KR100847400B1 - Medication packing apparatus - Google Patents

Abstract

Appropriate automatic packaging of drugs with uneven distribution The storage means 4 associates the drug effect with the drug data of the prescription data, and stores the uneven division amount corresponding to the difference of the drug effect. Then, the control means 5 retrieves the uneven division amount corresponding to the drug efficacy associated with the drug data from the storage means 4 based on the drugs included in the prescription data, and divides and packs the corresponding drugs according to this uneven division amount. .

Medication, Split Package, Prescription Data, Drug Code, Prescription.

Description

Pharmaceutical split packaging device {MEDICATION PACKING APPARATUS}

BRIEF DESCRIPTION OF THE DRAWINGS The block diagram which shows the apparatus structure of the chemical | medical agent division packaging apparatus which concerns on this embodiment.

FIG. 2 is a table showing the contents of the medicine master file in the storage device of FIG. 1; FIG.

FIG. 3 is a table showing the contents of a medicine master file in the memory device of FIG. 1; FIG.

FIG. 4 is a table showing the contents of a usage master file in the storage device of FIG. 1; FIG.

FIG. 5 is a table showing the contents of storage of an unevenly divided master file in the storage device of FIG. 1; FIG.

FIG. 6 is a flow chart showing the treatment of the drug divided packaging in the central processing unit of FIG.

FIG. 7 is a diagram showing a screen of "audit input of prescription data" displayed on the display device of FIG. 1; FIG.

FIG. 8 is a table showing the stored contents of prescription data in the central processing unit of FIG. 1; FIG.                 

FIG. 9 is a flowchart showing a determination process of the dose timing division amount of FIG. 6; FIG.

FIG. 10 is a flow chart showing a determination process of the uneven division amount in FIG. 9; FIG.

* Description of the symbols for the main parts of the drawings *

1: Pharmaceutical division packaging apparatus device 2: Display device

3: input device 4: storage device

5: central processing unit (CPU) 6: host computer

9: pharmaceutical packaging

The present invention relates to solid preparations, such as tablets and capsules, such as tablet splitting machines used in medical facilities such as hospitals and pharmaceuticals, and powdered splitting machines equipped with tablet water dispensers. The present invention relates to a drug dividing packaging device for dividing the drug of step iv) and packaging in dividing wrapping paper.

Conventionally, in the input device of the chemical | medical agent division packing machine, the division ratio and division amount for every administration time are memorize | stored for every chemical | medical agent, and displaying the division amount for every administration time when inputting a chemical | medical agent name is performed.

For example, in Japanese Patent Application Laid-Open No. 63-48485, the dose ratio for each number of times of the medicine is stored by storing the division ratio for each dose for each medicine, and inputting the drug name and daily dose of the medicine to be prescribed. The input device of the medicine split packaging machine is set so that it can be set.

In addition, Japanese Unexamined Patent Publication No. 4-17148 discloses the standard daily dose of each drug and the division ratio for each dose, and enters the drug name of the drug to be prescribed. Disclosed is an input device for a drug delivery packaging machine which displays a dosage.

However, in the case of solid preparations such as tablets and capsules in the prescription data, the daily dose may not be divided by the number of doses (division) per day. Also in the same medicine, the prescription data may include various usage data such as "morning and evening meals" and "morning, lunch and evening meals".

However, in the above-mentioned drug division packaging machine, the division ratio for each dose is corresponded to each drug. For this reason, as the number of drugs increases, more split ratio data must be registered, and the burden on maintaining the normal state of data in actual operation is great. In addition, when two or more types of usage data exist in the same medicine, it is impossible to make it the structure which can determine a split ratio automatically. That is, since the dosage is determined for each time of administration for different drugs, it is impossible to automatically set a plurality of split ratios for the same drug. In addition, depending on the difference in the daily prescription amount, it may not be possible to automatically determine the dose at each dose time only by calculation based on the split ratio.

