JP6416812B2 - Medication support system - Google Patents

Description

  The present invention relates to a medication support system that supports a patient undergoing medication treatment, and more particularly to a medication support system that supports a patient who exhibits symptoms such as side effects associated with medication.

  Some patients who are taking medication at home want to consult with medical personnel such as doctors and pharmacists, including symptoms that may cause side effects of medication if the body becomes unwell during the medication period There are people.

  Conventionally, as a system in which a patient reports a medical condition to a medical staff, Patent Document 1 discloses a system in which an inquiry email is sent to a patient at a time when a medicinal effect occurs, and the patient returns the presence or absence of symptoms. Has been.

  However, with such a passive reporting system, the patient cannot report a physical condition at a timing when he / she wants to consult a medical staff. Therefore, there is a need for an active reporting system that allows patients to freely report symptoms to medical personnel.

JP 2010-82125 A

  The active reporting system allows patients without medical knowledge to report symptoms without hesitation so that patients cannot judge whether the symptoms should be reported to medical personnel or not. It is desirable to do.

  However, in such an active reporting system, a wide variety of symptoms are reported from a patient to medical personnel. Therefore, it becomes difficult for the medical staff who has received the report to immediately determine the response to be applied to the reported symptom. That is, there is a possibility that an appropriate response cannot be quickly made to the patient.

  Therefore, the present invention has been made in view of the above problems, and it is possible for a patient to report a state to a medical staff without hesitation at the timing when the state appears in the patient, and to take an appropriate response to the reported state. The purpose is to provide a medication support system that can be received quickly.

One aspect of the present invention provides a medication support terminal for notifying a patient to take a medication at a scheduled medication time and obtaining status information indicating the status of the patient, and according to an acquisition frequency of the status information. A response level setting unit that selects and sets one response level from a plurality of different response levels, and the response level setting unit selects and sets a response level that is previously associated with the waiting for taking the medicine If you are medication support system, characterized in that and an output means you output to the medication support terminal information prompting waiting for taking the drug by the patient.

Here, before SL corresponding level setting means further sets a monitoring period in response to said condition of the patient and the drug has been taken of the patient, the acquisition of the status information acquired in said monitoring period It is preferable to set the correspondence level according to the frequency.

Moreover, the corresponding level setting means, every time the status information is obtained, calculates a frequency score by adding the score corresponding to said state of the drug and the patients taking the patient, the frequency It is preferable to set the corresponding level according to the score.

  The correspondence level setting means sets the correspondence level more finely than the case where the number of acquisitions is less than the predetermined value using the frequency score when the number of acquisitions of the state information is a predetermined value or more. Is preferred.

Further, the frequency score is set higher as the acquisition frequency becomes higher, the correspondence level is set higher as the frequency score becomes higher, and the output means outputs information with higher urgency as the correspondence level becomes higher. It is preferable to output to the medication support terminal .

  According to the present invention, it is possible for a patient to report a state to a medical staff without hesitation at the timing when the state appears in the patient, and it is possible to quickly receive an appropriate response to the reported state. In addition, the medical staff who receives the report can determine the response to the patient's condition according to the index of the response level.

It is a figure showing the whole medication support system composition in an embodiment of the invention. It is a functional block diagram which shows the structure of the medication assistance terminal in embodiment of this invention, a chemical | medical agent dispenser apparatus, and a patient portable terminal. It is a figure which shows the symptom keyword table in embodiment of this invention. It is a figure which shows the medication schedule information table in embodiment of this invention. It is a figure which shows the medication history information table in embodiment of this invention. It is a figure which shows the corresponding | compatible level table in embodiment of this invention. It is a figure which shows the medicine symptom correspondence table in embodiment of this invention. It is a figure which shows the starting time table in embodiment of this invention. It is a figure which shows the determination result table in embodiment of this invention. It is a flowchart which shows the production | generation process of the medication history information table in embodiment of this invention. It is a flowchart which shows the score addition process and report process in embodiment of this invention. It is a flowchart which shows the monitoring period setting process in embodiment of this invention. It is a flowchart which shows the update process of the medication start point time and the latest medication point time in embodiment of this invention.

<System configuration>
The medication support system 1 according to the embodiment of the present invention includes a medication support terminal 2, a drug dispenser device 3, a patient portable terminal 4, a data server 5, a center terminal 6, and a hospital terminal, as shown in the overall system configuration diagram of FIG. 1. 7 and a pharmacy terminal 8.

  The medication support terminal 2 is a terminal that is installed in a patient's home and prompts the patient to take medication at an appropriate time. The drug dispenser device 3 is a device that discharges an appropriate drug to a patient based on an instruction from the medication support terminal 2. The patient portable terminal 4 is a terminal carried by the patient, and is a terminal for inputting that the patient has taken the medicine when going out. The data server 5 is a device that is installed in the data center and records various information. The center terminal 6 is installed in a management center, the hospital terminal 7 is installed in a medical institution such as a hospital, and the pharmacy terminal 8 is installed in a dispensing pharmacy.

  The devices constituting the medication support system 1 are connected by a communication network N, and various types of information are transmitted and received between the devices. As the communication network N, the Internet, a communication network of a mobile phone company, a telephone line, or the like is used. The communication network N may be realized by a wired connection or may be realized by a wireless connection.

  The medication support terminal 2 and the drug dispenser device 3 may be connected using short-range communication such as infrared communication or Bluetooth (registered trademark). Moreover, in this Embodiment, although the medication support terminal 2 and the chemical | medical agent dispenser apparatus 3 are comprised by the separate apparatus, they may be integrated.

  Hereinafter, with reference to FIG.1 and FIG.2, each structure of the medication support system 1 is demonstrated in detail.

<Pharmaceutical dispenser device 3>
The medicine dispenser device 3 is installed in a patient's home and stores a medicine prescribed by a doctor, and appropriately and appropriately supplies an appropriate amount of medicine to the patient. In the present embodiment, the drug dispenser device 3 provides a drug to the patient according to an instruction from the medication support terminal 2. As shown in the functional block diagram of FIG. 2, the medicine dispenser device 3 includes a medicine storage unit 31, a medicine discharge unit 32, and a communication unit 33. In addition, the medicine dispenser device 3 is not limited to the device in the present embodiment, and can appropriately provide one dose of medicine to the patient, and can grasp the name of the medicine provided, the amount of medicine, and the time provided. Anything is acceptable.

  The medicine storage unit 31 stores medicine prescribed by a doctor. In the present embodiment, as an example, the medicine storage unit 31 stores medicine for a predetermined period (for example, for two weeks). For example, a medicine for one dose is stored in advance in one case, and a case corresponding to a predetermined period is stored in the medicine storage unit 31. Hereinafter, a medicine in which a single dose of medicine is stored in a case is referred to as a “medicine cartridge”. For example, if a medicine to be taken in the morning, a medicine to be taken in the afternoon, and a medicine to be taken in the evening are prescribed, 42 medicine cartridges (2 weeks x 3 times in the morning, day and night = 42) are stored in the medicine. It is stored in the part 31.

