CN1856793A - A medical device management system including a clinical system interface - Google Patents
A medical device management system including a clinical system interface Download PDFInfo
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- CN1856793A CN1856793A CNA2004800275846A CN200480027584A CN1856793A CN 1856793 A CN1856793 A CN 1856793A CN A2004800275846 A CNA2004800275846 A CN A2004800275846A CN 200480027584 A CN200480027584 A CN 200480027584A CN 1856793 A CN1856793 A CN 1856793A
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Abstract
An information system for managing operation of medical devices in delivering treatment to a patient, comprising: an order processor for processing a physician order for initiating providing a treatment to a patient; a device management processor for receiving data items from the order processor comprising at least one of, (a) a patient identifier and (b) an identifier for identifying the physician order, and for processing and using the data items in managing access to a medical device used for delivering the treatment to the patient; and a communication interface enabling bidirectional communication between the device management processor and the medical device.
Description
The cross reference of related application
The sequence number that the application requires on September 24th, 2003 to submit to is the priority of the provisional application co-pending of 60/505,503 (applicant's file number No.03P14624US).
Background technology
The affairs of set form (transaction) sometimes are used to outside the IV/ dura mater health care information system and carry outside the IV/ dura mater command information and store command information outside this IV/ dura mater, and the affairs of this set form comprise with verification and the information verified and meet the use of hand-held bar code scanner. This method meets the legacy system that uses manually operated IV/ Epidural Pump. Those known systems are for the IV/ Epidural Pump or use the hand-held barcode reader or use (namely, key entry) information of manual input. System solves the shortcoming of known systems in accordance with the principles of the present invention.
General introduction
A kind ofly comprise for the information system of management to the operation of the Medical Devices of patient's delivering therapeutic: command processor provides treatment to start to the patient for the treatment of doctor's order; The equipment control processor, be used for from this command processor receiving data item, this data item comprises at least a in following: (a) patient's identifier (indentifier) and (b) be used for the identifier of identification doctor order, and be used for processing and use these data item to being used for to the access of the Medical Devices of patient's delivering therapeutic in management; And communication interface, it realizes the two-way communication between this equipment control processor and this Medical Devices.
Description of drawings
By following detailed description, with reference to accompanying drawing, be more readily understood the multiple modification of the present invention and its embodiment, wherein:
Fig. 1 is the block diagram of Managerial System of Medical Equipment 1000;
Fig. 2 is the flow chart for the using method 2000 of managed care equipment;
Fig. 3 is the block diagram of pump manager framework 3000;
Fig. 4 is the functional flow diagram 4000 of Managerial System of Medical Equipment;
Fig. 5 is the procedure chart 5000 to the transfer of data demographics of IV pump manager (data transmission demographics);
Fig. 6 is the procedure chart 6000 that the order of successful pump command transfer event is shown;
Fig. 7 is the procedure chart 7000 to the invalid patient demographics situation of pump manager transmission;
Fig. 8 is the flow chart of pump manager web application framework 8000;
Fig. 9 is be used to the user interface 9000 that signs in to Managerial System of Medical Equipment;
Figure 10 is the user interface 10000 of registration Managerial System of Medical Equipment;
Figure 11 is the user interface 11000 from the registration error messages of Managerial System of Medical Equipment;
Figure 12 is be used to the user interface 12000 that signs in to Managerial System of Medical Equipment;
Figure 13 is the user interface 13000 that the login relevant with Managerial System of Medical Equipment makes mistakes;
Figure 14 is the user interface 14000 that shows available pump;
Figure 15 is the exemplary user interface 15000 for the monitoring pump;
Figure 16 is the user interface 16000 for the graphic plotting of monitoring pump discharge;
Figure 17 is for the user interface 17000 that shows pump information with figure;
Figure 18 is flow logic Figure 180 00 of user interface navigation;
Figure 19 is the exemplary flow logic chart 19000 of Managerial System of Medical Equipment pump manager application;
Figure 20 is the block diagram for the process streams 20000 of the authentication in the Managerial System of Medical Equipment chart;
Figure 21 is the procedure graph of the safety mapping 21000 of Managerial System of Medical Equipment;
Figure 22 is the flow chart 22000 of open link affairs (open link transaction);
Figure 23 is the procedure chart 23000 to pump manager the transmission of data;
Figure 24 is the procedure chart 24000 that sends order to the pump manager;
Figure 25 is the procedure chart 25000 that sends invalid command to pump;
Figure 26 is the procedure chart 26000 that success is registered in Managerial System of Medical Equipment;
Figure 27 is the procedure chart 27000 of registration failure in Managerial System of Medical Equipment;
Figure 28 is the procedure chart 28000 by the subscriber checking device data that is authorized to;
Figure 29 is the procedure chart 29000 that successfully signs in to Managerial System of Medical Equipment;
Figure 30 is the procedure chart 30000 of attempting to begin conversation failure in the situation of not login;
Figure 31 is the procedure chart 31000 of login failure;
Figure 32 is the block diagram of database schema framework 32000;
Figure 33 is and the part 33000 of controlling the device-dependent xml code in the Managerial System of Medical Equipment;
Figure 34 is be used to the exemplary user interface 34000 of presenting the pressure test result relevant with Managerial System of Medical Equipment;
Figure 35 is can be by Managerial System of Medical Equipment identification and the exemplary procedure dish 35000 of following the tracks of;
Figure 36 is the block diagram of information equipment 36000; And
Figure 37 is the procedure graph 37000 of Managerial System of Medical Equipment.
Definition
When using following term here, use appended definition:
Lack-do not exist.
Access-with it communication.
The identifier of address-indicating positions.
Alarm-alarm signal.
Application program-be suitable for the carrying out program of useful task.
Authentication (authentication) processor-be suitable for the receiving processor of customer identification information, determine whether the user is authorized to access the application program for the management particular device, and/or forbid that in response to the uncommitted definite result of user's access the user accesses this equipment.
Mandate-empower, license or authority.
Bar code-can be expressed as the information of the different parallel strip of a series of width, wherein each in the digital zero to nine represents with different bar patens, this bar paten can be read by optical scanner.
Two-way-can communicate in relative direction.
Communication-information exchange.
Communication interface-bus, connector, network adapter, lan interfaces, wired network interface, telephone line interface, cellular network interface, broadband cable interface, modem, radio network interface, radio receiver, transceiver and/or antenna etc. Communication interface can communicate between equipment control processor and equipment.
A compatible-equipment or program and another equipment or the cooperative ability of program.
Configuration-arrange for specific purpose.
The numeral of data-relate to theme (subject), character, symbol etc.
Carry-send or produce.
Equipment control processor-a kind of processor, it is suitable for receiving data item in service in management equipment to process.
Determine-find out, obtain, calculate and/or provide.
Duration-a period of time.
Ethernet-one class internetworking.
Failure-unsuccessful.
Field-for the logical memory space of class data. Field can comprise data text, numeral, the date, figure, audio frequency, video and/or that calculate. Any the text field all has and comprises length, predetermined display format and/or the attribute that is associated with other fields fixing or that change.
Fix-stable and/or inalterable form.
The amount of liquid of flow-in the regular hour section, provide to specific place.
Infusion pump-be suitable for promoting liquid to enter the interior equipment of patient body.
Liquid medicine-a kind of material is carried with liquid medium, and it treats, prevents and/or alleviate the symptom of at least a patient's condition.
The amount of space of liquid measure-occupied by liquid.
Form-with grouping, transmission, communication, the instant playback (presenting display) of data and/or draw structure and/or the parameter of relevant data.
Generation-processing or the behavior that produces.
Geographical position-tellurian position.
Larger-greater than and/or more than.
Group-owing to the similitude of a plurality of individualities or things, these individualities or things are considered together.
In grade-system orderly group of a series of people or things.
HealthLevel 7-is for the health care proprietary communication standard of the exchanges data between the computer applied algorithm.
Health care-by the service that provides of healthcare industry by medical treatment or associating prevent, treatment and/or management of disease and keep mentally health with health.
Identification equipment-be suitable for provides and/or transmits equipment for the information of identification entity (entity). For example, RFID is the embodiment of identification equipment.
Identifier-for specific entity, activity and/or document is a unique group code. Identifier can for example be medical record number. Identifier can be people and/or machine readable are got, such as numeral, alpha-numeric string, bar code, RFID etc.
Identify-set up its identity.
Free time between inert session-two information equipment connects.
Forbid-stop and/or do not allow.
Start-beginning.
Information-data.
Information equipment-any can process information (software or example, in hardware) treatment facility, such as any general and/or special-purpose computer, such as personal computer, work station, server, minicom, large scale computer, supercomputer, terminal, kneetop computer, wearable computer and/or personal digital assistant (PDA) etc.
Inquire-ask.
The procotol of the addressing scheme of IP (Internet protocol)-specified data bag, the form that is also referred to as datagram and packet. Individually, IP is the agreement that gives information to network for from the source, but is not to set up directly link between source and destination. On the other hand, TCP/IP can connect between two communication parties, so that these two communication parties can send message back and forth within a period of time.
-single clause or unit.
The position-basically near something or other physics where.
MAC (medium access control) address-as be identified in the address of the equipment at the medium access control layer place in the network architecture.
Machine readable is got-a kind of form, and information equipment can obtain data and/or information according to this form.
Management-guide and/or control.
The value of-one variable of mapping and the logic association of the value of different variablees.
The patient health state of the patient's condition-characterized by at least a symptom.
Medical Devices-be suitable for diagnose the illness and/or the equipment of medicinal application.
Medicine-be suitable for is alleviated at least a symptom and/or is cured the material of the patient's condition.
The data of medicine purchase order information-relate to minute power dispensers in healthcare system.
Member (member)-the be classified as entity of the part of logical groups.
Message-communication.
Monitoring-observe.
Repeatedly login attempt-in having the system of limited access is more than once attempting authentication.
