WO2022123790A1 - Drug administration guidance information providing system and drug administration guidance information providing program - Google Patents

Abstract

Provided is a drug administration guidance information providing system for enabling effective utilization of a wait time required for the delivery and receipt of medication, while taking the attributes of a patient into consideration.　The drug administration guidance information providing system comprises a server and a terminal, and provides a patient with drug administration guidance information. The server is provided with a drug administration guidance information storage unit for storing drug administration guidance information comprising a description document group or a description video group, and a drug administration guidance information selecting unit including a drug administration guidance information selecting model for selecting, on the basis of an input of patient information combined with prescription information, one or more items from the drug administration guidance information that are suitable for the patient. The terminal is provided with a communication unit for transmitting the patient information and the prescription information to the server and receiving the drug administration guidance information, and an output unit for outputting the selected drug administration guidance information.

Description

Medication guidance information provision system and medication guidance information provision program

The present invention relates to a medication instruction information providing system that allows a patient to obtain information on the medication prescribed by the patient.

Conventionally, when a patient receives drug therapy, he / she is examined at a medical institution such as a hospital, a drug diagnosed as necessary is prescribed, and the drug is delivered by receiving the drug dispensed according to the prescription at a hospital or pharmacy. It has been done.

When delivering a drug to a patient, the pharmacist in charge of dispensing explains the drug and gives guidance focusing on the dosage and administration when taking the drug. It is also widely practiced to hand over the printed matter together to the patient.

However, in such a method of medication instruction, it is difficult to say that it is easy for the patient to fully understand the drug and its usage / dose with a single oral explanation, and when the patient is a child or an elderly person, etc. Even more so. Above all, the patient had no choice but to wait until the drug was ready to be delivered, which was not an efficient task.

On the other hand, for example, as in the invention described in Japanese Patent Application Laid-Open No. 2001-126002 (Patent Document 1), a drug information processing system characterized by providing drug information to a patient in response to a patient inquiry operation is available. Are known.

This drug information processing system includes a host machine that centrally manages drug information, a mobile terminal that patients carry individually, and a medication information terminal that can exchange medication information data with the host machine and can respond to the mobile terminal. An input terminal for inputting prescription information for each patient, prescription drug name, dosage information, etc. in order to provide medication information to the patient in response to an inquiry operation from the patient taking the drug. It consists of a system that centrally manages medication information such as medication information and medication history for each patient input from the input terminal, and a medication information terminal that can exchange drug information with and from patients. When there is an inquiry operation from a patient, the medication information terminal is designed to appropriately provide drug information to the patient and / or a mobile terminal in response to the inquiry.

In addition, the patient was prescribed by himself / herself, for example, as in the invention described in JP-A-2002-288343 (Patent Document 2) or the invention described in JP-A-2004-178265 (Patent Document 3). An invention relating to a system characterized in that drug information is browsed using a terminal having a communication function such as a personal computer or a mobile phone is known.

According to these conventional inventions, a terminal provided with a communication function can be obtained in advance by a patient while waiting for a patient to receive a drug at a hospital or a pharmacy, and after the patient brings back the drug. Since it is possible to obtain drug information by itself using the above, it is possible to realize both effective utilization of waiting time and reconfirmation of drug information at any timing.

However, since all of the above-mentioned conventional inventions require registration work such as medication information, complicated work is required and provided when there is a lot of information to be input, such as when there are various prescribed drugs. The drug information is uniform for each drug, and attributes such as the patient's gender, age, height, weight, medical history, and medication history were hardly taken into consideration.

Japanese Unexamined Patent Publication No. 2001-126002 Japanese Unexamined Patent Publication No. 2002-288343 Japanese Unexamined Patent Publication No. 2004-178265

INDUSTRIAL APPLICABILITY The present invention aims to effectively utilize the waiting time required for delivery of a drug in a medication guidance information providing system that allows a patient to obtain medication guidance information regarding the medication prescribed by the patient, and can consider the attributes of the patient. The challenge is to realize a new medication guidance information provision system.

The medication instruction information providing system, which is the first invention of the present application made to solve the above problems, is
It is a medication guidance information provision system for providing medication guidance information to patients, consisting of a server and a terminal.
The server
The medication guidance information storage unit that stores medication guidance information,
Medication guidance information selection having a medication guidance information selection model that selects one or more suitable for the patient from the medication guidance information by inputting a combination of patient information regarding the patient and prescription information regarding the prescription received by the patient. With a department,
The terminal is
A communication unit for transmitting the patient information and the prescription information to the server and receiving the medication instruction information.
It is equipped with an output unit that outputs the selected medication instruction information.
The medication instruction information is characterized in that it is at least one of the following groups a or b.
a. A group of documents explaining at least one of the type, usage, dose, swallowing, interaction or contraindication of each drug, and having one or more explanations for the same drug.
b. A video group that explains at least one of the type, usage, dose, swallowing, interaction, or contraindication of each drug, and includes one or more types of video explaining the same drug.

The medication instruction information providing system, which is the second invention of the present application, is
It is characterized in that the explanatory text and the explanatory video are simultaneously output by the output unit of the terminal.

