JP6215140B2 - Medication management support system and medication management support method - Google Patents

Description

  The present invention relates to a medication management support system and a medication management support method.

  In order to fully demonstrate the effects of medication, it is important to take the prescribed medicine in the appropriate amount at the appropriate time. In particular, when the user is an elderly person, the types and number of drugs increase due to having multiple illnesses, and there are cases where the timing of taking drugs varies widely. Tools are sought. And as a technology to meet these needs, using a medicine box and a calendar type device, the opening and closing of the medicine box is detected by a sensor, and the opening and closing of the lid is regarded as one dose, and recording is performed, There has been proposed a medication management system (Non-patent Document 1) in which a medicine box is provided with a camera, and the inside of the medicine box is photographed in conjunction with opening and closing of the lid and image analysis is performed so that the difference is recorded as taken.

Satoshi Nakauchi, Takuo Suzuki, “Medication Confirmation System for Watching Users” [online], Graduate School of Systems and Information Engineering, University of Tsukuba, [Search May 15, 2014], Internet <URL: http: // hri.iit.tsukuba.ac.jp/publications/2009-14787.pdf>

  However, the calendar method requires a lot of preparation for distributing and storing medicines by date, and the image analysis method requires strict handling so that drugs do not overlap each other. There was a problem that it was not suitable.

  Therefore, the objective of this invention made | formed in view of this point is to provide the medication management support system and medication management support method which can perform medication history management only by taking in and out medicine as a normal medicine box.

In order to solve the above problems, a medication management support system according to the present invention is:
A medicine box with a precision scale in which the user stores the medicine, a medicine management server that manages the medicine information, dispensing information, and medication history information in the database in association with the identification information of the user, and the user has the medicine packaging material A medication management support system comprising a trash box with a precision scale to be disposed of,
The medicine box with a precision scale includes a medicine storage part for storing medicine, a lid opening / closing sensing part for sensing the opening / closing operation of the lid, and a medicine mass measuring part for measuring the mass of the medicine box with a precision scale,
The trash box with a precision scale has a trash storage unit that discards the packing material of the medicine, a trash box opening / closing detection unit that detects opening / closing operation of the trash box, and a trash mass measurement unit that measures the mass of the trash box,
The medicine management server includes the medicine information including the mass of the medicine box with the precision scale before and after the opening and closing operation of the lid, the dispensing information, and the mass information of the medicine and the packing material, which are obtained from the medicine box with the precision scale. And a dose amount estimation unit for estimating a dose amount based on the mass of the trash bin with a precision scale before and after the opening / closing operation acquired from the trash bin with a precision scale .

Moreover, in order to solve the above-mentioned problem, a medication management support method according to the present invention includes:
A medication management support method by a medication management support system comprising a medication box with a precision scale , a medication management server, and a trash can with a precision scale where a user discards the packaging material of the medication,
Detecting the opening and closing operation of the lid by the medicine box with a precision scale;
Obtaining mass information of the medicine box with a precision scale before and after the lid opening and closing operation by the medication management server;
Detecting the opening and closing operation of the trash can by the trash can with the precision scale;
Obtaining mass information of the trash can with a precision scale before and after opening / closing operation of the trash by the medication management server;
The medication management server estimates the medication amount based on the mass information of the medicine box with the precision scale , the dispensing information, the medicine information including the mass information of the medicine and the packaging material, and the mass information of the trash box with the precision scale. And the step of performing.

  According to the present invention, it is possible to provide a medication management support system and a medication management support method capable of managing medication history by simply taking in and out medication as a normal medicine box.

It is a lineblock diagram of the medication management support system concerning a 1st embodiment of the present invention. The structure of a medicine packaging (PTP sheet) is shown. The structure of a medicine packaging (bottle) is shown. The management information which a medication history management part has is shown. The management information which a medicine residual amount management part has is shown. The management information which a patient information management part has is shown. The management information which a dispensing information management part has is shown. The management information which a dispensing detailed information management part has is shown. The management information which a medicine information management part has is shown. It is a flowchart which shows operation | movement of the medication management assistance system which concerns on 1st Embodiment of this invention. It is a figure which shows the procedure of medication amount estimation. An example of the disposal method of the packaging material of a chemical | medical agent is shown. An example of the disposal method of the packaging material of a chemical | medical agent is shown. An example of the disposal method of the packaging material of a chemical | medical agent is shown. The procedure for adding medicine information in the medication management support system according to the first embodiment of the present invention is shown. 5 shows a procedure for estimating a medication situation in the medication management support system according to the first embodiment of the present invention. 5 shows a procedure for estimating a medication situation in the medication management support system according to the first embodiment of the present invention. The procedure of the medication management support in the medication management support system according to the first embodiment of the present invention is shown. It is a block diagram of the medication management assistance system which concerns on 2nd Embodiment of this invention. 5 shows a procedure for estimating a medication situation in a medication management support system according to a second embodiment of the present invention.