  In the present embodiment, the medicine cartridges are stacked in the height direction and stored in the medicine container 31 in order from the medicine cartridge with the earliest timing of taking. Upon receiving an instruction to discharge the drug from the medication support terminal 2, the drug dispenser device 3 discharges the first drug cartridge from the bottom of the stacking order in the drug discharge unit 32 described later. Thereby, the medicine for one dose is provided to the patient in an appropriate dose order.

  The drug dispenser device 3 is not limited to the device in the present embodiment. For example, an apparatus is used in which an RFID is attached to a medicine cartridge, and a medicine cartridge containing an appropriate medicine is selected and discharged with reference to identification information (for example, ID) of the medicine cartridge read from the RFID. Also good. As another example, the medicine for one dose may be distributed within the medicine dispenser device 3 and discharged out of the device without using the medicine cartridge.

  The medicine discharge unit 32 appropriately discharges one dose of medicine out of the medicine dispenser device 3 from the medicines stored in the medicine storage unit 31. In the present embodiment, control is started in accordance with an instruction from the medication support terminal 2, and the medicine is discharged from the medicine storage unit 31.

  The medicine dispenser device 3 may be provided with a sensor that detects that the medicine has been discharged. In addition, a sensor that detects that the patient has taken out the provided medicine may be installed in the medicine dispenser device 3 instead of a sensor that detects medicine discharge. In addition, what is necessary is just to use a well-known sensor as a sensor which detects discharge | emission or taking-out of a medicine. When the discharge or removal of the drug is detected, the drug dispenser device 3 transmits the detected time as the discharge time to the medication support terminal 2 via the communication unit 33.

  Further, in this embodiment, when an instruction to discharge is not given even at the scheduled time for taking medicine, the medicine dispenser device 3 causes the medicine cartridge (to be taken out and to be discarded) Is stored in a disposal space provided in the apparatus. Thereby, the stacking order of the medicine cartridges in the medicine storage unit 31 is normalized. That is, the medicine cartridges are stacked in order of taking.

  The communication unit 33 transmits / receives various information to / from an external device. The communication unit 33 may be connected only to the medication support terminal 2 or may be connected to each device constituting the medication support system 1 via the communication network N to transmit / receive information.

<Medication support terminal 2>
The medication support terminal 2 is a terminal that is installed in a patient's home, prompts the patient to take medication at an appropriate time, and accepts a medicine discharge operation from the patient. The medication support terminal 2 is, for example, a tablet terminal, a smartphone, a mobile phone, or the like.

  The medication support terminal 2 has a function of inputting symptom information indicating a patient's symptoms when the patient feels unwell. Thereby, the medication support terminal 2 acquires the patient's symptoms as symptom information. The patient's symptom corresponds to an example of “patient state”, and the symptom information corresponds to an example of “state information”. The medication support terminal 2 transmits symptom information input by the patient and information indicating the input time of the symptom to the center terminal 6 of the management center. The input time corresponds to an example of “acquisition time”. In addition, the medication support terminal 2 has a function of making a call with another device.

  As shown in the functional block diagram of FIG. 2, the medication support terminal 2 includes an input unit 21 that receives input from a patient, a symptom acquisition unit 22 that acquires symptom information indicating an input symptom, and a storage unit that stores various types of information. 23, the discharge operation part 24, the going out discharge operation part 25, the display part 26, and the communication part 27 are comprised.

  The input unit 21 is an input button that is operated when the patient inputs symptoms to the medication support terminal. The input unit 21 may be a microphone that inputs a patient's voice.

  The symptom acquisition unit 22 acquires keywords related to symptoms from the input result of the input unit 21. In this Embodiment, the symptom acquisition part 22 acquires the keyword regarding a symptom based on operation of an input button (input part 21). The keywords are registered in advance in a symptom keyword table described later. Specifically, the patient operates the input button (input unit 21) to select a keyword from the symptom candidate group displayed on the display unit 26 based on the symptom keyword table, and the symptom acquisition unit 22 Get the keywords selected by the patient. Then, the symptom acquisition unit 22 associates the acquired keyword with the time when the keyword was input (referred to as “input time”), and the correspondence level determination unit 61 of the center terminal 6 to be described later via the communication unit 27. Send to.

  When a microphone is used as the input unit 21, the symptom acquisition unit 22 acquires a keyword by voice recognition. Specifically, the symptom acquisition unit 22 extracts a feature from the voice data input to the microphone (input unit 21), and uses the extracted feature as a voice feature of the keyword related to the previously stored symptom (the voice feature). Is stored in a symptom keyword table, for example, and a keyword corresponding to a voice feature similar to the extracted feature is acquired.

  Along with the keyword acquired by the symptom acquisition unit 22 and the time (input time) when the keyword is input, the audio data may be associated with the keyword and transmitted to the correspondence level determination unit 61 of the center terminal 6 described later. . Also, the input of voice data may be executed with some operation (for example, operation of the input button) as a trigger, or may be always executed so that the daily conversation of the patient can be collected.

  The symptom acquisition unit 22 includes at least one processor such as a CPU (Central Processing Unit), a DSP (Digital Signal Processor), and an MCU (Micro Control Unit) and its peripheral circuits.

  The storage unit 23 includes a semiconductor device such as a ROM (Read Only Memory) and a RAM (Random Access Memory), and a memory device such as a hard disk. The memory | storage part 23 memorize | stores various data, such as a program for performing each process in the medication assistance terminal 2, setting data, and the produced | generated data. For example, the storage unit 23 stores a symptom keyword table, a medication schedule information table, and a medication history information table. Hereinafter, these tables will be described in detail.

  The symptom keyword table is a list of keywords relating to symptoms prepared in advance as shown in FIG. When a keyword is acquired by voice recognition, the voice feature is also registered in the symptom keyword table. The symptom keyword table may be prepared according to the patient's disease name or may be prepared for each patient. In this case, a patient ID for identifying the patient is associated with the symptom keyword table. As another example, the symptom keyword table may be a common table for a plurality of patients regardless of the disease name. The symptom keyword table may be stored in the data server 5 and downloaded from the data server 5 to the medication support terminal 2.

  As shown in FIG. 4, the medication schedule information table is information in which the name of a drug taken by a patient and the scheduled medication time are associated with each other. The medication schedule information table is prepared for each patient and is stored in advance in the storage unit 23 in association with the patient ID. The medication schedule information table may be stored in the data server 5 and downloaded from the data server 5 to the medication support terminal 2.

  In addition, when using the medicine dispenser apparatus 3, it is necessary to use a medication schedule information table, but when not using the medicine dispenser apparatus 3, the medication schedule information table may not be used. Even when the medicine dispenser device 3 is not used, the medication schedule information table may be used for purposes such as notifying the patient of medication timing.

  The medication schedule information table will be described with a specific example. The drug A is a drug that has been taken from December 1 and is taken every day at 8:00 (morning). The medicine B is a medicine that has been taken from December 1, and is taken every day at 8:00 (morning), 12:00 (noon), and 18:00 (evening). The drug C is a drug that has been taken from December 8 and is taken every day at 8:00 (morning). The drug D is a drug that has been taken from December 8 and is taken every day at 8:00 (morning). The reason why the medicine C is not scheduled to be taken on December 16 is that the response level becomes “3” as will be described later, and the medicine C is taken on December 8 to prevent the recurrence of side effects. This is because it was canceled.