The medication instruction information providing system, which is the third invention of the present application, is
The server is provided with a machine learning unit that generates the medication instruction information selection model by learning patient information of an unspecified number of persons and prescription information related to the prescription of the person as input data and medication instruction information as output data. It is characterized by.

The medication instruction information providing system, which is the fourth invention of the present application, is
The server uses an comprehension estimation model in which image data or voice data relating to the reaction of a person who has viewed the medication instruction information is machine-learned as input data and the digitized comprehension of the person as output data. It has an comprehension estimation unit that estimates comprehension, and also has an comprehension estimation unit.
The terminal is provided with an image information acquisition means and an audio information acquisition means.
The reaction of the patient while viewing the medication instruction information is observed by at least one of the image information acquisition means and the voice information acquisition means, and the obtained image data or voice data is obtained by the comprehension estimation unit. It is characterized in that the degree of understanding of the patient is estimated by processing.

The medication instruction information providing system, which is the fifth invention of the present application, is
The patient's comprehension level estimated by the comprehension level estimation unit is displayed.
It is characterized in that a pharmacist provides medication instruction face-to-face with the patient based on the displayed degree of understanding of the patient.

The medication instruction information providing system, which is the sixth invention of the present application, is
It is characterized in that the medication instruction information is selected again based on the comprehension level of the patient estimated by the comprehension level estimation unit.

The medication instruction information providing system, which is the seventh invention of the present application, is
The terminal is provided with an image information acquisition means.
The prescription information is transmitted to the server by reading the two-dimensional code displayed on the paper or the screen by the image information acquisition means.

The medication instruction information providing system, which is the eighth invention of the present application, is
There are a plurality of drugs included in the prescription information, and as the medication instruction information, the swallowing, interaction or contraindication related to the plurality of drugs or the explanation of the swallowing, interaction or contraindications related to the plurality of drugs or the swallowing, interaction or contraindication related to the plurality of drugs. It is characterized by selecting at least one of the explanation videos of the matter.

The medication instruction information providing system, which is the ninth invention of the present application, is
The server has a ledger for recording data related to the medication instruction information, the patient information, and the prescription information.
The ledger is shared between the server and the terminal by the blockchain technique.

The medication instruction information providing system, which is the tenth invention of the present application, is
The patient information includes name, gender, and date of birth as essential constituent groups, and further includes patient ID, facial image, insurance information, height, weight, medical history, medication history, allergy information, and vital information as additional constituent groups. , Disease-related information, presence or absence of pregnancy, lifestyle, dietary information, and athletic ability can be selected and configured.

The medication instruction information providing system, which is the eleventh invention of the present application, is
The patient information includes a face image, and the terminal has an image information acquisition means.
It is characterized in that the face of the patient is photographed by the image information acquisition means, face recognition is performed using the photographed face image and the face image in the patient information, and then the medication instruction information is selected. ..

The medication instruction information providing system, which is the twelfth invention of the present application, is
From a main server having a plurality of the medication instruction information selection units and selecting the medication instruction information, and a medication instruction information server having the medication instruction information storage unit and transmitting the medication instruction information. It is characterized by becoming.

The medication instruction information provision program, which is the thirteenth invention of the present application, is
It is a medication guidance information provision program for providing medication guidance information to patients.
The medication instruction information is an explanatory text or an explanatory video explaining at least one of a drug type, usage, dose, swallowing, interaction or contraindication.
Enter patient information about the patient and prescription information about the prescription received by the patient in a trained model trained by inputting patient information about an unspecified number of people and prescription information about the prescription of the person and using medication instruction information as output. However, it is characterized in that a computer is made to execute a process of outputting one or more suitable medication instruction information.

According to the present invention, a medication instruction information providing system including a server that stores at least one of a group of explanatory documents or a group of explanatory videos and a terminal that communicates with the server and displays the medication instruction information. Therefore, the patient can be processed by the trained model by combining the patient information about the patient and the prescription information about the prescription received by the patient, and the appropriate one is selected from the medication instruction information, so that the patient can use the terminal. You can use to check the waiting time for delivery of the drug and the medication instruction information optimized for you at the required time such as before taking the drug at home.

In addition, the patient information regarding the date of birth (age), height, weight, medical history, medication history, and other patient attributes is combined with the prescription information and processed by the medication guidance information selection unit. If you are a child or older, provide medication guidance information that is more straightforward than usual, or if the patient has a history of taking a particular medication, swallow, interact or contraindicate it. Additional medication instruction information to the effect can be provided.

Further, the terminal has an image information acquisition means and a voice information acquisition means, and the reaction of the patient is observed while the medication instruction information is displayed, and a machine-learned comprehension estimation model is used. By performing the treatment, it is possible to provide the optimum medication instruction information according to the estimated degree of understanding of the patient, and it can also be used to assist the pharmacist's medication instruction.

Then, by using the medication instruction information providing system of the present invention multiple times by the same patient, it is possible to optimize the learning of the trained model, and at the same time, the patient's knowledge of the medicine prescribed by himself / herself. It can also improve medication compliance or adherence.

