Medicine packaging outsourcing system, dose dispensing management device, and control program thereof

Abstract

To minimize the risk of oversight of inadequate dose dispensing and the like, and prevent insufficient packages or the like from being delivered to patients.SOLUTION: A medicine packaging outsourcing system includes: a consignment source device 3 which is installed at a preparation business consignment source that outsources preparation business related to medicine to a preparation business consignment destination; a consignment destination device 4 which is installed at a preparation business consignment destination that is entrusted with the preparation business related to medicine from the preparation business consignment source; and a dose dispensing management device 2 for issuing or delivering packages to a patient by managing information of packages obtained by packing one or a plurality of medicines in dispensing bags in accordance with prescription data. The devices are connected so that they can communicate data with each other. When an inspection result of all packages across a specific period of a specific patient created according to prescription data is appropriate, delivery of the packages is accepted.SELECTED DRAWING: Figure 1A

Description

[Technical Field]

[0001] The present invention relates to a pharmaceutical packaging outsourcing system, a packaging management device, and a control program for the packaging management device. [Background technology]

[0002] Single-dose packaging (single-drug packaging) is now being implemented, whereby medications that are taken at the same time are packaged together in a single bag for each dose. By packaging medications as needed, patients who have difficulty removing medications one by one from a PTP package that contains multiple medications (tablets or capsules) sandwiched between plastic and aluminum can be prevented from forgetting to take their medication or taking too much, thereby improving patient compliance.

[0003] In recent years, outsourcing of preparation work, including packaging work, has been considered in order to improve the efficiency of material-related work at dispensing pharmacies and allow them to focus on person-related work. When packaging work is outsourced, the dispensing pharmacy does not perform the packaging work itself, but rather another pharmacy that undertakes the packaging work performs the work. The pharmacy that outsources the packaging work is the outsourcing pharmacy, and the other pharmacy that undertakes (accepts) the packaging work is the outsourced (contracted) pharmacy.

[0004] When outsourcing packaging, the packaging is generally carried out at a subcontracting pharmacy located far from the original pharmacy. For this reason, even if correction is required due to a dispensing error, it is difficult for the original pharmacy to directly check the situation, and there is a risk that the defect may be overlooked.

[0005] Furthermore, when outsourcing packaging work, the outsourcing pharmacy must document the audit results and details of any deficiencies in the packaging work, provide them to the outsourced (contracted) pharmacy, and store them appropriately, as stipulated in the "Guidelines for Ensuring Medical Safety and Proper Implementation When Partially Outsourcing Preparation Work in Dispensing Operations." However, creating and managing these documents is cumbersome, placing a heavy workload on both the outsourcing pharmacy and the outsourced pharmacy.

[0006] Patent Document 1 discloses a support system that performs a second packaging process when a tablet packaging device inappropriately packages a tablet among multiple packets, and displays tablet images taken during the second packaging process for packets that have been packaged a second time, and displays tablet images taken during the first packaging process for packets that have not been packaged a second time. While the support system described in Patent Document 1 is expected to reduce the burden of auditing work, when packaging work is outsourced, the packaging work is performed at a remote location as described above, so there remains a risk of defective packets being shipped. Furthermore, while packets are sometimes handed to patients in a medicine bag or a medication calendar, Patent Document 1 does not take into consideration checking (auditing) the storage status of the medicine bag or the medication calendar. [Prior art documents] [Patent documents]

[0007] [Patent Document 1] Japanese Patent Application Publication No. 2022-186997 Summary of the Invention [Problem to be solved by the invention]

[0008] The purpose of this invention is to minimize the risk of overlooking defective packets, etc., and to prevent defective packets, etc. from being provided to patients.

[0009] Another object of the present invention is to improve the efficiency of audits and management of repair history when outsourcing packaging work.

[0010] The drug packaging outsourcing system of this invention comprises an outsourcing device installed at a drug preparation outsourcing party that outsources drug preparation work to a drug preparation outsourcing party, which are connected to each other so that data communication is possible; an outsourcing device installed at the drug preparation outsourcing party that accepts drug preparation work from the drug preparation outsourcing party; and a package management device that manages information about each package, which is a package containing one or more drugs to be taken at a time in accordance with prescription data, and issues or delivers the packages to patients.

[0011] The entrustment source device includes prescription data input means for receiving input of prescription data, and prescription data transmission means for transmitting the prescription data received by the prescription data input means to the entrustment destination device.

[0012] The entrusted device is equipped with a prescription data receiving means for receiving prescription data transmitted from the entrusting device, a packaging machine control means for controlling a packaging machine that packages one or more drugs into individual packets in accordance with the prescription data received by the prescription data receiving means, and an inspection device control means for controlling an inspection device that inspects each of the packets produced by the packaging machine.

[0013] The sachet management device is equipped with a package information storage means for storing, in association with the sachet identification information given to each of the sachets and printed on the sachet bag, patient identification information identifying the patient to whom the drug has been prescribed, prescription information including the type of drug and how to take it, audit results for each of the sachets, and a repair history including the details of any defects found in the audit and the method of repair if the defects are repaired, and a shipping permission means for allowing the shipment of the sachets when the audit results of all sachets over a specific period for a specific patient created according to the prescription data are appropriate.

[0014] According to prescription data transmitted from the outsourcing device of the outsourcing pharmaceutical preparation business to the outsourcing device of the pharmaceutical preparation business, one or more drugs are packaged into single packets by a packaging machine controlled under the management of the outsourcing device, and each of the single packets is inspected by an inspection device. According to this invention, the inspection results for each packet are stored in the packaging information storage means of the packaging management device, associated with the package identification information assigned to each packet and printed on the package bag. When the inspection results for all packets created according to the prescription data for a specific patient over a specific period are appropriate, the shipment of the packets is permitted. Conversely, if even one packet with an inappropriate inspection result is included among the multiple packets typically created according to the prescription data, the shipment of the multiple packets is not permitted. This reduces the risk of defective packets reaching the hands of patients.

[0015] Furthermore, according to this invention, a repair history including the details of deficiencies discovered during the audit and the repair method if the deficiency is repaired is also stored, thereby improving the efficiency of managing the history when repairs are made.

[0016] In one embodiment, the inspection device includes an imaging means for imaging the package, and an image matching means for matching the package image obtained by the imaging means to determine whether the package image includes a drug image according to the prescription data, and the result of the image matching means is stored as the inspection result in the package information storage means of the package management device. This is an automatic inspection using images, which can reduce the burden of manual inspection.

[0017] Preferably, the entrusted device comprises a package image sending means for sending package images obtained by the imaging means of the inspection device to the entrusting device, and the entrusting device comprises a package image receiving means for receiving the package images sent by the package image sending means, a package image display means for displaying the package images received by the package image receiving means, a package pharmacist image inspection result receiving means for accepting input of the results of the image inspection by the entrusting pharmacist based on the package images displayed by the package image display means, and an image inspection result sending means for sending the image inspection results accepted by the entrusting pharmacist image inspection result receiving means to the package management device, and the image inspection results by the entrusting pharmacist sent by the pharmacist image inspection result sending means are stored as inspection results in the package information storage means of the package management device. Since the actual packages are at the entrusting party, the entrusting pharmacist does not have the actual packages in hand, but the final inspection at the entrusting party can be realized by using the package images.

