JP2023157458A - Information processing device, drug storage device and program - Google Patents

Abstract

To enable determination regarding, for example, decline in cognitive functions.SOLUTION: An information processing device is provided, comprising a communication unit configured to acquire predetermined information including medication history information from an externally connected device via communication, and a cognitive function determination unit configured to make a determination regarding decline in cognitive functions on the basis of at least the medication history information included in the predetermined information.SELECTED DRAWING: Figure 8

Description

The present invention relates to an information processing device, a drug storage device, and a program.

The increasing number of patients with so-called dementia, a condition in which cognitive function declines and interferes with daily life in general, has become a social problem. Therefore, in recent years, various proposals regarding technologies to support patients with dementia have been made. For example, Patent Document 1 listed below discloses a device for controlling the rotation of a medicine box by providing a medicine box with an openable and closable lid and a rotating body. By controlling the rotation of the medicine box, it is possible to prevent the medicine from being taken out for a predetermined period of time after it has been taken out once. Patent Document 1 describes that such a device can encourage dementia patients to get into the habit of taking out medicine, and can also prevent dementia patients from forgetting to take medication or overdosing.

JP2014-204744A

Once dementia develops, it is difficult to cure it, but it is said that by treating it in its early stages, it is possible to slow the progression and allow people to live independent lives. In other words, like other diseases, early detection of dementia is said to be important. However, with the technology described in Patent Document 1, if the number of remaining drugs based on the self-reported number of drugs taken does not match the actual number of remaining drugs (number of remaining drugs), it is possible to grasp what is happening to the patient. I couldn't. In such cases, there is a risk that the drug user's (patient's) cognitive function may be declining, but conventional technology assumes that dementia has progressed to a certain extent, so it is difficult to detect the risk of dementia at an early stage. There was a lack of perspective.

Therefore, one of the objects of the present invention is to provide an information processing device, a drug storage device, and a program that can detect the possibility of dementia at an early stage by determining the decline in cognitive function.

The present invention, for example,
a communication unit that acquires predetermined information including medication history information from an externally connected device via communication;
The information processing apparatus includes: a cognitive function determination unit that determines a decline in cognitive function based on at least medication history information included in predetermined information.
Here, the externally connected device is a communication partner, and for example, a medicine storage device, an input device, a pharmacy-side computer, a server, etc. in this specification can be the externally connected device.

The present invention, for example,
First medication history information, which is the theoretical remaining number of drugs in the drug storage device, which is calculated in response to an operation input from the drug storage device or input device to the drug storage device or input device, via communication. and a communication department that obtains second medication history information, which is the actual number of drugs remaining, from the pharmacy computer;
The information processing device includes: a cognitive function determination unit that makes a determination regarding a decline in cognitive function based on first medication history information and second medication history information.

The present invention, for example,
A casing that can store drugs;
an operation input section provided in the housing;
a notification section that notifies the timing of taking the drug;
It has a communications department and
This medicine storage device transmits the result of the operation input to the operation input unit in response to notification of the timing of taking the medication to an external device via the communication unit.
Here, the external device is a communication partner, and may be, for example, an input device, a cognitive function determining device, a pharmacy computer, a server, etc. in this specification.

The present invention, for example,
A casing that can store drugs;
a notification section that notifies the timing of taking the drug;
Communication Department and
It has a cognitive function judgment unit that makes judgments regarding decline in cognitive function, and
The cognitive function determination unit makes a determination regarding the decline in cognitive function based on the difference between first medication history information that changes according to the operation on the operation input unit and second medication history information that is based on the actual medication history. It is a drug storage device.

The present invention includes, for example,
A casing that can store drugs;
a communication unit that acquires second medication history information based on the result of an operation input made with the input device in response to notification of the timing of medication intake and the history of actual medication;
It has a cognitive function judgment unit that makes judgments regarding decline in cognitive function, and
The cognitive function determination unit is a drug storage device that makes a determination regarding the decline in cognitive function based on the difference between first medication history information and second medication history information that change according to operational input.

The present invention, for example,
The communication department acquires predetermined information including medication history information from an externally connected device via communication,
The cognitive function determination unit is a program that causes a computer to execute control for determining a decline in cognitive function based on at least medication history information included in predetermined information.

FIG. 1 is a diagram showing an example of a system configuration. FIG. 2 is a diagram for explaining an example of the external configuration of a medicine storage device. FIG. 2 is a diagram for explaining an example of the external configuration of a medicine storage device. FIG. 2 is a diagram for explaining an example of the external configuration of a medicine storage device. FIG. 2 is a diagram for explaining an example of the internal configuration of a medicine storage device. FIG. 2 is a diagram for explaining an example of the internal configuration of an input device and the like. FIG. 2 is a diagram for explaining an example of the internal configuration of an electronic medical history management device. FIG. 2 is a diagram for explaining an example of the internal configuration of a cognitive function determining device. FIG. 3 is a diagram for explaining an example of the internal configuration of a server. It is a flowchart for explaining one of the processes performed in the system. It is a flowchart for explaining one of the processes performed in the system. It is a flowchart for explaining one of the processes performed in the system. It is a flowchart for explaining one of the processes performed in the system. This is for explaining an example of a GUI (Graphical User Interface). This is for explaining an example of a GUI. It is a figure for explaining a modification. It is a figure for explaining a modification. It is a figure for explaining a modification. It is a figure for explaining a modification. It is a figure for explaining a modification.

Embodiments of the present invention will be described below with reference to the drawings. Note that the embodiments described below are preferred specific examples of the present invention, and the content of the present invention is not limited to these embodiments. The explanation will be given in the following order.
<First embodiment>
<Second embodiment>
<Modified example>
Note that the members shown in the claims are not limited to the members of the embodiments. In particular, the scope of the present invention shall be limited to the dimensions, materials, shapes, relative arrangements, directions, etc. of the constituent members described in the embodiments, unless otherwise specified. It is not intended to be limiting, but is merely an illustrative example. Please note that the sizes and positional relationships of members shown in each drawing may be exaggerated for clarity of explanation, and only some reference numerals may be used to avoid complicating the illustrations. In some cases, the illustration may be illustrated or a part of the illustration may be simplified. Furthermore, in the following description, the same names and symbols indicate the same or homogeneous members, and redundant descriptions will be omitted as appropriate.

<First embodiment>
[System configuration example]
FIG. 1 is a diagram showing a configuration example of a system (system 1) according to an embodiment. The system 1 includes a plurality of devices, and has a configuration in which these devices are connected to each other via a network such as the Internet.

The system 1 includes a medicine storage device 11 and an input device 12, which is a terminal for the medicine storage device 11, as an example of a device used on the patient side. The patient is a user of the drug storage device 11 and the input device 12. The system 1 includes an electronic medication history management device 21, a dispensing device 22, and a medication notebook management device 23 as examples of devices on the pharmacy side (which may include not only pharmacies but also hospitals). In addition, the system 1 includes a cognitive function determining device 31, a registration terminal 41, and a server 51.

