WO2015060296A1 - 配薬支援システム - Google Patents

配薬支援システム Download PDF

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Publication number
WO2015060296A1
WO2015060296A1 PCT/JP2014/077934 JP2014077934W WO2015060296A1 WO 2015060296 A1 WO2015060296 A1 WO 2015060296A1 JP 2014077934 W JP2014077934 W JP 2014077934W WO 2015060296 A1 WO2015060296 A1 WO 2015060296A1
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WO
WIPO (PCT)
Prior art keywords
medicine
information
distribution
time
drug
Prior art date
Application number
PCT/JP2014/077934
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English (en)
French (fr)
Japanese (ja)
Inventor
和明 森
安岡　啓太
Original Assignee
株式会社湯山製作所
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Application filed by 株式会社湯山製作所 filed Critical 株式会社湯山製作所
Priority to JP2015509241A priority Critical patent/JP5773104B1/ja
Publication of WO2015060296A1 publication Critical patent/WO2015060296A1/ja

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00—ICT specially adapted for the handling or processing of medical references
    • G16H70/40—ICT specially adapted for the handling or processing of medical references relating to drugs, e.g. their side effects or intended usage
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J1/00—Containers specially adapted for medical or pharmaceutical purposes
    • A61J1/03—Containers specially adapted for medical or pharmaceutical purposes for pills or tablets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J2205/00—General identification or selection means
    • A61J2205/10—Bar codes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J2205/00—General identification or selection means
    • A61J2205/30—Printed labels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J2205/00—General identification or selection means
    • A61J2205/40—General identification or selection means by shape or form, e.g. by using shape recognition
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/13—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered from dispensers

Definitions

  • the present invention relates to a drug distribution support system for supporting drug distribution work.
  • a packaging container such as a medicine package in which a medicine is packaged at each time of taking is collected for each of a plurality of users belonging to a predetermined medicine distribution group and accommodated in a delivery container such as a medicine bag.
  • a delivery destination such as a nursing care health facility for the elderly (hereinafter referred to as “old health facility”).
  • old health facility a nursing care health facility for the elderly
  • the technique which suppresses the mistake of putting the medicine package into the medicine bag by printing medicine bag identification information on the medicine package and the medicine bag is known as a conventional technique (see Patent Document 1).
  • An object of the present invention is to provide a drug distribution support system capable of suppressing human error in a drug distribution operation in which a plurality of dosers' packaging containers are collected at each time of taking and stored in a delivery container and delivered to a delivery destination. Is to provide.
  • the drug distribution support system includes first recording means, second recording means, and determination means.
  • the first recording means includes a packaging container used when a medicine taken by a single user is packaged at each dosage time, or a first recording medium attached to the packaging container, the dosage time and the first recording medium in advance.
  • the first medicine distribution information including the determined delivery destination identification information is recorded.
  • the second recording means is a delivery container used when accommodating the packaging containers of a plurality of users belonging to a predetermined medicine distribution group at the same dosage time or a second record attached to the delivery container.
  • the second medicine distribution information including the time of taking and predetermined delivery destination identification information is recorded on the medium.
  • the determination means reads the dosing time and the delivery destination identification information of the first medicine distribution information read from the packaging container or the first recording medium and the second reading from the delivery container or the second recording medium. It is determined whether the dosing time and the delivery destination identification information of the medicine distribution information match.
  • the packaging containers of a plurality of users are collectively stored in the delivery container for each taking time.
  • the medicine distribution support system further includes a notification unit that notifies the determination result of the determination unit. Thereby, the user can recognize the determination result of the determination means.
  • the determination means may receive the first medicine distribution information from all the packaging containers predetermined as the packaging containers accommodated in the same delivery container or the first recording medium of the packaging containers. It can be considered to determine whether or not it has been read. Thereby, it becomes possible to suppress the accommodation leakage of the said packaging container to the said delivery container.
  • the determination unit may include all of the delivery containers predetermined as delivery containers to be delivered simultaneously to delivery destinations corresponding to the same delivery destination identification information or the second recording medium of the delivery containers. It may be possible to further determine whether or not the 2-drug distribution information has been read. Thereby, it becomes possible to suppress the delivery omission of the delivery container to the delivery destination corresponding to the same delivery destination identification information.
  • the medicine distribution support system is configured to store the face image of each of the user corresponding to the user identification information and the first medicine distribution information is read from the packaging container. It is conceivable to further comprise display control means for reading out and displaying the face image of the user corresponding to the user identification information of the first medicine distribution information from the storage means.
  • the medicine delivery support system matches the delivery destination identification information of the second medicine delivery information read from the delivery container at the delivery destination and the delivery destination identification information corresponding to the delivery destination. It is also conceivable to further include a delivery destination determination means for determining Thereby, it is possible to suppress erroneous delivery of the delivery container to the delivery destination.
  • a pharmacy side terminal having a medication data output means capable of outputting medication data including the pharmacy side, and a delivery destination to which a plurality of the packaging containers corresponding to a plurality of users are delivered and output from the pharmacy side terminal
  • a facility-side terminal having medicine distribution data input means capable of inputting the medicine distribution data.
  • the medicine distribution support system is based on prescription data used when a medicine is packaged in a packaging container at every time of taking the medicine.
  • a pharmacy side terminal having a medication data output means capable of outputting medication data including medication time and information on a user and a delivery destination to which a plurality of the packaging containers corresponding to a plurality of users are delivered
  • a facility side terminal having medicine distribution data input means capable of inputting the medicine distribution data outputted from the pharmacy side terminal.
  • the facility-side terminal further includes prescription display means for displaying the relationship between each of the user and each of the taking times based on the medicine distribution data input by the medicine distribution data input means. .
  • prescription display means for displaying the relationship between each of the user and each of the taking times based on the medicine distribution data input by the medicine distribution data input means.
  • the prescription display means includes a first display processing means for displaying a first display screen for selecting the dosing time based on the medicine distribution data, and selection of the dosing time on the first selection screen. And a second display processing means for displaying a second display screen for displaying whether or not each of the users needs to dispense medicine at the time of taking the medicine. Thereby, the user who needs medicine distribution can be easily grasped
  • the second display processing means can display the second display screen for each medicine distribution group including a plurality of predetermined users. As a result, it is easier to confirm whether or not medicines are required at each time of taking the user for each medicine group than when the information on all the users is displayed on one second display screen. can do.
  • the first display processing means displays the necessity of the medicine distribution at each of the dose periods on the first display screen.
  • the medicine distribution operator can easily confirm the necessity of the medicine distribution for each time of taking, and the medicine distribution work is made efficient.
  • the second display processing means displays the medication status of the medication recipient in a preset display form.
  • the medicine distribution operator can grasp
  • the facility terminal further includes a medication completion input means for accepting an input operation for medication completion for each user displayed on the second display screen. Thereby, it becomes possible to easily confirm whether or not the medication has been completed for each user.
  • the facility-side terminal further includes a remaining medicine information output unit capable of receiving the remaining medicine information input operation regarding the remaining medicine that the user has not taken and can output the remaining medicine information.
  • a remaining medicine information output unit capable of receiving the remaining medicine information input operation regarding the remaining medicine that the user has not taken and can output the remaining medicine information.
  • the pharmacy side terminal can input the remaining medicine information input means that can input the remaining medicine information output from the remaining medicine information output means, the remaining medicine information input by the remaining medicine information input means, and the distribution. It is conceivable to further comprise a remaining medicine notification means capable of notifying information on available remaining medicine based on the medicine data. Thus, by using the remaining medicine indicated in the remaining medicine information, it is possible to suppress waste of medicine in the next dispensing.
  • the pharmacy side terminal can output the drug distribution data in units of a drug distribution group including a plurality of predetermined users. Furthermore, it is conceivable that the pharmacy side terminal can extract one or more preset items from the prescription data and output it as the medicine distribution data. Thereby, it is possible to easily use only necessary prescription data among the prescription data.
  • the drug distribution data includes information on side effects of the drug. Thereby, it is possible to easily refer to information on the drug side effects on the facility side where the drug is delivered.
  • the facility-side terminal further includes an alarm notification means for executing an alarm notification process for performing notification at an alarm time set in advance for each of the dose times. Thereby, the omission leak in each said dosing time is suppressed.
  • the facility-side terminal further includes an alarm setting means for executing an alarm setting process for automatically setting the alarm time according to a predetermined alarm condition for each of the dose times.
  • an alarm setting means for executing an alarm setting process for automatically setting the alarm time according to a predetermined alarm condition for each of the dose times.
  • the medicine distribution assistance system which can suppress the human error in the medicine distribution operation which collects the packaging container of several users for every taking time, accommodates in a delivery container, and delivers to a delivery destination. Is realized.
  • 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 medicine distribution management information used in the medicine distribution support system according to the embodiment of the present invention.
  • FIG. 3 is a flowchart showing an example of a flow of a drug distribution operation executed at a pharmacy where a drug distribution support system according to an embodiment of the present invention is installed and a delivery destination.
  • FIG. 4 is a schematic diagram illustrating an example of a flow of a drug distribution operation executed at a pharmacy where a drug distribution support system according to an embodiment of the present invention is installed and a delivery destination.
  • 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 medicine distribution management information used in the medicine distribution support system according to the embodiment of the present invention.
  • FIG. 3 is a flowchart showing an example of a flow of a drug distribution operation
  • FIG. 5 is a flowchart showing an example of a procedure of prescription data issuing processing executed in the medicine distribution support system according to the embodiment of the present invention.
  • FIG. 6 is a diagram showing an example of packaging data generated by a prescription data issuing process executed by the medicine distribution support system according to the embodiment of the present invention.
  • FIG. 7 is a diagram showing another example of the packaging data generated by the prescription data issuing 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 medicine packaging process executed by the medicine distribution support system according to the embodiment of the present invention.
  • FIG. 9 is a diagram showing an example of the packaging result of the medicine packaging process executed by the medicine distribution support system according to the embodiment of the present invention.
  • FIG. 10 is a flowchart showing an example of a procedure of the collation process at the time of accommodation executed by the medicine distribution support system according to the embodiment of the present invention.
  • FIG. 11 is a flowchart showing an example of a procedure of a delivery verification process executed by the medicine distribution support system according to the embodiment of the present invention.
  • FIG. 12 is a flowchart showing an example of a procedure of a receiving collation process executed by the medicine distribution support system according to the embodiment of the present invention.
  • FIG. 13 is a flowchart which shows an example of the procedure of the collation process at the time of medicine distribution performed with the medicine distribution assistance system which concerns on embodiment of this 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 illustrating an example of a facility master and a resident master used in a drug distribution support system according to another embodiment of the present invention.
  • FIG. 16 is a diagram showing an example of a facility registration screen used in the drug distribution support system according to another embodiment of the present invention.
  • FIG. 17 is a diagram showing an example of a resident registration screen used in the drug distribution support system according to another embodiment of the present invention.
  • FIG. 18 is a flowchart showing an example of a procedure of prescription data issuing processing executed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 19 is a diagram showing an example of drug distribution data used in a drug distribution support system according to another embodiment of the present invention.
  • FIG. 16 is a diagram showing an example of a facility registration screen used in the drug distribution support system according to another embodiment of the present invention.
  • FIG. 17 is a diagram showing an example of a resident registration screen used in the drug distribution support system according to another embodiment of the present invention.
  • FIG. 18 is
  • FIG. 20 is a flowchart showing an example of a procedure of a matching process at the time of drug distribution executed by the drug distribution support system according to another embodiment of the present invention.
  • FIG. 21 is a diagram showing an example of an initial screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 22 is a diagram showing an example of an initial screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 23 is a diagram showing an example of a resident list screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 24 is a diagram showing an example of a resident list screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 21 is a diagram showing an example of an initial screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 22 is a diagram showing an example of an initial screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 23 is a diagram showing an example of a
  • FIG. 25 is a diagram showing an example of a resident confirmation screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 26 is a diagram showing an example of a non-medicine input screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 27 is a diagram showing an example of a schedule input screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 28 is a diagram showing an example of a side effect information input screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 29 is a diagram showing an example of a resident status screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 30 is a diagram showing an example of a history screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 31 is a diagram showing an example of a history screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 32 is a diagram showing an example of a history screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 33 is a diagram showing an example of a history screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 34 is a diagram showing an example of a history screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 35 is a diagram showing an example of a history screen displayed in the medicine distribution support system according to another embodiment of the present invention.
  • FIG. 36 is a diagram showing an example of the packaging result of the medicine packaging process executed by the medicine distribution support system according to another embodiment of the present invention.
  • a medicine distribution support system 10 includes a dispensing support apparatus 1, a reading terminal 2, a medicine packaging apparatus 3, a printer 4, a medicine distribution support apparatus 5, a portable terminal 6, And a reading terminal 7 and the like.
  • the dispensing support device 1, the reading terminal 2, the medicine packaging device 3, and the printer 4 are connected via a network N ⁇ b> 1 so that they can communicate wirelessly or by wire.
  • the said medicine distribution assistance apparatus 5, the said portable terminal 6, and the said reading terminal 7 are connected via the network N2 so that communication is possible by radio
  • the network N1 and the network N2 are a LAN, a WAN, the Internet, an intranet, or the like.
  • the dispensing support device 1, the reading terminal 2, the medicine packaging device 3, and the printer 4 are arranged in a pharmacy A where medicine dispensing is performed.
  • the said dispensing assistance apparatus 1 is an example of a pharmacy side terminal, the arrangement
  • positioning place may be the said pharmacy A outside as long as it can connect to the said network N1.