[0018] In one embodiment, the package management device includes an output means for outputting the audit results for each package stored in the package information storage means, as well as a repair history including details of any defects found in the audit and the repair method if any of the defects are repaired. This can reduce the burden of record creation and record storage work on the client.

[0019] The present invention also provides a packaging management device that constitutes the above-mentioned drug packaging outsourcing system.

[0020] The package management device of this invention manages information about each package in which one or more drugs to be taken at a time according to prescription data are packaged in a package bag, and is used to issue or deliver the packages to patients.It is equipped with a package information storage means for storing, in association with package identification information given to each of the packages and printed on the package bag, patient identification information identifying the patient to whom the drug has been prescribed, prescription information including the type of drug and how to take it, audit results for each of the packages, and a repair history including the details of any deficiencies found in the audit and how to repair the deficiencies if they are repaired, and a shipping approval means for approving the shipment of the packages when the audit results of all packages for a specific patient over a specific period created according to the prescription data are appropriate.

[0021] According to this invention, if even one package is found to be inappropriate as a result of the inspection, the shipment of multiple packages including that package will be prevented, thereby reducing the risk of defective packages falling into the hands of patients.

[0022] Preferably, the audit results are the results of an image matching device that matches the image of the package obtained by photographing the package to determine whether the package image contains a drug image in accordance with the prescription data. This can reduce the burden of manual audits.

[0023] In one embodiment, the audit result is the result of an image assessment by a pharmacist, who displays an image of the package obtained by photographing the package on a display screen and determines whether the image contains a drug image in accordance with the prescription data. The final audit can be performed by a pharmacist belonging to the client.

[0024] In another embodiment, the audit result is the result of a visual judgment by a pharmacist who visually inspects the package to determine whether the package contains the drug according to the prescription data. This is an audit using the actual package, which further ensures the reliability of the audit. Since the actual package is in the possession of the outsourcing pharmacist, this visual judgment is made by the outsourcing pharmacist.

[0025] Preferably, the shipping permission device includes a print control means for controlling the printer to output a shipping label when the audit results of all packets are correct. By preventing the printer from outputting a shipping label when there are packets with inappropriate audit results, packets with inappropriate audit results can be prevented from being physically shipped. This significantly reduces the risk of defective packets being delivered to patients.

[0026] In one embodiment, the system further includes a medicine bag information storage means for storing the audit results for each medicine bag capable of storing packets for a specific patient over a specific period created according to prescription data, as well as a repair history including the details of any defects found in the audit of the medicine bags and the repair method if the defects are repaired, and the shipping permission means allows the shipment of the medicine bags when the audit results for all packets for a specific patient over a specific period created according to the prescription data are appropriate and the audit results for the medicine bags are appropriate.If a defect is found in the medicine bag, a history of the existence of the defect and its repair is kept, and the shipment is prevented, thereby further ensuring the safety of the outsourced single-dose packaging business.

[0027] Preferably, the system further comprises a packet set information storage means for storing the audit results of packet sets in which all packets for a specific patient over a specific period created in accordance with the prescription data are sorted by administration date or administration time and stored, as well as a repair history including the details of any deficiencies discovered in the audit and the method of repair if the deficiencies are repaired, and the shipping permission means allows the packets in the packaged state to be shipped when the audit results of all packets for a specific patient over a specific period created in accordance with the prescription data are appropriate and the audit results of the packet set are appropriate. For example, a medication calendar is an example of a packet set, and by auditing this in the same way as the packets, the possibility of preventing forgetting to take medication or overdosing can be increased.

[0028] The present invention also provides a program for controlling the package management device described above. The program according to the present invention controls a package management device that manages information about each package, each containing one or more drugs to be taken at a time according to prescription data, and issues or delivers the packages to patients, wherein package identification information issuing means issues package identification information to be attached to each of the packages and printed on the package bags, storage means stores, in association with the package identification information, patient identification information identifying the patient to whom the drug is prescribed, prescription information including the type and administration method of the drug, audit results for each of the packages, and a repair history including details of any defects found in the audit and a repair method if the defects are repaired, while determination means determines, based on the audit results and repair history stored in the storage means, whether the audit results of all packages for a specific patient over a specific period created according to the prescription data are appropriate, and shipment permission means controls the package management device to permit shipment of the packages when it is determined that the audit results of all packages are appropriate. [Brief explanation of the drawings]

[0029] [Figure 1A] FIG. 1 is a block diagram showing the overall configuration of a drug package outsourcing system. [Figure 1B] FIG. 10 is a block diagram showing another overall configuration of the drug package outsourcing system. [Figure 2] FIG. 2 is a block diagram showing the hardware configuration of the package management device. [Figure 3] FIG. [Figure 4] FIG. [Figure 5] A series of consecutive packets is shown. [Figure 6] FIG. [Figure 7] This is a front view of a medication calendar. [Figure 8] 1 shows the data structure of a packaging management database. [Figure 9]10 is a flowchart showing the processing flow of the drug package outsourcing system. [Figure 10] 10 is a flowchart showing the processing flow of the drug package outsourcing system. [Figure 11] 10 is a flowchart showing the processing flow of the drug package outsourcing system. [Figure 12] 10 is a flowchart showing the processing flow of the drug package outsourcing system. [Figure 13] 10 is a flowchart showing the processing flow of the drug package outsourcing system. [Figure 14] 10 is a flowchart showing the processing flow of the drug package outsourcing system. [Figure 15] 10 is a flowchart showing the processing flow of the drug package outsourcing system. [Figure 16] 10 is a flowchart showing the processing flow of the drug package outsourcing system. [Figure 17] 10 is a flowchart showing the processing flow of the drug package outsourcing system. [Figure 18] 10 is a flowchart showing the processing flow of the drug package outsourcing system. [Figure 19] 10 is a flowchart showing the processing flow of the drug package outsourcing system. [Figure 20] 10 is a flowchart showing the processing flow of the drug package outsourcing system. [Figure 21] 10 shows an example of a package inspection screen. [Figure 22] Shown is the packaging work and audit history information sheet. DETAILED DESCRIPTION OF THE INVENTION

[0030] Figure 1A shows the overall configuration of the drug package outsourcing system.

[0031] The outsourcing system for single-dose drug packaging includes a packaging management device 2, a client device (operation terminal) 3, and a client device (operation terminal) 4, all of which are connected to a network 1 (such as the Internet) to enable mutual data communication. The outsourcing system for single-dose drug packaging is used for the partial outsourcing of drug preparation (dispensing) work, including single-dose packaging (the outsourcing of certain drug preparation work, among the preparation work at a pharmacy, to an external party at the discretion of the pharmacy, while respecting the patient's wishes and needs). The terms "client" (or "outsourcing") refer to the outsourcing of drug preparation work to an external party, and "client" (or "contractor") refers to the acceptance of drug preparation work. For example, a "client pharmacy" refers to a pharmacy that outsources drug preparation work to an external party, and a contracted pharmacy refers to a pharmacy that accepts drug preparation work. Both the client pharmacy and the contracted pharmacy have pharmacists on staff, and are distinguished by the terms "client pharmacist (or contracted pharmacist)" and "contracted pharmacist (or contracted pharmacist)," respectively.