  As shown in FIG. 5, the medication history information table includes a scheduled medication time, a name of the medication discharged by the medication dispenser device 3 (medicine name), a medication state, a delivery time, and a medication medication time. Associated information. The discharge time is the time when the drug is discharged from the drug dispenser device 3 or the time when the patient takes out the drug from the drug dispenser device 3. The medication history information table is generated for each patient and is associated with the patient ID.

  When the medicine is discharged from the medicine dispenser device 3 in accordance with an instruction from the discharge operation unit 24 described later, the medication state is set to “normal”, and the medicine ejection time is registered in the medication history information table as the medication time. When the medicine is dispensed from the medicine dispenser device 3 in accordance with an instruction from the outing / dispensing operation unit 25 to be described later, the taking state is set to “going out” and the taking time inputted at the patient portable terminal 4 is registered in the taking history information table. Is done. When the medicine is not discharged at the scheduled time of taking medicine, the taking state is set to “do not take” and the discharge time and the taking time are not registered.

  In the present embodiment, the medicine dispenser device 3 is not an essential component. For example, the name of the medicine (medicine name) and the medication time taken by the patient by operating the medication support terminal 2 or the patient portable terminal 4 are displayed. The medication history information table may be generated using the entered information. At this time, for example, when the patient inputs a medication time and a medication name, the medication status is set to “normal”, and the entered information is registered in the medication history information table. In addition, if the patient does not input the medication time and the drug name, “do not take” is set, and if the patient inputs “take out for going out”, “go out” may be set.

  The medication history information table will be described with a specific example. On December 1, Drug B (daytime) was taken out for use at 9:52 and was taken at 12:36 on the go (that is, the fact that it was taken at the patient portable terminal 4 was entered) ) On December 8, Drug B (for night) was not taken. Other than that, the dosing time and the discharge time of the medicine dispenser device 3 coincide. The reason why the medicine C was not taken on December 16 is that the medicine was stopped on December 8, as described above. It should be noted that the medicine C for which taking has been stopped may be controlled to be automatically stored in the disposal space, or the medicine C may be removed from the medicine storage unit 31 by a user or the like.

  The medication history information table is not limited to that shown in FIG. 5, and other information may be stored. For example, information other than the above may be stored in the medication history information table, such as the amount of medicine provided, the patient's symptoms, information indicating that the patient's symptoms have improved by taking the medicine, and the like.

  Returning to FIG. 2, the medication support terminal 2 will be described.

  The discharge operation unit 24 is an operation unit that is operated by a patient to acquire a medicine to be taken at the scheduled medication time. The discharge operation unit 24 includes, for example, a discharge operation button and a discharge operation control unit.

  The discharge operation button may be an icon displayed on the display unit 26 such as a touch panel monitor, or may be a physical button.

  The discharge operation control means refers to the medication schedule information table (see FIG. 4), and when the scheduled medication time arrives, the operation of the discharge operation button becomes possible. For example, the discharge operation button can be operated until a predetermined time elapses from the scheduled medication time. Alternatively, when the scheduled medication time arrives, the discharge operation control means outputs an instruction to the drug discharge unit 32 via the communication unit 27 so that the drug discharge unit 32 of the drug dispenser device 3 can be controlled. May be.

  When the discharge operation button is operated by the patient, the discharge operation control means outputs an instruction to the drug discharge unit 32 of the drug dispenser device 3 so that the drug is discharged from the drug dispenser device 3.

  When the discharge operation button is operated, the discharge operation control means registers the time when the medicine is discharged (discharge time) and the name of the discharged medicine (drug name) in the medication history information table. Further, the discharge operation control means sets the discharge time to “dosing time”, and registers the taking time and the taking state “normal” in the taking history information table. Here, the drug name is acquired by referring to the medication schedule information table stored in the storage unit 23.

  If the discharge operation button is not operated even after a predetermined time (for example, 30 minutes) has elapsed from the scheduled medication time, the discharge operation control means refers to the medication schedule information table and the name of the drug that has not been discharged (drug name) Correspondingly, the administration state “not taking” is registered in the medication history information table. Then, the discharge operation control means controls the drug discharge unit 32 of the drug dispenser device 3. Specifically, the discharge operation control means outputs a discard instruction to the drug discharge unit 32 of the drug dispenser device 3 via the communication unit 27.

  The medicine discharge unit 32 of the medicine dispenser device 3 detects by the sensor that the medicine has been discharged or the patient has taken out the discharged medicine, and the discharge operation control means acquires the detection result. Thus, the medication history information table stored in the storage unit 23 may be registered in association with the name (medicine name) of the discharged medicine, with the discharge time and the take-out time as “medication time”.

  The outing and discharging operation unit 25 is an operation unit that is operated by a patient to obtain in advance a medicine to be taken at the place of going out. The outing / discharging operation unit 25 includes, for example, an outing / discharging operation button and an outing / discharging operation control means.

  The out / in operation button is a button that can be operated even before the scheduled medication time. The outing / ejecting operation button may be an icon displayed on the display unit 26 such as a touch panel monitor, or may be a physical button. When the outing / exhausting operation button is operated by the patient, the outing / extracting control means outputs an instruction to the medicine discharging unit 32 of the medicine dispenser device 3 so that the medicine is discharged from the medicine dispenser device 3.

  In addition, when the outing / discharging operation button is operated, the outing / discharging operation control means displays the name of the medicine (medicine name) discharged from the medicine dispenser device 3 and the time when the outing / discharging operation button is operated. Register with. Here, the drug name is acquired by referring to the medication schedule information table stored in the storage unit 23. Further, the outing and discharging operation control means registers the taking state “going out” in the medication history information table.

  Further, when the medicine is discharged from the medicine dispenser device 3 by the going-out discharge operation, the out-going discharge control means refers to the medication schedule information table stored in the storage unit 23, and is connected to the patient portable terminal via the communication unit 27. 4, a notification instruction signal including information such as scheduled medication time of the drug is transmitted. The patient portable terminal 4 that has received the notification instruction signal displays a notification prompting the patient on the display unit 42 when the scheduled time for taking the drug arrives. Accordingly, when the patient who has taken the medicine operates the patient portable terminal 4 to input that the medicine has been taken, the going-out discharge operation control means displays the signal that the medicine has been taken and the time that the medicine has been taken. (Manually entered medication time) is obtained from the patient portable terminal 4, and the medication time information is stored in the medication history information table in association with the name (medicine name) of the medicine discharged by the outing operation, with the time as “medical time”. sign up.

  In addition, the outing and discharging operation control means refers to the dosing schedule information table when no signal of “taken” is received from the patient portable terminal 4 even after a predetermined time (for example, 30 minutes) has elapsed from the scheduled dosing time. Then, the medication state “not-taken” is registered in the medication history information table in association with the name (medicine name) of the medication discharged in the out-of-door discharge operation.

  In addition, when the outing and discharging operation is performed, the outing and discharging operation control means is not limited to the mode of manually inputting the dosing time on the patient portable terminal 4, and obtains the scheduled medication time in the dosing schedule information table, The scheduled medication time may be registered in the medication history information table as a medication time.

  The medication history information table is transmitted to the data server 5 and stored. The correspondence level determination unit 61 to be described later refers to the medication history information table stored in the data server 5.