New user's registration-a kind of is recorded for the first time the user and/or is provided the behavior of file for it.
Non-scanning-not to come digitally coded via optical scanning device.
A series of actions of operation-in carrying out function.
Operation characteristic-the feature relevant with operation.
The mandate indication that order-(noun) will be obeyed.
Order-(verb) issue authorized order.
Command processor-be applicable to is processed the processor for the order that starts operational management. For example, in Managerial System of Medical Equipment, command processor is suitable for starting provides treatment to the patient.
Tissue-orderly and/or arrange.
Specifically-special-purpose.
Patient's-supervised for the purpose of health care people or the animal of other types.
Case control's information-the data relevant with patient's nursing and/or medicine.
Patient monitoring equipment-be suitable for observing and/or the reading equipment of the information relevant with patient's kilter.
Patient's special use-relevant with particular patient and/or particular patient is distinctive.
Patient's consumption-give the patient amount of substance.
Carry out-implement.
Permit-allow.
Pharmacy information-the data relevant with minute medicine.
Doctor-the have people of the qualification of practising medicine.
Be scheduled to-set up in advance.
Processor-any equipment and/or machine readable instruction fetch group that is suitable for carrying out particular task. Processor comprises any one or its combination in hardware, firmware and/or the software that is suitable for carrying out particular task. Processor by handle, analyze, revise, conversion, with communication to information equipment and/or information is sent to output equipment come information is worked.
Provide-supply or supply with.
RF identification (RFID)-a kind of technology, wherein electromagnetism or electrostatic coupling partly are normally used for signal transmission to the RF of electromagnetic spectrum, with automatic identification personage or object. The method that has several identifications, but modal is storage sequence number on microchip, this sequence number identification people or object and also may be other information, this microchip be attached to (this chip and this antenna are called as RFID responder or RFID label together) on the antenna. Antenna makes chip identifying information can be transferred to reader. This reader will convert digital information to from the radio wave that the RFID tag reflection is returned, and then this digital information can communicate with information equipment.
The set of record-data element.
Note down-the stored behavior of Bao.
Registered-offical record and/or empower. For example, registered user is identified and/or record by Managerial System of Medical Equipment, and is associated with particular medical device, and/or is authorized to use and/or the control particular medical device.
Storage vault-wherein store equipment or the database of data.
Store again-replenish and/or replace discarded stock.
Resource-for the things of supporting or helping.
Essential-necessary and/or indispensable.
Safety-relatively do not have risk or danger.
Safety inspection-be suitable for determining whether some things or behavior meet the inspection of risk threshold value.
Security determine-is suitable for determining whether some things or behavior meet the assessment of risk threshold value.
Status information-relate to equipment and or the data of the descriptive characteristic of system.
Continuously-continuous arrangement.
The set of system-mechanism, equipment and/or instruction, one or more special function is carried out in this set.
Label-be suitable for is identified, the attachment of classification and/or mark etc. For example, label radio frequency identification equipment (RFID) normally.
Test-assessment.
The processor of the use that tracking processor-be suitable for recording relates to equipment and/or the identifying information of control.
Treatment-give or use one or more cures to the patient or to i or I.
Uncommitted-as not give or provide power.
Unregistered-as not have offical record and/or an empower.
User-carry out interactive people with information equipment.
Lung ventilator-respirator. Lung ventilator is used to help patient respiratory.
Wireless-as to utilize the electromagnetic wave by antenna transmission to transmit data (namely, via unguided medium) any data communication technology, this data communication technology comprises such as sonar, radio, residential quarter, celluler radio, digital cellular radio, ELF, LF, MF, HF, VHF, UHF, SHF, EHF, radar, microwave, satellite microwave, laser, infrared ray etc., and particularly do not comprise the human speech radio broadcasting, the reference carrier frequency of this data communication technology is to about 2 * 10 from about 1Hz14Hz (about 200 terahertzs), it comprises any value therebetween, such as about 40Hz, 6.010kHz, 8.7MHz, 4.518GHz, 30GHz etc., and comprise therebetween any subrange, such as from about 100kHz to about 100MHz, from about 30MHz to about 1GHz, from about 3kHz to about 300GHz etc. Radio communication can comprise simulation and/or numerical data, signal and/or broadcasting.
Describe in detail
Fig. 1 is the block diagram of Managerial System of Medical Equipment 1000, this Managerial System of Medical Equipment 1000 (for example comprises server 1100, information equipment 1200, network 1300, Medical Devices 1400, pump, lung ventilator, and/or watch-dog etc.) and/or Medical Devices 1500 etc. Server 1100 comprises user interface 1110 and/or client-side program 1120. The application program of client-side program 1120 comprises: the identity of authentication of users; Processing command is such as the order that is used for via Medical Devices 1400 and/or Medical Devices 1500 delivering medicaments; Monitoring Medical Devices 1400 and/or Medical Devices 1500; And/or communicate with Medical Devices 1400 and/or Medical Devices 1500. User interface 1110 receives input from the user, and/or presents output to the user.
The doctor in word, write ground, by gesture and/or via the machine typing (such as, key in via utilizing computer keyboard) produce order and about the relevant information of this order, this information can be produced, processes and/or transmit, with at least a portion of manual and/or automatic this order of execution. At the beginning of processing and/or afterwards, order comprises the information about the equipment of doctor, patient, medicine, drug administration and/or the situation that just is being treated etc. About this medicine, the general type of this order ordinary representation, trade mark, compound instruction (compounding instruction), dosage, the frequency of taking, take rate, the approach of taking and/or other medicines and take explanation etc.
Server 1100 comprises that authentication process device 1130, command processor 1140, tracking processor 1150, equipment control processor 1160 and/or communication connect 1170. Authentication process device 1130 receives customer identification information, such as user name, password, preassigned mark, social security number, barcode identifiers, password, personal identity number and/or biometric identifiers etc.
Biostatistics is statistically to analyze and/or the technology of more measured biological data, such as relatively unique physical characteristics, such as fingerprint. Digital display circuit, can utilize biostatistics to identify individuality and/or individuality is carried out authentication such as Managerial System of Medical Equipment 1000. Be used to identify or the biometric features of authentication comprises: fingerprint; Face, iris, and retina scanning; And/or speech recognition etc. Biostatistics equipment generally includes and/or utilizes scanning or fetch equipment, converts the information that scans to the software of number format and/or storage biometric information for the memory that compares with the record of storing. The point of the special coupling of the data that software identification has obtained from scanning and/or fetch equipment, and these points are compared with that store, relevant with individuality data.
Authentication process device 1130 determines whether the user was scheduled to be authorized to the member of user's group, the application program that allows this user's access that is authorized to relate to the information of Medical Devices 1400 and/or Medical Devices 1500 and/or be used for managed care equipment 1400 and/or Medical Devices 1500. Authentication process device 1130 is forbidden the information that relates to equipment 1400 and/or equipment 1500 and/or the access that is used for the application program of management equipment 1400 and/or equipment 1500 in response to the uncommitted definite result of access. Authentication process device 1130 is held the record, and this record indication can be observed the grade of the information of corresponding graduation tissue according to the user authorization levels user.
Equipment control processor 1160 is receiving data item from command processor 1140, process these data item, and/or manage access to Medical Devices 1400 and/or Medical Devices 1500 with these data item, Medical Devices 1400 and/or Medical Devices 1500 as be used to the delivering therapeutic to the patient. Data item comprises doctor's identifier, patient's identifier, user identifier, medical institutions (medical unit) identifier, medical record number, prescription identifier, prescribed dose, medical pump flow, patient diagnosis, patient medical allergy and/or process relevant with particular patient etc. Equipment control processor 1160 from command processor the predetermined format with tentation data field (for example, take the format data-base recording as form) message in receiving data item. The message of this predetermined format comprises HealthLevel 7 (HL7) compatible message. Management comprises the access of managing the information that relates to each corresponding Medical Devices to the access of Medical Devices 1400 and/or Medical Devices 1500.
In response to the user be authorized to and/or registered definite result produce to Medical Devices 1400 and/or Medical Devices 1500 the management of access. Obtain definite result that the user is authorized to by the identifier that relatively is associated with the user and the tabulation of pre-authorized subscriber. The tabulation of this pre-authorized subscriber normally is associated with the personal record of medical institutions. Registered user is the user who is authorized to, and gives its specific rights and license in the management of equipment 1400 and/or equipment 1500. For example, nurse Jones is authorized to operate the IV pump of 12 layers on the particular hospital west side wing, but can not operate the IV pumps east side wing or other layers. Equipment control processor 1160 uses at least one data item at the configuration Medical Devices to give in patient's delivering therapeutic. The action of equipment control processor 1160 relative Medical Devices 1400 and/or Medical Devices 1500 comprises: status information is inquired, performance and/or communication test, determine the position, determine access, and/or carry out safety verification to determine to start whether safety etc. for the treatment of.
Server 1100 can be coupled communicatedly with storage vault 1180. Storage vault 1180 is suitable for the store patient relevant information. Much be stored in the normally patient special use of patient's relevant information in the storage vault 1180. Patient's specific information (patient specific information) comprises name, sex, identification number, birthday, close relative, diagnosis, prescription drug and/or age etc. Patient information comprises patient's specific information, insurance company information, insurance block code, doctor, patient just in which department of medical institutions treat, available medicine and/or the process that will carry out etc.