Data can be sent and received and commands can be sent and received between the drug storage device 11 and the input device 12 by communicating based on a predetermined communication standard. Examples of wireless communication standards include LAN (Local Area Network), Bluetooth (registered trademark), Wi-Fi (registered trademark), and WUSB (Wireless USB). In this embodiment, communication based on BLE (Bluetooth Low Energy) is performed between the medicine storage device 11 and the input device 12. The input device 12 also communicates with the server 51 based on communication standards such as LTE (Long Term Evolution), 4G (Generation), and 5G (Fifth Generation Mobile Communication System). Communication is possible. That is, the medicine storage device 11 is capable of communicating with the server 51 via the input device 12.

The electronic medication history management device 21, the dispensing device 22, and the medication notebook management device 23 are computers that manage types of medicines and medication history. In the following description, these computers will be collectively referred to as pharmacy-side computers. Specific examples of the pharmacy computer include smart phones, tablet computers, and stationary computers. The pharmacy computer performs processing based on a receipt computer, which is software for streamlining medical work. NSIPS (New Standard Interface of Pharmacy-system Specifications) is known as a shared specification for interlocking dispensing systems using pharmacy computers. Of course, the shared specification for interlocking the dispensing systems is not limited to NSIPS, and may be a unique API (Application Programming Interface). The pharmacy side computer is also capable of communicating with the server 51 via the Internet or the like.

The cognitive function determination device 31 is a computer that makes a determination regarding the decline in cognitive function of a predetermined patient. The cognitive function determination device 31 may be installed in a company that provides medical services, for example. Of course, the cognitive function determination device 31 may be installed on the patient side or the pharmacy side, or may be integrated with the server 51.

The registered terminal 41 is a smart phone that is registered in advance to execute the monitoring service (details will be described later). Users of the registration terminal 41 include, for example, family members and friends of the patient who uses the medicine storage device 11.

The server 51 stores data transmitted from the input device 12 and the pharmacy computer. Further, the server 51 transmits data stored therein to the cognitive function determining device 31 and the pharmacy computer, and transmits a message corresponding to the monitoring service to the registration terminal 41. Although only one server 51 is illustrated for convenience of explanation, the server 51 may include a plurality of servers distributed for each function.

[Example of configuration of drug storage device]
(Example of external configuration of drug storage device)
Next, an example of the external configuration of the medicine storage device 11 according to the present embodiment will be described with reference to FIGS. 2 to 4. The medicine storage device 11 has a housing 101 having a substantially rectangular parallelepiped shape. The medicine storage device 11 is supplied with power from a commercial power source, power from an external power supply device such as a device connected to a USB (Universal Serial Bus) or a battery, or power from a primary battery such as a secondary battery or dry cell battery. Operates using electricity, etc. The medicine storage device 11 has, for example, a size that is portable (for example, the size of a tissue box). Note that the shape of the medicine storage device 11 is not limited to a box shape, and may be other shapes such as a cylindrical shape or a prismatic shape.

The housing 101 has an upper surface portion 102 and side portions 103A and 103B that are substantially orthogonal to the upper surface portion 102 and have relatively large areas. The housing 101 is made of resin, metal, or the like. Preferably, the casing 101 is made of transparent plastic resin so that the inside of the drug storage space, which will be described later, can be confirmed. The housing 101 has an internal space that is open at the upper surface portion 102 . This internal space functions as a medicine storage section 104 that stores medicines such as tablets and powders. The drug storage unit 104 according to the present embodiment includes, for example, four drug storage spaces (a first drug storage space 104A, a second drug storage space 104B, a third drug storage space 104C, and a fourth drug storage space) that are partitioned from each other. space 104D). Of course, the number of drug storage spaces is not limited to four. You can use partitions to divide one medicine storage space, or you can create a calendar with a number of medicine storage spaces corresponding to the number of days in a month (for example, 31) so that you can take your medication on each day. It is also possible to adopt a mode in which the medicines to be treated can be stored individually. Furthermore, the drugs stored in each drug storage space may be of the same type or may be of different types. In this embodiment, the first medicine storage space 104A stores medicines to be taken in the morning (for example, 7:00), and the second medicine storage space 104B stores medicines to be taken at noon (for example, 12:00). The third medicine storage space 104C stores medicines to be taken in the evening (for example, 17:00), and the fourth medicine storage space 104D stores medicines to be taken before bedtime (for example, 21:00).

A light emitting button section 105 is provided on the side surface section 103A of the housing 101. The light-emitting button unit 105 has a configuration in which a light-emitting body such as an LED (Light Emitting Diode) and a button that can be pressed are integrated. The light-emitting button section 105 according to the present embodiment includes a number of light-emitting buttons (a first light-emitting button 105A, a second light-emitting button 105B, a third light-emitting button 105C, and 4th light emitting button 105D). Each light-emitting button corresponds to a drug storage space. In this embodiment, the first light-emitting button 105A and the first drug storage space 104A correspond to each other, the second light-emitting button 105B and the second drug storage space 104B correspond to each other, and the third light-emitting button 105C and the second drug storage space 104B correspond to each other. The third medicine storage space 104C corresponds to the fourth medicine storage space 104C, and the fourth light emitting button 105D corresponds to the fourth medicine storage space 104D. Although the arrangement position of each light-emitting button is not particularly limited, it is preferable that each light-emitting button is provided at a position where the correspondence relationship between these buttons is easy to understand for the patient.

For example, when the current time reaches a timing (for example, 7:00 in the morning) at which the medicine stored in the first medicine storage space 104A is to be taken, the first light-emitting button 105A emits light. In addition, an alarm sound indicating that the current time is the timing to take the medicine is played from the input device 12. The patient recognizes that it is the timing (in this example, the time) to take the medicine by visually recognizing the light emission from the first light emission button 105A or by hearing the alarm sound. Then, the patient takes out and takes the medicine stored in the first medicine storage space 104A corresponding to the first light emitting button 105A. The patient who has taken the drug presses the first light emitting button 105A. The pressed first light emitting button 105A turns off. In this way, the light-emitting button section 105 according to the present embodiment also functions as a notification section that notifies the timing at which the medicine should be taken (medication timing), and also functions as an operation input section through which operation input is performed. .

The emitted light color of each light emitting button may be the same, but it is preferable that the emitted light color is different in order to make it easier to understand the time period corresponding to the light emitting button. For example, the first light emitting button 105A has a red light emitting color, the second light emitting button 105B has a yellow light emitting color, the third light emitting button 105C has a blue light emitting color, and the fourth light emitting button 105D has a different light emitting color such as green. Each light-emitting button lights up in a different color.

Further, a mounting portion 106 is provided at the end of the upper surface portion 102 (the end on the side surface portion 103B side). The mounting portion 106 includes, for example, a rectangular opening 106A provided in the upper surface portion 102, and a support portion 106B erected so as to lean against the side surface portion 103B. A terminal (not shown) is provided at the bottom of the opening 106A, as shown in FIGS. 3, 4A, and 4B, so that the terminal exposed to the outside of the input device 12 comes into contact with this terminal. Then, a part of the input device 12 is inserted into the opening 106A. As an example, the input device 12 is inserted into the opening 106A with the display (display 121 described later) of the input device 12 facing the side surface 103A. Since the support portion 106B can support the back surface of the input device 12 (the surface opposite to the surface on which the display is provided), the input device 12 can be mounted on the drug storage device 11 in a stable posture. Communication based on, for example, BLE is performed between the medicine storage device 11 and the input device 12 attached to the medicine storage device 11. Note that such communication can be performed even when the input device 12 is not attached to the drug storage device 11 and when the devices are placed close to each other.

