JP2015118444A - Medicine management device, portable terminal device, and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To easily confirm medicine administration time, kind, and dosage when a patient takes a prepared medicine.SOLUTION: A medicine management device 1 includes a medication ledger 13c which stores information about administration of each prepared medicine in association with a photographed image of each medicine, and an image memory 13d. The medicine management device determines an administration time zone by collating an administration schedule prepared based on a content of the medication ledger 13c and present date and time information. When it is the administration time zone, the medicine management device notifies a kind and dosage of each medicine to take by an image.

Description

  The present invention relates to a patient-side medicine management device that stores and manages information related to the use of each medicine dispensed at a dispensing pharmacy or medical institution, a patient-owned portable terminal device that can be connected to the medicine management device via a communication network, and Regarding the program.

  In general, when patients take medicines dispensed at a dispensing pharmacy or medical institution, they take the name, usage, and dose of each medicine while confirming the description in the medicine bag, etc. Even if you try to check the type of medicine in the state that you have issued, there is a risk that it is difficult to see because the description is small just by checking from the description of the medicine package. There was also the risk of mistaking its usage and dosage even when the medicine was still in the medicine bag. Such mistakes may cause serious problems such as drug interactions (drinking) and large doses. Therefore, conventionally, a technique is known in which the timing of taking a dispensed medicine is notified (see Patent Document 1).

JP 2006-079536 A

  However, the technique of the above-mentioned patent document is a technique for notifying the medicine to be taken according to the patient's life pattern data, and the timing of taking the medicine by notifying the medicine taking according to the patient's individual life pattern. Although it is a notification that guides the type and dose of drugs in text strings, for example, elderly people and people with vision problems still have the risk of mistakes. It will remain. Therefore, for example, if a medicine sample image prepared in advance is notified together, it becomes easier to understand visually, and it can be expected to reduce the risk of mistakes in the type of medicine. There is a need for a technology that can more appropriately prevent misunderstandings.

  An object of the present invention is to make it possible to easily confirm the time, type, and dose of medicine when a patient takes each of the dispensed medicines.

In order to solve the above-described problems, the medicine management device of the present invention
A patient-side drug management device that stores and manages information related to the use of each drug dispensed at a dispensing pharmacy or medical institution,
Medicine information storage means for storing information relating to the taking of each dispensed medicine and a photographed image of the medicine photographed for each medicine in association with each other;
Creating means for creating a dosing schedule based on information related to taking each medicine stored in the medicine information storage means;
A clock means for keeping time information,
A discriminating means for discriminating whether or not it is a taking time zone by comparing the dosing schedule created by the creating means with the date and time information timed by the clock means;
When it is determined by the determination means that it is a taking time zone, a notification means for notifying the type and dose of each medicine to be taken by image,
It is the medicine management device characterized by comprising.

In order to solve the above-described problems, the mobile terminal device of the present invention
A portable terminal device possessed by a patient that can be connected via a communication network to a patient-side drug management device that stores and manages information related to the use of each drug dispensed by a dispensing pharmacy or medical institution,
A first display control means for displaying a notification image on the terminal screen when the type and dose are notified by an image for each medicine to be taken from the medicine management device in the taking time period;
Photographing means for photographing the medicine when taking the medicine,
A discriminating means for discriminating whether or not the medication image photographed by the photographing means and the notification image from the medicine management device are correctly taken;
Second display control means for displaying a discrimination result by the discrimination means and an image of a medicine to be taken;
It is a portable terminal device provided with.

  According to the present invention, when a patient takes each of the dispensed medicines, it is possible to easily confirm the time, type and dosage of the medicine, and there is a serious risk of drug interaction and large doses. It becomes possible to prevent.

The block diagram which showed the wide area communication system (medicine management system) which connected the medicine management apparatus 1 on the patient side, and the portable terminal device 2 possessed by the patient via a communication network. The block diagram which showed the basic component of the medicine management apparatus 1 by the side of a patient. The figure which showed the state which read the description content from the some medicine notebook, and was registered into the medication ledger 13c. (1) and (2) are diagrams showing a medicine image (sheet image) obtained by photographing a package (one sheet PTP packaging) of each medicine dispensed at a dispensing pharmacy or a medical institution. The figure for demonstrating the medication ledger 13c. The figure for demonstrating the dosing schedule table 13e. The block diagram which showed the basic component of the portable terminal device 2. FIG. (1) is a diagram showing a state in which a medication notification received from the medication management device 1 is displayed on the terminal screen of the mobile terminal device 2, (2) is a diagram showing a state of photographing the medication to be taken, (3 ) Is a diagram illustrating comparison of images. The flowchart for demonstrating operation | movement (characteristic operation | movement of this embodiment) of the medicine management apparatus 1 started execution according to power activation. The flowchart for demonstrating operation | movement (characteristic operation | movement of this embodiment) of the portable terminal device 2 started execution according to power activation. (1) is a screen of a medication notification when the medication is mistaken, and (2) is a screen showing a medication notification when the medication is correct. (1), (2) is the figure which showed the screen of the medication notification for demonstrating the modification of embodiment.

Hereinafter, embodiments of the present invention will be described with reference to FIGS.
FIG. 1 is a block diagram showing a wide area communication system (drug management system) in which a medicine management device 1 on a patient side and a portable terminal device 2 possessed by a patient are connected via a communication network.
The medicine management system is a wide area communication system capable of connecting the medicine management apparatus 1 on the patient side and the portable terminal apparatus 2 possessed by the patient via a communication network (Internet 3 and wireless communication network 4). The medicine management apparatus 1 on the patient side constituting this medicine management system stores, for example, information related to the use of each medicine dispensed by a dispensing pharmacy or a medical institution with a notebook computer (personal computer) installed at home or the like. In addition to management, a medication schedule is created based on information related to the medication, and processing for notifying the patient's portable terminal device 2 of the medication is performed in accordance with the medication schedule. The portable terminal device 2 possessed by the patient is a mobile phone such as a smartphone, and performs a process of receiving a medication notification instructing to take a medication from the medication management device 1 and displaying the content of the notification.