Equipment control processor 1160 usage data items and/or patient's specific information are determine to use Medical Devices 1400 and/or Medical Devices 1500 with to patient's delivering therapeutic safety whether. Use Medical Devices 1400 and/or Medical Devices 1500 with to patient's delivering therapeutic the existing or lack of the essential data in the message based tentation data field of definite result of safety whether. For example, when lacking the information that comprises doctor's identifier, prescription number and/or patient numbering etc., do not think that treatment is safe. Again for example, when the data that lack for the field of listing known medicament allergy, think that the prescription pharmaceutical treatment is safe. Determine the result in response to subscriber authorisation, equipment control processor 1160 determines, uses whether safety of Medical Devices 1400 and/or Medical Devices 1500. Equipment control processor 1160 for the patient who in storage vault 1180, does not have available patient's specific information with differently make security for the patient that available patient's specific information is arranged determine in storage vault 1180. For example, disapprove to the out-patient and do open heart operations, but can do open heart operations to inpatient. Lack essential data in the tentation data field according to message, equipment control processor 1160 is made security for the patient who does not have available patient's specific information in storage vault 1180 and is determined. For example, when whether answer does not know that the patient has any hypersensitive problem, think that to patient's penicillin be unsafe. According to the comparison of the data in the tentation data field of message and the data in the storage vault 1180, equipment control processor 1160 is made security for the patient that available patient's specific information is arranged and is determined in storage vault 1180.
Determine the result in response to security, equipment control processor 1160 starts the alarm information that generation sends the keeper to. Alarm information comprises the alarm of new user registration, when login attempt is repeatedly sent alarm during failure continuously, inert session surpasses the alarm of predetermined lasting time and/or send alarm etc. when the user attempts accessing uncommitted resource.
Equipment control processor 1160 usefulness Medical Devices positional informations are come the operation of managed care equipment 1400 and/or Medical Devices 1500, this Medical Devices positional information derives with the mailing address of equipment, such as deriving via RF identification (" the RFID ") label that is attached on Medical Devices 1400 and/or the Medical Devices 1500.
This label comprises wireless identification equipment and comprises the mailing address of IP (Internet protocol) or ethernet mac address. The Medical Devices positional information is derived in equipment control processor 1160 usefulness mappings, and this mapping is associated the mailing address of Medical Devices 1400 and/or Medical Devices 1500 with corresponding Medical Devices geographical position.
Managerial System of Medical Equipment 1000 comprises network 1300. Network 1300 is suitable for communicatedly coupling information equipment, this information equipment such as server 1100 and information equipment 1200. The framework of network 1300 comprises: directly connection, LAN, the wide area network such as public switch telephone network, internet, extranet or its any combination. The type of network 1300 comprises: packet switch, Circuit-switched, connectionless, Connection-oriented network, interference networks, perhaps its any combination. (orientation) comprising in the location of network 1300: voice, data, perhaps voice communications versus data communications. In addition, the transmission medium of network 1300 comprises: Wireline, satellite, wireless, perhaps its combination etc.
The information on storage vault 1180 and/or the storage vault 1280 of being stored in comprises at least one in the liquid volume that MAC Address, the customer identification information that is authorized to, infusion pump liquid feed flow and/or the infusion pump of operation characteristic, Medical Devices positional information, Medical Devices IP or Ethernet compatibility of drug information, the infusion pump of the characteristic of the medicine of carrying in patient's specific information, the sign treatment carried etc.
Managerial System of Medical Equipment 1000 is combined into integral body with medical equipment management and command interface system, and this has accelerated the process of input patient information and the order data relevant with medicine. This medical equipment management and command interface system directly will order from HealthLevel 7 (HL7) compatible or other Data Format Transform become machine-readable bar code affairs, such as the affairs of the barcode format of non-scanning. The affairs of the barcode format of this non-scanning are directly explained by the Medical Devices of Medical Devices 1400 and/or Medical Devices 1500. Managerial System of Medical Equipment 1000 comprises the utilization of authentication, safety and report. Managerial System of Medical Equipment 1000 controls and regulates the particular range of medical device user according to health care setting. Managerial System of Medical Equipment 1000 allows: new user's registration, automatically notify the keeper, and alarm, and/or upgrade the user journal database. The authentication of Medical Devices 1400 and/or Medical Devices 1500 is by being associated to simplify all nurses who is allowed in this way managed care equipment 1400 and/or Medical Devices 1500 of practitioner with special equipment with practitioner's tabulation. The framework based on browser of Managerial System of Medical Equipment 1000 is being supported user's flowability.
The system features of Managerial System of Medical Equipment 1000 comprises: utilize insertable and customizable generic structure; Minimize the problem that relates to user's flowability; Flexibly network manager (Web Manager) security architecture that allows to insert new module and need not change existing code library, such as: SSL supports, GSM supports etc.; Platform independence; The real-time graph view of facility information; And/or provide the instrument board that dynamically updates operation to the understanding of equipment operation. As used in this, term " SSL " expression SSL (Secure Socket Layer), a kind of agreement for coded communication is provided in the internet. As used in this, term " global session manager (Global Session Manager) " or " GSM " expression is used to the software module of authentication and mandate.
Managerial System of Medical Equipment 1000 provides authentication, safety and report subsystem, the equipment user during these subsystem controls and adjusting health care arrange. Managerial System of Medical Equipment 1000 utilizes software to control Medical Devices 1400 and/or Medical Devices 1500, and any one in Medical Devices 1400 and/or the Medical Devices 1500 can comprise one or more IV and/or Epidural Pump. Managerial System of Medical Equipment 1000 is set up release mechanism by the access that licenses to user and the uncommitted user of refusal, to regulate the access to Medical Devices 1400 and/or Medical Devices 1500.
Via system 1000, the promoter of order can use interface engine will directly send to such as the order for Medical Devices the database engine that relates to Medical Devices 1400 and/or Medical Devices 1500. This database engine: store this affairs, process this order, the validity that check is comprised in the information in this order stores relevant information in the database into, and/or this order is sent to Medical Devices 1400 and/or Medical Devices 1500 etc. Do not need each patient is produced bar code, the optical scanner bar code is perhaps manually inputted demographics or order in the position such as pharmacy and/or drug efflux pump. Managerial System of Medical Equipment 1000 automations will order affairs to convert the process of the affairs of set form to, and the affairs of this set form are stored in the database, to flow to pharmacy, Medical Devices 1400 and/or Medical Devices 1500.
Managerial System of Medical Equipment 1000 provide user interface 1110 and for the treatment of the order method, these orders receive from the standard drug management system, and converting these orders to HL7 version V2.4 and/or HL7 version V2.5 order, these HL7 versions V2.5 order can be used to management and/or control Medical Devices 1400 and/or Medical Devices 1500.
Managerial System of Medical Equipment 1000: communicate via raw socket connection (raw socket connectivity) or via the exchanges data application program; The content of checking affairs; Guide the storage of order data item at predetermined SQL Server database, such as the database that is arranged in storage vault 1180; And/or by confirming that each affairs comprises that network connection between effective patient, dosage and database and the Medical Devices verifies the content of affairs; Deng. In addition, Managerial System of Medical Equipment 1000 is accurately carried out make mistakes check and/or correction, such as calculation check and information, to confirm that data do not have destroyed in the process that is transported to database and/or Medical Devices.
Table 1 comprises for various servers and/or information equipment, such as the hardware configuration of server 1100 and/or information equipment 1200. The performance of optimizing given hardware configuration comprises the response time that minimizes given affairs load. As used in this, term " Apache Tomcat " expression is used in the Servlet container (container) for the reference implementation scheme of Java Servlet and JSP technology. Tomcat is the open-source embodiment that is used as the webserver. Tomcat moves Servlet and the JavaServer page (JSP) in web application. The Apache foundation is the community of Open-source software engineering, and its general headquarters are located at Forest Hill, Md. As used in this, term " Apache Jmeter " expression loads the java application of test function behavior and measurement performance.
Table 1
| The webserver (operation Apache Tomcat) | Database server (operation Micro-soft SQL Server 2000) | OPEN-Link server ( | Client (operation Internet Explorer v 6.0.2) | Performance test machine (operation Jakarta Jmeter) | ||
| Type | IBM ThinkPad T23 | IBM PC | IBM PC | IBM Think- Pad T23 | IBM PC | |
| CPU | P-III 1.3 GHz | P-2 433 MHz | P-2 433 MHz | P-2 600 MHz | P-III 1.3 GHz | |
| RAM | 256MB | 256MB | 256MB | 256MB | 256MB | |
| Hard disk | 40GB | 60GB | 20GB | 40GB | 40GB | |
| Network | Ethernet Pro | 100 | | | | |
Although it is a lot of to affect the factor of performance, increases extra resource with following dual mode or their combination and can have good result:
The first, vertically scale (scaling), it is included in the extra webserver process of generation on the single physical machine, in order to multithread pool is provided, the JVM that each thread pool is relevant with each webserver process is corresponding. As used in this, term " JVM " expression Java Virtual Machine (Virtual Machine), this Java Virtual Machine is abstract computing machine or virtual machine. JVM is independently running environment of platform, and it converts the Java code machine language to and carry out this machine language.
The second, horizontal scaling, it comprises that crossing over a plurality of physical machines produces extra webserver process.
Fig. 2 is the flow chart for the illustrative embodiments of the use 2000 of the method for managed care equipment. In action 2100, receive customer identification information. For example,
In action 2200, determine subscriber authorisation. In case determined mandate, the user just is authorized to access application, and this application program is used to manage the particular medical device for to patient's delivering therapeutic. In response to the uncommitted definite result of access, disable access. The user also is registered and/or is associated with particular medical device, so that access is used to manage the application program of this particular medical device. For example,
At action 2300, receiving data item, such as the order from the doctor. This data item comprises patient's identifier and/or is used for the identifier of recognition command. This data item is in the message of the predetermined format with tentation data field. For example, comprise predetermined information such as patient's name, prescription number, medicine identification and/or drug dose etc. from the data item of order. Each data item provides with predetermined form.
In action 2400, data item is processed. Start treatment in response to the processing to data item, such as starting treatment via activation and control to the pump of giving patient's delivering medicament. Treated information provides the information that can be used for controlling this particular medical device, such as medicine and/or dose rates, this particular medical device such as intravenous (IV) and/or Epidural Pump.
