TWI749621B - Medication reminding and reporting system and method - Google Patents

Abstract

Medication reminding and reporting system and method are disclosed. A server can capture the medical and case history from a medical database, such as hospital or clinic. Then a medication reminding is generated through the data handling system, including the outward, the size, and the amount of the medicine, so that the user device(the patient) will be requested to send the report of taking medicine in an instant communication group. According to the information of the medicine and the report, such as the time for taking medicine, the server will remind the patient to measure his/her physical state. To avoid the incorrect filling, the server will request the patient to send the image of measurement to determine whether the data is abnormal. In addition, based on the report from the patient, the server will determine to send the reminder again or not. This disclosure based on the instant communication skill can send an easily-read reminder at the appropriate moment, so that the patient will not take the wrong medicine or forget to take the medicine. Moreover, the telemedicine for health and care can catch the medication information and physical state immediately.

Description

Medication reminding and reporting system and its implementation method

The present invention relates to cloud computing, image recognition and instant communication technology, in particular to a method that can send physiological measurement reminders in an instant messaging group based on drug information (such as site of action, duration of action), medical history information, medication frequency, and medication time , And easy-to-read medication reminders, and allow the medical end (or care end) to contact the patient in the instant messaging group, and grasp the patient's medication progress and physiological status after medication "medication reminder and report System and its implementation method".

With the vigorous development of medical technology, people’s health and longevity are also guaranteed, and the aging population structure and the demand for long-term care have increased significantly. Tele-home care (THC) has become a major development direction in recent years. Also because of a variety of wired and wireless transmission communications and various portable testing tools, people can manage their health and diseases independently even at home, eliminating the time spent on boats and cars, and reducing the burden on patients. However, Due to the wide variety of medicines nowadays, patients (especially the elderly) are faced with a variety of medicines. If they are not carefully observed to distinguish them, they may take the wrong medicine. At the same time, older patients may forget to take the medicine. , And may cause the disease to aggravate; in addition, for many chronic diseases that require long-term observation and care, such as high blood pressure, diabetes, etc., it is necessary to observe the patient’s physiological condition after medication to ensure the patient’s condition or physical condition Be properly controlled. In addition, drugs often have many side effects, such as drowsiness, loss of appetite, low mood, etc. Therefore, in addition to objective physiological data information, the subjective feelings of patients are also the key to assessing patients' physical and mental health and even adjusting medications. 1. In addition, because patients with multiple chronic diseases often need to see different departments and receive drugs multiple times and often take multiple drugs, but this may cause drug interactions and treatment contraindications, which will affect the safety of medication and endanger the health of patients. Therefore, how to propose a "medication reminder and report system and its implementation method" that can remind patients of correct medication at an appropriate time, remind patients to measure physiological information after medication, establish an instant communication channel between patients and caregiver/medical end, and avoid repeated medications , Is still a problem to be solved.

In order to achieve the above-mentioned purpose, the inventor of the present invention proposes a medication reminder and report system based on years of experience in research in related fields, including a medical database, a user device, and the user device and medical data A management server connected to the library communication; the medical database stores a medical information including a drug information and a medical record information; the user-end device has a camera unit and an instant communication module for creation An instant messaging group including a reporting unit, the reporting unit is used to generate a medication report result based on a medication reminder, and it is also used to generate a physiological measurement result image based on a physiological measurement reminder; the camera unit is used for an instant messaging model The group is driven to take images of physiological measurement results; the management server has an analysis and processing module, and another reminder unit is connected to the analysis and processing module information; the analysis and processing module is used to generate patient-based information based on drug information and medical record information The medication reminder is systematically analyzed, and the reminder unit is sent to the instant messaging group, and the medication reminder contains at least one medication appearance information and one medication quantity information; the analysis processing module is also provided based on the medication report results and the corresponding medication information An action site, an action time, and an indication generate a physiological measurement reminder, and send the reminder unit to the instant messaging group; the analysis processing module is also used to identify the physiological measurement result image to analyze a physiological measurement Result data, and determine whether the result of the physiological measurement result data is abnormal; the analysis and processing module is also used to determine whether the medication report result and the physiological measurement result image are received, and whether it is necessary to send a reminder again.

In order to enable your reviewer to have a clear understanding of the purpose, technical features and effects of the present invention after its implementation, the following descriptions and illustrations are used for explanation, please refer to them.