The block diagram which shows the medication instruction information provision system 1A which is 1st Embodiment of this invention. The block diagram which shows the structure of the server 100 in 1st Embodiment of this invention. The block diagram which shows the medication instruction information provision system 1A when there are a plurality of servers. The block diagram which shows the structure of the terminal 200 in 1st Embodiment of this invention. The overall flow diagram of the medication instruction information provision system 1A which is the 1st Embodiment of this invention. The flow chart of the medication instruction information selection process in 1st Embodiment of this invention. The figure which shows the state which the medication instruction information 2 is output by the output part 230 of the terminal 200. The whole flow diagram of the medication instruction information provision system 1B which is the 2nd Embodiment of this invention. The block diagram which shows the structure of the server 100C in the 2nd Embodiment of this invention. FIG. 3 is a different overall flow chart of the medication instruction information providing system 1B according to the second embodiment of the present invention. The whole flow diagram of the medication instruction information provision system 1C which is the 3rd Embodiment of this invention. The block diagram which shows the structure of the server 100D in 3rd Embodiment of this invention.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

FIG. 1 is a configuration diagram showing a medication guidance information providing system 1A according to the first embodiment of the present invention. The medication guidance information providing system 1A includes a server 100 and a terminal 200, and is a patient information 3 relating to a patient P. It is a system for providing the medication instruction information 2 suitable for the patient P by combining the prescription information 4 regarding the prescription received by the patient P, and the medication instruction suitable for the patient P using the machine-learned AI program. It is characterized by providing information.

The medication instruction information providing system 1A according to the present embodiment is used when the patient P receives a drug at a hospital or a pharmacy after the patient P has been examined by a medical institution such as a hospital. In this embodiment, it will be described as being carried out at a dispensing pharmacy where dispensing is performed.

The medication instruction information 2 is information for supporting the medication of the patient P, and is composed of at least one of the following groups.
a. A group of documents explaining at least one of a drug type, usage, dose, swallowing, interaction or contraindication, with one or more descriptive texts for the same drug.
b. A video group that explains at least one of the type, usage, dose, swallowing, interaction, or contraindication of each drug, and includes one or more explanation videos for the same drug.

The patient information 3 is information on the attributes of the patient P centering on items related to the calculation of the drug management guidance fee, and is composed of the following essential constituent groups and non-essential additional constituent groups.
<Required composition group>
a. Name b. Gender c. Date of birth (age)
<Additional configuration group>
d. Patient ID
e. Insurance information (insurance type, insurer number, health insurance card code number, etc.)
f. Height g. Weight h. Medical history i. Medication history j. Allergy information k. Vital information l. Disease-related information m. Pregnancy n. Lifestyle (whether smoking, drinking, driving, sleeping time, etc.)
o. Meal information (number of meals, meal content, etc.)
p. Exercise capacity

The patient ID may be an ID unique to each patient, such as an arbitrary character string, and it is also possible to use the symbol number of the health insurance card.

The patient information 3 is collected and converted into data by the medical institution referring to an insurance certificate or the like relating to the patient P, or by the patient P's own self-report or self-input, and the data is collected by the server 100 or the terminal. It is stored in a storage unit of 200, or stored in a shared ledger shared between the server 100 and the terminal 200 by blockchain technology.

The prescription information 4 is information included in the prescription prescribed by the patient P, and includes the following configurations.
a. Name b. Gender c. Date of birth (age)
d. Medical institution information (medical institution name, location, clinical department, doctor in charge, etc.)
e. Insurance information (insurer number, health insurance card code number, etc.)
f. Drug information (drug, dosage form, usage / dose, etc.)

In the present embodiment, the prescription information 4 digitized can be taken in by scanning the two-dimensional code displayed on the prescription when a medical institution such as a hospital issues the prescription. There is.

The paper on which the two-dimensional code is displayed is not limited to the prescription, and may be, for example, a dispensing statement or a data sheet for an electronic medicine notebook. Further, the two-dimensional code may be one that scans what is displayed on the screen of a receipt computer or other electronic device installed in a pharmacy. Further, it may be configured so that the prescription information 4 converted into data can be directly taken in by a wireless communication means or other data communication method without using a two-dimensional code.

FIG. 2 is a block diagram showing the configuration of the server 100.
The server 100 combines the medication guidance information storage unit 110 that stores the medication guidance information 2, the patient information 3 regarding the patient P, and the prescription information 4 regarding the prescription received by the patient P, and the medication guidance information selection model 121. The medication instruction information selection unit 120, the communication unit 130, the arithmetic unit 140 that performs arithmetic processing, the machine learning unit 150, and the ledger 160 that select one or more suitable ones from the medication instruction information 2 by inputting to. And, and is configured to be accessible to network N, which is the Internet. The configuration may be a cloud server installed on the cloud or a physical server having an entity.

In the present embodiment, the server 100 will be described as using a cloud server.

The medication instruction information storage unit 110 can use a storage medium such as a hard disk.