FIG. 2 is a block diagram showing basic components of the medicine management device 1 on the patient side.
The medicine management device 1 has various functions such as a clock function for measuring the current date and time, an Internet connection function (Web access function), a sentence creation function, a scanner function, an OCR (Optical Character Recognition) function, and the CPU 11 as a core. The CPU 11 is a central processing unit that operates by supplying power from the power supply unit 12 and controls the overall operation of the medicine management device 1 according to various programs in the storage unit 13.

  The storage unit 13 includes, for example, a ROM, a flash memory, and the like, and a program memory that stores a program for realizing the present embodiment and various applications according to an operation procedure illustrated in FIG. 13a, a work memory 13b, a medication ledger 13c to be described later, an image memory 13d for recording a photographed image of the medication, a medication schedule table 13e, and the like. The storage unit 13 may include a removable portable memory (recording medium) such as an SD card or an IC card, and is connected to a network via a communication function (not shown). The state may include a storage area on a predetermined server device side.

  An operation unit 14, a display unit 15, a wide area communication unit 16, and a scanner unit 17 are connected to the CPU 11 as its input / output devices, and the CPU 11 controls its operation according to an input / output program. The operation unit 14 includes various buttons of a push button type, such as a power on / off key, a key for instructing registration of a medicine notebook / medicine seal, and the CPU 11 corresponds to the operation key from the operation unit 14. Corresponding processing is performed according to the input operation signal that is output. The display unit 15 is a high-definition liquid crystal display or an organic EL (Electro Luminescence) display. The wide area communication unit 16 is a communication interface connectable to the Internet. The scanner unit 17 shoots a medicine notebook (medicine notebook) issued by a dispensing pharmacy or a medical institution, or photographs a dispensed medicine. The CPU 11 stores the scanner image as an image file in an image memory 13d. Or by performing an OCR process for recognizing characters and converting them into text data by analyzing a photographed image of the medicine notebook, and registering it in the medication register 13c.

FIG. 3 is a diagram showing a state in which the description is read from a plurality of medicine notebooks and registered in the medication register 13c.
In the example shown in the drawing, the description contents of the medicine notebook A issued by the XX dispensing pharmacy, the medicine notebook B issued by the XX dispensing pharmacy, and the medicine seal C issued by the XX dispensing pharmacy are the scanner unit 17. Shows the state registered in the medication register 13c after it has been read in the OCR process, and the medication register A and B and the contents of the medicine seal C (information on the use of each medicine) are shown in the medication register 13c. Memory management. That is, the information regarding the administration of each medicine inputted to centrally manage a plurality of medicine notebooks (medicine identification notebooks) issued from different dispensing pharmacies or medical institutions is sequentially stored in the medication ledger 13c. The medicine seal C is issued when the medicine notebook is not presented to the dispensing pharmacy or medical institution, and is a sticker to be pasted on the medicine notebook later.

FIG. 4 is a diagram showing a medicine image (sheet image) obtained by photographing each medicine package (one sheet-like PTP packaging) dispensed at a dispensing pharmacy or a medical institution.
Each medicine dispensed at a dispensing pharmacy or medical institution is stored and delivered in a medicine bag (not shown), but patients and relatives who have returned to their homes have their packages (one-sheet PTP packaging) for each medicine. The whole is photographed by the scanner unit 17, a camera device (not shown), or the like. When the package image (medicine image: sheet image) of each medicine is inputted via an SD card or the like, the CPU 11 creates an image file in which the name of the medicine is added as a file name to each inputted medicine image. The medicine register 13c is registered in the image memory 13d in association with the medicine notebook. The illustrated example shows each medicine image (sheet image) A-1 and A-2 registered in association with the medicine notebook A issued by the XX dispensing pharmacy. The medicine image A-1 shown in FIG. 4 (1) is a sheet image (package image) of the medicine whose medicine name is “aa tablet 100 mg”, and the medicine image A-2 shown in FIG. It is a sheet image (package image) of a medicine whose medicine name is “cc tablets 10 mg”.

FIG. 5 is a diagram for explaining the medication ledger 13c.
In addition to basic information such as the patient's name, date of birth, blood type, address, and allergic constitution, the medicine notebook and medicine seal are related to drugs such as the drug name, prescription amount, dosage method, prescription date, etc. Information is recorded. In addition, information on the medicine is stored in the medication register 13c. That is, the medication register 13c includes “dispensing pharmacy / medical institution”, “drug name”, “medicine category”, “medication morning”, “medication daytime”, “medication evening”, “medication category”, “dose”, Each item includes “Dosing interval”, “Dosing start date”, “Dosing end date”, “Dosage amount”, “Remaining amount”, “Reference value”, and “Image link”. In the “medicine category”, either “1: normal dose” or “2: non-dose” is stored. “Dosing” or “Do not take” is stored in “Dosing morning”, “Dosing day”, and “Dosing evening”. “Dosage” includes any of “1: before meals”, “2: after meals”, “3: between meals”, “4: before going to bed”, “5: regular interval”, “6: emergency (every time)” Is remembered.