[0032] The package management device 2 is a computer device that centrally manages the details of the entrustment from the entrusting pharmacy to the entrusting pharmacy, the individually packaged packages, work information for the individually packaged packages, repair information, etc. A package management database 10 is connected to the package management device 2, and the various information described above is registered (stored) in this package management database 10. Details of the processing of the package management device 2 and the package management database 10 will be described later.

[0033] The computer device provided by the entrusting pharmacy is the "requesting device 3," and the computer device provided by the entrusted pharmacy (contracted pharmacy) is the "requested device 4." Generally, multiple entrusting pharmacies outsource preparation work, including packaging, to a single entrusted pharmacy, so the drug packaging outsourcing system includes multiple entrusting device 3. Of course, there may be only one entrusting device 3.

[0034] The type and quantity of medication packaged at the outsourcing pharmacy is based on prescription 8 issued by the doctor. Prescription 8 is accepted by the outsourcing pharmacy, and the prescription data (data showing the prescription contents of prescription 8) is transmitted to the outsourcing pharmacy, which then carries out the preparation of medication for a specific patient over a specific period, including packaging.

[0035] Contracted pharmacies that undertake drug preparation work generally employ not only contracted pharmacists but also workers who do not have pharmacist qualifications (referred to as contracted workers).

[0036] The outsourcing pharmacy that undertakes the preparation work is equipped with, in addition to the outsourcing device 4, a packaging machine 5, an image matching device (audit device) 6, and a printer 7 that are connected to the outsourcing device 4 via a LAN (local area network). The details of the processing of the packaging machine 5, the image matching device 6, and the printer 7 will be described later.

[0037] Figure 1B shows another example of the overall configuration of an outsourced drug packaging system. This configuration differs from that shown in Figure 1A in that the packaging management device 2 and the packaging management database 10 connected to it are installed at the outsourcing pharmacy (contract pharmacy). The functions of the packaging management device 2 and the packaging management database 10 may be incorporated into the outsourcing device 4, in which case the outsourcing device 4 executes the processing functions of the packaging management device 2.

[0038] FIG. 2 is a block diagram showing the hardware configuration of the package management device 2.

[0039] The package management device 2 includes a CPU (Central Processing Unit) 2A that controls the overall operation of the package management device 2. The CPU 2A includes an input device 2B for inputting characters, etc., a display device 2C for displaying characters, images, etc., a memory 2D that provides a work area, a buffer area, etc. and temporarily stores data, etc., a storage device 2E that stores programs and data, and a communication device 2F that sends and receives data, etc. via the network 1. A package management database 10 is constructed in the storage device 2E that constitutes the package management device 2.

[0040] The entrusting device 3 and the entrusted device 4 also have a hardware configuration similar to that of the package management device 2. The storage devices of the entrusting device 3 and the entrusted device 4 store an application program that accesses the package management device 2 (packaging management database 10 provided in the package management device 2) and inputs, updates, references, and deletes information (data) in the package management database 10. By executing this application program, the entrusting device 3 and the entrusted device 4 each instructs the package management database 10 to input, update, reference, and delete data via the network 1, and functions as a device that controls the package management device 2.

[0041] Fig. 3 shows an enlarged front view (front side) of a packet containing medicines, and Fig. 4 shows an enlarged rear view (back side) of the packet. Fig. 5 shows a packet row 20A in which multiple packets 20 are lined up in a row.

[0042] The sachet (sachet bag) 20 is made of a transparent resin film, for example, by forming a single resin sheet into a bag shape with a three-sided seal. A white background ink is printed in a predetermined area on the front surface of the sachet 20 (see Figure 3) to make the printed text easier to see, and ink representing the text is applied over the white ink. The back surface of the sachet 20 (see Figure 4) is transparent, allowing the medication 27 contained in the sachet 20 (packaged as a single package) to be seen through the transparent back surface of the sachet 20. Generally, medications are rarely prescribed for a single dose. Medication is often prescribed for a five-day supply, or even for multiple doses, such as morning, noon, and night. In this case, a series of sachets 20A is created, each containing medication 27 prepared according to the prescription 8 (see Figure 5). The packaging machine 5 can form the series of sachets 20A.

[0043] Referring to Figure 3, printed on the surface of sachet 20 are the patient's name 21, dosing timing 22, drug information 23 including the name and quantity of the drug packaged in sachet 20, a two-dimensional code 24 indicating a sachet ID unique to sachet 20, a one-dimensional code (barcode) 25, and a dosing timing color bar 26 indicating the dosing timing within the day by color coding, such as after breakfast, after lunch, after dinner, etc. Needless to say, the printed content on the surface of sachet 20 follows the prescription content of prescription 8.

[0044] If the medication 27 is correctly packaged in the sachet 20, the type and quantity of medication indicated in the medication information 23 printed on the front of the sachet 20 will match the packaged medication 27 visible from the back of the sachet 20, which should be in accordance with the prescription 8. However, for example, if the packaging process by the packaging machine 5 is not performed accurately, it may happen that the medication 27 according to the prescription 8 is not correctly packaged in the sachet 20. It may also happen that the type and quantity of medication 27 is correct, but the medication 27 is missing a portion, and is packaged in the sachet 20. When such a defect occurs, an audit process is performed at various times, as described in detail below, to prevent the provision of a defective sachet 20 to the patient. The audit process will be described in detail later.

[0045] If it is found that the sachet 20 does not contain the medication 27 correctly packaged according to the prescription 8, work is carried out to correct the defect (this is called "repair work"). As will be explained below, in the medication package outsourcing system, when repair work is carried out, the details of the work are also recorded (repair history management). Details of repair history management will be given later.

[0046] Figure 6 shows an example of a medicine bag 30 that contains one or more sachets 20. The entrusted pharmacy also produces the medicine bag 30 shown in Figure 6 along with the sachets 20. The medicine bag 30 is bag-shaped and is closed at both sides and the bottom, with an open top, and one or more sachets 20 can be placed inside the medicine bag 30 through the open top.

[0047] Printed on the medicine bag 30 are drug information 31 including the drug name and quantity, the patient's name 32, the timing of administration 33, a two-dimensional commissioning information code 34 indicating the packaged drug commissioning information ID and patient ID described below, and the dispensing date 35.

[0048] Figure 7 shows an example of a medication calendar 40 that has multiple pockets 41 for storing sachets 20. The medication calendar 40 shown in Figure 7 has a total of 28 pockets 41, with the days of the week (Monday to Sunday) listed vertically and medication times (morning, noon, night, before bed) listed horizontally. Multiple sachets 20 may be placed in a medicine bag 30 and handed to the patient, or they may be placed in each pocket 41 of the medication calendar 40 and handed to the patient.

[0049] The medication calendar 40 also has a two-dimensional code 42. Since the same medication calendar 40 is generally used repeatedly for a particular patient, the medication calendar two-dimensional code 42 indicates a patient ID that identifies the patient.