  Hereinafter, embodiments according to the present invention will be described with reference to the drawings.

(First embodiment)
FIG. 1 is a configuration diagram of a medication management support system 400 according to the first embodiment of the present invention. A medication management support system 400 shown in FIG. 1 includes a medicine box 100 with a precision scale placed at a patient's home, a medication management server 200, and a medication information input terminal 300 placed in a pharmacy and used by a pharmacist to input dispensing information. Prepare. These are connected by, for example, the Internet, and can transmit and receive information to and from each other.

  The medicine box 100 with a precision scale includes a medicine storage section 10 for storing medicine, a lid opening / closing detection section 11 for detecting the opening / closing operation of the lid, an information presentation section 12 for displaying a warning and the like, and a medicine using a precision scale. A mass measuring unit 13 and a medicine box information transmitting / receiving unit 14 for connecting to the Internet or the like are provided. Here, the precision scale can measure the mass in milligram units.

  The medication management server 200 includes an information management unit 20, a medication amount estimation unit 21 that estimates the amount of medicine taken, a server information transmission / reception unit 22 that connects to the Internet, and a warning to the medicine box 100 with a precision scale. And a warning unit 23 for transmitting. Information such as patient information transmitted from the medicine information input terminal 300 is stored in the information management unit 20 in the medication management server 200. The information management unit 20 includes a medication history management unit, a remaining medicine management unit, a patient information management unit, a dispensing information management unit, a detailed dispensing information management unit, and a medicine information management unit.

  The medicine information input terminal 300 includes a medicine information input unit 30 and a medicine information transmission / reception unit 31. When a patient dispenses a drug at a dispensing pharmacy, the pharmacist enters patient information and information about the dispensed drug (medicine ID, medication time zone, medication amount, medication mass, packaging status, packaging mass) The information is input from 300 and transmitted to the medication management server 200.

  Here, the packaging form of the medicine stored in the medicine box 100 with a precision scale will be described.

  In this embodiment, the PTP sheet shown in FIG. 2 and the bottle shown in FIG. Moreover, you may accommodate in the medicine box 100 with a precision scale in the state which put the PTP sheet or the bottle in the medicine bag.

  FIG. 2 shows the appearance of the entire PTP (Press Through Package) sheet on the left, and the smallest unit when the PTP sheet is cut along the cut line on the right. The small piece located at the longitudinal end of the sheet is referred to as PTP2. In addition, in the case of the PTP sheet of FIG. 2, there are PTP1: 8 and PTP2: 4 per sheet.

  FIG. 3 shows a bottle for storing tablets. For each element constituting the bottle, the bottle lid is called Bo1, the bottle body is called Bo2, the silica gel is Bo3, and the vinyl to be stored is called Bo4.

  The medicine stored in the PTP sheet or bottle may be further stored in a paper or plastic medicine bag.

  Next, the configuration of the information management unit 20 in the medication management server 200 will be described.

  FIG. 4 shows information managed by the medication history management unit in the information management unit 20. The medication history management unit manages the lid opening / closing time, the type of medicine or medicine packaging, and the number of medications. Here, the number of medications indicates the number taken out from the medication box 100 with a precision scale for taking, and does not necessarily indicate the number of medications taken in the case of a package such as PTP1_A. Here, PTP1_A indicates PTP1 type packaging for packaging medicine A. The medication history management unit measures the mass of the medicine box with a precision scale at the timing when the lid is opened and closed, and manages and stores the type and number of medicines or packages estimated from the measurement result as a list.

  FIG. 5 shows information managed by the remaining medicine management unit in the information management unit 20. The medicine remaining amount management unit manages the type of medicine or medicine packaging and the remaining amount. The remaining amount indicates the number of remaining medicines in the precision scale-equipped medicine box 100.