Please refer to "Figure 1", which is a schematic diagram of the system composition of the present invention. Please also refer to the information flow diagram of "Figure 2". Or a management server 13 to which a plurality of medical-end databases 11 and a user-end device 12 are communicatively connected. The following examples illustrate the functions of each component: (1) The medical-end database 11 can be, for example, an external database installed in various hospitals, clinics, and/or pharmacies; preferably, the medical-end database 11 can also store and associate with the user-side device 12 A health insurance card information (the health insurance card information can be marked with prescriptions from other hospitals or clinics), a health passbook information (which can be retrieved from the database of the Central Health Insurance Agency of the Ministry of Health and Welfare, for example, and the health passbook information can The uploaded information) and the information entered by the owner (patient) of the user-end device 12, which stores medical information. The medical information may further include drug information and medical record information. The drug information may, for example, It is a prescription drug information (applicable to medications such as heart disease, high blood pressure, diabetes, and antibiotics) issued by the same hospital, or by another hospital or other clinic, and the prescription drug information includes at least one medication period; the medical record information may include one Medical certificate, integrated examination form, and a medical record table prepared by the doctor when performing the business. Preferably, the drug information can also store a Chinese medicine information and an instruction of the drug received by the patient from other medical terminals (such as pharmacies, clinics) Drug information (applicable to gastrointestinal medications, general cold medicines, etc.), information on the pre-prepared drugs received by patients from other drugstores and pharmacies, and information on health foods; (2) The user terminal device 12 has a camera unit 121 and an instant communication module 122. The instant communication module 122 enables an instant communication software (such as WeChat, Line, Facebook Messenger, WhatsApp, Telegram, Instagram, Skype, Facetime, iMessage, etc.) run on the user-side device 12, and the instant messaging module 122 can be used to create an instant messaging group 1221 including a reporting unit 1222. The reporting unit 1222 can generate a medication report based on a medication reminder R1 As a result, R1-F can also generate a physiological measurement result image R2-F based on a physiological measurement reminder R2; the camera unit 121 can be driven by the instant communication module 122 to capture the physiological measurement result image R2-F; (3) The management server 13 has an analysis processing module 131, and another reminder unit 132, a storage unit 133, and an instant communication management module 134 are respectively connected to the analysis processing module 131; the analysis processing module 131 can Based on the drug information and medical record information, a medication reminder R1 is generated and analyzed with the patient as the main body, and the reminder unit 132 is sent to the instant messaging group 1221, and the medication reminder R1 includes at least one medication appearance information and one medication quantity information. Preferably, the medication reminder R1 can further include one or a combination of a drug name information, a medication size information, a medication dosage information, and a medication frequency information. In addition, the medication reminder R1 can include pictures and text in addition to the form of expression. The instant communication management module 134 can also drive a text-to-speech output unit (not shown in the figure, which runs on the instant communication management module 134) to output the information contained in the aforementioned medication reminder R1 as a voice message IM group 1221, and the language type of the voice message is not limited to Chinese or English; (4) In addition, the analysis and processing module 131 can also generate an integrated analysis of the physiology with the patient as the main body based on the medication report results R1-F, and an action site, an action time, and an indication corresponding to the drug information. Measure the reminder R2, and send the reminder unit 132 to the instant messaging group 1221, where the analysis processing module 131 can be based on the drug information (if it is prescription drug information, it usually contains a drug order code that can be compared ATC (Anatomical Therapeutic Chemical) classification code, DDD (Defined Daily Dose) classification code, or AHFS (American Hospital Formulary Service, also called AHFS/DI) classification code corresponding to a drug component, a main diagnostic name and other information) From a reference table of drug classification codes stored in the storage unit 133, the indications, sites of action, dosage forms, ingredients and other information of the drugs to be taken are compared. Government information open platform; (5) In addition, the analysis processing module 131 can also perform an image analysis on the physiological measurement result image R2-F to identify/parse a physiological measurement result data and determine whether the result of the physiological measurement result data is Abnormal (that is, whether it exceeds or falls below a standard value). In addition, it should be understood that the aforementioned image analysis may include an image preprocessing procedure (for example, by performing binarization operations, erosion algorithms, and dilation algorithms). ), opening algorithm (opening), closing algorithm (closing) and other methods to eliminate noise or enhance image details), a feature extraction process (such as identifying features such as appearance, contour, contour, etc.), an image block segmentation process (Region Segmentation) and other image analysis and processing operations to identify the image characteristics of the physiological measurement data from the physiological measurement result image R2-F; preferably, the analysis processing module 131 may also be based on a deep learning stored in the storage unit 133 ( Deep Learning) model, or a machine learning (Machine Learning) model, continuously collects a large number of physiological measurement result images R2-F from the user-side device 12, thereby enhancing the accuracy of the aforementioned image analysis procedures such as image preprocessing and feature extraction In order to identify more accurate physiological measurement data; the analysis and processing module 131 can also pre-send a prescription image (not shown in the figure) sent by the user-side device 12 to the instant messaging group 1221, and execute the aforementioned Image analysis, and analyze the aforementioned drug information (i.e. prescription drug information); (6) In addition, the analysis and processing module 131 can also determine whether the user-side device 12 has completed the report in the instant messaging group 1221 within a preset time interval (that is, determine whether the report unit 1222 has received the medication report result R1 -F, and the physiological measurement result image R2-F) to determine whether the reminder unit 132 needs to send a reminder to the instant messaging group 1221 again; (7) The storage unit 133 mainly stores multiple pieces of drug information and medical record information that the management server 13 regularly or irregularly retrieves from the medical end database 11, and each piece of medical record information contains one or more pieces of drug information. The medical record information is also set to be associated with at least one identification information of the user terminal device 12, where the aforementioned identification information can be, for example, one of a patient’s ID number, a birthday, and a patient’s name, or any combination thereof, except The aforementioned information, the identification information may further include the user ID bound to the instant messaging module 122 on the client device 12, or the group user ID bound to the instant messaging group 1221, or/and the mobile phone number, but the above is only For example, all are not limited to this; (8) In addition, the storage unit 133 can also store the data of other Internet of Things devices (IoT Device, such as smart watches, treadmills, flywheels, smart beds, etc.) that are communicatively connected with the user-side device 12 to obtain data such as patients Running calorie consumption, running distance, running heart rate, running heartbeat, walking steps, walking distance, walking heart rhythm, walking heartbeat, walking calorie consumption, number of stairs climbing, heart rhythm while climbing stairs, heartbeat while climbing stairs, Calorie consumption, swimming time, heart rhythm during swimming, heartbeat during swimming, swimming distance, swimming calorie consumption, sleep time and other information when climbing stairs can be used as a medical end to prescribe medication, or before prescribing medication, or to analyze medication survey results ( Figure 6 illustrates its meaning) as one of the evaluation basis; (9) The instant messaging management module 134 can, for example, create the official LINE account of the instant messaging group 1221, create the official WeChat account of the instant messaging group 1221, or create the official Telegram account of the instant messaging group 1221, and manage the server 13 Through a communication network (which can be a public or private network, such as a wireless network (such as 3G, 4G LTE, Wi-Fi), wired network, local area network (LAN), wide area network (WAN), etc.), The instant communication management module 134 can be executed to realize the function of instant communication with the user-end device 12, but the above is only an example and not limited thereto.

