JP2002263185A - Medicine administration system and method and medicine administration device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To surely administer medicines even in the case that it is required to administer the medicines over a long period of time like a chronic disease. SOLUTION: A medicine administration management device 20 is provided with the medicine administration schedule of a medicine administration device 10 and instructs the medicine administration device 10 through a network when the medicine administration time indicated by the medicine administration schedule comes. The medicine administration device 10 is provided with a medicine administration mechanism 17 mounted on the body of a patient so as to perform medicine administration to the part of the patient to be administered of the medicine, operates the medicine administration mechanism 17 according to the medicine administration instruction from the medicine administration management device 20 and performs the medicine administration.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a dosing system and a dosing method in which a dosing device mounted on a patient's body is operated by an instruction from a remote place to perform dosing. Also, the present invention relates to a medication device operated by an instruction from a remote place.

[0002]

2. Description of the Related Art In chronic diseases, it is necessary to continuously administer drugs to patients. For example, in the case of diabetes, it is necessary to administer insulin every predetermined time, but it is difficult to go to a medical institution and receive an injection each time. Therefore, generally, a patient injects insulin by himself.

[0003]

In a chronic disease, a patient needs to administer a drug himself for a long period of time. In a short period, the medicine can be administered at a predetermined time without forgetting. However, if the administration institution is extended, the possibility of forgetting the administration is increased. An object of the present invention is to ensure that a patient can administer a drug when it is necessary to administer the drug.

[0004]

According to a first aspect of the present invention, a medication management device and a medication device provided with a wireless terminal can transmit and receive data via a network, and the medication management device includes a A dosing schedule holding means having a dosing schedule, and dosing instructing means for instructing the dosing device to perform dosing to the dosing device via a network when the dosing time indicated by the dosing schedule is reached, wherein the dosing device is a part to be administered of a patient Having a medication mechanism mounted on the patient's body so as to be able to perform medication, and medication control means for performing the medication by operating the medication mechanism according to a medication instruction from the medication management device. It is a dosing system characterized by the following. When the medication is performed by injection from the arm, the medication site is the arm, and the medication mechanism is mounted on the arm of the patient. For example, it can be worn using an annular wearing device such as a watch. Injection is generally performed by piercing a syringe needle, but a technique of penetrating a drug solution from the skin by pressure or the like is also possible. As a technique for administering a drug, in addition to injection, for example, drug spraying and drug application can be exemplified. The wireless terminal and the medication control means may be integrated with the medication mechanism, or may be configured separately to transmit and receive signals wirelessly. When the wireless terminal is separate from the medication mechanism, a mobile phone connectable to a network such as the Internet may be used as the wireless terminal.

According to a second aspect of the present invention, a medication management device and a medication device having a wireless terminal can transmit and receive data via a network, and the medication management device has a medication schedule having a medication schedule of the medication device. Holding means, medication instructing means for instructing the medication apparatus via the network when the medication time indicated by the medication schedule is reached, and medication record for recording medication completion information reported from the medication apparatus in the medication schedule Means, the dispensing device includes a dispensing mechanism mounted on the patient's body so as to be able to perform dispensing to a patient's dispensed site, and the dispensing mechanism in accordance with a dispensing instruction from the dispensing management device. Medication control means for operating and performing medication, and completing medication to the medication management device via a network after performing medication in accordance with the medication instruction And a dosing reporting means for reporting,
It is a medication system characterized by the above-mentioned. When the medication is administered, the fact is reported from the medication device and recorded in the medication schedule of the medication management device, so that the medication management device can know whether or not the scheduled medication has been performed without delay. it can. For this reason, when some trouble occurs, a countermeasure can be taken promptly.

According to a third aspect of the present invention, a medication management device and a medication device having a wireless terminal can transmit and receive data via a network, and the medication management device has a medication schedule having a medication schedule of the medication device. Holding means, detection instructing means for instructing the medication apparatus to detect vital information via the network when the medication time indicated by the medication schedule is reached, and whether or not the medication can be performed based on the vital information reported from the medication apparatus. Determining whether or not to administer, the medication instructing means for instructing the administration device to administer medication via a network when the administration / non-administration determination unit determines that administration is possible, and administering the medication completion information reported from the administration device. A medication recording means for recording the medication schedule, wherein the medication apparatus can perform medication to a patient's medication site. A medication mechanism mounted on the patient's body, a detection mechanism mounted on the patient's body so that vital information of the patient can be detected, and a detection mechanism operated according to a detection instruction from the medication management device for detection Control means for executing the above, a detection report means for reporting the detected vital information to the medication management device via a network, and causing the medication mechanism to operate in accordance with a medication instruction from the medication management device to perform medication. A dosing system comprising: a dosing control unit; and a dosing reporting unit that reports completion of dosing to the dosing management device via a network after performing dosing according to the dosing instruction. Vital information is information detected from a living body,
For example, pulse, body temperature, maximum and minimum blood pressure, and the like can be exemplified. In addition, various blood test results such as a blood sugar level that can be detected by minute blood sampling can also be mentioned. The detection mechanism and its mounting site are determined according to vital information to be detected.
The wireless terminal, the medication control means, and the medication mechanism may be integrated with the detection mechanism, or may be configured separately to transmit and receive signals wirelessly. The medication determination unit determines, for example, if the medication is presumed to deteriorate the patient's condition based on the detection result of the vital information.