  FIG. 6 shows information managed by the patient information management unit in the information management unit 20. The patient information management unit manages the patient ID, the patient name, the date of birth of the patient, and the like.

  FIG. 7 shows information managed by the dispensing information management unit in the information management unit 20. The dispensing information management unit indicates a patient ID, a prescription ID, and a prescription date.

  FIG. 8 shows information managed by the detailed information management unit of the dispensing in the information management unit 20. The detailed information management unit of the dispensing manages the dispensing ID, the medicine ID, the medication time / timing, and the amount of medication taken once.

  FIG. 9 shows information managed by the medicine information management unit in the information management unit 20. The medicine information management unit manages the medicine ID, name, kind of medicine, mass of one tablet medicine (milligram), kind of packaging, number of medicines contained in one set, and mass of packaging 1 to 4 (milligram). . Here, in the packagings 1 and 2 of the medicine A, the masses of the PTP1 and PTP2 type packagings are registered, respectively. Similarly, in the packages 1 to 4 of the medicine B, masses of a lid, a bottle body, silica gel, and vinyl are registered, respectively.

  Next, the operation flow of the medication management support system according to the first embodiment of the present invention will be described using the flowchart shown in FIG.

  First, the lid opening / closing detection unit 11 of the medicine box with precision scale 100 determines whether or not the lid opening / closing operation of the medicine box with precision scale 100 has been performed (step S101). This lid opening / closing operation is performed, for example, when the patient returns home from the pharmacy and puts a medicine bag into the medicine box 100 with a precision scale, or when the patient takes out the medicine from the medicine box 100 with a precision scale.

  When the lid opening / closing detection unit 11 detects the opening / closing operation of the lid, the medicine box 100 with a precision scale waits for the mass of the medicine box to stabilize, and causes the medicine mass measurement unit 13 to measure the mass of the medicine storage unit 10. (Step S102) The measurement result is transmitted to the medication management server 200. The medication management server 200 determines whether or not there has been a change in mass (step S103). If it is determined that the mass has changed, then it is determined whether or not the change is an increase in mass (step S104). ).

  When it is determined in step S104 that there is an increase in the mass of the medicine storage unit 10, the medication management server 200 receives the increase in mass and the information of the detailed dispensing information management unit in the medication management server 200 received from the medication information input terminal 300. (Step S105), if they are the same, the fact that the medicine prescribed at the pharmacy has been added to the medicine box 100 with a precision scale is recorded in the medicine remaining amount management unit in the medication management server 200 (step S106). ) And end the flow. On the other hand, if the increase in mass does not match the information in the detailed dispensing information management unit, a message is presented so as to confirm in the medicine storage unit (step S107), and the process ends.

  If it is determined in step S104 that the mass of the medicine storage unit 10 has decreased, the medication amount estimation unit 21 of the medication management server 200 calculates the amount of decrease in the mass, and from the time when the mass information is transmitted and the medication history information, “medicine” Estimate time zone. Then, the difference between the mass to be taken in the corresponding “medicine time zone” and the difference in the mass fluctuation is compared, and if they are the same, it is estimated that the medication has been taken correctly in the “medicine time zone” (step S108). Then, based on the estimation result, the information of “medicine remaining amount management unit” and “medicine history information management unit” is updated (step S109), and the flow is terminated. In addition, the information of the “medicine remaining amount management unit” and the “medicine history information management unit” is updated by displaying the estimation result on the information presenting unit 12 of the medicine box 100 with a precision scale and confirming the patient by pressing a button. The update may be performed after performing the above.

  Further, in the process of executing step S108, the difference between the mass to be taken in the corresponding “medication time zone” and the amount of mass fluctuation is compared, and if different, the packaging information managed by the “medicine information management unit” Compared to the mass fluctuations taking into account all combinations of discarded packaging small pieces, and if it matches one of the combinations, the information on the “remaining drug management section” and “medicine history information management section” is updated. To do. At this time, for example, by learning how to discard the packaging as shown in FIGS. 12 to 14 described later for each patient, it is possible to narrow down the combinations of packaging to be considered in the subsequent estimation of the dose.

  On the other hand, the medication management server 200 monitors whether or not the medication time zone has passed (step S110). If the lid opening / closing detection unit 11 of the medicine box 100 with a precision scale does not detect even after the medication time zone has passed in step S101, or if there is no change in mass in the medicine storage unit 10 in step S103, the medication management server 200 The warning unit 23 transmits an alarm to the medicine box 100 with a precision scale, and presents a forgetting-drinking alarm to the information presentation unit 12 (step S111). It is also possible to send an alarm mail to a portable terminal owned by the patient.

