Support system and program

Abstract

To provide an inspection support system capable of supporting inspection work of a pharmacist who inspects a result of packing processing by a tablet packing device and to provide the tablet packing device, and a packing control program.SOLUTION: An inspection support system includes: a first storage processing unit for storing a first captured image of tablets imaged in first packing processing in which one or a plurality of tablets is packed with a packing material for each dosage timing on the basis of prescription data, and a second captured image of the tablets captured in one or a plurality of times of second packing processing re-executed for one or a plurality of pieces of dosage timing after the execution of the first packing processing in association with the prescription data; and a display processing unit capable of displaying the first captured image and the second captured image stored by the first storage processing unit.SELECTED DRAWING: Figure 21

Description

[Technical field]

[0001] The present invention relates to an inspection support system, a tablet packaging device, and a packaging control program that support the inspection work of a pharmacist who inspects the results of packaging processing by a tablet packaging device. [Background technology]

[0002] Generally, a tablet packaging device is known that has multiple tablet cassettes that store various types of tablets, dispenses tablets from each tablet cassette based on prescription data, and can package the tablets in dosage units (see, for example, Patent Document 1). [Prior art documents] [Patent documents]

[0003] [Patent Document 1] JP 2011-104077 A Summary of the Invention [Problem to be solved by the invention]

[0004] Incidentally, in medical facilities such as hospitals or pharmacies, pharmacists carry out an inspection task to confirm whether the tablets packaged by the tablet packaging device are appropriate in accordance with the prescription data. The tablet packaging device may also have a function of automatically inspecting the appropriateness of the packaging result using a photographed image of the tablet taken during the packaging process. If the packaging result of the tablet packaging device is not appropriate, the tablet packaging device may re-execute a part or all of the packaging process. However, conventionally, no system is known that supports a pharmacist in carrying out a final inspection of the results of multiple packaging processes executed by the tablet packaging device in this manner.

[0005] An object of the present invention is to provide an inspection support system, a tablet packaging device, and a packaging control program that are capable of supporting the inspection work of pharmacists who inspect the results of packaging processing by a tablet packaging device. [Means for solving the problem]

[0006] The inspection support system of the present invention includes a first storage processing unit that stores, in correspondence with the prescription data, a first captured image of the tablet taken in a first packaging process in which one or more tablets are packaged in packaging material for each taking timing based on prescription data, and a second captured image of the tablet taken in one or more second packaging processes that are re-executed for one or more of the taking timings after the first packaging process is executed, and a display processing unit that is capable of displaying the first captured image and the second captured image stored by the first storage processing unit.

[0007] According to the inspection support system, the first captured image and the second captured image can be displayed, making it possible to assist pharmacists in performing the final inspection taking into account the first packaging process and the second packaging process.

[0008] The tablet packaging device of the present invention comprises a packaging unit that packages one or more tablets in packaging material based on prescription data, a photographing unit used to photograph the tablets packaged by the packaging unit, and a first storage processing unit that stores, in correspondence with the prescription data, a first photographed image of the tablet taken by the photographing unit in a first packaging process in which the packaging unit packages one or more tablets in packaging material for each taking timing based on the prescription data, and a second photographed image of the tablet taken by the photographing unit in one or more second packaging processes re-executed for one or more of the taking timings after execution of the first packaging process.

[0009] According to the tablet packaging device, the first captured image and the second captured image are stored in correspondence with the prescription data, and the first captured image and the second captured image are then available for use, making it possible to assist, for example, a pharmacist in performing a final inspection taking into account the first packaging process and the second packaging process.

[0010] The packaging control program of the present invention is a packaging control program for causing a processor mounted on a tablet packaging device including a packaging unit that packages one or more tablets in packaging material based on prescription data and a photographing unit used to photograph the tablets packaged by the packaging unit to execute the following steps: a first photographing step of photographing the tablets using the photographing unit in a first packaging process in which the packaging unit packages one or more tablets in packaging material for each taking timing based on the prescription data; a first storage step of storing the first photographed image taken in the first photographing step in association with the prescription data; a second photographing step of photographing the tablets using the photographing unit in one or more second packaging processes re-executed for one or more of the taking timings after execution of the first packaging process; and a second storage step of storing the second photographed image taken in the second photographing step in association with the prescription data.

[0011] According to the packaging control program, the first captured image and the second captured image are stored in correspondence with the prescription data, and the first captured image and the second captured image are then available for use, making it possible to assist, for example, a pharmacist in performing a final inspection taking into account the first packaging process and the second packaging process.

[0012] In addition, the inspection support system of the present invention may include a display processing unit that, after execution of a packaging process in which one or more medicines are packaged in packaging material for each taking timing based on prescription data, displays on a display unit prescription-related information including at least a portion of the prescription data and packaging result information obtained before or after the packaging process and for identifying the type of each of the medicines, and a re-execution processing unit that, after the prescription-related information and the packaging result information are displayed by the display processing unit, re-executes the packaging process for one or more of the taking timings in accordance with a predetermined re-packaging operation.

[0013] Here, the display processing unit may display at least a dosage and a usage method among the prescription data. Also, the display processing unit may display at least a drug name and a patient name among the prescription data.

[0014] In addition, the inspection support system of the present invention may include a display processing unit that, after execution of a packaging process in which one or more medicines are packaged in packaging material for each dosing timing based on prescription data, displays on a display unit packaging result information obtained at least before or after the packaging process and for identifying the type of each of the medicines, and a re-execution processing unit that, after the prescription-related information and the packaging result information are displayed by the display processing unit, re-executes the packaging process for one or more of the dosing timings in accordance with a predetermined re-packaging operation.

[0015] In addition, the inspection support system may include either or both of an imaging unit that photographs the medicine before or after the packaging process as a result of the packaging process, and a component detection unit that detects the components of the medicine before or after the packaging process as a result of the packaging process, and the packaging result information may include an image of the medicine photographed by the imaging unit or a component detection result by the component detection unit.

[0016] In addition, the inspection support system of the present invention may include a re-execution processing unit that is capable of re-executing a packaging process for one or more of the taking timings after executing a packaging process in which one or more tablets are packaged in packaging material for each taking timing based on prescription data, a comparison processing unit that compares the prescription data with the result of the packaging process, and a storage processing unit that corresponds and stores information indicating which packaging process has been performed for each prescription data or each taking timing for each of the packaging processes and the comparison result of the packaging process.

[0017] Furthermore, the inspection support system may be provided with a display processing unit capable of displaying the comparison results of the packaging process for each administration timing in each packaging process stored in the memory processing unit. Effect of the Invention

[0018] According to the present invention, it is possible to provide an inspection support system, a tablet packaging device, and a packaging control program that are capable of supporting the inspection work of pharmacists who inspect the results of packaging processing by a tablet packaging device. [Brief description of the drawings]

[0019] [Figure 1] FIG. 1 is a diagram showing the configuration of an audit support system according to an embodiment of the present invention. [Diagram 2] FIG. 2 is an external view of the tablet packaging device according to the embodiment of the present invention. [Diagram 3] FIG. 3 is a schematic diagram showing the configuration of a tablet packaging device according to an embodiment of the present invention. [Figure 4] FIG. 4 is a schematic diagram showing the configuration of a tablet packaging device according to an embodiment of the present invention. [Figure 5A] FIG. 5A is a diagram showing an example of a tablet rotating unit of the tablet packaging device according to an embodiment of the present invention. [Figure 5B] FIG. 5B is a diagram showing an example of a tablet rotating unit of the tablet packaging device according to an embodiment of the present invention. [Figure 6] FIG. 6 is a diagram showing an example of a packaging result by the tablet packaging device according to the embodiment of the present invention. [Figure 7] FIG. 7 is a flowchart showing an example of the procedure of an audit support process executed by the audit support system according to an embodiment of the present invention. [Figure 8] FIG. 8 is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 9] FIG. 9 is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 10] FIG. 10 is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 11]FIG. 11 is a flowchart showing an example of the procedure of the inspection display control process executed in the inspection support system according to an embodiment of the present invention. [Figure 12A] FIG. 12A is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 12B] FIG. 12B is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 13] FIG. 13 is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 14A] FIG. 14A is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 14B] FIG. 14B is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 15] FIG. 16 is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 16] FIG. 16 is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 17] FIG. 17 is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 18A] FIG. 18A is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 18B] FIG. 18B is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 19] FIG. 19 is a flowchart showing an example of the procedure for the re-execution control process executed in the audit support system according to an embodiment of the present invention. [Figure 20] FIG. 20 is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 21] FIG. 21 is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 22] FIG. 22 is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 23A] FIG. 23A is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 23B] FIG. 23B is a diagram showing an example of a lighting pattern in a manual distribution unit of an inspection support system according to an embodiment of the present invention. [Figure 24A] FIG. 24A is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 24B] FIG. 24B is a diagram showing an example of a lighting pattern in the manual distribution unit of the inspection support system according to an embodiment of the present invention. [Figure 25A] FIG. 25A is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 25B] FIG. 25B is a diagram showing an example of a lighting pattern in the manual distribution unit of the inspection support system according to an embodiment of the present invention. [Figure 26A] FIG. 26A is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 26B] FIG. 26B is a diagram showing an example of a lighting pattern in a manual distribution unit of an inspection support system according to an embodiment of the present invention. [Figure 27A] FIG. 27A is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 27B] FIG. 27B is a diagram showing an example of a lighting pattern in the manual distribution unit of the inspection support system according to an embodiment of the present invention. [Figure 28A] FIG. 28A is a diagram showing an example of a display screen displayed by the inspection support system according to an embodiment of the present invention. [Figure 28B] FIG. 28B is a diagram showing an example of a lighting pattern in a manual distribution unit of an inspection support system according to an embodiment of the present invention. [Figure 29A] FIG. 29A is a diagram showing an example of a display screen displayed by the audit support system according to an embodiment of the present invention. [Figure 29B] FIG. 29B is a diagram showing an example of a lighting pattern in a manual distribution unit of an inspection support system according to an embodiment of the present invention. [Figure 30A] FIG. 30A is a diagram showing an example of history information of the audit support system according to an embodiment of the present invention. [Figure 30B] FIG. 30B is a diagram showing an example of history information of the audit support system according to an embodiment of the present invention. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0020] Hereinafter, with reference to the accompanying drawings, an embodiment of the present invention will be described for the purpose of understanding the present invention. Note that the following embodiment is an example of the present invention, and is not intended to limit the technical scope of the present invention. In addition, it is possible to select and combine the configurations and processing functions of each of the following embodiments in any desired combination.

[0021] 1, an inspection support system 1 according to an embodiment of the present invention includes a server 2, one or more client terminals 3, one or more tablet packaging devices 4, and one or more dispensing machines 5. The server 2 alone or the tablet packaging device 4 alone may be regarded as the inspection support system according to the present invention.

[0022] The server 2, the client terminal 3, the tablet packaging device 4, and the dispensing device 5 are each connected to a communication network N1 such as a LAN or the Internet so as to be able to communicate wirelessly or with a wire. A higher-level system 6 such as an electronic medical record system or a prescription input terminal that inputs prescription data to the server 2 is also connected to the server 2 via the communication network N1. It is also possible that the server 2 is capable of reading prescription data from a prescription, or that prescription data can be input to the server 2 by a user operation.

[0023] [Server 2] The server 2 is a personal computer including a control unit 21, a storage unit 22, a communication I / F 23, a display unit 24, an operation unit 25, a drive device 26, and a code reading unit 27. The server 2 is placed inside or outside the medical institution where the inspection support system 1 is used.

[0024] The control unit 21 has control devices such as a CPU, a ROM, a RAM, and an EEPROM (registered trademark). The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as temporary storage memories (work areas) for the various processes executed by the CPU. The control unit 21 then uses the CPU to execute various processes in accordance with the various control programs stored in advance in the ROM, the EEPROM, or the storage unit 22.

[0025] The storage unit 22 is a storage unit such as a hard disk device or SSD (Solid State Drive) that stores various data. Specifically, the storage unit 22 stores in advance an audit support program for causing a computer such as the control unit 21 to execute an audit support process (see FIG. 7) described later.

[0026] The storage unit 22 also stores various databases such as a medicine master, a patient master, a user master, and a cassette master. The medicine master includes information about each medicine, such as a medicine ID, a medicine code, a medicine name, a YJ code, a JAN code (or an RSS code), a medicine bottle code, a classification (dosage form: powder, tablet, liquid medicine, external medicine, etc.), a shape of a tablet (capsule tablet, spherical tablet, flat tablet (disk-shaped tablet), etc.), a size of a tablet, a specific gravity, a medicine type (ordinary medicine, poison, narcotic, powerful medicine, antipsychotic, therapeutic drug, etc.), a compounding change, an excipient, a caution, and a normal image of a tablet (an external image of the front and back of a tablet). The normal image is registered in advance based on a photographed image of a tablet photographed by the tablet packaging device 4, or is registered by previously importing a normal image registered in a medicine database described later. The user master includes information about a user, such as a pharmacy name, a pharmacist's name, a pharmacist's ID, a password, a user group, and a processing authority. The patient master includes information about the patient such as the patient ID, name, sex, age, medical history, prescription drug history, family information, medical department, ward, and room. The cassette master is information indicating the correspondence between cassette identification information of each of the drug cassettes 41 (described later) held by the tablet packaging device 4 and the tablets assigned to each of the drug cassettes 41.

[0027] Furthermore, the storage unit 22 stores a drug database in which information such as drug code, drug name, JAN code, RSS code, medicine bottle code, dosage form, unit, specific gravity, drug variety, compounding variation, excipient drug, cautions, allergy information, and package insert information is associated with each drug separately from the drug master. In particular, in the drug database, for tablets, information such as tablet identification information formed on the tablet and tablet shape is stored. The drug database is read from a recording medium such as a CD or DVD by the drive device 26, for example, or received from an external device via the communication network N1, and stored in the data storage unit 22. The drug database is used in the inspection support system 1 when importing information into various masters such as the drug master, or when referring to information on the package insert of each drug. For example, in the inspection support system 1, the drug database can be displayed in response to a user operation on the server 2 or the client terminal 3. The control unit 21 may be configured to be able to read the drug database from an external device or website via the communication network N1 as needed. The medicine database is used for updating the medicine master.

[0028] The communication I / F 23 is a communication interface having a network card or the like that performs wireless or wired data communication between external devices such as the client terminal 2, the tablet packaging device 4, and the dispensing equipment 5 via the communication network N1 in accordance with a predetermined communication protocol.

[0029] The display unit 24 is a display unit such as a liquid crystal monitor that displays various information and operation screens according to control instructions from the control unit 21. The operation unit 25 is an operation unit such as a keyboard, mouse, and touch panel that accepts user operations, and inputs operation signals corresponding to user operations to the control unit 21. The operation unit 25 accepts various operation inputs, such as a selection operation of prescription data on a display screen displayed on the display unit 24, and an issuing operation of prescription data that requests the start of dispensing of the prescription data.

[0030] The drive device 26 is capable of reading the audit support program from a computer-readable recording medium 261 on which the audit support program is recorded. The recording medium 261 is a CD, DVD, BD, USB memory, etc., and the drive device 26 is a CD drive, DVD drive, BD drive, USB port, etc. In the server 2, the control unit 21 stores the audit support program read from the recording medium 261 using the drive device 26 in the storage unit 22.