Please continue to refer to "Figure 1" to "Figure 2". Preferably, the aforementioned medical information may further include a medication history information continuously returned from the user-side device 12, and the medication history information may be based on previous The medication reminder R1 and the medication report result R1-F are generated, and/or based on the previous physiological measurement reminder R2 and the physiological measurement result image R2-F.

Please continue to refer to "Figure 1" to "Figure 2". Preferably, the analysis and processing module 131 can also adjust and send the next time according to the time of receiving the medication report result R1-F and the result of the physiological measurement result data. Medication reminder R1, or adjust the time to send the next physiological measurement reminder R2.

Please continue to refer to "Figure 1" to "Figure 2". Preferably, when the result of the physiological measurement result data is judged to be abnormal by the analysis processing module 131, the analysis processing module 131 can also adjust and send the next time Medication reminder R1's medication quantity information, or suspend sending the next medication reminder R1.

Please continue to refer to "Figure 1" to "Figure 2". Preferably, when the aforementioned medication period expires, the instant messaging management module 134 can also drive the reminder unit 132 to send a message to the instant messaging group 1221 Reminder of the return visit time to actively remind the patient to return to the visit to track the condition.

Please refer to "Figure 3", the figure shows the method flow chart of the present invention, and please refer to "Figure 1" to "Figure 2" for the implementation method of the medication reminder and report system as shown in the figure S, which may include the following steps: (1) The server sends a medication reminder to the user's device (step S1): Please refer to the schematic diagram of "Figure 4" for this step. A management server 13 can be based on a medication information (such as prescription notes) and a medical record Information, a medication reminder R1 is generated, and the medication reminder R1 is sent to an instant messaging group 1221 joined by a user-side device 12, that is, as shown in "Figure 4", the medication reminder R1 can include a medication name information R11 , Drug appearance information R12 and a medication quantity information R13 (such as 1 CONCOR TAB and 2 VESYCA FC TAB shown in the figure); preferably, the medication reminder R1 may further include a drug size information R14 (such as The scale diagram shown), a drug dose information R15 (for example, the CONCOR TAB shown in the figure is 1.25MG, and the VESYCA FC TAB is 150MG), and a drug frequency information R16 (for example, the CONCOR TAB shown in the figure is daily Once, VESYCA FC TAB is once a day) one of or a combination; (2) Continuing, preferably, before step S1 is executed, the analysis processing module 131 of the management server 13 can also pre-send a prescription image (in the figure) to the user-end device 12 to the instant messaging group 1221 (Not shown), perform image analysis, and analyze the aforementioned drug information (i.e. prescription drug information); (3) Follow step S1. In addition, because patients with multiple chronic diseases often need to see different departments, receive drugs multiple times and often take multiple drugs, this may cause drug interactions and treatment contraindications, thereby affecting drug safety and The patient’s health is endangered. Therefore, in this embodiment, the management server 13 can also automatically remind the patient whether there is any interaction that should be paid attention to when taking medications in different departments for the medication of different departments. The management server 13 can also be used Remind the patient whether there is any duplication of medicine components, avoid repeated medication, and actively adjust the medication quantity information R13 sent to the instant messaging group 1221 by the management server 13 when step S1 is executed (for example, reduce the medication quantity). Furthermore, the management server 13 You can also take the initiative to remind physicians (or pharmacists) in other departments at the medical end to avoid repeated prescribing when prescribing drugs, or avoid prescribing drugs that will interact with other departments and cause drug interactions. At the same time, the patient himself You can also use the instant messaging group 1221 to request the management server 13 to query your own medication records at any time, so as to prevent the patient from forgetting what kind of medicine ingredients they are unwell or allergic to; (4) The server confirms whether there is a medication report received (step S2): As shown in "Figure 4", the management server 131 confirms whether it is within a preset time interval, and the receiving client device 12 based on the medication reminder R1 , A medication report result R1-F sent in the instant messaging group 1221, if received, the medication report result R1-F can be, for example, "eat "CONCOR TAB 1.25MG" as shown in "Figure 4". If the medication report result R1-F is not received, after the aforementioned preset time interval, step S1 can be executed again to resend the medication reminder R1. If it is received, and the management server 13 confirms the medication report result R1- If F is "medication taken", then step S3 can be continued. Preferably, if the management server 13 confirms that the medication report result