In action 2500, realization is communicated by letter with equipment. With communicating by letter of equipment be two-way and in response to user identification and received and/or processed data item the two. This communication can comprise at least one data item and/or the information relevant with order. For example,
Fig. 3 is the block diagram of pump manager framework 3000, and this pump manager framework 3000 comprises information equipment 3100. Information equipment 3100 allows users, the Medical Devices such as the monitoring such as doctor, pharmacy and/or keeper, such as IV/ Epidural Pump 3950 and/or IV/ Epidural Pump 3975. Information equipment 3100 can be coupled to other information equipments communicatedly via network 3200. Pump manager 3400 can be coupled to information equipment 3100 via network 3200 communicatedly by the first fire wall 3300. The first fire wall 3300 protection pump managers 3400 are not subject to uncommitted access and/or uncommitted side's control. Pump manager 3400 receives order and manages and/or monitor IV/ Epidural Pump 3950 and/or IV/ Epidural Pump 3975. Pump manager 3400 can be coupled to information equipment 3500 and server 3900 communicatedly by the second fire wall 3500. The second fire wall 3500 further protection pump manager 3400 is not subject to uncommitted access and/or control.
Provide the factor of considering in the system configuration to comprise the characteristic of capacity and the web application of size and available system. Quantity that reads/upgrade according to database etc., it is significant isolating to give its peak power amount with database server.
The software of managed care equipment can be configured to the three-layer network application program, and this three-layer network application program is positioned on the web application server and with the SMTP mail server and is harmonious. As used in this, term " SMTP " expression Simple Mail Transfer protocol, it is a kind of standard, produces a lot of E-mail communications by this standard. Take network in the configuration on basis, data framework can SQL Server database engine be basic. Client is the webpage that produces as the JAP page that launches with Apache Tomcat, JSP/Servlet engine. As used in this, a kind of programming language by Sun Microsystem, Santa Clara, CA exploitation of term " Java " expression. As used in this, term " JSP " the expression java server page, it is the webpage by the server side technological development of Sun Microsystem exploitation. As used in this, term " Servlet " is illustrated in the small routine that moves on the server. This device management software allows for equipment user's (for example, must be bound in the nurse of any one physical location in the hospital) organization work stream. This user can be with the approximate real-time update that is included in graphical tool in the device management software and comes the equipment state.
Device management software is Multi-tiers Application, and this Multi-tiers Application uses network container (web container) but also can comprise EJB/ application program rank container, as the container of equivalence on JBOSS or the function. As used in this, term " EJB " the expression Java of enterprise (enterprise) assembly, this enterprise Java bean is the server-side components framework, is used for writing recycling service logic and portable enterprise application. As used in this, the apps server that term " JBOSS " expression is write with Java, this apps server (host) business components with the Java exploitation of can lodging. Find that insertable framework is suitable for the user class of the management of management access IV and/or Epidural Pump.
The constraints that is used for the facilities and equipments management software comprises supports and implements flexibility; The modularization of software (for example, cutting apart presentation layer and operation layer); Open architecture performance for the treatment of the traditional data source; The platform that causes opening the middleware at interface and software is portable, is independent of network container rank; And/or cost consideration etc.
Five kinds of constraintss that the support of Java platform is enumerated below:
The JSP page allows the network development person to produce rapidly and easily abundant in content, the dynamic page. JSP encapsulates (encapsulate) logic generating web page with the label of similar XML. The JSP page separates with design page logic with demonstration, this has prevented that the role between webpage making person and the programmer is overlapping. As used in this, term " XML " expression extend markup language (eXtensible Markup Language), this extend markup language is a kind of Software Coding language that is mainly used in the exploitation of webpage;
Java Servlet is by providing special services to come the functional of expansion servers in the framework that defines. Java code (only being single class (class) usually) provides special services. For example, HTTP Servlet provides login feature and safety can for the user of Managerial System of Medical Equipment. Another HTTP Servlet can allow the keeper to register new user. As used in this, term " HTTP " expression HTTP (HyperText Transfer Protocol), this HTTP is the underlying protocol that the WWW uses;
JDBC use unification (uniform) that open standard fulfillment database reciprocation and processing return, to widely relational database and altogether homoimerous access, altogether can the building database instrument on homoimerous basis at this. As used in this, term " JDBC " expression java database connectivity, it is to make java applet carry out the Java API of SQL statement. As used in this, term " API " expression application programs interface, it is routine, agreement and instrument that a cover is used for setting up software application. The nearest Java connector API that is issued by Sun Microsystem is so that can access the company information source based on network container/apps server of Java; And
Web application (as defined in the Servlet standard (specification)) is the set of Servlet, JSP, html document, image and/or other Internet resources, these Internet resources are set up by this way, thereby can cross over the webserver that any Servlet can use and launch (Tomcat portablely, be assigned with under Apache license with reference to the Servlet/JSP standard, be used for platform independently mode launch web application. As used in this, term " HTML " expression HTML, this HTML are for the author language that produces document in the WWW. In addition, JavaMailTMAPI is the expansion of Java standard, this JavaMailTMAPI provides the strict agreement independent solution of Email sending and receiving. API is used to notify keeper's some critical event of generation in service in application program). If the MySQL with after a while distribution replaces SQL Server, the expense that relates to so RDBM Relational Data Base Management also can improve.
(" MVC " Model-View-Controller) is framework sample that the Java blueprint is recommended, that be used for interactive application to model-view-controller. MVC is organized into three independently modules with interactive application: one is used for Application models, has its data representation (representation) and service logic; Second is used for view (view), and it provides data to show and user's input; And the 3rd be used for controller, with assignment demand and control stream. Medical equipment management software application framework uses the modification of MVC sample. This framework is used to solve the particular problem relevant with nurse management IV and/or Epidural Pump.
Fig. 4 is the functional flow diagram 4000 of Managerial System of Medical Equipment.
Send the order relevant with the patient and consensus data to medication management command interface transaction system (MAOIT) retrieval (retrieve) affairs subfunction from the check of health information system or medication management via interface engine, this interface engine supported data conversion, explain and separation with communicating by letter between the software function independently. The interface engine OPENLink that is called as " OPENLink. " is a kind of system, and they are two-way ground swap data between the different computer systems of two use compatibilities or incompatible data communication format and agreement. This interface engine also can be used third party's example. Use in this article " OPENLink " as just example. In case the consensus data who receives is converted into the bar code (have match verification and) of equivalence and sends to the database manager of wherein storing data. So with regard to the validity of check data. If the consensus data is effectively, then record patient name and identifier in database.
IV pump application program is write affirmation (acknowledgment) message and is sent to (originating) system that starts by " OPENLink ". Comprise two " OPENLink " interfaces in Managerial System of Medical Equipment: one is used for output (outbound) important affairs, and another is used for input (inbound) pump drug interaction. Input transaction is transported to the MAOIT application program. Output transactions is sent to health information system, medication management check and/or pharmacy from database application.
Fig. 5 is the procedure chart 5000 to IV pump manager transfer of data demographics. Procedure chart 5000 has been described successful demographics transmission events and the sequence of successful demographics event has been shown. Health care information system (HIS) initiates this event. Information is verified validity and then is stored in the SQL Server database. In this case, Medical Devices (for example, IV pump) are unaffected and remain in its present mode.
Fig. 6 is the procedure chart 6000 that the order of successful pump command transfer event is shown. Comprise the information of the operation that particularly relates to pump/running with the relevant data of order. If in database, recorded effective patient's identifier and name, in database, upgrade so the order relevant with this patient.
In effective demographics event, affairs are in the HL7 standard message, and this HL7 standard message has been filled in essential field. In this Managerial System of Medical Equipment, introduce and be used for the method that control repeats. The method prevents that the information of repetition is imported in the database.
In the effective command event, affairs are to follow the HL7 form of ORC grammer. Common command section (Common Order segment) (ORC) is used to transmissions field, and these fields are public (types of the service of asking) for order. This is the standard syntax (for example comprising pharmacy, meals) of using in the HL7 order. This demographics (such as patient's name, patient ID etc.) has been stored in the database and can be used as thus checking (validation) mechanism. For example, can not be assigned to the pump that is different from the pump that calls in the order to the order of the particular patient that is associated with particular pump.
The network manager software part allows the user to use the HL7 standard that patient demographic and order affairs are sent to the infusion pump interfacing application programs. This interfacing application programs directly communicates and allows to submit variation to pump with pump via wireless 802.11b agreement. Therefore, the order of initiating by the medical control check is advanced to pump. Affirmation about the order that changes comprises: the data item (flow, dosage, the volume that will be transferred, medicament id and/or drug concentration etc.) of sending from the pump that comprises actual dose, thus the feedback of order is provided for hospital information system (" HIS ").
From workflow, can be observed, can in workflow engine, be provided to the input of HIS (via HL 7 affairs), as checking the operation of the order of planning. This mechanism also is suitable for force ventilation, and the order that is wherein arranged by the respiratory therapy scholar by HIS is via confirming from the output transactions of the mechanical respirator on the particular patient. The RFID label is associated the position of mechanical respirator with patient's identifier. Be positioned in specific lung ventilator specific location, that help particular patient and receive specific command, and the result of this order is examined by suitable output important affairs, and these affairs are from the lung ventilator of the position that is associated with patient medical record number (MRN).
Fig. 7 sends invalid patient demographics situation to the procedure chart 7000 of pump manager. Handled information does not affect the information that is stored in the Relational database. Error messages (ADT) promoter that is sent back to and is admitted to hospital, leaves hospital and transfer from one hospital to another. For be sent to the editing equipment management device, such as the invalid command of IV pump manager, invalid command information does not affect the IV pump operation. Error messages is sent back to command originator.
Managerial System of Medical Equipment keeps work and the communication stream from initial (original) order to physical device self. Do not need manual maintenance and bar code is provided or scans its information.
