JP5249792B2 - Health management device and health management program - Google Patents

Description

  The present invention relates to a health management device, a health management method, and a health management program.

  2. Description of the Related Art Conventionally, disposable diapers using a polymer gel-like inhalable substance are known for receiving excrement for those who are bedridden or who cannot go to the toilet by themselves (caregivers). In addition, in order to prevent discomfort and unsanitary contact with wet inhalable substances, or to use excrement as health management data, the excrement is stored in a tank and the analysis result of excrement is managed. The invention is known (for example, Patent Document 1).

Japanese Patent No. 3718136 (paragraph 0009, FIG. 2)

  When the attachment of the suction part in contact with the care receiver's urinary organ or the like fails, a so-called “urine leak” state occurs. However, depending on the invention of Patent Document 1, this state such as urine leakage cannot be detected, and the state of being uncomfortable and unsanitary for the cared person continues, and the burden on the carer is increased, for health management. Will result in loss of data.

  Accordingly, an object of the present invention is to provide a health management device and the like that detect leakage of excrement of a care recipient.

  The health management device of the present invention receives an identifier that uniquely identifies a waste aspirator and a physical quantity related to waste from a waste aspirator, searches the threshold information database using the received identifier as a search key, and the corresponding record A value indicating the range of the physical quantity is acquired, the received physical quantity is compared with the acquired value indicating the range of the physical quantity, and based on the result of the comparison, the first of the fact that excrement leakage has occurred Or a second message indicating that the health status of the care recipient is abnormal.

  ADVANTAGE OF THE INVENTION According to this invention, it becomes possible to provide the health care apparatus etc. which detect the leakage of excrement of a care receiver.

It is a figure for demonstrating the outline | summary of this embodiment. 1 is an overall configuration diagram of a health management system according to an embodiment. It is a figure explaining the judgment principle of the health care device concerning this embodiment. (A) is an example of the threshold information database in this embodiment. (B) is a figure which shows an example of the excretion information database which concerns on this embodiment. It is a flowchart of the measurement processing procedure which concerns on this embodiment. It is a flowchart of the determination processing procedure which concerns on this embodiment.

  Hereinafter, a mode for carrying out the present invention (referred to as “the present embodiment”) will be described in detail with reference to the drawings as appropriate.

FIG. 1 is a diagram for explaining the outline of the present embodiment.
The health management system 1 includes an excrement suction machine 2 and a health management device 3.
The excrement suction machine 2 is arranged in the vicinity of a person who is bedridden or cannot go to the toilet by himself (referred to as “caregiver”). The excrement suction machine 2 includes a mounting portion 10 and a excretion suction machine body 20. The wearing unit 10 has an underwear shape and is worn on the waist of the care recipient. The excrement suction machine main body 20 is disposed, for example, under a bed or the like, and is connected to the mounting unit 10 by a communication line (not shown) and a tube through which excrement passes. The health management device 3 is connected to the excrement suction machine main body 20 via the network 4 and is usually arranged at a place where a caregiver, a doctor or a nurse waits.

FIG. 2 is an overall configuration diagram of the health management system according to the present embodiment.
The excrement suction machine main body 20 includes a central control device 21, a main storage device 22, a saving unit 23, and a communication interface (IF) 24 that are connected to one another. The portion other than the saving unit 23 is a general computer. The excretion management unit 25, the excretion amount measurement unit 26, and the operation time measurement unit 27 are programs. Thereafter, when the subject is described as “XX section”, the central controller 21 reads each program from the auxiliary storage device (not shown), loads it into the main storage device 22, and executes the function of each program. (The same applies to the program of the health management device 3).
The storage unit 23 includes a suction pump 28 and a tank 29. The tank 29 is a container for storing the excrement of the care recipient. The suction pump 28 has power for moving the care receiver's excrement from the suction part 12 of the mounting part 10 to the tank 29, and is connected to the suction part 12 and the tank 29 by a tube.

The wearing part 10 has a shape of underwear as a whole and covers the waist of the care recipient. The mounting unit 10 includes an absorptive substance 11, a suction unit 12, and a detection sensor 13.
The inhalable substance 11 is made of a material that can absorb excrement, and holds the excrement without leaking from the mounting unit 10 when the aspirator 12 fails to inhale the excreta.
The detection sensor 13 detects that excrement is excreted. For example, a pair of electrode portions that are short-circuited by urine only during urination, and a detection portion that detects that current flows through the electrode portions. It consists of. The detection sensor 13 is connected to the excrement suction machine body 20 by wire or wirelessly.
The suction unit 12 is a receiving tray that is in contact with a care receiver's urinary organ and the like and receives excrement, and is connected to the tank 29 via a suction pump 28 by a tube.