According to a fourth aspect of the present invention, in the third aspect, the administration determining unit of the administration device further has a function of adjusting a dosage based on the vital information. Instructing means further has a function of instructing the dosage device the dosage determined by the dosage determination unit,
The dispensing system of the dispensing device further has a function of executing a dispensing operation of an amount specified by the detection control unit. For example, when it is presumed from the detection result of the vital information that the medication deteriorates the patient's medical condition, the medication availability determination means reduces the dosage or decides whether or not to administer the medication. On the other hand, when it is estimated that further medication is necessary from the detection result of the vital information,
Decide to increase the dosage. Further, it may be determined to change the time interval of the medication, in other words, to modify the medication schedule. According to a fifth aspect of the present invention, in the third or fourth aspect, the medication management device further comprises a medication plan creating means for creating the medication schedule based on an electronic medical record, and the medication recording means. A medication information transfer means for passing medication completion information recorded in a schedule to the electronic medical record. A sixth aspect of the present invention is the drug administration system according to any one of the first to fifth aspects, wherein the network is the Internet.

According to a seventh aspect of the present invention, there is provided a medication management apparatus having a medication schedule, a medication mechanism mounted on a patient's body so as to be able to execute medication to a medication site of the patient, and a wireless terminal. A medication device, capable of transmitting and receiving data via a network, wherein the medication management device instructs the medication device to administer the medication via the network when the medication time indicated by the medication schedule is reached, and A dosing method characterized in that the dosing mechanism is operated according to a dosing instruction from a management device to perform dosing. The invention of claim 8 provides a medication management device having a medication schedule, a medication device equipped with a medication mechanism mounted on a patient's body so as to be able to execute medication to a patient's medication site, and a wireless terminal. However, data can be transmitted and received via a network, and the medication management device instructs medication to the medication device via the network when the medication time indicated by the medication schedule is reached, and the medication device is transmitted from the medication management device. Operating the medication mechanism in accordance with the medication instruction to execute medication, and then reporting the medication completion to the medication management device via the network, and the medication management device reports the medication completion information reported from the medication device to the medication administration. A dosing method characterized by recording on a schedule.

According to a ninth aspect of the present invention, there is provided a medication management apparatus having a medication schedule, a medication mechanism mounted on a patient's body so as to be able to execute medication for a patient's medication site, and detecting patient's vital information. A medication device equipped with a detection mechanism and a wireless terminal attached to the patient's body so as to be able to transmit and receive data via a network, and the medication management device operates at a medication time indicated by the medication schedule. Then, instruct the detection of vital information to the medication device via a network, the medication device operates the detection mechanism according to the detection instruction from the medication management device, performs the detection, and executes the detection. Via the vital information reported from the dispensing device. If it is determined that dosing friendly as well as instructs the dosage to the dispensing device via a network,
The dosing device operates the dosing mechanism according to the dosing instruction from the dosing management device to perform the dosing, and then reports the completion of the dosing to the dosing management device via a network, and the dosing management device transmits the dosing device from the dosing device. A medication method, wherein the reported medication completion information is recorded in the medication schedule.

[0010] According to a tenth aspect of the present invention, a medication management device having a medication schedule, a medication mechanism mounted on a patient's body so as to be able to execute medication to a patient's medication site, and vital information of the patient are detected. A medication device equipped with a detection mechanism and a wireless terminal attached to the patient's body so as to be able to transmit and receive data via a network, and the medication management device operates at a medication time indicated by the medication schedule. Then, instruct the detection of vital information to the medication device via a network, the medication device operates the detection mechanism according to the detection instruction from the medication management device, performs the detection, and executes the detection. Reporting to the medication management device via the medication management device, based on the vital information reported from the medication device, When the dosage is determined to be medicable, and when it is determined that the medication is possible, the dosage is instructed to the medication device via a network, and the medication device controls the medication mechanism according to the dosage instruction from the medication management device. After operating and causing the prescribed amount of medication to be executed, the completion of the prescribed amount of medication is reported to the medication administration device via the network, and the medication administration device transmits the medication completion information of the prescribed amount reported from the medication device to the medication administration device. A dosing method characterized by recording in a dosing schedule.