(Example of internal configuration of drug storage device)
FIG. 5 is a block diagram showing an example of the internal configuration of the medicine storage device 11. As shown in FIG. The medicine storage device 11 includes, for example, a control section 111, a communication section 112, and a light emitting button section 105. As described above, the light-emitting button section 105 includes a first light-emitting button 105A, a second light-emitting button 105B, a third light-emitting button 105C, and a fourth light-emitting button 105D.

The control unit 111 includes, for example, a CPU (Central Processing Unit), a RAM (Random Access Memory), a ROM (Read Only Memory), and the like. The ROM stores programs and the like that are read and operated by the CPU. RAM is used as a work memory for the CPU. The CPU controls the entire drug storage device 11 by executing various processes and issuing commands according to programs stored in the ROM.

For example, the control unit 111 controls the light emission of each light emission button, processes corresponding to a press operation on the light emission button (for example, data generation process corresponding to the press operation), and performs communication control processing for the communication unit 112.

The communication unit 112 is a communication module that communicates with other devices and the Internet according to a predetermined communication standard. The communication unit 112 according to the present embodiment performs communication with the input device 12 based on a communication standard compatible with BLE.

[Example of configuration of input device]
The input device 12 has, for example, an external configuration similar to that of a known smart phone. Specifically, it has an appearance in which a display 121 is provided on one side of the casing. In this embodiment, the display 121 is configured as a touch panel. As shown in FIG. 6, in addition to the display 121, the input device 12 includes, for example, a control section 122, an input section 123, a wireless communication section 124, an antenna 125 connected to the wireless communication section 124, and a short-range wireless communication section. 126, an antenna 127 connected to the short-range wireless communication unit 126, a position sensor unit 128, an antenna 129 connected to the position sensor unit 128, a memory unit 130, a vibrator 131, a motion sensor 132, an audio processing unit 133, a microphone 134, and It has a speaker 135.

The control unit 122 includes, for example, a CPU, and controls each unit of the input device 12 in an integrated manner. The control unit 122 also includes a timer 122A, and has a timekeeping function using the timer 122A.

The input unit 123 is a general term for the configuration of the input device 12 for receiving operation input. Examples of the input unit 123 include a touch panel, buttons, dials, and the like. Note that the input unit 123 may be configured to accept voice input for performing voice recognition.

The wireless communication unit 124 communicates with external devices other than the input device 12 (for example, the cognitive function determination device 31, the pharmacy computer, the server 51, etc.) based on communication standards such as LTE, 4G, and 5G. The wireless communication unit 124 performs modulation/demodulation processing, error correction processing, etc. compatible with communication standards. Data is transmitted to the above-mentioned external device via the antenna 125, and data from the external device is received by the antenna 125.

The short-range wireless communication unit 126 performs wireless communication with the medicine storage device 11 based on the BLE standard. Data is transmitted to the medicine storage device 11 via the antenna 127, and data from the medicine storage device 11 is received by the antenna 127.

The configuration related to the wireless communication unit 124 and the short-range wireless communication unit 126 in the example described above corresponds to the communication unit included in the input device 12. Note that the wireless communication unit 124 may perform wireless communication with the medicine storage device 11, and the short-range wireless communication unit 126 may perform wireless communication with an external device other than the input device 12. Further, in the above example, the wireless communication unit 124 and the short-range wireless communication unit 126 are described as having separate configurations, but they are configured as one communication unit having the functions of both, and the communication unit is used for input. Communication may be performed with an external device other than the device 12 or with the medicine storage device 11.

The position sensor unit 128 is a positioning unit that measures the current position using, for example, a system called GNSS (Global Navigation Satellite System). Data obtained by these wireless communication section 124, short-range wireless communication section 126, and position sensor section 128 is supplied to control section 122. The control unit 122 then executes control based on the supplied data.

The memory unit 130 is a general term for a ROM in which a program executed by the control unit 122 is stored, a RAM used as a work memory when the control unit 122 executes a program, a nonvolatile memory for data storage, etc. .

The vibrator 131 is, for example, a member that vibrates the entire input device 12. Vibration from the vibrator 131 notifies the user of incoming calls, e-mails, and the like.

The motion sensor 132 detects, for example, movement of the input device 12. As the motion sensor 132, an acceleration sensor, a gyro sensor, an electronic compass, an atmospheric pressure sensor, etc. are used. Note that the input device 12 may include a built-in sensor other than the motion sensor 132. For example, a biosensor that detects biological information such as blood pressure, pulse, sweat glands (the location of the sweat glands or the degree of sweating from the sweat glands), body temperature, etc. of the patient wearing the input device 12 may be built-in. good.

A microphone 134 and a speaker 135 are connected to the audio processing unit 133, and the audio processing unit 133 processes a call with a party connected by wireless communication using the wireless communication unit 124. The audio processing unit 133 can also perform processing for audio input operations.

Although not shown in the drawings, power is supplied to each part of the input device 12 from a battery such as a lithium ion secondary battery.

Note that the registration terminal 41 also has the same configuration and functions as the input device 12. Of course, there may be a difference in configuration or function between the registration terminal 41 and the input device 12.

[Configuration example of pharmacy side computer]
FIG. 7 is a block diagram showing an example of the internal configuration of a pharmacy-side computer (for example, the above-mentioned electronic medication history management device 21, dispensing device 22, and medicine notebook management device 23). Although a configuration example of the electronic medication history management device 21 will be described below, the configuration example described below is also applicable to the dispensing device 22 and the medicine notebook management device 23.

As shown in FIG. 7, the electronic medical history management device 21 includes a control section 211, a storage section 212, an input section 213, a communication section 214, and an output section 215, which are interconnected by a bus.

The control unit 211 includes, for example, a CPU, a RAM, a ROM, and the like. The ROM stores programs and the like that are read and operated by the CPU. RAM is used as a work memory for the CPU. The CPU controls the entire electronic medical history management device 21 by executing various processes and issuing commands according to programs stored in the ROM.

The storage unit 212 is a storage medium configured by, for example, an HDD (Hard Disk Drive), an SSD (Solid State Drive), a semiconductor memory, or the like. The storage unit 212 appropriately stores content data such as image data, video data, audio data, and text data, as well as data such as programs (eg, applications). Further, the storage unit 212 stores second medication history information. The second medication history information is information based on the actual medication history. More specifically, the second medication history information is, for example, the actual number of medicines remaining after a predetermined period with respect to the number of medicines distributed in advance. For example, the second medication history information is stored in the storage unit 212 by the pharmacist checking the actual number of medicines remaining after a predetermined medicine use period and inputting it into the electronic medicine history management device 21. The second medication history information is uploaded to the server 51 via the communication unit 214.

The input unit 213 is a device for inputting various information to the electronic medication history management device 21 (for example, the history of medicines taken by the patient, the above-mentioned second medication history information, etc.). When information is input through the input unit 213, the control unit 211 performs various processes corresponding to the input information. In addition to a mouse and a keyboard, the input unit 213 may be a microphone, various sensors, a touch panel, a touch screen integrated with a monitor, physical buttons, or the like. Note that input of various information to the electronic drug history management device 21 may be performed via the communication unit 214.