  The medication ledger 13c is configured to collectively manage even a plurality of medicine notebooks issued from different dispensing pharmacies or medical institutions. For example, they are integrated and stored in medicine notebooks issued by dispensing pharmacies in ophthalmological hospitals, otolaryngology hospitals, and dermatology hospitals. Then, every time the content of a new medicine notebook is additionally stored in the medication ledger 13c, the CPU 11 creates a medication schedule based on the content of the medication ledger 13c and updates the content of the medication schedule table 13e. ing.

FIG. 6 is a diagram for explaining the dosing schedule table 13e.
The dosing schedule table 13e includes “dosing time”, “time zone”, “number of drugs taken (n)”, “dosage (1)”, “drug name (1)”, “dosage (2)”, “ Each item includes “medicine name (2)”,..., “Dosage (n)”, and “medicine name (n)”. “Time of taking” and “Time zone” indicate the time of taking the medicine. “Time of taking” is “Before breakfast”, “After breakfast”, “Between breakfast”, “Before lunch”, “After lunch”, It is divided into “between lunch”, “before dinner”, “after dinner”, “during dinner”, “before going to bed”, and “fixed interval”. The “time zone” is a time zone in which “before breakfast” and “after breakfast” to “certain intervals” are arbitrarily set according to the patient.

  The CPU 11 periodically refers to the current date and time obtained by the medication schedule table 13e and the clock function to determine whether or not it is the medication time, that is, the medication time zone. For each medicine to be taken, an image showing the type and dose is generated and notified to the mobile terminal device 2 (medication notice). The image showing the type and dose of this medicine is generated by cutting out the number of packs corresponding to the dose from the whole medicine image (sheet image) obtained by photographing the medicine package (one sheet-like PTP packaging). It is an image (packed image).

FIG. 7 is a block diagram showing basic components of the mobile terminal device 2.
The mobile terminal device 2 has various functions such as a call function, an Internet connection function (Web access function), an e-mail function as a communication function, a clock function that measures the current date and time, a camera function, etc. When connected to another mobile phone (not shown) via (not shown), it becomes possible to make a call with the other mobile phone, and to the Internet (not shown) via a wireless communication network. When connected, it is possible to send and receive e-mails and to browse web pages. The CPU 21 operates by supplying power from the power supply unit 22 and controls the overall operation of the mobile terminal device 2 according to various programs in the storage unit 23. The storage unit 23 includes, for example, a ROM, a flash memory, and the like, and a program memory in which a program and various applications for realizing the present embodiment are stored in accordance with an operation procedure illustrated in FIG. 23a.

  An operation unit 24, a touch display unit 25, a wireless communication unit 26, a telephone unit 27, and a camera unit 28 are connected to the CPU 21 as its input / output devices, and the operation is controlled according to an input / output program. The touch display unit 25 is a display unit including a touch panel. The wireless communication unit 26 transmits / receives data to / from the nearest base station when the call function, the e-mail function, the Internet connection function, etc. are operated. Output. The camera unit 28 is a digital camera that performs still image shooting. When receiving the medication notification from the medicine management device 1, the CPU 21 receives the medication notification and displays it on the terminal screen (touch display unit 25), and guides that the medicine to be taken by the camera unit 28 should be taken. It is trying to display.

FIG. 8 (1) shows a state in which the medication notification received from the medication management device 1 is displayed on the terminal screen of the mobile terminal device 2, and FIG. 8 (2) shows a state of photographing the medication to be taken. FIG. 8 and FIG. 8 (3) are diagrams illustrating comparison of images.
In the example of FIG. 8 (1), the medication notification screen displays “November 19” as the medication date, “After breakfast” as the medication time, and “aa tablet 100 mg, 2 tablets as the medication to be taken (first medication)” "And a generated image (pack image) indicating the type and dose of the medicine are displayed. Further, as a medicine to be taken (second medicine), a character string of" cc tablets 10 mg, 2 tablets " A generated image (pack image) showing the type and dose of the medicine is displayed.

  On the medication notification screen, a message prompting the user to prepare a medicine according to the content of the notification and to take a picture of the medicines to be taken for confirmation is displayed. As shown in FIG. 8 (2), the patient who has confirmed this message takes out the corresponding medicines from the medicine bag according to the contents of the notification, arranges them, and images them with the camera unit 28 of the portable terminal device 2. FIG. 8 (3) is a diagram illustrating a comparison between an image taken before taking the medicine and a generated image (pack image) showing the kind and dose of the medicine, and aa tablet lacks one tablet. It shows the case.

  As described above, the medicine management apparatus (personal computer) 1 according to the present embodiment is a medicine management apparatus on the patient side that stores and manages information related to the use of each medicine dispensed at a dispensing pharmacy or a medical institution. Medicine information storage means (CPU 11, program memory 13a, medication ledger 13c) for storing information relating to the taking of each medicine and a photographed image of the medicine in which each medicine is photographed, and the medicine information storage means. A creation means (CPU 11, program memory 13a, dose schedule table 13e) for creating a dosing schedule based on information related to taking each medicine, a clock means (CPU 11, program memory 13a) for timing date and time information, and the creation means By comparing the created dosage schedule with the date and time information timed by the clock means, A determination means (CPU 11, program memory 13a) for determining whether or not it is a use time period, and when it is determined by the determination means that it is a taking time period, And a notification means (CPU 11, program memory 13 a, wide area communication unit 16) for notifying the dose by an image.