  • the medicine distribution support device 5, the portable terminal 6, and the reading terminal 7 are arranged in each of the old facilities B serving as delivery destinations of medicines dispensed in the pharmacy A.
  • the health facility B is a facility where a plurality of users who take medicines dispensed at the pharmacy A are resident.
  • the old health facility B is merely an example of a predetermined drug distribution group, and for example, a predetermined region including a home of a plurality of users or a delivery route is also an example of the drug distribution group.
  • the said medicine distribution assistance apparatus 5 is an example of a facility side terminal, if the arrangement place is connected to the said network N2 and can be used in the said health facility B, it will be outside the said health facility B. Also good.
  • the dispensing support device 1 also functions as the medicine distribution support device 5.
  • the medicine packaging device 3 is a dispensing device capable of dispensing a medicine in a medicine package 81 (see FIG. 4) at every dose based on prescription data input from the dispensing support device 1.
  • the medicine packing device 3 is a tablet packing machine for packing tablets or a powder packing machine for packing powder.
  • the tablet packaging machine has a plurality of drug cassettes containing a plurality of types of tablets, dispenses tablets from the drug cassette according to prescription data, and packs them in the drug package 81 at each time of taking. Perform the action.
  • the powder medicine packaging machine performs a packaging operation of packaging the powdered medicine in the medicine pack 81 at each dose according to prescription data.
  • the medicine package 81 used for these packaging operations is an example of a packaging container. Furthermore, the structure in which the said tablet packaging machine or the said powder medicine packaging machine can pack a tablet and powder medicine for every taking time is also considered.
  • the medicine package 81 is formed by heating and melting a part of a continuous long medicine package sheet provided in the medicine packaging device 3. A perforation is formed between them for easy separation.
  • the medicine packaging apparatus 3 includes a control unit 31 that controls the medicine packaging apparatus 3 and a packaging printer 32 that prints information on the medicine package 81.
  • the control unit 31 includes a CPU, a ROM, a RAM, and the like.
  • the packaging printer 32 takes a medicine ID (an example of a person identification information) indicating a medicine person taking a medicine contained in the medicine package 81 in the medicine package 81.
  • the first medicine distribution information including the timing of taking medicines contained in the medicine package 81 and 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 health facility B in which a medicine taker of the medicine package 81 is occupying, and is registered in a later-described taker master. Yes.
  • a number for example, a two-digit number
  • a dose time code predetermined for each dose time or a pictogram indicating the dose time, etc. It is also conceivable that the image is printed on the medicine bag 81.
  • the number of the timing code may be printed as characters, but when the medicine packaging device 3 has a function of printing the pictogram, the control unit 31 uses the function, It is also conceivable to print an image registered in advance as a numeric image of the dosing time code instead of the pictogram. Thereby, in the existing system, it is possible to print the number of the dosing time code on the medicine package 81.
  • a code 811 such as a one-dimensional code or a two-dimensional code indicating the first medicine distribution information is printed on the medicine package 81 by the packaging printer 32.
  • the controller 31 when the first medicine distribution information is printed on the medicine package 81 using the packaging printer 32 is an example of a first recording unit.
  • the first medicine distribution information is printed on a first recording medium such as a label attached to the medicine package 81.
  • a first recording medium such as an IC tag is attached to the medicine package 81.
  • the medicine packaging device 3 includes recording means such as an IC reader / writer that records the first medicine distribution information on the first recording medium is conceivable.
  • the medicine packaging device 3 includes a medicine-specific packaging process in which a medicine taken by a single user is continuously packaged in a series of the medicine packs 81 at each time of taking, and a predetermined medicine distribution. It is possible to perform a time-specific packaging process in which medicines taken by a plurality of users belonging to a group are arranged at each time of taking and are continuously packaged in the series of medicine packages 81.
  • the code 811 is printed on each medicine package 81 by the packaging printer 32, regardless of whether the user-specific packaging process or the time-based packaging process is performed. .
  • the series of medicine packages 81 may be delivered without being separated, so that only the first or last medicine package 81 is delivered by the packaging printer 32. It is also conceivable as another embodiment that the code 811 is printed. In this case, in the collation process at the time of accommodation (see FIG. 10) described later, the first medicine distribution information printed on the first or last medicine pack 81 among the medicine packs 81 connected at each time of taking is collated. It becomes a target.
  • the printer 4 has a medicine bag 82 (an example of a delivery container: see FIG. 4) used when storing the medicine packs 81 of a plurality of users belonging to a predetermined medicine distribution group at the same time of administration. It is used for printing information on a label 821 (an example of a second recording medium: see FIG. 4) affixed to. Specifically, according to the control instruction from the dispensing support device 1, the printer 4 uses the label 821 to take a dose corresponding to the medicine pack 81 contained in the medicine bag 82 and predetermined delivery destination identification information. 2nd medicine distribution information including is printed (recorded). In particular, the printer 4 prints on the label 821 a code 822 (see FIG.
  • the label 821 is attached to the medicine bag 82 for use.
  • the delivery destination identification information is information indicating the health facility B in which a medicine taker of the medicine package 81 is occupying, and is registered in advance in a later-described taker master.
  • the label 821 is an example of a unit for recording the second medicine distribution information on the medicine bag 82, and the printer 4 may directly print the second medicine information on the medicine bag 82.
  • a second recording medium such as an IC tag is attached to the medicine bag 82.
  • the dispensing support device 1 includes a recording unit such as an IC reader / writer that records the second medicine distribution information on the second recording medium is conceivable.
  • the printer 4 is also used for printing a prescription corresponding to the prescription data in accordance with the print data received from the 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.
  • the dispensing support apparatus 1 is connected to a host system (not shown) such as an electronic medical record system or a prescription input terminal for inputting prescription data to the dispensing support apparatus 1 via the network N1.
  • a host system not shown
  • the structure which can input prescription data using the said operating device 15 in the said dispensing assistance apparatus 1 is also considered.
  • 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 programs such as BIOS executed by the CPU are stored in advance.
  • the RAM is a volatile memory or a non-volatile memory used for development of various control programs and temporary storage of data by the CPU.
  • the data storage unit 12 is a non-volatile storage unit such as a hard disk or an SSD that stores various application programs and various data executed by the control unit 11. Specifically, the data storage unit 12 includes a prescription data issuing process (see FIG. 5), a collation process at the time of accommodation (see FIG. 10), a collation process at the time of delivery (see FIG. 11), etc. A dispensing support program for execution is stored.
  • control unit 11 functions as the second recording unit 111, the determination unit 112, and the first notification unit 113 by executing various processes according to the dispensing support program.
  • control unit 11 when functioning as the second recording unit 111, the determination unit 112, and the first notification unit 113 is an example of a second recording unit, a determination unit, and a first notification unit.
  • the second recording unit 111 is used to store the medicine packs 81 of a plurality of users belonging to the predetermined health facility B (medicine distribution group) at the same dosage time using the printer 4.
  • the code 822 which is the second medicine distribution information including the time of taking and the delivery destination identification information of the health facility B is printed (recorded).
  • the determination unit 112 includes the time of taking the first medicine distribution information read from the medicine package 81 and the delivery destination identification information and the time of taking the second medicine information read from the medicine bag 82 and the delivery destination. It is determined whether or not the identification information matches.
  • the reading terminal 2 reads the first medicine distribution information and the second medicine 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 the determination result of the determination unit 112 is the same. Note that the first notification unit 113 may display an error message only when the determination result of the determination unit 112 does not match.
  • the data storage unit 12 also stores various databases such as a medicine master, a user master, a pharmacist master, a prescription division master, a medical department master, and a ward master.
  • the medicine master includes a medicine code, a medicine name, a JAN code (or RSS), a medicine bottle code, a classification (dosage form: powder, tablet, liquid medicine, topical medicine, etc.), specific gravity, kind of medicine (ordinary medicine, Information on poisoning, narcotics, powerful drugs, antipsychotics, therapeutics, etc.), formulation changes, excipients, and precautions.
  • the drug master includes side effect related information regarding side effects that may occur for each drug.
  • the control unit 11 can select the drug that is likely to cause the side effect as the side effect related information and the prescription data. It is also possible to execute a suspected drug identifying process that identifies based on the above.
  • the taker master includes the taker ID, name, gender, age, address, medical history, family information, medical department, and hospital ward, along with the health facility B of the tenant. Information such as delivery destination identification information is included.
  • the said taker is a concept including a resident who lives in the old health facility B and a patient who receives medical care at a medical institution.
  • the data storage unit 12 includes a prescription data storage unit 121 and a medicine distribution management information storage unit 122.
  • the prescription data storage unit 121 stores the prescription data acquired from the host 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 taking), medical treatment type (outpatient, hospitalization, etc.), medical department, etc. are included.
  • the medicine distribution management information storage unit 122 stores medicine distribution management information D1 in which delivery destination identification information, dosage time, and user identification information are associated with each other.
  • FIG. 2 is a diagram showing an example of the medicine distribution management information D1. As shown in FIG. 2, in the medicine distribution management information D1, the delivery date, the delivery destination ID and the name of the old facility B, which is the delivery destination identification information, the time of taking, and the user identification information are shown. The user ID and name are stored in association with each other.
  • the control unit 11 generates the medicine distribution management information D1 based on prescription data of a plurality of users input from the host system (not shown) and the user master.
  • the information corresponding to the taking time for one day is shown, However, It is not limited to this.
  • the control unit 11 generates the medicine distribution management information D1 corresponding to an arbitrary predetermined period of time that is simultaneously delivered from the pharmacy A to the health facility B, such as for a plurality of days or a week. .
  • the said medicine distribution management information D1 shown in FIG. 2 although the case where two old health facilities B1 and old health facilities B2 are registered as the said old health facilities B is mentioned as an example, one or three or more The old health facility B may be registered in advance as a delivery destination. Furthermore, in the present embodiment, the case where the health facility B is set as one medicine distribution group will be described. For example, in the health facility B, a room or a floor in which a plurality of users are occupying is arranged. It can also be set as a medicine group.
  • the communication interface 13 is a network that performs data communication between the reading terminal 2, the medicine packaging device 3, and the printer 4 via the network N1 in a wireless or wired manner according to a predetermined communication protocol. Have cards etc.
  • the display device 14 is a display unit such as a liquid crystal display or an organic EL display that displays various types of information in accordance with control instructions from the control unit 11.
  • the operation device 15 is an operation means operated by a user in order to input various information to the dispensing support device 1. Specifically, the operation 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.
  • the dispensing support program read by the drive device 16 from the recording medium 17 is installed in the data storage unit 12 by the control unit 11.
  • the reading terminal 2 is a reading means such as a barcode reader for reading the first medicine distribution information and the second medicine distribution information from the code 811 and the code 822 attached to the medicine bag 81 and the medicine bag 82. is there.
  • the first medicine distribution information and the second medicine distribution information read by the reading terminal 2 are input to the dispensing support device 1.
  • the reading terminal Reference numeral 2 denotes reading means such as an IC reader / writer for reading information from the first recording medium or the second recording medium.
  • the reading terminal 2 may be a portable terminal such as a mobile phone, a smartphone, a PDA, a media player, or a tablet terminal as long as it can read information from the code 811 and the code 822.
  • the medicine 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 medicine distribution support device 5 by executing processing according to various control programs.
  • the ROM is a non-volatile memory in which programs such as BIOS executed by the CPU are stored in advance.
  • the RAM is a volatile memory or a non-volatile memory used for development of various control programs and temporary storage of data by the CPU.
  • the data storage unit 52 is a non-volatile storage unit such as a hard disk or an SSD that stores various application programs and various data executed by the control unit 51. Specifically, in the data storage unit 52, there is a medicine distribution support program for causing the control unit 51 to execute a later-described receipt-time verification process (see FIG. 12), a drug-delivery verification process (see FIG. 13), and the like. It is remembered.
  • 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 medicine distribution support program.
  • control unit 51 when functioning as the display control unit 511, the delivery destination determination unit 512, and the second notification unit 513 is an example of a display control unit, a delivery destination determination unit, and a second notification unit. is there.
  • the display control section 511 displays the face image of the user corresponding to the user ID of the first medicine distribution information in the data storage section 52. Read from and display. Specifically, the display control unit 511, when the first medicine distribution information is read by the portable terminal 6, based on a resident master described later stored in the master storage unit 521, the user Are displayed on the portable terminal 6.
  • the delivery destination determination unit 512 determines whether or not the delivery destination identification information of the second medicine 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 a 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.
  • the second notification unit 513 may cause the display device 54 or the reading terminal 7 to display whether the determination result of the delivery destination determination unit 512 matches.
  • the second notification unit 513 may display an error message only when the determination result of the delivery destination determination unit 512 does not match.
  • 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 face image, a medical history, or a medical history about the resident who is in the health facility B.
  • the face image is registered in advance as an image such as a facial photograph or a portrait showing the resident's appearance.
  • conversion information predetermined in order to realize compatibility between the user master managed in the pharmacy A and the tenant master managed in the health facility B is stored. It is remembered.
  • the conversion information is information indicating a correspondence relationship between the user ID and the resident ID.
  • the taker ID in the taker master is a combination of the delivery destination identification information corresponding to the health facility B and the resident ID.
  • the said control part 51 converts the said user ID in the said user master managed in the said pharmacy A into the said resident ID based on the said conversion information. Is possible. Therefore, in the medicine distribution support system 10, the system on the pharmacy A side and the system on the health facility B side can be separated from each other, and the information on the resident master on the health facility B side is obtained as described above. There is no need to tell pharmacy A.