According to an eleventh aspect of the present invention, in the ninth or tenth aspect, the medication schedule is created based on an electronic medical record, and the medication management device is configured to record the medication completion recorded in the medication schedule. A dosing method characterized in that information is passed to the electronic medical record. According to a twelfth aspect of the present invention, there is provided the medication method according to any one of the seventh to eleventh aspects, wherein the network is the Internet.

[0013] According to a thirteenth aspect of the present invention, a wireless terminal connectable to the Internet, a medication mechanism mounted on a patient's body so as to be able to administer a medication site, and a radio terminal received from the Internet via the wireless terminal means Medication control means for operating the medication mechanism in accordance with a medication instruction to execute medication, and medication report means for transmitting the effect to the predetermined medication management device via the wireless terminal to the Internet after the medication is executed, It is a dosing device characterized by having. That is, a dosing device used in the system of claim 2. The invention according to claim 14 is a wireless terminal connectable to the Internet, a medication mechanism attached to a patient's body so as to be able to administer a medication site, and a detection mechanism attached to a patient's body so that vital information can be detected. Detection control means for operating the detection mechanism in accordance with a detection instruction received from the Internet via the wireless terminal means to detect the vital information; and administering the detected vital information to the prescribed medication via the wireless terminal. Detection reporting means for sending to the Internet to the management device, medication control means for operating the medication mechanism in accordance with a medication instruction received from the Internet via the wireless terminal means to perform medication,
And a medication reporting unit for transmitting the fact to the Internet via the wireless terminal after the execution of the medication to the prescribed medication management device.
That is, a dosing device used in the system of claim 3.

[0013]

Embodiments of the present invention will be described below with reference to the drawings. FIG. 1 is a network configuration diagram of a medication system according to the first and second embodiments.
0 is also shown. FIG. 2 is a block diagram showing the medication management device 20 in FIG. 1, and FIG. 3 is an explanatory diagram illustrating a medication schedule of a certain patient A. FIG. 4 and FIG.
4 is a flowchart showing a procedure in the medication system according to the embodiment, FIG. 4 shows a medication management procedure in the medication management apparatus 20, and FIG. 5 shows a medication procedure in a certain medication apparatus 10.
FIGS. 6 to 9 are flowcharts showing procedures in the medication system according to the second embodiment. FIGS. 6 and 7 show a medication management procedure in the medication management device 20, and FIGS. 1 shows a dosing procedure using the dosing device 10.

(1) Configuration common to the first and second embodiments: As shown in FIG. 1, a medication management device 20 and a plurality of medication devices 10 (1), 10 (2), 10 ( i), and can be connected to the Internet, and data can be transmitted and received between them via the Internet.

Each dispensing device 10 has a control device 12 for controlling each part of the device. The control device 12 analyzes received data from the Internet / transmitted data for setting data to be transmitted to the Internet. Setting function 12a and medication control function 12 for controlling medication mechanism 17
f, and at least a detection control function 12g that controls the detection mechanism 18. The dosing mechanism 17 is, for example, a syringe, and is mounted on the injection site by a mounting member (eg, an annular mounting member such as a wristwatch band) 17a. The dispensing mechanism 17 is operated not by manual operation but by a signal from the dispensing control function 12f of the control device 12 (= inject the drug solution).
Has functions. The detection mechanism 18 for detecting vital information is, for example, a thermometer, and the mounting member (eg, adhesive tape or the like) 1
8a is attached to the site to be measured. This detection mechanism 1
Reference numeral 8 has a function of performing detection in accordance with a signal from the detection control function 12g of the control device 12, and passing the detection result to the control control function 12g. The wireless terminal 11 has a function of connecting to the Internet. The dosing mechanism 17 and its mounting member 17a, the detection mechanism 18 and its mounting member 18a, the control device 12, and the wireless terminal 11 may be integrally formed.
The transmission and reception of signals may be performed wirelessly by being configured separately. Moreover, some of these may be integrally formed, and the rest may be separately formed. For example, the wireless terminal 11
Alternatively, a mobile phone that can be connected to the Internet can be used.