The medication information selection model 121 inputs the acquired patient information 3 and the prescription information 4 that have been trained by inputting patient information of an unspecified number of persons and prescription information related to the prescription of the person and learning the medication instruction information as an output. However, it is an AI program that causes a computer to execute a process of outputting one or more suitable medication instruction information 2, and in the present embodiment, the calculation unit 140 executes the process.

The communication unit 130 is for connecting to the network N which is the Internet.

The calculation unit 140 includes a CPU 141 for processing information and a memory 142 for writing / reading information.

The machine learning unit 150 performs machine learning using a learning data set to generate a trained model, and in the present embodiment, it relates to patient information of an unspecified number of persons and a prescription of the person. The medication instruction information selection model 121 is generated by learning the prescription information as input data and the medication instruction information as output data.

It should be noted that the patient information 3 of the patient P and the prescription information 4 regarding the prescription received by the patient P may be learned as input data and the medication instruction information as output data.

The ledger 160 records data related to the patient information 3 and the prescription information 4 and data related to the medication instruction information 2 output in the past. For example, the ledger 160 may be configured by a database and uses blockchain technology. It may be configured by the shared ledger. In the present embodiment, it is a shared ledger using the blockchain technique and is shared between the server 100 and the terminal 200.

The server may be composed of a plurality of servers. For example, the main server 100A having the medication information selection unit 120 and selecting the medication guidance information 2, and the medication guidance information storage unit 110 having the medication guidance information storage unit 110 and the terminal 100 in response to a command from the main server 100A. It can consist of a medication instruction information server 100B that transmits medication instruction information 2 (see FIG. 3).

The medication instruction information server 100B may, for example, use a server independently owned by each pharmaceutical company, or may use a server owned by a public institution.

FIG. 4 is a block diagram showing the configuration of the terminal 200.
The terminal 200 includes a storage unit 210, a calculation unit 220, an output unit 230, a communication unit 240, an input unit 250, a power supply unit 260, an image information acquisition unit 270, an audio information acquisition unit 280, and a ledger. It has 290 and communicates with the server 100 via the network N to display the medication instruction information 2 stored in the server 100.

As the terminal 200, for example, a tablet or a smartphone can be used. In the present embodiment, a tablet terminal provided in the dispensing pharmacy is used.

The storage unit 210 is composed of a storage medium 211 which is a non-volatile memory, and stores the installed dedicated application 212 in the storage medium 211.

The dedicated application 212 is for implementing the medication instruction information providing system of the present invention, and communicates with the server 100, outputs medication instruction information 2, inputs patient information 3, and prescribes by the image information acquisition means 270. It has functions such as reading the two-dimensional code displayed in.

The calculation unit 220 includes a CPU 221 that processes information and a memory 222 that writes / reads information, and executes the dedicated application 212.

The output unit 230 includes a video output means 231 which is a display and an audio output means 232 which is a speaker, and the patient P visually outputs the video output by the video output means 231 to the audio output by hearing. The voice output by the means 232 can be recognized.

The communication unit 240 is composed of a wireless communication means 241 capable of wireless communication by Wi-Fi (registered trademark), and is configured to be connectable to a network N.

The input unit 250 has an input means 251 which is a keyboard or a touch panel.

The power supply unit 260 includes a battery 251 capable of supplying electric power for operating the terminal 200.

The image information acquisition means 270 is a camera capable of shooting a still image or a moving image, and is arranged on the front surface 201 of the terminal 200. In the present invention, the image information acquisition means 270 observes the reaction of the patient P as image data in order to read the two-dimensional code displayed on the prescription or by photographing the facial expression and movement of the patient P, and the image. It is used to estimate the comprehension level by the comprehension level estimation unit using data.

The voice information acquisition means 280 is a microphone for converting the voice of the patient P into an electronic signal, and is arranged on the front surface 201 of the terminal 200. In the present invention, the voice information acquisition means 280 operates the terminal 200 by voice input, or acquires the voice of the patient P and observes the reaction of the patient P as voice data, and uses the voice data. It is used to estimate the comprehension level by the comprehension level estimation unit.

The ledger 290 records data related to the patient information 3 and the prescription information 4 and data related to the medication instruction information 2 output in the past. For example, the ledger 290 may be configured by a database and uses blockchain technology. It may be configured by the shared ledger. In the present embodiment, it is a shared ledger using the blockchain technique and is shared between the server 100 and the terminal 200.

FIG. 5 is an overall flow chart of the medication instruction information providing system 1A according to the present embodiment.
The process will be described below in order.

A. Visiting a medical institution First, patient P visits a medical institution such as a hospital. As a result of the examination, the drug diagnosed as necessary is prescribed and a prescription is issued.

B. Patient information registration process The patient P who receives the prescription delivers the prescription at the dispensing pharmacy. At that time, the staff of the dispensing pharmacy collects the patient information 3 by the prescription, the insurance certificate of the patient P, or the hearing from the patient P, and inputs the patient information 3 using the dedicated application 212 of the terminal 200. At this time, the patient P may operate the terminal 200 by himself / herself to input the patient information 3.