  In addition, the mobile terminal device (smart phone) 2 of the present embodiment communicates with the patient-side drug management device 1 that stores and manages information related to the use of each drug dispensed at a dispensing pharmacy or medical institution (Internet 3, wireless communication). A portable terminal device possessed by a patient that can be connected via the network 4), and when the type and dose of each medicine to be taken in the taking time zone are notified by an image from the medicine management apparatus 1, the notification image Display control means (CPU 21, program memory 23a, touch display section 25, wireless communication section 26) for displaying the medicine on the terminal screen and photographing means (CPU 21, program memory for photographing the medicine when taking the medicine) 23a, the camera unit 28), whether the medication image photographed by the photographing means and the notification image from the medication management device 1 are collated or not Discriminating means (CPU 21, program memory 23a) for discriminating; second display control means (CPU 21, program memory 23a, touch display unit 25) for displaying the discrimination result by the discriminating means and an image of the medicine to be taken; It is the composition provided with.

  Next, the operation concept of the medicine management device 1 and the portable terminal device 2 in the present embodiment will be described with reference to the flowcharts shown in FIGS. Here, each function described in these flowcharts is stored in the form of a readable program code, and operations according to the program code are sequentially executed. Further, it is possible to sequentially execute the operation according to the above-described program code transmitted via a transmission medium such as a network. In other words, in addition to the recording medium, an operation unique to the present embodiment can be executed using a program / data supplied externally via a transmission medium.

FIG. 9 is a flowchart for explaining the operation (characteristic operation of the present embodiment) of the medicine management apparatus 1 that starts executing in response to power-on.
First, the CPU 11 of the medicine management apparatus 1 performs initialization processing (not shown) in response to power-on, and then checks whether or not a key operation instructing registration of a medicine notebook / medicine seal has been performed (step A1), whether or not a collation timing (for example, one minute interval) for collating the dosing schedule with the current time has been reached (step A2), or a dosing notification indicating that the medicine has been taken from the mobile terminal device 2 (Step A3), or checks whether the portable terminal device 2 has requested transmission of the medicine notebook (step A4).

  Now, patients who have returned from their dispensing pharmacies or medical institutions to their homes are now registered with a medicine notebook / medicine seal (hereinafter referred to as a medicine notebook) in order to register the contents described in the medicine notebook / medicine seal. ) Is operated, and the medicine notebook is placed on the scanner unit 17 to read the current prescription content (description content). When the CPU 11 detects that the medicine notebook registration has been instructed (YES in step A1), the CPU 11 drives the scanner unit 17 to read the current description from the medicine notebook (step A5). Then, the read image (medicine notebook image) is subjected to OCR processing and converted into text data (step A6), and additionally registered in the medication register 13c, and the read image (medicine notebook image) Processing for additional registration in the image memory 13d is performed (step A7).

  Next, the patient takes out the medicines dispensed this time from the medicine bag for each type, and uses the scanner unit 17 or another camera device to put the medicine package (one sheet of PTP packaging) for each kind of medicine. Take a picture. When the CPU 11 acquires the photographed medicine image (sheet image) (step A8), the medicine image (sheet image) is registered in the image memory 13d (step A9). At this time, the medicine registered in the image memory 13d is registered. In order to associate the image (sheet image) with the registered contents of the medication register 13c, an “image link” indicating the storage location of the image memory 13d is generated and registered in the medication register 13c (step A10). And the process which produces | generates a new dosing schedule based on this registration content of the medication register | resistor 13c, and updates the content of the dosing schedule table 13e is performed (step A11). Then, it returns to step A1.

  When the collation timing for collating the dosing schedule with the current time is reached (YES in step A2), the current time is acquired and collated with the “time zone” in the dosing schedule table 13e (step A12). It is investigated whether it corresponds to a time slot | zone (medication time) (step A13). If it does not correspond to any time zone (medication time) (NO in step A13), the process returns to the first step A1, but if it corresponds to any time zone (medication time) (step A13). YES), the process proceeds to a process of generating an image (pack image) indicating the type and dose of medicine to be taken (step A14).

  That is, referring to “number of medicines taken (n)”, “dosage”, and “medicine name” as information related to taking in the dosage schedule, from among the whole medicine image (sheet image) indicated by the “medicine name” The operation of generating pack images by cutting out the number of packs corresponding to “dose” is repeatedly executed for “number of drugs to be taken (n)”. As a result, pack images corresponding to the number of medicines to be taken are generated. When there are a plurality of “doses”, the pack image is an image in which the number of medicines are connected. And the medication notification containing each pack image produced | generated for every medicine as mentioned above is notified to the portable terminal device 2 (step A15). Thereafter, the process returns to the first step A1.

FIG. 10 is a flowchart for explaining an operation (characteristic operation of the present embodiment) of the mobile terminal device 2 that starts to be executed in response to power-on.
First, the CPU 21 of the portable terminal device 2 performs an initialization process (not shown) in response to power-on, and then checks whether a medication notification has been received from the medication management device 1 (step B1). It is checked whether a user operation for instructing a request has been performed (step B2), or whether a remaining amount notification is received from the medicine management apparatus 1 (step B3). When a medication notification is received from the medication management device 1 (YES in step B1), the content of the medication notification is displayed on the terminal screen (step B4). Thus, for example, as shown in FIG. 8 (1), an image (a pack image of two kinds of medicines) showing the kind and dosage of the medicine together with a character string showing the kind and dosage of the medicine to be taken. Is displayed.

  Here, prior to taking the medicine, as shown in FIG. 8 (2), the patient takes out the corresponding medicine from the medicine bag according to a message prompting photographing within the medicine notification screen, and arranges the camera of the mobile terminal device 2. When the image is captured by the unit 28, the CPU 21 acquires the captured image (step B5), compares the captured image with the pack image in the received medication notification (step B6), and determines whether the medication is correct. Check (step B7). That is, the medicine in the pack image and the medicine in the photographed image are collated to determine whether the shape, color scheme, pattern, character, etc. are the same, that is, whether or not they are the same kind of medicine. If it is a medicine of this kind, the operation | movement which counts the number and discriminate | determines whether it is the same number is repeated for every kind of medicine. If the two match completely, it is recognized that the medicine is correct.

