JP7161682B2 - Drug placement confirmation system - Google Patents

Description

TECHNICAL FIELD The present invention relates to a medicine arrangement confirmation system for confirming whether or not a medicine package is correctly accommodated in a medicine setting tool such as a medicine calendar or medication calendar. The present invention also relates to a drug placement confirmation method and a drug placement confirmation program.

Elderly patients (users) and patients whose symptoms have passed the acute stage are often treated at home. In addition, patients with hypertension and hyperlipidemia who do not require emergency care are often treated at home. Patients recuperating at home need to take medication based on self-management.
For example, if the doctor's prescription is to take medicines A and B in the morning, medicine B in the afternoon, and double the amount of medicines A and C after dinner. It is necessary for the patient himself/herself to take out a prescribed amount of medicine of a prescribed kind from a medicine box or the like at a prescribed time and take it.
However, as a practical matter, there are cases where the type or amount of medicine to be taken is wrong, or the medicine is forgotten to be taken. Conversely, the drug may be taken repeatedly.
In particular, it is difficult for elderly people and patients with low energy to take out a prescribed amount of a prescribed type of medicine from a medicine cabinet or the like, and they may not be able to take the medicine accurately.

As means for solving this problem, Patent Literatures 1 and 2 propose devices called medication calendars or medicine calendars.
In the invention disclosed in Patent Document 1, a calendar is provided with a drug containing portion for containing a drug.
In the invention disclosed in Patent Document 1, four drug storage units are arranged below each date. Each of the four drug storage units corresponds to the timing of taking (usage), and according to the description of Patent Document 1, "morning", "noon", "night", and "before neck" are displayed.
Then, the drug corresponding to the timing of taking is stored in the drug storage portion of the medication calendar (medicine calendar). When it is time to take the drug, the user takes out the drug from the corresponding drug container and takes the drug.

The medication calendar described above tends to be used not only in individual homes but also in nursing care facilities for the elderly and hospitals with inpatient facilities.

Japanese Patent Application Laid-Open No. 2001-258999 JP 2013-248873 A

The medication calendar disclosed in Patent Literature 1 is a drug setting tool for setting drugs, and is installed in a patient's home, nursing care facility, or the like.
A pharmacist at a home-visit pharmacy may make rounds to visit the patient's home or nursing care facility to replenish the drug storage section of the medication calendar.
In some cases, a pharmacist stores a drug in a drug placement portion of a medication calendar in his or her own pharmacy (dispensing room) and brings the medication calendar containing the drug to the patient's home or nursing care facility.
Regarding the format of the medication calendar, there are no particular legal provisions, and various types are used by each facility.
In either form, the dosing calendar has a plurality of medication locations that are in specific locations determined based on the person taking the medication and the timing of the medication.
There are three types of representative dosing calendar formats (shown as "medicine calendar" in the figure) shown in FIGS.

The first format is a personal medication calendar 100 as shown in FIG. 15, which is a matrix configuration (row and column) composed of a day of the week axis and a medication timing axis.
Specifically, the vertical axis is Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, and Sunday, and the horizontal axis is "for morning", "for lunch", "for night", and "before bed". be.
The personal dosing calendar 100 is for exclusive use by a single user, and contains, for example, the medications that Muramatsu takes for a week by day of the week and timing of administration.
For example, after lunch on Wednesday, Muramatsu, who is a taker, takes the drug stored in the position for lunch on Wednesday.
The personal medication calendar 100 often uses one week as one unit, but the number of days used as one unit is arbitrary, and may be 10 days, 2 weeks, 28 days, or the like. good.

The second format is a daily dosing calendar (labeled as "medicine calendar") 101 for multiple users as shown in FIG. The day-to-day dosing calendar 101 has large descriptions of days of the week to take, like a daily calendar. In the daily medication calendar 101, the drug storage units are arranged in a matrix formed by the name of the person taking the drug and the axis of timing of taking the drug.
Specifically, the names of the seven names Muramatsu, Hayata, Arashi, Fuji, Ide, Kirishima, and Morohoshi are on the vertical axis, and the horizontal axis is "for morning,""fornoon,""fornight," and "before going to bed." Shape.
The daily dosing calendar 101 is used jointly by a plurality of dosing persons. For example, the medicines to be taken by seven dosing persons in one day are stored according to the dosing person's name and the timing of taking the medicine.
For example, on the morning of the day, seven people, Muramatsu, Hayata, Arashi, Fuji, Ide, Kirishima, and Morohoshi, take drugs stored in their respective "morning" drug storage units. After finishing lunch, the above-mentioned seven people take the drugs stored in their respective "daytime" drug storage units.
A multi-user daily medication calendar 101 is used in nursing homes and hospitals. In the daily dosing calendar 101, the number of users to be treated as one unit is arbitrary, and may be 5 or 10.

The third format is a medication calendar (displayed as "medicine calendar") 102 by dosing time for a plurality of users as shown in FIG.
Specifically, the timing of taking the medicine is written in large letters like "morning use" at the top, and the names of 28 people, namely Hongo, Ichimonji, ... Tojo, and Sano, are lined up.
The medication calendar 102 by dosing time is shared by a plurality of dosing persons, and is used in nursing homes and hospitals. For example, medicines taken at specific times of the day by each of 28 users are stored according to the names of the users.
For example, on the morning of the day, 28 people whose names are on the calendar take the medicines stored in the medicine storage units with their names.
When all the patients have finished taking the medication, the administration calendar 102 by administration time is removed, and the administration calendar 102 by administration time for daytime is prepared.
In the dosing calendar 102 by dosing time, the number of dosing persons as one unit is arbitrary, and may be 10 or 30 persons.

As noted above, medication calendars 100, 101, and 102 come in multiple types.
For example, the medication calendar disclosed in Patent Document 1 is installed in the home or nursing care facility of the recipient, and a pharmacist at a home-visit pharmacy visits the recipient's home or nursing facility to deliver the drug to the drug storage unit. refill.
In addition, a pharmacist stores drugs in the drug placement portion of the medication calendars 100, 101, and 102 at his or her own pharmacy (dispensing room), and distributes the medication calendars 100, 101, and 102 with the drugs accommodated to the patient's home or nursing care facility. In the case of bringing the medicine to the hospital, the pharmacist puts the prescribed medicine into each medicine placement part according to the format of the medication calendars 100, 101, and 102. FIG.
However, as noted above, there are multiple types of medication calendars 100, 101, and 102, which can be confusing and confusing.

Therefore, the present invention focuses on the above-described problems of the prior art, and develops a drug placement confirmation system, method, and computer program for checking whether or not a drug package is correctly accommodated in a drug setting tool such as a medication calendar. is the subject.

A mode for solving the above-mentioned problems has a medicine setting tool holding a plurality of medicine packages, and a photographing means, and the medicine packages each contain a medicine to be taken by a specific patient. The drug setting device has a plurality of drug storage units, and the plurality of drug storage units are distributed in a plane to hold drug packages corresponding to the doser and the timing of taking the medicine corresponding to the drug storage unit. medicine package identification information identifying the medicine package is attached to a visible position of the medicine package, and the medicine setting tool includes information identifying the medicine setting tool at the visible position. A specific mark is attached, and at least one of the drug setting tool and the drug package is provided with a medicine package/setting tool related label related to the relationship between the drug package and the drug setting tool to hold it. information and setting position related information related to the position of the drug package to be held in the drug setting tool are attached, and the state in which each drug package is accommodated in the drug storage part of the drug setting tool can be photographed by the photographing means. , and is held in the imaged medicine setting tool by the imaged medicine package identification information, the set tool identification display, the medicine package/set tool related information, the setting position related information, and the position of the imaged drug package. A drug placement confirmation system characterized by determining whether or not each drug package that has been packaged is correctly accommodated in a regular drug setting device.

The drug setting device has a plurality of drug storage units, and the plurality of drug storage units are distributed in a plane and are located at specific positions determined based on the person taking the medicine and the timing of taking the medicine. desirable.
Based on the photographed position of the medicine package, it is determined whether or not each medicine package held by the photographed medicine setting tool is correctly housed in a position corresponding to the regular dosing person of the medicine setting tool and the timing of dosing. It is desirable that

"Medicine package specific information" is sufficient as long as it can identify the drug package, and may be a symbol, code, bar code, or the like. It is desirable that the "medicine packaging identification information" be information that can identify which patient will take the medicine and when.
The information that identifies which patient the drug is for is coded, for example, in characters such as the patient's name or common name, numbers such as patient registration card numbers and My Numbers, barcodes, two-dimensional barcodes, and the like. There is a readable pattern.
The same is true for "information specifying when to take the drug", and there are patterns that are coded and readable, such as character displays such as morning and noon, numbers, barcodes, and two-dimensional barcodes. .

The medicine package/setting device related information and the setting position related information are attached to the medicine package. The information may include location information of the drug package to be held in the drug setting tool.