In addition, in a pharmacy, there is a request that a pharmacist wants to audit when the divided amount becomes uneven at each taking time, but it is impossible to cope with this in the medicine divided packaging machine.

Therefore, the present inventors have focused on the fact that, even if the types of drugs are different, the drug efficacy is the same, so that the pattern of the divided amount is the same every time of taking, thus creating the present invention. That is, an object of the present invention is to provide a drug dividing packaging apparatus capable of simply and automatically packaging a drug having an uneven amount of dividing.

The present invention provides a drug dividing packaging apparatus for dividing and packaging various drugs based on prescription data as a means for solving the above problems.

Memory means for associating a drug code representing the drug's active ingredient with the drug data, and storing the drug code associating and storing the drug code with an uneven division code indicating an uneven division amount that is divided unevenly every time the drug is taken;

Based on the drug data contained in the prescription data, an uneven division code corresponding to the drug code associated with the drug data is called out from the storage unit, and the corresponding drugs are divided according to the uneven division amount indicated by the uneven division code. It is set as the structure provided with the control means to package.

Here, an unevenly divided amount means the amount which divided | divided the dose (daily dose) unevenly by every taking time corresponding to a usage pattern.

With this configuration, the uneven division amount can be collectively stored for each drug effect, and it becomes easy to maintain the normal state of data.

The storage means stores the uneven division code in association with a usage pattern indicating a pattern specifying a time of taking a medicine,

It is preferable that the said control means acquires an uneven division code based on the drug data and usage pattern data contained in prescription data, and determines the uneven division amount.

Here, a usage pattern means the pattern of the flag row which designates which time of taking time.

According to this configuration, even when there are two or more types of usage data in the same medicine, or even when the daily dose is different, an uneven divided amount can be stored in the storage means correspondingly. Can be determined.

The medicine split packaging apparatus further comprises a display means,

It is necessary if the control means determines whether an uneven division occurs based on the dose and usage pattern included in the prescription data, and if it is determined that an uneven division occurs, displaying the determined uneven division amount on the display means. It is preferable at the point that it becomes possible to perform audit | inspection by a pharmacist only at the time.

EMBODIMENT OF THE INVENTION Hereinafter, embodiment which concerns on this invention is described by drawing.

1 shows a chemical | medical agent division packaging apparatus which concerns on this embodiment. The medicine split packaging apparatus includes a medicine split packaging apparatus 1, a display device 2 such as a liquid crystal display or a CRT display, an input device 3 such as a keyboard mouse, a touch panel, a hard disk, a flash memory, or the like. The storage device 4 is provided, and is controlled by a central processing unit (CPU) 5 as the whole medicine dividing packaging device. The host computer 6 is connected to the central processing unit (CPU) 5.

The chemical | medical agent division packaging apparatus 1 is equipped with the chemical | medical agent supply part 7, the chemical | medical agent sorting part 8, and the chemical | medical agent packaging part 9, and divides | divided many and many chemical | medical agents at the time of ingestion into divided | segmentation wrapping paper Pack it.

The medicine supply part 7 supplies the chemical | medical agent packaging part 9 the designated number of chemical | medical agents among the several chemical | medical agent supply parts installed for every chemical | medical agent. The chemical | medical agent sorting part 8 sorts by hand the number of chemical | medical agents required for the division container corresponding to every package of a chemical | medical agent package, and supplies it to the chemical | medical agent packaging part 9. The chemical | medical agent packaging part 9 drops the chemical | medical agent supplied for each taking time from the chemical | medical chute with the heat-seal | segmented split | package wrapping paper (packaging sheet) which was taken out from the split-packaging roll, and opens the vertical and horizontal sides of a split wrapping paper. It is fusion-sealed and continuously forms the divided package which packaged the chemical | medical agent.

The display apparatus 2 and the input apparatus 3 are used for the operation input of the whole chemical | medical agent division packaging apparatus, input of prescription data, and data input of various files.