R1-F has not been received, or the management server 13 confirms that the received medication report result R1-F is " When not taking medication", before performing step S1 again, the management server 13 may also notify the medical end (such as a hospital, clinic, etc.) and/or the care end (such as the patient’s family, friends, caregivers, etc.) ； (5) Following step S2, preferably, the management server 13 can also adjust the time for sending the medication reminder R1 when step S1 is executed next time according to the time of receiving the medication report results R1-F; (6) The server sends a physiological measurement reminder to the user end device (step S3): Please refer to the schematic diagram in "Figure 5" for this step. The management server 13 is based on the medication report result R1-F and the corresponding one of the medication information The action site, an action time, and an indication will generate a physiological measurement reminder R2 and send it to the instant messaging group 1221. As shown in "Figure 5", the physiological measurement reminder R2 can be used to make the user terminal device 12 A request for a physiological measurement result image R2-F with its camera unit 121, such as the sphygmomanometer screen image illustrated in "Figure 5", can prevent the patient from filling in the measurement result data and units by mistake, which may cause The management server 13 or the medical terminal misjudges the patient’s condition, and the analysis and processing module 131 of the management server 13 can, for example, obtain an ATC classification code or a DDD classification code corresponding to the drug information from the storage unit 133. The drug classification code reference table compares the therapeutic properties, pharmacological classification, therapeutic properties, chemical components and therapeutic organs, etc., to determine the indications and sites of action of the drugs to be taken. If the ATC classification code is used as the basis for comparison, then When the management server 13 extracts the ATC classification code of "A10BA02" from the drug information (such as prescription drugs printed on the prescription pad) retrieved from the medical database 11, it can determine by analyzing the hierarchical relationship of the ATC classification codes ："A" represents the organ/part of action as "gastrointestinal tract and its metabolism"; "A10" represents the therapeutic properties as "drugs for diabetes"; "A10B" represents the pharmacological classification as "hypoglycemic drugs"; "A10BA" represents The therapeutic properties are "anti-inflammatory and anti-rheumatic"; "A10BA02" represents a diabetes drug with a chemical composition of "Metformin", but the above is only an example. After that, based on the drug information corresponding to an action time (assuming the user is taking the drug According to the ATC classification code, it belongs to a blood pressure lowering drug), evaluate the time point of sending the physiological measurement reminder R2 (for example, at 3 pm, remind the patient to measure blood pressure), but the above is only an example, when the management server 13 analyzes It is not limited to the use of ATC classification codes, and the aforementioned drug information is not limited to Western medicines, and can also be applied to Chinese medicines); (7) The server confirms whether the physiological measurement result report is received (step S4): the management server 13 confirms whether the physiological measurement result image R2-F is received within a preset time interval; if the physiological measurement result is received The result image R2-F is to perform image analysis on the physiological measurement result image R2-F to identify/analyze a physiological measurement result data, and determine whether the result of the physiological measurement result data is abnormal (that is, whether it exceeds or falls below A standard value). If it is judged that there is a major abnormality in the physiological measurement result data, the medical end (such as hospitals, clinics, etc.) and the care end (such as the patient’s family, friends, caregivers, etc.) can be actively notified to require the patient to respond Seek medical attention as soon as possible to check for major abnormalities; if the physiological measurement result image R2-F is not received, step S3 can be executed again to send the physiological measurement reminder R2 again. Preferably, before step S3 is executed again, the management server 13 You can also notify the medical end and/or care end first; (8) Following step S4, preferably, the management server 13 can also adjust the time for sending the physiological measurement reminder R2 when step S3 is executed next time according to the result of the physiological measurement result data; (9) Following step S4, preferably, when the management server 13 determines that the physiological measurement result data is abnormal, the management server 13 may note the drug information corresponding to the drug reminder R1, and the user corresponding to the medical record information An abnormal response is generated, whereby the management server 13 can send (or synchronize) the drug components that cause drug allergies or other physical discomfort to the patient to the medical end database 11 to inform the medical end doctor (or pharmacist) of the follow-up consultation, Or when the same patient who is visiting in the future prescribes the medicine, it can avoid prescribing the medicine that is not suitable for the patient again and adjust the prescribing dose.