There is a medicine package arrangement information storage means, and the combination information of the medicine package and the medicine setting tool holding the medicine package in the medicine package arrangement information storage means, and the relationship between the medicine package held by the medicine setting tool and the medicine setting tool The position is stored, the medicine package/setting tool related information and the setting position related information are attached to the medicine package, and based on the medicine package/setting tool related information and the setting position related information, the information is retrieved from the medicine package arrangement information storage means. may be read out.

There is a medicine package arrangement information storage means, and the combination information of the medicine package and the medicine setting tool holding the medicine package in the medicine package arrangement information storage means, and the relationship between the medicine package held by the medicine setting tool and the medicine setting tool The position is stored, the medicine package/setting device related information and the setting position related information are attached to the medicine setting device, and based on the medicine package/setting device related information and the setting position related information, the medicine package placement information storage means Information may be retrieved.

Another aspect for solving the above-described problem has a medicine setting tool for holding a plurality of medicine packages, an imaging means, and a medicine package arrangement information storage means, and the medicine setting tool has a plurality of medicine storage units. wherein the plurality of drug storage portions are distributed in a plane and hold drug packages corresponding to the dosing person and the dosing timing corresponding to the drug storage portions; medicine package identification information for identifying the packaging is attached, the medicine setting tool is provided with a setting equipment identification display including information for identifying the medicine setting tool at a visible position, and medicine package arrangement information is stored. means for storing the combination information of the drug package and the drug setting tool holding the drug package and the relative position of the drug package held by the drug setting tool and the drug setting tool in the drug package arrangement information storage means; The state in which each medicine package is accommodated in the medicine container of the medicine setting tool can be photographed by the photographing means, and information is retrieved from the medicine package arrangement information storage means based on the photographed medicine package identification information and the setting equipment identification display. It is characterized by determining whether or not each medicine package held in the photographed medicine setting tool is correctly accommodated in the regular medicine setting tool by comparing the position of the medicine package read and photographed. This is a drug placement confirmation system that

Still another aspect for solving the above-described problem has a medicine setting tool holding a plurality of medicine packages, medicine package arrangement information storage means, photographing means, and comparison means, wherein the medicine packages are specified The drug to be taken by the user is packaged for each dose, and a dosing person identification indication for identifying the dosing person and a dosing timing identification indication for identifying the timing of dosing are provided at visible positions on the drug package. The medicine setting device has a setting device identification indication that identifies the medicine setting device at a visible position, the medicine setting device has a plurality of medicine storage portions, and the medicine setting device has a plurality of medicine storage portions. The parts are distributed in a plane and are located at specific positions determined based on the dosing person and the dosing timing. The medicine package arrangement information storage means stores normal position information of each medicine package when each medicine package is correctly accommodated in the corresponding medicine accommodating portion of the medicine setting tool, with respect to the plurality of medicine setting tools, and stores each medicine by the photographing means. It is possible to photograph the state in which the package is housed in the medicine housing portion of the medicine setting tool, identify the photographed medicine setting tool from the photographed setting tool identification display, and display the photographed medicine package identification display and dosing. Real position information of each medicine package held in the medicine setting device is acquired from the position of the medicine package photographed and the timing specific display, and set from a plurality of normal position information stored in the medicine package arrangement information storage means. The normal position information of the specified medicine setting tool is identified based on the device identification display, and each medicine package held in the photographed medicine setting tool is matched with the dosing person of the medicine setting tool and the timing of taking by the comparison means. A drug placement confirmation system characterized by determining whether or not the drug is correctly accommodated in a corresponding position.

Here, examples of the "dose identification display" displayed on the drug package include, for example, the patient's name and common name character display, the number of the patient's ticket, the number such as my number, the bar code, the two-dimensional bar code, etc. There are patterns that are coded and readable.
The same is true for the "dose timing specific display", and there are coded and readable patterns such as character display of morning, noon, etc., numbers, bar codes, two-dimensional bar codes, and the like.
A single bar code, two-dimensional bar code, or the like may be used for both the "dose identification display" and the "dose timing identification display".
The same is true for the specific display of set tools, such as character display for Mr. Muramatsu, morning use for Fujita Clinic, medicine for Mondays by Dr. Fujita Clinic, morning medicine for Rokko Nursing Home, medicine for Mondays at Sanno Nursing Home. It's okay. Also, the set tool specific display may be a number or a symbol uniquely assigned by the hospital or pharmacy. Furthermore, the setting tool specific display may be a symbolized and readable pattern such as a bar code or a two-dimensional bar code.

In the above-described aspect, the medicine package arrangement information storage means stores, as regular position information, information relating to a layout in which each medicine package is correctly accommodated in the corresponding medicine accommodating portion of the medicine setting tool, with respect to the plurality of medicine setting tools. Then, information on the actual layout of each medicine package held in the medicine setting tool is obtained from the photographed patient specific display and dosing timing specific display and their positions, and is stored in the medicine package layout information storage means and photographed. Among the specified normal position information, the normal position information of the drug setting device specified based on the setting device specific display is specified, and the comparison means compares the actual layout information of each drug package with the specified normal position information. should be compared.

In each of the above-described aspects, the medicine package arrangement information storage means includes information on the medicine containing part that should be empty, and when the image of the medicine containing part that should be empty is photographed by the photographing means, , should be notified.

In each of the above-described aspects, the medicine setting device has an empty room indication specifying the medicine containing part that should be empty at a visible position, and the empty room indication is photographed by the photographing means It is desirable to notify the user when the medicine containing portion is specified and the image of the medicine containing portion which should be empty is captured by the imaging means.

Another aspect for solving a similar problem has a medicine setting tool holding a plurality of medicine packages, and an imaging means, and the medicine packages each contain a medicine to be taken by a specific patient. and a dosing person identification indication for identifying the dosing person and a dosing timing identification indication for identifying the timing of dosing are described at a visible position of the drug package, and the drug setting device includes a plurality of drugs. It has a container, and the plurality of drug containers are distributed in a plane, and hold drug packaging corresponding to the drug container and the dose timing. A vacant room indication specifying the drug containing portion that should be empty is attached to a position, and the vacant room indication is photographed by the imaging means to specify the drug containing portion that should be empty. This drug placement confirmation system is characterized in that when it is photographed that there is a drug package in the drug container, a notification is made.

In each of the above-described aspects, the medicine setting device has a visible medicine containing part identification indication for identifying each medicine containing portion, and the medicine package has a medicine containing portion designation indication for identifying the medicine containing portion to be held. A photographing means photographs the medicine containing portion identification display and the medicine containing portion designation display on the same screen, compares both, and determines each medicine package held by the medicine setting tool according to the dosing person of the medicine setting tool and the dosing timing. It is desirable to determine whether or not it is correctly housed in the position corresponding to the .

Another aspect for solving a similar problem has a medicine setting tool holding a plurality of medicine packages, and an imaging means, and the medicine packages each contain a medicine to be taken by a specific patient. and a dosing person identification indication for identifying the dosing person and a dosing timing identification indication for identifying the timing of dosing are described at a visible position of the drug package, and the drug setting device includes a plurality of drugs. It has a storage portion, and the plurality of drug storage portions are distributed in a plane and hold drug packages corresponding to the drug storage portion and the dosing timing. The state in which each drug package is accommodated in the drug storage portion of the drug setting device can be photographed by the imaging means, and the drug storage portion identification display and the drug storage portion designation display are displayed by the imaging means. It is determined whether or not each drug package held in the drug setting tool is correctly housed in a position corresponding to the dosing person of the drug setting tool and the timing of taking the drug by comparing the two by photographing on the same screen. It is characterized by a drug placement confirmation system.

Another aspect for solving a similar problem has a medicine setting tool holding a plurality of medicine packages, and an imaging means, and the medicine packages each contain a medicine to be taken by a specific patient. The drug setting tool has a plurality of drug storage units, the plurality of drug storage units are distributed in a plane, and the drug package corresponding to the drug storage unit and the dosing timing is held. Setting position related information related to the position of the drug package to be held in the drug setting tool is attached to the visible position of the drug package. It is possible to photograph the state of being accommodated in the medicine container of the tool, and the photographed setting position related information and the photographed position of the medicine package allow each medicine package held in the photographed medicine setting tool to be taken as a medicine. A drug placement confirmation system characterized by determining whether or not a drug is correctly accommodated in a setting tool.

In each of the above aspects, the medicine containing portion of the medicine setting tool is in the form of a pocket whose inside can be seen through, a part of the figure is shown on the medicine containing portion, and a part of the figure is also shown on the medicine package. As shown in the figure, when the drug package is correctly accommodated in the position corresponding to the dosing person of the drug setting tool and the timing of taking the drug, the figure of the drug storage part and the figure of the drug package are combined to complete a specific figure. is desirable.