  • the communication interface 53 includes a network card or the like that performs data communication with the dispensing support device 1 or the like via the network N1 in a wireless or wired manner according to a predetermined communication protocol.
  • the display device 54 includes a display unit such as a liquid crystal display or an organic EL display that displays various types of information according to a control instruction from the control unit 51, a speaker that outputs sound according to the control instruction from the control unit 51, and the like. It is an example of a terminal display means.
  • the operation device 55 is an operation means operated by a user in order to input various information to the medicine 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 medicine distribution support program from a computer-readable recording medium 57 in which the medicine distribution support program is recorded.
  • the recording medium 57 is a CD, DVD, BD, USB memory or the like.
  • the medicine 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.
  • the mobile terminal 6 is, for example, a mobile phone, a smart phone, a PDA, a media player, or a tablet terminal. In the old health facility B, the mobile terminal 6 distributes the medicine pack 81 accommodated in the medicine bag 82 to a user. Carried by a pharmacist.
  • the portable terminal 6 includes a control unit 61 and a camera 62.
  • the control unit 61 includes a CPU, a RAM, a ROM, and the like, and controls the portable terminal 6. In the mobile terminal 6, various processes are executed by the control unit 61 according to an application program installed in advance.
  • the camera 62 is a photographing means for photographing an image or a video.
  • the control unit 61 has a code reading function for reading a one-dimensional code or a two-dimensional code included in an image or video captured by the camera 62.
  • the portable terminal 6 can read information from a one-dimensional code or a two-dimensional code printed on the medicine package 81 and the medicine bag 82 using the code reading function. Then, the control unit 61 transmits information read using the camera 62 to the medicine distribution support device 5.
  • the mobile terminal 6 also includes a display unit that displays various types of information and an operation unit that receives various types of operations.
  • the reading terminal 7 is a reading means such as a barcode 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, as in the case of the reading terminal 2. Information read by the reading terminal 7 is input to the medicine 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.
  • the portable terminal 6 can be used as the reading terminal 7 and the reading terminal 7 can be omitted.
  • FIG. 4 is a diagram schematically showing a flow of the medicine distribution work when medicine is delivered from the pharmacy A to the health facility B1 and the health facility B2, which are examples of the health facility B.
  • Step S1> First, in the dispensing support device 1, the control unit 11 selects the old health facility B that delivers medicine in response to a user operation of the operating device 15 and issues prescription data corresponding to the old health facility B. A prescription data issuing process is executed (S1).
  • Step S2> And in the said dispensing assistance apparatus 1, the said control part 11 produces
  • step S2 in the medicine packaging device 3, the control unit 31 uses the packaging printer 32 to generate the code 811 indicating the first medicine distribution information as shown in FIG.
  • the medicine package 81 is printed.
  • the first medicine distribution information includes the user ID, the time of taking, and the delivery destination identification information.
  • the medicine package 81 is also printed with the name of the user, the date and time of taking, and the time of taking.
  • the control unit 11 uses the printer 4 to label the code 822 indicating the second medicine distribution information on the medicine bag 82 as shown in FIG. To print.
  • the second medicine distribution information includes the dose time and the delivery destination identification information.
  • the medicine bag 82 is also printed with the name of the old facility, the date and time of taking, and the time of taking.
  • Step S3 When the dispensing operation by the medicine packaging device 3 is completed, the pharmacist in charge of inspection subsequently inspects the medicine dispensed by the medicine packaging device 3 (S3).
  • the inspection it is also conceivable for the inspection to use an image inspection system that images the medicine dispensed by the medicine packaging device 3 and automatically inspects based on the captured image. For example, when the time-specific packaging process is executed in the medicine packaging process, the image inspection system divides the images of the medicine packages 81 arranged for each taking time in units of health facilities, An inspection image arranged for each dose time in units of users is generated. Then, the image inspection system inspects the medicine dispensed by the medicine packaging device 3 based on the inspection image.
  • Step S4> the person in charge of delivery accommodates each of the medicine packs 81 to be delivered to each of the health facilities B in the medicine bag 82 corresponding to the time of taking the medicine pack 81 and the delivery destination ( S4).
  • the delivery person uses the reading terminal 2 to read the first medicine distribution information and the second medicine distribution information from the medicine bag 81 and the medicine bag 82, respectively.
  • the control part 11 of the said dispensing management apparatus 1 determines whether the said 1st medicine distribution information and the said 2nd medicine distribution information correspond in the below-mentioned accommodation time collation process.
  • Step S5> the delivery person delivers each medicine bag 82 to the delivery destination (S5).
  • the delivery person uses the reading terminal 2 to read the second medicine distribution information from each medicine bag 82.
  • the control part 11 of the said dispensing management apparatus 1 determines whether the said medicine bag 82 which should be delivered to the said delivery destination has a leak in the below-mentioned collation process at the time of delivery.
  • Step S6> in each of the old health facilities B, when each medicine bag 82 is received from the pharmacy A, a person in charge of medicine distribution reads the second medicine information from the code 822 of the medicine bag 82 using the reading terminal 7. (S6).
  • the control part 51 of the said medicine distribution assistance apparatus 51 is the delivery of the said health facility B where the delivery destination identification information contained in the said 2nd medicine distribution information and the said reading terminal 7 are arrange
  • Step S7> the person in charge of medicine at the health facility B dispenses each medicine package 81 contained in the medicine bag 82 corresponding to the time of taking the medicine to the resident at every time of taking (S7).
  • the medicine packs 81 of a plurality of users are collectively stored in the medicine bag 82 for each time of taking, in the old facility B as a delivery destination, for each time of taking
  • the medicine bags 81 of a plurality of users can be taken out from the medicine bag 82 and can be easily administered to each user.
  • step S ⁇ b> 7 the person in charge of medicine distribution reads the first medicine information from each medicine package 81 using the portable terminal 6.
  • the face image 63 is read from the user information storage unit 521 of the data storage unit 52 and displayed on the portable terminal 6.
  • step S ⁇ b> 11 the control unit 11 determines whether or not a prescription data issuing operation has been performed for one or a plurality of the healthy facilities B. Specifically, the control unit 11 selects one or a plurality of the health facilities B according to a user operation of the operation device 15 in the dispensing support device 1, and issues a prescription data issue operation for each of the health facilities B. Accept.
  • the prescription data issuance operation is performed (S11: Yes)
  • the process proceeds to step S12.
  • the prescription data issuance operation is performed (S11: No)
  • the process waits in step S11.
  • step S12 the control unit 11 divides the prescription data of each of the users belonging to each of the old-age facilities B into pieces of package data obtained by disassembling and arranging them for each old-age facility belonging to the user. Generate.
  • the control unit 11 For example, as shown in FIG. 6, the control unit 11 generates group prescription data obtained by grouping prescription data of a plurality of users belonging to “old health facility B1” and “old health facility B2”. Thereafter, as shown in FIG. 7, the control unit 11 arranges prescription data corresponding to each user belonging to “health care facility B1” and “health care facility B2” for each taking time based on the group prescription data. Generate the replaced parcel data.
  • the packaging data includes data (empty data) indicating that a user who does not have a medicine corresponding to the time of taking does not.
  • step S ⁇ b> 13 the control unit 11 outputs the packaging data to the medicine packaging device 3.
  • the medicine packaging process (refer FIG. 8) mentioned later according to the said packaging data is performed.
  • the said medicine packaging apparatus 3 it is possible to perform the packaging operation according to the said packaging data by reading the said packaging data from the said printed paper with a Harcode reader etc.
  • step S21 the control unit 31 waits for input of the packaging data from the dispensing support device 1 (S21: No). When it is determined that the packaging data has been input (S21: Yes), the control unit 31 shifts the process to step S22.
  • step S22 the control unit 31 sets the first healthy facility B1 in the packaging data as a packaging target. Specifically, when the packaging data shown in FIG. 7 is input, the control unit 11 sets “healthy facility B1” as a packaging target in the first step S22. And when said step S22 is performed after the 2nd time, the said control part 11 will set the said 2nd or later hospital room in order as a packaging object. That is, when the packaging data shown in FIG. 7 is input, the control unit 31 sets “old health facility B2” as a packaging target in the second step S22.
  • step S23 the control unit 31 starts packaging using the first dose corresponding to the health facility B selected as the packaging target in step S22 in the packaging data as the packaging target. .
  • the control unit 31 takes the “Departure of ⁇ month ⁇ day after breakfast” of “healthy facility B1” in the first step S23. Start the packaging with the target of packaging. And when said step S23 is performed after the 2nd time, the said control part 31 will start the packaging as a packaging object in order about the said 2nd and subsequent dosing time. That is, when the packaging data shown in FIG. 7 is input, the control unit 31 determines the taking time of “ ⁇ month ⁇ day after lunch” of “healthy facility B1” in the second step S23. Start packaging as the target of packaging.
  • FIG. 9A is a diagram showing an example of the packaging result when the medicine packaging process is executed based on the packaging data shown in FIG.
  • the packaging result shown in FIG. 9 (A) medicines taken by a plurality of users belonging to the same old facility B are continuously packaged at every time of taking.
  • the medicine packs 81 corresponding to the users “Ichiro Yuyama”, “Jiro Yuyama”, and “Saburo Yuyama” of the health facility B1 are consecutive after every month after breakfast, lunch, and after dinner. Is formed.
  • the next day ⁇ month ⁇ day is also packaged in the same manner.
  • the package data includes information (type, time of use, etc.) of non-packaged medicines such as eye drops, liquids, or external medicines that are not packaged in the package 81
  • the package data includes It is conceivable that information on the medicine outside the package is included in addition to the data on the medicine packaged by the medicine packaging device 3.
  • the control unit 31 displays information such as the fact that the medicine outside the packaging is present in the medicine package 81 corresponding to the use time of the medicine outside the packaging and the contents of the medicine outside the packaging and the pictogram. It is possible to print with (image). Thereby, the presence of the medicine outside the package can be easily grasped when the medicine package 81 is dispensed, and forgetting to use the medicine outside the package can be suppressed.
  • the control unit 31 outputs the medicine package 81 that is empty, and the medicine outside the package contains the medicine package 81. It is conceivable to print information such as the presence and contents of the unpackaged medicine in characters or pictograms (images). Thereby, even when there is the unpackaged medicine to be used at a time different from the time when the medicine package 81 is taken, the presence of the unpackaged medicine can be easily grasped by referring to the medicine package 81. And forgetting to use the unpackaged medicine can be suppressed.
  • step S24 the control unit 31 sequentially determines whether or not there is a medicine to be taken at the time of taking the data of each of the users included in the packaging data. And the said control part 31 makes a process transfer to step S241, when the chemical
  • step S ⁇ b> 25 the control unit 31 performs a packaging operation on the data included in the packaging data. Specifically, the control unit 31 uses the packaging printer 32 to print the name and timing of the user and the code 811 indicating the first medicine distribution information on the medicine package 81, and to the data. The corresponding medicine is packaged in the medicine package 81.
  • 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 taking.
  • the empty medicine package 81 is printed with the name and timing of the user, the code 811, and information indicating that there is no medicine (no medicine).
  • step S26 the control unit 31 determines whether or not the packaging for the same dosing time started in step S23 is completed.
  • the control unit 31 shifts the process to step S27.
  • the control unit 31 returns the process to step S24.
  • step S27 the control unit 31 determines whether or not the packaging of all the taking times for the same health facility B set as the packaging target in the step S22 is completed. Here, if it is determined that the all-packaging period has been finished (S27: Yes), the control unit 31 shifts the process to step S28. On the other hand, if it is determined that the all-packaging period packaging has not ended (S27: No), the control unit 31 shifts the process to step S271.
  • step S271 the control unit 31 executes a package separation process for clearly indicating the timing at which the dosing time is switched, and returns the process to step S23.
  • the separation process is to provide one empty medicine package 81.
  • the empty medicine pack 81 may be printed with various information for drug inspection and inspection related to the contents of each medicine pack 81 connected in front of it.
  • segmentation process may cut
  • step S28 it is determined whether or not the packaging for all the healthy facilities B included in the packaging data has been completed.
  • the control unit 31 terminates a series of the drug packaging processes and returns the process to the step S21.
  • the control unit 31 shifts the processing to the step S22, and performs the next packaging operation for the old health facilities B. Start.
  • FIG. 9B is a diagram showing a packaging result when the individual packaging process is performed on the “old health facility B1” according to the group prescription data shown in FIG.
  • the medicine taken by one user is continuously packaged at every time of taking.
  • the medicine packs 81 corresponding to are continuously formed.
  • the medicine pack 81 corresponding to each dose time is continuously formed.
  • each medicine bag 81 is separated and accommodated in each medicine bag 82 when the medicine bag 81 is accommodated in the medicine bag 82 in step S3.
  • the time-specific packaging process when the medicine pack 81 is accommodated in the medicine bag 82 in the step S3, each medicine bag 81 is separated and accommodated in each medicine bag 82. It is good, but you may accommodate in the said medicine bag 82, without separating the said several medicine package 81 continued for every taking time.
  • the pharmacy A prepares a plurality of the medicine bags 82 in which the medicine packages 81 of a plurality of medicine users corresponding to each time of taking are collectively stored.
  • step S ⁇ b> the control unit 11 determines whether or not the second dispensing information has been read from the code 822 of the medicine bag 82 by the reading terminal 2.
  • the said control part 11 judges that the said 2nd medicine distribution information was read (S31: Yes)
  • it will transfer a process to step S32.
  • the process waits at step S31.