The communication unit 214 is a communication module that communicates with other devices and the Internet according to a predetermined communication standard. Communication methods include wireless LAN such as Wi-Fi (Wireless Fidelity) (registered trademark), LTE, 5G, broadband, Bluetooth (registered trademark), and the like.

The output unit 215 is a device for outputting various information from the electronic drug history management device 21. The output unit 215 includes, for example, a display (display device) that displays images and videos, and an output device that outputs sound, such as a speaker. Note that the output of various information from the electronic drug history management device 21 may be performed via the communication unit 214.

The control unit 211 performs various processes by, for example, reading and executing a program (for example, an application) stored in the storage unit 212. In other words, the electronic medical history management device 21 has a function as a computer.

Note that the program (eg, application) and data may not be stored in the storage unit 212. For example, the electronic medical history management device 21 may read and use programs and data stored in a readable storage medium. Examples of this storage medium include an optical disk, a magnetic disk, a semiconductor memory, an HDD, etc., which are removably attached to the electronic medical history management device 21. Alternatively, programs and data may be stored in a device (for example, cloud storage) connected to a network such as the Internet, and the electronic drug history management device 21 may read and execute the programs and data from there. Further, the program may be, for example, a plug-in program that adds part or all of the processing to an existing application.

[Example of configuration of cognitive function determination device]
FIG. 8 is a block diagram showing an example of the internal configuration of the cognitive function determining device 31 according to this embodiment. As shown in FIG. 8, the cognitive function determining device 31 includes a control section 311, a storage section 312, an input section 313, a communication section 314, and an output section 315, which are interconnected by a bus.

The control unit 311 includes, for example, a CPU, a RAM, a ROM, and the like. The ROM stores programs and the like that are read and operated by the CPU. RAM is used as a work memory for the CPU. The CPU controls the entire cognitive function determining device 31 by executing various processes and issuing commands according to programs stored in the ROM.

The control unit 311 has a cognitive function determination unit 311A as a functional block. The cognitive function determination unit 311A makes a determination regarding a decline in cognitive function based on predetermined information acquired from an externally connected device via communication. Here, the predetermined information preferably includes medication history information based on medication history. Detailed processing by the cognitive function determining unit 311A will be described later.

The storage unit 312 is a storage medium configured by, for example, an HDD, an SSD, a semiconductor memory, or the like. In addition to content data such as image data, video data, audio data, and text data, the storage unit 312 appropriately stores data such as programs (for example, applications).

The input unit 313 is a device for inputting various information to the cognitive function determining device 31. When information is input through the input unit 313, the control unit 311 performs various processes corresponding to the input information. In addition to a mouse and a keyboard, the input unit 313 may be a microphone, various sensors, a touch panel, a touch screen integrated with a monitor, physical buttons, or the like. Note that input of various information to the cognitive function determining device 31 may be performed via the communication unit 314.

The communication unit 314 is a communication module that communicates with externally connected devices and the Internet according to a predetermined communication standard. Communication methods include wireless LAN such as Wi-Fi (registered trademark), LTE, 5G, broadband, Bluetooth (registered trademark), and the like.

The output unit 315 is a device for outputting various information from the cognitive function determining device 31. The output unit 315 includes, for example, a display (display device) that displays images and videos, and an output device that outputs sound, such as a speaker. Note that the output of various types of information from the cognitive function determining device 31 may be performed via the communication unit 314.

The control unit 311 performs various processes by, for example, reading and executing a program (for example, an application) stored in the storage unit 312. In other words, the cognitive function determining device 31 has a function as a computer.

Note that the program (eg, application) and data do not need to be stored in the storage unit 312. For example, the cognitive function determining device 31 may read and use programs and data stored in a readable storage medium. Examples of this storage medium include an optical disk, a magnetic disk, a semiconductor memory, an HDD, etc., which are removably attached to the cognitive function determining device 31. Alternatively, programs and data may be stored in a device (for example, cloud storage) connected to a network such as the Internet, and the cognitive function determining device 31 may read and execute the programs and data from there. Further, the program may be, for example, a plug-in program that adds part or all of the processing to an existing application.

[Server configuration example]
FIG. 9 is a block diagram showing an example of the internal configuration of the server 51 according to this embodiment. As shown in FIG. 9, the server 51 includes a control section 511, a storage section 512, and a communication section 513 that are interconnected by a bus.

The control unit 511 includes, for example, a CPU, a RAM, a ROM, and the like. The ROM stores programs and the like that are read and operated by the CPU. RAM is used as a work memory for the CPU. The CPU controls the entire server 51 by executing various processes and issuing commands according to programs stored in the ROM.

The storage unit 512 is a storage medium configured by, for example, an HDD, an SSD, a semiconductor memory, or the like. In addition to content data such as image data, video data, audio data, and text data, the storage unit 512 appropriately stores data such as programs (eg, applications).

The storage unit 512 stores, for example, first medication history information and second medication history information corresponding to a predetermined patient. The first medication history information is information that changes depending on the operation input to the light emitting button section 105 of the medicine storage device 11. For example, when an operation input is made to the light emitting button section 105, the operation input is transmitted from the input device 12 to the server 51 as a medication history, and is received by the communication section 513 of the server 51. The received medication history is stored in the storage unit 512. The control unit 511 acquires first medication history information based on the medication history stored in the storage unit 512. For example, the control unit 511 obtains the first medication history information by calculating the number of medicines used based on the medication history from the number of medicines distributed in a certain medicine usage period (in units of several days, one week, or several weeks). The number of medicines to be distributed is transmitted, for example, from a pharmacy-side computer. If the first light-emitting button 105A is operated again during the same drug use period, the number of drugs used (for example, 1 tablet, 1 powder powder) is changed from the number of drugs in the current first medication history information. ) is calculated to update the first medication history information.

Further, the second medication history information is transmitted from the pharmacy side computer, for example, the communication unit 214 of the electronic medication history management device 21, and is received by the communication unit 513 of the server 51. The received second medication history information is stored in the storage unit 512 under the control of the control unit 511.

The communication unit 513 is a communication module that communicates with external devices other than the server 51, the medicine storage device 11, and the Internet according to a predetermined communication standard.

The control unit 511 performs various processes by, for example, reading and executing a program (for example, an application) stored in the storage unit 512. In other words, the server 51 has the function of a computer.

Note that the program (eg, application) and data may not be stored in the storage unit 512. For example, the server 51 may read and use programs and data stored in a readable storage medium. Examples of this storage medium include an optical disk, a magnetic disk, a semiconductor memory, and an HDD, which are removably attached to the server 51. Alternatively, programs and data may be stored in a device (for example, cloud storage) connected to a network such as the Internet, and the server 51 may read and execute the programs and data from there. Further, the program may be, for example, a plug-in program that adds part or all of the processing to an existing application.

[System operation example]
Next, an example of processing performed in the system 1 according to this embodiment will be described with reference to flowcharts from FIG. 10 to FIG. 13. FIG. 10 is a flowchart illustrating an example of processing performed by the input device 12.

(Setting process for input device and process performed on pharmacy computer)
In one use case, a patient visits a pharmacy to pick up medication after a hospital visit. The pharmacist at the pharmacy stores the medicines to be taken at each time slot in each medicine storage space of the medicine storage device 11 while checking the prescription.