A method for determining whether or not a medicine setting device is correctly accommodated in a position corresponding to a dosing person and a timing of taking a medicine using the medicine arrangement confirmation system of each of the above aspects, wherein the medicine setting device is divided into a plurality of sections. It is preferable that the images are taken by the photographing means according to a predetermined order, and sequentially compared with the regular position information stored in the medicine package arrangement information storage means.

Another aspect for solving a similar problem is that at least a part of the device is stored in a terminal equipped with photographing means and a computer, and the terminal alone or in conjunction with another computer arranges the drug package with respect to the drug setting device. A drug placement confirmation program for confirming, wherein the drug package contains a single dose of a drug to be taken by a specific patient, and a user identification function for specifying the patient at a visible position of the drug package. a display and a dosing timing identification display for identifying the timing of dosing are described, the medicine setting device has a setting device identification display for identifying the medicine setting device at a visible position, and the medicine setting device has a plurality of drug storage units, the plurality of drug storage units are distributed in a plane, and hold drug packages corresponding to the doser and dosage timing corresponding to the drug storage unit; The computer or other computer has medicine package arrangement information storage means, and the medicine package arrangement information storage means stores correct position information of each medicine package when each medicine package is correctly accommodated in the corresponding medicine container of the medicine setting tool. is stored with respect to a plurality of medicine setting tools, and the state in which each medicine package is accommodated in the medicine accommodating portion of the medicine setting tool can be photographed by the photographing means, and the medicine setting tool photographed from the photographed setting tool identification display and obtains the actual position information of each drug package held in the drug setting tool from the photographed drug package identification display and dosing timing identification display and the photographed position of the drug package, and medicine package arrangement information Among a plurality of pieces of normal position information stored in the storage means, the normal position information of the drug setting device specified based on the setting device identification display is specified, and each drug package held by the photographed drug setting device is identified. , a medicine arrangement confirmation program characterized by determining whether or not the medicine setting tool is correctly accommodated in a position corresponding to the dosing person and the dosing timing.

Still another aspect for solving a similar problem is a terminal having a photographing means and a computer, at least a part of which is stored in a terminal, and the terminal alone or interlocking with another computer arranges a medicine package with respect to a medicine setting tool. wherein the drug package contains a single dose of a drug to be taken by a specific patient, the drug setting tool has a plurality of drug storage units, and the A plurality of drug storage units are distributed in a plane and hold drug packages corresponding to the dosing person and dosage timing corresponding to the drug storage units, and the drug package is specified at a visible position of the drug package. The medicine setting device is provided with a setting device identification display including information for specifying the medicine setting device at a visible position, and the medicine setting device and the medicine package are attached. At least one of the visible positions includes medicine package/setting device related information relating to the relationship between the drug package and the drug setting device to hold it, and information relating to the position of the drug package to be held in the drug setting device. set position-related information is attached, and the photographing means can photograph the state in which each medicine package is accommodated in the medicine container of the medicine setting tool, and the photographed medicine package specifying information and the setting tool specifying display are combined. , medicine package/setting device related information, setting position related information, and the position of the photographed drug package, each drug package held in the photographed drug setting device is correctly accommodated in the regular drug setting device. It is a medicine placement confirmation program characterized by determining whether or not there is.

According to the medicine placement confirmation system, method, and computer program of the present invention, it is possible to confirm whether or not the medicine package is correctly accommodated in the medicine setting device.

(a) is a front view of a personal dosing calendar used in an embodiment of the present invention, showing a state in which no drug package is held, and (b) is a front view of the drug package. 4(a) and 4(b) are perspective views of drug packaging strips dispensed from the drug packaging device. FIG. (a) is an explanatory view showing the situation when determining whether or not the drug package is correctly accommodated in the regular drug setting tool for the personal medication calendar of FIG. 1, and the drug package is held. FIG. 12B includes a front view of the personal medication calendar in states, and (b) is an enlarged view of a portion of the personal medication calendar. (a) shows the monitor screen of the photographing device, (b) to (d) are the monitor screens when photographing the personal medication calendar with the photographing device, (b) shows the state in which photographing is possible, and (c) (d) shows a state in which an imaging error occurs. 1 is a block diagram of a drug placement confirmation system according to an embodiment of the present invention; FIG. (a) is a front view of a multi-person dosing calendar used in another embodiment of the present invention, showing a state in which the drug package is not held, and (b) is a front view of the drug package. (a) is a front view of the drug administration calendar for multiple people of FIG. 6, showing a state in which a drug package is held, and (b) is an enlarged view of a portion thereof. (a) is a front view of a multi-person dosing calendar used in still another embodiment of the present invention, showing a state in which the drug package is not held, and (b) is a front view of the drug package. (a) is a front view of the personal dosing calendar of FIG. 8 showing a state in which a drug package is held, and (b) is an enlarged view of a portion thereof. (a) is a front view of a personal medication calendar used in still another embodiment of the present invention, showing a state in which no medicine package is held; (b) is a front view of medicine package arrangement information storage means; be. (a) is a front view of the personal dosing calendar of FIG. 10, showing a state in which a drug package is held, and (b) is an enlarged view of a portion thereof. FIG. 12 is a detailed view showing the drug containing portion and its vicinity of the personal dosing calendar of FIGS. 9 and 11, (a) showing a state before the drug package is held in the drug containing portion, and (b) showing the drug containing portion; It shows a state in which the drug package is held in the part. FIG. 4 is an explanatory diagram showing a procedure for photographing a personal medication calendar by photographing means; Each figure is a front view showing a modification of the drug package. 1 is a front view of a prior art personal medication calendar; FIG. 1 is a front view of a prior art daily medication calendar; FIG. 1 is a front view of a prior art time-of-dose dosing calendar; FIG.

Embodiments of the present invention will be further described below.
The medicine arrangement confirmation system 16 of the first embodiment confirms whether or not the medicine package 7 is correctly accommodated in the medicine setting tool such as the medication calendar 1 or the like.
The medication calendar 1 is, for example, a "medicine calendar" as shown in FIG. Hereinafter, it will be referred to as a "medication calendar" regardless of the indication in the drawings.
A medication calendar (medicine setting tool) 1 is a first type of personal medication calendar, and includes a planar substrate 2 provided with a large number of drug storage units 3 .
The drug storage units 3 are distributed in a plane and in a matrix and are located at specific positions determined based on the dosing person and the dosing timing. is retained.

In this embodiment, the drug storage units 3 are arranged in a matrix shape (rows and columns) constituted by a day of the week axis and a dosing timing axis.
Specifically, the vertical axis is Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, and Sunday, and the horizontal axis is "for morning", "for lunch", "for night", and "before bed". be.
A medication calendar (medicine set tool) 1 is used exclusively by a single patient. For example, the medications that Muramatsu takes for a week are stored in the medication storage unit 3 according to the day of the week and the timing of taking the medicine. be done.
That is, the drug containing portion 3 is located at a specific position where the taker is determined to be "Muramatsu" alone, and the timing of taking the drug is determined based on the display such as "morning of the month, noon of the month...". is at a specific position determined based on the user and the timing of the dose.

The drug containing portion 3 is a pocket-like bag formed by attaching a small transparent sheet 5 to a sheet-like base material 2 .
Specifically, the drug containing portion 3 has a structure in which the right and left sides and the lower side of the transparent sheet 5 are adhered to the base material 2, and an object can be put inside from the upper side.
Since the drug containing portion 3 is a kind of pocket made of the transparent sheet 5, the inside can be seen through.

On the sheet-like base material 2, a setting tool identification display 17 for identifying the medication calendar 1 is attached at a visible upper left position. The setting tool identification display 17 can identify the medication calendar 1 and includes some identification information (for example, an identifier). Here, the identification information (for example, an identifier) is not limited to a barcode or the like, and may be characters or numbers.
In this embodiment, the setting tool identification display 17 is a symbolic identifier, and is a pattern that can be read by a reading device such as a barcode reader. Specifically, the setting tool identification display 17 is a two-dimensional barcode.
Information for specifying the medication calendar 1 is written in the setting tool specification display 17 . Specifically, the format of the medication calendar 1 and information that can specify who it is for and when it will be used is written. Here, "identifiable" means not only the case where the information is directly written in the setting device identification display 17, but also the format of the medication calendar 1 from another information source using the identifier included in the setting device identification display 17 as a key. and when it is possible to retrieve information about who it is for and when it is used.

In accordance with the present embodiment, the format of the medication calendar 1 is a personal medication calendar format, and the drug storage unit 3 is arranged in a matrix shape (rows and columns) composed of a day of the week axis and a dosing timing axis. Information specifying that the set tools are arranged is written in the setting tool specification display 17 .
Information specifying that the patient is Muramatsu is written in the set tool specifying display 17 .