  • control part 11 is the presence or absence of the said user ID which exists only in the said 1st medicine distribution information, for example between the 1st medicine distribution information of the said medicine package 81, and the 2nd medicine distribution information of the said medicine bag 82 It can be determined according to Of course, information that can be identified may be included in the first drug distribution information and the second drug distribution information.
  • step S32 the control unit 11 determines the medicine pack 81 accommodated in the same medicine bag 82 based on the second medicine distribution information and the medicine management information D1 of the medicine bag 82 read in step S31.
  • One or a plurality of the medicine packs 81 determined in advance are specified.
  • the control unit 11 stores the medicine package containing the medicine of the user ID whose delivery destination identification information and the time of taking are the same as the second medicine information in the medicine management information D1.
  • 81 is specified as the medicine pack 81 to be accommodated in the medicine bag 82.
  • step S ⁇ b> 33 the control unit 11 determines whether or not the first dispensing information has been read from the code 811 of the medicine package 81 by the reading terminal 2. Here, if the said control part 11 judges that the said 1st medicine distribution information was read (S33: Yes), it will transfer a process to step S34, and until the said 1st medicine distribution information is read (S33). : No), the determination in step S33 is repeated.
  • Step S34 the control unit 11 sends the delivery destination identification information and the dosing time of the second medicine information read in step S31 and the delivery of the first medicine information read in step S33. It is determined whether the previous identification information and the timing of taking are the same.
  • the step S34 is a process executed by the determination unit 112 of the control unit 11.
  • the control unit 11 stores the first medicine distribution information read in Step S33 and the determination result in Step S34 in the data storage unit 12 as a reading history. Thereby, the dispensing support device 1 can refer to and output the reading history.
  • step S35 the control unit 11 notifies the determination result in step S34.
  • 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 causing the display device 14 or the reading terminal 2 to display the determination result. Thereby, the user can recognize the determination result. Therefore, human errors in a medicine distribution operation in which the medicine packages 81 of a plurality of users are collected at each time of taking and stored in the medicine bag 82 and delivered to a delivery destination are suppressed.
  • the determination result notification method is not limited to display, and the determination result notification may be performed by sound or a light emission mode.
  • step S ⁇ b> 36 the control unit 11 determines whether or not to end the reading operation of the first medicine distribution information from the medicine package 81 stored in the medicine bag 82 by the reading terminal 2. Specifically, the control unit 11 ends the reading operation when a user's continuous operation on the reading terminal 2 or a reading operation of the first medicine distribution information from the next medicine pack 81 is performed. It is determined not to do so (S36: No), and the process proceeds to step S33. Thereby, the reading of the first medicine distribution information from each of the medicine packs 81 accommodated in the medicine bag 82 is sequentially executed.
  • 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 the step S31.
  • the second medicine distribution information is read, it is determined that the reading operation is finished (S36: Yes), and the process is shifted to step S37.
  • step S37 the control unit 11 determines whether or not the first medicine distribution information has been read from all the medicine packages 81 to be stored in the same medicine bag 82 based on the medicine distribution management information D1. To do.
  • the step S37 is a process executed by the determination unit 112 of the control unit 11.
  • the said control part 11 determines with the said 1st medicine distribution information having been read from all the said medicine packs 81 which should be accommodated in the said medicine bag 82 (S37: Yes)
  • the process returns to step S31.
  • step S38 when it is determined that the reading is completed by reading the second medicine information from the different medicine bag 82, the same processing is executed based on the second medicine information in the subsequent step S31.
  • the said control part 11 determines with the said 1st medicine distribution information not being read from all the said medicine packs 81 which should be accommodated in the said medicine bag 82 (S37: No), it will transfer a process to step S38.
  • 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 there is the medicine pack 81 that has not been read in step S33 among the medicine packs 81 to be stored in the medicine bag 82 based on the medicine distribution management information D1. And the information of the unread medicine package 81 is displayed on the display device 14 or the reading terminal 2. Thereby, accommodation omission of the medicine bag 81 in the medicine bag 82 is suppressed. For example, the control unit 11 displays the ID or name of the user corresponding to the medicine pack 81 that has not been read in step S33 among the medicine packs 81 to be stored in the medicine bag 82 together with the time of taking the medicine. .
  • step S ⁇ b> 41 the control unit 11 determines whether or not the delivery destination identification information has been input by the reading terminal 2. Specifically, the person in charge of delivery inputs the delivery destination identification information indicating the old facility 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. It is also possible to input identification information.
  • the said control part 11 judges that the said delivery destination identification information was input (S41: Yes), it will transfer a process to step S42. On the other hand, until the delivery destination identification information is input (S41: No), the process waits in step S41.
  • step S42 the control unit 11 simultaneously delivers to the same old facility B indicated by the delivery destination identification information based on the delivery destination identification information and the medicine distribution management information D1 input in step S41.
  • One or a plurality of the medicine bags 82 to be specified are specified.
  • the control unit 11 specifies the medicine bag 82 having the same delivery destination identification information and the same delivery date as the medicine bag 82 to be delivered to the health facility B at the same time.
  • step S ⁇ b> 43 the control unit 11 determines whether or not the reading terminal 2 has read the second medicine distribution information from the code 822 of the medicine bag 82. Here, if the said control part 11 judges that the said 2nd medicine distribution information was read (S43: Yes), it will transfer a process to step S44 and will continue until the said 2nd medicine distribution information is read (S43). : No), the determination in step S43 is repeated.
  • step S44 the control unit 11 determines whether or not the delivery destination identification information input in step S41 matches the delivery destination identification information of the second medicine distribution information read in step S43. judge.
  • the step S44 is a process executed by the determination unit 112 of the control unit 11.
  • the control unit 11 stores the second medicine distribution information read in Step S43 and the determination result in Step S44 in the data storage unit 12 as a reading history. Thereby, the dispensing support device 1 can refer to and output the reading history.
  • step S45 the control unit 11 notifies the determination result in step S44.
  • 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 causing the display device 14 or the reading terminal 2 to display the determination result. Thereby, the user can recognize the determination result. Therefore, human errors in a medicine distribution operation in which the medicine packages 81 of a plurality of users are collected at each time of taking and stored in the medicine bag 82 and delivered to a delivery destination are suppressed.
  • the determination result notification method is not limited to display, and the determination result notification may be performed by sound or a light emission mode.
  • step S46 the control unit 11 determines whether or not to end the reading operation of the second medicine distribution information from the medicine bag 82 delivered to the same health facility B by the reading terminal 2. Specifically, the control unit 11 does not end the reading operation when a user's continuous operation on the reading terminal 2 or a reading operation of the second medicine distribution information from the next medicine bag 82 is performed. (S46: No), the process proceeds to step S43. Thereby, the reading of the second medicine distribution information from each of the medicine bags 82 delivered to the same health facility B is sequentially executed.
  • control unit 11 is different from the delivery destination identification information input in the case where an end signal is input from the reading terminal 2 in response to a user's end operation on the reading terminal 2, or in the step S41.
  • delivery destination identification information it is determined that the reading operation is to be terminated (S46: Yes), and the process proceeds to step S47.
  • step S47 the control unit 11 performs the second medicine distribution from all the medicine bags 82 to be simultaneously delivered to the same health facility B corresponding to the delivery destination identification information based on the medicine management information D1. It is determined whether information has been read.
  • the step S47 is a process executed by the determination unit 112 of the control unit 11.
  • the said control part 11 determines with the said 2nd medicine distribution information having been read from all the said medicine bags 82 which should be delivered to the said healthy facility B simultaneously (S47: Yes)
  • the said collation process at the time of delivery will be complete
  • step S41 If it is determined that the reading has been completed by inputting different delivery destination identification information, the same processing is executed based on the delivery destination identification information in subsequent step S41. On the other hand, if the said control part 11 determines with the said 2nd medicine distribution information not being read from all the said medicine bags 82 which should be delivered to the said healthy facility B simultaneously (S47: No), it will transfer a process to step S48. .
  • 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 among the medicine bags 82 to be delivered simultaneously to the health facility B corresponding to the delivery destination identification information based on the medicine distribution management information D1.
  • the display device 14 or the reading terminal 2 displays information indicating that the medicine bag 82 exists and information about the medicine bag 82 that has not been read. Thereby, the delivery omission of the medicine bag 82 to the health facility B is suppressed.
  • control unit 11 sends the dose time corresponding to the medicine bag 82 that has not been read in step S43 among the medicine bags 82 to be delivered to the health facility B corresponding to the delivery destination identification information at the same time. Displayed together with the previous identification information.
  • step S51 the control unit 51 determines whether or not the second medicine distribution information has been read from the medicine bag 82. Here, until the second medicine distribution information is read from the medicine bag 82 (S51: No), the process waits in step S51. On the other hand, if it is determined that the second medicine distribution information has been read from the medicine bag 82 (S51: Yes), the process proceeds to step S52.
  • step S52 the control unit 51 indicates the delivery destination identification information included in the second medicine distribution information read in step S51 and the health facility B where the medicine distribution support device 5 is installed. It is determined whether or not the delivery destination identification information registered in advance in the medicine distribution support device 5 as information matches.
  • the step S52 is a process executed by the delivery destination determination unit 512 of the control unit 51.
  • the control unit 51 causes the data storage unit 52 to store the second medicine distribution information read in step S51 and the determination result in step S52 as a reading history. Thereby, the medicine distribution support device 5 can refer to and output the reading history.
  • step S53 the control unit 51 notifies the determination result in step S52. Specifically, the control unit 51 displays the determination result on the display device 54 or the reading terminal 7.
  • the step S53 is a process executed by the second notification unit 513 of the control unit 51.
  • step S ⁇ b> 61 the control unit 51 determines whether or not the first medicine distribution information has been read from the medicine package 81. Here, until the first medicine distribution information is read from the medicine package 81 (S61: No), the process waits in the step S61. On the other hand, if it is determined that the first medicine distribution information has been read from the medicine package 81 (S61: Yes), the process proceeds to step S62.
  • Step S62 the control unit 51 moves in corresponding to the user based on the user ID, the conversion information, and the resident master included in the first medicine information read in step S61. Identify the person.
  • step S62 the control unit 51 stores the first medicine distribution information read in step S61 and the specific result in step S62 in the data storage unit 52 as a reading history. Thereby, the medicine distribution support device 5 can refer to and output the reading history.
  • step S63 the control unit 51 displays the time of taking the medicine package 81 and the name and face image 63 of the resident corresponding to the user specified in step S62 on the portable terminal 6. Display (see FIG. 4).
  • the step S63 is a process executed by the display control unit 511 of the control unit 51.
  • the configuration of the drug distribution support system 100 according to the present embodiment will be described with reference to FIG.
  • symbol is attached
  • the dispensing support device 1 includes a USB port 18.
  • the USB port 18 is detachably attachable to the USB memory 19 and can write data to the USB memory 19 and read data from the USB memory 19. It should be noted that not only the USB memory 19 but also other recording media such as a CD, a DVD, and a BD may be used.
  • the said control part 11 functions as the medicine distribution data output part 114, the remaining medicine information input part 115, and the remaining medicine notification part 116 by performing various processes according to the said dispensing assistance program.
  • the drug distribution data output unit 114 is an example of a drug distribution data output unit
  • the residual drug information input unit 115 is an example of a residual drug information input unit
  • the residual drug notification unit 116 is an example of a residual drug notification unit.
  • the medicine distribution data output unit 114 is used when dispensing medicines into each medicine package 81, and outputs medicine distribution data based on prescription data stored in the prescription data storage unit 121 to the USB port 18. It is possible to record from the USB port 18 to the USB memory 19.
  • the medicine distribution data output unit 114 can output the medicine distribution data in units of the medicine distribution group. Specifically, when the health facility B is designated by a user operation on the operation device 15, the medicine distribution data output unit 114 displays prescription data corresponding to each resident in the health facility B. Extraction and distribution data based on the prescription data can be output. Thereby, it is possible to easily use only necessary prescription data among the prescription data.
  • a facility master and a resident master are stored in the data storage unit 12 of the dispensing support device 1, and the medicine distribution data output unit 114 is necessary based on the facility master and the resident master.
  • the prescription data is extracted.
  • the said medicine distribution data output part 114 can also add and output a part or all of the information of the said facility master and the said tenant master to the said medicine distribution data.
  • FIG. 15 is a diagram showing an example of the facility master and the resident master.
  • the registration work of each of the facility master and the resident master is performed by using the display device 14 and the operation device 15 of the dispensing support device 1 in the initial setting or master maintenance of the dispensing support device 1, for example. Done.
  • the facility master stores a facility code, a facility name, and a print format corresponding to each of the old facilities B in association with each other.
  • the facility code and the facility name are examples of identification information for identifying the health facility B
  • the print format is the format type of items to be printed on the medicine package 81 in the medicine packaging device 3 It is information for identifying.
  • the facility code is, for example, the same as the delivery destination ID (see FIG. 2).
  • each of the tenant masters is stored in association with each of the old facility B registered in the facility master.
  • the resident master stores a occupant ID, a occupant name, a resident ID, a group, and a print format corresponding to each resident.
  • the taker ID, the taker name, and the resident ID are examples of identification information for identifying a resident who enters the health facility B.
  • the user ID is identification information registered in advance for identifying the resident (taker) in the dispensing support device 1 or the like on the pharmacy A side
  • the resident ID is the health facility. This is identification information registered in advance in order to identify the resident in the medicine distribution support device 5 on the B side.
  • the resident master stored in the master storage unit 521 is provided from the health facility B side to the pharmacy A side, so that the pharmacy A side can provide the resident master of the dispensing support device 1 to the resident master.