[0050] As will be described later, the outsourcing system for single-dose drug packaging not only audits each sachet 20 containing a single drug 27, but also manages the audits of medicine bags 30 in which multiple sachets 20 are placed together and medicine calendars 40, and manages repair work to be carried out if any defects are found in these.

[0051] FIG. 8 shows the data structure of the packaging management database 10.

[0052] The packaging management database 10 is a relational database that includes a plurality of masters and a plurality of tables, which are related to each other by the data items that the masters and tables have.

[0053] The packaging management database 10 includes a client pharmacist master 11A, a client pharmacy master 11B, and a patient master 11C that store information about the client, and a client pharmacist master 12A, a client worker master 12B, and a stored drug master 12C that store information about the client. Masters 11A to 11C and 12A to 12C are generally stored in the packaging management database 10 prior to the outsourcing of the packaging work.

[0054] The entrusting pharmacist master 11A stores the entrusting pharmacist ID for identifying the entrusting pharmacist, the pharmaceutical source pharmacy ID for identifying the entrusting pharmacy to which the entrusting pharmacist identified by the entrusting pharmacist ID belongs, the entrusting pharmacist's name, contact information, etc.

[0055] The entrusting pharmacy master 11B stores an entrusting pharmacy ID for identifying the entrusting pharmacy, and the pharmacy name, address, contact information, etc. of the entrusting pharmacy identified by the entrusting pharmacy ID. The entrusting pharmacy ID associates the entrusting pharmacist master 11A and the entrusting pharmacy master 11B described above.

[0056] The patient master 11C stores a patient ID for identifying the patient, an entrusting pharmacy ID for identifying the entrusting pharmacy that accepted the prescription 8 for the patient identified by the patient ID, and the patient's name, gender, date of birth, address, etc. The entrusting pharmacy ID associates the above-mentioned entrusting pharmacy master 11B with the patient master 11C.

[0057] The outsourcing pharmacist master 12A stores an outsourcing pharmacist ID for identifying an outsourcing pharmacist belonging to the outsourcing pharmacy, the name of the outsourcing pharmacist identified by the outsourcing pharmacist ID, contact information, etc. The outsourcing worker master 12B stores an outsourcing worker ID for identifying an outsourcing worker belonging to the outsourcing pharmacy, the name of the outsourcing worker identified by the outsourcing worker ID, contact information, etc. The stored drug master 12C stores a drug code for identifying a drug stored by the outsourcing pharmacy, the drug name of the drug identified by the drug code, inventory amount, etc.

[0058] When a commissioning pharmacy requests a commissioned pharmacy to prepare medicines, including packaging, the packaging management database 10 can store, for that work request, a packaging commission information table 13A, a packaging commission detail information table 13B, a packaging information table 13C, a packaging repair information table 13D, a set status table 13E, a set repair information table 13F, a medicine bag table 13G, a medicine bag repair information table 13H, and a machine audit information table 13I.

[0059] The dosing consignment information table 13A stores a dosing consignment information ID for identifying the outsourced work (consignment case) including dosing, the outsourcer pharmacy ID of the outsourcer pharmacy that outsourced the dosing work, the outsourcer pharmacist ID of the outsourcer pharmacist in charge who belongs to the outsourcer pharmacy, the outsourcer pharmacist ID of the outsourcer pharmacist in charge who belongs to the outsourcer pharmacy, the outsourcer worker ID of the outsourcer worker in charge who belongs to the outsourcer pharmacy, the prescription period of the prescription 8, the issue date, the validity date, the setting method designation (roll, medication calendar, medication tray, etc.), delivery destination information (address, facility name, recipient, etc.), the consignment information two-dimensional code, the work completion status (flag), etc. The dosing consignment information table 13A is associated with the outsourcer pharmacist master 11A, the outsourcer pharmacy master 11B, the outsourcer pharmacist master 12A, and the outsourcer worker master 12B described above.

[0060] The packaged delivery commission detail information table 13B stores packaged delivery commission information ID, drug detail number, drug code, prescription amount, etc. The packaged delivery commission information table 13A and the packaged delivery commission detail information table 13B are associated with each other by the packaged delivery commission information ID.

[0061] Packaging information table 13C is a table created for each of the above-mentioned packages 20, and stores a package ID, single-dose packaging consignment information ID, administration date, administration day of the week, administration time, inspection device confirmation status (flag), entrusted pharmacist confirmation status (flag), entrusting pharmacist confirmation status (flag), package two-dimensional code, etc. that identify each package 20. The single-dose packaging consignment information table 13A and package information table 13C are associated with each other by the single-dose packaging consignment information ID.

[0062] The package repair information table 13D is a table created for a package 20 that has a defect (a defect has been discovered), and stores the package ID, repair information number, timestamp, checker ID, repairer ID, defect content (multiple choice), details of the defect content, repair method (multiple choice), details of the repair method, repair status (flag), details of the repair work, etc. The package information table 13C and the package repair information table 13D are associated with each other by the package ID.

[0063] The setting status table 13E is a table that stores the audit (confirmation) results of whether the sachets 20 have been set in accordance with the setting method for the sachets 20 specified in the "setting method specification" of the above-mentioned single-dose packaging consignment information table 13A, and stores the single-dose packaging consignment information ID, setting status detail number, timestamp, confirmation image, entrusted pharmacist confirmation status (flag), entrusting pharmacist confirmation status (flag), etc. The single-dose packaging consignment information table 13A and the setting status table 13E are associated with each other by the single-dose packaging consignment information ID.

[0064] Set repair information table 13F is a table created for a defective set (for example, medication calendar 40) (FIG. 7) (in which a defect has been discovered), and stores the packaged delivery consignment information ID, set status detail number, repair information number, checker ID, corrector ID, timestamp, details of the defect, details of the repair method, repair status (flag), details of the repair work, etc. The packaged delivery consignment information ID is associated with packaged delivery consignment information table 13A, and the set status detail number is associated with set status table 13E.

[0065] The medicine envelope table 13G is a table that stores the audit (confirmation) results of the above-mentioned medicine envelope 30 (FIG. 6), and stores the package delivery consignment information ID, medicine envelope detail number, medicine envelope PDF information, timestamp, confirmation image, entrusted pharmacist confirmation status (flag), entrusting pharmacist confirmation status (flag), etc. The package delivery consignment information ID associates the package delivery consignment information table 13A with the medicine envelope table 13G.

[0066] The medicine bag repair information table 13H is a table created for medicine bags 30 that have defects (defects have been discovered), and stores the package delivery consignment information ID, medicine bag detail number, repair information number, checker ID, corrector ID, timestamp, details of the defect, details of the repair method, repair status (flag), details of the repair work, etc. The package delivery consignment information ID is associated with the package delivery consignment information table 13A, and the medicine bag detail number is associated with the medicine bag table 13G.

[0067] Machine audit information table 13I is a table that stores the results of machine audits performed on each package 20, specifically the image audits performed by image collator 6, and stores package ID, machine audit number, timestamp, audit image, audit information details, and correction information by the contracted pharmacist. Package information table 13C and machine audit information table 13I are associated with each other by package ID.

