents]

[Brief description of the drawings]

FIG. 1 is a perspective view showing an embodiment.

FIG. 2 is a perspective view of a fully automatic medicine packing machine showing a state in which one vertical drawer is pulled out part way.

FIG. 3 is a front view showing the vertical drawer body of FIG. 2 in a sectional view.

FIG. 4 is a partially cutaway side view of the state shown in FIG. 2 in which the pulled-out vertical drawer is stored.

FIG. 5 is a plan view showing a state in which the vertical type drawer body of FIG. 2 is pulled out to the end.

FIG. 6 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 the keyboard.

FIG. 9 is a flowchart.

FIG. 10 is a diagram showing three different display screens of a CRT.

[Explanation of Codes] 1 ... Fully automatic drug packing machine 2 ... Drug storage / extraction device 2 '... Box 3 ... Vertical drawer 6 ... Shelf 7 ... Duct 8 ... Tablet feeder 11 ... Hopper 12 ... Distribution container 13 ... Bucket conveyor 22 ... Bucket 23 ... Motor 24 ... Packaging device 32 ... Ejection port 41 ... Operating device 42 ... Keyboard 43 ... CRT 44 ... Memory 45 ... Printer 46 ... CPU 59a, 59b, 59c ... Screen

Claims (1)

[Claims] 1. A means for inputting the content of a prescription, a 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, and the classification. And a means for outputting the contents of each dispensing operation classified by the means.