In this embodiment, the format of the medication calendar 1 and the information specifying the user are obtained from the two-dimensional barcode, but characters written on the base material 2 may specify all or part of them. good. Information for identifying the medication calendar 1 is also included in characters and the like written on the base material 2 .
For example, the base material 2 has characters 6 "Mr. Muramatsu" to identify the user, and this character may be used as an identifier and read to identify the user.
Also, the format of the medication calendar 1 may be specified by graphically recognizing the characters of the days of the week written on the base material 2, the characters such as "Morning" indicating the timing of administration, and the layout thereof.
In this case, the characters 6 of "Mr. Muramatsu" to identify the user, characters such as "Morning" indicating the timing of taking the medicine, and the layout function as the set identification display.

The drug storage unit 3 of the medication calendar 1 holds a drug package 7 that is a drug for the patient and has a corresponding dosing timing.
Each medicine package 7 contains all medicines to be taken by a specific patient at one time. The drug enclosed in one drug package 7 may be one type of solid drug, or may be multiple types of solid drugs. In some cases, a solid medicine and a powdered medicine are contained in the same package.

The drug package 7 is a drug packed by a dose by a known drug packaging device (not shown). The drug packaging device can dispense and package powdered drugs and solid drugs from a powdered drug supply section and a solid drug supply section based on input prescription data. Further, the drug package 7 is printed with a predetermined print.

The drug package 7 is discharged as a drug package band 8 that is long and connected like a band as shown in FIG. 2(a).
The medicine packaging band 8 has an information printing part 10 printed with prescription information at the head, followed by a large number of medicine packages 7 .
On the information printing section 10, the name of the person taking the medicine, the name of the prescribed drug, the amount of prescription, etc. are printed in the form of a two-dimensional bar code or the like.
Further, each drug package 7 is provided with drug package identification information for specifying each drug package 7 . That is, on each medicine package 7, a dosing person identification display 11 for identifying a dosing person and a dosing timing identification display 12 for identifying the timing of dosing are described in characters at a visible position as medicine package identification information.
Specifically, the name of the patient, “Muramatsu,” is printed as the patient identification display 11 . Characters such as "morning" and "afternoon" are displayed as the dosing timing identification display 12 . Each medicine package 7 is distinguished from others by these letters or the like.
Furthermore, in this embodiment, a user usage specification pattern 15 is displayed as medicine package specification information that can specify each medicine package 7 . That is, the user usage specific pattern 15 is displayed as the dosing person specific display and the dosing timing specific display. The user usage specific pattern 15 is a two-dimensional bar code. In the two-dimensional bar code, which is the user usage identification pattern 15, information that can identify the person taking the medicine and the timing of taking the medicine is written. Each drug package 7 is also distinguished from others by the two-dimensional bar code. Therefore, the two-dimensional bar code (user usage specification pattern 15) functions as drug package specification information for specifying the drug package 7. FIG. The two-dimensional bar code (user usage specification pattern 15) is one of the identifiers for specifying the drug package 7. FIG.
Here, "the user and the timing of administration can be specified" means not only the case where the information is directly written in the user usage specification pattern 15, but also the identifier contained in the user usage specification pattern 15 as a key. This includes cases where it is possible to search for information on who is taking the drug and when to take it from other information sources.

The drug package 7 is cut from the drug packaging band 8 and is accommodated in the corresponding drug storage section 3 of the medication calendar 1 by a pharmacist or the like.
As described above, since the medicine containing portion 3 is transparent, when the medicine package 7 is placed in the medicine containing portion 3, the dosing person identification display 11 and the dosing timing identification display 12 are displayed as shown in FIG. 3(b). And the user usage specific pattern 15 (identifier) can be confirmed from the outside.

Next, the drug placement confirmation system 16 of the first embodiment will be described.
The drug placement confirmation system 16 is roughly composed of a mobile terminal 20 and a headquarters device 21 .
The mobile terminal 20 is an electronic terminal that can be carried by a user, such as a mobile computer such as a notebook computer, a smart phone, or a mobile phone. Moreover, accessories may be externally attached to these. For example, a notebook computer, a smart phone, a mobile phone, or the like to which a barcode reader is attached externally may be used as the mobile terminal 20 .
As shown in FIG. 5, the mobile terminal 20 has a built-in or external camera (image capturing means) 18, and has an image capturing function. The mobile terminal 20 also incorporates a computer 22 . A computer 22 incorporated in the mobile terminal 20 incorporates a CPU 23 and a storage means 25 .

A computer program functioning as comparison means 28 is stored in the storage means 25 of the computer 22 of the portable terminal 20 .
That is, it has a function of comparing the information on the layout of the medicine package obtained by the camera (photographing means) 18 with the normal position information obtained from the headquarters device 21 .
The mobile terminal 20 also has communication means 26 and can communicate with the headquarters device 21 through the Internet or the like.

The headquarters device 21 is a device mainly composed of a computer 27 as shown in FIG. The computer 27 of the headquarters device 21 includes a CPU 30 and storage means 31 .
The storage means 31 of the headquarters device 21 functions as medicine package arrangement information storage means 33 .
The medicine package layout information storage means 33 stores information about the layout of the medicine packages 7 correctly accommodated in the corresponding medicine container 3 of the medication calendar 1 as normal position information. That is, in the storage means 31, the normal position information of the drug package 7 when each drug package 7 is correctly accommodated in the corresponding drug container 3 of the drug setting tool (medication calendar 1, etc.) is stored for a plurality of drug setting tools. I remember. In other words, the positional relationship between the medicine setting tool (medication calendar 1, etc.) and the medicine package 7 when each medicine package 7 is correctly accommodated in the medicine setting tool (medication calendar 1, etc.) is stored for a plurality of medicine setting tools. ing.
In other words, the storage unit 31 stores an identifier that identifies the medicine package 7, an identifier of the medicine setting device indicated by the medicine setting device identification display 17, and regular position information in association with each other.

For example, which medicine set tool (medication calendar 1, etc.) is for whom, for which facility, when to be used, and its format and layout are stored in the medicine package arrangement information storage means 33. It is Further, the medicine package arrangement information storage means 33 stores which medicine container 3 contains the medicine package 7 along the prescription.
For example, as shown in FIG. 3, the drug package 7 to be taken in the "monthly morning" is accommodated at the intersection of the "monthly" axis and the "morning" axis, and the drug package 7 to be taken in the "monthly noon" As shown in FIG. 3, it is stored at the position of the intersection of the "moon" axis and the "daytime" axis.
Information (information indicating that the chamber is empty) of the medicine container 3 of the medicine setting device in which the medicine package 7 is not accommodated is also stored.
For example, if there are days when no medicine is taken or times when no medicine is taken (morning, noon, etc.), the information is also stored in the storage means 31 .
According to an embodiment, patient Muramatsu does not take his medication on Friday night. Therefore, as shown in FIG. 3, it is Friday of Muramatsu in the medication calendar 1, and the drug containing portion 3A at the position corresponding to night is vacant.
Information is also stored in the storage means 31 that the drug container 3 at a position corresponding to night on Friday of Muramatsu in the medication calendar 1 is vacant.

In addition, the normal position information of the medicine package 7 when each medicine package 7 is correctly accommodated in the medicine accommodation part 3 includes relative positions such as arrangement of distances and angles between each medicine accommodation part 3 and medicine packages 7. , and the positional relationship with the substrate 2 are also stored. In other words, not only the relative relationship between each drug container 3 and each drug package 7 but also the relative relationship between the substrate 2 and each drug container 3 and each drug package 7 are stored as normal position information.
In other words, not only what kind of matrix each medicine container 3 and each medicine package 7 constitute, but also where each medicine container 3 and each medicine package 7 are located on the base material 2 are stored. ing.

Further, the regular position information may be information in which an identifier for specifying the medicine package 7 is associated with position information of the medicine package 7 when the medicine package 7 is properly accommodated.
The normal positional information indicates the relative positional relationship between the base material 2 and the drug package 7 . Specifically, the predetermined position of the drug package 7 in the drug storage portion 3 from a predetermined position of the base material 2 (for example, one of the four corners of the base material 2) (the position of the drug package 7 is It indicates the vertical and horizontal distances to any of the four corners or the user usage specific pattern 15, etc.). Instead of the predetermined position of the drug package 7, a predetermined position of the drug containing portion 3 where the drug package 7 is to be accommodated (for example, any of the four corners of the drug containing portion 3) may be employed.
The vacant room information is, for example, the vertical and horizontal distances from a predetermined position on the base material 2 to a predetermined position on the medicine containing portion 3 to be the vacant room.

Next, the functions of the drug placement confirmation system 16 of this embodiment will be described along with the usage procedure.
The user carries the medication calendar 1 containing the drug package 7 to the patient's home, hospital, facility, or the like. Here, the user carries a mobile terminal 20. FIG. On the other hand, the headquarters device 21 is placed in a pharmacy.
Then, as shown in FIG. 3(a), the user uses the photographing means 18 of the portable terminal 20 to photograph the medication calendar 1 in which the drug package 7 has already been accommodated.
In principle, the entire medication calendar 1 is photographed from the front as one screen.