[0068] Figures 9 to 20 are flowcharts showing the process flow of the drug package outsourcing system. The entities that execute each process shown in the flowcharts of Figures 9 to 20 will be explained as appropriate in the following description.

[0069] When the ordering pharmacy receives the prescription 8 issued by the doctor, the ordering pharmacist analyzes the prescription contents written on the prescription 8 and designs the dispensing. When the ordering pharmacy requests the ordering pharmacy to perform the dosing work, the ordering pharmacist starts the ordering device 3 and inputs information about the dosing outsourcing (the ordering pharmacy ID, the patient ID, the ordering pharmacist ID, etc.) and detailed information (the drug code, the quantity for each administration timing, etc.) into the ordering device 3 (step 51). The prescription data represented by the prescription 8 is included in this information about the dosing outsourcing. The information about the dosing outsourcing and detailed information input into the ordering device 3 are transmitted to the packaging management device 2 via the network 1. The packaging management device 2, which has received the information about the dosing outsourcing and detailed information, creates a packaging outsourcing information table 13A and a packaging outsourcing detailed information table 13B (see FIG. 8) in the packaging management database 10, and registers the received information about the dosing outsourcing and detailed information in these created tables 13A and 13B, respectively.

[0070] When a request is made to outsource the packaging of medicines to a contracting pharmacy, the contract information is first confirmed. The contracting device 4 is started by the contracting pharmacist, and the contracting device 4 accesses the packaging management database 10 of the packaging management device 2 via the network 1. The contracting pharmacist at the contracting pharmacy confirms the registered contents of the packaging outsourcing information table 13A and the packaging outsourcing detail information table 13B (step 71). The contracting pharmacist ID is registered in the packaging outsourcing information table 13A.

[0071] Once the necessary information has been registered in the single-package consignment information table 13A and the single-package consignment detailed information table 13B, the package management device 2 creates a package information table 13C for each package 20 to be created (step 111). For example, if the timings for taking medicine in the morning, midday, evening, and before bedtime for seven days are registered in the detailed information table 13B, the package management device 2 creates 7 days x 4 times = 28 package information tables 13C and stores them in the package management database 10. By creating a package information table 13C for each package to be created and assigning a unique package ID to each, the confirmation work in the various processes described below can be managed and recorded for each package.

[0072] Next, the package management device 2 creates a consignment information two-dimensional code 34 including the package packaging consignment information ID and the patient ID, and a package two-dimensional code 24 including the package ID, package packaging consignment information ID, patient ID, date of administration, day of administration, time of administration, code of each drug in the package, number of tablets of each drug in the package, serial number of each drug in the package, and expiration date of each drug in the package (step 112). The created consignment information two-dimensional code 34 is stored in the package packaging consignment information table 13A, and the package two-dimensional code 24 is stored in the corresponding package information table 13C, respectively, in association with each other. As described above and below, the consignment information two-dimensional code 34 is printed on the medicine bag 30 (FIG. 6), and the package two-dimensional code 24 is printed on the package 20 (FIG. 3).

[0073] A medicine envelope 30 (FIG. 6) is created. Based on the information registered in the package packaging commissioning information table 13A and the detailed information table 13B, the created medicine envelope 30 is printed with the drug information 31, patient name 32, dosage timing 33, and dispensing date (issue date) 35 as described above, and also with the commissioning information two-dimensional code 34 that can identify the package packaging commissioning information ID and patient ID described above. The print data (PDF information) for the medicine envelope 30 is stored in the medicine envelope table 13G associated with the package packaging commissioning information table 13A (step 72). The printer 7 provided at the commissioning pharmacy can be used to create (print) the medicine envelope 30.

[0074] Next, the process proceeds to the creation (printing) of the sachets 20 (Figs. 3 and 5). First, the ID of the contractor worker who will be performing the packaging work is registered in the packaging commissioning information table 13A (step 73), and then printing is performed on the sachets 20 (step 74). As described above, the patient's name 21, dosing timing 22, etc. are printed on the sachets 20 based on the information registered in the packaging information table 13C. In addition, the above-mentioned two-dimensional sachet code 24 is printed on the sachet 20. The printer 7 provided by the contractor pharmacy can also be used to create (print) the sachets 20. Generally, a series of sachets 20A (Fig. 5) consisting of a plurality of sachets 20 is created.

[0075] The packaging machine 5 stores medicines in each of the packets 20 (packaging) (step 75). Packaging information table 13C for each packet 20 is associated with package ordering information table 13A, and package ordering information table 13A is associated with detailed information table 13B, so the type and number of medicines to be packaged in each packet 20 are determined from the information in these tables 13A, 13B, and 13C. The packaging machine 5 is controlled accordingly.

[0076] The order of creating (printing) the packets 20 (step 74) and storing the medicines in the packets 20 (packaging) (step 75) may be reversed.

[0077] Once packaging is complete, the process proceeds to machine inspection using the image collator 6 (step 76).

[0078] The image matching machine 6 provided by the contracted pharmacy is used for the machine audit. Like the packaging machine 5, the image matching machine 6 is given information on the type and quantity of drugs that should be packaged in each packet 20. The image matching machine 6 takes an image of the packet 20 from its back side (Figure 4), and uses the information obtained by analyzing the image (the number of drugs packaged in each packet 20, the shape, dimensions, color, markings, etc.) to determine whether the drugs are packaged correctly in the packets 20.

[0079] The results of the machine audit for each package using the image matching device 6 are sent to the package management device 2 via the network 1 and registered as an audit device confirmation status (flag) in the package information table 13 of the package management database 10 (step 77). The audit device confirmation status is registered as "T" (True) if it is determined that the drugs are correctly packaged in the package 20, "D" (Doubt) if there is doubt, or "F" (False) if it is determined to be incorrect. In addition, details of the confirmation results and the confirmation image are registered in the machine audit information table 13I together with the package ID that identifies the package 20.

[0080] After the machine audit using the image matching machine 6 is completed, a visual inspection (audit) is performed by the outsourcing pharmacist at the outsourcing pharmacy (steps 79A, 79B). The outsourcing pharmacist inspects the type and quantity of drugs in the packets 20, the printing condition of the packets 20 (printed content, whether the characters are missing or faded), the order of the packets 20, etc. The results of the outsourcing pharmacist's visual inspection of each packet 20 are input as data by the outsourcing pharmacist using the outsourcing device 4, and this data is sent to the packet management device 2 via the network 1, and is registered as the outsourcing pharmacist confirmation status in the packet information table 13C created for each packet 20. In the outsourcing pharmacist confirmation status, "T" is registered if the drugs are packaged correctly, and "F" is registered if they are not.

[0081] Next, a consistency check is carried out between the machine audit and the visual inspection (audit) by the contracted pharmacist.

[0082] (Machine audit "T", visual audit "T") For all packets 20 in packet row 20A, if the inspection device confirmation status by machine audit is "T" and the entrusted pharmacist confirmation status by the entrusted pharmacist is also "T", the audit and confirmation process for the packets is completed and the process proceeds to the next step (YES in step 78, YES in step 79A, YES in step 80A).

[0083] If there is at least one package 20 among the multiple packages 20 included in package row 20A whose inspection device confirmation status through machine audit is "D" or "F" (NO in step 78), the contracted pharmacist confirmation status for that package is further confirmed (step 80B).