  With the above configuration, the excrement suction machine 2 can transport and store excrement to the tank 29 every time the cared person excretes. Moreover, the time when excrement is excreted and the volume and / or mass of excrement conveyed to the tank 29 can be measured. Furthermore, these measured information can be transmitted to the health management apparatus 3 via a network.

  The health management device 3 is a general computer and includes a central control device 30, a main storage device 31, an auxiliary storage device 32, an input device 33, an output device 34, and a communication interface (IF) 35 that are connected to each other. The auxiliary storage device 32 stores a threshold information database 38 and an excrement information database 39. The information recording unit 36 and the information analysis unit 37 are programs.

  The number of excrement suction machines 2 is not particularly limited. Usually, one unit is arranged for one cared person. If it is a large-scale care facility, the total number may be several tens. The number of health management devices 3 is not particularly limited. Normally, one car is assigned to one caregiver, doctor or nurse. When the number of caregivers decreases at night, one car may be assigned to a duty person or the like.

(Judgment principle of health care device)
FIG. 3 is a diagram illustrating the determination principle of the health management device according to the present embodiment.
The measurement result (volume of excrement / time required for excretion) is taken on the horizontal axis. The reference value on the horizontal axis is a value set by a doctor or the like that is determined to be a standard value that can be taken when the cared person is in a normal health state. The median value (value of “± 0%”) in detail later.
If the measurement result is isolated from the reference value, it is generally considered that there is an abnormality in the health status of the cared person. However, if the measurement result deviates significantly from the reference value in the negative direction (<5> in FIG. 3), for example, rather than determining that urine excretion continues extremely finely, the suction unit 12 is disengaged. It is more natural to determine that excrement leakage has occurred. Therefore, if the measurement result is outside the threshold having a certain range, the case is divided and if it falls outside the plus side (<4> in FIG. 3), it is determined that the health condition is abnormal, and if it falls outside the minus side. (<5> in FIG. 3), it is determined that there is excrement leakage. The threshold value that defines the range that serves as a reference for this determination is the “initial threshold value” (detailed later in FIG. 4).

  The initial threshold value may be set via the input device 33 depending on conditions such as the cared person's meal. However, if the width (absolute value portion of “± ○%”) is set too narrow, the number of cases where it is determined that the “health condition is abnormal” or “excretion leakage” is more than necessary. On the other hand, if the width is set too wide, there are almost no cases where it is determined that the “health condition is abnormal” or “excretion leakage”. At this time, it is convenient to know an empirical limit value in a range in which it is determined that the health condition is normal, and to reset the initial threshold based on the empirical limit value. This empirical limit value, that is, a value obtained by resetting the initial threshold value according to the care recipient is the “actual measurement threshold value”.

It is assumed that an actual measurement result is “5.1 (ml / second)”. This value is “5 (ml / sec) + 2%”. Further, it is assumed that another measurement result is “4.95 (ml / second)”. This value is “5 (ml / sec) −1%”. In this embodiment, at this time, the actual measurement threshold value is represented by “+ 2%” that is further away from the reference value, and is expressed as “5 (ml / second) ± 2%”.
When the measurement result is within the range of the initial threshold (<1><2><3> in FIG. 3), the health management device 3 is “abnormal health condition” or “excretion leakage”. It is not determined that there is.
However, when the measurement result is outside the range of the actual measurement threshold (<2><3> in FIG. 3), the measurement result is overwritten on the actual measurement threshold at that time. As a result, the actual measurement threshold approaches the initial threshold value as “± b” → “± b2” → “± b3”. That is, the width increases as (1) → (2) → (3).
For example, if the initial threshold is set to “5 (ml / sec) ± 5%” and the number of excretion is sufficient, the measured threshold is “5 (ml / sec) ± 4.5%”. To do. This means that the measurement result that is out of the standard value in the range where it is not determined that the “health condition is abnormal” or “excretion leakage” among the measurement results in the past is “5 (ml / sec) ± 4.5. % ". Furthermore, if the initial threshold is reset to, for example, “5 (ml / sec) ± 4.6%”, it means that a more accurate determination of “abnormal health condition” or “excretion leakage” is possible. .