When photographing, a predetermined position of the base material 2 is included in the photographing range so that it can be determined whether the positional relationship between the drug package 7 and the base material 2 corresponds to the normal position information.
For example, as shown in FIG. 4A, a rectangular frame 200 is displayed on the monitor screen of the camera (photographing means) 18 of the mobile terminal 20 .
As shown in FIG. 4(b), the shutter is released when each side of the medication calendar 1 substantially matches the frame 200. As shown in FIG. If the image of the medication calendar 1 protrudes from the frame 200 as shown in FIG. 4(c) or if the image of the medication calendar 1 is too small for the frame 200 as shown in FIG. 4(d), an error will occur. .

Then, the computer 22 of the mobile terminal 20 analyzes the two-dimensional barcode of the photographed set tool identification display 17 and identifies the photographed medication calendar 1 by the identifier and identification information included in the two-dimensional barcode. The information is transmitted to the computer 27 of the headquarters device 21 by the communication means 26 of the mobile terminal 20 , received by the communication means 32 of the headquarters device 21 , and input to the computer 27 of the headquarters device 21 .
Alternatively, the two-dimensional barcode information of the photographed setting tool identification display 17 may be directly transmitted to the computer 27 of the headquarters device 21, and the two-dimensional barcode may be analyzed on the headquarters device 21 side.

Then, the computer 27 of the headquarters device 21 identifies the medicine setting device identifier indicated by the medicine setting device identification display obtained by analyzing the two-dimensional bar code, and the medication calendar 1 corresponding to the medicine setting device identification display. The regular position information is read out from the storage means 31 serving as the medicine package arrangement information storage means 33 .
Subsequently, the read regular position information is sent to the computer 22 of the mobile terminal 20 by the communication means 26 and 32 and is temporarily stored in the storage means 25 of the mobile terminal 20 .

Further, the computer 22 of the mobile terminal 20 acquires information on the actual layout of each drug package from the captured image.
Specifically, the captured characters of the patient identification display 11 and the characters of the dosing timing identification display are analyzed, and their arrangement is detected. The arrangement includes the positional relationship between each drug package 7 and each drug container 3 in addition to the relative positions such as the distance and angle between the drug packages 7 . The arrangement includes the positional relationship between each drug package 7 and the substrate 2 . That is, it includes the relationship of where each drug package 7 is located on the base material 2 .

For example, by analyzing the photographed image, the vertical and horizontal distances from a predetermined position (for example, side or corner) of the base material 2 to the position of each drug package 7 are specified. . A predetermined position on the substrate 2 may be marked with a mark or the like so that the computer 22 can identify the position from the captured image.

The position of the drug package 7 referred to here is, for example, the position on the image of the drug package specifying information (user usage specification pattern 15) attached to the drug package 7. FIG.
The computer 22 associates the position of each drug package 7 with the drug package specifying information (identifier) attached to the drug package 7 .
That is, a plurality of photographed drug packages 7 are individually specified by individual drug package specifying information (identifier), and which drug package 7 is located at which position on the base material 2 is specified.

Then, the computer 22 of the mobile terminal 20 compares the actual layout of each drug package obtained from the captured image with the normal position information temporarily stored in the storage means 25 of the mobile terminal 20 .
In particular, the actual layout of each drug package 7 is compared with the positional relationship between each drug package 7 and each drug container 3 in the normal positional information temporarily stored in the storage means 25 of the portable terminal 20 . That is, the position of each drug package 7 on the base material 2 temporarily stored in the storage means 25 of the portable terminal 20 is compared with the actual position of the drug package 7 on the base material 2 .
If the two match, a display indicating that the arrangement of each medicine package 7 is correct is displayed on the portable terminal 20, and if the two are different, a message to that effect is displayed to notify the user.
Specifically, if the photographed position and identifier of each drug package 7 and the position and identifier of the drug package 7 that should be there match, the arrangement of the drug packages 7 is arranged on the mobile terminal 20. A display indicating correctness is performed, and if the two are different, a message to that effect is displayed and the user is notified.
Of course, the criteria for judging that the two match are not limited to the case of perfect match, but a slight deviation is also allowed.
This is because the medicine container 3 is larger than the medicine package 7 and the position of the medicine package 7 is not fixed even if it is contained in the correct medicine container 3 .

When the drug package 7 is detected at or near the position indicated by the vacant room information, it is displayed that the drug package 7 is stored in the drug storage unit 3 that should be vacant.
According to the present embodiment, it is confirmed that each drug package 7 is held by the regular base material 2 (drug setting tool), and that each drug package 7 is correctly accommodated without any error in the accommodation position of each drug package 7. be done.

In the embodiment described above, the computer program functioning as the comparison means 28 was stored in the storage means 25 of the computer 22 of the mobile terminal 20, but it may be stored in the computer 27 of the headquarters apparatus 21 and then retrieved. Alternatively, the process of comparison may be executed by the computer 27 of the headquarters apparatus 21 .

In the above-described embodiment, the two-dimensional bar code of the setting tool identification display 17 is analyzed to identify the photographed medication calendar 1. , and the computer 27 of the headquarters device 21 may read out the regular position information of the medication calendar 1 . Further, information on the medication calendar 1 to be stored directly and the position to be stored may be read out from the user usage specification pattern 15 of the medicine package 7 .

In the above-described first embodiment, the medicine setting tool is the personal medication calendar, which is the first type. can.
FIGS. 6 and 7 show a drug setting device (medication calendar 40) using a second type of daily medication calendar.
The format of the medication calendar 40 is a daily medication calendar for multiple users, with the days of the week on which the medications should be taken in large letters. Further, in the medication calendar 40, the drug storage units 3 are arranged in a matrix formed by the dosing person's name and the dosing timing axis. in position.
The medication calendar 40 also has a set tool identification display 17 identifying the medication calendar 40 at a visible upper left position.
In addition, information specifying which facility the medication calendar 40 is used for is written in the set tool specification display 17 .

In this embodiment as well, the format of the medication calendar 40 and the information specifying the facility to be used can be obtained from the two-dimensional bar code. good too.
Alternatively, the format of the medication calendar 40 may be identified by graphically recognizing the arrangement of patients written on the base material 2, characters such as "Morning" indicating the timing of administration, and the layout thereof.
In this case, the personal names of "Muramatsu", "Hayata", "Arashi", "Fuji", "Ide", "Kirishima", and "Moroboshi" are used as the user identification indication 11 to identify the user, and "Morning", etc., indicating the timing of taking the drug. and the layout function as a dosing timing identification display 12. - 特許庁

FIG. 8 and FIG. 9 show a medicine setting device (medication calendar 41) using a third type of medication calendar for each administration time.
The medication calendar 41 also has a plurality of drug storage units arranged in a matrix. In the dosing calendar 41, the patient's name is written near the medicine containing portion 3, and the medicine containing portion 3 is located at a specific position determined based on the person taking the medicine and the timing of taking the medicine.
The medication calendar 41 also has a set tool identification display 17 that identifies the medication calendar 41 at a visible upper left position.
In addition, information specifying which facility the medication calendar 41 is used for is written in the set tool specification display 17 .

In this embodiment as well, the format of the medication calendar 41 and the information specifying the facility to be used can be obtained from the two-dimensional bar code. good too.

Next, referring to FIG. 2(b) and FIGS. 10 to 12, as a second embodiment, a device that enables the user to visually check whether or not the drug package is in the correct position will be described. do.
In the second embodiment, a drug packaging strip 50 as shown in FIG. 2(b) is used. In the medicine packaging strip 50, the information printing part 10 printed with the prescription information is at the head, followed by the medicine package arrangement information storage means 51, followed by a large number of medicine packages 52. FIG.

The medicine package arrangement information storage means 51 is a pattern having a large number of squares. In the second embodiment, there are 33 squares. Some of these cells correspond to the medicine containing portion 3 . The cells other than the four corners are either blank or filled.
The four filled corners are for allowing the computer 22 to recognize the position of the medicine package arrangement information storage unit 51 from the image of the medication calendar 55 photographed by the photographing means 18 .
The state of cells other than the four corners is ON. It represents OFF. In the second embodiment, blank cells represent ON display, and solid cells represent OFF.
The state of the grid indicates whether or not the drug package 7 is put in the drug containing portion 3, and the filled cells indicate the drug containing portion 3 that should be empty.

The cells 1 to 28 of the medicine package arrangement information storage means 51 indicate whether or not the medicine packages 7 are placed in each of the 28 medicine storage units 3 of the medication calendar 55 . Specifically, the cell 1 of the medicine package arrangement information storage means 51 corresponds to "Month Morning" of the medication calendar 55, and the cell 2 of the medicine package arrangement information storage means 51 corresponds to "Month Noon" of the medication calendar 55. , the cell 27 of the medicine package arrangement information storage means 51 is "day night" of the medication calendar 55, and the cell 28 of the medicine package arrangement information storage means 51 is "daily before going to bed" of the medication calendar 55. This indicates whether or not the drug package 7 is placed in the .