  The example of FIG. 8 (3) is a case where there is a shortage of medicines prepared for taking, so it is determined that the medicine is not correct (incorrect medicine) (NO in step B7). Proceeding to step B8, the wrong place is detected. That is, if the type of medicine is different, if the type is the same, but the number is different, and if other types of medicine are mixed, that part is detected. In this case, since the medicine of aa tablet is insufficient for one tablet, the location is detected. Then, on the medication notification screen, an error message indicating that the medication is wrong is identified and displayed together with an error message (step B9).

  Fig. 11 (1) shows the medication notification screen in the case of a wrong medication. The error message "Error: Incorrect dose. Please set the correct amount" is displayed and the text of "Error" In addition, the vicinity of the wrong pack image is displayed in a blinking manner. Thereafter, the process returns to step B5. Here, the patient confirms the error screen, replenishes or removes the wrong medicine, corrects the excess and deficiency, and takes the medicine again. Thereby, the above-mentioned image comparison is performed again (step B6), and it is checked whether or not the medicine is correct (step B7).

  If it is determined that the medication is correct (YES in step B7), an OK message indicating that the medication is correct is displayed on the medication notification screen (step B10). Fig. 11 (2) shows the notification screen when the medication is correct, and an OK message is displayed as "OK: No mistake. Press" Done "after drinking." Whether or not the button has been operated is checked (step B11), and the process waits until the completion button is operated.When the completion button is operated (YES in step B11), a notification that the dose has been completed and this time The remaining amount notification that the remaining amount of each medicine should be updated by taking (consuming) is performed to the medicine management device 1 (step B12), and then the process returns to step B1.

  When the medicine management device 1 receives the completion notification and the remaining amount notification from the mobile terminal device 2 (YES in step A3 in FIG. 9), the medicine management device 1 searches the medication ledger 13c based on the medicine taken, and “ A remaining amount update process is performed to subtract the dose taken this time from the “remaining amount” (step A16). Then, the “remaining amount” is compared with the “reference value” to check whether the “remaining amount” is equal to or less than the “reference value”, that is, whether the “remaining amount” has decreased as in the remaining one day ( Step A17). If the “remaining amount” exceeds the “reference value” (NO in step A17), the process returns to the first step A1, but if the “remaining amount” is equal to or less than the “reference value” (YES in step A17). ), A remaining amount notification for indicating that the “remaining amount” has decreased is transmitted to the mobile terminal device 2 (step A18). Thereafter, the process returns to the first step A1. In this case, the CPU 11 creates and transmits a remaining amount notification including information on what kind of medicine has become low, how much is left, and which dispensing pharmacy / medical institution.

When the portable terminal device 2 receives the remaining amount notification from the medicine management device 1 (YES in step B3 in FIG. 10), the content of the received remaining amount notification is displayed as a warning (step B17). In this case, the patient determines which medicine is low and goes to the dispensing pharmacy / medical institution or makes a reservation by telephone or e-mail.
On the other hand, when the mobile terminal device 2 visits a medical institution and receives a medical examination, when it finds that it has forgotten to bring a medicine notebook at the time of presenting the medicine notebook together with this prescription, The medicine management device 1 is requested to transmit the medicine notebook (YES in step B2). For example, when a medicine notebook transmission instruction key (not shown) is operated, the medicine management apparatus 1 is requested to transmit a medicine notebook (step B13).

In this case, when the medicine management device 1 requests the portable terminal device 2 to transmit a medicine notebook (YES in step A4 in FIG. 9), the medicine management device 1 reads the images of each medicine notebook from the image memory 13d. It transmits with respect to the apparatus 1 (step A19 of FIG. 9).
Here, if the portable terminal device 2 receives the image of each medicine notebook from the medicine management device 1, it displays it on the terminal screen (step B14 in FIG. 10). Then, it is checked whether or not a transmission presentation key (not shown) is operated in order to present the medicine notebook to the dispensing pharmacy / medical institution (step B15). Here, when the medicine notebook being displayed is only shown to the dispensing pharmacy / medical institution and the transmission presentation key is not operated (NO in step B15), the process returns to the first step B1, but the transmission presentation key is operated. If it happens (YES in step B15), the image of each medicine notebook is transmitted to the dispensing pharmacy / medical institution side (step B16). Then, it returns to step B1.

  As described above, in the present embodiment, the medicine management apparatus 1 includes the medication ledger 13c and the image memory 13d that store the information related to the taking of each dispensed drug and the photographed image of the medicine that photographed each medicine in association with each other. The dosage schedule created based on the contents of the medication register 13c is compared with the current date and time information to determine whether or not it is a medication time zone, and if it is a medication time zone, its type for each medication to be taken Since the patient is taking each of the dispensed medicines, the timing, type and dosage of the medicine can be easily confirmed, making it easier to understand intuitively. It is possible to prevent the serious danger of interaction and large doses.

  The medicine management device 1 provides an image (pack image) showing the type and dose for each medicine to be taken, information on the dosage of each medicine (contents of the dosage schedule), and a medicine package (one sheet of PTP packaging). Since it was generated based on the photographed medicine image (sheet image) and this country-generated image (pack image) was notified, it is not a sample image (for example, a schematic image) prepared in advance, It is possible to confirm the type and dose of the drug based on the image generated based on the image of the hand-held drug, and it is possible to appropriately prevent misconception that the drug type is wrong or the dose is wrong.