Then, the pharmacist makes settings for the input device 12. Specifically, in step ST11 of the flowchart of FIG. 10, the timing of taking the medicine (in this example, the time of taking the medicine) is input to the input device 12. The timing of taking the medicine may not be a predetermined time, but may be within a range of time periods. Such an input operation is performed using the input unit 123, for example. The control unit 122 that has received the input to the input unit 123 stores the input medication time in an appropriate memory such as the RAM of the control unit 122. Thereby, the medication time is set for the input device 12. In addition to the medication administration time, a light-emitting button that is turned on when the medication administration time comes is also set in association with the medication administration time. In addition to this, information such as the type of medicine and the number of tablets to be taken may be input and stored. Furthermore, it is generally considered that the older the patient is, the less able he or she is to operate the input device 12, and from the viewpoint that input errors are more likely to occur, it is preferable that input to the input device 12 be performed by a pharmacist. Of course, the input to the input device 12 may be performed by the patient. The patient takes home a medicine storage device 11 containing medicines and an input device 12 in which settings such as medication time are made. Then, the patient attaches the input device 12 to the attachment part 106 of the drug storage device 11.

When the next hospital visit (drug distribution time) arrives, the patient brings the drug storage device 11 and input device 12 to the pharmacy. The pharmacist counts the number of drugs left in the drug storage device 11 and inputs this value into the electronic drug history management device 21 or the like as the medication history of a predetermined patient. The actual number of drugs remaining in a certain drug usage period (for example, one week) is accumulated as second medication history information based on the patient's actual medication history. The patient's second medication history information is transmitted to the server 51 via the communication unit 214 and stored in the storage unit 512 of the server 51. Note that the actual number of remaining medications is not counted by a pharmacist, but is automatically measured using a counter device, and the measured value is automatically sent to the server 51 as second medication history information. good. In this way, the first medication history information and the second medication history information are accumulated for each drug use period.

(Processing performed by input device)
Next, an example of the processing performed by the input device 12 will be described with reference to the flowchart shown in FIG. The processing described below is performed under the control of the control unit 122 unless otherwise specified.

In step ST21, the control unit 122 determines whether or not there has been no operation on the medicine storage device 11 for 24 hours or more. For example, if the control unit 122 receives a BLE-based notification from the medicine storage device 11 within 24 hours after receiving the BLE-based notification from the medicine storage device 11, the control unit 122 determines that there is an operation on the medicine storage device 11. do. Further, if the control unit 122 does not receive a BLE-based notification from the medicine storage device 11 within 24 hours after receiving the BLE-based notification from the medicine storage device 11, the control unit 122 determines that there is no operation on the medicine storage device 11. do. If the determination result is Yes, the process proceeds to step ST22.

If the medicine storage device 11 has not been operated for more than 24 hours, there is a possibility that the patient will not take the medicine at all, that is, there is a possibility that the patient's physical condition has changed so seriously that he is unable to take the medicine at all. Therefore, in step ST22, a monitoring notification process is performed. In the monitoring notification process, for example, the control unit 122 transmits a monitoring notification message to the server 51 via the wireless communication unit 124. The server 51 that has received the message transmits a predetermined message to the registered terminal 41 that has been registered in advance. Although the content of the message is not particularly limited, the message is a message urging the patient, who is the user of the input device 12, to contact the patient. The user of the registration terminal 41 who received the message contacts the patient, thereby confirming the safety of the patient.

If the determination result in step ST21 is No, the process proceeds to step ST23. In step ST23, the control unit 122 determines whether the current time measured by the timer 122A has reached the set medication time (the medication time set in step ST11 described above). If the determination result in step ST23 is No, the process returns to step ST21, and the processes from step ST21 onwards are repeated. If the determination result in step ST23 is Yes, the process proceeds to step ST24.

In step ST24, the control unit 122 controls the audio processing unit 133 to reproduce an alarm sound from the speaker 135. For example, an alarm sound such as "It's time to take your morning medicine" is played from the speaker 135. The process then proceeds to step ST25.

In step ST25, the control unit 122 controls the short-range wireless communication unit 126 to perform notification processing using BLE. For example, the control unit 122 identifies the light-emitting button to be lit based on the current time. If the current time is 7:00, the control unit 122 recognizes that the light-emitting button to be lit is the first light-emitting button 105A. The control unit 122 generates a command that describes the recognition result, that is, the light-emitting button of the drug storage device 11 that should be lit. The control unit 122 transmits the generated command to the medicine storage device 11 via the short-range wireless communication unit 126. The process then proceeds to step ST26.

In step ST26, the control unit 122 determines whether there is a notification (response) from the medicine storage device 11 to the transmitted command. The notification from the drug storage device 11 is a notification indicating that the lit light-emitting button has been pressed. If the determination result in step ST26 is No, the process proceeds to step ST27.

In step ST27, the control unit 122 determines whether a predetermined time (for example, 30 seconds) has elapsed since the command was sent. If the determination result in step ST27 is No, the process returns to step ST26, and the process in step ST26 is repeated. If the determination result in step ST27 is Yes, the process proceeds to step ST28.

In step ST28, since there is no notification from the medicine storage device 11, the control unit 122 performs control to stop the reproduction of the alarm sound. Since there is no notification from the medicine storage device 11, that is, the light-emitting button that was turned on in response to the command was not pressed, the control unit 122 determines that the medicine to be taken in the morning, for example, has not been taken. . Then, the process returns to step ST21, and the processes from step ST21 onwards are repeated.

If the determination result in step ST26 is Yes, the process proceeds to step ST29. In step ST29, since there is a notification from the input device 12, the control unit 122 determines that the illuminated light-emitting button has been pressed, that is, the medicine to be taken in the morning has been taken. After making such a determination, the control unit 122 stops playing the alarm sound. Then, the control unit 122 transmits to the server 51 a medication history indicating that the medication to be taken in the morning has been taken, in association with the patient. Note that, as described above, the control unit 511 of the server 51 calculates and stores the first medication history information based on the medication history transmitted from the input device 12. Then, the process returns to step ST21, and the processes from step ST21 onwards are repeated.

(Processing performed in the drug storage device)
Next, an example of the process performed by the medicine storage device 11 will be described with reference to the flowchart shown in FIG. 12. The processing described below is performed under the control of the control unit 111 unless otherwise specified.

In step ST31, the control unit 111 determines whether a command is received from the input device 12 via the communication unit 112, that is, whether there is a notification based on BLE from the input device 12. If the determination result in step ST31 is No, the process returns to step ST31. If the determination result in step ST31 is Yes, the process proceeds to step ST32.

In step ST32, the control unit 111 interprets the contents of the command transmitted from the input device 12. Specifically, the control unit 111 interprets the light-emitting button to be lit, which is written in the command from the input device 12. For example, if the first light-emitting button 105A is described in the command as a light-emitting button to be lit, the control unit 111 performs control to light the first light-emitting button 105A. Through this control, the first light-emitting button 105A lights up, and the patient is notified that it is time to take the medicine (morning medicine) stored in the first medicine storage space 104A corresponding to the first light-emitting button 105A. Ru. The process then proceeds to step ST33.