As shown in FIG. 2, the medication management device 20
Medication management function 22b, medication plan management function 22c, electronic medical record management function 22d, reception data analysis for analyzing data received from the Internet, transmission data setting function 22a for setting data to be transmitted to the Internet, and data storage in auxiliary storage device 23 A control device 22 having at least a read / write control function 22e and an auxiliary storage device (eg, a hard disk or the like) storing at least a medication schedule 23a and a medical information database 23b for each patient.
23, a communication terminal 21 having a function of connecting to the Internet, an input device 24 such as a keyboard and a mouse, a display device 25, and a printing device 26. Although the medication management device 20 is shown as a single device in FIG. 2, it may be connected to a local LAN.

The electronic medical record management function 22d is a function for managing the medical information database 23b. For example, a medical information input screen is displayed, and data input from the screen is recorded in the medical information database 23b. Alternatively, the medical information of a desired patient is read from the medical information database 23b and displayed on a screen or printed out. Further, a treatment plan creation screen is displayed to create a treatment plan, and the created treatment plan is stored in the medical information database 23b.
And print it out. Since the electronic medical record management function is publicly known, detailed description is omitted.

The medication plan management function 22c creates a medication schedule for each patient based on the data read from the medical information database 23b and stores it in the auxiliary storage device 23. The dosing schedule has a dosing order and a scheduled dosing time as illustrated in FIG.
It has a record column for vital data (the type of vital data is appropriately determined according to the medicine to be administered, etc.) and a record column for the medication result. In the example of FIG. 3, a state in which insulin was administered from the first to seventh times, and the sixth medication was not performed because it was determined to be impossible based on the determination result of the vital data. It is shown. It should be noted that, as in the first embodiment, it is configured such that vital data is detected prior to medication, a detection result is transmitted from the medication device 20 to the medication management device 20, and recorded in the medication management device 20. Alternatively, as in the second embodiment, a configuration in which vital data is constantly or periodically detected, periodically transmitted from the medication device 10 to the medication management device 20, and recorded by the medication management device. May be. In the configuration of the second embodiment in which vital data is detected constantly or periodically and transmitted and recorded periodically, an abnormality in vital data can be detected early, so that necessary measures can be taken promptly. effective.

(2) First Embodiment: In the first embodiment, the medication management function 22b instructs vital data detection prior to a medication instruction, and administers medication (predetermined medication) in accordance with the detection result. , Dosing with increased or decreased dosage and / or dosing time intervals), or determined to be non-medicated. The medication management function 22b of the first embodiment and the function of the medication device 10 corresponding to the medication management function 22b will be described with reference to FIGS.
When a predetermined medication day time determined by a certain patient's medication schedule comes (YES in S01), the medication management device 20 issues an instruction to detect predetermined vital data determined by the medication schedule. Then, the data is transmitted to the Internet to the medication device 10 of the certain patient (S03).

In response to the above instruction (YE in S51)
S), in the administration device 10, vital data is detected, and the detection result is reported to the administration device 20 via the Internet (S53). The medication management device 20
It is checked whether there is any medication device that has passed a predetermined time (a predetermined time sufficient for detection) after the vital data detection instruction (S1).
1) If there is a corresponding medication apparatus (YE in S11)
S), it is checked whether or not the result of detecting the vital data is reported from the administration device (S13). As a result, when the result of detection of vital data is reported from the administration device (YES in S13), the vital data is recorded in a corresponding column in the administration schedule of the administration device, and based on the detection result. Decide whether to administer the drug.
If the medication is possible, the dosage is determined as necessary (S15). Further, when it is determined that medication is possible (S17)
YES), and sends a medication instruction addressed to the medication device to the Internet (S19). At this time, the above step S1
If the determination of 5 includes an increase or decrease in the dosage, the dosage after the increase or decrease is also transmitted. On the other hand, if there is a medication device that has not yet reported the detection result of vital data even though a predetermined time sufficient for the detection has elapsed after the vital data detection instruction (YES in S11 and NO in S13), The “medication error” is recorded in a corresponding column in the medication schedule of the medication device (S21). Step S17
If it is determined that "dosing is impossible" (NO in S17), "dosing not possible" is recorded in the corresponding column in the dosing schedule of the dosing device (S23).

In response to the instruction in step S19 (S6
(YES in 1), the medication is performed in the medication device 10, and then the completion of the medication is reported to the medication management device 20 via the Internet (S63).

The medication management device 20 checks whether there is a medication device that has passed a predetermined time (predetermined time sufficient for medication) after instructing the medication (S31), and if there is a corresponding medication device (YES in S31), It is checked whether or not the completion of the administration is reported from the administration apparatus (S33). as a result,
When the administration device reports that the administration is completed (YES in S33), “medicated” is recorded in the corresponding column in the administration schedule of the administration device (S35). On the other hand, if there is a medication device that has not yet reported the completion of medication even though a predetermined time sufficient for medication has passed after the medication instruction (YES in S31 and NO in S33), the medication of the medication device The “medication error” is recorded in the corresponding column in the schedule (S37).