  • the resident ID is registered.
  • the correspondence between the doser ID and the resident ID in the resident master is the same as the correspondence between the doser ID and the resident ID in the conversion information used in the medicine distribution support device 5. It is.
  • the group is identification information for identifying a group classified as a series of medicine distribution groups by a ward, a hospital room, a floor, or the like in the old-age facility B.
  • a medicine distribution operation to residents is performed for each group.
  • the print format is information for identifying the type of format such as items and arrangements to be printed on the medicine package 81 and the medicine bag 82 in the medicine packaging device 3.
  • the print format registered in the resident master is preferentially adopted even when the print format is registered in the facility master, for example.
  • the dispensing support device 1 can grasp the correspondence between the user ID and the resident ID. Therefore, the control unit 11 causes the medicine packaging device 3 to print the resident ID on the medicine package 81 instead of the medicine person ID included in the first medicine distribution information or together with the medicine person ID. It is possible.
  • the remaining medicine information input unit 115 can input the remaining medicine information output from the remaining medicine information output unit 516 described later in the medicine distribution support device 5.
  • the remaining medicine information input unit 115 requests the medicine distribution support apparatus 5 to transmit the remaining medicine information via the network N1, the network N2, and the like, and is transmitted from the medicine distribution support apparatus 5.
  • the remaining medicine information is acquired.
  • the remaining medicine information input unit 115 can also read and input the remaining medicine information from a recording medium such as the USB memory 19, and the remaining medicine information transmitted from the medicine distribution support apparatus 5 by e-mail or the like. It is also possible to enter drug information.
  • the remaining medicine notification unit 116 notifies information on remaining medicines that can be used as prescription drugs included in the prescription data based on the remaining medicine information and the prescription data input by the remaining medicine information input unit 115.
  • the remaining medicine notification unit 116 can display a warning that there is a remaining medicine that can be used in the prescription data to be dispensed in the prescription data issuance process (step S1 in FIG. 4). It is.
  • the control unit 11 can display the remaining medicine information on the display device 14 or the like at an arbitrary timing in accordance with a user operation of the operation device 15.
  • the remaining medicine notification unit 116 can also transmit the remaining medicine information to a higher-level system (not shown) such as the electronic medical record system or the prescription input terminal connected to the dispensing support device 1 so as to be communicable. It is. Accordingly, it is possible to notify the doctor using the host system of the remaining medicine information and prompt the correction of the prescription data, etc., and suppress waste of medicine.
  • the pharmacist at the pharmacy A side refers to the remaining medicine information displayed on the dispensing support device 1, notifies the doctor of the amount of the remaining medicine, and inputs the prescription without removing the remaining medicine when inputting a new prescription. Or correction (reissue) to remove the remaining medicine from the prescription that has already been entered.
  • the medicine distribution support device 5 includes a USB port 58.
  • the USB memory 19 can be attached to and removed from the USB port 58, and data can be written to and read from the USB memory 19.
  • the data storage unit 523 is included in the data storage unit 52.
  • the medicine distribution data storage unit 523 stores the medicine distribution data output from the dispensing support device 1 and read from the USB memory 19 by the USB port 58.
  • the said control part 51 performs various processes according to the said medicine distribution assistance program, and thereby, a medicine distribution data input part 514, a medication completion input part 515, and a remaining medicine information output part 516 Function as.
  • the drug distribution data input unit 514 is an example of a drug distribution data input unit
  • the drug completion input unit 515 is an example of a drug completion input unit
  • the remaining drug information output unit 516 is an example of a residual drug information output unit.
  • the medicine distribution data input unit 514 can input the medicine distribution data output by the dispensing support device 1 to the medicine distribution support device 5 provided in the old health facility B which is a medicine delivery destination. It is. Specifically, the medicine distribution data input unit 514 reads out the medicine distribution data by reading out the medicine distribution data from the USB memory 19 connected to the USB port 58 in response to a user operation of the operation device 55. Input to the medicine distribution support device 5.
  • the medication completion input unit 515 accepts a medication completion input operation for each user displayed on the resident list screen 211 (see FIG. 23) described later by the display device 54 or the mobile terminal 6. Specifically, the medication completion input unit 515 accepts an input operation of the medication completion of the user for the operation device 55 or the mobile terminal 6.
  • the remaining medicine information output unit 516 can receive the remaining medicine information input operation regarding the remaining medicine that the user has not taken, and can output the remaining medicine information. Specifically, the remaining medicine information output unit 516 receives an input operation of the remaining medicine information with respect to the operation device 55 or the portable terminal 6. Then, the remaining medicine information output unit 516 stores the remaining medicine information in the data storage unit 52 and transmits and outputs it to the dispensing support apparatus 1 via the network N1, the network N2, and the like.
  • control unit 11 can register the information about the old facility B and the resident as initial setting information according to the user operation of the operation device 55 or the mobile terminal 6.
  • FIG. 16 shows an example of the facility registration screen
  • FIG. 17 shows an example of the resident registration screen.
  • the control unit 11 displays a facility registration screen for registering a facility code and a facility name in response to a user operation of the operation device 55.
  • a registration key is operated, and the information is stored in the master storage unit 521 as a facility master.
  • the facility code and the facility name are the same as the facility code and the facility name registered in the facility master (see FIG. 15) of the dispensing support device 1.
  • the control unit 11 displays a resident registration screen for registering resident information in response to a user operation of the operation device 55.
  • the tenant ID, tenant name, pseudonym, date of birth, gender, management classification, group, room code, comment, and face image (photograph) can be input on the tenant registration screen.
  • the management category for example, it is selected whether or not self-management for self-administration of medicines is performed.
  • the camera 62 of the portable terminal 6 is used when registering a resident information by inputting a capture input by selecting a photograph taken in advance from a list. There is a shooting input to shoot.
  • the resident registration screen after the resident information is input, the registration key is operated, and the information is stored in the master storage unit 521 as the resident master.
  • the resident ID, resident name (kana), group, etc. included in the resident information are the resident ID registered in the resident master (see FIG. 15) of the dispensing support device 1 and the dose. The same as the name and group.
  • the control unit 11 imports or exports resident information according to the subsequent operation.
  • the medicine packaging process (see FIG. 8), the collation process at the time of accommodation (see FIG. 10), the collation process at the time of delivery (see FIG. 11), and the process at the time of receiving ( Etc.) are executed.
  • Step S111> As shown in FIG. 18, when the operation for issuing the prescription data is performed in step S11, in step S111, the control unit 11 executes a remaining medicine information input process for inputting the remaining medicine information. .
  • the step S111 is executed by the remaining medicine information input unit 115 of the control unit 11.
  • step S111 the control unit 11 requests the medicine distribution support apparatus 5 to transmit the remaining medicine information via the network N1, the network N2, and the like. And the said control part 11 receives the said remaining medicine information transmitted via the said network N1, the said network N2, etc. from the said medicine distribution assistance apparatus 5.
  • FIG. Note that the remaining medicine information is automatically transmitted from the medicine distribution support device 5 via the network N1, the network N2, and the like automatically every predetermined period or at a predetermined timing. It is also conceivable that 115 acquires the remaining medicine information.
  • the remaining medicine information is recorded on a recording medium such as the USB memory 19 in the medicine distribution support device 5, and the remaining medicine information is read from the recording medium such as the USB memory 19 in the dispensing support device 1. Conceivable. Thereby, it becomes possible to utilize the said remaining medicine information with the said dispensing assistance apparatus 1 without accompanying via the said network N1 and the said network N2.
  • step S112 the control unit 11 notifies information on a remaining medicine that can be used as a prescription medicine included in the prescription data based on the remaining medicine information and the prescription data acquired in step S111.
  • the step 112 is executed by the remaining medicine notification unit 116 of the control unit 11.
  • the said control part 11 judges whether the prescription date in the said prescription data is in the expiration date of the remaining medicine contained in the said remaining medicine information in the said step S112, and is it in the said expiration date? It is also possible to display whether or not the display device 14 or the like is displayed.
  • step S112 the control unit 11 determines a medicine that does not need to be packaged because it exists as a remaining medicine in the remaining medicine information in the prescription data based on the remaining medicine information and the prescription data. To do. And the information of the medicine which exists as the said remaining medicine is displayed on the said display apparatus 14 grade
  • the packaging data is generated in step S12, the packaging data is generated so that an empty medicine package 81 is also issued for a medicine removed from the packaging target due to the presence of the remaining medicine. It can be considered.
  • the packaging data corresponding to the medicine removed from the packaging target due to the presence of the remaining medicine in the packaging data to specify the taking time and the remaining medicine to be used at the taking time. It is conceivable that the remaining medicine specifying information (for example, the time of taking) is included.
  • the time of taking the remaining medicine and the remaining medicine specifying information are printed on the empty medicine package 81.
  • a message such as “please take medicine after dinner for ⁇ month and ⁇ day after dinner” is displayed on the empty medicine package 81.
  • the determination as to whether or not the remaining medicine can be used is performed at each time of taking, that is, performed in units of the medicine package 81.
  • step S14 the control unit 11 waits for an operation of outputting medicine distribution data used on the side of the old facility B (S14: No side). Specifically, the control unit 11 determines whether or not an operation for outputting the medicine distribution data has been executed by a user operation on the operation device 15. Here, if it is determined that the operation of outputting the medicine distribution data has been performed (S14: Yes side), the process proceeds to step S15.
  • step S15 the control unit 11 generates the medicine distribution data based on the prescription data subjected to the issuing operation in step S11, and outputs the medicine distribution data to the USB port 18 to output the USB memory. 19 is recorded. That is, the control unit 11 outputs the medicine distribution data in units of the old health facility B or the group which is the medicine distribution group, similarly to the prescription data and the packaging data.
  • the USB memory 19 is delivered to the medicine distribution support device 5 together with the medicine package 81 and the medicine bag 82, etc., and the medicine distribution data stored in the USB memory 19 is transferred to the medicine distribution support device 5. This makes it possible to improve the efficiency of drug distribution work by the person in charge of drug distribution and to suppress drug distribution mistakes.
  • the medicine distribution data is generated for the prescription data for which the issuing operation has been performed in step S11, it is possible to reduce time and effort for setting again the extraction conditions for generating the medicine distribution data, The dispensing data different from the prescription data, which is a subject of dispensing, is prevented.
  • the drug distribution data includes the resident ID, resident (taker) name, group, pseudonym, drug code (YJ code), drug name, date taken, time taken (usage), dose, dosage form, and package. Includes categories, side-effect related information, and daily maximum dose (maximum frequency).
  • the one-packing section is a section for identifying medicines packaged in the same medicine package 81.
  • the side effect related information is information about side effects described in a package insert of medicines, or information about side effects arbitrarily registered in advance in association with medicines in the pharmacy A or the like.
  • information such as a resident ID and a group managed on the medicine distribution support apparatus 5 side is also registered in the resident master in the dispensing support apparatus 1 on the pharmacy A side. .
  • the control unit 11 can add the information such as the resident ID and the group to the medicine distribution data by referring to the resident master and output the information.
  • the medicine distribution support device 5 may identify a resident based on the medicine distribution data.
  • the said user ID is contained in the said medicine distribution data, and the said medicine distribution support apparatus 5 is based on the correspondence (the said conversion information) of the said user ID and the said tenant ID in each of the said healthy facilities B. It is also conceivable as another embodiment to determine the resident corresponding to the user ID.
  • FIG. 19 is a diagram showing an example of medicine distribution data used in the old health facility B1.
  • the medicine distribution data includes a tenant ID, a tenant (taker) name, a group, a dosage form, and a package classification. It is.
  • the medicine M1 and medicine M3 of “Yuyama Ichiro” are both “1” in the packaging classification and are packaged in the same medicine package 81 in the example shown in FIG.
  • the medicine M7 and the medicine M8 of “Yuyama Saburo” have the package classification “1” and “2” and are divided into different medicine packages 81.
  • the drug distribution data includes side effect related information, daily maximum dose (maximum number of times), and the like.
  • the USB memory 19 is an example of a recording medium used for moving the medicine distribution data, and various recording media such as other flash memories or hard disk drives may be used instead of the USB memory 19. Is possible.
  • a configuration in which the medicine distribution data can be moved using a recording medium such as the USB memory 19 will be described.
  • the medicine distribution data can be transmitted to the medicine distribution support device 5.
  • the method is not limited to this.
  • a configuration in which the medicine distribution data output unit 114 outputs the medicine distribution data to the communication interface 13 and is transmitted from the communication interface 13 to the medicine distribution support apparatus 5 through the network N1 such as the Internet is also conceivable.
  • the structure which can transmit and output the said prescription data corresponding to the said medicine distribution data to the said medicine distribution assistance apparatus 5 is also considered for the said medicine distribution data output part 114.
  • control unit 11 outputs the drug distribution data to a storage unit such as a server to which the dispensing support device 1 and the drug distribution support device 5 are communicably connected via the network N1, the network N2, and the like. It is also possible to memorize it. That is, a configuration in which the dispensing support device 1 and the medicine distribution support device 5 share the medicine distribution data on the cloud is conceivable. Thereby, the said control part 51 of the said medicine distribution assistance apparatus 5 can read and input the said medicine distribution data from memory
  • a code such as a one-dimensional code or a two-dimensional code indicating the medicine distribution data related to the user is printed on the medicine pack 81.
  • the control unit 51 can input the medicine distribution data for each user by reading the code from the medicine pack 81 for the medicine.
  • the code is not limited to the medicine package 81 but may be printed on a paper medium delivered together with the medicine package 81, for example.