In step ST33, the control unit 111 recognizes the result of the operation input to the operation input unit in response to the notification of the timing of administration. Specifically, the control unit 111 determines whether a lit light-emitting button (in this example, the first light-emitting button 105A) is pressed. If the determination result in step ST33 is No, the process proceeds to step ST34.

In step ST34, the control unit 111 determines whether a certain period of time has elapsed since the first light emitting button 105A was turned on. For example, the control unit 111 controls the first light emitting button 105A to light up for a predetermined period of time (for example, 3 hours) unless the first light emitting button 105A is pressed. The first light-emitting button 105A may be lit until the next command is received from the input device 12 (until it is time to take the next medicine). If the determination result in step ST34 is No, the process returns to step ST33, and the process in step ST33 is repeated. If the determination result in step ST34 is Yes, the process proceeds to step ST36.

In step ST36, since the first light emitting button 105A is not pressed for a certain period of time, the control unit 111 performs control to turn off the first light emitting button 105A. Then, the process returns to step ST31, and the processes from step ST31 onwards are repeated.

If the determination result in step ST33 described above is Yes, the process proceeds to step ST35. In step ST35, the control unit 111 notifies the input device 12 that the first light emitting button 105A has been pressed by the patient. This notification is received by the input device 12 (Yes in the determination process of step ST26). The process then proceeds to step ST36.

In step ST36, the control unit 111 performs control to turn off the pressed first light emitting button 105A. Then, the process returns to step ST31, and the processes from step ST31 onwards are repeated.

Note that in this example, as an operation input result, the input device 12 is notified that there is a press operation on the light emitting button. 12 may be notified.

(Processing performed by the cognitive function judgment device)
Next, an example of the process performed by the cognitive function determining device 31 will be described with reference to the flowchart shown in FIG. 13. The processing described below is performed under the control of the control unit 311 unless otherwise specified.

In step ST41, in response to a predetermined operation input to the input section 313, the control section 311 determines whether first medication history information and second medication history information corresponding to a predetermined patient are stored in the storage section 312. to judge. The predetermined operation input is an operation for causing the cognitive function determination device 31 to perform a determination process regarding the decline in cognitive function of a predetermined patient. If the first medication history information and the second medication history information corresponding to the predetermined patient are not stored in the storage unit 312, the process proceeds to step ST42.

In step ST42, the control section 311 accesses the server 51 by controlling the communication section 314. When accessing the server 51, input of an ID (identifier) and password may be required. The control unit 311 accesses the server 51 and acquires first medication history information and second medication history information corresponding to a predetermined patient stored in the server 51 through communication. If the determination result in step ST41 is Yes, or after the process in step ST42 is completed, the process proceeds to step ST43.

In step ST43, the cognitive function determination unit 311A makes a determination regarding the decline in cognitive function for a predetermined patient. For example, the cognitive function determination unit 311A makes a determination regarding the decline in cognitive function based on the difference between the first medication history information and the second medication history information. More specifically, the cognitive function determination unit 311A determines that there is a decline in cognitive function (suspected of dementia), for example, when the difference between the first medication history information and the second medication history information exceeds a threshold. I judge that. It is said that there is a large difference between the number of remaining drugs obtained from the number of operations on the light-emitting button section 105 by the patient (the theoretical number of remaining drugs in the drug storage device 11 based on the declaration) and the actual number of remaining drugs. This is thought to be due to a high frequency of forgetting to take the drug or overdosing. Therefore, the cognitive function determination unit 311A determines that there is a decline in cognitive function (suspected of dementia) when the difference between the first medication history information and the second medication history information exceeds a threshold value.

When the cognitive function determining unit 311A determines that the patient is suspected of having dementia, the control unit 311 sends dementia suspicion data indicating that the patient is suspected of having dementia to the server 51 via the communication unit 314. Send. The server 51 transmits the dementia suspicion data to the pharmacy computer associated with the patient. For example, when a pharmacy receives suspected dementia data, the pharmacist can check the current status of the patient at an appropriate time, perform a self-check for dementia as necessary, or recommend a test at a hospital. be exposed. Dementia suspicion data may be transmitted to the mobile terminal of the patient or his or her family. As explained above, it is possible to determine the suspicion of dementia based on daily medication behavior.

The difference between the first medication history information and the second medication history information may temporarily exceed the threshold due to a patient operation error (for example, if the patient forgets to press the light-emitting button even after taking the medication). be. Therefore, for multiple drug usage periods, the difference between the first medication history information and the second medication history information is monitored over a long period of time, and the number of times the difference between the first medication history information and the second medication history information exceeds a threshold value is determined. In the above case, the cognitive function determining unit 311A may determine that the patient has a decline in cognitive function. Furthermore, when the difference between the first medication history information and the second medication history information shows an increasing tendency over a long period of time, the cognitive function determination unit 311A may determine that the patient has a decline in cognitive function.

Further, the decline in cognitive function determined by the cognitive function determination unit 311A may be not only the presence or absence of decline in cognitive function but also the extent (degree) of decline in cognitive function. For example, if the period during which the difference between the first medication history information and the second medication history information exceeds the threshold is short, the degree of decline in cognitive function is determined to be "small," and the difference between the first medication history information and the second medication history information If the period during which the difference from historical information exceeds a threshold value is long, the degree of decline in cognitive function may be determined to be "large." In this way, the cognitive function determination unit 311A determines at least one of the presence or absence of a decline in cognitive function and the degree of decline in cognitive function.

[Example of GUI]
14 and 15 show an example of a GUI used in the cognitive function determination device 31, for example. As shown in FIG. 14, "Tokyo Ichiro" and "Kanagawa Hanako" are displayed on the GUI as patients accessible to the cognitive function determining device 31, and the contact information of each patient is shown. In addition, the theoretical remaining number of drugs for each drug-taking period during a certain drug-taking period is shown for each patient. The total number of remaining drugs (in the case of "Tokyo Ichiro", the theoretical remaining number of drugs is 28+30+30=88) corresponds to the first medication history information. On the other hand, the GUI shows the item "actual number of confirmations, electronic drug history." The value of this item corresponds to the actual number of remaining medicines counted by, for example, a pharmacist after the end of the medicine usage period, that is, the second medication history information. For example, the second medication history information of the patient "Tokyo Ichiro" is 90. The item "difference" in the GUI is the difference between the first medication history information and the second medication history information. For example, the difference between patient "Tokyo Ichiro" is 2 (90-88=2), and the difference between patient "Hanako Kanagawa" is 8 (56-(18+30)=8). If the difference exceeds a threshold (eg, 5), the difference number is displayed in red.

When the item "Details" on the GUI is clicked, the GUI shown in FIG. 14 transitions to the GUI shown in FIG. 15. The GUI shown in FIG. 15 shows detailed information such as the time period in which the drug was taken for each patient, that is, the date and time when the light emitting button was pressed.

The GUI shown in FIGS. 14 and 15 can also be customized. For example, the GUI shown in FIG. 15 may include a display in which the type of drug taken and the date and time of the drug taken are associated. Further, the determination result by the cognitive function determination unit 311A may be displayed on the GUI.