  Moreover, you may comprise so that the latest medication information of the medication history information management part of the medication management server 200 may be presented to the information presentation unit 12 of the medicine box 100 with a precision scale.

  Here, the estimation of the dose in step S108 described above will be described with reference to FIG. First, the medication management server 200 selects “after breakfast” as a candidate for the next medication time zone from the medication history (step S201) and the current time (step S202) recorded in the medication history management unit (step S203). ). Then, mass information is extracted from the information about the medicine scheduled to be taken and its packaging after “breakfast” recorded in the detailed dispensing information management section (step S204), and compared with the mass change in the medicine storage section 10 (step S205). . As a result of the comparison, if it is determined that the mass of the medicine or the like scheduled to be taken matches the mass change in the medicine storage unit 10, it is estimated that the medicine has been correctly taken in the time of taking the medicine (step S206).

  Moreover, the variation of the disposal method of the medicine packaging considered in the above-described step S108 will be described with reference to FIGS.

  FIG. 12 shows a first variation of packaging disposal in the case of a PTP sheet. That is, the user does not discard the packaging as shown in FIG. 12 (a) when taking the odd number of medicines, and does not discard the packaging as shown in FIG. 12 (b). As shown in Fig. 2, the packaging for the two taken is discarded. Therefore, when calculating the mass of the medicine taken, it is necessary to calculate that one extra piece of packaging remains if the number of remaining medicines is an odd number.

  FIG. 13 shows a second variation of packaging disposal in the case of a PTP sheet. The user does not discard the packaging as shown in FIG. 13 (a) until the completion of taking all the medicines included in one row, and when taking the medicine for one row, FIG. 13 (b). As you can see, the packaging for the four doses is discarded. In this case, if the number of remaining drugs is not a multiple of 4, it is necessary to calculate the mass of the drug taken on the assumption that there are remaining small pieces of packaging exceeding the number according to the number of remaining drugs.

  FIG. 14 shows a third variation of packaging disposal in the case of a PTP sheet. In this example, the user is discarding the packaging without following a certain rule. As shown in FIG. 14 (b), when the user discards the packaging for each dose, FIG. 14 (c) In this case, the packaging is not discarded until all the medicines have been taken. In this case, since regularity of packaging disposal is not seen, it is necessary to calculate the mass of the medicine taken from all combinations as described in step S108.

  Next, the operation of the medication management support system 400 in each of the scenes of addition of medication information, estimation of medication status, and medication management support will be described in detail.

(Addition of drug information)
When a patient dispenses a medicine at a dispensing pharmacy, the medicine information is added to the information management unit 20 of the medication management server 200 as shown in FIG. The procedure up to the addition of drug information is as follows.

  The medicine box 100 with a precision scale transmits the current mass of the medicine storage unit 10 to the medication management server 200 (step S301). The pharmacist transmits patient information and information related to the dispensed medicine (medicine ID, medication time zone, single dose, mass for each drug, packaging state, packaging mass) from the medication information input terminal 300 ( Step S302). The transmitted information is stored in the patient information management unit, the dispensing information management unit, and the detailed dispensing information management unit of the medication management server 200.

  When the patient returns from the pharmacy and puts the medicine bag into the medicine box 100 with a precision scale, the lid opening / closing sensor 11 detects that the lid has been opened and closed (step S303). The precision scale of the medicine box measures the mass after the lid is closed (step S304), and the medicine box 100 with the precision scale transmits the mass to the medication management server 200 (step S305). The medication management server 200 compares the added mass with the dispensing information received from the pharmacy, and when it is determined that they are the same, the medication management server 200 records that the medication received at the pharmacy has been added to the medication management server 200 (step S306). ).

  FIG. 16 shows a procedure for estimating whether or not a patient has taken a medicine during a designated medication time zone.

  The medicine box 100 with a precision scale transmits the current mass of the medicine storage unit 10 to the medication management server 200 (step S401). When the lid of the medicine box 100 with the precision scale is opened and closed in the “medication time” recorded in the medicine management server 200 (step S402), it waits for the mass of the medicine box measured by the precision scale to stabilize (step S402). S403), the mass is transmitted to the medication management server 200 (step S404).