Although no countermeasures have been described above in the case of “medication not possible” or “medication error”, for example, a warning is output to the operator of the medication management device 20 (alarm, blinking display on the screen, etc.). Then, the patient may be inquired by telephone, or an ambulance may be dispatched if necessary.

In addition, the above mentions whether to adjust (increase or decrease) the dosage, together with the increase or decrease of the dosage, or independently of the increase or decrease of the first dosage, whether to adopt another countermeasure. However, for example, a countermeasure such as increasing or decreasing the medication time interval (= changing the medication schedule) based on the detection result of the vital data may be adopted.

In the above description, the case where the medication management apparatus 20 has both the medication management function and the electronic medical chart management is described. However, the medication management apparatus 20 does not have the electronic medical chart function, and the medical information management apparatus 20 receives the medical information from another electronic medical chart apparatus. It is of course also possible to configure so as to create a medication schedule by acquiring In such a case, data transmission and reception between the two may be performed via the Internet.

(3) Second embodiment: In the second embodiment, the administration device 10 constantly or periodically detects vital data, and periodically transmits the result of administration to the medication management via the Internet. Report to device 20. Based on this report, the medication management device 20 checks the necessity of changing the medication schedule, and changes the medication schedule if necessary. When an abnormality is found in the vital data that is constantly or periodically detected, the medication device 10 immediately reports the abnormality and the detection result to the medication management device 20 via the Internet. In response to this report, the medication management device 20 performs a treatment such as an emergency medication, and further dispatches an ambulance if necessary. The medication management function 22b of the second embodiment having such a function and the function of the medication device 10 corresponding to the function will be described with reference to FIGS.

The dispensing device 10 having a clock (not shown) detects vital data when a predetermined detection time is reached for the dispensing device (YES in S151) (S151).
153), the detected vital data is checked (S155). As a result, when there is an abnormality (S157)
YES), and reports that the abnormality has been detected and vital data to the medication management apparatus 10 via the Internet (S
161). The abnormality is, for example, a case where the detected value of the vital data is out of a predetermined allowable range.

On the other hand, if there is no abnormality in the check in step S155 (NO in S155), the vital data is stored in the memory (S159), and the vital data is stored at a predetermined reporting time determined in advance for the medication apparatus. When this happens (YES in S171), the vital data held in the memory as described above is reported to the medication management device 20 via the Internet (S159).

When the administration device 20 reports that the abnormality has been detected from the administration device (YES in S101), the administration device 20 performs a process for dealing with the abnormality (S103). Here, a wireless terminal (eg, a mobile phone) of the medication device that has reported the abnormality is called to check the situation, and a process according to the situation is performed. For example, if urgent dosing is required, urgent dosing is instructed to the dosing device. In the case of a serious situation, such as when the situation is not sufficient for an emergency medication or when there is no response to the above call, dispatch of an ambulance or the like is arranged. In addition, the abnormality processing flag is set to 1 (S10
3).

The dosing device instructed by the medication management device 20 to perform a treatment such as urgent medication (abnormal treatment) responds to the instruction (YES in S163) and executes the instructed treatment (S165). In addition, when a predetermined time (a predetermined time sufficient for the effect of the executed emergency treatment to appear) has elapsed from the treatment (YES in S181), vital information is detected (S1).
83), the vital information is checked (evaluated) (S1)
85). As a result, when the abnormality is no longer recognized (NO in S187), the fact that the abnormality has been recovered is reported to the medication management device 20 via the Internet (S18).
9).

If it is determined in step S187 that the abnormality is still abnormal despite the execution of the emergency treatment (YES in step S187), or even if a predetermined time has elapsed since the current abnormality was reported, If no emergency treatment instruction or the like is received from the management device 20 (S16
(NO in 7), an abnormal-time termination process is performed (S169), and the process in the administration device is terminated.

In the medication management apparatus 20, if the current abnormal processing is not completed in the loop repeatedly executed (YES in S110), step S111.
After the processing of steps S119 to S119 (processing for ending the processing at the time of abnormality), the processing proceeds to the processing of step S121 and thereafter (the processing of the medication management apparatus 20 in the normal state). After the process at the time of this abnormality is completed (NO in S110), the process immediately proceeds to the processes in step S121 and thereafter.