[Effects obtained by this embodiment]
According to this embodiment, for example, the following effects can be obtained.
Based on the patient's daily medication behavior, it becomes possible to determine the decline in cognitive function of the patient. Early detection of dementia becomes possible by encouraging patients who are judged to have a decline in cognitive function to undergo a cognitive function test.
The medicine storage device and the input device can notify the timing of taking the medicine by sound or light. This allows the patient to take the drug at an appropriate timing even if the timing of taking the drug differs depending on the drug, or even if the patient forgets or does not know the timing to take the drug. Furthermore, by allowing the patient to recognize the notified light and sound, it is possible to encourage the patient to notice when to take the drug, thereby encouraging the patient to take the drug.
By having a patient who has taken a drug press a light-emitting button part, the patient can be made aware of the relationship between keeping a record of taking medication and his or her own medication-taking behavior, thereby increasing the patient's awareness of medication-taking. I can do it. Furthermore, by having the patient press the light-emitting button at each timing of taking medication, it is possible to make the patient habitual of taking independent action. This can prevent a decline in the patient's cognitive function.
A patient's medication history can be automatically recorded. This saves the pharmacist the trouble of listening to and recording the patient's medication history and inputting the listening results. Furthermore, by checking the medication history shown on the above-mentioned GUI, it is also possible to check the patient's lifestyle habits, such as when the patient tends to forget to take medication.
For example, in the case of home-visit medical treatment, it is necessary for the pharmacist to visit the patient's residence and replace the medicines and count the number of medicines left, which is time-consuming. In this embodiment, drugs can be exchanged simply by replacing the drug storage device filled with drugs for the next drug use period with the drug storage device managed by the patient. The pharmacist can count the number of drugs remaining in the drug storage device managed by the patient after taking the drug home to the pharmacy instead of to the patient's residence. Therefore, it is no longer necessary to stay at the patient's residence for a long time, allowing efficient drug exchange and further preventing the spread of infectious diseases.
The older you get, the more you have to take drugs and the more your cognitive function declines. In this embodiment, by linking these, a judgment regarding the decline in cognitive function is made based on actions that are considered likely to be taken by elderly people (medication taking actions), so there is no need to use special testing equipment, and it is possible to It is possible to make judgments regarding the decline in cognitive function while minimizing the burden on patients.
By using the cognitive function assessment device by a pharmacist or a patient's family, it is possible to remotely detect a decline in a patient's cognitive function. This allows pharmacists at family pharmacies and even patients' family members who do not live with them to recognize the decline in a patient's cognitive function.
By making the casing of the medicine storage device a light-transmitting member, the patient can easily check whether there are any leftover medicines. Further, when power is supplied to the drug storage device via USB, battery replacement can be made unnecessary.

<Second embodiment>
Next, a second embodiment will be described. In addition, in the description of the second embodiment, the same reference numerals are given to the same or homogeneous configurations in the above description, and redundant description will be omitted as appropriate. Further, unless otherwise specified, the matters described in the first embodiment can be applied to the second embodiment.

The second embodiment differs from the first embodiment in that the drug storage device 11 also has the function of the cognitive function determination device 31.

FIG. 16 is a diagram showing an example of the external configuration of the medicine storage device (medication storage device 61) according to the present embodiment. As shown in FIG. 16, unlike the medicine storage device 11, the medicine storage device 61 does not have the mounting portion 106.

FIG. 17 is a diagram showing an example of the internal configuration of the medicine storage device 61. The internal configuration of the medicine storage device 61 differs from that of the medicine storage device 11 in that the control unit 111 has a cognitive function determination unit 111A and a timer 111B as functional blocks, and first history information and second history information. It has a storage section 113 in which the information can be stored, and an output section 115 such as a speaker.

For example, the control unit 111 of the medicine storage device 61 acquires information such as medication administration time via the communication unit 112. Information such as medication time may be acquired from the server 51 or from another source (for example, a pharmacy computer). When the current time measured by the timer 111B reaches the medication administration time, the control unit 111 lights up the corresponding light emitting button. Additionally, an alarm sound is played from the output unit 115. The theoretical remaining number of drugs, which is calculated based on the patient's taking of the drug and the associated press operation of the light-emitting button, is stored in the storage unit 113 as first medication history information. Further, the control unit 111 acquires second medication history information from the server 51 via the communication unit 112 and stores it in the storage unit 113. The cognitive function determination unit 111A of the control unit 111 determines whether the patient's cognitive function has deteriorated based on the difference between the first medication history information and the second medication history information. The processing performed by the cognitive function determining unit 111A is the same as the processing performed by the cognitive function determining unit 311A. As in this embodiment, the medicine storage device may make a determination regarding the decline in cognitive function.

<Modified example>
Although the embodiments of the present invention have been specifically described above, the present invention is not limited to the embodiments described above, and various modifications can be made based on the technical idea of the present invention.

[Modification 1]
In the above-described embodiment, an example in which an input device for a drug storage device is used has been described, but the input device is not limited to a device for a drug storage device, and may be a versatile device. Good too. For example, as shown in FIG. 18, it may be a smartphone 12A owned by an individual. The internal configuration of the input device 12 and the processes performed by the input device 12 can be applied to the internal configuration of the smart phone 12A and the processes performed by the smart phone 12A. However, since the smartphone 12A is likely to be carried by the patient, the communication between the drug storage device and the smartphone 12A is based on a communication standard that allows communication over a relatively long distance (e.g. , wireless LAN), but other means may be used as appropriate.

[Modification 2]
If an erroneous operation is performed on the input device 12 described above, there is a risk that the settings of the input device 12 (for example, the settings for medication time) may be erased or rewritten. In particular, the older the patient, the higher the risk of erroneous operation. Therefore, the medicine storage device may include a cover portion that restricts operational input to the input device 12 (which may be a smartphone owned by an individual). For example, as shown in FIGS. 19A and 19B, the medicine storage device includes a cover portion 108. The cover portion 108 is made of, for example, a transparent resin member. The cover section 108 limits operation input to the input device 12 by covering the display (touch panel section) and the button section on the side surface of the input device 12 to prevent touch operations or pressing operations on the button section.

[Modification 3]
As shown in FIG. 20, the mounting portion 106 described in the embodiment may have a configuration having only the opening portion 106A without the support portion 106B. The shape of the opening 106A according to this modification has a substantially rectangular (elongated hole) shape when viewed from above. The entire input device 12 may be housed within the housing 101 through the opening 106A. By storing the entire input device 12, it is possible to prevent erroneous operation of the input device 12 even without the cover portion 108 described above.

[Modification 4]
The configuration may be such that the above-mentioned cognitive function determining unit is provided in a server (for example, the server 51 according to the embodiment) instead of the cognitive function determining device. In this case, the communication unit of the server having the cognitive function determination unit communicates, via communication, the theoretical value of the drug calculated in response to the operation input from the drug storage device or input device to the drug storage device or input device. First medication history information, which is the remaining number of medications, is acquired. Further, the communication unit of the server including the cognitive function determination unit acquires second medication history information, which is the actual number of remaining medications, from the pharmacy-side computer via communication. The cognitive function determination unit of the server determines the decline in cognitive function based on the acquired first medication history information and second medication history information in the same manner as in the embodiment.

[Other variations]
The operation input performed when the patient takes the medicine is not limited to a press operation, and may be a voice input or a gesture input. When the operation input is a voice input, a speaker can be considered as the operation input section, and when the operation input is a gesture input, a camera can be considered as the operation input section.