Fig. 8 is the flow chart of pump manager web application framework 8000. This application program is divided into following modules:
Line module, it is web application, the user is by this line module login and observe IV pump information and visual statistic. In this embodiment, the user is the nurse; And
Registering modules, it provides the web application of new user (nurse) registration. This module also provide make this system can seamless (seamless) workflow of management.
Fig. 9 is be used to the user interface 9000 that signs in to Managerial System of Medical Equipment. If that application program is installed in is 8085 addressable via port, name is called on the equipment of " localhost ", then the user is via to the html browser calling party interface 9000 of URL, and this URL is with phrase http beginning and comprise //localhost:8085/IVPump/login.jsp. Partly at random identify port: exist to be used for the private port that operating system level is communicated by letter with the HIS interprocedual. These private ports are numbered from 0 to 8000 scope usually. Normal operation is numbered the port value greater than 8000, because these port values are unlikely and existing application software and operating system communication contention aware. User interface 9000 allows user's login; Be registered as the new user (unless this user exists) of pump manager system, this request be redirected to the URL of the access register.jsp page; And in the situation of login difficulty, send Email to the keeper.
In system, send auto-alarming to the keeper in the situation of any major event of appearance.
Figure 10 is the user interface 10000 to the Managerial System of Medical Equipment registration. If user selection is registered as new user, so just occur user interface 10000 (such as with the similar interface of register.jsp). Via user interface 10000, user: input selected login username; The password wanted of input is also confirmed it; The supervisory level (can be cancelled by the keeper (overrideable)) that input is wanted; And input service position details, such as position and/or telephone number; Deng.
Usually in this page, use JavaScript, (submit) necessary information and minimized server communication amount (traffic) to confirm that the user submits to. In case this user presses " submission ", this information just is transfused in the database and this user is redirected to login page.
Figure 11 is the user interface 11000 from the registration error messages of Managerial System of Medical Equipment. In the situation that the user exists, had the information of repetition, so to the user show user interface 11000 (such as from the similar interface of registerError.jsp) and prompting user select different login names.
Figure 12 is be used to the user interface 12000 that signs in to Managerial System of Medical Equipment. If succeed in registration, this user is directed to user interface 12000 so, to sign in to Managerial System of Medical Equipment. In this, automatically send Email to the keeper. User interface 12000 uses JavaMail API and " Java activation frames (Java Activation Framework) " to show. As used in this, term " Java activation frames " expression one cover standards service, it can obtain from Sun Microsystem, to determine the type of arbitrary pieces of data, encapsulation is found available operation on it to its access, and the suitable assembly of illustration comes executable operations.
Figure 13 is the user interface 13000 that the login relevant with Managerial System of Medical Equipment makes mistakes. If login failure shows user interface 13000 to the user so, its prompting user is logon attempt process and be provided to contact management person's link in the situation that repeats difficulty again. If there is three login attempts failure, send an envelope Email from the trend keeper so, point out to attempt uncommitted access.
Figure 14 is the user interface 14000 that shows available pump. In the situation that success is logined, according to user's administration authority or population is general examines (census) (select at period of registration and examined by the keeper afterwards), this user is guided to observe pump information. User interface 14000 is so that the user observes pump information by pump identification; The pump position; The MAC Address of pump; The current state of pump; The uptime of pump; The MAC Address of access point; Deng. As used in this, term " MAC Address " presentation medium access control address, this medium access control address is the hardware address of each node of unique identification network. The user can also refresh by the user interface button of pressing " refreshing Pump data " pump information. This button refreshes user interface 14000 in real time, observes the up-to-date information in the IV pump SQL Server database to guarantee the user. The user can at any time use the button or other drawing (rendering) that are provided by user interface 14000 to withdraw from.
Figure 15 is the exemplary user interface 15000 for the monitoring pump. The user can observe information text and/or figure via user interface 15000, and this information is the information about any particular pump that the link that provides under the access point field is provided.
Figure 16 is the user interface 16000 for the graphic plotting of monitoring pump discharge. User interface 16000 is for example by button or be included in such as the comparable drawing in the user interface of the user interface 15000 among Figure 15 and activate. User interface 16000 is presented usually is pop-up window. After observing user interface 16000, the user can close this pop-up window with the Close button. Then the user can use " withdrawing from " button that provides to withdraw from this application program.
Figure 17 is the user interface 17000 that shows pump information with figure. User interface 17000 is provided as the real time information of the flow of the function of time for selected equipment. This report mechanism has the general purpose application program of the Medical Devices that the health care for the application program with IV Epidural Pump arranges.
Figure 18 is flow logic Figure 180 00 of user interface navigation, the sequence that this flow logic Figure 180 00 illustrates by the JSP page navigation. Flow logic Figure 180 00 illustrates the ordering of exemplary drawing standard and a plurality of JSP pages.
The Internet of pump manager (tier) is served the HTTP request. This Internet is finished four basic things with particular order: explain client-requested; These requests are assigned to service logic; Next view that selection will show; And produce and carry this next view.
Figure 19 is the exemplary flow logic chart 19000 of Managerial System of Medical Equipment pump manager application. In the early stage step of forcing authentication and mandate, require the user to carry out authentication or prove their identifier, so that the pump manager group of access general purpose application program. This user can submit to the information such as password or voucher to prove identity. The database of the relative known users of security system is checked this information. If the information in the information and date storehouse of submitting to is complementary, this user has successfully passed through authentication so.
Some embodiment use following three levels other, for the safety via any user of internet login: SSL support (secure socket slayer support); The firewall access of VPN/ enterprise-level; With based on the login of form and the authentication of password-based. As used in this, term " VPN " expression VPN, it is the network by using the common line connected node to make up. Communication on the VPN is in some way encapsulation usually, so that its unplanned recipient can not read. Front two kinds are provided by any business entity (corporate entity)/hospital. The pump manager provides last a kind of and its generic structure also to make integrated easy realization with itself and following level of security: Microsoft LDAP (the Windows standard of the catalogue that makes it possible to network); Global session manager, perhaps GSM (being used for authentication and mandate); Sun Java JNDI (Java name and inventory interface (Java Native Directory Interface)); The authentication of XML-based file (security attribute that is used for most of business applications server implementations); And/or biostatistics (biometric) (for example, fingerprint, speech pattern or DNA); Deng.
Other Authentication mechanisms can be with these combinations; Example is digital certificate, wherein can put into practice based on (for example, the user name and password etc.) of key with based on (for example, SSL etc.) authentication of knowledge.
Figure 20 is the block diagram of the process streams 20000 of the authentication among the Managerial System of Medical Equipment figure, but it illustrates the general insertable framework that the pump manager is used for safety. This pump manager framework provides the security mechanism based on task, and it can arrange to dispose with users needs by selection is suitable in registration. According to selected level of security, therefore distribute or the restriction resource. User's dedicated set can be allowed to access specific pump, such as the specific nurse and the clinician that are associated with particular patient, sick bed, nursing ward and/and pump etc.
Figure 21 is the procedure graph of safety mapping (mapping) 21000 of Managerial System of Medical Equipment. Safety mapping 21000 illustrates the security relationship of function. The user visits secure resources via authentication and/or licensing process. User's access is from the patient information of Internet resources, database resource and/or information receiving resource etc. Keeper and/or Database Engineer implement and/or force security strategy and mapping.
Figure 22 is the flow chart 22000 of open link affairs, and its modelling is by the workflow of application program. Via OPENLink the patient demographics situation is sent to the pump manager from HIS. In case received by OPENLink, this consensus data just is redirected to IV pump application program. Then this application program processes this request. The validity of check request.
If the consensus data is effectively, then record patient name and identifier in database. IV pumping system software application is write acknowledge message and by OPEMLink this message is sent to the onset system.
Figure 23 is the procedure chart 23000 to pump manager the transmission of data, and it illustrates the sequence of successful demographics event. Initiate this event via the data that user interface obtains. Then information is carried out validity check stores in the SQL server database. In this case, pump is unaffected and keep its present mode.
Figure 24 is the procedure chart 24000 that order is sent to the pump manager, and it illustrates successful command transfer event. This order comprises the information of the operation that is particularly related to pump/running. If recorded effective patient's identifier and/or name in database, IV pump manager is just accepted the order relevant with this patient so, to upgrade in database.
The affairs of processing via procedure chart 24000 as effective demographics event need to be the HL7 reference formats and fill in essential field. In application program, introduced and be used for the method that control repeats. This repetition methods has prevented the information that input repeats in database.
The affairs of processing via procedure chart 24000 as effective order are to follow HL 7 forms of ORC grammer. Common command section (ORC) is used to transmissions field, and these fields are public (types of the service of asking) for order. The ORC grammer is employed standard syntax (for example, comprising pharmacy, meals) in the HL7 order. Demographic information's (such as patient's name, patient ID etc.) is stored in the database, in order to be used as authentication mechanism. For example, can not be transferred to different pumps for the order of the particular patient that is associated from particular pump.
Figure 25 is the procedure chart 25000 that sends invalid command to pump. Procedure chart 25000 illustrates invalid command information does not affect the information that is stored in the database. Error messages is sent back to command originator. Procedure chart 25000 also is used for wherein sending to the pump manager situation of invalid command. This information does not affect the operation of pump. Error messages is sent back to the transmitting system promoter.
Figure 26 is the procedure chart 26000 that success is registered in Managerial System of Medical Equipment. The user is by providing its voucher and clicking submission at the register.jsp page and register. So the checking request just is sent to Servlet svltRegister, then it use registerUser () method to come inspection database, to check the user name that whether has repetition. If exist, present so and register the page of makeing mistakes, wherein urge the user again to attempt registration. If succeed in registration, so the user is directed to login.
Figure 27 is the procedure chart 27000 of registration failure in Managerial System of Medical Equipment, and wherein the user is by providing voucher to register and guide by the selection icon, such as the submit button on the register.jsp page submission of these vouchers. So mail is sent to Servlet svltRegister, then it use registerUser () method to come inspection database, to check the user name that whether has repetition. If found the user name that repeats, present so and register the page of makeing mistakes, and urge the user again to attempt registration.