First, the processing of steps S111 to S119 will be described. If an emergency treatment such as an emergency medication is instructed in step S103 (YES in S111), a predetermined time sufficient for the effect of the emergency treatment to elapse is waited (S113).
YES), it is checked whether or not a report indicating that recovery from the abnormality has been received from the medication apparatus (S115). As a result, when it is received that recovery from the abnormality has been received (S11
If the answer is 5 (YES at S5), the abnormal-state processing flag is set to 0 (S11).
9). As a result, the process at the time of abnormality of the administration device ends. That is, from the next loop, steps S111 to S111
Step 119 is not executed.

On the other hand, when it is determined in step S115 that the recovery from the abnormality has not been received (S115).
115 (NO at 115), the management state of the dispensing device is set to “abnormal termination state” (S117), and the abnormal processing flag is set to 0 (S119). As a result, the processes in steps S111 to S119 are not performed from the next loop, and the fact that the medication device has been "terminated abnormally" is recorded in the medication schedule of the medication device. In addition, the fact is transferred to the electronic medical record.

Note that the processing in step S103 is as follows:
If the processing is an instruction to dispatch an ambulance or the like (S11
(YES in 9), immediately set the administration state of the administration apparatus to the “abnormal termination state” (S117), and set the abnormal processing flag to 0 (S119).

Steps S121 to S129 are for vital information received from the Internet at a report time predetermined for each medication device, that is, for non-abnormal (normal) times.
This is the processing of the vital information received as the information.

When vital information is received from any of the administration devices (YES in S121), the vital information is recorded in a corresponding column of the administration schedule of the administration device (S121).
123). Further, the necessity of changing the medication schedule is checked based on the received vital information (S12).
5). For example, the necessity of increasing or decreasing the time interval of administration or the necessity of increasing or decreasing the dosage is checked. As a result, if a change is necessary (YES in S127), the dosing schedule of the dosing device is changed to conform to the need (S129).

Steps S131 to S147 are processes for causing each dispensing device to execute the dispensing according to the dispensing schedule of each dispensing device. When the medication time of the medication schedule of any medication device comes (S131)
YES), and instructs the administration device to administer the administration (S133).

In response to this instruction (YE in S175)
S), the medication device executes the medication (S177), and when the instructed medication is completed, reports the fact to the medication management device 20 via the Internet (S177).

After a prescribed time period sufficient for the administration of the medication and the report of the completion of the medication has elapsed (YES in S141), the medication management device 20 receives the instruction from the medication device after the instruction of the medication to the medication device. It is checked whether a report of “medication completed” has been received (S143). As a result, if received (S
“YES” at 143), “medicated” is recorded in the corresponding column of the medication schedule of the medication apparatus. On the other hand, in the case where a report of “medication completion” has not yet been received from the administration device even though the sufficient time has elapsed (S143)
NO), “medication error” is recorded in the corresponding column of the medication schedule of the administration device (S147).

In the above-described configuration, the presence or absence of the vital information is checked on the medication device side. Instead, the presence or absence of the vital information is checked on the medication management device 20 side. You may.

[0042]

According to the first aspect of the present invention, the medication management device has a medication schedule for the medication device, and when the medication schedule reaches the prescribed medication time, instructs the medication device to administer the medication via the network. On the other hand, the dispensing device has a dispensing mechanism attached to the patient's body so that the dispensing can be performed on the patient's dispensed site, and operates the dispensing mechanism in accordance with a dispensing instruction from the dispensing management device to perform dispensing. Let it run. For this reason, even when a patient needs to administer a medicine for a long period of time, such as a chronic disease, the medicine can be reliably administered. According to the second aspect of the present invention, in the configuration of the first aspect, the administration apparatus reports the completion to the administration apparatus after the completion of administration, and the administration apparatus records the report in the administration schedule. In addition to the effect, there is an effect that the medication management device side can grasp the medication situation. In other words, there is an effect that when any trouble occurs, a countermeasure can be taken promptly. In the invention of claim 3, claim 2
In the above configuration, the medication management device instructs detection of vital information prior to the medication instruction, and determines whether or not to administer the medication based on the result. The dosing device also detects and reports vital information. For this reason, in addition to the effect of claim 2, there is an effect that it is possible to know whether or not the administration is performed before the administration, and to cancel the administration if it is estimated that it is better not to administer the administration.

According to the fourth aspect of the present invention, in the configuration of the third aspect, the medication management device can determine not only the availability of the medication but also the dosage based on the detection result of the vital information. In addition to the above, there is an effect that the dosage can be appropriately adjusted. According to the fifth aspect of the invention, in addition to the effects of the third or fourth aspect, a medication schedule can be created based on the electronic medical record, and a medication result (medication completion / non-administration of medication / medication error) can be displayed on the electronic medical record. There is an effect that can be recorded. According to the sixth aspect of the present invention, in any one of the first to fifth aspects, since the network is the Internet, there is an effect that each of the above-mentioned effects can be achieved without departing from regional restrictions.