In the above description, the measurement result is the volume of excrement / the time required for excretion, but any physical quantity that can be acquired with respect to excrement or a value that can be calculated based on those physical quantities may be used. Usually, the volume of excrement, the mass of excrement, or the time required for excretion is adopted as the physical quantity. Then, the volume of excrement, the mass of excrement, the time required for excretion, the volume of excrement / time required for excretion, or the mass of excrement / time required for excretion can be a measurement result.
Although the initial threshold value and the actual measurement threshold value are in a range having the same width before and after the predetermined reference value, the width does not have to be the same value before and after, and the width may be a numerical value display instead of% display. Furthermore, instead of taking the concept of a reference value, a range from one numerical value to another numerical value may be used as the initial threshold value and the actual measurement threshold value.

(Threshold information database)
FIG. 4A is an example of the threshold information database in the present embodiment.
In the threshold information database 38, in association with the suction machine ID stored in the suction machine ID field 101, the date / time range field 102 has a date / time range, the initial threshold value field 103 has an initial threshold value, and the actual measurement threshold value field 104 has an actual measurement value. Each threshold value is stored.
The suction machine ID in the suction machine ID column 101 is an identifier that uniquely identifies the excrement suction machine 2.
The date / time range in the date / time range column 102 is a time zone in which the initial threshold value and the actual measurement threshold value should be applied.
The initial threshold value in the initial threshold value column 103 is a range of values (combination of an upper limit value and a lower limit value) obtained by dividing the volume of excretion excreted by the care recipient in a normal health state by the time required for excretion. Here, the unit is a volume (ml) per second. Then, it is expressed with a width having equal intervals above and below a certain reference value, such as “5 (ml / sec) ± 5%”. The initial threshold is set in advance by a doctor in consideration of the wake-up time, the amount of meal / time, the amount of water intake / time, and the like, and the set value is used for the care recipient. Here, a plurality of different values are set depending on the date and time range. The “first threshold value” corresponds to the initial threshold value.
The measured threshold value in the measured threshold value column 104 is a range included in the initial threshold value, and a range in which a value obtained by dividing the volume of the excrement actually excreted by the care recipient by the time required for the excretion is distributed in the past ( A combination of an upper limit value and a lower limit value). The “second threshold value” corresponds to the actual measurement threshold value.

  By the way, referring to the record in the first line of the threshold information database 38, the care recipient who is wearing the excreta suction machine 2 with the suction machine ID “001” has the date and time range “06:00 to 08:00”. When the excretion is performed, the initial threshold value “5 (ml / second) ± 5%” and the actual measurement threshold value “5 (ml / second) ± 4.8%” are applied.

  There are as many records in the threshold information database 38 as the product of the number of suction machine IDs and the number of date and time ranges. However, the number of date / time ranges differs for each suction machine ID. In the above example, the date and time range indicates a specific time zone in one day, such as “06:00 to 08:00”. However, it may indicate a specific time zone in one year such as “01/01 to 06/30”. Further, both of these may be stored in separate fields. That is, it is only necessary to acquire the initial threshold value and the actual measurement threshold value using the information indicating “day” and the information indicating “hour” as search keys.

(Excretion information database)
FIG. 4B is a diagram showing an example of the excrement information database according to the present embodiment.
In the excrement information database 39, in association with the suction machine ID stored in the suction machine ID column 111, the date and time column 112 shows the date and time, the excretion amount column 113 shows the excretion amount, and the suction time column 114 shows the suction time. However, the initial threshold value column 115 stores an initial threshold value, and the actual measurement threshold value column 116 stores an actual measurement threshold value.
The suction machine ID in the suction machine ID column 111 is the same as the suction machine ID in FIG.
The date and time in the date and time column 112 is the date and time when the detection sensor 13 transmits a signal that the care receiver has started excretion to the excrement suction machine body 20.
The excretion amount in the excretion amount column 113 is the volume of excrement per one excretion.
The suction time in the suction time column 114 is a time during which the suction pump 28 is operating.
The initial threshold value in the initial threshold value column 115 is the same as the initial threshold value in FIG.
The actual measurement threshold value in the actual measurement threshold value column 116 is the same as the actual measurement threshold value in FIG.