  The medication amount estimation unit 21 of the medication management server 200 calculates the difference in mass before and after the door opening / closing operation and sends it to the medication history information management unit (step S405). Estimate the “medication time zone” from the time when the mass information was sent and the medication history information, and compare the difference between the measured mass and the mass to be taken in the corresponding “medication time zone”. Then, it is presumed that the medicine has been taken correctly in the “medicine time zone” (step S406), and is reflected in the information of the “medicine remaining amount management unit” and the “medicine history information management unit” (step S410).

  In addition, the reflection to the information in the “medicine remaining amount management unit” and the “medicine history information management unit” is performed after the estimation result is displayed on the information presenting unit of the medicine box 100 with a precise scale (step S407). After confirming by pressing the button (step S408), the estimation result is confirmed and transmitted to the medication management server 200 (step S409), and the reflection can be performed. Also, depending on the user, the medicine bag itself containing all the medicines is once taken out from the medicine box 100 with a precision scale, and after going to the kitchen or the like and taking one medicine, the medicine bag with the precision scale 100 Some people return it. In that case, it is also possible to estimate the dose by the procedure of FIG.

  FIG. 17 shows a procedure for estimating whether or not a patient has taken a medicine during a designated medication time zone (when taking out a medicine bag).

  The medicine box 100 with a precision scale transmits the current mass of the medicine storage unit 10 to the medication management server 200 (step S501). When the lid of the medicine box 100 with the precision scale is opened and closed in the “medication time” recorded in the medicine management server 200 (step S502), the process waits for the mass of the medicine box measured by the precision scale to stabilize (step S502). S503), the mass is transmitted to the medication management server 200 (step S504).

  The medication amount estimation unit 21 of the medication management server 200 calculates the difference in mass before and after the door opening / closing operation and sends it to the medication history information management unit (step S505). The “medication time zone” is estimated from the time when the mass information is transmitted and the medication history information. And compare the difference between the mass to be taken and the measured mass in the corresponding `` medication time zone '', but if the actual drug mass change is significantly larger, it is determined that the whole medicine bag has been taken out, The medication management server 200 is notified (step S506).

  The medication management server 200 displays an estimation result indicating that the medicine bag has been taken out on the information presentation unit of the medicine box 100 with a precision scale (step S507), and asks the patient to confirm by pressing the button (step S508). When the patient presses the button, it is determined that the mass change including the medicine bag has occurred, and the medication management server 200 is notified (step S509).

  The patient takes out one dose of the medicine from the medicine bag, takes it, opens and closes the door of the medicine box 100 with a precision scale (step S510), and returns the medicine bag to the medicine storage unit 10. Then, it waits for the mass of the medicine box measured by the precision scale to stabilize (step S511), and the medicine box 100 with the precision scale transmits the mass to the medication management server 200 (step S512).

  The medication amount estimation unit 21 of the medication management server 200 calculates the difference between the mass before the first door opening / closing operation and the mass after the second door opening / closing operation, and sends the difference to the medication history information management unit (step S513). ). The medication history information management unit estimates the “medication time zone” from the time when the mass information is transmitted and the medication history information. Then, the difference between the mass to be taken in the corresponding “medicine time zone” and the measured mass is compared, and if it is the same, it is estimated that the medication was taken correctly in the “medicine time zone” (step S514), This is reflected in the information of “medicine remaining amount management unit” and “medicine history information management unit” (step S518).

  In addition, the reflection to the information in the “medicine remaining amount management unit” and the “medicine history information management unit” is performed after the estimation result is displayed on the information presenting unit of the medicine box 100 with a precise scale (step S515). After confirming by pressing the button (step S516), the estimation result is confirmed and transmitted to the medication management server 200 (step S517), and the reflection can be performed.

  FIG. 18 shows a procedure when the medication management server 200 provides medication management support. The medication management server 200 inquires about the medication time zone to the detailed dispensing information management unit (step S601). If the lid opening / closing sensor 11 of the precision scale-equipped medicine box 100 does not react or there is no change in mass even after the designated time of the medication time zone has passed (step S602), the medication management server 200 warns. The unit 23 transmits an alarm to the medicine box 100 with a precision scale, and presents a forgetting-drinking alarm to the information presenting unit 12 (step S603). It is also possible to send an alarm mail to a portable terminal owned by the patient.