Figure 28 is the procedure chart 28000 by the subscriber checking device data that is authorized to.
Figure 29 is the procedure chart 29000 that successfully signs in to Managerial System of Medical Equipment, and wherein the user is by providing voucher and by selecting icon, guiding the submission of these vouchers to register such as the submit button on the login.jsp page. So mail is sent to Servlet svltController, then it use getUser () method to come inspection database, to check whether there is coupling. If information indicates this user and registers, allow so the user to login.
Figure 30 attempts opening the procedure chart 30000 of conversation failure in the situation that does not have login, and wherein the user directly keys in the name of Servlet controller at the address window of browser. This svltController uses session tracking to know that this user is not in session. The user is redirected to the page of makeing mistakes.
Figure 31 is the procedure chart 31000 of login failure, and wherein the user registers by the submission (Submit) that provides its voucher and click on the login.jsp page. So mail (POST) is sent to Servlet svltController, then it use getUser () method inspection database, to check whether there is coupling. If the user is uncommitted, so just present the page and urge the user to carry out another time login attempt of makeing mistakes.
Figure 32 is the block diagram of database schema framework 32000, and this database schema framework 32000 comprises a plurality of forms, and these forms comprise the information about IV pump, patient, medicament, user's login, position and/or time etc. IV pump information form comprises pump ID, sick bed identifier, state, MAC Address, running time, patient's identifier, medicine name, flow, pattern, passage, renewal rate and/or upgrades unit etc. In database schema framework 32000, IV pump information is divided into two forms. Patient's form comprises that surname, name, middle name are not filled in, patient's identifier, medical record number, medical (visit) identifier, height, height unit, body weight, body weight unit, nurse identification symbol, IV pump identifier, medicament title and/or medicament identifier etc.
The unit of the unit of the volume that the medicament form comprises medicament title, medicament identifier, patient's identifier, the volume of carrying, carry, running time, running time, remaining time, the unit of remaining time, the flow taken for specific medication, and/or the unit of flow etc. The user logins form and comprises nurse identification symbol, password, user class, name, middle name, surname, e-mail address and/or position etc. The position form comprises IV pump identifier, sick bed label and/or patient's identifier etc. The time form comprises the unit etc. of unit, renewal rate and/or renewal rate of unit, remaining time, the remaining time of unit, running time, the running time in unit, time zone, the time zone of date, current time, current time.
Table II provides the details of the database schema of Managerial System of Medical Equipment. The record of database schema comprises:
Patient: hold the patient information that is linked to particular medical device;
Medical Devices: hold medical equipment information;
Medicament: holding will be via the pharmacy information of medical equipment management;
Time: the time attribute of holding the medical device applications program;
Position: hold about Medical Devices information wherein; And
Login: hold the information about the user that is authorized to and relevant pump.
Each form comprises more than one field. Intrarecord field (as Table II is pointed) is pre-name and predefined. Field has predetermined form. Field is used to accept, stores, transmits, and/or presents (render) data.
Table II
| Title | Function | Attribute |
| The patient | This form is held the patient information that is linked to specific IV pump | Last_Name，First_Name，MI， Ext_PID，MRN，VISIT_ID，Height， Height_Units，Weight， Weight_Units，Nurse_ID， IVPump_ID，Drug_name，Drug_ID |
| The IV pump | This form is held IV pump information | IVPump_ID，Bed_Lable，Ext_PID， Drug_name，Flow_rate， Flow_rate_Units，State， Current_mode，Active_Channel， Update_rate，Update rate units |
| Medicament | This form is held the pharmacy information that enters by the IV infusion | Drug_Name，Drug_ID，Ext_PID， Volume_Delivered， Volume_Delivered_Units， Time_operating， Time_operating_units， Remaining_Time， Remaining_Time_units， Flow_rate，Flow_rate_units， Dosage，Dose_Units， Concentration， Concentration_Units |
| Time | This form is held some time attribute of IV pump application program | Date，Current_time， Current_time_units，Time_zone， Time_zone_units， Time_operating， Time_operating_units， Remaining_time， Remaining_time_units， Updata_rate，Update_rate_units |
| The position | This form provides IV pump information wherein | IVPump_ID，Bed_Label，Ext_PID |
| Login | This form is held the user that is authorized to and the information of associated pump | Nurse_ID，password，User_level， First_Name，Last_Name， Email_Address，Location |
Use Tomcat, set up, pack and/or expansion Medical Devices web application. Deployment step comprises to be set up the web application bibliographic structure, set up web application ServletContext, adds JSP and Servlet, interpolation tag library and/or sets up and launch WAR file etc. These steps are easy to expand to any medical device applications program of following the framework of Managerial System of Medical Equipment.
Table III illustrates the web application bibliographic structure of Managerial System of Medical Equipment. This bibliographic structure comprises a plurality of catalogue and subdirectories for storage webpage, web page resources, utility program and/or files etc.
Table III
| Catalogue | Content |
| /IVPump | This is the root of web application. JSP and html file are stored in here. |
| /IVPump/ WEB-INF | This catalogue comprises the resource relevant with application program, and this resource is not in the root document of this application program. This is that the IVPump web application launches the place that descriptor is positioned at. It should be noted that this WEB-INF catalogue is not the part of official document. Any file that comprises in this catalogue all can not be directly used in client. |
| /IVPump/ WEB- INF/clas ses | This catalogue is the place at Servlet and tool-class (classes) place. |
| /IVPump /WEB- INF/lib | This catalogue comprises the Java files that pump manager web application relies on. For example this is the place that you place jar file, and this JAR file provides jsp taglib and the support of Java mail to us. |
Figure 33 is and the part 33000 of controlling the device-dependent xml code in the Managerial System of Medical Equipment. The step of setting up in the web application bibliographic structure is to add to launch descriptor. The part 33000 of xml code is copied to finder (director), such as TOMCAT_HOME/IVPump/WEB-INF/directory. After setting up the web application bibliographic structure, add new ServletContext to Tomacat. This ServletContext has defined a cover and has been used for the method that communicates with the Servlet container by the part of web application. This ServletContext is as the container of web application. Each web application only has a ServletContext.
In order to add new ServletContext to Tomcat, add clauses and subclauses (entry) to file, such as adding clauses and subclauses to the TOMACAT_HOME/conf/server.xml file, with the value of path and docBase be set to the title of web application, such as the IVPump application program. Therefore clauses and subclauses are:<context path＝"/IVPump"docBase＝ "IVPump"debug＝"0"reloadable＝"true"/>
At first, path="/IVPump " informs the Servlet container, behind the URL of server, be attached with/request of IVPump belongs to the IVPump web application. Secondly, docBase=" IVPump " informs the Servlet container, this web application is present in/the IVPump catalogue in.
The step of be used for adding Servlet and JSP comprises: under the WEB-INF file, directly place the JSP page, and compiling Servlet, and/or move to such as the catalogue of/IVPump/WEB-INF/classes/com/IVPump catalogue Servlet medium.
Figure 34 is for the exemplary user interface 34000 of drawing the pressure test result relevant with Managerial System of Medical Equipment, loads test medical equipment management device application program with Apache JMeter. User interface 34000 is that tabular representation represents, it has other Jmeter data, in the reality test, when in the Pentium 4 of the RAM with 256MB, when the PC of 1.3GHz moves, process (handled) 10 simultaneously movable users have 297 milliseconds maximum response time, and the peak load of processing 40 users reduces by 23% in the response time.
The software that uses in the operation medical device applications program comprises: can be used as the JSP/Servlet embodiment of expansion operation of independence or the webserver (in the test implementation mode, use Tomcat4.0.3, because the Tomcat tag library of standard is used extensively, so this application program depends on Tomcat at certain in form); The SMTP mail server, this is optional, but because this application program is used Intranet usually, so the expection this point is rational; Microsoft SQL Server is proposed as relational database management system (other embodiments of medical equipment management device can use MySQL as database engine); And/or Apache Jmeter has been used to load this application program of test; Deng.
As used in this, " JSTL " represents java server page standard label storehouse (JavaServer Pages Standard Tag Library), and it is encapsulated as the simple label Core Feature common with many web applications. JSTL has support total, the structure task, such as iteration (iteration) and condition (conditional), the label that is used for the operation XML document, internationalization label and SQL label. JSTL also is provided for the framework that existing client's label and JSTL label is integrated. As used in this, term " Jakarta Struts " expression is used for setting up the open source framework of Java web application. This Struts framework comprises the key-course based on the technology of picture Java Servlet, JavaBean, ResourceBundle and XML.
Clinical context object working group (clinical context object workgroup) (" CCOW ") is a kind of standard, its regulation framework, unit interface and data definition and interoperable technology (the special use mapping of these frameworks, interface and definition). Use CCOW, a plurality of application programs can used point (point-of-use) automatic synchronization and synchronous. Special-purpose framework is set up in the healthcare appliances program to the basis of using point to bring common usability. The JBOSS apps server is to have the Java 2 enterprise version apps servers that EJB supports.
The factor that will consider in setting up system comprises: the Registering modules (such as web application) that comprises user interface (such as the user interface of using XML information receiving rather than HTML web browser) is provided; In the situation that a plurality of users login simultaneously, replacing the Java assembly with JSTL may be performance bottleneck; The MVC framework of picture Jakarta Struts; Be combined with GSM or CCOW; And/or the Jboss apps server at picture Internet place or HIS apps server are together with the open-source Enterprise Java Bean container of Apache Tomcat; Deng
Table IV illustrates whole IV pump inventory and particular room position and patient's identifier (PID/MRN=patient's identification/medical record number) in the discrete cell in special transfusion pump and the enterprise is associated. The information (for example, patient's identifier and local pump internet protocol address) of being carried by the RFID label has defined the pump that is associated with particular patient uniquely. Therefore, can very fast location pump by this view mode. This view can produce rapidly and shows in web browser via script.