The central processing unit (CPU) 5 incorporates a memory (RAM) 10 for temporarily storing various data. The memory 10 is used for a prescription data memory for storing prescription data, a working memory for processing, and the like. In addition, the central processing unit (CPU) 5 incorporates a control program (ROM) 11 for controlling the entire medicine division packaging apparatus.

The storage device 4 stores various data such as a drug master, a drug efficacy master, a usage master, an uneven division master, an uneven display flag, and the like as a file.

The drug master file is a data file for registering various data for a drug by drug code, and is required for operating the drug dividing packaging apparatus, and the contents thereof are as shown in FIG. In addition, the data of the medicine master file is inputted by the keyboard and mouse on the registration screen of the medicine master started from the menu screen (not shown because only the start buttons are in parallel) (not shown because of the same screen configuration as the file structure). do. In FIG. 2, a drug code is a code unique to each drug, and a code shortened from a drug abbreviation is used from the drug's abbreviation so as to be easily input by a pharmacist. For example, in the case of capsule D, "cafcete" obtained from the poisoning "cafceru dai" is used as a code | cord | chord. A drug name is a name of a drug, and a unit is a name of the unit at the time of preparing a drug. For the unit, for example, CAP for "capsules" and T for "positive" are used. A drug efficacy code is a drug efficacy classification code containing a drug, ie, a drug efficacy code in a drug efficacy master file (FIG. 3). The medicine supply number is the number of the medicine supply which accommodates the medicine to be divided and packaged automatically. Drugs for which the drug supply number is not set are sorted by hand in the drug classification unit 8 and dividedly packaged. For example, Tablet E is a drug that can be classified by hand.

A drug efficacy master file is a data file which registers various data regarding drug classification of a drug for every drug efficacy code, and the content is as shown in FIG. The data of the drug master file is input using a keyboard and mouse on the registration screen of the drug master activated from the menu screen (not shown) (not shown because of the same screen structure as the file structure). In FIG. 3, the drug efficacy code is a code unique to each drug classification, and a code other than the intermediate classification 87 (pharmaceutical product) of the Japanese standard product classification number is used here. Drug name is the name of the drug. An uneven split code is a code for distinguishing a drug included in a drug in an uneven split, that is, an uneven split code in an uneven split master file (FIG. 5).

The usage master file is a data file for registering various data for the usage for each usage code, and the contents thereof are as shown in FIG. The usage is used within the prescription data (FIG. 8). Data of this usage master file is input using a keyboard and mouse on the registration screen of the usage master (not shown because the screen configuration is the same as the file configuration) that is started from a menu screen (not shown). In Fig. 4, the usage code is a code unique to each usage, and the usage name means the name of the usage, and the division number means the division number per day. The divided water is used as the divisor in the case of calculating the divided amount according to the taking period from the dose (daily dose). Usage pattern designates when to take at the time of taking of "weather time", "morning", "lunch", "evening", "before bedtime", "night", "7 times" and "eight times" It is a pattern of the flag column to say, "do not use" is 0, and "use" is 1.

The uneven division master file is a data file that registers various data for acquiring an uneven division amount for each taking period from an uneven division code, a usage pattern, and a dose (daily dose), and the contents of the storage are as shown in FIG. . The data of this uneven division master file is input using a keyboard / mouse on the registration screen of the uneven division master (not shown since the screen configuration is the same as the file configuration) that is started from the menu screen (not shown). In Fig. 5, an uneven split code is a code for dividing a method of unevenly dividing a drug. Here, "splitting to maintain blood concentration such as a gout treatment drug and an antibiotic drug" = 102 (morning and evening), 110 (Morning, lunch, and evening), "divided to increase the morning dose, such as diabetes, anti-Parkinson's" = 210, "divided to increase the evening dose, such as bronchodilators, antiepileptics, etc." = 310 . The usage pattern designates when to take at the time of taking in "weather", "morning", "lunch", "evening", "before bedtime", "night", "seven times" and "eight times" It is a pattern of the flag column to say, "do not use" is 0, and "use" is 1. A dose (daily dose) is a dose of a drug (daily dose). An unevenly divided amount is an amount which is divided unevenly every dose time corresponding to a usage pattern.