According to the seventh to twelfth aspects, there is an effect that a method which can be executed by the system according to the first to sixth aspects can be provided. Claim 13 has the effect of providing the dosing device used in claim 2, and claim 14 has the effect of providing the dosing device used in claim 3.

[Brief description of the drawings]

FIG. 1 is a network configuration diagram of a medication system according to first and second embodiments. The block diagram of the dispensing device is also shown.

FIG. 2 is a block diagram showing a medication management device 20 in FIG.

FIG. 3 is an explanatory diagram illustrating a medication schedule of a certain patient.

FIG. 4 shows a medication management device 2 in the system according to the first embodiment.
0 is a flow chart showing a medication management procedure executed by the user.

FIG. 5 is a flowchart illustrating a medication procedure executed by the medication device 10 in the system according to the first embodiment.

FIG. 6 shows a medication management device 2 in the system according to the second embodiment.
0 is a part of a flowchart showing a medication management procedure to be executed.

FIG. 7 shows a medication management device 2 in the system according to the second embodiment.
0 is the remainder of the flowchart showing the medication management procedure executed.

FIG. 8 is a part of a flowchart showing a medication procedure executed by the medication device 10 in the system according to the second embodiment.

FIG. 9 is the remaining part of the flowchart showing the medication procedure executed by the medication device 10 in the system according to the second embodiment.

[Explanation of symbols]

 10 medication device 20 medication management device

 ──────────────────────────────────────────────────続 き Continuing on the front page (72) Akira Uchida 2-5-5 Keihanhondori, Moriguchi-shi, Osaka Sanyo Electric Co., Ltd. (72) Hiroyuki Kuriyama 2-5-5 Keihanhondori, Moriguchi-shi, Osaka No. 5 Sanyo Electric Co., Ltd. F term (reference) 4C066 AA09 BB01 BB10 CC01 DD11 HH30 LL12 LL30 QQ21 QQ23 QQ61 QQ62 QQ64 QQ65 QQ82 QQ84

Claims (14)