[0031] The code reading unit 27 is a barcode reader capable of reading code information (such as a barcode or a two-dimensional code). For example, the code reading unit 27 is used to read prescription data from the code information written on a prescription. The prescription data read from the prescription is stored in the storage unit 22 by the control unit 21.

[0032] In the server 2 configured in this manner, the control unit 21 includes a display processing unit 211, an operation display processing unit 212, and a re-execution processing unit 213. Specifically, the control unit 21 functions as the display processing unit 211, the operation display processing unit 212, and the re-execution processing unit 213 by executing various processes according to the inspection support program. The control unit 21 also has a function of generating prescription data for dispensing (dispensing data) for executing dispensing processes such as dispensing processes by the tablet packing device 4 and the dispensing device 5 based on the prescription data, and inputting the prescription data to the tablet packing device 4 and the dispensing device 5. As a result, the tablet packing device 4 and the dispensing device 5 execute dispensing processes such as dispensing processes based on the prescription data.

[0033] The display processing unit 211 displays on the client terminal 3 or the like, in a package unit (each package unit), images of each tablet taken during a packaging process in which one or more tablets dispensed from either one or both of a tablet cassette 41 and a manual dispensing unit 42 (described later) based on prescription data in the tablet packaging device 4 are packaged in a packaging material such as a medicine bag 451 for each dose timing. In this embodiment, the dose timing is used as a term including the date of taking the tablet and the time of taking the tablet (after breakfast, after lunch, after dinner, etc.), but the dose timing in the present invention may simply indicate the time of taking the tablet. In particular, when the packaging process is performed multiple times for the same prescription data, the display processing unit 211 is capable of synthesizing and displaying the images taken during the packaging process multiple times. The images are taken before or after each tablet is packaged in the packaging paper in each of the packaging processes. Furthermore, the display processing unit 211 displays, on the client terminal 3 or the like, the inspection result of the automatic inspection process executed based on the identification information (characters, symbols, etc.) of the tablet included in the photographed image of the tablet and the prescription data. More specifically, the display processing unit 211 can display, together with the photographed image, the inspection result by the automatic inspection process at the time when the photographed image was photographed.

[0034] The operation display processing unit 212 displays an operation unit for individually re-executing part or all of the dispensing process based on the prescription data executed by the tablet packing device 4 and the dispensing equipment 5 on a screen on which the inspection results of the medicines dispensed by the tablet packing device 4 and the dispensing equipment 5 are displayed.

[0035] The re-execution processing unit 213 causes the tablet packing device 4 or the drug dispensing device 5 to re-execute a part or all of the dispensing process executed by the tablet packing device 4 or the drug dispensing device 5 in response to a user operation on the operation unit displayed by the operation display processing unit 212. For example, the re-execution processing unit 213 generates re-execution data for executing a part or all of the dispensing process based on the prescription data, and transmits the re-execution data together with a re-execution instruction to the tablet packing device 4 or the drug dispensing device 5. Note that the re-execution data is data for re-executing a dispensing process corresponding to one or more dosing timings among the dispensing processes based on the prescription data, and a part or all of the dispensing process is a dispensing process for one or more dosing timings.

[0036] Specifically, in this embodiment, the operation display processing unit 212 is capable of displaying a reissue operation screen D304 (see FIG. 15) for re-executing a part or all of the packaging process executed by the tablet packaging device 4. Note that a part or all of the packaging process is packaging process for one or more dosing timings, and the re-execution data is data for re-executing the packaging process for one or more dosing timings. Then, the re-execution processing unit 213 is capable of re-executing a part or all of the packaging process executed by the tablet packaging device 4 in the same or a different tablet packaging device 4, in response to a user operation on the reissue operation screen D304.

[0037] [Client terminal 3] The client terminal 3 is a personal computer including a control unit 31, a storage unit 32, a communication I / F 33, a display unit 34, an operation unit 35, a drive device 36, and a code reading unit 37. Each of the client terminals 3 is an operation terminal that is installed in a medical institution where the inspection support system 1 is used, and is operated by a user such as a pharmacist.

[0038] The control unit 31 has control devices such as a CPU, a ROM, a RAM, and an EEPROM. The CPU is a processor that executes various arithmetic operations. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as temporary storage memories (work areas) for the various processes executed by the CPU. The control unit 31 uses the CPU to execute various processes in accordance with the various control programs stored in advance in the ROM, the EEPROM, or the storage unit 32.

[0039] The storage unit 32 is a non-volatile storage unit such as a hard disk or SSD in which various application programs and various data executed by the control unit 31 are stored. Specifically, application programs such as an operating system (OS) and browser software are stored in the storage unit 32. The browser software is application software that accesses the server 2 via the communication network N1 to display various operation screens and the like on the display unit 34, and transmits input operations on the operation screen using the operation unit 35 to the server 2. Specifically, when address information such as a URL (Universal Resource Locator) corresponding to the server 2 is input at a predetermined position on the operation screen displayed by the browser software, the control unit 31 accesses the server 2 based on the address information.

[0040] The communication I / F 33 is a communication interface having a network card or the like that executes wireless or wired data communication with an external device such as the server 2 via the communication network N1 in accordance with a predetermined communication protocol.

[0041] The display unit 34 is a display unit such as a liquid crystal display or an organic EL display that displays various information in accordance with control instructions from the control unit 31. The operation unit 35 is an operation unit operated by a user to input various information to the client terminal 3. Specifically, the operation unit 35 includes a keyboard, a mouse (pointing device), a touch panel, and the like that accept input operations on various operation screens displayed on the display unit 34. The operation unit 35 may also include a voice input device that accepts input of various information by voice recognition.

[0042] The drive device 36 is capable of reading the OS or the browser software from a computer-readable recording medium 361 on which the OS or the browser software is recorded. The recording medium 361 is a CD, a DVD, a BD, a USB memory, etc., and the drive device 36 is a CD drive, a DVD drive, a BD drive, a USB port, etc. In the client terminal 3, the control unit 31 stores the OS or the browser software, etc., read from the recording medium 361 using the drive device 36 in the storage unit 32.

[0043] The code reading unit 37 is a barcode reader capable of reading code information (such as a barcode or a two-dimensional code). For example, the code reading unit 37 is used to read the code information written on the medicine package 451.

[0044] In the audit support system 1, a server-client system is configured by the server 2 and the client terminal 3, and a case will be described in which the server 2 executes various processes in response to user operations of the client terminal 3. Therefore, "display," "operation," "selection," "input," and the like, which will be described below, are performed using the display unit 34 and the operation unit 35 of the client terminal 3. For example, the control unit 21 of the server 2 causes the client terminal 3 to display various screens by transmitting data described in a page description language such as HTML to the client terminal 3.

[0045] In addition, part or all of the inspection support program may be installed in one or more of the server 2, the client terminal 3, and the tablet packaging device 4, and the inspection support process described below may be executed in cooperation with the server 2, the client terminal 3, and the tablet packaging device 4.

[0046] [Tablet packaging device 4] The tablet packaging device 4 is a dispensing device used for dispensing medicines. Specifically, as shown in Fig. 1, Fig. 2, and Fig. 3, the tablet packaging device 4 includes a control unit 40, a tablet cassette 41, a manual dispensing unit 42, an individual dispensing unit 43, a rotating unit 44, a packaging unit 45, an imaging unit 46, a passage detection unit 47, an operation display unit 48, and a memory unit 49.

[0047] The tablet packaging device 4 can automatically dispense tablets from either or both of the tablet cassette 41 and the manual distribution unit 42 based on the prescription data, and package the tablets in dosage units. The dashed and dotted lines in Fig. 3 indicate the movement path of the tablets.

[0048] The control unit 40 has a processor such as a CPU and a storage unit such as a RAM and an EEPROM, and performs various processes according to a packaging control program stored in advance in the EEPROM or the storage unit 49, and generally controls the tablet packaging device 4. Specifically, the control unit 40 controls the operation of the tablet packaging device 4 based on the prescription data input from the server 2, thereby causing the tablet packaging device 4 to perform a packaging process of packaging one or more types of tablets corresponding to the prescription data for each dosage timing. The packaging control program is a program for causing the control unit 40 of the tablet packaging device 4 to perform various processes, and is stored in advance in a recording medium such as a CD or DVD. In the tablet packaging device 4, the packaging control program is read from the recording medium by a drive device (not shown) and stored in the storage unit 49.

[0049] The operation display unit 48 includes a display unit such as a liquid crystal display and an operation unit such as a touch panel. The storage unit 49 is a storage device such as a hard disk drive or a solid state drive.

[0050] The tablet packaging device 4 is provided with a plurality of tablet cassettes 41 in which various types of tablets are stored. In each of the tablet packaging devices 4, tablets included as prescription drugs in the prescription data are automatically dispensed from the tablet cassette 41.

[0051] 2, the tablet cassette 41 also includes one or more special tablet cassettes 411 which are detachable from the tablet packaging device 4 when the front cover 400 of the tablet packaging device 4 is in the open state or closed state. The special tablet cassette 411 is a cassette capable of dispensing any type of tablet one tablet at a time. For example, a cassette of the same type as the special tablet cassette 411 is disclosed in International Publication No. 2014 / 112221.

[0052] The manual distribution unit 42 is used for dispensing tablets that are not suitable for dispensing from the tablet cassette 41, such as tablets that are less than one tablet, such as half tablets or ¼ tablets, and is provided so as to be retractable from the tablet packaging device 4. Specifically, the manual distribution unit 42 includes a plurality of DTA masses 421 arranged in a matrix (grid) and a plurality of light-emitting units 422 provided corresponding to the plurality of DTA masses 421. For example, the light-emitting units 422 are LEDs that can emit light in a light color selected from a plurality of preset light-emitting colors by being controlled by the control unit 40. Each of the light-emitting units 422 is provided in the vicinity of the corresponding DTA mass 421.

[0053] In addition, the individual dispensing section 43 has a plurality of masses corresponding to the position of each of the DTA masses 421 of the manual distribution unit 42, and each of the masses of the individual dispensing section 43 is located below each of the DTA masses 421 when the manual distribution unit 42 is contained in the tablet packaging device 4.

[0054] When the manual distribution unit 42 is used, the manual distribution unit 42 is pulled out from the front of the tablet packaging device 4, and tablets, for example, less than one tablet, such as a half tablet or a quarter tablet, are fed into each of the DTA masses 421. Thereafter, the tablets fed into each of the DTA masses 421 of the manual distribution unit 42 are supplied to each of the masses of the individual dispensing section 43. For example, the bottom surface of each of the DTA masses 421 of the manual distribution unit 42 can be opened and closed, and by opening the bottom surface, the tablets fed into each of the DTA masses 421 fall into each of the DTA masses 421 of the individual dispensing section 43.

[0055] The individual dispensing unit 43 is capable of supplying the tablets accommodated in each of the cells of the individual dispensing unit 43 in cell units to the rotating unit 44. Note that a manual distribution unit capable of dispensing tablets in cell units similar to the manual distribution unit 42 and the individual dispensing unit 43 is disclosed in, for example, JP 2006-110386 A.

[0056] For example, the individual dispensing unit 43 is provided with an opening / closing mechanism capable of opening and closing the bottom surface of each of the cells in sequence, and the bottom surface of each of the cells is opened in sequence by the opening / closing mechanism, thereby dispensing the tablets placed in each of the cells in sequence. More specifically, it is considered that the individual dispensing unit 43 supplies the tablets in each of the cells to the rotation unit 44 in a predetermined specific order from each of the cells.

[0057] Specifically, in the tablet packaging device 4, the control unit 40 executes an allocation process for allocating each tablet that requires the use of the manual distribution unit 42 in the packaging process based on the prescription data to each of the DTA masses 421. For example, in the allocation process, each of the tablets is consecutively allocated in order along the columns and rows in which the DTA masses 421 are arranged. Here, Fig. 23A is a schematic plan view of the manual distribution unit 42, and Fig. 23B is a conceptual diagram showing an example of an allocation result of the manual distribution unit 42 to each of the DTA masses 421.

[0058] 23A, in the manual distribution unit 42, the DTA cells 421 are arranged in 11 columns, A to K, horizontally, and in six rows, from the first to sixth rows, for columns A to J, and in three rows, from the first to third rows, for column K, in the manual distribution unit 42. That is, the manual distribution unit 42 has a total of 63 DTA cells 421. In the following description, the position of the DTA cell 421 may be specified by a combination of columns and rows of the manual distribution unit 42. For example, the DTA cell 421 in the second row of column A may be referred to as DTA cell 421A2.

[0059] Here, the prescription data to be subjected to the packaging process includes tablets M1, M2, and M3 as prescription drugs that require the use of the manual distribution unit 42, and the tablets M1 and M3 are taken three times a day, in the morning, midday, and evening, for two days, with the prescribed amount of one tablet for each of the timings. In this embodiment, morning is an abbreviation for after breakfast, midday is an abbreviation for after lunch, and evening is an abbreviation for after dinner, and other examples of the timing of taking the tablets include before breakfast, before lunch, before dinner, between meals, before sleep, and as-needed dose. On the other hand, the tablet M2 is taken twice a day, in the morning and evening, for two days, with the prescribed amount of two tablets in the morning and one tablet in the evening. For example, in the prescription data, for the morning of the first day, a total of four tablets, tablets M1, M2, M2, and M3, are packaged in the same medicine bag 451.

[0060] In this case, the control unit 40 assigns tablets corresponding to each of the dosing timings in the order of DTA mass 421A1, DTA mass 421A2, ..., as shown in Fig. 23B. In this embodiment, "one tablet" may be used as a term meaning one tablet, and "one tablet" also includes half a tablet and 1 / 4 tablet.

[0061] Specifically, as shown in Fig. 23B, tablets M1, M2, M3 whose timing corresponds to the morning of the first day are assigned to DTA mass 421A1, DTA mass 421A2, DTA mass 421A3, and DTA mass 421A4, respectively. Similarly, tablets M1, M2, M2, M3 whose timing corresponds to the morning of the second day are assigned to DTA mass 421A5, DTA mass 421A6, DTA mass 421B1, and DTA mass 421B2, respectively. Moreover, tablets M1 and M3 whose timing corresponds to the afternoon of the first day are assigned to DTA mass 421B3 and DTA mass 421B4, respectively, and tablets M1 and M3 whose timing corresponds to the afternoon of the second day are assigned to DTA mass 421B5 and DTA mass 421B6, respectively. Furthermore, tablets M1, M2, and M3 whose timing of taking the tablet corresponds to the evening of the first day are assigned to DTA mass 421C1, DTA mass 421C2, and DTA mass 421C3, respectively, and tablets M1, M2, and M3 whose timing of taking the tablet corresponds to the evening of the second day are assigned to DTA mass 421C4, DTA mass 421C5, and DTA mass 421C6. The tablets may be consecutively assigned to the DTA masses 421 in the order of the morning, afternoon, and evening of the first day, and the morning, afternoon, and evening of the second day, a total of six times.

[0062] When the manual preparation unit 42 is used in the packaging process based on the prescription data in the tablet packaging device 4, the control unit 40 executes a manual preparation support process that notifies the position of each of the DTA cells 421 corresponding to each of the tablets to be put into the manual preparation unit 42 at the start of the packaging process and supports the pharmacist in putting the tablets into the manual preparation unit 42. Specifically, in the manual preparation support process, the control unit 40 causes the operation display unit 48 to display an inspection support screen D0 indicating the position of each of the DTA cells 421 corresponding to each of the tablets, and also causes the position of each of the DTA cells 421 corresponding to each of the tablets to be displayed by the lighting pattern of the light-emitting unit 422 corresponding to each of the DTA cells 421.