  • the drug distribution data included in the code includes a dose start time that is the first dose time and a dose end time that indicates the last dose time in the current drug distribution data corresponding to the user.
  • the prescription data (for example, drug name, usage, dose, start date of taking, end date of taking, etc.) corresponding to the user is printed out on the medicine pack 81 for the medicine instead of the medicine distribution data. It may be included in the code.
  • the said control part 11 takes the remaining medicine. It is conceivable to output the medicine distribution data including the remaining medicine specifying information indicating the relationship between the time and the new taking time. And in the said medicine distribution assistance apparatus 5, when the said code
  • the said control part 11 is the said distribution data. It is also possible to output in accordance with the operation of the operating device 15 at an arbitrary timing. Specifically, the control unit 11 waits for an extraction condition setting operation for extracting prescription data to be output from the prescription data stored in the prescription data storage unit 121. For example, in the dispensing support device 1, the control unit 11 displays a setting screen for setting the extraction condition on the display device 14 in response to a setting start operation on the operation device 15. And the said control part 11 sets the said extraction conditions according to operation of the said operating device 15 according to the said setting screen.
  • one or more conditions can be set among the facility code, the facility name, the group, the user ID, the user name, and the resident ID. If it is determined that the extraction condition is set, the control unit 11 generates the medicine distribution data corresponding to the extraction condition based on the prescription data stored in the prescription data storage unit 121.
  • the facility code when the facility code is selected, from each of the prescription data stored in the prescription data storage unit 121, each of the users occupying the old health facility B corresponding to the facility code Prescription data is extracted. Further, when the group is selected as the extraction condition, prescription data for each user belonging to the group is extracted from the prescription data stored in the prescription data storage unit 121. And the said control part 11 extracts the one part or all item predetermined among the said prescription data as said medicine distribution data. Thereby, by omitting unnecessary information as the drug distribution data in the prescription data, the data amount is reduced, or the prescription data is used while minimizing the use of personal information of the user. Is possible. Then, the said control part 11 outputs the said medicine distribution data similarly to the said step S15. Thereby, in the said dispensing assistance apparatus 1, it is possible to output the said medication distribution data not only at the issue timing of the said prescription data but at arbitrary timing.
  • step S ⁇ b> 81 the control unit 51 determines whether a predetermined medicine distribution start operation has been performed on the operation device 55 or the mobile terminal 6. If it is determined that the medicine distribution start operation has been performed, the process proceeds to step S82. If the medicine distribution start operation has not been performed, the process proceeds to step S811.
  • the medicine distribution start operation it is conceivable that a login operation of a person in charge of medicine distribution such as a predetermined staff is performed.
  • an identification code, a password, and the like of each person in charge of medicine distribution are set in the data storage unit 52.
  • the control unit 51 reads a code such as a one-dimensional code or a two-dimensional code written on a name tag or the like possessed by the person in charge of medicine by the reading terminal 7.
  • the information on the code matches the identification code of the person in charge of medicine distribution, the person in charge of medicine distribution may be logged in.
  • the control unit 51 may consider logging in the person in charge of dispensing the medicine after verifying the password. It is done. Thereby, the said control part 51 restrict
  • Steps S811 to S812 In steps S811 to S812, an input process for inputting the medicine distribution data output from the dispensing support device 1 is executed. The steps S811 to S812 are executed by the medicine distribution data input unit 514.
  • step S811 the control unit 51 waits for an input timing of the medicine distribution data (S811: No side). For example, when the USB memory 19 is attached to the USB port 58 and a user operation is performed on the operation device 55, the control unit 51 determines that the timing of inputting the medicine distribution data is reached. The control unit 51 also determines that it is the timing for inputting the medicine distribution data even when the medicine distribution data is received by the communication interface 53 via the network N2 or the like. And if it judges that the input timing of the said medicine distribution data has arrived (S811: Yes side), a process will transfer to step S812.
  • S811 No side
  • step S812 the control unit 51 inputs the medicine distribution data to the dispensing support device 1.
  • the control unit 51 stores information necessary for executing the drug distribution matching process in the drug distribution data storage unit 523 in accordance with a predetermined database format.
  • the said medicine distribution assistance apparatus 5 it becomes possible to perform various processes using the said medicine distribution data used at the time of the dispensing in the said dispensing assistance apparatus 1.
  • step S81 when it is determined that a predetermined medicine distribution start operation has been performed on the operation device 55 or the portable terminal 6, in the subsequent step S82, the controller 51 determines that the person in charge of medicine distribution has performed.
  • An initial screen 210 (an example of a first display screen) to be referred to when dispensing is displayed.
  • the control unit 51 displays the initial screen 210 on the display device 54 when the medicine distribution start operation is performed by the operation device 55.
  • the said control part 51 displays the said initial screen 210 on the display part of the said portable terminal 6, when the said medicine distribution start operation is performed by the said portable terminal 6.
  • FIG. Similarly, in the subsequent processing, the operation by the operation device 55 is reflected on the display of the display device 54, and the operation on the mobile terminal 6 is reflected on the display of the display unit of the mobile terminal 6.
  • FIG. 21 shows an example of the initial screen 210.
  • the control unit 51 displays a selection key for selecting a dose time to be taken based on the medicine distribution data. Specifically, in the example shown in FIG. 21, the control unit 51 displays the dosing time corresponding to today on the initial screen 210 as a selection candidate.
  • “before”, “after”, and “between” are displayed in a tree for each of breakfast, lunch, and dinner, so that the person in charge of drug distribution can easily find the intended time of taking.
  • former stage of the said initial screen 210 is also considered as other embodiment.
  • the control unit 51 causes the initial screen 210 to display in different display modes the dosing time when there is a medicine to be taken and the dosing time when there is no medicine to be taken.
  • the person in charge of medicine distribution can easily determine the presence or absence of a medicine to be taken at each time of taking.
  • the difference in the background pattern of the dosing time in FIG. 21 indicates that there is a difference in the display mode. For example, the time when the medicine to be taken is present (after dinner in FIG. 21, between dinner, etc.) is highlighted, and the time when the medicine to be taken is not present (before breakfast, after breakfast, between breakfast, etc. in FIG. 21). ) May not be highlighted.
  • the display color of the medication time when there is a medicine to be taken and the display color of the medication time when there is no medicine to be taken are different. Furthermore, it is conceivable that the display size of the dosing time when there is a medicine to be taken is large and the display size of the dosing time when there is no medicine to be taken is small.
  • the control unit 51 causes the initial screen 210 to display the dosing time closest to the current time in a display mode different from other dosing times.
  • the medicine distribution support device 5 stores the dose name corresponding to each dose time, the dose time, the dose time code, and the dose category in the data storage unit 52. Time information is stored in advance. Thereby, the said control part 51 can determine the dosing time which should be taken at this time based on the said dosing time information.
  • the medication time code is information indicating the same content as the medication time code printed on the medicine package 81, and is unified information used in common in the dispensing support device 1 and the medicine distribution support device 5. .
  • the said control part 51 can change the said dosing time information according to user operation in the initial setting of the said medicine distribution assistance apparatus 5, etc.
  • an initial screen 210 in which the dosing time is displayed as a tree is shown.
  • the initial screen 210 for selecting the dosing time for example, as shown in FIG.
  • the symbols are arranged and displayed individually.
  • the control unit 51 can arbitrarily arbitrarily set the display position, the display size, and the display color of each of the dosing times on the initial screen 210 in accordance with the operation of the operation device 55 or the mobile terminal 6. Can be considered.
  • a configuration is also conceivable in which the control unit 51 can arbitrarily set in advance the type of dosing time displayed on the initial screen 210 in accordance with the operation of the operation device 55 or the mobile terminal 6. Accordingly, for example, the user can arbitrarily customize the initial screen 210 to make it easy to see for the user, or can eliminate unnecessary information display on the initial screen 210.
  • the control unit 51 can synthesize the medicine distribution data acquired from the plurality of pharmacies A.
  • the said control part 51 can consider the structure which can input the said medicine distribution data arbitrarily according to operation of the said operation apparatus 55 or the said portable terminal 6.
  • a registration screen is displayed, and information input on the registration screen is input as the medicine distribution data.
  • step S83 the control unit 51 waits for selection of a dosing time to be taken (S83: No side). If it is determined that the dosing time has been selected (S83: Yes side), the process proceeds to step S84.
  • control unit 51 determines that the dosing time has been selected when an operation for selecting the dosing time on the initial screen 210 is performed by the operation device 55 or the operation unit of the mobile terminal 6. .
  • control unit 51 uses the portable terminal 6 or the reading terminal 7 to display a one-dimensional code indicating a dosing time attached in advance to a medicine box containing the medicine pack 81 corresponding to each dosing time. When a code such as a two-dimensional code is read, it may be determined that the taking time has been selected.
  • the medicine distribution support system 100 includes an automatic accommodation device that automatically accommodates medicines such as the medicine package 81 corresponding to each time taken by a plurality of users in the medicine distribution box corresponding to each time taken. Configuration is also conceivable. As a result, medicines prescribed to a plurality of users are automatically stored in the medicine box at every time of taking, so that the medicine package 81 is placed in the medicine box 81 at the pharmacy A or the old facility B. The time and labor required for storage in the container is omitted.
  • the automatic storage device may be mounted on the medicine packaging device 3.
  • the said medicine distribution box is a box provided with the some accommodating part divided, for example, what is called a blister pack may be sufficient.
  • the blister pack is an accommodating member in which a plurality of closed packaging parts are formed by joining a packaging member having a plurality of packaging regions with one side open to a flat plate-like member. Further, in the blister pack, a cut dotted line (perforation) for easily separating each of the packaging parts is formed.
  • the control unit 51 determines whether or not the dosing time selected in step S83 is an appropriate dosing time corresponding to the current date and time counted by the medicine distribution support device 5, and is not appropriate. In such cases, it is possible to notify the fact.
  • a taking time or a taking time zone corresponding to each taking time is set in advance and stored in the data storage unit 52. For example, the taking time corresponding to the taking time “after lunch” is set to “13:00”, the taking time corresponding to the taking time “between lunch” is set to “15:00”, and the taking time “before dinner” is supported. It is conceivable that the taking time zone to be set is “18:00”.
  • control unit 51 determines whether or not the current time is within a predetermined allowable range such as 30 minutes before and after the dosing time corresponding to the dosing time selected in step S83. Can be considered.
  • a predetermined allowable range such as 30 minutes before and after the dosing time corresponding to the dosing time selected in step S83.
  • the current time for example, a time measured as a system clock of the medicine distribution support device 5 or a time that can be acquired from a predetermined time notification organization via the network N2 or the like is used.
  • the time period corresponding to the dose period “after lunch” is set to “12:30 to 13:00”, and the time period corresponding to the dose period “between lunch” is set to “15:00 to 16:00” Therefore, it is conceivable that the taking time zone corresponding to the taking time “before dinner” is set to “18:30 to 19:00”. In this case, it is conceivable that the control unit 51 determines whether or not the current time is in the dosing time zone corresponding to the dosing time selected in step S83.
  • control unit 51 may select a dose time selected on the initial screen 210 and a one-dimensional code or a two-dimensional code attached to the medicine box read by the portable terminal 6 or the reading terminal 7.
  • a configuration is also conceivable in which it is possible to collate with the timing of taking the code, and to notify that when the collation results do not match.
  • the control unit 51 includes one-dimensional information including information to be pasted on the medicine distribution box such as a medication date and time, a medication time, and a group according to the operation of the operation device 55. It is conceivable that a code such as a code or a two-dimensional code can be printed on a label or the like by an arbitrary printer.
  • control unit 51 may select the date and time of taking before the initial screen 210 is displayed, and the date and time of taking the code attached to the medicine box read by the mobile terminal 6 or the reading terminal 7. Can be collated, and when the collation results do not match, a configuration that can notify that fact is also conceivable.
  • control unit 51 can collate the group displayed on the initial screen 210 with the group of codes attached to the medicine box read by the portable terminal 6 or the reading terminal 7. A configuration is also conceivable in which, when the collation results do not match, that fact can be notified.
  • step S ⁇ b> 84 the control unit 51 displays a resident list screen 211 (an example of a second display screen) on which a resident list is displayed on the display device 54 or the display unit of the mobile terminal 6.
  • FIG. 23 is a diagram showing an example of the resident list screen 211.
  • the control unit 51 is configured to display the resident list screen based on the resident master stored in the master storage unit 521 and the medicine distribution data stored in the medicine distribution data storage unit 523. 211 is displayed.
  • the control unit 51 uses the resident list screen 211 for a resident who has a medicine to be taken at the taking time determined to have been selected at the step S83, and is taken at the taking time.
  • the resident who does not have the medicine to be displayed is displayed in a different display mode. That is, the control unit 51 can display the relationship between each resident and each time of taking by executing the steps S81 to S84.
  • the display processing is executed by the display control unit 511, and the display control unit 511 is an example of a prescription display unit.
  • the display control unit 511 when displaying the initial screen 210 for selecting the dosing time in the steps S81 to S82 is an example of a first display processing unit.
  • the display control unit 511 when displaying the tenant list screen 211 that displays whether or not each tenant needs to dispense medicine at the dosing time according to the selection of the dosing time in 210 is a second display processing unit. It is an example.
  • the person in charge of medicine distribution can easily determine the resident who has the medicine to be taken at each time of taking, using the initial screen 210 and the resident list screen 211.