Table IV
| IV pump inventory: 50 | ||
| Unit: 5-west side | Pump in the use: 10 | |
| Room/POD | The MAC/IP address | PID/MRN |
| 5W 101 | 00-30-F1-35-54-D8 | 400336 |
| 5W 102 | 31-67-G3-67-23-A1 | 844179 |
| ... | ... | ... |
|
| 98-H2-45-89-01-J4 | 143582 |
| Unit: ICU-1 | Pump in the use: 20 | |
| Room/POD | The MAC/IP address | PID/MRN |
| ICU 1101 | 89-32-54-69-B4-19 | 903512 |
| ... | ... | ... |
| ICU 1120 | 90-11-D7-76-A8-18 | 796380 |
| Unappropriated inventory: 12 | ||
| In the maintenance: 8 |
This medical apparatus system information provides feedback and/or provide feedback to this pharmacy entity near particular pump to pharmacy entity (entity) on the position of the equipment of monitoring in enterprise (enterprise). For example, when the patient arrives or leaves, give and/or from pump, remove intravenous fluid at pump; The user interface of presenting is upgraded.
About the information of unappropriated Medical Devices so that the clinician can order instillation to the patient, with the quantity of pump that determine to use and can usefulness in enterprise. Information about unappropriated Medical Devices also is provided for the in the past useful information of movable pump of management and maintenance, in order to prepare those pumps is used for following patient.
When having assigned order to the application program of using Medical Devices, particular medical device can be assigned with this order (for example, tele command carries the pump identifier). Medical Devices are associated with the patient and are managed by at least one clinician. Identifier, can communicate via wireless network adapter such as the unique sequence identifier that is associated with these Medical Devices, then the mode of management is provided, and know the two position of Medical Devices and patient; Particular patient is with respect to the position of the Medical Devices that distribute; Whether Under Repair whether these Medical Devices fault (moving to the maintenance station) or medicine of taking reduce; And/or whether these Medical Devices need general maintenance.
The order that is assigned to particular medical device has the position relevant with them and identifier, thereby the pharmacy can be determined this position and the patient who is assigned to any pump clearly.
Figure 35 is can be by Managerial System of Medical Equipment identification and the exemplary procedure dish 35000 of following the tracks of. The scheduling operation chamber of surgical procedures (Scheduling operating room) comprises clinical chaining command to scheduling entity. Order to surgical procedure converts a plurality of demands to resource to: available personnel (staff), and the operating room that can use in particular day and time, and/or must bring equipment of supporting particular procedure etc. into. Surgical tray 35000 is tracked and is necessary for the equipment that operation is prepared and dispatched. The RFID label can be associated with surgical tray 35000, to follow the tracks of this surgical tray 35000 (content of surgical tray 35000 changes according to the type of the operation of carrying out) as the part of inventory.
Therefore, use the RFID label to have the following advantages from network manager (with Medical Devices different application program) cooperation: can the positioning operation dish, such as the inventory of surgical tray 35000; Have about particular pallet, such as surgical tray 35000 customizing messages wherein; And/or has the specific information that to accept operating position about the patient; Deng. By this way, which operation chamber the surgical tray 35000 of the required particular type of operation command specifies and time and surgical tray 35000 should be sent to. Therefore, surgical tray 35000 just can be sent to this operation chamber and off-line isolation before corrective surgery, thereby can not waste the quality time with its peculation or in the process of attempting positioning operation dish 35000. This RFI D label is used directly to surgical tray 35000 (for example, the back side) usually.
Keep specific information about its object that is associated (particularly, equipment, patient's identifier etc.) with the passive RFID tag (RFID) of realizing with type initiatively. Passive RFID label does not have their power supply: little electric current of being responded in the RFID antenna by the radio frequency reading of introducing provides enough energy to send response to label. Because the relation of energy and cost, the response of passive RFID label is essential of short duration, only is id number (GUID) usually. Initiatively the RFID label comprises power supply, and can have scope and larger memory and the ability of storing the additional information that by transceiver sent longer than passive label.
Attaching the RFID label allows equipment (infusion pump, patient monitor etc.) is managed and follows the tracks of. For example, following form illustrates the view that can pass through Medical Devices (such as the IV pump) network manager interface management, and this interface illustrates the quantity of the Medical Devices that use in discrete cell in the enterprise and the room.
Being used for breathing the mechanical respirator of supporting is used in the intensive care unit usually. Mechanical respirator is arranged usually to the patient that can not keep spontaneous respiration and therefore want help and breathe. The help of this mode of very eurypalynous needs of patients, a class are the patients of CBG. When the use of mechanical respirator needs the doctor to order particular patient use lung ventilator. These orders convert in the patient room and place mechanical respirator, sometimes are to prepare for patient's arrival. The mechanical respirator that the location is used in the enterprise is benefited from the RFID label consistent with management system, is used for the position of mechanical respirator is associated with particular patient. This RFID label can directly attach to the outside of lung ventilator. In case with unique identifier (for example, the sequence number of lung ventilator) programming, these data just can be transferred to based on network application program (task manager) and be associated with particular patient. Like this, Managerial System of Medical Equipment: the position of following the tracks of lung ventilator; Positively will the variation of ordering of (identifying by patient medical record number or foreign identifiers) particular patient be associated with specific lung ventilator; Keep in patient's clinography checking and follow the tracks of (audit trail) that this clinography is the specific lung ventilator that uses about during the treatment (purpose and legal cause for quantity control should be the patients who the tube drawing infectious-related complication occurs); And/or utilizing the setting of doctor's order checking mechanical respirator, this is to realize by the available specific lung ventilator setting of the nursing system with patient's identifier and then this identifier being associated with mechanical respirator etc. by checking. Check to follow the tracks of also to be used to quantity control, to determine to have carried out at specific lung ventilator at special time doctor's order (feeding back to clinical order).
Figure 36 is the block diagram of information equipment 36000, and this information equipment 36000 for example comprises information equipment 1200 and/or the server 1100 of Fig. 1. Information equipment 36000 comprises the user interface 36600 of any numerous known parts, the memory 36300 such as one or more network interface 36100, one or more processor 36200, one or more include instruction 36400, one or more I/O (I/O) equipment 36500 and/or one or more and 36500 couplings of I/O equipment etc. Via one or more user interface 36600, such as graphical user interface, the user can observe the drawing of the information relevant with the use of Medical Devices and/or management.
Figure 37 is the block diagram of Managerial System of Medical Equipment 37000, and this Managerial System of Medical Equipment 37000 has been described the performed major function of IV pump manager under the support of command process.
37200 pharmacists on medicine and intravenous fluid bag the mark patient, give clinician's order and medicament identifying information. This information is stored with the bar coded sticker of pharmacy process software foundation and/or the form of RFID label.
During the prescription implementation, pharmacists's (in one embodiment) utility command typing user interface (37300) is sent to point-of care with identifying information, this user interface can receive: the data that manually provided by the pharmacists, the data that provide with the barcode format of non-scanning via network, and/or the data that provide via bar code scanner (37225) and/or RFID tag reader (37250).
37400, medicine, patient and device identifying information are stored in the command table of IV pump manager database.
37600, guided and the IV pump manager command processor of the monitoring continuous command information of inquiry (poll) and retrieving novel from command table 37400 by IV pump manager processes manager 37500.
Communication processor 378000 Application standard procotols and IV pump 37900 communicate (normally wired or radio communication is carried out in transmission through ICP/IP protocol).
One receives in these message, and queued 37700 communicates with processing manager 37500, informs that its transmits success or inform and transmits unsuccessfully, and informs reason in the failed situation of transmission. Process manager 37500 notification message is provided, pharmacists and clinician can use this notification message. Process manager 37500 and send this notification message to command table 37400 by command processor 37600.
In case this notification message is stored in the order list 37400, this notification message just can be used for being sent to the recipient (recipitent) of any amount. An embodiment of this notice is by coomand mode user interface 37950, this coomand mode user interface 37950 provides the form state of each order, when this order is transmitted, when this order is accepted by IV pump 37900, and whether carried out this order (namely, the clinician has confirmed to accept this order) in point-of care.
Those of ordinary skills are easy to just can expect other embodiment by the accompanying drawing of reading the above-mentioned specification that is described in detail and some illustrative embodiments.
Claims (20)
1. one kind is used for management to the information system of the operation of the Medical Devices of patient's delivering therapeutic, and this information system comprises:
Command processor provides treatment to start to the patient for the treatment of doctor's order;
The equipment control processor is used for from described command processor receiving data item, and described data item comprises at least a in following:
(a) patient's identifier, and
(b) be used for identifying the identifier that described doctor orders,
And be used in management described data item being processed and used in the access of Medical Devices, these Medical Devices are used to carry described treatment to described patient, wherein said equipment manager processor is associated at least one registered user with described Medical Devices, and wherein said equipment control processor is suitable for the user of registering non-registration; And
Communication interface, it realizes two-way communication between described equipment control processor and described Medical Devices.
2. information system as claimed in claim 1, wherein
Described patient's identifier comprises the bar code of the set form of non-scanning.
3. information system as claimed in claim 1, wherein
Be used for carrying the described Medical Devices of described treatment to described patient in configuration, described equipment control processor uses at least one data item in the described data item, and
Use at least one data item in the described data item at least one in following situations of described equipment control processor: (a) inquire described Medical Devices for status information, (b) test described Medical Devices, (c) determine the position of described Medical Devices, (d) determine the access of described Medical Devices is authorized to, and (e) carry out safety inspection to determine starting whether safety of described treatment with described Medical Devices.
4. information system as claimed in claim 1, wherein
Described Medical Devices comprise at least one in following: (a) infusion pump, and (b) respirator, (c) patient monitoring equipment, and
Described management comprises that to the access of described Medical Devices management is to the access about the information of described Medical Devices.