[0063] 24A is a diagram showing an example of the manual distribution support screen D0, and Fig. 24B is a diagram showing an example of a lighting pattern of the light emitting unit 422. In this embodiment, the light emitting unit 422 is capable of emitting light in six types of preset light emitting colors L1 to L6.

[0064] First, in the manual distribution support process, the control unit 40 assigns the luminous color L1 to the tablet M1, the luminous color L2 to the tablet M2, and the luminous color L3 to the tablet M3. Then, the control unit 40 displays an arrangement display area A0 in which the luminous colors L1 to L3 are applied to the positions of the DTA cells 421 assigned to the tablets M1 to M3 on the manual distribution support screen D0. This allows the user to easily grasp the input positions of the tablets M1 to M3 into the DTA cells 421 by referring to the manual distribution support screen D0, and the efficiency of the input operation of the tablets into the manual distribution unit 42 by the user is improved.

[0065] Furthermore, the control unit 40 displays a prescription display area B0 showing a list of the tablets M1 to M3 on the manual preparation support screen D0. In particular, the control unit 40 displays the tablets M1 to M3 in the same colors as the luminous colors L1 to L3 corresponding to the tablets M1 to M3, respectively, as background colors of the tablets M1 to M3 in the prescription display area B0. This allows the user to easily understand the color scheme corresponding to the tablets M1 to M3.

[0066] 24B, the control unit 40 lights up the light emitting units 422 of the DTA masses 421 corresponding to the tablets M1 to M3 in the color scheme of the luminous colors L1 to L3 in the manual distribution unit 42. This allows the user to easily grasp the insertion positions of the tablets M1 to M3 into the DTA masses 421 by referring to the luminous colors of the light emitting units 422, thereby improving the efficiency of the operation of inserting tablets into the manual distribution unit 42 by the user.

[0067] Furthermore, the manual distribution support screen D0 displays an operation key K0 for switching the display content in the arrangement display area A0 and the lighting mode of the light-emitting unit 422. Then, in response to the operation of the operation key K0, the control unit 40 switches the display content in the arrangement display area A0 and the lighting pattern of the light-emitting unit 422 between a state in which each tablet is displayed individually and a state in which multiple tablets are displayed simultaneously.

[0068] Specifically, Fig. 25A and Fig. 25B show a state in which only the position of the DTA mass 421 corresponding to the tablet M1 is displayed in the arrangement display area A0 and the light emitting unit 422, Fig. 26A and Fig. 26B show a state in which only the position of the DTA mass 421 corresponding to the tablet M2 is displayed in the arrangement display area A0 and the light emitting unit 422, and Fig. 27A and Fig. 27B show a state in which only the position of the DTA mass 421 corresponding to the tablet M3 is displayed in the arrangement display area A0 and the light emitting unit 422. This allows the user to easily perform the task of feeding the tablets M1 to M3 into the DTA mass 421 in order by operating the operation key K0.

[0069] As another embodiment, it is considered that the control unit 40 can switch between a plurality of preset color patterns by a predetermined operation on the operation display unit 48 or an initial setting of the tablet packaging device 4. More specifically, it is considered that the control unit 40 can switch between a first color pattern in which a different color is displayed for each type of tablet as shown in Fig. 24A and Fig. 24B, and a second color pattern in which a different color is displayed for each time of administration (method of administration) as shown in Fig. 28A and Fig. 28B. Note that switching between the first color pattern and the second color pattern can also be performed while the manual distribution support screen D0 is being displayed.

[0070] In the second color pattern shown in Figures 28A and 28B, the luminous color L1 is assigned to the DTA cells 421 corresponding to tablets that are taken in the morning, the luminous color L2 is assigned to the DTA cells 421 corresponding to tablets that are taken in the afternoon, and the luminous color L3 is assigned to the DTA cells 421 corresponding to tablets that are taken in the evening. In this case, the control unit 40 also changes the display mode of the prescription data in the prescription display area B0 so that the number of tablets for each taking period is displayed. In addition, in the prescription display area B0, each digit of the six-digit number displayed corresponding to the tablets M1 to M3 indicates the number of tablets corresponding to a taking period such as when waking up, in the morning, midday, in the evening, before going to sleep, and as a single dose.

[0071] Incidentally, the allocation pattern of the tablets to the DTA masses 421 is not limited to the one described here. Specifically, it is considered that the tablet packing device 4 can arbitrarily switch between a plurality of preset allocation patterns by a predetermined operation on the operation display unit 48 or by initial setting of the tablet packing device 4.

[0072] For example, the above-mentioned Figures 24A and 24B, and Figures 28A and 28B correspond to the case where a first allocation pattern is selected in which tablets corresponding to each of the taking timings are allocated to the cells consecutively along a predetermined row or column.

[0073] On the other hand, FIG. 29A and FIG. 29B correspond to the case where a second allocation pattern is selected in which tablets corresponding to one of the dosing timings are allocated to a plurality of the cells belonging to a preset unit row or unit column. Here, an example will be described in which the second allocation pattern is a pattern in which tablets corresponding to one of the dosing timings are allocated to a plurality of the DTA cells 421 for each column (one example of a unit column). Specifically, tablets packed in the same medicine bag 451 are allocated to the DTA cells 421 in the same column. That is, tablets scattered in different DTA cells 421 in the same column are packed in the same medicine bag 451. In addition, in the second allocation pattern, tablets of the same type are allocated to the same row of the DTA cell 421, and are left blank for a dosing timing in which no tablets of the same type exist. It is also conceivable that two columns of the DTA cells 421 are allocated for each dosing timing.

[0074] When the second allocation pattern is selected, the control unit 40 assigns a total of six dosing timings, namely, morning of the first day, morning of the second day, afternoon of the first day, afternoon of the second day, evening of the first day, and evening of the second day, to columns A, B, C, D, E, and F of the DTA mass 421 of the manual distribution unit 42, respectively, as shown in Figures 29A and 29B.

[0075] Specifically, tablets M1, M2, M3 corresponding to the morning of the first day are assigned to DTA mass 421A1, DTA mass 421A2, DTA mass 421A3, and DTA mass 421A4 in column A. Tablets M1, M2, M2, and M3 corresponding to the morning of the second day are assigned to DTA mass 421B1, DTA mass 421B2, DTA mass 421B3, and DTA mass 421B4 in column B. Tablets M1 and M3 corresponding to the afternoon of the first day are assigned to DTA mass 421C1 and DTA mass 421C4 in column C, and tablets M1 and M3 corresponding to the afternoon of the second day are assigned to DTA mass 421D1 and DTA mass 421D4 in column D. Moreover, tablets M1, M2, and M3 corresponding to the evening of the first day are assigned to DTA cells 421E1, 421E2, and 421E4 in row E, respectively, and tablets M1, M2, and M3 corresponding to the evening of the second day are assigned to DTA cells 421F1, 421F2, and 421F4 in row F. Note that a total of six dosing timings, namely, morning, afternoon, and evening of the first day and morning, afternoon, and evening of the second day, may be assigned to rows A, B, C, D, E, and F of the DTA cells 421 of the manual distribution unit 42, respectively, in this order.

[0076] In addition, even when the second allocation pattern is used, the control unit 40 can switch the display contents in each of the arrangement display area A0 and the light-emitting unit 422 between a state in which the tablets M1 to M3 included as prescription drugs in the prescription data are individually displayed and a state in which the tablets M1 to M3 are simultaneously displayed, in response to the operation of the operation key K0, in the same manner as in the first allocation pattern.

[0077] Furthermore, when the light emitting unit 422 can emit six colors, it can handle up to six types of tablets, but cannot handle more than seven types of tablets using the manual distribution unit 42. In response to this, for example, the control unit 40 can be considered to be able to handle seven or more types of tablets by combining the light emitting color of the light emitting unit 422 with the lighting mode, such as lighting and blinking. Note that it is also possible to assign blinking of a preset specific light emitting color to the seventh and subsequent types of tablets, which exceeds the six colors that can be expressed by the light emitting unit 422.

[0078] In addition, the control unit 40 may switch the tablets to be assigned to the luminous colors L1 to L6 of the light-emitting unit 422 in response to the switching operation. Specifically, in the initial display state of the manual distribution support screen D0 and the light-emitting unit 422, the lighting modes of the luminous colors L1 to L6 are assigned to the first to sixth types of tablets, and the blinking mode of the luminous color L6 is assigned to the seventh and subsequent types of tablets. Next, when the switching operation is performed, the control unit 40 assigns the lighting modes of the luminous colors L1 to L6 to the seventh to twelfth types of tablets, assigns extinguishing to the first to sixth types of tablets, and assigns the blinking mode of the luminous color L6 to the thirteenth and subsequent types of tablets. Similarly, when the switching operation is performed thereafter, the control unit 40 assigns the lighting modes of the luminous colors L1 to L6 to the thirteenth to eighteenth types of tablets, assigns extinguishing to the first to twelfth types of tablets, and assigns the blinking mode of the luminous color L6 to the nineteenth and subsequent types of tablets. Subsequently, when the switching operation is performed, the control unit 40 assigns the lighting modes of the luminous colors L1 to L6 to the 19th to 24th types of tablets, assigns extinguishing to the 18th to 18th types of tablets, and assigns the blinking mode of the luminous color L6 to the 25th and subsequent types of tablets. Furthermore, when the switching operation is performed, the control unit 40 assigns the lighting mode of the luminous color L1 to the 25th type of tablets, assigns extinguishing to the 24th to 18th types of tablets, and assigns the blinking mode of the luminous color L6 to the 26th and subsequent types of tablets. In this way, the tablet packaging device 4 can handle a maximum of 25 types of tablets.

[0079] In addition, the number of rows of the DTA mass 421 of the manual distribution unit 42 may be insufficient for the number of tablets or the timing of taking the tablets using the manual distribution unit 42 in the packaging process based on the prescription data. In this case, the control unit 40 may divide the number of tablets or the timing of taking the tablets using the manual distribution unit 42 in the packaging process based on the prescription data into a plurality of times within a range that can be input into the manual distribution unit 42 at one time, and assign each of the tablets to the DTA mass 421 for each of the divided times. Specifically, the control unit 40 may sequentially update the assignment of the allocatable number of tablets to the DTA mass 421 every time the manual distribution unit 42 is opened or closed.

[0080] In addition, in the tablet packaging device 4, the control unit 40 can switch the automatic inspection process on or off according to a user operation or a control instruction from the server 2. For example, when the camera 461 or the like used in the automatic inspection process of the tablet packaging device 4 breaks down, the automatic inspection process is automatically switched to disabled. In addition, since the automatic inspection process takes time, the automatic inspection process may be set to disabled by the user's will. In this way, when the automatic inspection process is not performed, it is not necessary to dispense tablets one by one from each of the DTA masses 421. Therefore, when the automatic inspection process is not performed, the control unit 40 can assign the tablets to each of the DTA masses 421 of the manual distribution unit 42 in the dosage unit. That is, when the automatic inspection process is not performed, each of the dosage timings and the DTA masses 421 are assigned so that one dose of tablets is inserted into each of the DTA masses 421. As a result, tablets are supplied from each of the DTA masses 421 to each of the tablet rotation parts 441 of the rotation unit 44 via the individual supply part 43 in units of dosage timing, and the tablets are supplied to the packaging unit 45 in units of dosage timing, thereby shortening the time required for the packaging process. In this case, for example, the tablet rotation part 441 of the rotation unit 44 is not driven, and only one image of the tablet on the tablet rotation part 441 is taken by the camera 462 or 463.

[0081] As shown in Fig. 3, the photographing unit 46 includes cameras 461-464 provided on a tablet movement path from the tablet cassette 41 to the packaging unit 45 and on a tablet movement path from the manual distribution unit 42 to the packaging unit 45. The images photographed by the cameras 461-464 are color or monochrome. The cameras 461-464 are used to photograph the tablets, one tablet or multiple tablets, dispensed from the tablet cassette 41 or the manual distribution unit 42 before the tablets are packaged in packaging paper by the packaging unit 45. The photographed images of the tablets photographed by the cameras 461-464 are stored in the storage unit 49 by the control unit 40 in association with the prescription data that is the target of the packaging process when the photographed images were photographed, and are also transmitted to the server 2.

[0082] 3, the camera 461 is used to photograph the tablets supplied from the tablet cassette 41 to the rotation unit 44. The cameras 462 and 463 are used to photograph different areas (e.g., the front and back surfaces) of the outer periphery of a tablet rotating in a tablet rotation section 441 (described later) provided in the rotation unit 44. The camera 464 is used to photograph the tablets stored in the manual distribution unit 42.

[0083] In particular, when the packaging process based on the prescription data is executed, the control unit 40 uses the camera 462 or the camera 463 to take a plurality of images of each tablet, and stores the images in the storage unit 49 in association with the drug bag 451 in which the tablets are contained. More specifically, the control unit 40 executes a first photographing step of photographing the tablet using the camera 462 or 463 in a first packaging process, which is the first packaging process executed for the prescription data, as described later, and executes a first storage step of storing the photographed image (first photographed image) of the tablet in association with the prescription data. Also, the control unit 40 executes a second photographing step of photographing the tablet using the camera 462 or 463 in a second packaging process, which is the second or subsequent packaging process, and executes a second storage step of storing the photographed image (second photographed image) of the tablet in association with the prescription data. Here, the control unit 40 when executing the first storage step and the second storage step is an example of a first storage processing unit. The captured image is stored in association with the prescription data, meaning that each captured image is stored in such a manner that the control unit 21 or the control unit 40 can extract the captured image captured in each of the first packaging process and the second packaging process corresponding to the prescription data. For example, each captured image is stored in association with prescription identification information such as a prescription ID for identifying the prescription data. That is, the first captured image captured in the first packaging process and the second captured image captured in the second packaging process are stored in an indirectly associated state via the prescription identification information of the prescription data. The same is true for other information such as inspection results that are stored in association with the prescription data as described below.

[0084] The control unit 40 also stores information that can identify whether the captured image was captured in the first packaging process or the second packaging process, in association with each of the captured images. In particular, the control unit 40 stores information indicating which packaging process has been performed for each of the packaging processes performed based on the prescription data, in association with the captured image captured in the packaging process. For example, the captured image captured in the first packaging process based on the prescription data is stored in association with information indicating that the packaging process has been performed for the first time, the captured image captured in the second packaging process based on the prescription data is stored in association with information indicating that the packaging process has been performed for the second time, and the captured image captured in the third packaging process based on the prescription data is stored in association with information indicating that the packaging process has been performed for the third time. This enables the control unit 40 to determine whether each of the captured images is the first captured image taken in the first packaging process executed for the prescription data, or the second captured image taken in the second packaging process, and also to determine in which packaging process each of the captured images was taken.