C. Prescription information registration process Subsequently, the staff of the dispensing pharmacy uses the dedicated application 212 of the terminal 200 to scan the two-dimensional code displayed on the prescription on paper by the image information acquisition means 270 to obtain the prescription information 4. input. At this time, the patient P may operate the terminal 200 by himself / herself to input the prescription information 4. Further, the paper surface is not limited to the prescription, and may be, for example, a dispensing statement, a data sheet for an electronic medicine notebook, or the like. Further, the two-dimensional code may be one that scans what is displayed on the screen of a receipt computer or other electronic device installed in a pharmacy. Further, the prescription information 4 may be directly transmitted to the terminal 200 by a wireless communication means or other data communication method without using a two-dimensional code.

D. Medication guidance information selection process When the patient information 3 and the prescription information 4 are input from the terminal 200, they are transmitted to the server 100 via the network N, and the medication guidance information by the medication guidance information selection unit 120 in the server 100. The selection process takes place. A detailed explanation of this medication instruction information selection process will be described later.

E. Display of medication guidance information As a result of the medication guidance information selection process, one or more medication guidance information 2 suitable for the patient P is selected. The medication instruction information 2 is output by the output unit 230 of the terminal 200, and the patient P views it.

In this way, while the pharmacist is dispensing at the dispensing pharmacy, the patient P can view the medication instruction information 2 suitable for himself / herself using the terminal 200.

FIG. 7 is a flow chart of the medication instruction information selection process in the present embodiment.
The process will be described below in order.

S101. Receiving patient information and prescription information B. Patient information registration process and C.I. The server 100 receives the patient information 3 and the prescription information 4 input in the prescription information registration process.

S102. Confirmation of Ledger It is confirmed whether or not the patient P has been prescribed the same drug in the past by comparing and referring to the patient information 3 and the prescription information 4 and the ledger 160 of the server 100.

If it is confirmed that the patient P has been prescribed the same drug in the past, the patient P is treated as having knowledge about the prescribed drug in advance, and in the subsequent selection of medication instruction information, for example, the explanation is simplified. It is possible to select the modified medication instruction information 2.

S103. Selection of medication guidance information The patient information 3 and the prescription information 4 received by the server 100 are input to the medication guidance information selection model 112 in the server 100 as input data, and one or more appropriate medication guidance information 2 is input. select.

At this time, if the drug information of the prescription information 4 contains a plurality of drugs, the medication instruction information 2 for each drug is selected. Further, when a plurality of drugs are prescribed including the medication history of the patient information 3, the medication instruction information 2 for explaining the swallowing, interaction or contraindications can also be selected.

S104. Transmission of medication instruction information The medication instruction information 2 selected in step S103 is transmitted to the terminal 200 and output using the video output means 231 and the audio output means 232 of the terminal 200, and the patient P is Watch this.

FIG. 7 is a diagram showing a state in which medication instruction information is output by the output unit of the terminal. As shown in this figure, the video output means 231 of the terminal 200 is divided into a plurality of areas, a medication explanation video is in the central main area 231a, a medication explanation is in the lower sub-area 231b, and drug information is in the left sub-area 231c. Is displayed, and the audio of the medication explanation video is being reproduced from the audio output means 232 of the terminal 200.

By displaying the photograph and the name of the prescribed drug, the drug information can be visually linked to the drug in the hand of the patient P and the medication instruction information 2.

In this way, by displaying the medication explanation video, the medication explanation, and the drug information about the drug to be taken at once, the patient P to be viewed receives the video and audio explanation of the medication explanation video, but the medication explanation is used. It is possible to obtain detailed textual information in a complex manner, and it is possible to obtain medication instruction information that is as easy to understand as when the patient P receives medication instruction face-to-face with a pharmacist.

When there are multiple prescribed drugs, the medication explanation video and the medication explanation are selected and output for each drug, but the corresponding drug is highlighted from the drug information displayed in the left subarea 231c. By emphasizing by changing the background color or blinking, it is especially desirable because it is possible to grasp at a glance which drug the medication explanation video and medication explanation are currently being output. In FIG. 7, the second drug in the drug information is highlighted to illustrate the situation.

In addition, among the documents displayed as medication explanations, for example, for points that require special attention such as usage / dose, eating / drinking / contraindications, underline, bold, change the font color, etc. Emphasis is especially desirable as it can reduce the risk of overlooking attention.

In this embodiment, the medication explanation video, the medication explanation, and the medication information are output together by the output unit 230 of the terminal 200, but only one of the medication explanation video and the medication explanation is output. May be.

For example, when the patient P is a child or an elderly person and it is difficult to receive and process complicated information, or when the terminal P is a relatively small terminal such as a smartphone and the image is displayed due to the convenience of the display area. When it is difficult to divide the output means 231 into a plurality of areas, the medication instruction information 2 to be provided can be simplified and only the medication explanation video can be output by the output unit.