Incidentally, the following matters can be understood by referring to the record in the first line of the excrement information database 39. That is, the care receiver wearing the excrement suction machine 2 with the suction machine ID “001” started excretion on the date “2008/08/22 06:37”, the amount of excretion Is “150 ml” and the suction time is “29 seconds”, the initial threshold value set for the date and time is “5 (ml / second) ± 5%”, and the actually measured threshold value at that time is “ 5 (ml / sec) ± 4.8% ”. Then, from these matters, the value (measurement result) obtained by dividing the excretion amount of the excretion by the suction time is 150/29 = 5.17, and this value is the measured threshold value “5 (ml / sec) ± 4. .8% "is found by calculation.
The number of records in the excrement information database 39 exists as many times as the number of excretion by the care recipient.

  Hereinafter, the processing procedure will be described. The processing procedure includes (1) measurement processing procedure and (2) determination processing procedure. (2) is premised on the end of (1).

(Measurement procedure)
FIG. 5 is a flowchart of a measurement processing procedure according to the present embodiment.
It is assumed that an initial threshold is set as a premise.
In step S301, the excretion management unit 25 detects the start of excretion.
Specifically, the excretion management unit 25 receives a signal indicating that the detection sensor 13 detects excretion together with the aspirator ID of the excrement aspirator 2 from the detection sensor 13 of the excrement aspirator 2.
Note that the sensing sensor 13 continues to transmit a signal while excretion is being performed.

  In step S302, the operation time measuring unit 27 starts counting the elapsed time. The counting is started from the time when the signal from the sensing sensor 13 is received in step S301.

In step S303, the excretion management unit 25 starts aspiration of excrement.
Specifically, the excretion management unit 25 transmits an instruction to start excretion suction to the suction pump 28.

In step S304, the excretion management unit 25 detects the end of excretion.
Specifically, the excretion management unit 25 detects that the signal from the sensing sensor 13 has been interrupted for a predetermined time.

In step S305, the excretion management unit 25 ends the excretion of the excrement.
Specifically, the excretion management unit 25 transmits an instruction to end the excretion of excrement to the suction pump 28.

  In step S306, the operation time measuring unit 27 ends the elapsed time count.

In step S307, the excretion amount measuring unit 26 measures the volume of excrement.
Specifically, the excretion amount measuring unit 26 measures the volume of excrement newly stored in the tank 29 as the current discharge amount. You may measure the difference with the storage level at the time of the last excretion.

In step S <b> 308, the excretion management unit 25 transmits the measurement information to the health management device 3.
Specifically, the excretion management unit 25 receives the suction machine ID received in step S301, the count value (elapsed time) started in step S302 and ended in step S306, the time at the start of counting, and step S307. The volume of excrement measured in step (collectively referred to as “measurement information”) is transmitted to the health management device 3.

In step S309, the excretion management unit 25 determines whether the transmission is successful.
Specifically, if the excretion management unit 25 does not receive a notification from the health management device 3 even after a predetermined time has elapsed after transmission in step S308 (step S309 “NO”), the excretion management unit 25 proceeds to step S310. move on. In other cases (step S309 “YES”), the measurement processing procedure is terminated.

In step S310, the excretion management unit 25 transmits measurement information to the health management device 3 again, and ends the measurement processing procedure.
In addition, it is good also as repeating the procedure which returns to step S309 after step S310, and repeating step S309, S310 until the notification to the effect of having received from the health management apparatus 3 within a predetermined time is received.

(Judgment processing procedure)
FIG. 6 is a flowchart of the determination processing procedure according to the present embodiment.
In step S321, the information recording unit 36 of the health management device 3 receives the measurement information.

In step S322, the information recording unit 36 creates a record of the excrement information database 39.
Specifically, the information recording unit 36 first creates a new record of the excrement information database 39 with blank columns.
Second, the threshold information database 38 is searched using the suction machine ID and the time at the start of counting included in the measurement information received in step S321 as search keys, and the initial threshold value and the actual measurement threshold value of the corresponding record are acquired. .
Third, the initial threshold value and the actual measurement threshold value acquired in “Second” are stored in the initial threshold value column 115 and the actual measurement threshold value column 116 of the record of the excretion information database 39, respectively, and the suction machine ID included in the measurement information, The elapsed time, the time at the start of counting, and the volume of excrement are stored in the suction machine ID column 111, the suction time column 114, the date / time column 112, and the excretion amount column 113, respectively, and the record of the excretion information database 39 is completed. Let
In the case of the first excretion, there is no actual measurement threshold. In this case, a reference value (a value obtained by removing “± ○%” from the initial threshold value) is acquired as the actual measurement threshold value.