[0085] In addition, the control unit 40 may store in the storage unit 49 the second photographed image captured in the second packaging process of the drug package 451 executed for the second or subsequent time for the prescription data, and then erase from the storage unit 49 the first photographed image or the second photographed image corresponding to the drug package 451 captured in the past first packaging process and the past second packaging process executed before the packaging process. As a result, the control unit 40 stores only the photographed image captured in the latest packaging process for each drug package 451, and unnecessary photographed images are erased, and important information is preferentially stored in a storage medium such as the storage unit 49. It is considered that the control unit 40 erases the past first photographed image or the past second photographed image when a deletion confirmation operation is performed by a user operation or when an automatic deletion setting is enabled in advance. In addition, when storing a second captured image taken during the second packaging process for the prescription data, it is possible to erase the first captured image taken during the first packaging process executed, and when storing a second captured image taken during the third or subsequent packaging process executed for the prescription data, not to erase the previous second captured image.

[0086] On the other hand, the control unit 21 of the server 2 similarly receives the captured image from the control unit 40 and stores it in the storage unit 22. Therefore, the control unit 21 may also receive a second captured image captured in the second packaging process of the medicine package 451 executed for the second or subsequent time for the prescription data and store it in the storage unit 22, and then erase from the storage unit 22 the first captured image or the second captured image corresponding to the medicine package 451 captured in the past first packaging process and the past second packaging process executed before the packaging process. Note that the control unit 21 may erase the past first captured image or the past second captured image when a deletion confirmation operation is performed by a user operation or when an automatic deletion setting is enabled in advance. In addition, when the control unit 21 stores the second captured image taken during the second packaging process for the prescription data, it may erase the first captured image taken during the first packaging process executed, and when storing the second captured image taken during the packaging process executed for the prescription data for the third or subsequent times, it may not erase the previous second captured image.

[0087] Furthermore, the control unit 40 stores the type of tablet, the photographed image, and the inspection result in the automatic inspection process described below in the storage unit 49 in association with the medicine package 451 obtained by the packaging process based on the prescription data. That is, the type of tablet, the photographed image, and the inspection result are stored in association with each other for each taking timing included in the prescription data. Specifically, the control unit 40 stores each of the inspection results for each taking timing among the inspection results for the packaging process based on the prescription data in the automatic inspection process in association with each taking timing. In this way, the control unit 40 when executing the storage process of storing each of the taking timings at the time when the photographed image was taken in association with each of the photographed images is also an example of a first storage processing unit. In addition, the control unit 40 when executing the storage process of storing each of the inspection results of the automatic inspection process based on the photographed images corresponding to each taking timing in association with each of the taking timings is an example of a second storage processing unit. Incidentally, the control unit 40 also stores the inspection results of the entire packaging process based on the prescription data in the automatic inspection process in association with the prescription data. It is also possible for the control unit 21 to execute the automatic inspection process and store each of the inspection results in association with each of the dosing timings, in which case the control unit 21 corresponds to a second storage processing unit.

[0088] The control unit 40 also stores each of the inspection results in association with information that can identify whether the inspection result corresponds to the first packaging process or the second packaging process, in the same manner as the photographed image. In particular, the control unit 40 stores information indicating which packaging process for each of the packaging processes performed based on the prescription data is performed in association with the inspection result corresponding to the packaging process. For example, the inspection result of the automatic inspection process performed in the first packaging process based on the prescription data is stored in association with information indicating that the packaging process is performed for the first time, the inspection result of the automatic inspection process performed in the second packaging process based on the prescription data is stored in association with information indicating that the packaging process is performed for the second time, and the inspection result of the automatic inspection process performed in the third packaging process based on the prescription data is stored in association with information indicating that the packaging process is performed for the third time. This enables the control unit 40 to determine which of the automatic inspection processes, the first packaging process or the second packaging process, executed on the prescription data each of the inspection results corresponds to, and also to determine which of the packaging processes each of the inspection results corresponds to.

[0089] The control unit 40 may also store, as history information, information indicating which packaging process has been performed for each of the dosing timings (medicine packages 451) and the inspection results of the automatic inspection process performed for the packaging process for each of the dosing timings (medicine packages 451) in each of the packaging processes. The control unit 40 when performing such storage processing is an example of a storage processing unit. The history information may or may not include the captured image.

[0090] The history information is stored in association with patient information, prescription data, etc., and is transmitted from the control unit 40 to the server 2. This allows the control unit 21 of the server 2 to extract and display any of the history information in response to, for example, a user operation. Such display processing is executed by the display processing unit 211. Here, each of Figs. 30A and 30B is a diagram showing an example of the history information displayed by the display processing unit 211.

[0091] In the history information shown in FIG. 30A, information indicating the number of times the packaging process has been performed for each medicine package 451 is displayed, and the inspection results for each of the packaging processes are displayed for each medicine package 451. Specifically, for the timing of taking the first to sixth packages, the timing of taking the first to fourth packages is verified as OK, but the timing of taking the fifth and sixth packages is not verified as NG, in the first time. Then, in the second time, the timing of taking the fifth package is verified as OK, but the timing of taking the sixth package is not verified as NG, and in the third time, the timing of taking the sixth package is verified as OK. In addition, in the history information shown in FIG. 30B, information indicating the number of times the packaging process has been performed for each of the prescription data is displayed, and the inspection results for each of the packaging processes are displayed for each of the prescription data.

[0092] The passage detection unit 47 also includes passage detection sensors 471-474, such as optical sensors, which detect the passage of the tablets on the tablet movement path from the tablet cassette 41 to the packaging unit 45 and on the tablet movement path from the manual distribution unit 42 to the packaging unit 45. Tablet detection signals by the passage detection sensors 471-474 are input to the control unit 40.

[0093] 3, the passage detection sensor 471 detects tablets dispensed from the tablet cassette 41, and the passage detection sensor 472 detects tablets dropping from the tablet cassette 41 to the rotating unit 44. The passage detection sensor 473 detects tablets dropping from the individual dispensing section 43 to the rotating unit 44. The passage detection sensor 474 detects tablets dropping from the rotating unit 44 to the packaging unit 45. Specifically, when the packaging process based on the prescription data is performed, the control section 40 stores the number of tablets detected by the passage detection sensor 474 in the memory section 49 as the number of tablets dispensed corresponding to each dosage timing unit, i.e., each medicine packet 451.

[0094] Furthermore, the control unit 40 executes an imaging process in which an image is captured by the imaging unit 46 in response to, for example, the timing at which a tablet is detected by the passage detection unit 47. Specifically, when a tablet dropping from the tablet cassette 41 to the rotation unit 44 is detected by the passage detection unit 47, the tablet is imaged by the imaging unit 46. The imaging by the cameras 462 and 463 is performed at preset imaging intervals (several ms) while the packaging process is being performed in the tablet packaging device 4.

[0095] On the other hand, in the tablet packaging device 4, when an operation is performed to input that the manual distribution work of tablets to the manual distribution unit 42 has been completed, the control unit 40 uses the camera 464 to take an image of the manual distribution unit 42. In addition, when the manual distribution unit 42 is configured to be pulled out of the tablet packaging device 4 when used, and to be stored in the tablet packaging device 4 after the tablets are distributed, it is also possible that the camera 464 is provided inside the tablet packaging device 4, and the control unit 40 takes an image of the manual distribution unit 42 by the camera 464 at the timing when the manual distribution unit 42 is stored in the tablet packaging device 4. Then, the tablet packaging device 4 transmits the manual distribution image taken by the camera 464 to the server 2 together with information for identifying the prescription data. As a result, in the server 2, the control unit 21 associates the manual distribution image with the prescription data and stores it in the memory unit 22. The dispensing management device 2 may be configured to read out the manual packing image stored in the tablet packing device 4.

[0096] In addition, the control unit 40 can execute an automatic inspection process that judges the appropriateness of the packaging process based on the prescription data based on the image of the tablet taken by the camera 462 or the camera 463 and the prescription data. In particular, in the automatic inspection process, the appropriateness of the packaging process based on the prescription data is judged in units of the prescription data based on the image of the tablet taken by the camera 462 or the camera 463 and the prescription data, and the appropriateness of the packaging process is also judged for each of the intake timings. Here, the control unit 40 when executing the automatic inspection process is an example of an inspection processing unit. In addition, in the automatic inspection process, the appropriateness of the packaging process may be judged in units of only one of the prescription data or the intake timing as another embodiment.

[0097] In the automatic inspection process, it is determined whether the identification information of the tablet included in the photographed image of the tablet matches the drug information included in the prescription data. Specifically, the image of the tablet included in the photographed image may be compared with a correct image corresponding to the tablet included in the prescription data as a prescription drug. The correct image is registered in advance in the pharmaceutical master in correspondence with each type of tablet. In addition, in the automatic inspection process, the identification information of the tablet may be read from the photographed image by a pattern matching process or a character authentication process, and the identification information of the tablet may be compared with the identification information of the tablet included in the prescription data as a prescription drug.

[0098] Furthermore, the tablet packaging device 4 may be provided with an ingredient detection unit that detects ingredients of the medicine before or after the packaging process, instead of or together with the imaging means such as the camera 462 and the camera 463. The ingredient detection unit is a qualitative analysis device that can detect ingredients of the medicine based on, for example, the spectroscopic characteristics when the medicine before or after the packaging process is irradiated with light of a preset wavelength. Specifically, the qualitative analysis device is an infrared spectroscopy, powder X-ray analysis, mass spectrometry, Raman spectroscopy, or the like. In this case, the control unit 40 can identify the medicine based on the ingredients of the medicine detected by the ingredient detection unit in the automatic inspection process and compare it with the prescription data. Then, the control unit 40 associates the spectral waveform or the ingredients of the medicine detected in the automatic inspection process with the prescription data, etc., as the inspection result, and stores them in the storage unit 49 as history information and transmits them to the server 2.

[0099] In the packaging process based on the prescription data, if the collation result is a match, the inspection result is determined to be proper, and if the collation result is a mismatch, the inspection result is determined to be an error. In this way, the control unit 40 can inspect whether the packaging process has been performed properly based on the prescription data and the image captured by the camera 462 or the camera 463 before the tablets are packaged in the medicine bag 451 in the packaging process. The control unit 40 judges whether the inspection result is proper in units of the prescription data and the dosage timing.

[0100] In addition, when the control unit 40 executes the automatic inspection process using the identification information of the tablet acquired from the photographed image of the tablet, the control unit 40 transmits the original image of the photographed image of the tablet taken by the camera 462 or the camera 463 when the identification information is read from the tablet together with the result (match or error) of the automatic inspection process to the server 2. In addition, in the automatic inspection process, the control unit 40 may extract the area of ​​the tablet from the photographed image taken by the camera 462 or 463, and read the identification information of the tablet based on the extracted trimmed image. In this case, the control unit 40 transmits the trimmed image to the server 2 as the original image instead of or together with the photographed image.

[0101] However, when the tablet included as a prescription drug in the prescription data is a half tablet or a quarter tablet, the captured image may not include the letter print or engraving of the tablet, making it difficult to perform the automatic inspection process based on the captured image. Therefore, in the tablet packaging device 4, when the tablet dispensed from the tablet cassette 41 or the manual dispensing unit 42 is a half tablet or a quarter tablet, the automatic inspection process based on the captured image taken by the camera 462 or 463 is not considered to be performed. Then, when the tablet included as a prescription drug in the prescription data is a half tablet or a quarter tablet, the control unit 40 processes the inspection result of the tablet as one that requires checking.

[0102] In another embodiment, the control unit 21 may determine whether or not the color of the tablet included in the captured image matches the color of the tablet registered in the medicine master even if the number of tablets is less than one. In this case, the control unit 21 may process the inspection result as a check required when the tablet colors match, and process the inspection result as an error when the tablet colors do not match.

[0103] Even when the automatic inspection process is not performed, the control unit 40 may take an image of the tablet placed on the tablet rotation unit 441 using either the camera 462 or 463 if the tablet dispensed from the tablet cassette 41 or the manual distribution unit 42 is less than one tablet, such as a half tablet or a quarter tablet. At this time, the control unit 40 does not drive the tablet rotation unit 441, and the tablet placed on the tablet rotation unit 441 is photographed in a stationary state. The control unit 40 also associates the photographed image of the tablet less than one tablet with the prescription data, stores it in the storage unit 49, and transmits it to the server 2.

[0104] Similarly, when the tablet included as a prescription drug in the prescription data is a predetermined image inspection excluded drug, such as a transparent or translucent capsule tablet, the printed letters or markings of the tablet may not appear clearly in the photographed image due to the unevenness of the powder or liquid medicine contained in the capsule tablet, and in this case, it is difficult to perform the automatic inspection process based on the photographed image. Therefore, in the tablet packaging device 4, even if the tablet dispensed from the tablet cassette 41 or the manual dispensing unit 42 is the image inspection excluded drug, it is considered that the automatic inspection process based on the photographed image taken by the camera 462 or 463 is not performed. Then, when the tablet included as a prescription drug in the prescription data is a half tablet or a quarter tablet, which is less than one tablet, the control unit 40 processes the inspection result of the tablet as one that requires checking.

[0105] Furthermore, if the tablet included as a prescription drug in the prescription data is an unregistered drug whose normal image is not registered in the drug master, the tablet cannot be inspected for suitability based on the captured image. Therefore, in the tablet packaging device 4, even if the tablet included in the prescription data to be packaged is an unregistered drug, it is considered that the automatic inspection process based on the captured image taken by the camera 462 or 463 is not executed. And, even if the tablet included as a prescription drug in the prescription data is an unregistered drug, the control unit 40 processes the inspection result of the tablet as one that requires checking.

[0106] As shown in Figures 3 and 4, the rotation unit 44 includes six tablet rotation parts 441, a unit rotation part 442, and a medicine introduction part 443. The unit rotation part 442 is rotatably supported by a base part (not shown). Figure 4 is a schematic diagram showing the rotation unit 44 as viewed from above.

[0107] Each of the tablet rotation units 441 can change the position of a tablet by rotating one tablet supplied from the tablet cassette 41 or the manual distribution unit 42. The unit rotation unit 442 has six tablet rotation units 441 arranged at 60° intervals around a predetermined rotation axis, and the unit rotation unit 442 can rotate the tablet rotation unit 441 around the predetermined rotation axis. Specifically, the unit rotation unit 442 can move each of the tablet rotation units 441 to six positions in order: a drop position P1 of the tablet from the individual dispensing unit 43, a drop position P2 of the tablet from the tablet cassette 41, a position P3 where the tablet can be photographed by the camera 462, a position P4 where the tablet can be photographed by the camera 463, a reserve position P5, and a drop position P6 into the medicine introduction unit 443.

[0108] In the tablet packaging device 4, as shown in Fig. 5A, when one tablet 17 dispensed from the tablet cassette 41 falls into the tablet rotation section 441, or when one tablet 17 dispensed from the individual dispensing section 43 falls into the tablet rotation section 441, the unit rotation section 442 rotates the tablet rotation section 441 by 60°. As a result, each tablet dispensed from the tablet cassette 41 or the manual dispensing unit 42 moves in sequence from the drop position P1 or the drop position P2 to the drop position P6 while being individually placed on the tablet rotation section 441. Then, at the photographable position P3 and the photographable position P4, the tablet 17 is photographed by the camera 462 and the camera 463.

[0109] Thereafter, the tablet 17 placed on the tablet rotation section 441 falls from the fall position P6 into the medicine introduction section 443. The medicine introduction section 443 is used to temporarily store tablets of a dosage unit on the way from the rotation unit 44 to the packaging unit 45. After the tablets of a dosage unit are stored in the medicine introduction section 443, the bottom surface is opened and the tablets of the dosage unit contained in the medicine introduction section 443 are supplied to the packaging unit 45.