  Since the medicine management device 1 is configured to notify the patient-owned portable terminal device 2 of an image indicating the type and dose of each medicine via the communication network, the patient can receive a medication notification even on the go. It becomes possible to prevent forgetting and delaying taking medicine. In particular, even when a small screen such as the mobile terminal device 2 is viewed instantaneously, the visibility is good.

  The medicine management device 1 refers to the medication ledger 13c that stores the remaining amount of medicine that is updated in accordance with the taking of each medicine. For example, the patient can immediately know that the remaining amount of the medicine is low while on the go, and drop in at the dispensing pharmacy / medical institution on the way out to replenish the medicine. Can be supported.

  The medicine management device 1 creates a dosing schedule based on the contents of the medication register 13c that stores the contents of each medicine notebook that is input to centrally manage a plurality of medicine notebooks issued from different dispensing pharmacies or medical institutions. Therefore, even if you have multiple medicine notebooks, you can create a medication schedule that integrates them, and you can prevent forgetting or delaying medication.

  The portable terminal device 2 possessed by the patient displays the notified image on the terminal screen when the type and dose are notified from the medicine management device 1 for each medicine to be taken in the taking time period. When taking a medicine, an image of the medicine taken is compared with an image notified from the medicine management device 1 to determine whether or not the medicine is taken correctly, and the discrimination result and an image of the medicine to be taken are displayed. The patient can confirm the medicine to be taken with the image notified from the medicine management apparatus 1 and can easily confirm whether the medicine taken out of the medicine bag for taking is the correct medicine. More strict dose management is possible.

  Since the mobile terminal device 2 sends the dose to the medicine management device 1 for each medicine and instructs the update of the remaining amount for each medicine, the remaining amount of medicine is updated every time the patient takes the medicine. This makes it possible to strictly manage the remaining amount.

  Since the portable terminal device 2 requests the medicine management device 1 to transmit the medicine notebook and presents the medicine notebook received in response to the transmission to the dispensing pharmacy or the medical institution side, the dispensing pharmacy Or, when he / she notices that he / she forgot the medicine notebook when he / she went to a medical institution, the medicine notebook ordered from the medicine management apparatus 1 may be presented to the dispensing pharmacy or the medical institution side via the portable terminal apparatus 2. It becomes possible.

  In the above-described embodiment, the medicine management device 1 transmits the fact to the mobile terminal device 2 when the remaining amount of the medicine is equal to or less than the predetermined amount. This may be notified directly to the dispensing pharmacy or the terminal device on the medical institution side. This makes it possible to prevent the medicine from running out.

  In the embodiment described above, when the mobile terminal device 2 displays the medication notification received from the medicine management device 1 on the terminal screen as shown in FIG. Although the information about the dose (character string information) and the image showing the type and dose of the medicine are displayed in parallel, the information about the dose and the image of the medicine may be switched and displayed on the terminal screen for each medicine. FIG. 12 is a diagram for explaining this switching display. FIG. 12A shows a character string “aa lock 100 mg, 2 tablets” as the medicine to be taken (first medicine), the type of the medicine, A state in which an image (pack image) showing the dose is displayed is shown.

  In this case, the pack image shown in FIG. 12 (1) is enlarged twice or more as compared with the pack image of the first medicine shown in FIG. 8 (1). In the screen shown in FIG. 12 (1), if there is a next medicine as a medicine to be taken, a “next” button is displayed as shown, and “next” is displayed in order to switch to a screen relating to the next medicine. A message is displayed indicating that the button should be operated. FIG. 12 (2) shows a screen switched in response to the operation of the “next” button. As a medicine to be taken (second medicine), a character string “cc tablet 10 mg, 2 tablets”, a type of the medicine, A state in which an image (pack image) showing the dose is displayed is shown. In this case, the pack image shown in FIG. 12 (2) is enlarged twice or more as compared with the pack image of the second medicine shown in FIG. 8 (1). Since there is no next medicine on the screen shown in FIG. 12 (1), a message for prompting photographing shown in FIG. 8 (2) is displayed.

  In the embodiment described above, the medicine management device 1 notifies the mobile terminal device 2 when the type and dose of each medicine to be taken are notified by an image. You may make it notify and display to an apparatus.

In the above-described embodiment, the description contents of the medicine notebook are taken as the information related to taking, but the description contents of the cover of the medicine bag provided from the dispensing pharmacy or the medical institution side may be used. Moreover, the description content of the usage explanation contained in this medicine bag may be sufficient.
In the above-described embodiment, the contents of the medicine notebook are recognized and converted into text data. However, character string data may be input by a key operation.

  In the embodiment described above, the description content of the medicine notebook is input on the patient side as information related to taking. However, wireless communication or the like is performed from the terminal device on the pharmacy or medical institution side to the portable terminal device 2 possessed by the patient. You may make it input. Similarly, a medicine image may be input from the dispensing pharmacy or medical institution to the portable terminal device 2 possessed by the patient by wireless communication or the like.

  In embodiment mentioned above, although the case where the personal computer was illustrated as the medicine management apparatus 1 was shown, a tablet terminal device etc. may be sufficient, Furthermore, without dividing the medicine management apparatus 1 and the portable terminal device 2, You may make it incorporate the function of the medicine management apparatus 1 in the portable terminal device 2. FIG. In other words, the mobile terminal device 2 stores and manages information relating to the taking of each dispensed medicine and the photographed image of the medicine in which each medicine is photographed, and the taking schedule created based on the information relating to the taking of each medicine. And the current date and time information to determine whether or not it is a taking time zone, and if it is a taking time zone, a function for notifying the type and dose of each medicine taken by image, and that for each medicine When the type and dose are notified by image, the notified image is displayed on the terminal screen, and when taking the medicine, the image taken of the medicine is compared with the notified image to see if the medicine is taken correctly And a function of displaying a result of the determination and an image of a medicine to be taken.