FIG. 8 is an overall flow chart of the medication instruction information providing system 1B which is the second embodiment of the present invention, and the present embodiment is the medication instruction information providing system 1A which is the first embodiment of the present invention. On the other hand, a server 100C having a comprehension estimation unit 170 having an comprehension estimation model 171 is used, which is different in that the comprehension estimation process of the patient P by the AI (artificial intelligence) program 112 is included (see FIG. 9).
The process will be described below in order.

The steps A to E in the flow chart of FIG. 8 are the same as the medication instruction information providing system 1A shown in FIG. 5, and therefore the description thereof will be omitted.

F. Comprehension estimation process The reaction while the patient P is viewing the medication instruction information 2 is observed by the image information acquisition means 270 and the voice information acquisition means 280 provided in the terminal 200, and the obtained image data. And voice data is input to the comprehension estimation unit 170 of the server 100C, and the reaction of the patient P is processed by the comprehension estimation model 171.

In learning this comprehension estimation model 171, for example, the image data and voice data of the reaction of the person who viewed the medication instruction information 2 are acquired, and the behavior such as frowning or twisting the neck, or the loudness or tone of the voice is obtained. Alternatively, it is considered effective to associate and learn as having a low degree of understanding when making a statement such as intonation or "I don't understand."

In addition, when estimating the degree of comprehension, by recognizing the patient's facial expression, it is possible to guess what kind of emotions they have, and if they have feelings of relief or joy, the degree of comprehension is high and they are against it. If you have feelings of anxiety, surprise, or sadness, it is presumed that your understanding is low. Therefore, we will use the emotion recognition technology in the field of emotion recognition AI (emotional AI) that has been well known in the past. be able to. For example, model learning and emotion recognition can be performed by a neural network as follows.

<1. Data collection / classification>
Image data of a person's facial expression is cut out only near the face, classified into four emotions of joy, sadness, anger, and surprise, and labeled to prepare teacher data.

<2. Classification training ＞
The teacher data is passed to a training model for machine learning. Features are extracted from the image data in the feature extraction layer constituting the training model, and the features are passed to the classification layer and classified. The weights between the layers are adjusted so that the difference (loss) between the emotions as a result classified by the classification layer and the emotions labeled in the teacher data is small. When the difference (loss) is small enough, it is determined that the training is completed and the trained model is generated.

<3. Emotion recognition>
Once the trained model is obtained, the emotion with the highest score (reliability) can be selected and the emotion of the person can be identified by processing the image data obtained by capturing the facial expression of the person by the trained model. can.

<4. Emotion recognition based on contour, eyebrows, eyes, nose, and mouth shape>
In addition to the above classification training, it is also possible to make several points on the contour, eyebrows, eyes, nose, and mouth of the person's face, and to recognize the person's emotions by the distance and position between the points. .. The process of striking the points can be performed on the feature extraction layer or a layer prepared separately. For example, in the case of a smile, the distance between the upper and lower eyes is closer than that of an angry face, and in the case of a smile, the distance between both ends of the corner of the mouth is larger than that of an angry face. Furthermore, it is possible to infer the level of emotion, for example, the degree of joy is higher when the distance between both ends of the corner of the mouth is larger than that of the same smile, based on the distance and position between the points. can.

The comprehension estimation model 171 may store the model trained in advance in the comprehension estimation unit 170 of the server 100C, or may be trained by the machine learning unit 150.

It should be noted that the image data and voice data of the reaction of the patient P who viewed the medication instruction information 2 are acquired, and the behavior such as frowning, twisting the neck, or the loudness, tone or intonation of the voice, "I do not understand", etc. When making a statement, it may be associated and learned as having a low degree of understanding.

If the calculated comprehension value does not reach a predetermined value as a result of processing the reaction of the patient P, it is determined that the comprehension level of the patient P is insufficient, and conversely the calculated comprehension value. If is more than a predetermined value, it is determined that the degree of understanding of the patient P is sufficient.

That is, by using the medication instruction information providing system 1B of the present embodiment, the patient P is made to view the medication instruction information suitable for the patient P in advance, and the comprehension level of the patient P is estimated, based on the comprehension level. It has the advantage that the pharmacist can smoothly give face-to-face medication instruction and support the pharmacist's work.

More specifically, if it is presumed that the pharmacist fully understands the medication instruction information viewed by the patient P, the medication instruction can be simplified, and the pharmacist can simplify the medication instruction. If it is presumed that the patient does not fully understand the medication instruction information viewed by the patient, it is possible to give the medication instruction focusing on the part presumed to be insufficiently understood.

This pharmacist can provide face-to-face medication guidance to any patient, but it is especially suitable for patients who feel reassured by face-to-face medication guidance, which is common among the elderly.

In addition, when it is determined that the degree of understanding of the patient P is insufficient, the selected medication instruction information is re-viewed, or the medication instruction information that is simpler than the selected medication instruction information is reselected. Can be viewed (see FIG. 10).

In particular, when the reaction when the degree of understanding of the patient P is low is acquired in a specific place, the medication instruction information for resolving the doubt or anxiety about the place can be reselected and viewed.