The inequality display flag file is set so that a pharmacist can be audited by displaying the "audit input of prescription data" screen (FIG. 7) when a drug inequality division occurs in the processing of prescription data (FIG. 8). This is a data file for registering flags (not shown because of one flag). The meanings and values of the flags are "not displayed" = 0 and "displayed" = 1. In addition, the data of this uneven display flag file is input using a keyboard mouse on the registration screen (not shown) of the uneven display flag started from a menu screen (not shown).

The host computer 6 connects to the central processing unit (CPU) 5 in the case of drug division packaging using prescription data. The host computer 6 includes a prescription ordering system of a hospital, a hospital host on which a doctor accounting system operates, a medical office (receipt) computer of a pharmacy, and the like.

As shown in Fig. 8, the stored contents of the prescription data are composed of data on the patient (patient part) and data on the prescription (prescription part). In the patient department, patient number, patient name [Kana], patient name (kanji), sex, date of birth, age, prescription date, preparation date, medical institution code, outpatient / hospital code, exchange number, medical department code, doctor code , Ward code, room number, and prescription code. In the prescribing unit, medication / dose codes, doses / days, dividing numbers, usage patterns, and dose period dividing amounts are set for each prescription No., respectively. The usage pattern is obtained from the usage master file (Fig. 4) using the usage code as a search key. Fig. 8 shows an example of the usage code “301”. The division number “3” and the usage pattern “01110000” are obtained from the corresponding record of the usage master file (FIG. 4), and the same prescription No in the prescription data. It is written in drug data (row data) of.

As other data to be stored in the storage device 4, various masters for storing related information when inputting prescription data, for example, patient master, medical institution master, medical department master, doctor master, ward master, prescription classification master, etc. There is this. Since these various masters are masters of a simple structure, such as storing codes, names, and the like, the drawings are omitted.

In addition, the display device 2, the input device 3, the central processing unit (CPU) 5, and the storage device 4 may be constituted by a personal computer. In addition, a hardware device is not limited to these, A kind and a number can be set arbitrarily.

In addition, since the prescription data can be input only by the chemical | medical agent division packaging apparatus, the host computer 6 is not necessarily required.

The storage device 4 is an independent file / database server device (CPU built-in), and the display device 2, the input device 3, and the central processing unit (CPU) 5 are client terminals. And a client / server configuration such as connected via a network (LAN).

Next, operation | movement of the said chemical | medical agent division packaging apparatus is demonstrated.                     

First, the chemical | medical agent division packaging process is started according to the flowchart of FIG. The chemical | medical agent division packaging process is started from the menu screen which is not shown in figure, and as shown in FIG. 7, the display apparatus 2 displays the "prescription data audit input" screen on the display / input field below the "patient number" column. The initial display is made empty (step S1).

Next, it is determined whether there is a request for receiving prescription data from the host computer 6 (step S2). If there is a request for receiving prescription data, the prescription data (FIG. 8) is received from the host computer 6 and written in the memory 10 (step S3). Prescription data is displayed in each column of the "audit input of prescription data" screen (FIG. 7). Since the prescription data is composed of only various codes in order to reduce the amount of data, when displaying the contents of the prescription data, name data is read-processed from various master files using the various codes as search keys.