[0084] (Machinery audit "F" or "D", visual audit "T") If there is a sachet 20 whose device confirmation status is other than "T" (i.e., "F" or "D") and whose outsourcing pharmacist confirmation status is "T", details are recorded in the outsourcing pharmacist correction information in the machine audit information table 13I in association with the package ID of that sachet 20 (YES in step 80B, step 81B). For example, if it is thought that the image matching device 6 made an incorrect judgment because some of the tablets were too close to the edge of the sachet 20, a comment such as "Tablet A is close to the right edge, but there is no problem with the contents" is entered into the outsourcing device 4, and this is recorded in the machine audit information table 13I as the outsourcing pharmacist correction information. The information recorded in the outsourcing pharmacist correction information may be written freely, or may be written by selecting from a pull-down menu.

[0085] When correction information is entered into machine audit information table 13I, the audit device confirmation status in package information table 13C for the specific package 20 for which the correction information was entered is corrected from the correct status, in this case "F" or "D," to "T" (step 82B). In this way, when there is an error in the machine audit judgment, rather than simply correcting the machine audit judgment result, by keeping the entrusting pharmacist's judgment process (recording it in the entrusting pharmacist correction information), it is possible to check the operating status of image matching machine 6, for example, at a later date.

[0086] (Machine audit "T", visual audit "F") If there is a package 20 whose device confirmation status is "T" and whose outsourced pharmacist confirmation status is "F" (YES in step 78, NO in step 80A), it is determined that there was a defect in the packaging work by the packaging machine 5. A package repair information table 13D is newly created in the package management database 10 in association with the package information table 13C of the defective package 20, and the created package repair information table 13D is registered with the "defect content (multiple choice)," "details of the defect content (descriptive)," "repair method (multiple choice)," "details of the repair method (descriptive)," etc. (step 81A). The outsourced worker carries out repair work on the package 20 for which a defect has been identified using the instructed repair method (step 84B). Once the repair work is completed, the repair status of the package 20 in the package repair information table 13D is set to "T" (step 85B). The package repair information table 13D makes it possible to identify the packages 20 that have undergone repair work among the plurality of packages 20 included in the package row 20A, and further makes it possible to know what kind of repair work has been carried out.

[0087] (Machinery audit "F" or "D", visual audit "F") If there is a package 20 whose device confirmation status is "F" or "D" and whose outsourced pharmacist confirmation status is "F" (NO in step 78, NO in step 80B), it is also determined that there was a defect in the packaging work by the packaging machine 5. A package repair information table 13D is newly created in the package management database 10 in association with the package information table 13C of the defective package 20, and the "defect content (multiple choice)," "details of the defect content (descriptive)," "repair method (multiple choice)," "details of the repair method (descriptive)," etc. are registered in the created package repair information table 13D (step 81A). The outsourced worker repairs the package for which a defect has been identified using the instructed repair method (step 84B). When the repair work is completed, the repair status of that package 20 in the package repair information table 13D is changed to "T" (the default is "F") (step 85B). If there are any matters to be communicated or any doubts regarding the repair contents, the contents can be recorded in the "Details of repair work" of the package repair information table 13D.

[0088] The "defect details (multiple choice)" registered in the packet repair information table 13D are selected from, for example, "A. The type of drug is incorrect," "B1. The number of drugs is incorrect and the mistake covers one packet or two adjacent packets," "B2. The number of drugs is incorrect and the mistake covers three or more packets," "C. The drug is damaged," "D. A foreign object is attached to the drug," "E1. A foreign object has been mixed in the packet but it is removable and there is no risk of the foreign object adhering to the drug," "E2. A foreign object has been mixed in the packet and there is a risk of the foreign object adhering to the drug," and "F. Other." The "repair method (multiple choice)" is selected from, for example, "reuse the packet with the error," "discard only the relevant packet and remake only the relevant packet," "discard all packets and remake all," and "other."

[0089] For the package row 20A including the package 20 that has undergone repair work, an equipment audit (machine audit) is again performed using the image collator 6 (step 86B).

[0090] When the machine audit by the image matching machine 6 and the visual confirmation by the contracting pharmacist for all packets 20 in packet row 20A result in a "T," a contracting worker sets the packets 20 in a medication calendar or the like (step 87). The setting work is based on the "setting method specification" in the single-dose outsourcing information table 13A. In addition to setting in a medication calendar, the packets may be set in a roll or in a medication tray according to the setting method specification. A two-dimensional code (see Figure 7 for the medication calendar two-dimensional code 42) is pre-attached to the medication calendar and medication tray. The medication calendar two-dimensional code 42 represents a patient ID. As described below, the correctness of the combination of the medication calendar 40 and the packets 20 set in that medication calendar 40 can be confirmed by checking whether the patient ID represented by the medication calendar two-dimensional code 42 matches the patient ID identified by the packet two-dimensional code 24. Instead of a two-dimensional code, a wireless tag storing the patient ID may be incorporated into the medication calendar or the like.

[0091] Next, the contents written on the medicine bag 30 are confirmed by the contracted pharmacist.

[0092] The contracted pharmacist visually checks the contents and printing status of the medicine envelope 30 to check for any defects. The contracted pharmacist or contracted worker photographs the printed surface (front side) of the medicine envelope 30 using a camera, and the image of the printed surface of the medicine envelope 30 is registered in the medicine envelope table 13G as a confirmation image.

[0093] If the contents of the medicine envelope 30 (including the printing status) are all correct, the entrusted pharmacist operates the entrusted device 4, and a "T" is registered in the "Entrusted Pharmacist Confirmed" status in the medicine envelope table 13G (YES in step 88, step 89). If there is an error in the contents of the medicine envelope 30 or a defect in the printing status, an "F" is registered in the "Entrusted Pharmacist Confirmed" status in the medicine envelope table 13G, and a medicine envelope repair information table 13H is created in association with the medicine envelope table 13G. Details of the defect and the repair method are registered in the medicine envelope repair information table 13H (NO in step 88, steps 90 and 91).

[0094] Next, the entrusted pharmacist checks the setting status of the packets 20 in the medication calendar 40, etc., in the same way as checking the medicine bag 30 described above. The medication calendar 40, etc., in which the packets 20 are set, is photographed by the entrusted pharmacist or an entrusted worker using a camera, and the image of the medication calendar, etc., is registered in the setting status table 13E as a confirmation image.

[0095] If the set status is all correct, the outsourcing pharmacist operates the outsourcing device 4, and "T" is registered in the "outsourcing pharmacist confirmation" status in the set status table 13E (YES in step 92, step 93). If there is an error in the set status, "F" is registered in the "outsourcing pharmacist confirmation" status in the set status table 13E, and a set repair information table 13F is created in association with the set status table 13E. Details of the error and the repair method are registered in the set repair information table 13F (NO in step 92, steps 94 and 95).

[0096] If there is a defect in the medicine envelope 30 or in the setting status in the medicine calendar 40, etc., the contractor worker carries out repair work based on the repair method instructed by the contractor pharmacist. After the repair work, "T" is registered in the repair status of the corresponding repair information table (medicine envelope repair information table 13H, set repair information table 13F) (NO in step 113, steps 96, 97). The medicine envelope or setting status is checked again (step 98).