Further, the medicine storage device may include a display having a touch panel function. A button corresponding to the light-emitting button section may be displayed on the display, and a touch operation may be performed on the button. Additionally, a message to assist the patient in taking medication, such as the number of medications to be taken, may be displayed on the display. Further, although it is preferable that the notification section that notifies the timing of taking the medication and the operation input section are integrated as in the embodiment from the viewpoint of ease of understanding for the patient, they may be separate.

In the embodiment, the first medication history information and the second medication history information have been explained as the theoretical remaining number of drugs/actual remaining number of drugs, respectively, but the theoretical weight of remaining drugs/the number of remaining drugs It may be the actual weight, etc. However, from the viewpoint of ease of measurement and clarity, it is preferable that the first medication history information and the second medication history information are respectively the theoretical remaining number of drugs/actual remaining number of drugs. In addition, when multiple types of drugs are used, a judgment regarding decline in cognitive function may be made based on the first medication history information and second medication history information for each drug, or the first medication history information for each drug may be used. An evaluation value indicating a decline in cognitive function may be obtained based on the history information and the second medication history information, and a determination regarding the decline in cognitive function may be made based on the average thereof.

It is also possible to display a GUI corresponding to the light emitting button section on the input device and use the input device as an operation input section. For example, the communication unit on the side of the drug storage device acquires the result of an operation input performed on the input device in response to notification of the timing of taking the drug. The first medication history information is obtained by calculating the theoretical remaining number of drugs in the control section of the drug storage device in accordance with the obtained operation input result. Further, second medication history information based on the actual medication history is acquired by the communication unit on the medicine storage device side. The cognitive function determination unit on the drug storage device side makes a determination regarding the decline in cognitive function based on the difference between the acquired first dosing history information and second dosing history information. Note that the notification of the timing of taking the medicine may be performed on the medicine storage device side, the input device side, or both. When the input device side notifies the dosing timing, the control unit 111 of the medicine storage device side takes necessary steps (signal transmission, etc.) to notify the dosing timing to the input device through the communication unit 112, and sends the signal. The receiving input device notifies the timing of taking the medication.

Of the medication history displayed on the GUI described in the embodiment, the patient may be able to check his or her own medication history using a smartphone or the like. This allows the patient to confirm whether or not he or she has taken the drug during the predetermined time period.

Further, the drug storage device may be provided with an exit button. The going out button is a button that is pressed when the patient goes out. When the go-out button is pressed, for example, the go-out button lights up and operation input to the drug storage device is disabled. When the patient returns home from going out, the go-out button is pressed again, so that the go-out button is turned off and the operation input to the drug storage device becomes valid. Note that if the light emitting button is pressed even though the go out button is lit, the operation may be recorded as a log. The cognitive function determining device may refer not only to the difference between the first medication history information and the second medication history information but also to the log to determine the decline in cognitive function. For example, if the number of times recorded as a log is large, the cognitive function determining unit determines that the patient forgets to press the go-out button many times after returning home, and that the patient's cognitive function is declining. In this way, the cognitive function determination unit may refer to information other than the difference between the first medication history information and the second medication history information to make a determination regarding the decline in cognitive function. Information other than the medication history information (for example, the number of times recorded as a log) may also be acquired by the cognitive function determining device via communication as information included in the predetermined information.

In the process flow described in the embodiment or the modified example, the order of some processes may be changed, or a plurality of processes may be performed in parallel. Further, it is possible to change as appropriate which device or functional block is assigned to perform the above-described processing.

The configurations, methods, processes, shapes, materials, numerical values, etc. of the embodiments and modifications described above can be combined or replaced with each other without departing from the gist of the present invention. Furthermore, it is also possible to divide one item into two or more items, and it is also possible to combine two or more items into one item. Furthermore, it is also possible to omit some of them.

Further, the present invention can be realized in any form such as an apparatus, method, program, system, etc. For example, if a program that performs the functions described in the embodiments described above can be downloaded, and a device that does not have the functions described in the embodiments downloads and installs the program, the device can perform the control described in the embodiments. It becomes possible to do so. The present invention can also be realized by a server that distributes such programs. Furthermore, the contents of the present invention are not to be construed as being limited by the effects exemplified in this specification.

11... Drug storage device 12... Input device 31... Cognitive function judgment device 51... Server 101... Housing 104... Drug storage section 105... Luminous button section 106... - Mounting unit 112...Communication unit 111A, 311A...Cognitive function determination unit

Claims (14)

a communication unit that acquires predetermined information including medication history information from an externally connected device via communication;
an information processing device comprising: a cognitive function determination unit that determines a decline in cognitive function based on at least the medication history information included in the predetermined information; The information processing device according to claim 1, wherein the medication history information includes first medication history information that changes according to an operation input, and second medication history information that is based on an actual medication history. The information processing device according to claim 2, wherein the first medication history information is the remaining number of medicines calculated according to the operation input, and the second medication history information is the actual number of medicines remaining. The information processing device according to claim 2 or 3, wherein the cognitive function determination unit makes a determination regarding a decline in cognitive function based on a difference between the first medication history information and the second medication history information. The information processing device according to any one of claims 1 to 3, wherein the cognitive function determination unit determines at least one of the presence or absence of a decline in cognitive function and the degree of decline in cognitive function. Via communication, first medication history information, which is the number of remaining drugs calculated according to the operation input to the drug storage device or the input device, is transmitted from the drug storage device or the input device, and from the pharmacy side computer. , second medication history information that is the actual number of remaining medications;
An information processing device comprising: a cognitive function determination unit that makes a determination regarding a decline in cognitive function based on the first medication history information and the second medication history information. A casing that can store drugs;
an operation input section provided in the housing;
a notification unit that notifies the timing of taking the drug;
It has a communications department and
A medicine storage device that transmits an operation input result to the operation input unit in response to the notification of the dosing timing to an external device via the communication unit. The communication unit transmits the operation input result to an input device,
The medicine storage device according to claim 7, wherein the operation input result is transmitted to the external device via the input device. The medicine storage device according to claim 8, further comprising a mounting portion to which the input device is mounted. The medicine storage device according to claim 9, further comprising a cover portion that limits operational input to the input device mounted on the mounting portion. The drug storage device according to any one of claims 8 to 10, wherein the input device is a terminal for the drug storage device. A casing that can store drugs;
an operation input section provided in the housing;
a notification unit that notifies the timing of taking the drug;
Communication Department and
It has a cognitive function judgment unit that makes judgments regarding decline in cognitive function, and
The cognitive function determination unit determines whether cognitive function is impaired based on the difference between first medication history information that changes in response to an operation input to the operation input unit and second medication history information that is based on the actual medication history. A drug storage device that makes decisions. A casing that can store drugs;
a communication unit that acquires second medication history information based on the result of an operation input made with an input device in response to notification of the timing of taking the medicine and the history of actual medication;
It has a cognitive function judgment unit that makes judgments regarding decline in cognitive function, and
The cognitive function determination unit makes a determination regarding a decline in cognitive function based on a difference between first medication history information that changes according to the operation input and the second medication history information. The communication department acquires predetermined information including medication history information from an externally connected device via communication,
A program for causing a computer to perform control in which a cognitive function determination unit makes a determination regarding a decline in cognitive function based on at least the medication history information included in the predetermined information.

Images