Here, the display content of prescription data (FIG. 8) in each column of the "audit input of prescription data" screen (FIG. 7) is demonstrated concretely. That is, on the preparation date, the date of the present day that the calendar clock built in the central processing unit (CPU) elapses is displayed. The age is indicated by the date of birth and the date calculated from today's date. On the prescription date, indicate the date the doctor issued the prescription. In the medical institution, medical department, doctor, ward, and prescription classification, name data is read and displayed from various master files corresponding to each code (for example, if the medical department is code "01", it is displayed as "internal medicine"). The outpatient / hospitalization code ("outpatient" = 1, "hospitality" = 2) displays the patient's classification code. In the case of an outpatient, the exchange number shall be delivered in advance at the end of the accounting period and the number of the `` pharmaceutical exchange ticket '' shall be indicated. In the example of FIG. 7, the outpatient ward code and the room number for the inpatient are blank. In the "Prescription No." column, the serial number of the "prescription" which consists of a chemical | medical agent (plural number) and a usage is displayed. "Prescription" can be a plurality of displays. In the "Code" column, the drug code or the usage code is displayed. The name data is read from the drug master file (Fig. 2) or the usage master file (Fig. 4). Display the name. In the "code" column, a drug code is usually displayed (e.g., "Shoue"), followed by a usage code along with a "/" symbol on the next line (e.g., "/ 301"). In the case of displaying, "the medicine name / usage" column shows the corresponding usage name "three times, breakfast, lunch, and dinner after a meal."). In the "dose" column, the daily dose of the drug is indicated. The unit (T, CAP, etc.) indicates the unit read from the drug master file (FIG. 2). However, at this time, do not mark in the column of divided dose. Here, the "dose time divided amount" column is a column for displaying and inputting the divided amount divided | segmented by every dose time (dose daily dose). When the usage code is confirmed, the divided amount determined by the determination processing of the taking time divided amount (FIG. 9) is displayed. The divided amount can be overwritten and inputted.

On the other hand, if there is no request to receive prescription data, it is determined whether there is an input, that is, whether or not the "new input" button is clicked on with a mouse on the "audit input of prescription data" screen (step S4). If there is an input, prescription data is input by a keyboard or a mouse in the "thank input of prescription data" screen (FIG. 7), and it writes in memory 10 (step S5). However, it is not necessary to enter the divided dose column. If there is no input, the flow returns to step S2 and repeats from the reception judgment.

In this way, when prescription data is determined automatically or manually and the prescription data is displayed on the "audit input of prescription data" screen, the determination process of the dose timing division quantity is performed (step S6).

In the determination process of taking time-divided amount, as shown in FIG. 9, drug data (row data) made into a process object is acquired from prescription data (FIG. 8) (step S11). Then, the divided amount is calculated by dividing the dose (daily dose) in the drug data by the divided number (step S12), and it is determined whether the divided amount is not an integer (integer) or not (equivalent) (step S13). . If the divided amount is not an integer and becomes uneven at each dose time, the process of determining the uneven divided amount is performed (step S14). If the divided amount is an integer and becomes equal, the equal divided amount is written into the divided dose amount of the prescription data. In the example of FIG. 8, since the capsule D has an even amount divided by an integer of "6/3 = 2", "02220000" is written in the divided dose amount according to the usage pattern "01110000", and the tablet A has the "split amount" 8/3 "is not an integer but is uneven, so that an uneven division amount determination process is performed.

In the process of determining the uneven division amount, as shown in Fig. 10, the drug code is obtained from the drug master file (Fig. 2) using the drug code as the search key (step S21). Then, using the weakness code as a search key, an uneven split code is obtained from the weakness master file (FIG. 3) (step S22). Further, a record in which the uneven split code, the usage pattern in the drug code, and the dose (daily dose) in the drug data are matched from the uneven split master file (FIG. 5) is searched to obtain an uneven split amount (step S22). In the example of FIG. 8, tablet A "Shoue" acquires the drug efficacy code "396", and acquires the uneven division code "310" from this medicine effect code "396". Further, an uneven division amount "01340000" is obtained from records in which the uneven division code "310", the usage pattern "01110000", and the capacity "8" match. The process from these said step S11 is repeated with respect to all the medicine data made into object (step S15).

In this way, if the uneven division amount of all the drug data (all the row data) is acquired, it is judged whether or not it can be displayed in the "dose time division amount" column of the screen (step S7). In other words, when the uneven division of the drug occurs and the uneven display flag file (not shown) is set to "display", or the data unevenness of the uneven division master file (Fig. 5) is caused, the determination processing of the dose timing division amount (Fig. 5). In 9), it is determined whether it corresponds to any of the cases that could not be determined. As a result, if the inequality display flag file is set to "display", the inequality divided amount is displayed in the "use time divided amount" column on the "prescription data audit input" screen (FIG. 7) (step S8). . In this case, input by a keyboard or a mouse is accepted. For example, in the usage line in which the usage code is input, the number of days can be input in the "Capacity / Day" input field (for example, "7 days"). Uneven splits can also be overwritten.