When re-viewing the medication instruction information or viewing the reselected medication instruction information, for example, the patient may be automatically viewed, and after confirming with the patient P by voice or screen display and obtaining consent. It may be used for viewing.

In addition, when it is determined that the degree of understanding of the patient P is sufficient, the medication instruction information provided to the patient P for viewing may be simplified, the explanation may include technical terms, or the diet or exercise. It can be useful information about diseases and drugs such as improvement of.

Further, with reference to the ledger 160 of the server 100C, it is determined whether the drug prescribed for the patient P is the first prescription or the second and subsequent prescriptions, and if it is the second and subsequent prescriptions, the first Therefore, it may be determined that the degree of understanding of the patient P is sufficient.

As described above, according to the medication instruction information providing system 1B of the present embodiment, face-to-face with a pharmacist or non-face-to-face using the terminal 200 based on the comprehension level of the patient P estimated by the comprehension level estimation unit 170. It enables the ceremony of medication instruction.

FIG. 11 is an overall flow diagram of the medication instruction information providing system 1C according to the third embodiment of the present invention, and the present embodiment is the medication instruction information providing system 1B according to the second embodiment of the present invention. On the other hand, a server 100D having a face recognition unit 180 having a face recognition model 181 is used, which is different in that it includes a face recognition process (see FIG. 12). The medication instruction information providing system 1C assumes that the patient P operates the terminal by himself / herself.
The process will be described below in order.

A. Visiting a medical institution First, patient P visits a medical institution such as a hospital. As a result of the examination, the drug diagnosed as necessary is prescribed and a prescription is issued.

B1. Face authentication process The face of the patient P is photographed by the image information acquisition means 270 of the terminal 200, the photographed information is processed by the face authentication unit 180 of the server 100D, and whether or not the patient P is registered in advance is determined. judge. More specifically, using a face authentication model (learned model 113) trained using a photograph of a person's face as input data, the eyes, nose, mouth, and jaw of the person are all included in the photographed information. The captured image is adapted to the face recognition model 181 and when the degree of matching exceeds a predetermined threshold, it is determined that the person is the pre-registered patient P.

In learning this face recognition model 181, it is considered effective to learn the images of the eyes, nose, mouth, and chin of an unspecified number of people as teacher data.

The face recognition model 181 may store the model trained in advance in the face recognition unit 180 of the server 100, or may be learned by the machine learning unit 150.

At this time, if the degree of coincidence does not exceed a predetermined threshold value, it is determined that the person is not the patient P registered in advance, and the process proceeds to the next patient information registration process.

B2. Patient information registration process The unregistered patient P inputs necessary patient information 3 using the dedicated application 212 of the terminal 200. At this time, arbitrary input may be performed using the input form, or input may be performed for each item in an interactive format using a moving image, automatic voice, or the like.

C. Prescription information registration process Subsequently, the patient P uses the dedicated application 212 of the terminal 200 to scan the two-dimensional code displayed on the prescription on paper and input the prescription information 4.

D. Medication guidance information selection process When the patient information 3 and the prescription information 4 are input from the terminal 200, they are transmitted to the server 100D via the network N, and the medication guidance information by the medication guidance information selection unit 120 in the server 100D. The selection process takes place. The detailed explanation of this medication instruction information selection process is as described above.

E. Display of medication guidance information As a result of the medication guidance information selection process, one or more medication guidance information 2 suitable for the patient P is selected. The medication instruction information 2 is output by the output unit 230 of the terminal 200, and the patient P views it.

As described above, according to the medication instruction information providing system 1C of the present embodiment, by introducing the face authentication process, authentication is automatically performed only by taking a picture of the face of the patient P, so that it takes time and effort for input. It can be omitted and security can be improved.

Although the medication instruction information providing system shown in each embodiment of the present invention has been described as using the dedicated application 212 installed in the terminal 200, for example, on a cloud accessed via a network N. It may be one that uses software (Software as a Service) or the like that runs on the server, or one that runs on the server that is accessed via the network N.

In that case, since the resources of the server can be used, there is an advantage that the terminal 200 can be used lightly even when the processing capacity and the storage capacity of the terminal 200 are poor.

The medication instruction information providing system shown in each embodiment of the present invention uses a terminal provided in a dispensing pharmacy that dispenses based on a prescription, but a smartphone or tablet owned by the patient is used as the terminal. It may be used.

In that case, the patient P has the advantage that he / she can use it at any time and place because he / she can obtain medication instruction information regarding the prescribed drug when he / she takes the drug at his / her own home.