[0110] 4, lighting devices 468 and 469 for illuminating the tablets at positions where the cameras 462 and 463 can capture images are fixed above the rotation unit 44. The lighting devices 468 and 469 irradiate the tablet rotation part 441 with light at different angles or with different illuminance so that the cameras 462 and 463 can capture images of different lighting environments.

[0111] For example, the lighting device 468 may provide illumination suitable for reading the tablet's identification information formed by engraving on the tablet, and may irradiate the tablet with light from the side or from diagonally above so that the tablet's identification information is clearly photographed. The lighting device 468 may irradiate the tablet with light from multiple directions. This is because, when the tablet's identification information formed on the tablet is an engraving, the engraving creates unevenness on the surface of the tablet, and the way the identification information appears in the captured image of the tablet may change depending on the angle of light irradiation with respect to the unevenness.

[0112] The lighting device 469 provides illumination suitable for reading the tablet identification information formed on the tablet by printing, and may, for example, irradiate the tablet from above so that the tablet identification information is clearly photographed. This is because, when the tablet identification information formed on the tablet is printed, the identification information is formed on the surface of the tablet by paint or developer, and therefore the tablet does not have unevenness and the way the identification information is photographed in the photographed image of the tablet is unlikely to change. In addition, whether the tablet identification information, such as characters or symbols, is formed on the tablet by engraving or printing is registered in advance in the pharmaceutical master or the like. The pharmaceutical master is stored not only in the memory unit 22 of the server 2 but also in the memory unit 49 provided in the tablet packaging device 4.

[0113] For example, in the pharmaceutical master, it is considered that the engraving flag is set to "1" for tablets whose identification information is engraved, and the printing flag is set to "1" for tablets whose identification information is printed. Note that in the pharmaceutical master, the engraving flag may be set to "1" for tablets whose identification information is engraved, and the engraving flag may be set to "0" for tablets whose identification information is printed. Then, in the tablet packaging device 4, the captured images by the cameras 462 and 463 that are suitable for the method of forming the tablet's identification information (engraving or printing) are used for the automatic inspection process.

[0114] In addition, in the storage unit 49, similar to the server 2, a drug database in which information such as drug code, drug name, JAN code, RSS code, medicine bottle code, dosage form, unit, specific gravity, drug variety, compounding variation, excipient drug, cautions, allergy information, package insert information, etc. is associated with each drug is stored separately from the drug master. In particular, in the drug database, for tablets, information such as tablet identification information formed on the tablet, tablet shape, and tablet appearance image (front and back) is stored. The drug database is read from a recording medium such as a CD or DVD by a drive device (not shown) provided in the tablet packaging device, or is received from an external device such as the server 2 via the communication network N1 and stored in the storage unit 49. The control unit 40 may be configured to be able to read the drug database from an external device such as the server 2 or a website via the communication network N1 as necessary. The drug database is used for updating the drug master, etc.

[0115] Here, an example of the tablet rotation unit 441 will be described with reference to FIG. 5A and FIG. 5B. As shown in FIG. 5A and FIG. 5B, the tablet rotation unit 441 includes a pair of rotating rollers 100, a pair of support plates 101 that individually support each of the rotating rollers 100, and a spring 102 that biases the pair of support plates 101 in a direction toward each other. In addition, in the tablet rotation unit 441, arms 103 extend from both ends of each of the support plates 101, and gears 104 that mesh with each other are formed at the tip portions. As a result, in a normal state, the rotating rollers 100 are in a state where they are in close proximity to each other, and the tablet 17 can be supported by the pair of rotating rollers 100. On the other hand, the pair of rotating rollers 100 come into contact with each other and separate from each other in synchronization with the rotation of the gear 104, and in a state where they are in contact or close to each other, the drug 17 is rotatably supported, and in a state where they are separated, the drug 17 falls from the pair of rotating rollers 100 toward the drug introduction unit 443.

[0116] In addition, a driven gear 100a is integrated with one end of the rotation shaft of each of the rotating rollers 100. A drive gear 106 integrated with one end of the drive shaft 105 is engaged with each of the driven gears 100a. A driven roller (not shown) is integrated with the other end of the drive shaft 105. The driven roller is composed of a magnet gear. In addition, in the rotation unit 44, when the tablet rotation part 441 moves to the photographable position P3 by the camera 462 or the photographable position P4 by the camera 463, a connecting magnet gear (not shown) connected to a predetermined drive motor is provided at a position directly below the tablet rotation part 441 and away from the tablet rotation part 441.

[0117] Then, when the tablet rotation unit 441 moves to the photographable position P3 of the camera 462 or the photographable position P4 of the camera 463, the driving force from the predetermined drive motor is transmitted to the driven roller via the connecting magnet gear. As a result, the driving force of the predetermined drive motor is transmitted to the pair of rotating rollers 100 via the driven roller and the drive shaft 105, and the pair of rotating rollers 100 rotate synchronously in the same direction. Therefore, when the tablet 17 is placed on the pair of rotating rollers 100, the tablet 17 rotates. Therefore, in the tablet rotation unit 441, it is possible to change the posture of the tablet 17 photographed by the camera 462 and the camera 463, and the outer peripheral surface of the tablet 17 can be photographed from different directions. That is, the tablet 17 rotated by the tablet rotation unit 441 is photographed intermittently or continuously by the camera 462 and the camera 463, so that the outer peripheral surface including the identification information formed on the tablet 17 by engraving or the like can be photographed.

[0118] The configuration of the tablet rotation unit 441 described here is merely one example, and the tablet rotation unit 441 may be configured to displace the tablet to a state where an image from which the tablet's identification information can be read can be captured by the camera 462, the camera 463, etc. However, it is desirable to capture the tablet in a state where the tablet's identification information is clearly shown in the captured image. In addition, the tablet packaging device 4 may be configured such that, as long as it is possible to capture an image of the outer circumferential surface of the tablet from different directions, the tablet is placed on a transparent loading plate and the tablet is photographed from the front side and the back side of the loading plate.

[0119] The packaging unit 45 is capable of packaging tablets in a dosage unit supplied from either one or both of the tablet cassette 41 and the manual distribution unit 42 via the rotation unit 44 into a medicine packet 451. Fig. 6 is a diagram showing an example of the medicine packet 451 dispensed from the tablet packaging device 4. As shown in Fig. 6, each medicine packet 451 contains a plurality of tablets in a dosage unit, and dotted cut lines (perforations) 452 are formed between each of the medicine packets 451 to easily separate each of the medicine packets 451.

[0120] The packaging unit 45 is provided with a printing unit 453 for printing information on each of the medicine packets 451, and the printing unit 453 can print information such as the patient's name, the timing of taking the medicine (or the period of taking the medicine), the prescribed drug, or the prescribed amount on the surface of each of the medicine packets 451. In the packaging unit 45, a blank medicine packet 451 on which one-dimensional or two-dimensional code information indicating prescription identification information such as a prescription ID for identifying the prescription data is printed is added to the beginning or end of a series of the medicine packets 451 obtained by the packaging process based on one of the prescription data. The code information can be read by the code reading unit 27 and the code reading unit 37. The code information may be printed on each of the medicine packets 451.

[0121] [Pharmacy equipment 5] The dispensing device 5 is a device used when dispensing medicine based on prescription data, similar to the tablet packaging device 4. The dispensing device 5 includes, in addition to the tablet packaging device 4, a powder medicine packaging device, a liquid medicine dispensing machine, a sheet dispensing device, and a picking assistance device. The powder medicine packaging device has a plurality of powder medicine cassettes containing a plurality of types of powder medicine, and can automatically package the powder medicine contained in the powder medicine cassette in a predetermined amount according to the prescription data. The liquid medicine dispensing machine has a plurality of medicine bottles containing a plurality of types of liquid medicine, and dispenses the required amount of liquid medicine from the medicine bottle according to the prescription data. The sheet dispensing device dispenses from a plurality of sheet cassettes containing PTP sheets or heat seals in which tablets are packaged in advance according to the prescription data. The picking assistance device is used when a pharmacist manually dispenses medicine, and reads the name of a medicine from identification information (such as a barcode) attached to a medicine shelf or a medicine bottle, and compares the read medicine name with the medicine name included in the prescription data.

[0122] Incidentally, in medical facilities such as hospitals or pharmacies, pharmacists carry out an inspection task to confirm whether the tablets packaged by the tablet packaging device 4 are appropriate and correspond to the prescription data. In response to this, the inspection support system 1 supports the inspection task of the pharmacist by executing an inspection support process (see FIG. 7) described later.

[0123] [Audit support processing] An example of the procedure of the inspection support process executed by the control unit 21 of the server 2 in the inspection support system 1 will be described below with reference to FIG. 7. The inspection support process is executed when a pharmacist with a preset final inspection authority logs into the server 2 on the client terminal 3, or when an inspection start operation for performing the final inspection process is performed after the login operation. The login authentication to the server 2 is performed based on the user master stored in the storage unit 22. The "display" and "operation" described below are performed using the display unit 33 and the operation unit 34 of the client terminal 3 on which the login operation is performed. Of course, similar operations and displays may be performed on the server 2.

[0124] <Step S11> First, in step S11, the control unit 21 displays an inspection waiting list screen D1 for displaying a list of prescription data that are candidates for inspection on the client terminal 3. Here, Fig. 8 is a diagram showing an example of the inspection waiting list screen D1.

[0125] 8, the inspection waiting list screen D1 displays a list display area A11 in which a list of prescription data to be inspected is displayed. Specifically, the list display area A11 displays the prescription ID (prescription identification information), patient name (patient identification information), medication start date, and number of days included in the prescription data, as well as status information of a plurality of dispensing devices, such as the tablet packaging device 4 and the dispensing device 5, connected to the inspection support system 1.

[0126] Here, as shown in FIG. 8, in the server 2, the powdered medicine packaging device and the sheet dispensing device are registered in advance as the No. 1 device, the No. 3 device, and the tablet packaging device 4 is registered in advance as the No. 2 device. The status information is classified in advance into "packaging complete", "preparation complete", "packaging in progress", "operating", "waiting to start", and "out of stock". "Packaging complete" and "preparation complete" indicate that the drug preparation is complete, and the background or text is displayed in a first specific color such as a predetermined blue. "Packaging in progress" and "operating" indicate that the drug preparation is being performed, and are displayed together with the waiting time until completion. "Waiting to start" is a waiting state until the drug preparation starts, and is displayed together with the waiting time until the start. "Out of stock" indicates that the drug preparation cannot be started because the drug used in the preparation based on the prescription data, the drug package 451, or consumables such as the ink ribbon are out of stock, and the background or text is displayed in a second specific color such as a predetermined red.

[0127] Furthermore, the inspection waiting list screen D1 displays operation keys K11 to K12 and the like for accepting user operations. The operation key K11 is an operation key for displaying an inspection history screen D2 for displaying the inspection history in the server 2, and the operation key K12 is an operation unit for displaying an inspection screen D3 for executing an inspection process in the server 2. That is, the control unit 21 is capable of starting inspection of dispensing performed by a plurality of devices, such as the tablet packaging device 4 and the dispensing device 5, in response to an operation on the inspection waiting list screen D1.

[0128] <Step S12> In step S12, the control unit 21 determines whether or not a display operation of the inspection history screen D2 has been performed. Specifically, the control unit 21 determines that a display operation of the inspection history screen D2 has been performed when the operation key K11 on the inspection waiting list screen D1 has been operated. Then, when the control unit 21 determines that a display operation of the inspection history screen D2 has been performed (S12: Yes), it shifts the process to step S13, and when a display operation of the inspection history screen D2 has not been performed (S12: No), it shifts the process to step S14.

[0129] <Step S13> In step S13, the control unit 21 displays the inspection history screen D2 on the client terminal 3. In this manner, the control unit 21 can display the inspection history of the dispensing performed by a plurality of dispensing devices such as the tablet packaging device 4 and the dispensing device 5 in response to a user operation on the inspection waiting list screen D1.

[0130] FIG. 9 is a diagram showing an example of the inspection history screen D2. As shown in FIG. 9, the inspection history screen D2 displays a list display area A21 in which a list of prescription data for which inspection has already been completed is displayed. The list display area A21 displays information such as a prescription ID (prescription identification information), a patient name (patient identification information), a date of initiation of medication, an inspector, and an inspection date and time included in the prescription data. In addition, the list display area A21 displays, as an inspection result of the medicine dispensed by each of the tablet packaging device 4 and the dispensing device 5 connected to the inspection support system 1, "OK" indicating that the judgment result was appropriate, or "NG" indicating that the judgment result was an error. Specifically, the inspection result corresponding to the tablet packaging device 4 is the result of the automatic inspection process. Note that "OK" is displayed with a background or text in a third specific color, such as blue, which is predetermined, and "NG" is displayed with a background or text in a fourth specific color, such as red, which is predetermined. Furthermore, when "NG" is displayed, the content of the action taken in response to the judgment result being an error (for example, "corrected") is displayed.

[0131] In addition, the inspection history screen D2 displays an operation key K21 for selecting either "patient ID" or "period" as a search item, an input field K22 for inputting the search content of the item selected by the operation key K21, and an operation key K23 for executing the search. When the search content is input in the input field K22 and the "execute search" operation key is operated, the control unit 21 searches for prescription data corresponding to the search content and displays it in the list display area A21. In addition, the inspection history screen D2 displays an operation key K24 for displaying an inspection screen similar to an inspection screen D3 described later that displays details of the inspection history of the prescription data displayed in the list display area A21.

[0132] <Step S14> In step S14, the control unit 21 judges whether the inspection start operation has been performed. Specifically, the control unit 21 judges that the inspection start operation has been performed when the operation key K12 is operated while the prescription data to be inspected is selected on the inspection waiting list screen D1. Then, when the control unit 21 judges that the inspection start operation has been performed (S14: Yes), it shifts the process to step S15, and when the inspection start operation has not been performed (S14: No), it shifts the process to step S16. Note that, for example, when the code information written on the medicine package 451 is read by the code reading unit 27 and the prescription data is specified based on the code information, the control unit 21 also judges that the inspection start operation has been performed for the prescription data to be inspected.

[0133] <Step S15> In step S15, the control unit 21 causes the client terminal 3 to display the inspection screen D3 for inspecting the prescription data selected on the inspection waiting list screen D1. FIG. 10 is a diagram showing an example of the inspection screen D3. As shown in FIG. 10, the inspection screen D3 displays a basic information area A31, an inspection result area A32, and a device information area A33. The basic information area A31 displays information such as the prescription ID (prescription identification information), patient name (patient identification information), sex, age, date of taking, and usage included in the prescription data.

[0134] The inspection result area A32 displays the contents of the prescription data selected on the inspection waiting list screen D1 and the inspection results for the prescription data for each record (Rp1 to Rp3). Specifically, the inspection result area A32 displays the drug name, dosage, form, dispensing device number, dosage, and judgment result. Note that the judgment result is a judgment result of suitability in an automatic inspection process executed in each of the tablet packaging device 4 and the dispensing device 5, such as the automatic inspection process executed in the tablet packaging device 4, and is input to the server 2 from each of the tablet packaging device 4 and the dispensing device 5 as appropriate.