Please refer to "Figure 6", which is a schematic diagram of medication survey of another embodiment (1) of the present invention, and please refer to "Figure 1" ~ "Figure 5" for this embodiment and "Figure 1" The technology is similar. The main difference is that in the medication reminder and report system 10 of this embodiment, the analysis processing module 131 of the management server 13 can also generate a patient-based integrated analysis based on medication information and medical record information. A medication survey request R3 causes the reminder unit 132 to be sent to the instant messaging group 1221, and the reporting unit 1222 running in the instant messaging group 1221 can also return a medication survey result based on the medication survey request R3 sent by the management server 13 R3-F, so far as shown in "Figure 6", and the storage unit 133 of this embodiment further stores the aforementioned medication survey request R3 and medication survey results R3-F, but the survey items of medication survey request R3 are not Limited to what is shown in the figure, it can also be, for example, "Do you sometimes forget to take medicine?", "Did you forget to take medicine in the past two weeks for reasons other than this reason, so you did not take it on time? Medicine?", "Have you ever reduced the dose or stopped taking medicine because you felt more uncomfortable taking medicine, but did not tell the doctor?", "When you travel or go to work, do you sometimes forget to take the medicine out? ", "Are you worried about taking medicine on time every day?" With this, the analysis and processing module 131 can determine whether it is necessary to adjust the sending time, the amount of medication, and the medication of the medication reminder R1 based on the medication survey result R3-F. Frequency (this also affects the sending time of medication reminder R1), or determine whether it is necessary to notify the medical end (e.g. hospital/clinic doctor, pharmacist at the pharmacy) and care end (e.g. family, nursing staff), so that the medical end can evaluate the patient Whether there are other reasons for not taking the medication or stopping the medication by yourself, if there are other reasons for the discomfort after taking the medication, you can note the medication information corresponding to the medication reminder R1, and produce abnormal reactions to the patient corresponding to the medical record information, and then cause The analysis and processing module 131 in the storage unit 133 notes the drug information corresponding to the drug reminder R1, which produces an abnormal response to the patient corresponding to the medical record information, and the nursing end can take this to take care of the patient’s psychological condition. In addition, the present embodiment The medication survey results R3-F collected by the management server 13 can be assisted by checking the medication report results R1-F (taken, not taken, or not reported whether the medication is taken) and medication information in the storage unit 133. The medical end or the government (health insurance bureau) checks the surplus amount of medicine prescribed by the current patient. If there is still a large amount of surplus medicine at the end of the treatment or before the end of the treatment, it can prevent the doctor from prescribing it again Establishing the same type of drugs for patients causes the problem of repeated medications. Therefore, this will help the medical end to strengthen the management of repeated medications, and it can also avoid the problem of patients who repeatedly receive medications for lack of legitimate reasons.