5. information system as claimed in claim 1, it comprises
The authentication process device, be used for receiving customer identification information, and be used for determining that the user is the member who is authorized to user's group who is scheduled to, and to be used in response to access be that uncommitted definite result forbids the access to described medical equipment information, this is authorized to the user and is allowed to access information about described Medical Devices, and
Tracking processor is used for recording following at least one: (a) customer identification information, and (b) in response to the user to the access about the described information of described Medical Devices, the data of the medical equipment information that identification is accessed.
6. information system as claimed in claim 1, it comprises
Storage vault, it comprises patient's specific information, wherein
Described equipment control processor uses the described patient's specific information in the described data item that receives and the described storage vault, is used for determining, uses described Medical Devices to carry whether safety of described treatment to described patient, and
Described equipment control processor from described command processor in the message of the predetermined format with predetermined data field receiving data item,
Lack essential data in the tentation data field of described equipment control processor according to the message of described predetermined format and determine, use described Medical Devices to carry whether safety of described treatment for described patient, and
Message with described predetermined format of tentation data field comprises HealthLevel7 (HL7) compatible message.
7. information system as claimed in claim 1, wherein
Described equipment control processor receiving data item from described command processor, described data item comprises the health care relevant information of patient's special use, and
Described equipment control processor determines with the health care relevant information of described patient's special use, uses described Medical Devices to carry whether safety of described treatment to described patient.
8. one kind is used for management to the information system of the operation of the Medical Devices of patient's delivering therapeutic, and this information system comprises:
The authentication process device, be used for reception customer identification information and definite user and be authorized to access application, and for the access of forbidding in response to the uncommitted definite result of access described application program, this application program is used to manage the particular medical device for to patient's delivering therapeutic;
The equipment control processor, it determines the result in response to subscriber authorisation, be used for the message receiving data item at the predetermined format with tentation data field, and be used for the processing said data item in service in the described particular medical device of management, wherein, if described user registers, then described equipment control processor is associated described user with described Medical Devices, and wherein, if not registration of described user, then described equipment control processor is suitable for registering described user; And
Communication interface, it realizes communicating by letter of described equipment control processor and described Medical Devices.
9. information system as claimed in claim 8, wherein
Described message comprises that barcode identifiers and the described data item of the set form of non-scanning comprise:
(a) patient's identifier,
(b) be used for the identifier that the identification doctor orders, this doctor orders and is used to carry the described particular medical device of described treatment relevant, and
(c) patient's condition relevant information of patient's special use.
10. information system as claimed in claim 8, it comprises
Storage vault, it comprises patient's specific information, wherein
Described equipment control processor determines with the described patient's specific information in the described data item that receives and the described storage vault, uses described Medical Devices to carry whether safety of described treatment to described patient, wherein
Described storage vault comprises at least one in following: the drug information that (a) is identified in the characteristic of the medicine that is transferred in the described treatment, (b) operation characteristic of infusion pump, (c) Medical Devices positional information, (d) MAC Address of Medical Devices IP or Ethernet compatibility, (e) customer identification information that is authorized to, (f) infusion pump liquid feed flow, and the infusion pump amount of liquid of (g) carrying.
11. information system as claimed in claim 8, wherein
Lack essential data in the tentation data field of described equipment control processor according to the message of described predetermined format and determine, use described particular medical device to carry whether safety of described treatment for described patient, and
Described equipment control processor uses the operation of the described particular medical device of Medical Devices location information management, and this Medical Devices positional information derives with the mailing address that is attached to the label on the described Medical Devices, and
Described label comprises that wireless identification equipment and described mailing address comprise IP (Internet protocol) or ethernet mac address, and
Described equipment control processor is derived described Medical Devices positional information with mapping, and this mapping is associated a plurality of Medical Devices mailing addresses with corresponding a plurality of Medical Devices geographical position.
12. information system as claimed in claim 11, it comprises
Command processor, ordering to start to the patient for the treatment of the doctor provides treatment, and wherein
The described equipment control processor that is used for receiving data item receives described data item from described command processor, and
During described command processor startup is following at least one: (a) information relevant with described particular medical device is sent to pharmacy, to be used for again storage of pharmaceutical; (b) information relevant with described particular medical device is sent to medicine command information system, to be used for the use of monitoring particular liquid medicine; And (c) information relevant with described particular medical device is sent to case control's information system, to be used for monitored patient to the use of medicine.
13. one kind is used for management to the information system of the operation of the Medical Devices of patient's delivering therapeutic, this information system comprises:
The authentication process device, be used for reception customer identification information and definite user and be authorized to access application, and be used for forbidding described access in response to the uncommitted definite result of access, this application program is used to manage the particular medical device for to patient's delivering therapeutic;
Storage vault, it comprises patient's specific information;
The equipment control processor, it determines the result in response to subscriber authorisation, be used for the message receiving data item at the predetermined format with tentation data field, and be used for the processing said data item in service in the described particular medical device of management, and be used for determining with described patient's specific information of the described data item that receives and described storage vault, use described Medical Devices to carry whether safety of described treatment for described patient, wherein, if described user is registered, then described equipment control processor is associated described user with described Medical Devices, and wherein, if described user is registration not, then described equipment control processor is suitable for registering described user; And
Communication interface, it realizes communicating by letter of described equipment control processor and described Medical Devices.
14. information system as claimed in claim 13, wherein
Described message comprises the set form barcode identifiers of non-scanning, and described data item comprises patient's identifier, and described equipment control processor for the patient who in described storage vault, does not have available patient's specific information with differently make security for the patient that available patient's specific information is arranged determine in described storage vault.
15. information system as claimed in claim 13, wherein
(i) for the patient who in described storage vault, does not have available patient's specific information, lack essential data in the tentation data field according to the message of described predetermined format, and
(ii) for the patient that available patient's specific information is arranged in described storage vault, according to the data in the tentation data field of the message of described predetermined format and the comparison of the data in the described storage vault,
It is definite that described equipment control processor is made described security, and
Determine the result in response to described security, described equipment control processor starts the warning information that generation sends the user to, described warning information carries out alarm about at least a in following: (a) new user's registration, (b) when login attempt repeatedly continuously during failure, (c) inert session surpasses predetermined lasting time, and (d) when the user attempts accessing uncommitted resource.
16. information system as claimed in claim 13, wherein
Described authentication process device is held the record, and this record represents can observe according to the user authorization levels user grade of the information of corresponding graduation tissue, and
Described data item comprises:
(a) patient's identifier,
(b) be used for the identifier of identification doctor order, this doctor's order is relevant with described particular medical device for delivery of described treatment, and
(c) the relevant information of the patient's condition of patient's special use.
17. one kind is used for management to the method for the operation of the Medical Devices of patient's delivering therapeutic, it comprises following activity:
The order of processing the doctor provides treatment to start to the patient;
Receiving data item from described doctor order, described data item comprise at least a in following:
(a) patient's identifier, and
(b) be used for identifying the identifier that described doctor orders;
Process in to the access of Medical Devices and use described data item, these Medical Devices to be used to carry described treatment to described patient in management;
At least one registered user is associated with described Medical Devices;
If the user is registration not, then register described user; And
Realize and the two-way communication of described Medical Devices, relate to the information that described doctor orders with conveying.
18. one kind is used for management to the method for the operation of the Medical Devices of patient's delivering therapeutic, it comprises following activity:
Receive customer identification information and determine that the user is authorized to access application, and forbid described access in response to the uncommitted definite result of access, this application program is used to manage the particular medical device for to patient's delivering therapeutic;
If described user registers, so described user is associated with described particular medical device;
If described user is registration not, register so described user;
Determine the result in response to subscriber authorisation, receiving data item in the message of the predetermined format with tentation data field, and be used at the processing said data item in service of managing described particular medical device; And
Realization is communicated by letter with described Medical Devices, to transmit at least one described data item.
19. one kind is used for management to the information system of the operation of the Medical Devices of patient's delivering therapeutic, this information system comprises:
Command processor, ordering to start for the treatment of the doctor provides treatment to the patient;
The equipment control processor is used for:
Receiving data item from described command processor, this data item comprise at least one in following:
(a) patient's identifier, and
(b) be used for identifying the set form barcode identifiers of the non-scanning of described doctor's order, and
Process in to the access of Medical Devices and use described data item, these Medical Devices to be used to carry described treatment to described patient in management; And
Communication interface, it realizes the two-way communication between described equipment control processor and the described Medical Devices.
20. one kind is used for management to the method for the operation of the Medical Devices of patient's delivering therapeutic, it comprises following activity:
Receive customer identification information and determine that the user is authorized to access application, and forbid described access in response to the uncommitted definite result of access, this application program is used to manage the particular medical device for to patient's delivering therapeutic;
Determine the result in response to subscriber authorisation, receiving data item in the message of the predetermined format with tentation data field, and be used at the processing said data item in service of managing described particular medical device, described message comprises the bar code of the set form of at least one non-scanning; And the communicating by letter of realization and described Medical Devices, to transmit at least one described data item.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US50550303P | 2003-09-24 | 2003-09-24 | |
| US60/505,503 | 2003-09-24 | ||
| US10/948,037 | 2004-09-23 |
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| CNA2004800275846A Pending CN1856793A (en) | 2003-09-24 | 2004-09-24 | A medical device management system including a clinical system interface |
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| CN102047256A (en) * | 2008-05-27 | 2011-05-04 | 斯特赖克公司 | Wireless medical room control arrangement for control of a plurality of medical devices |
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| CN109874340A (en) * | 2015-11-18 | 2019-06-11 | 全球样本解决方案股份有限公司 | For encrypting the secure storage of biological sample data and the distributed system of retrieval |
| CN109874340B (en) * | 2015-11-18 | 2023-06-13 | 全球样本解决方案股份有限公司 | Distributed system for secure storage and retrieval of encrypted biological specimen data |
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