[0135] The automatic inspection process may be executed by the control unit 21 of the server 2 which acquires various information such as images from the tablet packing device 4 and the dispensing equipment 5. Specifically, in the server 2, the control unit 21 causes the storage unit 22 to store in association with an inspection result of the appropriateness of the dispensing process executed by each of the tablet packing device 4 and the dispensing equipment 5, and prescription identification information such as a prescription ID of the prescription data.

[0136] The control unit 21 can display the inspection results of the tablet packaging device 4 and the dispensing device 5 associated with the prescription ID of the prescription data together on one screen, as in the inspection result area A32 of the inspection screen D3. This allows the user to collectively check the inspection results of the multiple dispensing devices 5, including the tablet packaging device 4 that executes dispensing based on the prescription data. For example, in the inspection screen D3 shown in FIG. 10, Rp1 is considered to be a drug dispensed by the tablet packaging device 4, Rp2 is considered to be a drug dispensed by the powdered medicine packaging device of the dispensing device 5, and Rp3 is considered to be a drug dispensed by the sheet dispensing device of the dispensing device 5.

[0137] The device information area A33 displays information on the remaining amount of consumables in the tablet packing device 4 and the dispensing device 5 connected to the server 2. The remaining amount information of the consumables displayed in the device information area A33 is appropriately input from each of the tablet packing device 4 and the dispensing device 5 to the server 2, or is read from each of the tablet packing device 4 and the dispensing device 5 by the server 2. This allows the user to easily check the remaining amount of consumables in the tablet packing device 4 and the dispensing device 5. For example, in the example shown in FIG. 10, the remaining amount of "packing paper" is small and the remaining amount of "ink ribbon" is sufficient as information on consumables of the tablet packing device 4 of "No. 2". Similarly, the remaining amount of "packing paper" is sufficient and the remaining amount of "ink ribbon" is small as information on consumables of the powdered medicine packing device of "No. 1". In this way, the control unit 21 can display, on the inspection screen D3, a list of information on consumables in a plurality of dispensing devices, such as the tablet packing device 4 and the dispensing device 5. Therefore, the user can easily manage all the consumables in the inspection support system 1. This allows the arrangement of the consumables to be done without any omissions, and enables continuous operation of a plurality of dispensing devices, such as the tablet packing device 4 and the dispensing device 5, even with a small number of people.

[0138] <Step S16> In step S16, the control unit 21 judges whether a detail confirmation operation has been performed to confirm details of the judgment result displayed on the inspection screen D3. Specifically, the control unit 21 judges that the detail confirmation operation has been performed when a display location of the judgment result corresponding to any of the records included in the prescription data displayed on the inspection screen D3 has been selected on the inspection screen D3. Here, if the control unit 21 judges that the detail confirmation operation has been performed (S16: Yes), it shifts the process to step S17, and if the detail confirmation operation has not been performed (S16: No), it shifts the process to step S18.

[0139] <Step S17> In step S17, the control unit 21 executes an inspection display control process to display an inspection details screen D303 on which details of the judgment result displayed on the inspection screen D3 are displayed. The inspection display control process is executed by the display processing unit 211 of the control unit 21.

[0140] [Inspection display control process] Hereinafter, with reference to FIG. 11, an example of the inspection display control process executed by the control unit 21 will be described.

[0141] <Step S31> In step S31, the control unit 21 judges whether or not a part or all of the packaging process has been re-executed for the prescription data currently being inspected. Specifically, when a part or all of the packaging process has been re-executed for the same prescription data, the control unit 21 stores the inspection results of the re-executed packaging process in association with the prescription data. For example, the control unit 21 stores the inspection results of the first packaging process, the inspection results of the first re-execution of the packaging process, and the inspection results of the second re-execution of the packaging process in association with the prescription data. Note that storing in association with the prescription data means storing in association with prescription identification information such as a prescription ID for identifying the prescription data. Then, when the inspection results of the re-execution of the packaging process are stored in association with the prescription data, the control unit 21 judges that the packaging process has been re-executed for the prescription data. In addition, when the packaging process is re-executed for a part or all of the same prescription data, a re-execution flag corresponding to the prescription data may be set to ON, and the presence or absence of the re-execution of the packaging process for the prescription data may be determined by referring to the re-execution flag. If it is determined that the re-execution has been performed for the prescription data (S31: Yes), the process proceeds to step S32, and if it is determined that the re-execution has not been performed (S31: No), the process proceeds to step S311.

[0142] For the sake of convenience, the first packaging process executed for the prescription data may be referred to as the first packaging process, and the second or subsequent packaging process may be referred to as the second packaging process. In the following, the process of the inspection display control process will be described first when it is determined in step S31 that the re-execution has not been performed for the prescription data (S31: No), and the process when it is determined in step S31 that the re-execution has been performed for the prescription data (S31: Yes) will be described later.

[0143] <Step S311> In step S311, the control unit 21 displays an inspection details screen D303 on which the inspection result of the automatic inspection process executed for the first packaging process executed for the prescription data currently being inspected is displayed. Specifically, the control unit 21 displays the inspection result on the inspection details screen D303 together with the photographed image of the tablet photographed in the first packaging process.

[0144] 12A, 13, and 14A are diagrams showing the audit details screen D303. Specifically, Fig. 12A is a display example when the audit result by the automatic audit process is appropriate, Fig. 13 is a display example when the audit result by the automatic audit process is an error, and Fig. 14A is a display example when the audit result by the automatic audit process requires checking.

[0145] The inspection details screen D303 displays a basic information area A311, a dispensing details area A322, and an inspection result area A313. The basic information area A311 is an area in which patient information, prescription data, and the like are displayed, similar to the basic information area A31. More specifically, the basic information area A31 displays prescription-related information such as a prescription ID, a patient name, and usage in the prescription data. Note that other information such as a dosage in the prescription data may be displayed as the prescription-related information in the basic information area A31. In the dispensing details area A322, the contents of the tablets packaged in the medicine package 451 are displayed in a predetermined direction in units of the medicine package 451 (units of timing of taking the medicine).

[0146] In addition, in the dispensing details area A322, the display area A320 in which the number of packs information such as 1st pack, 2nd pack, ... indicating the number of packs of the medicine package 451 is displayed may display the timing of taking the medicine (the date and time of taking the medicine) together with the number of packs information or instead of the number of packs information. In addition, the control unit 21 may alternately display a plurality of photographed images of the tablet (for example, a front image and a back image) in response to a selection operation of a photographed image of the tablet in the dispensing details area A322. This makes it possible to check the state of the tablet as viewed from a plurality of directions while suppressing the size of the display area in normal times.

[0147] In the dispensing details area A322 shown in FIG. 12A, the drug name, type, result, and normal image are displayed. Specifically, the type is displayed so that it can be identified whether the tablet corresponding to the drug name was dispensed from the tablet cassette 41 or the manual dispensing unit 42. For example, if the tablet is dispensed from the tablet cassette 41, "C" or "Ka" is displayed as an identification code, and if the tablet is dispensed from the manual dispensing unit (Detachable Tablet Adapter) 45, "D" or "Hand" is displayed as an identification code. In addition, the result individually displays whether the inspection result for the tablet corresponding to the drug name is appropriate or not. The normal image is a registered image registered in advance in the drug master as a correct image of the tablet. For example, in the drug master, two images corresponding to the front and back of the tablet are registered as the registered images in association with each tablet. The registered image may be a single image in which an area including the identification information of the tablet is photographed from the outer peripheral surface of the tablet.

[0148] In addition, in the dispensing details area A322, the photographed image of the tablet photographed by the photographing unit 46 before being packaged in each of the medicine packets 451 is displayed as the packaging result information in association with each tablet. The photographed image displayed in the dispensing details area A322 is an example of the packaging result information. As described above, when the tablet packaging device 4 includes the ingredient detection unit, the detection result such as the detected ingredient or drug name detected by the ingredient detection unit may be displayed as the packaging result information instead of the photographed image. In addition, it is also possible to omit the display of the photographed image and the detection result, and to display only one or more of the inspection results of the automatic inspection process for each prescription data, each drug, or each dosing timing as the packaging result information, as another embodiment. In addition, it is also possible to omit the display of the inspection results of the automatic inspection process for each prescription data, each drug, or each dosing timing, and to display only the photographed image or the detection result as the packaging result information, as another embodiment.

[0149] Here, the control unit 21 displays the photographed images of the tablets corresponding to each combination of the tablet names and the packaging order in an arrangement format in which the tablet names (medicine names) are displayed in one column or row and the packaging order (first package, second package, etc.) is displayed in the other column or row. In addition, in the dispensing details area A322 shown in Fig. 12A, the tablet names are displayed in a vertical direction and the packaging order is displayed in a horizontal direction. In this way, photographed images of the tablets of the same type are arranged in the packaging order arrangement direction, so that the pharmacist can easily check the suitability of each photographed image of the tablets.

[0150] In addition, the control unit 21 displays, for each tablet, a plurality of captured images corresponding to different outer peripheral surfaces of the tablet captured for each tablet by the tablet packaging device 4, including at least an original image in which the identification information of the tablet is read by the tablet packaging device 4 or an original image compared with the normal image. This allows a pharmacist to judge the suitability of the tablet by referring to a plurality of captured images of the tablet, for example, when it is difficult to judge the suitability of the tablet based on only one captured image of the tablet. In addition, in the dispensing details area A322, the normal image of the tablet and the captured image of the tablet are displayed side by side, so that a pharmacist can easily judge the suitability of the tablet by comparing the registered image of the tablet with the captured image of the tablet.

[0151] For example, in the dispensing details area A322 shown in Fig. 12A, photographed images of three tablets, "Transamin Capsule 250 mg," "Cepharanthin Tablet 1 mg," and "Reflex Tablet 15 mg," are displayed as photographed images of the tablets packed in the first medicine package 451. If the tablet is a flat tablet, two images of the front and back sides of the tablet are displayed, and if the tablet is in the shape of a capsule tablet or the like, two images of the side including the identification information of the tablet and the side not including the identification information of the tablet may be displayed.

[0152] 13, in the dispensing details area A322, if the result of the automatic inspection process of a drug included in the prescription data displayed on the inspection details screen D303 is an error, the background of one or more areas A314 and A315 corresponding to the drug is displayed in a fifth specific color such as a predetermined red. This allows the user to easily identify the drug for which the result of the automatic inspection process is an error by checking the positions of the areas A314 and A315.

[0153] In addition, the inspection result area A313 displays the results of the automatic inspection process for all drugs included in the prescription data displayed on the inspection details screen D303. The results of the automatic inspection process displayed in the inspection result area A313 are an example of packaging result information. Specifically, in the example shown in FIG. 13, "NG" indicating that the result of the automatic inspection process is an error is displayed in the inspection result area A313 with a background of a sixth specific color, such as red, which is predetermined different from the fifth specific color. Furthermore, in the example shown in FIG. 14A, "CHECK" indicating that the result of the automatic inspection process needs to be checked is displayed in the inspection result area A313 with a background of a seventh specific color, such as yellow, which is predetermined different from the fifth specific color and the sixth specific color.

[0154] In particular, in the dispensing details area A322, an individual result display area A323 showing the inspection result of the automatic inspection process for each of the tablets included in the prescription data is displayed individually. Specifically, in the example shown in FIG. 13, for "Transamin Capsules 250 mg" and "Cepharanthine Tablets 1 mg", "○" is displayed indicating that the result of the inspection process is appropriate, and for "Reflex Tablets 15 mg", "×" is displayed indicating that an error has occurred in the result of the inspection process. This allows the pharmacist to easily grasp, for example, the tablet for which the result of the inspection process has caused an error. Information indicating whether the result of the inspection process is appropriate or not is also an example of packaging result information.

[0155] When a selection operation of the photographed image of the tablet displayed in the dispensing details area A322 is performed, the control unit 21 can display an enlarged screen D341 on the client terminal 3, which enlarges the photographed image of the tablet that is the target of the selection operation and displays it as an enlarged image P343, as shown in Figures 18A and 18B. In addition, in the enlarged screen D341, an enlarged image P342 obtained by enlarging the normal image corresponding to the tablet that is the target of the selection operation and the enlarged image P343 are displayed, but only the enlarged image P343 may be displayed.

[0156] 12A, when the inspection result of the automatic inspection process is appropriate, the inspection details screen D303 displays "Waiting for approval" as the inspection result of the automatic inspection process in the inspection result area A313. Furthermore, the inspection details screen D303 displays an approval key K311 that is operated to approve the displayed inspection result.

[0157] On the other hand, as shown in FIG. 13, if the inspection result of the automatic inspection process is an error, the inspection details screen D303 displays "NG" in the inspection result area A313, indicating that the inspection result of the automatic inspection process is an error.

[0158] Also, as shown in FIG. 14A, if the inspection result of the automatic inspection process indicates that checking is required, the inspection details screen D303 will display "CHECK" in the inspection result area A313, indicating that checking is required as the inspection result of the automatic inspection process.

[0159] In particular, when the control unit 21 is unable to obtain the identification information of the tablet in the automatic inspection process, i.e., when there is no character printing or engraving on the tablet like the tablet "Tic Tac" shown in Fig. 14B, the control unit 21 displays that all of the medicine packages 451 containing the tablets need to be checked. In addition, when the tablet is a half tablet or a quarter tablet less than one tablet, when the tablet is a predetermined drug excluded from image inspection such as a transparent or translucent capsule tablet, or when the tablet is an unregistered drug whose normal image is not registered in the drug master, the control unit 21 may process the inspection result of the tablet as a drug that needs to be checked regardless of the result of the automatic inspection process.

[0160] In addition, if the inspection result of the automatic inspection process indicates that checking is required, it is possible to operate the approval key K311 as shown in Figures 14A and 14B. However, if the inspection result of the automatic inspection process indicates an error, the approval key K311 becomes inoperable, for example by being grayed out, as shown in Figure 13.

[0161] In addition, the inspection details screen D303 displays operation keys K312 to K314. The operation key K312 is an operation key for starting a re-packaging operation for re-executing the packaging process for one or more of the drug packages 451. When the reissue key K312 is operated, the control unit 21 displays a reissue operation screen D304 for setting a method for re-executing the packaging process. In this way, in the inspection support system 1, after the display processing unit 211 displays the prescription-related information and the packaging result information on the inspection details screen D303, it is possible to re-execute the packaging process for one or more of the dosage timings in accordance with a predetermined re-packaging operation. Incidentally, in the inspection support system 1, after the display processing unit 211 displays at least the packaging result information on the inspection details screen D303, it is possible to regard a configuration in which the packaging process can be re-executed for one or more of the dosage timings in accordance with a predetermined re-packaging operation as an embodiment of the present invention. In addition, the prescription-related information and the packing result information on the inspection details screen D303 do not need to be displayed on the same screen at the same time, and may be displayed sequentially or by a scroll operation. Here, FIG. 15 is a diagram showing an example of the reissue operation screen D304.