  • the difference in the background pattern of the resident in FIG. 23 indicates that there is a difference in the display mode. For example, a resident who has a medicine to be taken (such as “Ichiro Yuyama”) may be highlighted, and a resident who has no medicine to be taken (such as “Saburo Yuyama”) may not be highlighted. It is also conceivable that the display color of a resident who has a medicine to be taken is different from the display color of a resident who has no medicine to be taken. Furthermore, the display size of a resident who has a medicine to be taken is large, and the display size of a resident who has no medicine to be taken may be small.
  • the resident list screen 211 as status information regarding the resident's medication status, in addition to the presence / absence of a medicine to be taken at the above-mentioned taking time, “not taking”, “done”, “going out” , “Non-medicine completed", “No self-management confirmed”, “Self-managed unconfirmed”, “Self-managed confirmed”, “Working", “Unable to take medication”, “In hospital”, etc. Conceivable. That is, on the resident list screen 211, the plurality of status information can be displayed in different display modes such as different color schemes or display sizes.
  • status information such as whether or not each resident has gone out is preliminarily stored in the resident of the master storage unit 521 by the control unit 51 according to the operation of the operation unit 55 or the operation unit of the mobile terminal 6. It can be stored as part of the master.
  • “At work” indicates that the resident is at work
  • “Unable to take medication” indicates that the resident is in a difficult health state
  • “In hospital” indicates that the resident Indicates that the person is hospitalized.
  • “not taking medicine” indicates that the user has not taken the medicine but the medicine has been processed as a remaining medicine and the medicine has been completed.
  • “No self-confirmation confirmation” indicates that it is necessary to self-manage the user by preliminarily depositing the medicine for a predetermined period of time and it is not necessary to confirm the presence or absence of the medicine.
  • “Self-managed unconfirmed” and “Self-managed confirmed” indicate that the patient is self-managed by prescribing the medicine for a predetermined period in advance, but the presence or absence of the medicine needs to be confirmed. “Unconfirmed management” indicates that the medication has not yet been confirmed, and “Self-administered confirmed” indicates that the medication has already been confirmed and an input operation to that effect has been performed.
  • the resident who is not displayed on the same screen can be displayed by scrolling, and the display order of the resident in the resident list screen 211 is, for example, in alphabetical order or alphabetical order. is there.
  • the control unit 51 displays the resident display on the resident list screen 211 only for unoccupied residents. It is possible to alternately switch between a state and a state where all residents are displayed. Further, the control unit 51 changes the status information of the tenant currently displayed on the tenant list screen 211 to the state of “untreated medicine” in response to the selection of the “complete” operation key on the tenant list screen 211.
  • the control unit 51 calculates the state of the tablets contained in the medicine package 81 without calculating the total of the remaining medicine information. Store it as it is. For example, when one pill and 0.5 tablet (half tablet) are packed in a medicine pack 81 as a medicine of a certain resident, and the medicine pack 81 remains three times, the data storage unit 52 , Information of 1.5 tablets ⁇ 3 instead of 4.5 tablets is stored as the remaining medicine information.
  • the resident in the medicine distribution support system 100, as shown in the resident master (see FIG. 15) and the resident registration screen (see FIG. 17), the resident can be classified into a plurality of groups. is there.
  • the control unit 51 displays the resident list screen 211 for each group.
  • FIG. 24 is a diagram showing an example of a resident list screen 211 when each resident is displayed for each group.
  • the resident list screen 211 shown in FIG. 24 tabs corresponding to each group are displayed.
  • a list of residents belonging to the group of the tab is displayed.
  • the display mode of the resident shown in FIG. 23 is the same as that of the resident list screen 211, and the description thereof will be omitted.
  • the control unit 51 indicates the code read by the mobile terminal 6 or the reading terminal 7. It is conceivable to display the resident list screen 211 corresponding to the group.
  • the control unit 51 includes the group of the tab selected on the resident list screen 211 in FIG. 24 and the group indicated by the code read from the medicine box by the portable terminal 6 or the reading terminal 7. It is possible to collate whether or not and match, and when the matching result does not match, a configuration that can notify that fact is also conceivable.
  • step S85 the control unit 51 waits for selection of a resident to be taken (S85: No side). If it is determined that a resident has been selected (S85: Yes side), the process proceeds to step S86.
  • control unit 51 determines that a resident is selected when an operation for selecting a resident on the resident list screen 211 is performed by the operation unit 55 or the operation unit of the portable terminal 6. to decide.
  • control unit 51 receives a code such as a name tag, a wristband, or a one-dimensional code or a two-dimensional code attached to the medicine package 81 owned by a resident by the portable terminal 6 or the reading terminal 7.
  • a code such as a name tag, a wristband, or a one-dimensional code or a two-dimensional code attached to the medicine package 81 owned by a resident by the portable terminal 6 or the reading terminal 7.
  • the control unit 51 can collate the tenant selected on the tenant list screen 211 with the tenant indicated by the code read by the mobile terminal 6 or the reading terminal 7, and the collation result If there is a mismatch, a configuration that can notify that is also conceivable.
  • step S85 when the menu key on the resident list screen 211 is operated, the control unit 51 performs the medicine distribution start operation to display the display device 54 or the portable terminal 6. Return to the previous menu screen. In addition, when the return key is operated, the control unit 51 returns the display of the display device 54 or the mobile terminal 6 to the initial screen 210.
  • step S86 the control unit 51 causes the display device 54 or the display unit of the portable terminal 6 to display a resident confirmation screen 213 for confirming the resident determined to have been selected in step S85. Specifically, the control unit 51 displays the resident information, information on medicines to be taken, and the like based on the resident master and the medicine distribution data stored in the master storage unit 521. To display.
  • FIG. 25 is a diagram showing an example of the resident confirmation screen 213.
  • the resident confirmation screen 213 As shown in FIG. 25, in the resident confirmation screen 213, the resident's name, face image (photograph), and comment are displayed as the resident information. In addition, on the resident confirmation screen 213, usage and medicine information is displayed in the distribution data. Thereby, the person in charge of medicine distribution can easily grasp the suitability of the residents and medicines to be medicines.
  • a confirmation key, a cancel key, and an unused key are displayed.
  • the confirmation key is an operation key for inputting that the resident has confirmed that it is appropriate.
  • the cancel key is an operation key for canceling the resident selection and returning the display on the display device 54 or the mobile terminal 6 to the resident list screen 211.
  • the non-medicine key is an operation key for inputting the reason for non-medication when the resident does not take the medicine and completing the medicine without taking the medicine.
  • the drug distribution confirmation data is a part or all of the prescription data itself, it may be impossible to grasp the contents of the medicine (for example, packaging state) after actually dispensing.
  • the control unit 51 may omit displaying medicine information on the resident confirmation screen 213.
  • the data storage unit 52 stores a drug master including the side effect related information on the side effects to be noted for each drug
  • the resident confirmation screen 213 stores the side effect related to the drug taken by the resident. Information may be displayed.
  • the control unit 51 may access the dispensing support device 1 through the network N1 and display the side effect related information of the drug by referring to the medicine master stored in the dispensing support device 1. Conceivable. Thereby, the person in charge of the medicine can easily grasp the matters to be careful about the state of the resident with reference to the side effect related information at the time of the medicine to the resident, for example, the abnormality of the resident Etc. can be detected early.
  • the taking time code may be displayed instead of the character indicating the taking time or together with the taking time.
  • the person in charge of medicine distribution can easily check the medication time by referring to the medication time code when the medication time code is also printed on the medicine package 81.
  • the status information regarding the resident's medication (“unmedicated”, “medicine completed”, “going out”, “unmedicated”, “no self-management confirmation”, “self-management”) "Unconfirmed”, “Self-confirmed confirmed”, "Working", “Unable to take medication", “In hospital”, etc.) may be displayed.
  • the medicine master includes medicine image data such as a photograph of each medicine
  • the control unit 51 can display the medicine image data on the resident confirmation screen 213.
  • step S87 the control unit 51 waits for a confirmation operation (S87: No side). If it is determined that the confirmation operation has been performed, the process proceeds to step S871. If the confirmation operation has not been performed, the process proceeds to step S88.
  • control unit 51 determines that the confirmation operation has been performed when the confirmation key on the resident confirmation screen 213 is operated. At this time, the control unit 51 displays an input screen for inputting a resident ID according to the operation of the confirmation key, and displays the resident ID input on the input screen on the resident confirmation screen 213.
  • a configuration is also conceivable in which it is possible to collate with a resident ID corresponding to a resident who is informed, and to notify the fact when the collation result is inconsistent. For example, when the collation results do not match, the control unit 51 displays an error message on the display device 54 or the mobile terminal 6 and then returns the display screen to the resident list screen 211.
  • control unit 51 displays an input screen for inputting a resident ID in accordance with the operation of the confirmation key before displaying the resident confirmation screen 213 in the step S86. It is also conceivable to collate the entered resident ID with the resident ID corresponding to the resident selected in step S85. In this case, if the collation result is coincident, the control unit 51 shifts the processing to step S86 to display the resident confirmation screen 213, and notifies that fact when the collation result is inconsistent. Can be considered. Similarly, in the configuration in which the control unit 51 collates the tenant selected on the tenant list screen 211 with the tenant indicated by the code read by the portable terminal 6 or the reading terminal 7, It can be considered that the resident confirmation screen 213 is displayed after it is confirmed that the collation results are the same.
  • control unit 51 reads the code 811 attached to the medicine package 81 by the mobile terminal 6 or the reading terminal 7, and the resident indicated by the code 811 is displayed on the resident confirmation screen 213. It is also conceivable to determine that the confirmation operation has been performed when it coincides with a resident who has been admitted. If the tenants do not match, the control unit 51 displays an error message on the display device 54 or the portable terminal 6 and then returns the display screen to the tenant list screen 211. By the way, in order to thoroughly check the reading of the medicine package 81 by the portable terminal 6 or the reading terminal 7, it is possible to omit the display of the confirmation key on the resident confirmation screen 213 as another embodiment.
  • step S871 the control unit 51 causes the display device 54 or the portable terminal 6 to display a message prompting the resident to start medication. Then, the person in charge of medicine distribution distributes the medicine package 81 to the resident. In addition, it is also conceivable that information indicating whether or not the tenant management screen is self-managed as the tenant management category is displayed. Thereby, the person in charge of medicine distribution can easily determine the management classification of the resident at the time of medicine distribution of the medicine package 81.
  • Step S872> the control unit 51 associates the medicine distribution data stored in the medicine distribution data storage unit 523 with the result of medicine distribution to the resident displayed on the resident confirmation screen 213. "Medication complete" is recorded, and the process returns to step S81. Thereby, when the resident list screen 211 is displayed next, the resident's name is displayed in a display mode indicating that no medication is required for the time when the medication has already been taken.
  • the process for accepting the confirmation operation as an input operation for completing the medication of each resident is performed by the medication completion input unit 515. Note that the step S87 may be omitted.
  • step S88 the control unit 51 waits for an operation of the non-taking key (S88: No side).
  • the process proceeds to step S881, and if the non-administration key has not been operated, the process proceeds to step S89.
  • the control unit 51 may display a confirmation message such as “Can I take it?” When the non-taken key is operated.
  • step S881 the control unit 51 pops up on the resident confirmation screen 213 a non-medicine input screen 214 for inputting the reason for non-medicine that the resident did not take medicine.
  • the reason for non-medication input in the non-medicine input is stored in association with the drug distribution data stored in the drug distribution data storage unit 523.
  • the reason for not taking medication is entered by displaying a list of pre-registered reasons for taking medication and selecting the reason for not taking medication.
  • the reason for not taking the medicine can be input by selecting from a plurality of predetermined candidates displayed in a pull-down format.
  • control unit 51 associates the drug distribution data stored in the drug distribution data storage unit 523 with the result of the drug distribution to the resident displayed on the resident confirmation screen 213 as “untreated drug”. Record Completed. Accordingly, when the resident list screen 211 is displayed next time, the name of the resident is displayed in a display mode indicating that no medication is required for the time of taking the reason for not taking medication already entered. Will be.
  • FIG. 27 is a diagram illustrating an example of a schedule input screen 215 for inputting a plan of a resident who has not taken medication.
  • a schedule input screen 2115 for inputting a plan of a resident who has not taken medication.
  • an arbitrary schedule is selected by operating the operation device 55 or the portable terminal 6, a pre-registered dosing time is selected, and the reason for not taking the drug is shown. Entered.
  • FIG. 27 shows a state in which March 12-14, 2014 is selected on the schedule input screen 215.
  • control unit 51 When the non-medicine schedule is input in this way, the control unit 51 omits the non-medicine reason input process in step S881 when the non-medicine key is operated (S88: Yes side). Then, it is conceivable to display information on an already registered schedule that has not been taken. In addition, when an unscheduled schedule has been input, the control unit 51 displays the fact that the medicine has not been taken on the resident list screen 211, thereby omitting the confirmation work of the resident. It is possible to make it.
  • step S882 the control unit 51 sets the medicine that the resident should have taken as the remaining medicine information regarding the remaining medicine that the resident has not taken, which is displayed on the resident confirmation screen 213. Information is output together with the resident information (such as drug distribution data). This processing is executed by the remaining medicine information output unit 516.
  • the control unit 51 outputs the remaining medicine information to the communication interface 53, and transmits the remaining medicine information to the dispensing support device 1 through the network N2 such as the Internet. Can be considered.
  • the remaining medicine information can be transmitted to the dispensing support device 1, the method is not limited to this.
  • the control unit 51 may record and output the USB memory 19 via the USB port 58. Conceivable.
  • a doctor or a pharmacist can refer to the said remaining medicine information at the time of the prescription of the next chemical
  • the remaining medicine information is also stored in the data storage unit 52. Thereby, it becomes possible to refer to the remaining medicine information also in the medicine distribution support device 5 or the portable terminal 6.