Please refer to "Figure 7", which is a schematic diagram of the query unit of another embodiment (2) of the present invention. The technology of this embodiment is similar to that of "Figure 1". The main difference lies in the medication reminder in this embodiment In the reporting system 10, the instant communication module 122 of the client device 12 further includes a query unit 1223. If the instant communication module 122 is LINE communication software as an example, the instant communication management module of the management server 13 is also used. Group 134 is an example of creating an official LINE account of the IM group 1221, and the query unit 1223 can be an IM management module 134 (such as the official LINE account) after connecting to the LINE Messaging API, in the IM group 1221 A built-in modular package (BC HUB), the query unit 1223 can be a WeChat applet (which belongs to a kind of Web App) connected to the IM management module 134 (such as WeChat official account), regardless of the aforementioned IM What is the state of the management module 134? The query unit 1223 can all include a personal health record query unit, a medication list query unit, a medication status query unit, a medication survey unit, a registration data query unit, and a consultation progress query unit With the online registration unit, as shown in "Figure 7", "Personal Information and Health Passbook", "Drug List Inquiry", "Drug Status Inquiry", "Drug Use Survey", "Inquiry for Registered Information", and "See a Doctor" respectively. Multiple functional modules such as "Progress Inquiry" and "Online Registration".

Please continue to refer to "Figure 7". For example, the aforementioned "Personal Health Record Inquiry Unit" serves as an interface for users to click and interact, allowing the user-side device 12 to directly request management in the instant messaging module 122 (such as LINE) The instant communication management module 134 of the server 13 extracts identification information associated with the user end device 12 and an outpatient information based on the medical record information retrieved from the medical end database 11, and sends it to the instant messaging group 1221, it is also possible for the user terminal device 12 to directly access the URL of the "Health Passbook" of the National Health Insurance in the instant messaging module 122, or through APP redirection technology (such as the URL Scheme protocol provided by the iOS system, or such as Android Intent code provided by the system), jump to other applications (APP) to view the "Health Passbook" of the National Health Insurance, or access the URL of the "Health Passbook" of the National Health Insurance through a browser.

Please continue to refer to "Figure 7". For example, the aforementioned "online registration unit", "registration query unit", and "seeing progress query unit" are used as the interface for users to click and interact, allowing the client device 12 to directly In the instant messaging module 122, access the URL of the online registration system of a specific hospital or clinic for online registration, outpatient registration number query, or current consultation progress. Preferably, the instant messaging management module 134 can also be used The reminder unit 132 is driven to send a call number reminder and/or return time reminder to the instant messaging group 1221 to actively remind the patient to go to the clinic room for treatment as soon as possible.

Please continue to refer to "Figure 7", another example is the aforementioned "Medication Status Inquiry Unit", which serves as an interface for users to click and interact, allowing the user-side device 12 to directly access the IM module 122 to request the management server 13 The instant messaging management module 134, based on the drug information retrieved from the medical database 11 (for example, prescription drugs printed on the prescription pad), will include drug appearance information, drug size information, drug dosage information, and medication frequency information The drug information of one should be sent to the instant messaging group 1221.

Please continue to refer to "Figure 7", another example is the aforementioned "Medication Survey Unit" as an interface for users to click and interact, allowing the user-side device 12 to directly in the instant messaging module 122 to request the management server 13 The instant communication management module 134 executes the medication questionnaire survey shown in "Figure 6" in the instant messaging group 1221, thereby providing the user-side device 12 with other extended functions besides medication reminders and reports, but The above is only an example, and it is not limited thereto.

Please continue to refer to "Figure 7". Preferably, the query unit 1223 may also include a health education information query unit (not shown in the figure), which serves as an interface for users to click and interact, allowing the user terminal device 12 to directly In the instant communication module 122, the instant communication management module 134 of the management server 13 is requested to send the information about the health education of the patient at the medical end or after the treatment to the instant communication group 1221.