[0162] As shown in FIG. 15, in the reissue operation screen D304, "all packages", "only CHECK packages", "only NG packages", "CHECK, NG packages", and "designated packages" can be selected as targets for re-execution of the packaging process. When "all packages" is selected, all of the medicine packages 451 are targeted, and when "only CHECK packages" is selected, only the medicine packages 451 whose inspection results require checking are targeted. When "only NG packages" is selected, the medicine packages 451 whose inspection results are errors are targeted, and when "CHECK, NG packages" is selected, the medicine packages 451 whose inspection results are errors and the medicine packages 451 whose inspection results require checking are targeted. Furthermore, in "designated packages", the medicine packages 451 to be re-executed can be arbitrarily designated, for example, consecutive designation or individual designation is possible. Note that, when the medicine package 451 to be re-executed as a target of the packaging process has already been designated on another screen, identification information such as the medicine package number of the designated medicine package 451 is displayed in the input field of the designated package.

[0163] The reissue operation screen D304 displays a reissue key K315 for starting execution of reissue, and the control unit 21 transmits a control instruction including the reexecution data and the reexecution instruction for reexecuting the packaging process of the specified medicine package 451 to the tablet packaging device 4 in response to the operation of the reissue key K315. Here, this processing is executed by the reexecution processing unit 213 of the control unit 21. As a result, in the tablet packaging device 4, the packaging process for the dosage timing corresponding to the medicine package 451 specified on the reissue operation screen D304 is reexecuted in accordance with the control instruction.

[0164] Returning to the description of FIG. 13, the operation key K313 is an operation key for displaying a manual preparation confirmation screen D5 on which the manual preparation image corresponding to the currently displayed prescription data is displayed. The operation key K313 is operable when the manual preparation unit 42 is used in the packaging process, and is inoperable by being grayed out or the like when the manual preparation unit 42 is not used in the packaging process. When the operation key K313 is operated, the control unit 21 displays the manual preparation confirmation screen D5 (see FIG. 17) on which the manual preparation image is displayed. This allows the user to easily confirm whether the cause of the error is incorrect preparation of tablets to the manual preparation unit 42 by checking the manual preparation image captured by the camera 464 regarding the dispensing of tablets in the tablet packaging device 4 when the inspection result of the packaging process by the tablet packaging device 4 is an error.

[0165] FIG. 17 is a diagram showing an example of the manual distribution confirmation screen D5. In the manual distribution confirmation screen D5 shown in FIG. 17, a manual distribution unit image area A51 and an operation explanation area A52 are displayed together with the basic information area A31 and the prescription information area A35. In the manual distribution unit image area A51, the manual distribution image photographed from above the manual distribution unit 42 by the camera 464 is displayed. This allows the user to confirm the state of the tablets immediately after manual distribution to the manual distribution unit 42. In addition, in the operation explanation area A52, an explanation of the operation content in the manual distribution unit image area A51 is displayed. For example, in the operation explanation area A52, a finger gesture and an image are displayed to the effect that an image is enlarged by a pinch out operation and that an image is reduced by a pinch in operation.

[0166] Returning to the explanation of FIG. 13, the operation key K314 is an operation unit for changing the display size of the list display of the inspection results on the inspection details screen D303. When the display size is changed by operating the operation key K314, the control unit 21 changes the number of the drug packages 451 displayed simultaneously on the inspection details screen D303. The operation key K314 allows the user to arbitrarily select four display sizes, namely, "large", "medium", "small", and "extra small". This allows the user to select a display mode according to the purpose, such as enlarging and checking each captured image when referring to the results of the automatic inspection process, or grasping the overall results of the automatic inspection process.

[0167] As described above, when a photographed image of a specific tablet in a specific medicine bag 451 is selected on the inspection details screen D303, the control unit 21 displays an enlarged screen D341 corresponding to the tablet. Here, the enlarged screen D341 is shown in FIG. 18A and FIG. 18B. As shown in FIG. 18A and FIG. 18B, the enlarged screen D341 displays an enlarged image P342 corresponding to a normal image and an enlarged image P343 of the photographed image corresponding to the selected tablet side by side. The control unit 21 may display the enlarged screen D34 only for photographed images of tablets whose inspection results in the automatic inspection process are an error or require check, among the photographed images, but may be capable of displaying the enlarged screen D34 for photographed images of all tablets.

[0168] In addition, the control unit 21 can display the enlarged image P343 displayed on the enlarged screen D341 by sequentially switching between a plurality of captured images corresponding to the tablet at a predetermined interval, as shown in, for example, Figs. 18A and 18B. More specifically, when the enlarged screen D341 is displayed, the control unit 21 starts switching the enlarged image P343. This allows the user to judge the suitability of the tablet by referring to a plurality of captured images obtained by capturing the outer periphery of the tablet from different angles.

[0169] Then, operation keys K361 to K364 are displayed on the enlarged screen D341. When the operation key K361 is operated, the control unit 21 suspends the automatic switching of the enlarged image P343, and when the operation key K361 is operated again, the control unit 21 resumes the automatic switching of the enlarged image P343. Note that it is also conceivable that the control unit 21 may start the automatic switching of the enlarged image P343 in response to the operation of the operation key K361 after the enlarged screen D341 is displayed.

[0170] In addition, when the operation key K362 is operated in a case where the inspection result of the automatic inspection process of the displayed tablet is a check required or an error, the control unit 21 records that the tablet is judged to be proper by visual confirmation as the inspection result of the tablet. Furthermore, when the operation key K363 is operated, the control unit 21 selects and records the medicine bag 451 in which the displayed tablet is contained as the target for reissue. Here, for the tablet or medicine bag 451 selected as the target for reissue, additional information A324 such as characters or a design indicating that it is the target for reissue may be displayed in association with the tablet or the medicine bag 451 on the inspection details screen D303 as shown in FIG. 13.

[0171] Furthermore, when the operation key K364 is operated, the control unit 21 records that a process such as manually replacing tablets contained in the medicine package 451 including the displayed tablet is to be performed. In this case, the tablet selected as the target for the manual process may be displayed in association with additional information A325 such as a character or a design indicating that the tablet is the target for the manual process on the inspection details screen D303, as shown in Fig. 14A. Note that only one of the operation keys K362 to K364 is in a selected state, and when one of the operation keys K362 to K364 is selected, the remaining two become unselected.

[0172] In the user master, the processing authority in the enlarged screen D341 may be set as the processing authority corresponding to a user or a user group. Each of the user groups is used to classify one or more users into, for example, a general pharmacist, a supervising pharmacist, and a technician, and the processing authority is set for each of the user groups. Specifically, in the user master, whether or not each of the operation keys K362 to K364 can be operated may be set for each user or each user group. Then, the control unit 21 switches between enabling and disabling the operation keys K362 to K364 according to the processing authority corresponding to the currently logged-in user. This makes it possible to manage the processable contents of the inspection results for each user or user group.

[0173] Incidentally, as shown in FIG. 13 and FIG. 14A, when the inspection result of the automatic inspection process includes an error or a check, the control unit 21 displays both the tablets for which the inspection result of the automatic inspection process is OK and the tablets for which the inspection result of the automatic inspection process is an error or a check on the inspection details screen D303. When an error tablet is included as the inspection result of the automatic inspection process, "NG" is displayed in the inspection result area A313 as shown in FIG. 13. When an error tablet is not included as the inspection result of the automatic inspection process but a check-required tablet is included, "CHECK" is displayed in the inspection result area A313 as shown in FIG. 14A. In addition, in the individual result display area A323 corresponding to the tablet with an error in the inspection result, a "x" mark indicating an error is displayed as shown in FIG. 13, and in the individual result display area A323 corresponding to the tablet with a proper inspection result, a "○" mark indicating proper is displayed as shown in FIG. 12A. As shown in FIG. 14A, in the individual result display area A323 corresponding to a tablet whose inspection result indicates that checking is required, a "△" mark indicating that checking is required is displayed.

[0174] On the other hand, when the number of tablets corresponding to each taking timing is counted by the passage detection sensor 474 in the tablet packaging device 4, the control unit 21 may display the number of tablets on the inspection details screen D303. This allows the user to easily understand that there is no problem with the number of tablets. Meanwhile, when the tablet packaging device 4 is provided with a photographing unit that photographs the medicine packet 451 after the tablets have been packaged in the packaging unit 45, the control unit 21 may display the photographed image after packaging taken by the camera on the details screen D303.

[0175] <Step S39> Thereafter, in step S39, the control unit 21 executes a re-execution control process for causing the tablet packaging device 4 to re-execute a part or the whole of the packaging process. Here, Fig. 19 is a diagram showing an example of the re-execution control process.

[0176] [Retry control process] Here, the re-execution control process executed by the control unit 21 will be described with reference to FIG.

[0177] <Steps S51 to S60> In steps S51 to S60, a process for re-executing a part or all of the packaging process performed by the tablet packaging device 4 for the prescription data is executed. Here, a case where the packaging process is re-executed by the tablet packaging device 4 that executed the packaging process will be described. On the other hand, the control unit 21 may cause a tablet packaging device 4 different from the tablet packaging device 4 that executed the packaging process for the prescription data to re-execute the packaging process for one or more intake timings in response to a user operation or automatically. As a result, the packaging process is re-executed by a different tablet packaging device 4, so that an error or a check required in the packaging process may be avoided. The control unit 40 may re-execute a part or all of the packaging process in response to a user operation on the tablet packaging device 4. In this case, the inspection details screen D303 and the reissue operation screen D304 are also displayed on the operation display unit 48 of the tablet packaging device 4, and the control unit 40 re-executes the packaging process for one or more intake timings in response to a user's re-packaging operation on the operation display unit 48.

[0178] <Step S51> In step S51, the control unit 21 judges whether or not a full reissue operation has been performed on the reissue operation screen D304. More specifically, the control unit 21 judges that the full reissue operation has been performed when "full packaging" is selected on the reissue operation screen D304 and the operation key K315 is operated. Here, when the control unit 21 judges that the full reissue operation has been performed (S51: Yes), it shifts the process to step S52, and when the full reissue operation has not been performed (S51: No), it shifts the process to step S53.

[0179] <Step S52> In step S52, the control unit 21 executes a reissue process of transmitting a control instruction to the tablet packaging device 4 that executed the packaging process to re-execute all of the packaging processes corresponding to the prescription data currently being inspected. For example, the prescription data is re-input to the tablet packaging device 4 as the control instruction. As a result, in the tablet packaging device 4, the control unit 40 re-executes the packaging processes for all of the dosing timings corresponding to the prescription data as the second packaging process.

[0180] Then, the control unit 40 of the tablet packaging device 4 executes the second photographing step and the second storage step as described above. That is, in the second packaging process, which is a packaging process re-executed for the prescription data, the control unit 40 photographs the second photographed image of each tablet to be packaged using the camera 462 or 463, and stores the image in association with the prescription data. In particular, the control unit 40 stores the second photographed image corresponding to each of the intake timings in the packaging process in association with each of the intake timings, as described above. In addition, the control unit 40 executes an automatic inspection process that determines whether the packaging process corresponding to each of the intake timings is appropriate based on the second photographed image and the prescription data, and stores the inspection result of the automatic inspection process in association with the prescription data. In particular, the control unit 40 stores the inspection result of the automatic inspection process for each of the intake timings in association with each of the intake timings. Furthermore, the control unit 40 also determines whether or not all of the packaging processes based on the prescription data have been normally executed by the first packaging process and one or more of the second packaging processes, and stores the determination result in association with the prescription data as the inspection result of the automatic inspection process for the entire prescription data.

[0181] <Step S53> In step S53, the control unit 21 judges whether or not a reissue operation of only the check-required packages has been performed on the reissue operation screen D304. More specifically, the control unit 21 judges that a reissue operation of only the check-required packages has been performed when "CHECK separate packages only" is selected on the reissue operation screen D304 and the operation key K315 is operated. Here, when the control unit 21 judges that a reissue operation of only the check-required packages has been performed (S53: Yes), it shifts the process to step S54, and when a reissue operation of only the check-required packages has not been performed (S53: No), it shifts the process to step S55.

[0182] <Step S54> In step S54, the control unit 21 executes a reissue process of transmitting a control instruction to the tablet packaging device 4 to re-execute only the packaging process corresponding to the taking timing at which a check is required among the packaging processes corresponding to the prescription data currently being inspected. As a result, in the tablet packaging device 4, the control unit 40 re-executes, as the second packaging process, only the packaging process for the part of the taking timing at which a check is required.

[0183] Then, the control unit 40 of the tablet packaging device 4 executes the second photographing step and the second storage step. That is, in the second packaging process, which is a packaging process for some of the taking timings re-executed for the prescription data, the control unit 40 photographs the second photographed image of each tablet to be packaged using the camera 462 or 463 and stores it in association with the prescription data. In particular, as described above, the control unit 40 stores the second photographed image corresponding to each of the taking timings in the packaging process in association with each of the taking timings. In addition, the control unit 40 executes an automatic inspection process that determines whether the packaging process corresponding to each of the taking timings is appropriate based on the second photographed image and the prescription data, and stores the inspection result of the automatic inspection process in association with the prescription data. In particular, the control unit 40 stores the inspection result of the automatic inspection process for each of the taking timings in association with each of the taking timings. Furthermore, the control unit 40 judges whether or not the first packaging process and one or more of the second packaging processes based on the prescription data have all been normally executed, and stores the judgment result in association with the prescription data as the inspection result of the automatic inspection process for the entire prescription data. Similarly, when the reissue process is executed in steps S56, S58, and S60, the control unit 40 executes the same process in the tablet packaging device 4.

[0184] <Step S55> In step S55, the control unit 21 determines whether or not an operation to reissue only NG packages has been performed on the reissue operation screen D304. More specifically, the control unit 21 determines that an operation to reissue only NG packages has been performed when "NG packages only" is selected on the reissue operation screen D304 and the operation key K315 is operated. Here, if the control unit 21 determines that an operation to reissue only NG packages has been performed (S55: Yes), it shifts the process to step S56, and if an operation to reissue only NG packages has not been performed (S55: No), it shifts the process to step S57.

[0185] <Step S56> In step S56, the control unit 21 executes a reissue process of transmitting a control instruction to the tablet packaging device 4 to re-execute only the packaging process for the dosage timings where an error has occurred among the dispensing corresponding to the prescription data currently being inspected. As a result, in the tablet packaging device 4, the control unit 40 re-executes, as the second packaging process, only the packaging process for some of the dosage timings where the error has occurred.

[0186] <Step S57> In step S57, the control unit 21 determines whether or not a reissue operation for NG packages and packages that need to be checked has been performed on the reissue operation screen D304. More specifically, when "CHECK, NG separate packages" is selected on the reissue operation screen D304 and the operation key K315 is operated, the control unit 21 determines that a reissue operation for only NG packages and packages that need to be checked has been performed. Here, when the control unit 21 determines that a reissue operation for NG packages and packages that need to be checked has been performed (S57: Yes), it shifts the process to step S58, and when a reissue operation for NG packages and packages that need to be checked has not been performed (S57: No), it shifts the process to step S59.

[0187] <Step S58> In step S58, the control unit 21 executes a reissue process of transmitting a control instruction to the tablet packaging device 4 to re-execute the packaging process only for the dosage timings in which an error or a check has occurred among the dispensings corresponding to the prescription data currently being inspected. As a result, in the tablet packaging device 4, the control unit 40 re-executes, as the second packaging process, the packaging process only for some of the dosage timings in which the error or the check has occurred.