  In the above-described embodiment, a smartphone is exemplified as the mobile terminal device 2, but the present invention is not limited thereto, and may be a PDA (personal portable information communication device), a digital camera, a music player, an electronic game, or the like.

  Further, the “apparatus” and “unit” shown in the above-described embodiments may be separated into a plurality of cases by function, and are not limited to a single case. In addition, each step described in the above-described flowchart is not limited to time-series processing, and a plurality of steps may be processed in parallel or separately.

The embodiment of the present invention has been described above. However, the present invention is not limited to this, and includes the invention described in the claims and the equivalent scope thereof.
Hereinafter, the invention described in the claims of the present application will be appended.
(Appendix)
(Claim 1)
The invention described in claim 1
A patient-side drug management device that stores and manages information related to the use of each drug dispensed at a dispensing pharmacy or medical institution,
Medicine information storage means for storing information relating to the taking of each dispensed medicine and a photographed image of the medicine photographed for each medicine in association with each other;
Creating means for creating a dosing schedule based on information related to taking each medicine stored in the medicine information storage means;
A clock means for keeping time information,
A discriminating means for discriminating whether or not it is a taking time zone by comparing the dosing schedule created by the creating means with the date and time information timed by the clock means;
When it is determined by the determination means that it is a taking time zone, a notification means for notifying the type and dose of each medicine to be taken by image,
It is the medicine management device characterized by comprising.
(Claim 2)
The invention according to claim 2 is the medicine management device according to claim 1,
An image generating means for generating an image showing the type and dose of each medicine to be taken based on information on taking each medicine and a photographed image of each medicine,
The notification means notifies the image generated by the image generation means for each medicine to be taken,
This is a medicine management device characterized by that.
(Claim 3)
The invention according to claim 3 is the medicine management device according to claim 1 or 2,
Further comprising communication means for connecting to the portable terminal device possessed by the patient via a communication network;
The notification means notifies the mobile terminal device of an image indicating the type and dose for each medicine to be taken.
This is a medicine management device characterized by that.
(Claim 4)
The invention according to claim 4 is the medicine management device according to claim 3,
The medicine information storage means further stores the remaining amount of medicine that is updated according to the dose of each medicine,
When the remaining amount of the medicine is equal to or less than a predetermined amount, it further comprises a transmission means for transmitting that fact to the mobile terminal device.
This is a medicine management device characterized by that.
(Claim 5)
The invention according to claim 5 is the medicine management device according to claim 4,
When the remaining amount of the medicine is equal to or less than a predetermined amount, the transmission means transmits that fact to the dispensing pharmacy or medical institution side terminal device,
This is a medicine management device characterized by that.
(Claim 6)
The invention according to claim 6 is the medicine management device according to any one of claims 1 to 5,
The medicine information storage means stores the contents of each medicine notebook inputted to centrally manage a plurality of medicine notebooks issued from different dispensing pharmacies or medical institutions,
The creation means creates a dosing schedule based on the contents of a plurality of medicine notebooks that are centrally managed in the medicine information storage means,
This is a medicine management device characterized by that.
(Claim 7)
The invention according to claim 7 is:
A portable terminal device possessed by a patient that can be connected via a communication network to a patient-side drug management device that stores and manages information related to the use of each drug dispensed by a dispensing pharmacy or medical institution,
First display control means for displaying the notified image on the terminal screen when the type and dose are notified by image for each medicine to be taken from the medicine management device in the taking time zone;
Photographing means for photographing the medicine when taking the medicine,
A discriminating unit that discriminates whether or not it is correct taking by comparing an image photographed by the photographing unit with an image notified from the medicine management device;
Second display control means for displaying a discrimination result by the discrimination means and an image of a medicine to be taken;
It is a portable terminal device provided with.
(Claim 8)
The invention according to claim 8 is the portable terminal device according to claim 7,
Further comprising update instruction means for sending the dose for each medicine to the medicine management device and instructing the update of the remaining amount for each medicine;
This is a portable terminal device.
(Claim 9)
The invention according to claim 9 is the portable terminal device according to claim 7 or claim 8,
A medicine notebook acquisition means for requesting transmission of a medicine notebook to a medicine management apparatus for storing and managing a medicine notebook issued by a dispensing pharmacy or a medical institution and receiving the medicine notebook;
A medicine notebook presentation means for presenting the medicine notebook received by the medicine notebook acquisition means to the dispensing pharmacy or the medical institution side;
Further comprising
This is a portable terminal device.
(Claim 10)
The invention according to claim 10 is:
A program for controlling a computer of a patient-side drug management device that stores and manages information related to the use of each drug dispensed by a dispensing pharmacy or a medical institution,
The computer,
Medicine information storage means for storing information relating to the taking of each dispensed medicine and a medicine image obtained by photographing each medicine in association with each other;
Creating means for creating a dosing schedule based on information related to taking each medicine stored in the medicine information storage means;
Clock means to keep time information,
Discriminating means for discriminating whether or not it is a taking time zone by comparing the dosing schedule created by the creating means with the date and time information timed by the clock means,
Notification means for notifying the type and dose of each medicine to be taken by image when it is determined by the determination means that it is a taking time zone,
It is a computer readable program that is made to function as.
(Claim 11)
The invention according to claim 11
It is a program for controlling a computer of a portable terminal device possessed by a patient that can be connected via a communication network to a drug management device on a patient side that stores and manages information related to the use of each drug dispensed by a dispensing pharmacy or a medical institution. And
The computer,
First display control means for displaying the notification image on the terminal screen when the type and dose are notified by image for each medicine taken in the taking time period from the medicine management device;
Photography means to take a picture of the medicine when taking it,
Discriminating means for discriminating whether or not the medication image photographed by the photographing means and the notification image from the medicine management device are collated,
Second display control means for displaying a discrimination result by the discrimination means and an image of a medicine to be taken;
It is a computer readable program that is made to function as.