[0097] When the entrusted pharmacist confirmation status in the medicine bag table 13G and the set status table 13E all become "T", the entrusting device 3 is notified via the network 1 that the entrusted pharmacy has completed the above-mentioned audit, work, confirmation, correction, etc. (YES in step 113, step 114).

[0098] The entrusting pharmacy to which the entrusting pharmacist belongs does not have the actual packets 20 in which the medication is packaged. However, the final inspection of the packets, etc. must be performed by the entrusting pharmacist. The inspection by the entrusting pharmacist is performed online. That is, the entrusting pharmacist accesses the packet management device 2 using the entrusting device 3, connects the entrusting device 3 to the packet management device 2 via the network 1, and performs the final inspection by referring to the above-mentioned data registered in the packet management database 10. If the entrusting device 3 cannot connect to the packet management device 2, the entrusted device 4 may transmit the above-mentioned various data (tables) to the entrusting device 3, and the entrusting pharmacist may use this to perform the final inspection.

[0099] FIG. 21 shows a packing inspection screen displayed on the display screen of the ordering device 3.

[0100] The package inspection screen 130 displays inspection images (package images) 131 captured by the image collator 6 of the ordering pharmacy and registered in the machine inspection information table 13I. The ordering pharmacist performs a package inspection based on the inspection images (package images) displayed on the display screen of the ordering device 3. Similarly, the display screen of the ordering device 3 can display medicine envelope images (images registered in the medicine envelope table 13G) and medicine calendar images (images registered in the set status table 13E), and the ordering pharmacist performs a medicine envelope inspection and a set status inspection based on the medicine envelope images and medicine calendar images displayed on the screen.

[0101] Returning to Figure 15, the ordering pharmacist inspects the work content of the package 20 (type of drug, quantity, date, timing of administration, etc.) by referring to the package image displayed on the ordering device 3. If the work content of the package 20 is correct, "T" is registered in the ordering pharmacist confirmation status in the package information table 13C for each package 20 (YES in step 52, step 53). If a defective package is found, "F" is registered in the ordering pharmacist confirmation status for that package 20 in the package information table 13C (NO in step 52, step 54). A package repair information table 13D is created, and the details of the defect and the repair method are recorded (step 55).

[0102] 16, the ordering pharmacist similarly inspects the contents of the medicine envelope 30 by referring to the image of the medicine envelope displayed on the ordering device 3. If all the information is correct, "T" is registered in the ordering pharmacist confirmation status in the medicine envelope table 13G (YES in step 56, step 57). If there is an error, "F" is registered in the ordering pharmacist confirmation status in the medicine envelope table 13G (NO in step 56, step 58). A medicine envelope repair information table 13H is created, and the details of the error and the repair method are recorded (step 59).

[0103] 17, the ordering pharmacist also inspects the setting status of the medication calendar 40, etc., by referring to the image of the medication calendar 40, etc., displayed on the ordering device 3. If the setting status is all correct, "T" is registered in the ordering pharmacist confirmation status in the setting status table 13E (YES in step 60, step 61), and if there is an error, "F" is registered (NO in step 60, step 62). A set repair information table 13F is created, and the details of the error and the repair method are recorded (step 63).

[0104] The inspection results of the set status of the packets 20, medicine bags 30, medicine calendar 40, etc. are notified from the ordering device 3 to the packet management device 2 (step 64).

[0105] If the audit results by the entrusting pharmacist include an "F," for example, this is notified to the entrusted device 4, and an entrusted worker at the entrusted pharmacy performs repair work to fix the defect (NO in step 115, step 99). Once the repair work is completed, a "T" is registered in the repair status of the corresponding repair information table (step 100). If the packet 20 has been repaired, the device audit is performed again (YES in step 101, step 103), and if the setting status of the medicine bag 30 or medicine calendar 40, etc. has been repaired, the setting status of the medicine bag 30 or medicine calendar 40, etc. is checked again (NO in step 101, step 102).

[0106] If all the audit results by the ordering pharmacist are "T," the contracted worker scans the two-dimensional consignment information code 34 on the medicine bag 30 (step 104). The single-dose packaging consignment information ID included in the consignment information two-dimensional code is read, and the packaging management device 2 confirms whether all statuses identified from the single-dose packaging consignment information ID are "T" (step 116). The statuses confirmed here are the audit device confirmation status, the ordering pharmacist confirmation status and the ordering pharmacist confirmation status in the packaging information table 13C, the repair status in the package repair information table 13D, the ordering pharmacist confirmation status and the ordering pharmacist confirmation status in the medicine bag table 13G, the repair status in the medicine bag repair information table 13H, the ordering pharmacist confirmation status and the ordering pharmacist confirmation status in the set status table 13E, and the repair status in the set repair information table 13F.

[0107] If there are any items whose status is not "T" at this stage, an error may have occurred in the processing up to this point. An error message is sent by the packaging management device 2 to the entrustment source device 3 or entrustment destination device 4, and the items whose status is not "T" are checked or re-audited (NO in step 116, steps 117 and 118).

[0108] If all statuses are "T", the process proceeds to the packing work. In other words, if all statuses are "T", the packaging management device 2 notifies the consignee device 4 of this fact, and a delivery label (not shown) is output from the printer 7 on which the address, facility name, and recipient's name according to the delivery destination information associated with the single-packaging consignment information ID identified by the consignment information two-dimensional code, as well as the consignment information two-dimensional code, are printed (step 105). Instead of or in addition to notifying that all statuses are "T", printing information for the delivery label may be sent from the packaging management device 2 to the consignee device 4. For example, if a package 20 with a status of "F" is included, a delivery label will not be output from the printer 7, which effectively prevents the shipment of defective packages 20, etc.

[0109] The delivery label output from the printer 7 is affixed to the packaging material, and the completed products (sachets 20, medicine bags 30, medicine calendars 40, etc.) are placed in the packaging material (step 106).

[0110] Before closing the packaging, the two-dimensional consignment information code on the delivery label, the two-dimensional consignment information code 34 on the medicine bag 30, the two-dimensional package code 24 on the package 20 (one of the multiple packages 20), and the two-dimensional code 42 on the medication calendar, etc. are read by a scanner, and the patient ID commonly included in the information represented by these two-dimensional codes is used to match the delivery label with the completed product (steps 107, 119). If all patient IDs are the same, "T" is registered in the work completion status of the single-dose packaging consignment information table 13A (YES in step 119, step 120). For example, this is displayed on the outsourcee's device 4 or a scanner, which prompts the outsourcee's worker to close the packaging (step 108). This reliably prevents incorrect delivery.

[0111] If the patient ID does not match, "F" is registered in the work completion flag of the package delivery information table 13A, an error message is sent to the delivery device 3 or the delivery recipient device 4, and confirmation work is carried out according to the situation (NO in step 119, step 121).