  The display unit 26 includes a monitor that displays various types of information to be provided to the patient, such as a notification for prompting medication, and a display control unit that controls display on the monitor. The monitor may be a touch panel type monitor.

  When receiving the guidance information from each device of the medication support system 1, the display control means displays the content on the monitor. For example, the display control means displays guidance information corresponding to a corresponding level described later.

  In addition, the display control means refers to the medication schedule information table stored in the storage unit 23, and displays a notification prompting the patient to take medication at the scheduled medication time. Note that a speaker may be installed in the medication support terminal 2 so that a sound prompting medication is generated from the speaker.

  In addition, when the discharge operation unit 24 does not perform the discharge operation after the notification prompting the medication is displayed, the display control unit repeatedly displays the notification prompting the medication for a predetermined time (for example, 30 minutes). Also good.

  The communication unit 27 transmits and receives various types of information to and from external devices (for example, each device constituting the medication support system 1 such as the drug dispenser device 3, the patient portable terminal 4, and the center terminal 6).

<Patient mobile terminal 4>
The patient portable terminal 4 is a terminal that is carried when the patient goes out and inputs that the medicine has been taken. The patient portable terminal 4 is, for example, a tablet terminal, a smartphone, a mobile phone, or the like. In the case where the medication support terminal 2 is a portable terminal, the patient portable terminal 4 may be incorporated in the medication support terminal 2. The patient portable terminal 4 has a function of making a call with another device.

  As shown in the functional block diagram of FIG. 2, the patient portable terminal 4 includes an input unit 41, a display unit 42, a dose time output unit 43, a storage unit 44, and a communication unit 45.

  The input unit 41 is a physical button used by the patient to operate the patient portable terminal 4. The input unit 41 is used, for example, to input that the patient has taken a medicine taken out for going out. When a touch panel monitor is used as the display unit 42, the input unit 41 and the display unit 42 may be integrated.

  Further, the input unit 41 may have a function of inputting a symptom like the medication support terminal 2. In this case, the patient portable terminal 4 has a symptom acquisition unit similar to the medication support terminal 2, and a symptom keyword table is stored in the storage unit 44. The patient portable terminal 4 may associate the acquired keyword with the input time of the keyword and transmit it to the correspondence level determination unit 61 of the center terminal 6 to be described later via the communication unit 45.

  The display unit 42 is configured to include a monitor that displays a notification or the like that prompts the patient to take a medicine, and display control means that controls display on the monitor.

  When the display control means receives the notification instruction signal from the out-and-out discharge operation control means (out-and-out discharge operation section 25) of the medication support terminal 2 via the communication unit 45, the patient is notified when the scheduled time for taking medicine comes based on the notification instruction signal. A notification prompting the patient to take a medicine is displayed on the monitor. In addition, a speaker may be installed in the patient portable terminal 4 and a sound for prompting medication may be generated from the speaker.

  Further, the display control means may acquire guidance information from each device constituting the medication support system 1 via the communication unit 45 and display the guidance information on the monitor. For example, the display control means displays guidance information corresponding to the corresponding level on the monitor.

  The taking time output unit 43 includes at least one processor such as a CPU, DSP, MCU, and its peripheral circuits. When the input unit 41 is operated to input that the medicine has been taken, the medication time output unit 43 receives information indicating “medicine taken” and “manual” to the medication support terminal 2 via the communication unit 45. “Input time of taking (time when it is input that the medicine has been taken)” is transmitted. At this time, in the medication support terminal 2, the medication time output unit 43 transmits the medication taken via the communication unit 45 so that the manually entered medication time is associated with other information in the medication history information table. Information such as a name (medicine name) and scheduled medication time is also added and transmitted to the medication support terminal 2. In order to facilitate the association, the medication history items may be managed by ID.

  The storage unit 44 stores information included in the notification instruction signal transmitted from the medication support terminal 2. The memory | storage part 44 memorize | stores the chemical | medical agent name which needs notification, and its medication scheduled time, for example. In addition, the storage unit 44 stores the time when the patient has input the fact that the medicine has been taken in association with the name of the medicine that needs to be included in the notification instruction signal. The patient portable terminal 4 may acquire the medication schedule information table and store it in the storage unit 44, and refer to the medication schedule information table when making a notification.

  The communication unit 45 transmits / receives various information to / from an external device (for example, each device configuring the medication support system 1).

<Data server 5>
The data server 5 is installed in the data center as shown in the overall system configuration diagram of FIG.

  The data center is configured to include one or a plurality of devices, and receives various types of information from each device constituting the medication support system 1 and stores them in the data server 5, or stores the stored information according to requests. Or send it to the device. As a result, the information stored in the data server 5 is shared between the devices constituting the medication support system 1 via the communication network N.

  The data server 5 stores a medication history information table generated by the medication support terminal 2. At this time, the medication history information table for each patient is managed by the patient ID. When the data server 5 receives the updated medication history information table from the medication support terminal 2, the data server 5 creates a medication history information table associated with the same patient ID as the patient ID associated with the medication history information table. Update.

  Moreover, the data server 5 memorize | stores the data used by the corresponding | compatible level determination part 61 mentioned later other than a medication log | history information table. Specifically, the data server 5 stores a correspondence level table, a drug symptom correspondence table, an origin time table, and a determination result table as data used by the correspondence level determination unit 61.

  Hereinafter, data used in the correspondence level determination unit 61 will be described.

  As shown in FIG. 6, the correspondence level table is information in which the number of symptoms input (input frequency) and the correspondence level are associated with each other. Moreover, the frequency score and the corresponding level are associated. The correspondence level table is prepared in advance and stored in the data server 5.

  In the present embodiment, a plurality of different correspondence levels are registered in the correspondence level table. Each response level corresponds to the urgency of the process applied to the patient. When the symptom input frequency (number of times of input) is equal to or greater than a predetermined value (predetermined number), the corresponding level is set more finely than when the input frequency is less than the predetermined value. When the input frequency is greater than or equal to a predetermined value, a corresponding level is set according to the frequency score. In this case, the higher the frequency score, the higher the corresponding level is set.

  For example, when the number of inputs is “1”, the corresponding level is “1”. When the number of inputs is “2” or more, the corresponding level is set more finely according to the frequency score than when the number of inputs is “1”. Specifically, when the frequency score is “1” or less, the correspondence level is “2”, and when the frequency score is “1” or more, the correspondence level is “3”. These are stored in association with each other in advance.

  The correspondence level may be associated with reference to the value of the frequency score regardless of the number of inputs. For example, even if the number of times of input is “1”, a correspondence level other than “1” may be associated with reference to the value of the frequency score.

  As shown in FIG. 7, the drug symptom correspondence table is information in which a keyword related to a symptom and a name of a drug (drug name) related to the symptom are associated with each other. The association between the symptom and the drug name is performed based on a symptom (symptom corresponding to a side effect) that may appear when the patient takes the drug.

  Further, in the present embodiment, not only side effects but also symptoms that may appear because there is no drug effect (symptoms that could not be suppressed by the drug) may be further associated with the drug symptom correspondence table as “unsuccessful symptoms”. . For example, the drugs E and F are associated with “unsuccessful symptoms”. For example, although the drug E is a drug for treating “edema”, the edema symptom “swelling” may appear without being suppressed because the drug has no effect. Therefore, a symptom keyword “swell” is associated with the drug E in the drug symptom correspondence table.