Also, as shown in FIG. 12, the drug package 52 employed in the second embodiment also has the above-described user identification display 11, dosing timing identification display 12, and user usage identification pattern 15 printed thereon.
In the drug package 52 employed in the second embodiment, a drug containing section specifying display 60 and a graphic piece 61 are additionally displayed. A graphic piece 61 is, for example, a part of a specific graphic such as a circle, triangle, or square.
The shape of the graphic piece 61 differs for each drug package 52 .
The graphic piece 61 is desirably printed by the drug packaging device.

The drug storage section designation display 60 is a figure configured by a plurality of cells. In this embodiment, the grid is 9 squares.
In this embodiment, there are blank cells and filled cells. The squares display binary numbers. Binary numbers are represented by filled cells and blank cells. The medicine containing portion designation display 60 differs for each medicine package 7 .

A medication calendar (medicine set tool) 55 shown in FIGS. 10 and 11 is a first type personal medication calendar, and has the same configuration as the previous embodiment.
The medication calendar 55 employed in the second embodiment additionally has a placement information placement pocket 57 .
A graphic piece 63 is displayed in each drug container 3 as shown in FIG. The graphic piece 63 is a part of a specific graphic such as a circle, triangle, square, or the like.
When the correct drug package 52 is inserted, the graphic piece 63 of each drug containing portion 3 matches the pattern and forms a specific shape as shown in FIG. 12(b).

In the vicinity of each drug container 3, a drug container specific display 65 is provided. The figure of the drug containing portion specifying display 65 is the same as the drug containing portion specifying display 60 of the drug package 52 . Therefore, the medicine containing portion identification display 65 differs for each medicine containing portion 3 .
The medicine containing portion specifying indication 65 of each medicine containing portion 3 is the same as the medicine containing portion designation indication 60 of the medicine package 52 inserted therein.

In the second embodiment, the medicine package arrangement information storage means 51 is cut off and inserted into the arrangement information installation pocket 57 of the medication calendar 55 . The arrangement information setting pocket 57 is transparent, and the medicine package arrangement information storage means 51 can be visually recognized from the outside.
The drug package 52 is inserted into the corresponding drug container 3 . Here, when the drug package 52 is placed in the drug containing portion 3 that truly corresponds, the graphic piece 61 of the drug package 52 and the graphic piece 63 of each drug containing portion 3 combine to form a specific shape.
In addition, since the figure of the medicine containing portion specifying display 60 of the medicine package 52 and the figure of the medicine containing portion specifying display 65 of each medicine containing portion 3 are the same, it is easy to understand the mistake.

In the second embodiment, similarly to the first embodiment, the photographing means 18 of the portable terminal 20 is used to photograph the medication calendar 55 in which the drug package 52 has been accommodated, and the comparison means 28 acquires the image from the headquarters device 21. It is determined whether or not the position of the drug package 52 is correct by comparing the obtained regular position information.
In the second embodiment, in addition to the determination method described above, the figure of the medicine package arrangement information storage means 51 is recognized, and it is confirmed that there is no medicine package 52 in the medicine container 3 which should be in an empty state.
That is, the camera (photographing means) 18 of the mobile terminal 20 is used to photograph the medication calendar 55 with the drug package 52 attached. By photographing, the graphic of the medicine package arrangement information storage means 51 is recognized, and the medicine containing portion 3 that should be in an empty state is confirmed.
Then, by referring to the actual layout information of each medicine package 52 obtained from the photographed image, it is confirmed whether or not there is any medicine package 52 in the medicine containing section 3 which should be in an empty state.
If there is a drug package 52 in the drug containing section 3 which should be in an empty state, some kind of error display is made to notify.

Specifically, the camera (photographing means) 18 of the mobile terminal 20 is used to photograph the medication calendar 55 with the medicine package 52 attached. Here, predetermined positions of the drug arrangement information storage means 51 and the base material 2 are included in the photographing range.
The portable terminal 20 recognizes the figure of the medicine package arrangement information storage means 51 by photographing, and confirms the medicine containing portion 3 that should be in an empty state and the medicine containing portion 3 that should contain the medicine package 7 . The positional relationship between each medicine containing portion specific display 65 near each medicine containing portion 3 and a predetermined position of the substrate 2 is stored in advance in the storage means 25 .
Based on the positional relationship, the mobile terminal 20 identifies the position of the medicine containing portion identification display 65 attached near the medicine containing portion 3 in which the medicine package 7 is to be contained on the captured image. The portable terminal 20 determines whether or not there is a medicine container specifying display 60 having a shape corresponding to the specified medicine container specifying display 65 in the vicinity of each specified medicine container specifying display 65 on the captured image.
If there is a drug containing portion specification display 60 having a shape corresponding to the specified display 65 in the vicinity of each identified medicine containing portion specific display 65, the portable terminal 20 determines that the medicine package is correctly contained. For example, it notifies that the drug package is not properly accommodated.
In addition, the mobile terminal 20 identifies the position of the medicine containing portion identifying display 65 attached near the medicine containing portion 3 that should be in an empty state. The portable terminal 20 notifies an error if there is any medicine container specification indication 60 near each specified medicine container specification indication 65 on the captured image.

Further, the computer 22 of the mobile terminal 20 analyzes the photographed image and compares the graphics of the medicine containing portion designation display 60 of each medicine package 52 with the graphics of the medicine containing portion designation display 65 of each medicine containing portion 3 . If the two are not the same, some kind of error is displayed.

In the second embodiment, information on the actual layout of each medicine package 52 obtained by photography is compared with normal position information acquired from the headquarters device 21 to determine whether or not the position of the medicine package 52 is correct. The layout comparison confirmation and the individual confirmation of comparing the figure of the drug containing portion specifying display 60 of each medicine package 52 and the figure of the medicine containing portion specifying display 65 of each medicine containing portion 3 are used together.
However, even if only individual confirmation is performed by comparing the graphics of the drug containing portion designation display 60 of each drug package 52 and the graphics of the drug containing portion specifying display 65 of each drug containing portion 3, there is a considerable probability that the drug Misplacement of packages 52 can be detected.
In addition, only by confirming the empty room based on the graphic recognition of the medicine package arrangement information storage means 51 and the information of the actual layout of each medicine package 52 obtained from the photographed image, it is possible to insert the wrong medicine package 52 with a considerable probability. can be detected.

In the first embodiment and the second embodiment described above, the two-dimensional bar code (user usage specification pattern 15) as the drug package specification information of the drug package 7 is written with information specifying the dosing person and the dosing timing. However, in addition to this, it is also recommended to write medicine package/setting device related information related to the relationship between the medicine package 7 and the medication calendars 1, 40, 41, 55 that should hold it (third embodiment).
For example, information specifying the medication calendar 1 holding each drug package 7 is directly written in the two-dimensional bar code (user usage specification pattern 15) of the drug package 7 as the medicine package/set tool related information. Specifically, information is written that can specify the format of the medication calendar 1 in which each drug package 7 is to be held, and who the medication calendar 1 is for and when it will be used. . Alternatively, the information may be information that has a serial number or code on the medication calendar 1 and allows the user to directly know the number or code of the medication calendar 1 in which each drug package 7 should be held. In short, the two-dimensional bar code of the drug package 7 is written with the drug package/setting device-related information that can lead to the medication calendar 1 in which the drug package 7 is to be held.

Furthermore, set position related information related to the position of the drug package 7 to be held in the medication calendars 1, 40, 41, 55 is also directly written in the two-dimensional bar code (user usage specific pattern 15) of the drug package 7. may
For example, among the information corresponding to the regular position information stored in the medicine package arrangement information storage means 33, the information on the position where the medicine package should be accommodated is written in the two-dimensional bar code (user usage specific pattern 15). is
For example, at which position of the base material 2 the drug package 7 is held, for example, how far the drug package 7 is held from a plurality of reference positions such as the upper side and the side side of the base material 2 is determined. written in a two-dimensional barcode.
Of course, the medicine package/setting device related information and setting position related information may be written in bar codes, codes, characters, etc., other than the user usage specific pattern 15 .

According to this configuration (third embodiment), it is possible to directly determine whether or not the drug package 7 is correctly accommodated in the medication calendar 1, 40, 41, 55 without relying on the drug package arrangement information storage means 33 of the headquarters device 21. can be confirmed.

Also in the third embodiment, the user uses the photographing means 18 of the portable terminal 20 to photograph the medication calendars 1, 40, 41, 55, etc. in which the drug packages 7 have been accommodated. The photographing method is the same as in the case described above, and the shutter is released in a state in which each side of the medication calendar 1 substantially coincides with the frame 200 as shown in FIG. 4(b). Alternatively, when photographing, a predetermined reference position of the base material 2 is included in the photographing range so that it can be determined whether the positional relationship between the drug package 7 and the base material 2 corresponds to the normal position information. include.
For example, the medication calendar 1 contains a large number of drug packages 7 , and the photographing means 18 photographs the large number of drug packages 7 .
In the third embodiment, the photographed two-dimensional barcode of each medicine package 7 is individually analyzed, and the information specifying the medication calendar contained in the medicine package/set device related information of each medicine package 7 is used to identify the medicine package. Identify the medication calendar that should contain 7.
On the other hand, the medication calendar that actually accommodates the medicine package 7 is specified from the set tool identification display 17 of the medication calendar being photographed. Then, by comparing both, it is determined whether or not each drug package 7 is contained in the correct dosing calendar.