  • step S89 the control unit 51 waits for an operation of the cancel key (S89: No side). If it is determined that the cancel key has been operated (S89: Yes side), the process proceeds to step S84, and the resident list screen 211 is displayed again. If the cancel key is not operated (S89: No side), the process proceeds to step S87.
  • the drug distribution support device 100 executes the drug distribution support device 5 by providing the drug distribution data from the dispensing support device 1 to the drug distribution support device 5. It is possible to realize display and operation in consideration of the drug distribution data in the collating process at the time of drug distribution. Thereby, while it becomes possible to perform the medicine distribution work to the tenant by the person in charge of medicine distribution efficiently, the medicine person in charge of medicine distribution can be suppressed.
  • the following other functions can be realized by providing the drug distribution data to the drug distribution support device 5.
  • control unit 51 can arbitrarily input the health status or side effect status of the resident on the resident confirmation screen 213.
  • the control unit 51 can input a plurality of predetermined items in a pull-down format in consideration of the display space of the resident confirmation screen 213.
  • the control unit 51 may narrow down and display side effect candidates corresponding to medicines taken by the resident based on the side effect related information and the medicine distribution data. Thereby, the side of the old health facility B can easily input the side effect by selecting from the candidates.
  • control unit 51 displays an input start key such as the health status or side effect status of the resident on the resident confirmation screen 213, and the resident confirmation screen 213 displays the input start key according to the operation of the input start key. It is also conceivable to display the side effect information input screen 216 in a pop-up.
  • FIG. 28 is a diagram showing an example of the side effect information input screen 216.
  • the control unit 51 when a predetermined operation for inputting side effect information is performed on a menu screen or the like different from the resident confirmation screen 213, the control unit 51, as shown in FIG.
  • the side effect information and the comment are displayed on the resident status screen 217, and when the side effect information input operation is performed on the resident status screen 217, the side effect information input screen 216 is displayed in a pop-up. Is also possible.
  • the side effect information input screen 216 is also used for inputting arbitrary comment information in advance for each resident.
  • the control unit 51 stores the side effect information in the data storage unit 52. It can be considered that the communication interface 53 transmits the information to the dispensing support device 1.
  • the side effect information is recorded on a recording medium such as the USB memory 19, and the USB memory 19 is connected to the dispensing support device 1 or the upper system (not shown) or the like, so that the dispensing support device 1 or the It is also conceivable that the side effect information is input to a host system (not shown) or the like.
  • control unit 51 can identify and display a suspected drug that is likely to cause a side effect that is expressed based on the side effect information and the side effect related information.
  • the medicine master includes medicine image data such as a photograph of each medicine
  • the control unit 51 displays the medicine image data of the suspected medicine on the resident confirmation screen 213. Is also possible. Thereby, for example, an artificial mistake when extracting the suspected drug from the medicine pack 81 in which a plurality of medicines are packaged is suppressed.
  • the pharmacy can easily grasp information such as the health status or side effect status of the resident.
  • the side effect information can be transmitted to the host system (not shown) by the control unit 11.
  • the doctor prescribing the resident's medicine can also refer to the side effect information in the host system (not shown), and the hospital (doctor), pharmacy (pharmacist), and health facility (in charge of drug distribution) Medical system in close cooperation.
  • the side effect information can be referred to by the dispensing support device 1 or the host system (not shown), for example, a pharmacist can use the side effect information at the time of dispensing based on the next prescription data of the resident. On the basis of it, it is possible to dispense with the dispensing of certain chemicals.
  • the said control part 11 automatically excludes the chemical
  • the control unit 11 in the dispensing support device 1 it is also conceivable to identify the medicine and the remaining amount that have not been taken based on the above, and to generate the packaging data by excluding the remaining amount from the prescription amount of the medicine that has not been taken at the next generation of the packaging data.
  • the pharmacist at the pharmacy A side refers to the side effect information displayed on the dispensing support device 1 and informs the doctor of the suspected drug that may cause the side effect, and inputs a new prescription.
  • a medicine distribution box that accommodates the medicine package 81 corresponding to each time of taking is provided, and a medicine distribution box that can be opened and closed for each container is connected to the medicine distribution support device 5 and used. It is possible.
  • the control unit 51 controls the opening and closing of each of the storage units in the medicine distribution box based on the medicine distribution data so that the medicine corresponding to the medicine timing cannot be taken out unless the medicine time comes. It is possible to do. Thereby, the medicine distribution mistake with respect to the said resident
  • FIG. 30 to FIG. 33 are diagrams showing examples of history screens that can be displayed by the medication history display function.
  • the control unit 51 displays a history screen 218 shown in FIG. 30 when a predetermined operation for displaying a medication history is performed in a state where the menu screen is displayed on the display device 54 or the like.
  • the medication result of each resident is displayed on a daily basis.
  • a mark “ ⁇ ” indicates medication
  • a “ ⁇ ” mark indicates that some medications have not been taken
  • a “ ⁇ ” symbol indicates medications that have not been taken.
  • the said partial non-medication shows the state in which the medication and the non-medication are contained in a plurality of taking times included in one day.
  • the partial non-medicine means that one or two dose periods of morning, noon, and evening are not taken when three doses of morning, noon, and evening are included in one day. This is the case.
  • the control unit 51 In the history screen 218, it is conceivable to display a schedule of necessity of taking corresponding to each patient.
  • the medicine distribution data or the prescription data is input from, for example, the dispensing support device 1, read from the USB memory 19, or read from the medicine package 81.
  • the control unit 51 displays a diamond-shaped mark or the like that is set in advance in order to indicate that it is necessary to take a dose in a column corresponding to a date that needs to be taken.
  • a schedule that does not need to be taken such as a resident's going-out plan or a plan to stay overnight
  • the control unit 51 displays a history screen 219 shown in FIG. 31 instead of the history screen 218.
  • the history screen 219 shown in FIG. 31 the history of each medicine taken by the selected resident is displayed on a daily basis.
  • a display field of “other information” is provided at the bottom.
  • “ ⁇ ” is displayed on the day when information such as information on remaining medicine or information on side effects is recorded. Is described.
  • the control unit 51 selects the area where “ ⁇ ” is written in the “other information” display field, or the operation pointer of the operation device 55 or the mobile terminal 6 is displayed in the area. In the case where it exists, it may be possible to display information such as residual drug information or side effect information corresponding to the display column in a pop-up.
  • the control unit 51 displays a history screen 220 shown in FIG. 32 instead of the history screen 219.
  • the history screen 220 shown in FIG. 32 the history of each medicine taken by the selected resident is displayed in units of taking time.
  • the history screen 220 also displays a display column of “other information” as in the history screen 219.
  • the control unit 51 displays the information of the remaining medicine. It is conceivable to read out from the medicine distribution data storage unit 523 and display it on the history screen 221 shown in FIG. In the history screen 221 shown in FIG. 33, “2 tablets” is shown as the remaining drug status of the medicine M1, and “1.5 tablets ⁇ 3” is shown as the remaining drug status of the medicine M2. Here, it may be possible to display “4.5 tablets” which is the calculation result of 1.5 tablets ⁇ 3 as the remaining drug status of the medicine M2, but the control unit 51 determines the dosage form of the medicine M2. In consideration, “1.5 tablets ⁇ 3” is displayed.
  • the remaining medicine of the medicine M2 is not a total of 5 tablets of 4 tablets and 0.5 tablets, but a total of 6 tablets of 1 tablet and 0.5 tablets, for example, the following prescription data It is possible to easily determine whether or not to use it as a prescription drug included in. For this reason, in the medicine distribution support device 5, the control unit 51 manages the remaining amount of medicine in the remaining medicine information of each resident's medicine in the state at the time of dispensing, and similarly to the dispensing assistance device 1. The remaining drug information is transmitted.
  • FIG. 34 to FIG. 35 are diagrams showing an example of a medication schedule screen that is displayed when the medication distribution data is input.
  • FIG. 36 is a view showing an example of a series of the medicine packs 81 in which the medicine inspection code is printed on the first medicine package 81.
  • a two-dimensional code is printed as the drug detection code on the first medicine pack 81, and the code indicating the first medicine distribution information is displayed on the second and subsequent medicine packs 81.
  • a one-dimensional code is printed as 811.
  • the drug inspection code includes pre-determined information necessary for drug inspection of the medicine package 81 and drug distribution data such as a tenant ID, a tenant name, a start date of taking, an end date of taking, and a taking time code. included.
  • the dosing time code is a number or symbol indicating the dosing time (before breakfast, after breakfast, before lunch, etc.) that needs to be taken between the start date of taking and the end date of taking. That is, here, the medicine distribution data corresponding to each resident is sequentially obtained by reading the drug inspection code of the first or last medicine pack 81 of the series of medicine packs 81 corresponding to each resident. It is assumed that it is input to the medicine distribution management device 5.
  • the series of medicine packs 81 are delivered as they are from the pharmacy A side to the health facility B side, or the medicine packages 81 are individually separated from the pharmacy A side to the health facilities. Delivered to B side.
  • the said control part 51 when the said medicine distribution data is read from the said test
  • the corresponding medication schedule of the resident is registered in the data storage unit 52.
  • the control unit 51 may display a dosing schedule screen 222 for confirming that the medicine distribution data has been read on the reading terminal 7 or the display device 54 that has read the medicine distribution data. Conceivable. Further, the dosing schedule screen 222 is displayed on the portable terminal 6 and the reading terminal 7 even when a predetermined user operation for confirming a medication schedule is performed on the portable terminal 6 and the reading terminal 7 or the like. Is displayed.
  • FIG. 34 is a diagram showing an example of the dosing schedule screen 222.
  • the resident ID, occupant name, and start of taking corresponding to the medicine distribution data read from the medicine pack 81 at the end are displayed.
  • the date, the end date of taking, etc. are displayed.
  • the medication schedule screen 222 displays a list of the medicine distribution data corresponding to one or a plurality of residents already read and stored in the data storage unit 52 in the lower part.
  • a medication detail screen 223 that displays details of the medication schedule corresponding to the medication data is displayed. .
  • the said control part 51 can also delete the medication schedule corresponding to the said medicine distribution data, when the said specific medicine distribution data is selected and the deletion key is operated. Further, the information displayed on the upper part of the dosing schedule screen 222 may be switched to information corresponding to the selected medicine distribution data according to the selection of the medicine distribution data on the lower part of the dosing schedule screen 222. .
  • FIG. 35 is a diagram showing an example of the dosing detail screen 223.
  • the resident ID, resident name, medication start date, medication end date, etc. of the resident corresponding to the read medicine distribution data are displayed on the upper row. Is displayed.
  • the scheduled dosage date and timing from the medication start date to the medication end date corresponding to the medicine distribution data corresponding to one resident are displayed.
  • the control unit 51 automatically, based on the medicine distribution data, according to an alarm condition set in advance for each occupant's dosing time corresponding to the medicine distribution data.
  • the alarm setting process for setting the alarm time is executed.
  • the said control part 51 when performing the process which concerns here is an example of an alarm setting means. Specifically, as the alarm condition, the alarm time corresponding to the taking time “after lunch” is “13:00”, the alarm time corresponding to the taking time “between lunch” is “15:00”, and the taking time “before dinner”. It is conceivable that the corresponding alarm time is “18:00”.
  • the alarm time corresponding to the taking time “after lunch” is “12:30”
  • the alarm time corresponding to the taking time “between lunch” is “15:00”
  • the control unit 51 urges the taking of the taking time, etc. Is displayed on the portable terminal 6, the reading terminal 7, or the display device 54 of the medicine distribution support device 5 or the like.
  • the said control part 51 when performing the process which concerns here is an example of an alarm alerting
  • the content of the alarm notification process is not limited to display, but may be notification by voice, for example.
  • the control unit 51 displays a list of patients whose dosing completion has not been input, or displays a message or the like in order for each patient whose dosing completion has not been input. It is possible.
  • the control unit 51 displays a “x” mark in a column corresponding to the non-dosing time. For example, the control unit 51 does not need to take the code information 811 corresponding to the dosing time within a predetermined time after execution of the alarm notification process or when the code information 811 corresponding to the dosing time is not read. When a certain operation is performed, it is determined that the dose at the dose time has not been taken.
  • the said control part 51 moves a drug distribution object in order in the state in which the list of the patients whose dosing completion is not input is displayed, it respond
  • the code information 811 it may be determined that the current patient to be dispensed has not been taken.
  • the said control part 51 moves a drug distribution object in the state where the list of patients is displayed, when the said code information 811 corresponding to the patient of the current drug distribution object is read, the said patient's list is displayed. It is determined that the dose has been taken, and the next patient is selected as a drug distribution target.
  • control unit 51 sequentially displays a message or the like for each patient for which the completion of taking is not input, the code information 811 corresponding to a patient different from the patient corresponding to the currently displayed message or the like. It is also possible to determine that the patient corresponding to the displayed message or the like has not been taken.
  • control unit 51 displays messages corresponding to each patient in order, when the code information 811 of the patient corresponding to the currently displayed message or the like is read, the patient is taken. The message or the like corresponding to the next patient is displayed.
  • Dispensing support device 11 Control unit 12: Data storage unit 2: Reading terminal 3: Drug packaging device 31: Control unit 32: Packaging printer 4: Printer 5: Drug distribution support device 51: Control unit 52: Data storage Unit 6: portable 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

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Toxicology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Management, Administration, Business Operations System, And Electronic Commerce (AREA)
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