In step S323, the information analysis unit 37 calculates a measurement result.
Specifically, the information analysis unit 37 divides the excretion amount of the record of the excrement information database 39 completed in step S322 by the suction time to obtain a measurement result.

In step S324, the information analysis unit 37 compares the measurement result with the actual measurement threshold value, and determines whether or not the measurement result is within the range of the actual measurement threshold value.
Specifically, the information analysis part 37 complete | finishes a determination process procedure, when a measurement result is in the range of an actual measurement threshold value (step S324 "YES"). In other cases (step S324 “NO”), the process proceeds to step S325. In the first case, step S324 is always “NO”.

In step S325, the information analysis unit 37 compares the measurement result with the initial threshold value, and determines whether or not the measurement result is within the range of the initial threshold value.
Specifically, if the measurement result is within the range of the initial threshold value (step S325 “YES”), the information analysis unit 37 proceeds to step S327. In other cases (step S325 “NO”), the process proceeds to step S326.

In step S326, the information analysis unit 37 compares the measurement result with the initial threshold value again.
Specifically, when the measurement result is below the lower limit value of the initial threshold value (step S326 “below the lower limit value”), the information analysis unit 37 proceeds to step S328. When the measurement result exceeds the upper limit value of the initial threshold value (step S326 “exceeds the upper limit value”), the process proceeds to step S329.

In step S327, the information analysis unit 37 updates the actual measurement threshold value.
Specifically, the information analysis unit 37 overwrites the measurement result in the actual measurement threshold value column 104 of the threshold value information database 38.
For example, it is assumed that the initial threshold value is “5 (ml / second) ± 10%” and the measured threshold value is “5 (ml / second) ± 5%”. It is assumed that the measurement result is “5.3 (ml / second)”. In this case, since “5.3 (ml / second)” corresponds to “5 (ml / second) + 6%”, the measured threshold value “5 (ml / second) ± 5%” is set to “5 (ml / second)”. Update to “± 6%” (upper limit and lower limit are updated simultaneously).

In step S328, the information analysis part 37 outputs the excrement leakage message.
Specifically, the information analysis unit 37 outputs a message (first message) indicating that “excretion leakage” has occurred to the output device 34 of the health management device 3 together with the suction machine ID.

In step S329, the information analysis unit 37 outputs a health condition abnormality message.
Specifically, the information analysis unit 37 outputs, to the output device 34 of the health management device 3, a message (second message) indicating that the care recipient is “abnormal health” together with the suction machine ID. .

  When the process of step S327, S328, or S329 is completed, the determination process procedure ends.

(Initial threshold update)
In the above description, the initial threshold value is initially set to an arbitrary value, and after a sufficient number of excretion times, the initial threshold value can be reset based on the actual measurement threshold value at that time. However, the health management device 3 may update the initial threshold value instead of simply accepting input of a set value from a doctor or the like. For example, the information recording unit 36 acquires an initial threshold value and an actual measurement threshold value stored in the threshold value information database 38 at a predetermined time or when a predetermined period has elapsed, and newly sets a numerical value between the two. The initial threshold value 103 may be overwritten with the initial threshold value.

(Modified example of acquisition of elapsed time)
In the above description, the excretion suction device 2 acquires “elapsed time” based on the signal from the detection sensor 13 and transmits it to the health management device 3 together with the time when the elapsed time starts to be counted. However, the information recording unit 36 of the health management device 3 constantly monitors the power consumption of the suction pump 28 that starts and stops according to the signal from the sensing sensor 13, and the time during which the power consumption shows a value equal to or greater than a predetermined threshold value is “ It may be “elapsed time”. According to this configuration, the excrement suction machine 2 does not need to have a timer function.