[0188] In addition, when various reissue operations are performed for prescription data for which the packaging process has already been reexecuted by the tablet packaging device 4, the control unit 21 may notify a user that the packaging process for the prescription data has already been reexecuted by displaying on the display unit 24, etc. In addition, the control unit 21 may not transmit a control instruction for reexecuting the packaging process. On the other hand, after notifying a user that the packaging process has been reexecuted by displaying on the display unit 24, etc., the control unit 21 may transmit a control instruction to the tablet packaging device 4 to reexecute the packaging process corresponding to the reissue operation, if the user performs an operation to continue reexecution.

[0189] <Step S59> In step S59, the control unit 21 determines whether or not a reissue operation for only the designated package has been performed on the reissue operation screen D304. More specifically, the control unit 21 determines that a reissue operation for only the designated package has been performed when "designated package" is selected on the reissue operation screen D304 and the operation key K315 is operated. Here, if the control unit 21 determines that a reissue operation for only the designated package has been performed (S59: Yes), it shifts the process to step S40, and if a reissue operation for only the designated package has not been performed (S59: No), it shifts the process to step S60.

[0190] <Step S60> In step S60, the control unit 21 executes a reissue process to transmit a control instruction to the tablet packaging device 4 to re-execute only the packaging process for the dosage timing specified on the reissue operation screen D304 among the packaging processes corresponding to the prescription data currently subject to inspection. As a result, in the tablet packaging device 4, the control unit 40 re-executes only the packaging process for the dosage timing specified on the reissue operation screen D304 as the second packaging process.

[0191] <Step S18> Returning to the explanation of FIG. 7, in step S18, the control unit 21 judges whether or not an approval operation of the result of the automatic inspection process for the prescription data has been performed. Specifically, the control unit 21 judges whether or not the approval key K311 has been operated on the inspection details screen D303. Here, if the control unit 21 judges that the approval operation has been performed (S18: Yes), it shifts the process to step S19, and if the approval operation has not been performed (S19: No), it shifts the process to step S20.

[0192] <Step S19> In step S19, the control unit 21 executes an approval process for approving the result of the automatic inspection process of the prescription data. For example, in the approval process, the control unit 21 stores in the storage unit 22, in association with the prescription data, the fact that the result of the automatic inspection process of the prescription data has been approved and the identification information (name or ID) of the user who is the pharmacist who performed the approval operation, together with the result of the automatic inspection process.

[0193] Specifically, when the approval key K311 is operated on the inspection details screen D303, the control unit 21 accepts approval of the inspection result of the automatic inspection process and stores it in association with the prescription data. Also, as shown in Fig. 12B, the control unit 21 displays "approval OK" as the inspection result of the automatic inspection process in the inspection result area A313 on the inspection details screen D303.

[0194] <Step S20> In step S20, the control unit 21 judges whether or not a preset inspection end operation for terminating the inspection support process has been performed. For example, the control unit 21 judges that the inspection end operation has been performed when an operation key corresponding to "End" on the inspection waiting list screen D1 is operated. Here, when the control unit 21 judges that the inspection end operation has been performed (S20: Yes), it terminates the inspection support process, and when the inspection end operation has not been performed (S20: No), it returns the process to step S12.

[0195] In the inspection support system 1 configured as above, the packaging process may be executed multiple times for the same prescription data by re-executing the packaging process. In contrast, in the inspection support system 1 according to this embodiment, a pharmacist can easily check the suitability of the final packaging result taking into account multiple packaging processes executed by the tablet packaging device 4, thereby supporting the inspection work by the pharmacist.

[0196] Hereinafter, the processing of steps S32 to S38 executed when it is determined that the re-execution is being performed for the prescription data in the inspection display control processing shown in Fig. 11 (S31: Yes) will be described. As described above, the first packaging processing executed for the same prescription data may be referred to as the first packaging processing, and the second or subsequent packaging processing may be referred to as the second packaging processing. Also, the image of the tablet captured in the first packaging processing may be referred to as the first captured image, and the image of the tablet captured in the second packaging processing may be referred to as the second captured image.

[0197] <Step S32> In step S32, the control unit 21 displays the inspection details screen D303 in a composite display state in which the first photographed image photographed in the first packaging process and the second photographed image photographed in the second packaging process are composited. In particular, the control unit 21 displays the first photographed image and the second photographed image in a distinguishable manner on the inspection details screen D303. That is, the control unit 21 notifies the user of the target of the medicine packet 451 after packaging obtained in the first packaging process to be replaced with the medicine packet 451 after packaging obtained in the second packaging process by the difference in the display manner. For example, the background of the first photographed image is displayed in a predetermined first background color, and the background of the second photographed image is displayed in a predetermined second background color. In addition, when there are a plurality of second photographed images for the same administration timing, each of the second photographed images is displayed in a distinguishable state by the difference in background color, etc.

[0198] Specifically, the control unit 21 displays the second photographed image for the taking timings included in the prescription data at which the second photographed image exists on the inspection details screen D303 in the composite display state. Also, the control unit 21 displays the first photographed image for the taking timings included in the prescription data at which the second photographed image does not exist on the inspection details screen D303 in the composite display state. That is, the control unit 21 preferentially displays the photographed image taken in the packaging process executed later. As a result, the control unit 21 displays only one of the first photographed image or the second photographed image for each taking timing. Note that the configuration in which the first photographed image and the second photographed image are selectively displayed for each taking timing is merely an example, and as a method of displaying the first photographed image taken in the first packaging process and the second photographed image taken in the second packaging process in a composite manner, for example, both the first photographed image and the second photographed image may be simultaneously displayed for each taking timing.

[0199] Here, Fig. 20 is a diagram showing an example of the inspection details screen D303 in a first display state in which only the first captured image is displayed as a packaging result of the first packaging process. Also, Fig. 21 is a diagram showing an example of the inspection details screen D303 in the composite display state displayed in step S32. Furthermore, Fig. 22 is a diagram showing an example of the inspection details screen D303 in a second display state in which only the second captured image is displayed as a packaging result of the second packaging process.

[0200] Here, as shown in Fig. 20, an example will be described in which an error occurs in the inspection result of the taking-timing corresponding to the 3rd and 6th packets among the 1st to 6th packets in the first packaging process, and the taking-timing corresponding to the 3rd and 6th packets is specified and the second packaging process is normally executed, as shown in Fig. 20. In other words, it is assumed that no error occurs in the second packaging process executed for the 3rd and 6th packets.

[0201] In this case, as shown in Fig. 21, the inspection details screen D303 in the composite display state displays the second photographed image for the third and sixth packets for which the second photographed image exists among the dosing timings included in the prescription data, and displays the first photographed image for the first, second, fourth, and fifth packets for which the second photographed image does not exist. Also, the result display area A313 displays the words "Waiting for approval" which indicate that the first packet division process and the second packet division process have been normally performed for the first to sixth packets.

[0202] This allows the user to easily confirm that the first to sixth packets have been normally processed by the first packaging process and the second packaging process, that is, that the final packaging result is appropriate, by referring to the inspection details screen D303 in the composite display state. Also, since the inspection details screen D303 displays the first captured image and the second captured image captured when the first packaging process or the second packaging process corresponding to each of the dosage timings has been normally processed, the user can easily grasp the state of each of the medicine packets 451 that is the final packaging result of the packaging process based on the prescription data.

[0203] Incidentally, as shown in FIG. 21, when the inspection details screen D303 is displayed in the composite display state, the control unit 21 may execute a process of determining whether the medicine package 451 obtained as the packaging result in each of the first packaging process and the second packaging process is appropriate based on the code information read by the code reading unit 27. Specifically, the control unit 21 grays out the operation key K311 when the display of the inspection details screen D303 starts. Then, when the code information read from the medicine package 451 using the code reading unit 27 of the server 2 or the code reading unit 37 of the client terminal 3 is appropriate, the control unit 21 changes the dispensing result of the record to "corrected". As a result, when the inspection history screen D2 is displayed, the record is displayed as "NG → corrected".

[0204] For example, when the first photographed image and the second photographed image are synthesized and displayed on the inspection details screen D303 for the prescription data, that is, when the first packaging process and the second packaging process are executed for the prescription data, the control unit 21 may display a verification screen D32 that prompts the user to read code information (one-dimensional code or two-dimensional code) written on the medicine package 451 obtained in the second packaging process, as shown in FIG. 16. After that, when code information corresponding to the prescription data is read from an empty medicine package 451 attached to the medicine package 451 obtained in each of the second packaging processes based on the prescription data to be inspected, the control unit 21 displays the characters "Waiting for approval" indicating that the inspection result is correct in the result display area A313. This ensures that the medicine packages 451 obtained in the second packaging process are complete. It is also possible that the code information is read from an empty medicine package 451 attached to the medicine package 451 obtained in the first packaging process and verified. Furthermore, when the code information is read from the drug package 451 obtained in the second packaging process, the control unit 21 may notify the user of a message or the like indicating the position of the drug package 451 obtained in the first packaging process to be replaced with the drug package 451 obtained in the second packaging process.

[0205] Furthermore, since the first captured image and the second captured image are displayed in a distinguishable manner on the inspection details screen D303, the user can easily identify the medicine package 451 to be replaced with the medicine package 451 obtained in the second packaging process among the medicine packages 451 obtained in the first packaging process. Note that it is also conceivable that the control unit 21 may notify the user by displaying a message informing the user of the medicine package 451 to be replaced with the medicine package 451 obtained in the second packaging process among the medicine packages 451 obtained in the first packaging process after packaging.

[0206] In addition, when the second packaging process is a process of re-executing the entirety of the first packaging process, the control unit 21 may preferentially display the first captured image or the second captured image when the result of the automatic inspection process is determined to be appropriate, for each of the administration timings. As a result, for example, an image corresponding to the first packaging process and an image corresponding to the second packaging process and an image corresponding to the second packaging process and an image corresponding to the second packaging process and an image corresponding to the second packaging process and an image corresponding to the second packaging process and an image corresponding to the second packaging process are displayed in combination.

[0207] <Step S33> Next, in step S33, the control unit 21 judges whether or not a display request operation has been performed to display the inspection details screen D303 in the first display state. Specifically, the inspection details screen D303 displays an operation key K41 used for an operation to display the inspection details screen D303 in the first display state. Then, in step S33, when the operation key K41 is operated, the control unit 21 judges that a display request operation has been performed to display the inspection details screen D303 in the first display state. Here, if it is judged that a display request operation has been performed to display the inspection details screen D303 in the first display state (S33: Yes), the process proceeds to step S34, and if it is judged that a display request operation has not been performed to display the inspection details screen D303 in the first display state (S33: No), the process proceeds to step S35.

[0208] <Step S34> In step S34, the control unit 21 displays the inspection details screen D303 in the first display state in which only the first captured image captured in the first packaging process is displayed. Specifically, as shown in Fig. 20, the inspection details screen D303 in the first display state displays the first captured image of the dosage timing included in the prescription data, and the result display area A313 displays the word "NG" indicating that the inspection result of the first packaging process is an error. That is, the control unit 21 displays the inspection result in which the overall suitability of the packaging process for the prescription data is determined in the result display area A313.

[0209] Furthermore, the control unit 21 displays each of the areas A315 corresponding to the ingestion timings for which the inspection result of the automatic inspection process of the first packaging process is not appropriate in the fifth specific color indicating that the inspection result is an error. That is, the control unit 21 displays the inspection result in which the appropriateness of each ingestion timing of the packaging process for the prescription data has been determined in the result display area A313. Note that the display area A320 corresponding to the ingestion timings may be displayed in the fifth specific color indicating that the inspection result is an error.

[0210] <Step S35> Next, in step S35, the control unit 21 judges whether or not a display request operation has been performed to display the inspection detail screen D303 in the composite display state. Specifically, the inspection detail screen D303 displays an operation key K42 used for an operation to display the inspection detail screen D303 in the composite display state. Then, in step S35, when the operation key K42 is operated, the control unit 21 judges that a display request operation has been performed to display the inspection detail screen D303 in the composite display state. Here, if it is judged that a display request operation has been performed to display the inspection detail screen D303 in the composite display state (S35: Yes), the process proceeds to step S36, and if it is judged that a display request operation has not been performed to display the inspection detail screen D303 in the composite display state (S35: No), the process proceeds to step S37.

[0211] <Step S36> In step S36, the control unit 21 displays the inspection details screen D303 in the composite display state. If the inspection details screen D303 is already displayed in the composite display state, that state is maintained.

[0212] <Step S37> Next, in step S37, the control unit 21 judges whether or not a display request operation has been performed to display the inspection details screen D303 in the second display state. Specifically, the inspection details screen D303 displays operation keys K43 and K44 used for an operation to display the inspection details screen D303 in the second display state. Then, in step S37, the control unit 21 judges that a display request operation has been performed to display the inspection details screen D303 in the second display state when the operation key K43 or K44 has been operated. Here, if it is judged that a display request operation has been performed to display the inspection details screen D303 in the second display state (S37: Yes), the process proceeds to step S38, and if it is judged that a display request operation has not been performed to display the inspection details screen D303 in the second display state (S37: No), the process proceeds to step S39.

[0213] <Step S38> In step S38, the control unit 21 displays the inspection details screen D303 in the second display state in which only the second captured image captured in the second packaging process is displayed. Specifically, as shown in Fig. 22, the inspection details screen D303 in the second display state displays the second captured image of the dosage timing included in the prescription data, and the result display area A313 displays the word "Waiting for approval," which indicates that the first packaging process and the second packaging process have been normally performed for the first to sixth packets.

[0214] Furthermore, when the second packaging process has been performed multiple times for the prescription data currently being inspected, the second captured images corresponding to each of the second packaging processes are stored in the storage unit 22. Thus, the control unit 21 switches and displays the second display state corresponding to each of the second packaging processes individually in response to the operation of the operation keys K43 and K44. For example, when the second packaging process has been performed twice, when the operation key K43 is operated, the inspection details screen D303 is displayed in the second display state corresponding to the first second packaging process, and when the operation key K44 is operated, the inspection details screen D303 is displayed in the second display state corresponding to the second second packaging process.

[0215] As described above, the inspection support system 1 is capable of displaying a composite image of the first captured image and the second captured image, so that a pharmacist can easily check the final packaging result taking into account the first packaging process and the second packaging process by referring to the display. [Explanation of symbols]

[0216] 1: Audit support system 2: Server 21: Control unit 22: Storage section 23: Communication I / F 24: Display section 25:Operation unit 26: Drive device 27: Code reader 3: Client terminal 31: Control unit 32: Storage part 33: Communication I / F 34: Display section 35:Operation unit 36: Drive device 4: Tablet packaging device (an example of dispensing equipment) 40: Control unit 41: Tablet Cassette 42: Manual unit 43: Individual payment section 44: Rotating unit 45: Packaging unit 46: Photography Department 47: Passage detection unit 5: Pharmacy equipment 6: Upper system

Claims

[Claim 1] A support system including a display processing unit that displays on a display screen an image of one or more types of tablets captured during a packaging process in which one or more types of tablets are packaged in packaging materials for each dosage timing based on prescription data, The display processing unit, on the display screen, Displaying images of the tablets corresponding to each combination of the identification information and the packing order in a format in which identification information indicating the type of tablet included as a prescription drug in the prescription data is displayed in one of the columns or rows and the packing order in the packing process is displayed in the other, displaying whether or not an inspection result of an inspection process in which images of the tablets corresponding to all of the taking timings are compared with genuine images of tablets included as prescription drugs in the prescription data is appropriate for each type of tablet; Support system.

Images