  In addition, the medication management server 200 periodically acquires information about the medication history from the medication history information management unit (step S604). When there is a change in the medication history, or when there is a possibility of duplicate medication, such as when the lid opening / closing detection unit 11 has reacted even though it has already been recorded in the medication history (step S605), the warning unit 23 is precise. A warning or the latest medication history of the medication history information management unit of the medication management server 200 is presented to the information presentation unit 12 of the scaled medicine chest 100 (step S606). This allows the patient to see if he has already taken the medicine for the day.

  As described above, in the present embodiment, the change in the mass of the medicine box before and after the opening / closing operation of the medicine box measured by the precision scale and the time of taking estimated from the time when the opening / closing operation is performed are described. The dosage was estimated based on the information on the medicine to be taken. Thereby, accurate medication history management can be performed only by taking in and out the medicine using the medicine box with precision scale 100 as a normal medicine box.

  Further, according to the present embodiment, when the lid opening / closing operation or the medicine taking-out operation is not performed during the medication time period, a warning is displayed on the information presenting unit of the medicine box, etc. It is possible to prevent a person from forgetting to take a medicine.

  In addition, according to the present embodiment, the medication history information management unit is configured to display the medication history on the information presentation unit or the like of the medicine box, thereby preventing the user from taking the medication in duplicate. Can do.

(Second Embodiment)
FIG. 19 is a configuration diagram of a medication management support system 500 according to the second embodiment of the present invention. A medication management support system 500 shown in FIG. 19 includes a medicine box 100 with a precision scale placed in a patient's home, a trash box 101 with a precision scale placed adjacent to the medicine box 100, a medicine management server 200, and a pharmacy. And a medicine information input terminal 300 on which a pharmacist inputs dispensing information. These are connected by the Internet etc., for example, and can mutually transmit / receive information. The medication management support system 500 has the same configuration as the medication management support system 400 except that the trash can 101 with the precision scale is disposed adjacent to the medication box 100 with the precision scale, so that the overlapping description is repeated. Is omitted.

The trash box 101 with a precision scale includes a trash storage part 15 for storing empty medicine packaging, a trash box opening / closing detection part 16 for detecting the opening / closing operation of the trash box, a trash mass measuring part 17 using a precision scale, and a trash box. And an information transmission / reception unit 18. Here, the precision scale can measure the mass in milligram units.

  In the medication management support system 500, FIG. 20 shows a procedure for estimating whether or not a patient took a medication during a designated medication time zone.

  The medicine box 100 with a precision scale transmits the current mass of the medicine storage unit 10 to the medication management server 200 (step S701). In addition, the trash can 101 with the precision scale also transmits the current mass of the trash storage unit 15 to the medication management server 200 (step S702). When the lid of the medicine box 100 with the precision scale is opened and closed in the “medication time” recorded in the medicine management server 200 (step S703), the process waits for the mass of the medicine box measured by the precision scale to stabilize (step S703). S704), the mass is transmitted to the medication management server 200 (step S705).

  The medication amount estimation unit 21 of the medication management server 200 calculates the difference in mass (mass A) before and after the door opening / closing operation and sends it to the medication history information management unit (step S706).

  On the other hand, when the lid of the trash can 101 with the precision scale is opened or closed during the “medication time” recorded in the medication management server 200 (step S707), the process waits for the mass of the trash measured by the precision scale to stabilize (step S707). S708), the mass is transmitted to the medication management server 200 (step S709).

  The medication amount estimation unit 21 calculates a mass difference (mass B) before and after the opening / closing operation of the trash can and sends it to the medication history information management unit (step S710). Then, the medication amount estimation unit 21 sets the difference between the mass A and the mass B as the mass C. That is, the mass C is a mass obtained by subtracting the discard amount (mass B) of the packaging into the trash can 101 with precision scale from the amount of medicine taken out from the medicine box 100 with precision scale (mass A). Only the mass is shown.

  The medication amount estimation unit 21 estimates the “medicine time zone” from the time when the mass information is transmitted and the medication history information, and calculates the difference between the mass to be taken in the corresponding “medicine time zone” and the measured mass C. If they are the same, it is presumed that the medicine was correctly taken in the “medicine time zone” (step S711), and reflected in the information of the “medicine remaining amount management unit” and the “medicine history information management unit” (step S715).