1A, 1B, 1C medication guidance information provision system, 2 medication guidance information, 3 patient information, 4 prescription information, 100, 100C, 100D server, 100A main server, 100B medication guidance information server, 110 medication guidance information storage unit, 120 medication Guidance information selection unit, 121 medication guidance information selection model, 130 communication unit, 140 calculation unit, 141 CPU, 142 memory, 150 machine learning unit, 160 ledger, 170 comprehension estimation unit, 171 comprehension estimation model, 180 face authentication unit , 181 face authentication model, 200 terminal, 201 front, 210 storage unit, 211 storage medium, 212 dedicated application, 220 arithmetic unit, 221 CPU, 222 memory, 230 output unit, 231 video output means, 231a central main area, 231b bottom Sub area, 231c Left sub area, 232 Audio output means, 240 communication unit, 241 wireless communication means, 250 input unit, 251 input means, 260 power supply unit, 261 battery, 270 image information acquisition means, 280 audio information acquisition means, 290 Ledger, N network, P patient

Claims (13)

1. It is a medication guidance information provision system for providing medication guidance information to patients, consisting of a server and a terminal.
   The server
   The medication guidance information storage unit that stores medication guidance information,
   Medication guidance information selection having a medication guidance information selection model for selecting one or more suitable for the patient from the medication guidance information by inputting a combination of patient information regarding the patient and prescription information regarding the prescription received by the patient. With a department,
   The terminal is
   A communication unit for transmitting the patient information and the prescription information to the server and receiving the medication instruction information.
   It is equipped with an output unit that outputs the selected medication instruction information.
   The medication instruction information providing system is characterized in that the medication instruction information is at least one of the following groups a or b.
   a. A group of documents explaining at least one of the type, usage, dose, swallowing, interaction or contraindications of each drug, with one or more explanatory texts for the same drug.
   b. A video group that explains at least one of the type, usage, dose, swallowing, interaction, or contraindication of each drug, and includes one or more explanation videos for the same drug.
2. The medication instruction information providing system according to claim 1, wherein the explanatory text and the explanatory video are simultaneously output by the output unit of the terminal.
3. The server includes a machine learning unit that generates the medication instruction information selection model by learning patient information of an unspecified number of persons and prescription information related to the prescription of the person as input data and medication instruction information as output data.
   The medication instruction information providing system according to claim 1 or 2, characterized in that.
4. The server uses an comprehension estimation model in which image data or voice data relating to the reaction of a person who has viewed the medication instruction information is machine-learned as input data and the digitized comprehension of the person as output data. It has an comprehension estimation unit that estimates comprehension, and also has an comprehension estimation unit.
   The terminal is provided with an image information acquisition means and an audio information acquisition means.
   The reaction of the patient while viewing the medication instruction information is observed by at least one of the image information acquisition means and the voice information acquisition means, and the obtained image data or voice data is obtained by the comprehension estimation unit. Estimate the comprehension of the patient by processing,
   The medication instruction information providing system according to claim 1, 2, or 3.
5. The patient's comprehension level estimated by the comprehension level estimation unit is displayed.
   Based on the displayed level of understanding of the patient, the pharmacist will face the patient and give medication guidance.
   The medication instruction information providing system according to claim 4.
6. The medication instruction information is selected again based on the patient's comprehension level estimated by the comprehension level estimation unit.
   The medication instruction information providing system according to claim 4.
7. The terminal is provided with an image information acquisition means.
   The prescription information is transmitted to the server by reading the two-dimensional code displayed on the paper or the screen by the image information acquisition means.
   The medication instruction information providing system according to claim 1, 2, 3, 4, 5 or 6.
8. There are a plurality of drugs included in the prescription information, and as the medication instruction information, the swallowing, interaction or contraindication related to the plurality of drugs or the explanation of the swallowing, interaction or contraindications related to the plurality of drugs or the swallowing, interaction or contraindication related to the plurality of drugs. Select at least one of the explanation videos,
   The medication instruction information providing system according to claim 1, 2, 3, 4, 5, 6 or 7.
9. The server has a ledger for recording data related to the medication instruction information, the patient information, and the prescription information.
   The ledger is shared between the server and the terminal by blockchain technology.
   The medication instruction information providing system according to claim 1, 2, 3, 4, 5, 6, 7 or 8.
10. The patient information includes name, gender, and date of birth as essential constituent groups, and further includes patient ID, facial image, insurance information, height, weight, medical history, medication history, allergy information, and vital information as additional constituent groups. , Disease-related information, presence or absence of pregnancy, lifestyle, dietary information, and athletic ability can be selected and configured.
    The medication instruction information providing system according to claim 1, 2, 3, 4, 5, 6, 7, 8 or 9.
11. The patient information includes a face image, and the terminal has an image information acquisition means.
    The face of the patient is photographed by the image information acquisition means, face recognition is performed using the photographed face image and the face image in the patient information, and then the medication instruction information is selected.
    The medication instruction information providing system according to claim 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10.
12. From a main server having a plurality of the medication instruction information selection units and selecting the medication instruction information, and a medication instruction information server having the medication instruction information storage unit and transmitting the medication instruction information. Become,
    The medication instruction information providing system according to claim 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or 11.
13. It is a medication guidance information provision program for providing medication guidance information to patients.
    The medication instruction information is an explanatory text or an explanatory video explaining at least one of a drug type, usage, dose, swallowing, interaction or contraindication.
    Input patient information about the patient and prescription information about the prescription received by the patient into a trained model trained by inputting patient information about an unspecified number of people and prescription information about the prescription of the person and outputting medication instruction information as output. A program that causes a computer to execute a process of outputting one or more suitable medication instruction information.

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