  The drug symptom correspondence table is prepared in advance and stored in the storage unit 23. The drug symptom correspondence table may be prepared according to the patient's disease name or may be prepared for each patient. In this case, the patient ID is associated with the drug symptom correspondence table. As another example, the drug symptom correspondence table may be a common table for a plurality of patients regardless of the disease name.

  In the drug symptom correspondence table, a score value with a predetermined weight is set in advance for each set of drug name and keyword. A high score value (the highest value is “1”) is set for a symptom for which quick response (highly urgent response) is required. Low score values are set for symptoms that are not fatal and less urgent.

  A monitoring period is set for the drug name and the keyword. The monitoring period is a period in which symptoms such as side effects related to the drug frequently appear, and is defined as a period from the monitoring start point to the monitoring end point. The monitoring start point and the monitoring end point are respectively defined as times when a predetermined period has elapsed from the starting point. There are two types of starting points: the most recent medication point and the medication start point. The most recent medication point is the most recent medication point in time from the present to the past. The starting time of taking is the first taking time of a series of taking periods (the same medicine is taken continuously). As used herein, a series of medications refers to a state in which medications are taken repeatedly with no gaps between them. For example, medications taken for a predetermined period (eg, one week) or more fall under a series of medications. First, medication that does not leave the predetermined period or more falls under a series of medications.

  The “period” included in the “monitoring start point” indicates the monitoring start time. The symbol “D” described in the “period” indicates “day”, and the symbol “H” indicates “time”. For example, when the starting point is “latest medication point” and the period is “0”, the monitoring start time is the time of the latest medication point. When the starting point is “latest medication point” and the period is “2H”, the monitoring start time is the time 2 hours after the latest medication point. When the starting point is “medication start point” and the period is “0”, the monitoring start time is the time of the medication start point. When the starting point is “medication start point” and the period is “3D”, the monitoring start time is the time three days after the medication start point.

  Similarly, “period” included in “monitoring end point” indicates a monitoring end time. The symbol “M” indicates “month”. For example, when the starting point is “latest medication point” and the period is “6H”, the monitoring end time is the time 6 hours after the latest medication point. When the starting point is “latest medication point” and the period is “3D”, the monitoring end time is the time three days after the latest medication point.

  For example, the monitoring period from the monitoring start time “latest medication point (period 0)” associated with the drug A and the symptom “depressing skin” to the monitoring end time “most recent medication point (period 6H)” is allergy. This is a period for monitoring reactions, shock symptoms, and overexpression of pharmacological effects. In the monitoring period from the monitoring start time “medication start point (period 0)” associated with the drug A and the symptom “bad feeling” to the monitoring end time “most recent medication point (period 3D)”, the components of the drug are This is a period for monitoring side effects that occur while in the body. The monitoring period from the monitoring start time “medication start point (period 3D)” associated with the drug A and the symptom “mouth pain” to the monitoring end time “most recent drug point (period 14D)” is somewhat after taking This is a period for monitoring side effects that occur after a period of. In addition, the period of monitoring the “unsuccessful response” associated with the drug F and the symptom “diarrhea” indicates whether or not the original symptom has developed while the components of the drug are present in the body. It is a period for monitoring. In addition to this, by providing a monitoring period such as a period from the monitoring start time “medication start point (period 0)” to the medication end time “medication start point (period 14D)”, symptoms of side effects appear. It is also possible to monitor the situation that does not develop as you get used to it.

  Note that the length of the monitoring period is merely an example, and is not limited to the example shown in FIG.

  The starting time table is information indicating the time that is the starting point for calculating the monitoring start point and the monitoring end point of the monitoring period in the drug symptom correspondence table. In the starting time table, as shown in FIG. 8, for each medicine, the first dose time of a series of medications is registered as “medication start point time”, and the most recent dose time is “the latest medication” "Point time".

  In the present embodiment, the correspondence level determination unit 61 described later generates and updates the starting time table based on the medication history information table. For example, the starting time table is appropriately updated based on the medication history information table every time the medication time is updated.

  As shown in FIG. 9, the determination result table is information that holds a calculated frequency score and a corresponding level for a drug name and a symptom related to the drug. The drug name and the symptom are also associated with information indicating whether the correspondence level is updated or whether the correspondence is completed. The determination result table is updated by a correspondence level determination unit 61 described later. Information indicating whether or not the response has been made may be manually input by an observer or the like by operating the center terminal 6. In addition to the update time of the corresponding level, the latest symptom input time may be associated.

  In the present embodiment, the frequency score may be reset at the time of outpatient reception when the doctor confirms the onset symptoms, or is automatically reset when a predetermined time elapses from the end of monitoring. Also good.

<Center terminal 6>
The center terminal 6 is installed in the management center as shown in the overall system configuration diagram of FIG.

  The management center centrally manages medication support for patients. A supervisor who has medical knowledge is stationed at the management center, and the supervisor responds to various consultations from patients and takes appropriate measures in cooperation with hospitals, dispensing pharmacies, and the like.

  The center terminal 6 is connected to each device constituting the medication support system 1 via the communication network N, and exchanges various data and instructions regarding correspondence.

  In the management center, it is also possible to contact patients, doctors, pharmacists and the like through a telephone line. The contact information for patients, hospitals, and the like is managed by, for example, the data server 5 of the data center.

  In the present embodiment, the center terminal 6 includes a correspondence level determination unit 61, a correspondence level output unit 62, a display unit 63, and a communication unit 64.

  When a symptom is input from the medication support terminal 2 or the patient portable terminal 4, the response level determination unit 61 determines the response level for the symptom. For example, the response level determination unit 61 refers to the response level table illustrated in FIG. 6 and determines the response level according to the number of times the symptom is input. The correspondence level determination unit 61 includes at least one processor such as a CPU, DSP, MCU, and its peripheral circuits.

  In the present embodiment, the correspondence level determination unit 61 sets the correspondence level to “1” when the symptom is input for the first time, and the second and subsequent times according to the frequency score calculated according to the input frequency. To determine the response level. Even if the input is performed for the first time, the correspondence level may be obtained by referring to the frequency score.

  The correspondence level is updated every time a symptom is input. First, when the first symptom input occurs, the correspondence level determination unit 61 refers to the drug symptom correspondence table, acquires the drug name corresponding to the drug, and registers the symptom and drug name in the determination result table. . Then, the correspondence level determination unit 61 refers to the score value in the drug symptom correspondence table, calculates the value of the frequency score for this time, and registers it in the determination result table. Thereafter, the frequency score and the corresponding level are updated each time the same symptom is input.

  When calculating the frequency score, the response level determination unit 61 refers to the drug symptom correspondence table and the starting time table, and obtains the frequency score based on the input frequency during the monitoring period corresponding to the symptom and the drug name. Specifically, when the correspondence level determination unit 61 acquires a keyword related to a symptom input by a patient, the correspondence level determination unit 61 refers to a drug symptom correspondence table and acquires a drug name corresponding to the acquired symptom (keyword). Then, the correspondence level determination unit 61 refers to the drug symptom correspondence table, identifies the monitoring start point and the monitoring end point of the monitoring period corresponding to the symptom and the drug name, and further refers to the start time table to monitor The starting point time required for obtaining the period (medication start point time corresponding to the drug name, latest medication point time) is acquired.