[Claims] 1. A medication management device and a medication device equipped with a wireless terminal can transmit and receive data via a network, wherein the medication management device has a medication plan holding means having a medication schedule of the medication device. And a medication instructing unit for instructing the medication device to administer medication via a network when the medication schedule indicates the prescribed medication time, wherein the medication device may execute medication to a patient's medication site. A dosing mechanism mounted on the patient's body as described above, and a dosing control means for operating the dosing mechanism in accordance with a dosing instruction from the dosing management device to execute the dosing. 2. A medication management device and a medication device having a wireless terminal can transmit and receive data via a network, wherein the medication management device has a medication plan holding means having a medication schedule of the medication device. A medication instructing unit that instructs the medication device via the network when a medication time indicated by the medication schedule is instructed, a medication recording unit that records medication completion information reported from the medication device in the medication schedule, The dispensing device has a dispensing mechanism attached to the patient's body so as to be able to perform dispensing on a patient's dispensed site, and operates the dispensing mechanism according to a dispensing instruction from the dispensing management device. A medication control means for performing medication in accordance with the medication instruction, and reporting the completion of medication to the medication management device via a network after performing the medication in accordance with the medication instruction. Dosing system characterized by having a drug reporting means. 3. A medication management device and a medication device having a wireless terminal can transmit and receive data via a network, wherein the medication management device has a medication plan holding means having a medication schedule of the medication device. Detection instruction means for instructing the administration device to detect vital information via a network when the administration time indicated by the administration schedule is reached,
Medication decision means for deciding whether or not to administer the medication based on vital information reported from the medication apparatus, and instructing medication to the medication apparatus via a network when the medication decision means decides to permit medication. Medication instruction means;
And a medication recording means for recording medication completion information reported from the medication device in the medication schedule, wherein the medication device is applied to a patient's body so as to be able to administer medication to a patient's medication site. A mounted medication mechanism, a detection mechanism mounted on the patient's body so that vital information of the patient can be detected, and a detection control for performing the detection by operating the detection mechanism in accordance with a detection instruction from the medication management device Means, detection report means for reporting the detected vital information to the medication management device via a network, medication control means for operating the medication mechanism according to a medication instruction from the medication management device to execute medication, And a medication reporting unit that reports the completion of medication to the medication management device via a network after performing medication in accordance with the medication instruction. Dispensing system that. 4. The medication management device according to claim 3, wherein the medication availability determination means of the medication management device further has a function of adjusting a dosage based on the vital information. The dispensing mechanism of the dispensing device further has a function of executing a dispensing operation of the amount instructed by the detection control means, further comprising a function of instructing the dispensing device of the dosage determined by the dispensation determining unit. A dosing system characterized in that: 5. The medication management device according to claim 3, wherein the medication management device further comprises: a medication plan creating means for creating the medication schedule based on an electronic medical record; Completion information transfer means for passing the recorded medication completion information to the electronic medical record,
A dosing system, comprising: 6. The medication system according to claim 1, wherein the network is the Internet. 7. A medication management device having a medication schedule, a medication device having a medication mechanism mounted on a patient's body and a wireless terminal so as to be able to perform medication on a medication site of the patient, Data can be transmitted and received via a network, wherein the medication management device instructs the medication device via the network when the medication time indicated by the medication schedule is instructed, and wherein the medication device is from the medication management device. A dosing method by operating the dosing mechanism in accordance with the dosing instruction of the above. 8. A medication management device having a medication schedule, a medication device having a medication mechanism mounted on a patient's body and a wireless terminal so as to be able to execute medication to a medication site of the patient, Data can be transmitted and received via a network, wherein the medication management device instructs the medication device via the network when the medication time indicated by the medication schedule is instructed, and wherein the medication device is from the medication management device. After the medication mechanism is operated according to the medication instruction and the medication is executed, the medication completion is reported to the medication management device via a network, and the medication management device transmits the medication completion information reported from the medication device. Recording in the dosing schedule. 9. A medication management device having a medication schedule, a medication mechanism mounted on a patient's body so that medication can be performed on a patient's medication site, and a patient's vital information so that patient's vital information can be detected. A medication device equipped with a detection mechanism and a wireless terminal attached to the body of the body can transmit and receive data via a network, and the medication management device communicates via the network when the medication time indicated by the medication schedule comes. And instruct the administration device to detect vital information.The administration device operates the detection mechanism in accordance with the detection instruction from the administration device to execute the detection, and then transmits the detected vital information via a network. Reporting to the medication management device, wherein the medication management device determines whether or not to administer the medication based on vital information reported from the medication device. If it is determined that medication is possible, the medication is instructed to the medication device via a network, and the medication device operates the medication mechanism according to the medication instruction from the medication management device to execute medication, A medication completion report to the medication management device via a network, wherein the medication management device records medication completion information reported from the medication device in the medication schedule. 10. A medication management device having a medication schedule, a medication mechanism mounted on a patient's body so that medication can be performed on a patient's medication site, and a patient's vital information so that patient's vital information can be detected. A medication device equipped with a detection mechanism and a wireless terminal attached to the body of the body can transmit and receive data via a network, and the medication management device communicates via the network when the medication time indicated by the medication schedule comes. And instruct the administration device to detect vital information.The administration device operates the detection mechanism in accordance with the detection instruction from the administration device to execute the detection, and then transmits the detected vital information via a network. Reporting to the medication management device, wherein the medication management device determines whether or not the medication can be performed based on the vital information reported from the medication device; Determining the combined dosage and instructing the dosage device via the network when the dosage is determined to be available, the dosage device operating the dosage mechanism according to the dosage instruction from the dosage management device. After performing the prescribed amount of medication, the completion of the prescribed amount of medication is reported to the medication management device via a network, and the medication management device transmits the prescribed amount of medication completion information reported from the medication device to the medication administration device. Record on the dosing schedule,
A dosing method characterized in that: 11. The medication schedule according to claim 9, wherein the medication schedule is created based on an electronic medical record, and the medication management device stores medication completion information recorded in the medication schedule in the electronic medical record. A dosing method. 12. The medication method according to claim 7, wherein the network is the Internet. 13. A wireless terminal connectable to the Internet, a medication mechanism attached to a patient's body so as to be able to administer a medication site, and the medication according to a medication instruction received from the Internet via the wireless terminal means. Medication control means for operating a mechanism to execute medication, and medication report means for transmitting the effect to the predetermined medication management device via the wireless terminal to the Internet after the administration of the medication. Dosing device. 14. A wireless terminal connectable to the Internet, a medication mechanism attached to a patient's body so as to be able to administer a medication site, a detection mechanism attached to a patient's body so that vital information can be detected, Detection control means for operating the detection mechanism in accordance with a detection instruction received from the Internet via the wireless terminal means to detect the vital information; and a prescribed medication management device for transmitting the detected vital information via the wireless terminal. Detection report means for sending to the Internet to the address, medication control means for operating the medication mechanism in accordance with a medication instruction received from the Internet via the wireless terminal means to perform medication, and a statement to that effect after the execution of the medication. Medication reporting means for transmitting the medication to a predetermined medication management device via the wireless terminal to the Internet. A dispensing device according to claim.