Furthermore, in the third embodiment, the photographed two-dimensional barcode of each drug package 7 is individually analyzed to specify the position of the drug package 7 to be held in the medication calendar 1 .
On the other hand, the position of the medicine package 7 with respect to the base material 2 is detected from the photographed image. Then, by comparing both, it is determined whether or not each drug package 7 is accommodated in the correct position.

In the third embodiment, the medicine package/setting device related information and the setting position related information are attached to the drug package 7, and the medicine package/setting device related information is attached to the drug setting device 1, which should hold the drug package 7. 40, 41, 55, and the setting position-related information includes information on the positions of the drug packages to be held in the drug setting tools 1, 40, 41, 55.

In the third embodiment, since the drug package specifying information is not used to determine whether the drug package 7 is contained in the correct drug container 3 of the correct medication calendar 1, the user usage specific pattern 15 includes the drug Package specific information need not be included.

The medicine package/setting tool-related information relating to the relationship between the medicine package 7 and the medication calendars 1, 40, 41, 55 to hold it may be attached to the medication calendar 1 side. That is, information indicating which drug package 7 should be held by the medication calendar 1, 40, 41, 55 may be attached to any portion of the medication calendar 1. FIG. For example, it may be written in the two-dimensional bar code of the setting tool identification display 17 (fourth embodiment).
Setting position related information related to the position of the drug package 7 may also be attached to the medication calendar 1 side.

In other words, which drug package 7 is held at which position of the dosing calendar 1, 40, 41, 55 may be attached to any portion of the dosing calendar 1. FIG. As specific information, information in which medicine packaging identification information and position information are associated may be attached to any part of the medication calendar 1 . For example, it may be written in the two-dimensional barcode of the setting tool identification display 17 .
When the medicine package/setting tool related information and set position related information are attached to the medication calendar 1 side, each medicine package 7 is accommodated in the correct position by collating with the medicine package specific information provided on the medicine package 7. Determine whether or not
In this case, it is not necessary to add setting tool specific information to the medication calendar. Furthermore, the medicine package/setting device related information may not include information specifying the medication calendar to which the medicine package/setting device related information is attached. At least, the information specifying the medicine package 7 to be accommodated in the medication calendar should be included in the medicine package/setting tool related information.

In the fourth embodiment, the medicine package/setting device related information and the setting position related information are attached to the medication calendars 1, 40, 41, and 55, and the medicine package/setting device related information is attached to the medication calendars 1, 40, 55, and 55. 41, 55 includes information specifying the drug package 7 to be held, and the setting position related information includes information on the position of the drug package to be held in the drug setting tool 1, 40, 41, 55. be.

One of the medicine package/setting tool related information and the setting position related information may be attached to the medication calendar 1, 40, 41, 55, and the other may be attached to the medicine package 7 side.

Also, the headquarters device 21 may be utilized as in the first embodiment.
The medicine placement confirmation system of the fifth embodiment makes it easier to write the medicine package/setting tool related information on the two-dimensional bar code of the medicine package 7, for example, and retrieves the medicine package/setting tool related information of the medicine package 7. As a key, the corresponding medication calendar is specified from the medicine package arrangement information storage means 33 of the headquarters device 21 .
On the other hand, the medication calendar that actually accommodates the medicine package 7 is specified from the set tool identification display 17 of the medication calendar being photographed. Then, by comparing both, it is determined whether or not each drug package 7 is contained in the correct dosing calendar.

Furthermore, the setting position-related information to be written in the two-dimensional bar code or the like of the medicine package 7 is simplified, and the base material 2 of the medicine package 7 is retrieved from the medicine package arrangement information storage means 33 of the headquarters device 21 using the setting position-related information as a search key. Read the position relative to
On the other hand, the position of the medicine package 7 with respect to the base material 2 is detected from the photographed image. Then, by comparing both, it is determined whether or not each drug package 7 is accommodated in the correct position.

The medicine arrangement confirmation system of the fifth embodiment has a medicine package arrangement information storage means 33, and the medicine package 7 and the medicine setting tools 1, 40, 41, 41, 41, 41, 41, 41, 41, 41, 41, 41, 41, 41, 41, 41, 41, 41, 41, 41, 41, 41, and 41 in which the medicine packages 7 are held in the medicine package arrangement information storage means 33. 55 combination information and the relative positions of the medicine packages 7 held by the medicine setting tools 1, 40, 41, 55 and the medicine setting tools 1, 40, 41, 55 are stored.
In the fifth embodiment, the medicine package/setting tool related information and the setting position related information are attached to the medicine package 7, and based on the medicine package/setting tool related information and the setting position related information, the medicine package arrangement information storage means It is a drug placement confirmation system in which information is read from 33.
In the fifth embodiment, the medicine package/setting device related information and the setting position related information are attached to the medicine package 7, and the medicine package arrangement information is stored based on the medicine package/setting device related information and the setting position related information. It is a drug placement confirmation system in which information is read out from means 33 .
Further, it can be said that the fifth embodiment determines whether or not each drug package 7 is housed in the correct position based on the setting tool identification display and the drug package identification information.

In addition, as in the first embodiment, the headquarters device 21 may be used to attach the medicine package/setting tool related information and setting position related information to the medication calendar 1 side (sixth embodiment).
For example, the medicine package/set tool related information written in the two-dimensional bar code of the medication calendar 1 is made simpler, and the medicine package/set tool related information of the medication calendar 1 is used as a search key to store the medicine package layout information in the headquarters device 21. The drug package 7 to be held is specified from the means 33 .

Furthermore, setting position-related information to be written in a two-dimensional bar code or the like of the medication calendar 1 is made simpler, and the base material 2 of the drug package 7 is retrieved from the medicine package arrangement information storage means 33 of the headquarters device 21 using the setting position-related information as a search key. Read the position relative to
On the other hand, the position of the medicine package 7 with respect to the base material 2 is detected from the photographed image. Then, by comparing both, it is determined whether or not each drug package 7 is accommodated in the correct position.

In the sixth embodiment, there is also a medicine package arrangement information storage means 33, and combination information of medicine packages and medicine setting tools 1, 40, 41, 55 in which the medicine packages are held in the medicine package arrangement information storage means 33; The relative positions of the medicine packages 7 held by the setting tools 1, 40, 41, 55 and the medicine setting tools 1, 40, 41, 55 are stored.
In the sixth embodiment, the medicine package/setting device related information and the setting position related information are attached to the medicine setting devices 1, 40, 41, and 55, and based on the medicine package/setting device related information and the setting position related information It is a drug placement confirmation system in which information is read out from the drug package placement information storage means 33. FIG.

Even when the headquarters device 21 is utilized, either one of the medicine package/setting device related information and the setting position related information is attached to the medication calendars 1, 40, 41, and 55, and the other is attached to the medicine package 7 side. good too.
Also, either one of the medicine package/setting device related information and the setting position related information may be simple.

Further, the drug package 7 and the medication calendar 1 are not provided with the drug package/setting tool related information and the setting position related information, and the drug package 7 is simply provided with the drug package specifying information for specifying each drug package 7. The medication calendar 1 may be provided with a set tool identification display 17, and necessary information may be read from the medicine package arrangement information storage means 33 using these as search keys (seventh embodiment).

For example, using the identifier of the drug package 7 read from the two-dimensional bar code, which is the drug package specific information of each drug package 7 and the user usage specific pattern 15, as a search key, the drug package arrangement information storage means 33 of the headquarters device 21 is used to retrieve the drug. Read out package/setting tool related information and setting position related information.
Alternatively, in the medication calendar 1, an identifier indicating a specific medication calendar 1 read from a two-dimensional bar code, which is the setting tool identification display 17, is used as a search key, and the medicine package arrangement information storage means 33 of the headquarters device 21 is used. Read setting tool related information and setting position related information.