Please refer to "Figure 8" ~ "Figure 9", which are schematic diagrams of the system block and interface of another embodiment (3) of the present invention, and please refer to "Figure 4" to "Figure 6" together, This embodiment is similar to the technology of "Figure 1" and "Figure 3". The main difference is that the medication reminder and report system 10 of this embodiment further includes a care provider connected to the management server 13 respectively. The end device 14 and a healthcare information system (HIS) 15. In other words, before step S1 shown in "Figure 3" is executed, the management server 13 may provide an instant messaging permission to allow a care The end device 14 becomes a member of the instant messaging group 1221. The users of the care end device 14 are, for example, the caregiver of the patient, the family member, the pharmacist of the pharmacy, or the doctor of the hospital/clinic. The medical information system 15 can be installed in, for example, a hospital or Clinics and other fields are mainly available for medical doctors of various departments to view/edit the medical information of patients in various medical subsystems such as hospitalization, emergency, outpatient, nursing, pharmacy, inspection, etc. Information), the patient’s medical advice and health education information can also be viewed, and the medical information system 15 can retrieve the patient’s medication record after the last visit from the storage unit 133 of the management server 13 (ie medication report results R1-F, which After being integrated, it can be the aforementioned medication history information), and the physiological status report after medication (ie, physiological measurement result image R2-F or physiological measurement result data) for the next time the medical end prescribes medication, or Before prescribing the medicine, it can automatically provide the prescribing reference quantity value and/or the prescribing reference dose value (which can be calculated by the management server 13 or the medical information system 15) automatically, but the medical information system 15 is not the present invention The main technical features are not repeated here; the care-end device 14 mainly has a second instant messaging module 141, and the second instant messaging module 141 is used for the care-end device 14 to become a member of the instant messaging group 1221. That is, as shown in "Figure 8", the management server 13 allows the care-end device 14 to view the medication report result R1-F, the physiological measurement result image R2-F, and/or the medication survey result R3 in the instant messaging group 1221 After -F, selectively send a warning message, such as the situation illustrated in Figure 9, when the user of the care-end device 14 (such as a doctor, pharmacist, or caregiver) is in the instant messaging group on the user-end device 12 After 1221 receives the medication reminder R1, it has not responded to whether or not to take medication after a period of time, but the medication report result R1-F is not reported, the care-end device 14 can send at this time, for example: "Xiaoming, did you forget to take the medication today? ? Or is there any reason not to take the medicine? Or take the medicine but forget to report it?” The warning message, but if the care-end device 14 evaluates the medication report result R1-F reported by the user-end device 12, physiological If the measurement result image R2-F, and/or the medication survey result R3-F, there is a major abnormality, the aforementioned warning The information can also be an instant message sent by the care-end device 14 in the instant messaging group 1221 requesting that the patient should seek medical treatment or examination immediately. The instant messages sent by the information system 15 to the user-end device 12 can be set to not disclose each other, which means that only the user-end device 12 has the authority to simultaneously view the messages sent by the care-end device 14 and the medical information system 15 Information, the medical information system 15 can be set to not be able to view the interactive information between the care-end device 14 and the user-end device 12. On the other hand, the care-end device 14 can also be set to be unable to view the medical information system 15 and the user-end device. Interactive messages between devices 12.

Among them, as an example, the management server 13 of the present invention is itself one or more independent server computers that can provide connection services, or a VM platform running in the form of a virtual machine (Virtual Machine), or A VPS platform running in the form of a Virtual Private Server.

Wherein, as an example, the storage unit 133 of the present invention may itself be a database server or a collection of multiple tables (Tables) having an association relationship with each other.

In summary, the medication reminding and reporting system and its implementation method proposed by the present invention can at least achieve the following beneficial effects after being implemented: (1) The management server analyzes the medical information entered by the original hospital, other hospitals, other clinics, health clinics, pharmacies, and the patients themselves stored in the medical database, and can be used at the appropriate time for medication. Instantly send medication reminders containing at least information on the appearance, quantity, and size of the medication, and adjust the sending time of medication reminders based on the frequency of medication and/or the patient's previous medication time, so as to prevent the patient from taking the wrong medication or forgetting The problem of taking medication, and the medication reminder form proposed by the present invention can effectively improve the legibility and legibility of medication information compared with the medication list received by conventional patients; (2) Since the management server can remind the patient to measure the physiological information after taking the medication at the appropriate time, the medical end or the care end can keep track of the patient's physiological condition after taking the medication. At the same time, by only asking the patient to respond The method of transmitting images of physiological measurement results can effectively prevent patients from incorrectly filling in the data and units of the measurement results, which may cause the server or medical end to misjudge the patient's condition; (3) When the management server judges that the physiological measurement result data is abnormal, it can note that the drug to be taken has an adverse reaction to the patient, so that the medical end can prescribe the same patient for follow-up visits or future visits, which can be avoided Re-prescribe drugs that are not suitable for patients; (4) By actively reminding different departments of medications, whether there will be a situation that will cause drug interactions, it can solve the problem of repeated medication and avoid the situation of prescribing drugs that are not suitable for patients in the future; (5) By requesting the patient’s cooperation in the medication survey, it can help to understand the patient’s psychological condition or subjective feelings other than the physical condition, so as to evaluate the patient’s condition after taking the medication and the reaction after taking the medication through a professional scale. At the same time, by evaluating the results of the survey on the remaining amount of medication in the medication survey, it will help the medical end to strengthen the management of repeated medication, and it can also avoid the problem of patients who repeatedly receive medication for lack of legitimate reasons; (6) By allowing the care-end device to also join the instant messaging group, the care-end can instantly grasp the medication situation, the physiological condition after medication, the psychological state after medication, or other subjective feelings, and can immediately express care, greetings, or other subjective feelings to the patient. Send warning messages (e.g. seek medical attention immediately).