In this way, when the divided amount for each time of taking is acquired and displayed, the pharmacist (operator) audits the content of the displayed prescription data, and if there is no problem, clicks the "Input OK" button with the mouse, and divides the drug division packaging process (Fig. Proceed to the next processing step "divided packaging of pharmaceuticals" in 6).

In the divided packaging of the medicine, the medicine divided packaging mechanism device 1 is operated to divide the medicine at every dose based on the prescription data (FIG. 8), and to package the divided medicine in the divided packaging (step S9). In the example of FIG. 8, first, according to the thermal data of the species of the divided dose period, one tablet A for tablets, four capsules B for capsules, two tablets C for capsules, and capsule D Is packed in one capsule with the number of capsules, and according to the heat data of `` lunch '' and `` evening '', for `` lunch '' (3 tablets A, 2 capsules B, 1 tablet C, capsule Two capsules of D) and one evening (four tablets of tablet A, one capsule of capsule B, two tablets of tablet C, and two capsules of capsule D) are packaged in one package, and this is divided and repeated for 7 days. Pack it.

Hereinafter, the process from step S2 is repeated until an operator clicks the "end" button of the "prescription data audit input" screen (FIG. 7) with a mouse (step S10).

In addition, the content of prescription data can be changed and input arbitrarily using a keyboard mouse. Moreover, when the "cancel" button is clicked with a mouse, the prescription data in display is erased. Furthermore, when the "New input" button is clicked, the prescription data displayed at that time is evacuated and stored in order to the next circuit, and then the display can be erased so that any prescription data can be newly inputted from the patient number. In this case, for example, if the keyboard is inputted with the patient number "93027561", the patient name (Kana, Kanji), sex ("male" = 1, "female" = 2, date of birth (year: "name" = 1, " Companion "= 2," digestion "= 3," Pace "= 4) is read from the patient master file (not shown) and displayed.

In addition, as shown in the uneven display flag file (not shown), by setting "notice thank / not" for the uneven division amount, it is possible to simplify the application to different preparation services for different pharmacies.

As is clear from the above description, according to the present invention, since data registration is performed on the basis of drug classification based on the actual determination of the amount of division, the burden of maintaining the steady state of data in operation can be reduced. In addition, even when there are two or more types of split ratios corresponding to the usage in the prescription data and the daily dose, the divided dose for each dose can be automatically determined.

In addition, since an uneven division is detected in the divided amount at each dose, the divided amount is displayed on the screen, so that the pharmacist can audit the necessity only when necessary.

Claims (3)

In the pharmaceutical division packaging apparatus for dividing and packaging various drugs based on the prescription data, Memory means for associating a drug code representing the drug's active ingredient with the drug data, and storing the drug code associating and storing the drug code with an uneven division code indicating an uneven division amount that is divided unevenly every time the drug is taken; Based on the drug data contained in the prescription data, an uneven division code corresponding to the drug code associated with the drug data is called out from the storage unit, and the corresponding drugs are divided according to the uneven division amount indicated by the uneven division code. Pharmaceutical packaging device comprising a control means for packaging. The method of claim 1, The storage means stores the uneven division code in association with a usage pattern indicating a pattern specifying a time of taking a medicine, And the control means obtains an uneven division code based on the drug data and the usage pattern included in the prescription data to determine the uneven division amount. The method according to claim 1 or 2, Further includes a display means, The control means determines whether an uneven division occurs on the basis of the dose and usage pattern included in the prescription data, and if it is determined that an uneven division occurs, the determined uneven division amount is displayed on the display means. Pharmaceutical partition packaging machine made.

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