[0112] When the packaging material is closed, the scanner reads the two-dimensional consignment information code printed on the delivery label affixed to the packaging material by the contractor worker, and the packaging management device 2 checks whether "T" is registered as the work completion status in the single-package consignment information table 13A (steps 109 and 122). If the work completion status is "T," the closed packaging material containing the completed product proceeds to the shipping process (YES in step 122). If the work completion status is not "T" (if it is "F"), an error message is sent to the contractor device 4, hand scanner, etc. (NO in step 122, step 123). The packaging material is opened, and delivery (shipment) is stopped. For example, it is possible to prevent the shipping of a closed packaging material that is empty.

[0113] 22 shows a packaging work / audit history information sheet 140 created using information registered in various tables stored in the packaging management database 10 of the packaging management device 2. Details of the packaging work outsourced from the entrusting pharmacy (outsourcing pharmacy) to the entrusted pharmacy (contracted pharmacy) can be confirmed, including repair information if any repairs have been made. [Explanation of symbols]

[0114] 1 Network 2 Packaging management device 3 Outsourcing device 4 Outsourced equipment 5 packaging machine 6 Image matching machine 7 Printers 8. Prescriptions 10 Packet Management Database 13C Packaging Information Table 13D Packet Repair Information Table 13E Set Status Table 13F Set Repair Information Table 13G Medicine Bag Table 13H Medicine Bag Repair Information Table 13I Machine Audit Information Table 20 sachets 20A packing row 24 sachet 2D code 27 Drugs 30 Medicine Bag 34 Consignment information 2D code 40 Medication Calendar 130 Packet Audit Screen 140 Packaging Work Audit History Information Sheet

Claims

1. A drug packaging outsourcing system comprising: an outsourcing device installed at a drug preparation outsourcing party that outsources drug preparation work to a drug preparation outsourcing party; an outsourcing device installed at the drug preparation outsourcing party that accepts drug preparation work from the drug preparation outsourcing party; and a package management device that manages information about each package in which one or more drugs to be taken at a time are packaged in a package bag according to prescription data, and issues or delivers the packages to patients, all of which are connected to each other so that data communication is possible; The entrusting device is prescription data input means for accepting input of prescription data; a prescription data transmission means for transmitting the prescription data received by the prescription data input means to the entrustment device, The outsourced device is: a prescription data receiving means for receiving prescription data transmitted from the ordering device; a packaging machine control means for controlling a packaging machine that packages one or more medicines into individual packets in accordance with the prescription data received by the prescription data receiving means; an inspection device control means for controlling an inspection device that inspects each of the packages produced by the packaging machine; The packaging management device, a package information storage means for storing, in association with package identification information given to each of the packages and printed on the package bag, patient identification information for identifying a patient to whom the drug has been prescribed, prescription information including the type of drug and how to take it, audit results for each of the packages, and a repair history including details of any defects found in the audit and a repair method if the defect has been repaired; a shipping permission means for permitting shipping of the individual packages when audit results of all the individual packages for a specific patient over a specific period created in accordance with the prescription data are appropriate; Outsourcing system for single-dose medication.

2. The audit device is imaging means for imaging the package; and an image matching means for matching an image of a package obtained by imaging by the imaging means to determine whether or not a medicine image according to the prescription data is included; The result of the image matching by the image matching means is stored as an inspection result in the package information storage means of the package management device. The drug package outsourcing system according to claim 1.

3. The outsourced device is: a package image transmission means for transmitting a package image obtained by the imaging means of the inspection device to the entrustment source device, The entrusting device is a package image receiving means for receiving the package image transmitted by the package image transmitting means; a package image display means for displaying the package image received by the package image receiving means; an image inspection result receiving means for receiving an input of an image inspection result by the ordering pharmacist based on the package image displayed by the package image display means; and an image inspection result sending means for sending the image inspection result received by the ordering pharmacist image inspection result receiving means to the package management device; The image inspection result by the client pharmacist transmitted by the pharmacist image inspection result transmitting means is stored as an inspection result in the package information storage means of the package management device. The drug package outsourcing system according to claim 2.

4. The packaging management device, and an output means for outputting the inspection results for each of the individual packages stored in the package information storage means, as well as a repair history including details of any defects found in the inspection and a repair method if the defects are repaired. The drug package outsourcing system according to claim 1.

5. A package management device for managing information about each package in which one or more drugs to be taken at a time are packaged in a package bag according to prescription data, and for issuing or delivering the package to a patient, a package information storage means for storing, in association with package identification information given to each of the packages and printed on the package bag, patient identification information for identifying a patient to whom the drug has been prescribed, prescription information including the type of drug and how to take it, audit results for each of the packages, and a repair history including details of any defects found in the audit and a repair method if the defect has been repaired; a shipping permission means for permitting shipping of the individual packages when audit results of all the individual packages for a specific patient over a specific period created in accordance with the prescription data are appropriate; Packaging management device.

6. The audit result is the result of an image matching device that matches images of the package obtained by photographing the package to determine whether a drug image conforming to the prescription data is included in the package image. The package management device according to claim 5 .

7. The audit result is the result of the pharmacist's image judgment, in which an image of the package obtained by photographing the package is displayed on a display screen and the pharmacist judges whether the package contains a drug image in accordance with the prescription data. The package management device according to claim 5 .

8. The audit result is a result of a visual judgment by a pharmacist who visually inspects the package to determine whether the package contains a drug according to the prescription data. The package management device according to claim 5 .

9. the shipping permission device includes print control means for controlling a printer to output a shipping label when the audit results of all the packets are correct; The package management device according to claim 5 .

10. The system further includes a medicine bag information storage means for storing audit results for each medicine bag capable of storing packets for a specific patient over a specific period, which are created according to the prescription data, as well as a repair history including details of defects found in the audit of the medicine bags and repair methods when the defects are repaired, The shipment permission means permits shipment of the medicine bag when the audit results of all the individual packets for a specific patient over a specific period created in accordance with the prescription data are appropriate and the audit result of the medicine bag is appropriate. The package management device according to claim 5 .

11. The system further includes a package set information storage means for storing the audit results of package sets in which all packages prepared according to the prescription data for a specific patient over a specific period are sorted and stored by administration date or administration time, as well as a repair history including details of any defects found in the audit and a repair method if the defects are repaired, The shipment permission means permits shipment of the packets in a packaged state when the audit results of all packets for a specific patient over a specific period created in accordance with the prescription data are appropriate and the audit result of the package set is appropriate. The package management device according to claim 5 .

12. A program for managing information about each of the individual packets in which one or more drugs to be taken at a time are packaged in a packet according to prescription data, and for controlling a packet management device for issuing or delivering the packets to patients, A package identification information issuing means issues package identification information to be assigned to each of the packages and printed on the package bag; a storage means for storing, in association with the package identification information, patient identification information for identifying a patient to whom the drug has been prescribed, prescription information including the type of drug and how to take it, audit results for each of the packages, and a repair history including details of any defects found in the audit and a repair method if the defect has been repaired; a determining means for determining whether or not the audit results of all packets for a specific patient over a specific period created in accordance with the prescription data are appropriate based on the audit results and repair history stored in the storage means; the shipment permission means controls the package management device to permit shipment of the packages when the audit results of all the packages are determined to be appropriate; A program that controls the packaging management device.

Images