  When the symptom input time is within the monitoring period, the correspondence level determination unit 61 adds the score values in the drug symptom correspondence table (score values corresponding to the drug and symptom) and registers them in the determination result table. This process is repeated each time a symptom is input, whereby the frequency score in the determination result table is updated. On the other hand, when the symptom input time is outside the monitoring period, the correspondence level determination unit 61 does not add the score value in the drug symptom correspondence table.

  When the symptom is input for the second time or later, the correspondence level determination unit 61 refers to the correspondence level table, identifies the correspondence level corresponding to the frequency score obtained by adding the score values, and stores the result in the determination result table. The response level is updated to the specified response level.

  Even if the symptom is input for the first time, the correspondence level determination unit 61 refers to the correspondence level table, identifies the correspondence level corresponding to the frequency score obtained by adding the score values, and The correspondence level in the determination result table may be updated to the identified correspondence level.

  Note that the frequency score may be calculated and the corresponding level may be determined based on the number of times symptoms are input (frequency) without setting the monitoring period.

  When a predetermined time has elapsed since the symptom was input, the correspondence level determination unit 61 may subtract the score value corresponding to the input from the frequency score. Thereby, the symptom inputted at the past time for a predetermined time or more is excluded, and the corresponding level is determined only for the symptom inputted within the predetermined time.

  In the present embodiment, the correspondence level determination unit 61 is provided in the center terminal 6, but not limited to this example, the correspondence level determination unit 61 may be provided in the medication support terminal 2 or a medication support system. 1 may be provided in another device that constitutes one.

  Hereinafter, the determination result table will be described in detail with reference to FIG.

  A symptom of “bad feeling” for the drug A is input by the patient. The input time is 10:07 on December 2. Since the frequency score is “1/2” and the value is “1” or less, the correspondence level 1 is given. Thereafter, since the same symptom “uncomfortable but not entered” for drug A, the corresponding level is maintained at “1”. In addition, since the patient is handled based on the response level 1, the response status is set to “corresponding”.

  The symptom “mouth hurts” for the drug A is input by the patient. The input time is 10:15 on December 16th. Since the frequency score is “1”, the correspondence level 3 is given. In the example illustrated in FIG. 7, the score value “1/4” is associated with the combination of the medicine A and the symptom “mouth pain”. Accordingly, if the symptom “mouth hurts” is input four times for the drug A within the monitoring period, the frequency score is “1” and the corresponding level is “3”. In the example shown in FIG. 9, at 10:15 on December 16, a fourth input occurs during the monitoring period, and thereby the corresponding level 3 is given. That is, for the combination of the medicine A and the symptom “mouth pains”, the corresponding level is changed from “1” to “2”, and further changed to “3”. In addition, since the patient is handled based on the response level 3, the response status is set to “corresponding”.

  The symptom “nosebleed” is inputted by the patient for the medicine C. The input time is 14:05 on December 8th. Since the frequency score is “1”, the correspondence level 3 is given. In the example shown in FIG. 7, the score value “1/2” is associated with the combination of the medicine C and the symptom “nosebleed”. Therefore, if the symptom “nosebleed” is input twice for the medicine C within the monitoring period, the frequency score is “1” and the corresponding level is “3”. In the example shown in FIG. 9, at 14:05 on December 8, a second input is generated within the monitoring period, and accordingly, the corresponding level 3 is given. That is, for the combination of the medicine C and the symptom “nosebleed”, the correspondence level is changed from “1” to “3”. In addition, since the patient is handled based on the response level 3, the response status is set to “corresponding”.

  The symptom “anxiety” for the drug D is input by the patient. The frequency score is “3/8”. In the example illustrated in FIG. 7, the score value “1/8” is associated with the combination of the drug D and the symptom “anxiety”. Therefore, if the symptom “anxiety” is input three times for the drug D within the monitoring period, the frequency score becomes “3/8”. In the example shown in FIG. 9, at 11:10 on December 10, a second input occurs within the monitoring period, which causes the frequency score to be “2/8” and the corresponding level is “1”. It has been changed to “2”. Thereafter, the third input occurs, and the frequency score becomes “3/8”. However, since the frequency score is “1” or less, the correspondence level is maintained at “2”. In addition, since the response to the patient is performed when the response level changes from “1” to “2”, the response status is set to “corresponding”.

  The response level output unit 62 outputs a predetermined output to each device constituting the medication support system 1 according to the response level determined by the response level determination unit 61. For example, the response level output unit 62 outputs more urgent as the response level increases. The corresponding level output unit 62 includes at least one processor such as a CPU, DSP, MCU, and its peripheral circuits. The corresponding level output unit 62 corresponds to an example of “output means”.

  The response level output unit 62 performs output according to the response level with reference to the determination result table when a response level is newly assigned or when the response level is updated. The correspondence level output unit 62 causes the display unit 63 to display a notification regarding, for example, the patient ID, symptom, drug name, and correspondence level. Further, the correspondence level output unit 62 may transmit these pieces of information to other devices via the communication unit 64. The monitoring staff, doctors, and pharmacists in the management center refer to the notified response level, and cooperate with each other based on common judgment materials to appropriately respond to the patient.

  Further, an output destination and output contents corresponding to the corresponding level may be set in advance and stored in the storage unit. Then, when a response level is newly assigned or when the response level is updated, the response level output unit 62 refers to the information stored in the storage unit and performs output according to the response level. For example, when it is determined that the correspondence level is “1”, the content “to call the patient (phone at the patient's home, medication support terminal 2, patient portable terminal 4 etc.)” is output. When it is determined that the corresponding level is “2”, the content “display guidance information such as explanation of symptoms on the medication support terminal 2 and the patient portable terminal 4” is output. When it is determined that the response level is “3”, the content “output guidance information indicating to wait for the next medicine to be taken on the medication support terminal 2 or the patient portable terminal 4” is output. Is done. Further, the response level output unit 62 may control the medicine dispenser device 3 via the medication support terminal 2 so that the medicine dispenser device 3 is prohibited from discharging the medicine. Also, the response level output unit 62 sets up a place (for example, a videophone conference) where the monitoring center, the doctor, and the pharmacist in the management center consult about the response to the patient by calling the doctor and the pharmacist. Good. As described above, processing with higher urgency is applied as the response level increases.

  Not only when the correspondence level is updated, but also when the symptom is input and the determination result table is updated, the above-described correspondence may be performed.

  The display unit 63 includes a monitor that displays various types of information and a display control unit that controls display on the monitor. For example, the symptom inputted by the patient and the corresponding level are displayed on the monitor.

  The supervisor of the management center who has confirmed the information displayed on the monitor performs processing according to the response level. For example, if the response level is “1”, the monitor contacts the patient by telephone. When the response level is “2”, the monitoring staff transmits guidance information regarding symptoms such as “Let's lie down for a while” to the medication support terminal 2 and the patient portable terminal 4. The center terminal 6 is operated. When the response level is “3”, the monitor operates the center terminal 6 to display the message “discontinue medication” on the medication support terminal 2 and makes an emergency call to the doctor and the dispensing pharmacy. Such correspondence may be automatically performed by the above-described correspondence level output unit 62.