In the seventh embodiment, for example, each drug package 7 may be provided with drug package specifying information, which is an identifier for simply specifying each drug package 7 . In the seventh embodiment, the identifier of each medicine package 7 is read by photographing by the photographing means 18 . Since the medicine package 7 is specified by the identifier, the medication calendar 1 to hold the medicine package 7 corresponding to the identifier is specified from the medicine package arrangement information storage means 33 for each photographed medicine package 7. Information (regular position information) regarding the layout of the state in which each medicine package 7 is correctly contained in the corresponding medicine container 3 of the calendar 1 is obtained from the medicine package layout information storage means 33 .
The medication calendar 1 also has a setting device identification display 17 as an identifier of the medicine setting device. In the seventh embodiment, the medication calendar 1 specified for each medication package 7 is compared with the set tool specification display 17 of the photographed medication calendar to confirm the relationship between the medication package 7 and the medication calendar 1 .
Furthermore, the actual layout of each drug package obtained from the photographed image is compared with the normal position information acquired from the drug package arrangement information storage means 33 to determine whether each drug package 7 is accommodated in the correct position. determine whether or not

In the seventh embodiment, the medicine package specifying information for specifying the medicine package 7 is attached to the visible position of the medicine package 7, and the medicine setting tool 1, 40, 41, 55 has the medicine at the visible position. A setting tool identification display 17 including information for specifying the setting tools 1, 40, 41, 55 is attached.
The seventh embodiment also has a medicine package arrangement information storage means 33, and the combination information of the medicine package 7 and the medicine setting tools 1, 40, 41, 55 holding the medicine package 7 in the medicine package arrangement information storage means 33, The relative positions of the medicine packages 7 held by the medicine setting tools 1, 40, 41, 55 and the medicine setting tools 1, 40, 41, 55 are stored.
In the seventh embodiment, the state in which each medicine package 7 is accommodated in the medicine container 3 of the medicine setting tool 1, 40, 41, 55 can be photographed by the photographing means 18, and the photographed medicine package specifying information, Information is read out from the medicine package arrangement information storage means 33 based on the setting tool identification display 17, and is stored in the photographed medicine setting tools 1, 40, 41, 55 in comparison with the photographed position of the medicine package 7. It is a drug placement confirmation system that determines whether or not each drug package 7 is correctly housed in a position corresponding to the proper doser of the drug setting device and the timing of taking the drug.

Either one of the medicine package/setting device related information and the setting position related information is obtained by using the identifier of the setting device specific display 17 attached to the medication calendars 1, 40, 41, and 55 as a search key to locate the drug package in the headquarters device 21. The information may be read from the information storage means 33, and the other may be read from the medicine package arrangement information storage means 33 of the headquarters device 21 using the medicine package specifying information (for example, an identifier) of the medicine package 7 as a search key (eighth embodiment). form).

In the above-described first to eighth embodiments, the setting tool identification display 17 and the medicine package/setting tool related information are used to associate the medication calendar 1, etc., with the drug package 7, etc. attached thereto. As a measure, the setting tool identification display 17 and the medicine package/set tool related information are eliminated, and only the setting position related information is used to determine whether or not the medicine package 7 is properly housed in the proper position. good too.
As a method for checking whether the drug package 7 is contained in the correct drug container 3, there is the following method (ninth embodiment).
In the ninth embodiment, the setting position related information is provided on the medicine package 7 side. The setting position related information indicates at which position of the base material 2 the drug package 7 is held, for example, how far away the drug package 7 is from a plurality of reference positions such as the upper side and the side side of the base material 2 . This is location information indicating whether or not to be held.

The setting position-related information is not limited to position information, and may be, for example, information that specifically specifies the medicine container 3 such as the medication calendar 1 . For example, like the drug packages 7 in a-1 and a-2 of FIG. letters or symbols that mean Here, "second line number 2" or "2:2" means the second line from the top of the medication calendar and the second column from the left. For example, in the medication calendar 1 in FIG. It shows a medicine container 3 in which a daytime medicine package 7 is housed. Also, in the case of a medication calendar 40 for a large number of people as shown in FIG. 6, it shows the drug storage section 3 in which the drug package 7 that Hayata takes at noon is stored. Similarly, the drug administration calendar 41 of FIG. 8 shows the drug storage section 3 in which the drug package 7 to be taken by Yamamoto is stored.

Since it is sufficient for the setting position related information 70 to specify the medicine containing portion 3, for example, numbers as shown in FIGS. 14(b-1) and (b-2) may be used. The number is a number indicating the position when the medicine containing portion 3 of the medication calendar is numbered in order, for example.
For example, the setting position related information 70 is No. 6, which indicates the medicine containing section 3 in which the medicine package 7 for Tuesday afternoon is contained in the medication calendar 1 of FIG. 1, for example. Also, in the case of a medication calendar 40 for a large number of people as shown in FIG. 6, it shows the drug storage section 3 in which the drug package 7 that Hayata takes at noon is stored.
The setting position related information 70 may be a bar code, for example, as shown in FIG. 14c. Also, characters such as "Tuesday morning" may be set position related information.

Also in the ninth embodiment, the photographing means 18 of the mobile terminal 20 is used to photograph the medication calendar 1 in which the drug package 7 has been accommodated.
Then, information on the actual layout of each drug package is acquired from the captured video. Then, it is confirmed whether or not each drug package 7 is positioned as indicated by the setting position related information 70 .
In the ninth embodiment, it is not possible to determine whether the medication calendar is appropriate, but it is possible to determine whether the drug package 7 is in the correct position.

In the ninth embodiment, setting position-related information 70 related to the position of the drug package 7 to be held in the drug setting tool 1 is attached to a visible position of the drug package 7, and each drug package is detected by the photographing means. 7 stored in the medicine container 3 of the medicine setting tool 1, and the photographed setting position related information 70 and the photographed position of the medicine package held in the photographed medicine setting tool 1. It is a medicine placement confirmation system that determines whether or not each medicine package 7 that has been placed is correctly accommodated in the medicine setting tool 1 .

In the first to ninth embodiments described above, the whole medication calendar 1 is photographed as one screen, but the medication calendar 1 may be divided into areas and photographed. For example, each row or each column may be photographed in turn. Alternatively, an image may be taken for each medicine container. For example, as shown by the arrow in FIG. 13, the photographing proceeds in a zigzag pattern.
In any case, images are taken in a preset order and compared with the regular position information acquired from the headquarters device 21 in accordance with the preset order.

1, 40, 41, 55 medication calendar (medicine set tool)
3 Medicine containing parts 7, 52 Medicine packaging 11 Dosing person identification display 12 Dosing timing identification display 15 User usage identification pattern 16 Medicine arrangement confirmation system 17 Set tool identification display 18 Camera (photographing means)
20 Mobile terminal 21 Headquarters device 22 Computer 27 Computer 28 Comparing means 51 Medication package arrangement information storage means 57 Arrangement information setting pocket 60 Drug storage section specification display 61 Graphical piece 63 Graphical piece 65 Drug storage section specific display 70 Set position related information

Claims (3)

having a medicine setting tool holding a plurality of medicine packages, an imaging means, and a computer,
In the drug package, a drug to be taken by a specific patient is packaged for each dose,
The drug setting device has a plurality of drug storage units, and the plurality of drug storage units are distributed in a plane, and hold drug packages corresponding to the dosing person and the dosing timing corresponding to the drug storage units. ,
The drug package is attached with setting position related information related to the position of the drug package to be held in the drug setting tool,
At least one of the medicine setting tool and the medicine package has a medicine package/setting tool-related information related to the relationship between the medicine package and the medicine setting tool to hold it, attached to a visible position ,
The state in which each medicine package is accommodated in the medicine container of the medicine setting tool can be photographed by the photographing means. A medicine placement confirmation system, wherein the computer determines whether or not each medicine package held in a photographed medicine setting tool is correctly housed in the medicine setting tool according to the position of the package. The setting position-related information is any of the following, and information on the actual layout of the plurality of drug storage units is acquired from the captured image, and whether each drug package is positioned according to the setting position-related information 2. The drug placement confirmation system according to claim 1, wherein it is determined whether or not.
(1) Information indicating how far the medicine package is held from a predetermined reference position of the medicine setting tool.
(2) Information indicating a specific position in the matrix in which the drug storage units of the drug setting device are arranged in a matrix.
(3) Information indicating the order of the drug storage units in the drug setting tool. A medicine placement confirmation program stored at least in part in a terminal equipped with a photographing means and a computer, and confirming the arrangement of medicine packages with respect to a medicine setting tool in cooperation with the terminal alone or with another computer,
In the drug package, a drug to be taken by a specific patient is packaged for each dose,
The drug setting device has a plurality of drug storage units, and the plurality of drug storage units are distributed in a plane, and hold drug packages corresponding to the dosing person and the dosing timing corresponding to the drug storage units. ,
At least one of the medicine setting tool and the medicine package is provided with medicine package/setting tool-related information related to the relationship between the medicine package and the medicine setting tool to be held, and information held by the medicine setting tool. set position-related information related to the position of the drug packaging to be placed is attached,
The state in which each medicine package is accommodated in the medicine container of the medicine setting tool can be photographed by the photographing means, and the photographed medicine package/setting tool related information, the set position related information, and the position of the photographed medicine package. A medicine arrangement confirmation program characterized by determining whether or not each medicine package held in a medicine setting tool imaged by is correctly accommodated in the medicine setting tool.

Images