DESCRIPTION OF SYMBOLS 1 Health management system 2 Excretion suction machine 3 Health management apparatus 4 Network 20 Excretion suction machine main body 21, 30 Central controller (control part)
22, 31 Main storage device (storage unit)
23 Savings Unit 24, 35 Communication Interface (IF)
25 Excretion Management Unit 26 Excretion Measurement Unit 27 Operating Time Measurement Unit 32 Auxiliary Storage Device (Storage Unit)
33 Input device 34 Output device 36 Information recording unit 37 Information analysis unit 38 Threshold information database 39 Excrement information database 103, 115 Initial threshold (first threshold)
104, 116 Measured threshold (second threshold)

Claims (7)

A health management device connected to a waste aspirator that sucks excrement from a cared person who cannot excrete by itself and obtains a physical quantity related to the excrement,
The storage unit of the health management device is
A threshold information database for storing a value indicating the range of the physical quantity in association with an identifier for uniquely identifying the excrement suction machine;
The control unit of the health management device includes:
From the excrement suction machine, accept the identifier and the physical quantity,
Search the threshold information database using the received identifier as a search key, obtain a value indicating the range of the physical quantity of the corresponding record,
Comparing the received physical quantity with a value indicating the range of the acquired physical quantity;
Based on the result of the comparison, outputting a first message indicating that leakage of the excrement has occurred or a second message indicating that the health status of the care recipient is abnormal,
A health management device characterized by. The physical quantity is
The volume of the excrement and the time required for the excretion,
The threshold information database is
As a value indicating the range of the physical quantity,
A first threshold that is a range of values obtained by dividing the volume of the excrement by the time required for the excretion, which can be taken when the care recipient is in a normal health state;
A range included in the range indicated by the first threshold, wherein a value obtained by dividing the volume of the excrement actually excreted by the care recipient by the time required for the excretion is a range in the past. 2 thresholds, and
The control unit of the health management device includes:
In the comparison,
The measurement result is a value obtained by dividing the volume of the excrement by the time required for the excretion,
If the measurement result is below the lower limit of the first threshold, output the first message,
Outputting the second message when the measurement result exceeds the upper limit of the first threshold;
The health management device according to claim 1. The control unit of the health management device includes:
In the comparison,
When the measurement result is not within the range indicated by the second threshold and is within the range indicated by the first threshold, the lower limit value and the upper limit value of the second threshold are determined based on the measurement result. Updating,
The health management device according to claim 2. The first threshold and the second threshold are:
A threshold having the same width before and after a predetermined reference value;
The health management device according to claim 2. The threshold information database further stores a range of date and time information when the excretion is started in association with an identifier that uniquely identifies the excrement suction machine,
The control unit of the health management device includes:
Further receiving the date and time information from the excrement suction machine,
Searching the threshold information database using the received identifier and the date / time information as a search key, and obtaining a value indicating a range of the physical quantity of the corresponding record;
The health management device according to claim 1. A health management program for functioning a health management device connected to a waste excretion machine that aspirates excrement from a cared person who cannot perform excretion and obtains a physical quantity related to the excretion,
For the storage unit of the health management device,
In association with an identifier that uniquely identifies the excrement suction machine, a threshold information database that stores a value indicating the range of the physical quantity is provided,
For the control unit of the health management device,
From the excrement suction machine, accept the identifier and the physical quantity,
Search the threshold information database using the received identifier as a search key, obtain a value indicating the range of the physical quantity of the corresponding record,
Comparing the received physical quantity with a value indicating the range of the acquired physical quantity;
Based on the result of the comparison, executing a step of outputting a first message indicating that the excrement leakage has occurred or a second message indicating that the health status of the care recipient is abnormal. ,
Health care program characterized by The physical quantity is
The volume of the excrement and the time required for the excretion,
The threshold information database is
As a value indicating the range of the physical quantity,
A first threshold that is a range of values obtained by dividing the volume of the excrement by the time required for the excretion, which can be taken when the care recipient is in a normal health state;
A range included in the range indicated by the first threshold, wherein a value obtained by dividing the volume of the excrement actually excreted by the care recipient by the time required for the excretion is a range in the past. 2 thresholds, and
For the control unit of the health management device,
In the comparison,
The measurement result is a value obtained by dividing the volume of the excrement by the time required for the excretion,
If the measurement result is below the lower limit of the first threshold, output the first message,
If the measurement result exceeds an upper limit value of the first threshold, executing the step of outputting the second message;
The health management program according to claim 6 .

Images