The above are only the preferred embodiments of the present invention and are not intended to limit the scope of implementation of the present invention; anyone who is familiar with this technique can make equal changes and modifications without departing from the spirit and scope of the present invention. It should be covered by the scope of the patent of the present invention.

In summary, the present invention has patent requirements such as "industrial applicability", "novelty" and "advancedness"; the applicant filed an application for a patent for invention with the Bureau of Patent in accordance with the provisions of the Patent Law.

10: Medication reminder and report system

11: Medical database

12: Client device

121: camera unit

122: instant messaging module

1221: IM group

1222: report unit

R1-F: medication report results

R2-F: Physiological measurement result image

R3-F: Results of drug survey

1223: Query unit

13: Management server

131: Analysis and Processing Module

132: Reminder Unit

133: storage unit

134: Instant messaging management module

R1: Medication reminder

R11: Drug name information

R12: Drug appearance information

R13: Information on the number of drugs used

R14: Drug size information

R15: Drug dosage information

R16: Information on medication frequency

R2: Physiological measurement reminder

R3: Medication Investigation Request

14: Care-end device

141: The second instant messaging module

15: Medical Information System

S: Implementation method of medication reminder and report system

S1: The server sends a medication reminder to the user's device

S2: The server confirms whether it has received a medication report

S3: The server sends a physiological measurement reminder to the user's device

S4: The server confirms whether it has received the physiological measurement result report

Figure 1 is a block diagram of the system of the present invention. Figure 2 is a schematic diagram of the system information flow of the present invention. Figure 3 is a flow chart of the method of the present invention. Figure 4 is a schematic diagram of the medication reminder and report of the present invention. Figure 5 is a schematic diagram of the physiological measurement reminder and report of the present invention. Figure 6 is a schematic diagram of a medication survey of another embodiment (1) of the present invention. Figure 7 is a schematic diagram of the query unit of another embodiment (2) of the present invention. Figure 8 is a system block diagram of another embodiment (3) of the present invention. Figure 9 is a schematic diagram of the interface of another embodiment (3) of the present invention.

S: Implementation method of medication reminder and report system

S1: The server sends a medication reminder to the user's device

S2: The server confirms whether it has received a medication report

S3: The server sends a physiological measurement reminder to the user's device

S4: The server confirms whether it has received the physiological measurement result report

Claims (5)

A method for implementing a medication reminder and report system includes: a medication reminder step: a management server generates a medication reminder based on a medication information and a medical record information, and sends it to an instant messaging group joined by a user terminal device Group, and the medication reminder contains at least one medication appearance information and one medication quantity information; a step of receiving medication report results: the management server confirms whether it has received a medication report result sent by the user-side device based on the medication reminder If not, re-execute the medication reminder step; a physiological measurement reminder step: the management server generates a physiological quantity based on the medication report result, and an action site, an action time, and an indication corresponding to the drug information The measurement reminder is sent to the instant messaging group, where the physiological measurement reminder is to request the user-side device to take a physiological measurement result image; and a step of receiving a physiological measurement result report: the management server confirms whether The physiological measurement result image is received. If so, the physiological measurement result image is identified to analyze a physiological measurement result data and determine whether the result of the physiological measurement result data is abnormal. If not, restart Perform this physiological measurement reminder step. For example, the implementation method of the medication reminder and report system of claim 1, wherein, when the medication reminder step or the physiological measurement reminder step is executed, the management server is based on the time when the medication report result is received, or the physiological measurement As a result of the result data, adjust the time for sending the medication reminder when the medication reminder step is executed next time, or adjust the time for sending the physiological measurement reminder when the physiological measurement reminder step is executed next time. For example, the implementation method of the medication reminder and report system of claim 1, wherein when the physiological measurement result report step is executed, when the physiological measurement result data is judged to be abnormal, the management server adjusts to execute the medication reminder step At the time, send the medication quantity information for the next medication reminder, or suspend the next medication reminder step. For example, the implementation method of the medication reminder and report system of claim 1, wherein, when the physiological measurement result report step is executed, when the physiological measurement result data is judged to be abnormal, the management server notes the medication reminder corresponding to the Drug information, an abnormal response to the user corresponding to the medical record information. For example, the implementation method of the medication reminder and report system of claim 1 or 4, wherein, before the medication reminder step is executed, the management server provides an instant messaging permission to allow a care-end device to become the instant messaging group After the members of the group, view the medication report result, the physiological measurement result image, and optionally send a warning message in the instant messaging group.

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