  The communication unit 64 transmits and receives various types of information to and from an external device (for example, each device constituting the medication support system 1).

<Hospital terminal 7>
The hospital terminal 7 is installed in a hospital as shown in the overall system configuration diagram of FIG. The hospital terminal 7 is a terminal for displaying various types of information and allowing the doctor to check the information. The hospital terminal 7 includes a display unit 71 and a communication unit 72.

  The display unit 71 includes a monitor that displays various types of information, and a display control unit that controls display on the monitor. For example, the symptom inputted by the patient and the corresponding level are displayed on the monitor. The doctor who has confirmed the information displayed on the monitor refers to the response level and appropriately responds to the patient.

  The communication part 72 transmits / receives various information between external apparatuses (for example, each apparatus which comprises the medication support system 1).

<Pharmacy terminal 8>
The pharmacy terminal 8 is installed in a dispensing pharmacy as shown in the overall system configuration diagram of FIG. The pharmacy terminal 8 is a terminal for displaying various information and allowing the pharmacist to check the information. The pharmacy terminal 8 includes a display unit 81 and a communication unit 82.

  The display unit 81 includes a monitor that displays various types of information, and a display control unit that controls display on the monitor. For example, the symptom inputted by the patient and the corresponding level are displayed on the monitor. The pharmacist who has confirmed the information displayed on the monitor refers to the response level and appropriately responds to the patient.

  The communication part 82 transmits / receives various information between external apparatuses (for example, each apparatus which comprises the medication support system 1).

  Hereinafter, the operation of the medication support system 1 in the present embodiment will be described. First, with reference to FIG. 10, a process for generating a medication history information table will be described.

  The medication support terminal 2 refers to the medication schedule information table stored in advance in the storage unit 23, and determines whether or not the scheduled medication time has arrived (S101). When the scheduled medication time has arrived (S101, YES), the medication support terminal 2 displays a notification for prompting medication on the display unit 26 (S102). At this time, the discharge operation unit 24 is in an operable state.

  Thereafter, when the patient performs a discharge operation using the discharge operation unit 24 (S104, YES), a discharge instruction signal is transmitted from the medication support terminal 2 to the drug dispenser device 3 via the communication unit 27, and the drug dispenser. A predetermined medicine is discharged from the device 3 (S105). Then, the medication support terminal 2 stores the name of the medicine (medicine name) discharged by the medicine dispenser device 3 in the medication history information table stored in the storage unit 23, and the time when the discharge operation is performed. The medication time is stored in the medication history information table (S106). In addition, the medication support terminal 2 stores the medication status as “normal” in the medication history information table (S106).

  On the other hand, when the discharge operation is not performed by the patient (S104, NO), the medication support terminal 2 repeats the display prompting the medication on the display unit 26 until a predetermined time (for example, 30 minutes) elapses from the scheduled medication time ( S107, NO).

  When a predetermined time has elapsed from the scheduled medication time (S107, YES), the medication support terminal 2 stores the name of the medication scheduled to be discharged (medicine name) in the medication history information table stored in the storage unit 23. At the same time, the medication state is stored in the medication history information table as “not taking” (S108). In addition, the medication support terminal 2 transmits a discard instruction signal to the drug dispenser device 3.

  When the patient performs the out-and-out discharge operation using the out-and-out discharge operation unit 25 (S103, YES), a signal is transmitted from the medication support terminal 2 to the drug dispenser device 3 via the communication unit 27, and the drug dispenser A predetermined medicine is discharged from the device 3 (S109). Then, the medication support terminal 2 displays the name of the discharged medicine (medicine name), the time when the out-going discharge operation was performed, and the medication state “going out” in the medication history information table stored in the storage unit 23. Store (S110).

  At the same time, the medication support terminal 2 transmits a notification instruction signal including the scheduled medication time of the medicine discharged for going out to the patient portable terminal 4 via the communication unit 27 (S111). As a result, in the patient portable terminal 4, the scheduled medication time included in the notification instruction signal is stored in the storage unit 44, and when the scheduled medication time arrives, a notification for prompting medication is displayed on the display unit 42.

  When the patient takes the medicine taken out when he / she goes out and operates the input unit 41 of the patient portable terminal 4 to input that he / she has taken the medicine (S112, YES), the patient portable terminal 4 The time when the fact of taking is input is stored in association with the drug name, and the information is transmitted to the medication support terminal 2 via the communication unit 45. Upon receiving the information, the medication support terminal 2 stores the time inputted by the patient as the medication time of the medication name whose medication information is “going out” in the medication history information table (S113).

  Further, the medication support terminal 2 does not receive a signal indicating that the medication has been taken from the patient portable terminal 4 even after a predetermined time (for example, 30 minutes) has elapsed from the scheduled medication time (S112, NO, S114, YES). In association with the discharged medicine name, the medication state is stored in the medication history information table as “not taken” (S115).

  Next, the score addition process and the notification process will be described with reference to FIG.

  When a symptom to be worried is input by the patient at the medication support terminal 2 (S201, YES), the correspondence level determination unit 61 of the center terminal 6 refers to the drug symptom correspondence table and corresponds to the input symptom. A drug name is acquired (S202).

  The response level determination unit 61 sets a monitoring period with reference to the drug symptom response table and the medication history information table (S203). The monitoring period setting process will be described later in detail with reference to FIG.

  The response level determination unit 61 refers to the determination result table to determine whether or not the symptom is input for the first time (S204).

  When the symptom is input for the first time (S204, YES), the correspondence level determination unit 61 registers the symptom and the drug name in the determination result table (S205).

  When the symptom input time is within the monitoring period set in step S203 (S206, YES), the correspondence level determination unit 61 refers to the drug symptom correspondence table to obtain a score value corresponding to the drug name and symptom. Obtaining and calculating a frequency score, the frequency score is registered in the determination result table (S207).

  When the symptom input time is outside the monitoring period (S206, NO), the response level determination unit 61 registers the value “0” as a frequency score in the determination result table (S208).

  Then, the correspondence level determination unit 61 registers the correspondence level “1” in the determination result table (S209).

  On the other hand, if the symptom is not input for the first time (S204, NO), the correspondence level determination unit 61 updates the determination result table for the same drug name and symptom. When the symptom input time is within the monitoring period set in step S203 (S210, YES), the correspondence level determination unit 61 refers to the score value in the drug symptom correspondence table to correspond to the drug name and symptom. The score value is acquired, and the score value is added to the frequency score in the determination result table (S211). When the symptom input time is outside the monitoring period (S210, NO), the frequency score is not added.

  Then, the correspondence level determination unit 61 refers to the determination result table and determines whether or not the frequency score is equal to or greater than a predetermined value (for example, “1”) (S212).

  When the frequency score is less than the predetermined value (S212, NO), the correspondence level determination unit 61 registers the correspondence level “2” in the determination result table (S213).

  When the frequency score is equal to or greater than the predetermined value (S212, YES), the correspondence level determination unit 61 registers the correspondence level “3” in the determination result table (S214).

  When the correspondence level is determined, the process returns to step S201.

  When the response level is given, the response level output unit 62 refers to the determination result table. If the response level is different from the previous value, the response level output unit 62 performs output according to the updated response level. Thereby, the process according to a corresponding level is applied with respect to a patient.