DESCRIPTION OF SYMBOLS 1 Patient-side medicine management device 2 Patient-held mobile terminal device 3 Internet 4 Wireless communication network 11, 21 CPU
DESCRIPTION OF SYMBOLS 13, 23 Memory | storage part 13a, 23a Program memory 13c Drug register 13d Image memory 13e Dosing schedule table 14, 24 Operation part 15 Display part 16 Wide area communication part 17 Scanner part 25 Touch display part 26 Wireless communication part 28 Camera part

Claims (11)

A patient-side drug management device that stores and manages information related to the use of each drug dispensed at a dispensing pharmacy or medical institution,
Medicine information storage means for storing information relating to the taking of each dispensed medicine and a photographed image of the medicine photographed for each medicine in association with each other;
Creating means for creating a dosing schedule based on information related to taking each medicine stored in the medicine information storage means;
A clock means for keeping time information,
A discriminating means for discriminating whether or not it is a taking time zone by comparing the dosing schedule created by the creating means with the date and time information timed by the clock means;
When it is determined by the determination means that it is a taking time zone, a notification means for notifying the type and dose of each medicine to be taken by image,
A medicine management device comprising: An image generating means for generating an image showing the type and dose of each medicine to be taken based on information on taking each medicine and a photographed image of each medicine,
The notification means notifies the image generated by the image generation means for each medicine to be taken,
The medicine management apparatus according to claim 1, wherein Further comprising communication means for connecting to the portable terminal device possessed by the patient via a communication network;
The notification means notifies the mobile terminal device of an image indicating the type and dose for each medicine to be taken.
The medicine management apparatus according to claim 1 or 2, wherein The medicine information storage means further stores the remaining amount of medicine that is updated according to the dose of each medicine,
When the remaining amount of the medicine is equal to or less than a predetermined amount, it further comprises a transmission means for transmitting that fact to the mobile terminal device.
The medicine management device according to claim 3 characterized by things. When the remaining amount of the medicine is equal to or less than a predetermined amount, the transmission means transmits that fact to the dispensing pharmacy or medical institution side terminal device,
The medicine management device according to claim 4 characterized by things. The medicine information storage means stores the contents of each medicine notebook inputted to centrally manage a plurality of medicine notebooks issued from different dispensing pharmacies or medical institutions,
The creation means creates a dosing schedule based on the contents of a plurality of medicine notebooks that are centrally managed in the medicine information storage means,
The medicine management device according to any one of claims 1 to 5, wherein A portable terminal device possessed by a patient that can be connected via a communication network to a patient-side drug management device that stores and manages information related to the use of each drug dispensed by a dispensing pharmacy or medical institution,
First display control means for displaying the notified image on the terminal screen when the type and dose are notified by image for each medicine to be taken from the medicine management device in the taking time zone;
Photographing means for photographing the medicine when taking the medicine,
A discriminating unit that discriminates whether or not it is correct taking by comparing an image photographed by the photographing unit with an image notified from the medicine management device;
Second display control means for displaying a discrimination result by the discrimination means and an image of a medicine to be taken;
A portable terminal device comprising: Further comprising update instruction means for sending the dose for each medicine to the medicine management device and instructing the update of the remaining amount for each medicine;
The mobile terminal device according to claim 7. A medicine notebook acquisition means for requesting transmission of a medicine notebook to a medicine management apparatus for storing and managing a medicine notebook issued by a dispensing pharmacy or a medical institution and receiving the medicine notebook;
A medicine notebook presentation means for presenting the medicine notebook received by the medicine notebook acquisition means to the dispensing pharmacy or the medical institution side;
Further comprising
The portable terminal device according to claim 7 or 8, wherein A program for controlling a computer of a patient-side drug management device that stores and manages information related to the use of each drug dispensed by a dispensing pharmacy or a medical institution,
The computer,
Medicine information storage means for storing information relating to the taking of each dispensed medicine and a medicine image obtained by photographing each medicine in association with each other;
Creating means for creating a dosing schedule based on information related to taking each medicine stored in the medicine information storage means;
Clock means to keep time information,
Discriminating means for discriminating whether or not it is a taking time zone by comparing the dosing schedule created by the creating means with the date and time information timed by the clock means,
Notification means for notifying the type and dose of each medicine to be taken by image when it is determined by the determination means that it is a taking time zone,
A computer-readable program designed to function as a computer. It is a program for controlling a computer of a portable terminal device possessed by a patient that can be connected via a communication network to a drug management device on a patient side that stores and manages information related to the use of each drug dispensed by a dispensing pharmacy or a medical institution. And
The computer,
First display control means for displaying the notification image on the terminal screen when the type and dose are notified by image for each medicine taken in the taking time period from the medicine management device;
Photography means to take a picture of the medicine when taking it,
Discriminating means for discriminating whether or not the medication image photographed by the photographing means and the notification image from the medicine management device are collated,
Second display control means for displaying a discrimination result by the discrimination means and an image of a medicine to be taken;
A computer-readable program designed to function as a computer.

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