  In addition, the reflection to the information in the “medicine remaining amount management unit” and the “medicine history information management unit” is performed after the estimation result is displayed on the information presenting unit of the medicine box 100 with a precision scale (step S712). After confirming by pressing the button (step S713), the estimation result is confirmed and transmitted to the medication management server 200 (step S714), and the reflection can be performed.

  As described above, according to the present embodiment, the configuration is such that the mass of the medicine packaging material discarded by the user is measured by the trash can 101 with the precision scale and notified to the medication management server 200. This makes it possible to estimate the amount of medication more accurately.

  Although the present invention has been described based on the drawings and examples, it should be noted that those skilled in the art can easily make various modifications and corrections based on the present disclosure. Therefore, it should be noted that these variations and modifications are included in the scope of the present invention. For example, the functions included in each component, each step, etc. can be rearranged so that there is no logical contradiction, and multiple components, steps, etc. can be combined or divided into one It is. Further, although the present invention has been described mainly with respect to the apparatus, the present invention can also be realized as a method, a program executed by a processor included in the apparatus, or a storage medium storing the program, and is within the scope of the present invention. It should be understood that these are also included.

DESCRIPTION OF SYMBOLS 10 Medicine storage part 11 Cover opening / closing detection part 12 Information presentation part 13 Medicine mass measurement part 14 Medicine box information transmission / reception part 15 Garbage storage part 16 Garbage box opening / closing detection part 17 Garbage mass measurement part 18 Garbage box information transmission / reception part 20 Information management part 21 Medication amount Estimator 22 Server information transmitter / receiver 23 Warning unit 30 Drug information input unit 31 Drug information transmitter / receiver 31
100 medicine box with precision scale 200 medication management server 300 medication information input terminal 400,500 medication trail management system

Claims (5)

A medicine box with a precision scale in which the user stores the medicine, a medicine management server that manages the medicine information, dispensing information, and medication history information in the database in association with the identification information of the user, and the user has the medicine packaging material A medication management support system comprising a trash box with a precision scale to be disposed of,
The medicine box with a precision scale includes a medicine storage part for storing medicine, a lid opening / closing sensing part for sensing the opening / closing operation of the lid, and a medicine mass measuring part for measuring the mass of the medicine box with a precision scale,
The trash box with a precision scale has a trash storage unit that discards the packing material of the medicine, a trash box opening / closing detection unit that detects opening / closing operation of the trash box, and a trash mass measurement unit that measures the mass of the trash box,
The medicine management server includes the medicine information including the mass of the medicine box with the precision scale before and after the opening and closing operation of the lid, the dispensing information, and the mass information of the medicine and the packing material, which are obtained from the medicine box with the precision scale. And a medication management support system, comprising: a medication amount estimation unit that estimates a medication amount based on the mass of the trash can with a precision scale before and after the opening / closing operation acquired from the trash can with a precision scale .   The medication amount estimation unit estimates a medication time zone based on the current time and the medication history information, and doses the mass of the medicine box with a precision scale before and after the lid opening / closing operation and the medication time zone. The medication management support system according to claim 1, wherein it is determined whether or not the medication has been taken correctly based on the mass information of the medication to be administered.   The medication management server further includes a warning unit that sends a warning to the medicine box with a precision scale when the mass of the medicine box with the precision scale before and after the lid opening / closing operation is not acquired in the medication time zone. A medication management support system according to claim 1 or 2, comprising:   When the medication management server detects the opening / closing operation of the lid when there is a change in the medication history or when there is a medication history in the medication time zone, the medication history information is stored in the medication box with a precision scale. The medication management support system according to claim 1, further comprising a warning unit that transmits a warning. A medication management support method by a medication management support system comprising a medication box with a precision scale , a medication management server, and a trash can with a precision scale where a user discards the packaging material of the medication,
Detecting the opening and closing operation of the lid by the medicine box with a precision scale;
Obtaining mass information of the medicine box with a precision scale before and after the lid opening and closing operation by the medication management server;
Detecting the opening and closing operation of the trash can by the trash can with the precision scale;
Obtaining mass information of the trash can with a precision scale before and after opening / closing operation of the trash by the medication management server;
The medication management server estimates the medication amount based on the mass information of the medicine box with the precision scale , the dispensing information, the medicine information including the mass information of the medicine and the packaging material, and the mass information of the trash box with the precision scale. A medication management support method comprising the steps of:

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