  Next, the monitoring period setting process will be described with reference to FIG.

  When a symptom is input at the medication support terminal 2, the correspondence level determination unit 61 of the center terminal 6 acquires information indicating the “starting point” and “period” of the monitoring start point from the drug symptom correspondence table (S301). When the value of the starting point is “most recent medicinal point” (S302, “most recent medicinal point”), the correspondence level determination unit 61 acquires “most recent medicinal point time” from the starting point time table (S303), and the monitoring start point “ The “period” is added to the “last medication time”, and the time obtained by the addition is set as the “monitoring start time” (S305). When the starting point value is “medication start point” (S302, “medicine start point”), the corresponding level determination unit 61 acquires “medicine start point time” from the start time table (S304), and the monitoring start point “ The “period” is added to the “medication start point time”, and the time obtained by the addition is set as the “monitoring start time” (S305). The update process of the “last medication time” and “medication start time” will be described in detail later.

  Next, the correspondence level determination unit 61 acquires information indicating the “starting point” and “period” of the monitoring end point from the drug symptom correspondence table (S306). When the value of the starting point is “most recent medicinal point” (S307, “most recent medicinal point”), the correspondence level determination unit 61 obtains “the latest medicinal point time” from the starting point time table (S308), and the monitoring end point “ The “period” is added to the “last medication time”, and the time obtained by the addition is set as the “monitoring end time” (S310). When the value of the starting point is “medication start point” (S307, “medicine start point”), the corresponding level determination unit 61 acquires “medicine start point time” from the start time table (S309), and the monitoring end point “ The “period” is added to the “medication start point time”, and the time obtained by the addition is set as the “monitoring end time” (S310).

  The response level determination unit 61 sets a period (a period from the monitoring start time to the monitoring end time) determined by the “monitoring start time” and the “monitoring end time” as the monitoring period (S311).

  Next, with reference to FIG. 13, the update process of the medication start point time and the latest medication point time will be described.

  When the medication is performed, the correspondence level determination unit 61 of the center terminal 6 refers to the medication history information table and determines whether or not the medication time has been updated (S401). When the dose time is updated (S401, YES), the correspondence level determination unit 61 acquires the updated drug name and dose time (S402), and acquires the latest dose time in the origin time table. (S403).

  Next, the correspondence level determination unit 61 refers to the medication history information table and acquires the updated medication name and medication start point time (S404). When this medication start time is an initial value (S405, YES), the correspondence level determination unit 61 updates the medication start time in the start time table to the acquired medication time (S407).

  When the medication start point time is not the initial value (S405, NO), when the medication start point time is a time that is past a predetermined period (for example, one week) from the acquired dose time (S406, YES), The response level determination unit 61 updates the medication start point time in the start time table to the acquired dose time (S407). That is, the medication start point time corresponds to the medication start point time for a prescription different from the prescription of the medicine that the patient has taken this time, so the corresponding level determination unit 61 sets the medication start point time in the start time table. , Update to the acquired dose time. If the medication start point time is not a time that is a predetermined period or longer than the acquired medication time (S406, NO), the correspondence level determination unit 61 maintains the medication start point time in the origin time table.

  As described above, according to the medication support system 1 in the present embodiment, the corresponding level is set according to the number of times (frequency) of symptom input, and the processing according to the corresponding level is applied to the patient. In other words, even if various symptoms are reported from the patient at various timings, status confirmation and notification according to the corresponding level, cooperation between medical personnel, etc. are performed, so the timing at which symptoms appear to the patient for the patient Therefore, symptoms can be reported to medical personnel without hesitation, and appropriate responses to the symptoms can be promptly received. In addition, the medical staff who receives the report can quickly determine the response to various symptoms reported by the patient according to a common index (judgment criterion) called a response level. The medication support system 1 is a system used by a management center staff, a hospital doctor, and a pharmacist of a dispensing pharmacy to cooperate and support patient medication. When there are different judgment criteria for individual medical personnel, it may be difficult to make the medication support system 1 function smoothly and quickly because the response to the symptoms may differ for each medical personnel. Become. According to the present embodiment, since a common index called the correspondence level is used, the correspondence does not vary among medical personnel, and the medication support system 1 can be functioned smoothly and quickly.

  In addition, by setting a monitoring period according to the drug and symptom and setting a response level based on the input frequency during the monitoring period, symptoms that are not related to the drug are excluded, It is possible to set a response level in consideration of high symptoms. As a result, it is possible to accurately cope with a symptom highly related to the drug.

  In addition, the symptom input by the patient is not limited to the symptom corresponding to the medication, and may be a symptom that is not based on the medication. In this case, the correspondence level determination unit 61 sets the correspondence level to “1” when the number of inputs for the same symptom is one, and the symptom when the number of inputs for the same symptom is two or more. The corresponding level is set to “2” or “3” according to the frequency score obtained by the addition processing of the score values corresponding to. In this way, even if a symptom that is not based on medication is input by the patient, the patient can report the symptom to the medical staff without hesitation at the time the symptom appears. It is possible to receive a quick response.

  DESCRIPTION OF SYMBOLS 1 Medication support system, 2 Medication support terminal, 3 Drug dispenser device, 4 Patient portable terminal, 5 Data server, 6 Center terminal, 7 Hospital terminal, 8 Pharmacy terminal, 21,41 Input part, 22 Symptom acquisition part, 23,44 Storage unit, 24 discharge operation unit, 25 going out discharge operation unit, 26, 42, 63, 71, 81 display unit, 27, 33, 45, 64, 72, 82 communication unit, 31 drug storage unit, 32 drug discharge unit, 43 dose time output unit, 61 corresponding level determination unit, 62 corresponding level output unit.

Claims (5)

A notification that prompts the patient to take the medicine at the scheduled time of taking the medicine, and a medication support terminal that obtains state information indicating the state of the patient;
Correspondence level setting means for selecting and setting one correspondence level from a plurality of different correspondence levels according to the acquisition frequency of the state information;
When set by selecting the corresponding level in which the corresponding level setting means associated with waiting for taking advance the drug, Outputs information prompting waiting for taking the drug by the patient to the medication support terminal Output means;
A medication support system comprising: In the medication support system according to claim 1 ,
Before SL corresponding level setting means further sets a monitoring period in response to said condition of the patient and the drug has been taken of the patient, depending on the frequency of acquiring the status information acquired in said monitoring period To set the corresponding level,
A medication support system characterized by that. In the medication support system according to claim 1 or 2,
It said corresponding level setting means, every time the status information is obtained, calculates a frequency score by adding the score corresponding to said state of the drug and the patients taking the patient to the frequency score Set the corresponding level accordingly,
A medication support system characterized by that. In the medication support system according to claim 3,
The correspondence level setting means sets the correspondence level more finely than the case where the number of acquisition times is less than the predetermined value using the frequency score when the number of acquisition times of the state information is a predetermined value or more.
A medication support system characterized by that. In the medication support system according to claim 3 or 4,
The frequency score is set higher as the acquisition frequency becomes higher,
The correspondence level is set higher as the frequency score is higher,
The output means outputs information with high urgency to the medication support terminal as the correspondence level increases.
A medication support system characterized by that.

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