NZ757759B2 - System and method for patient data processing during diagnosis and therapy - Google Patents

Abstract

system and method for patient data processing during diagnosis and therapy of a patient's sleep disorder breathing. The system and method includes providing diagnostic providers and therapy device providers with a simple and fast way to generate a clinical diagnosis from a diagnostic device and to transfer that patient's record and diagnostic data to the therapy provider responsible for the patient's ongoing care. The patient may be automatically assigned therapy devices having predetermined therapy settings that are based on the patient's record and diagnostic data. transfer that patient's record and diagnostic data to the therapy provider responsible for the patient's ongoing care. The patient may be automatically assigned therapy devices having predetermined therapy settings that are based on the patient's record and diagnostic data.

Description

SYSTEM AND METHOD FOR PATIENT DATA PROCESSING DURING DIAGNOSIS AND THERAPY 1 BACKGROUND Ll FIELD OF THE TECHNOLOGY The present technolcigy relates to the diagnosis and treatment of atory-related disorders. 1.2 DESCRIPTION OF THE D ART 1.2.1 Human Respiratory System and its Disorders {0063] The respiratory system of the body facilitates gas exchange. The nose and mouth form the entrance to the airways 017a patient. {0003] The airways include a series of branching tubes, which becmne narrower, short-er and more numerous as they penetrate deeper into the lung. The prime function of the lung is gas ge, allowing oxygen to move from the air into {he venous bleed and carbon dioxide to meve out. The trachea divides into right and. left main brenehi, Which further divide eventually into terminal oies. The bronchi make up the conducting airways, and do not take part in gas exchange. Further divisions; of the airways lead to the respiramry hronehiolesq and eventually to the i. The alveolated region of the lung is where the gas ge takes place, and is referred to as the atory mne. See “Reepiratox‘y Physiology”, by John B. West, Lippincott Williams 85 Wilkins, 9th edition published 2011. {0004] A range of respiratory disorders exist. Some examples of respiratory disorders include: etive Sleep Apnea (GSA), Clieyne Stokes Respiration (CSR), Obesity llyperventilation eme (OHS), Chronic Obetructive Pulmonary Disease (COPD), Neuromuseular 'Diseaee (NMD) or ehest wall dimmers. {0005] Otherwise healthy individuals may take advantage of systems and devices. to prevent respiratory diserders from arising.

WO 48857 2014/050268 1.2.2 Diagnosis and Therapy {0006] Patients’ interaction with the health system generally comprises two main stages or phases w a diagnostic stage and a treatment (also referred to as “titer-amt”) stage {0007] During the diagnostic stage a patient is tested and the pati.ent"s condition is diagnosed, In the area of sleep and, respiratory disorders, the diagnostic: providers, as well as the therapy prr‘ividers can be qualified medical practitioners. also referred to as physicians or doctors, or assisting practitioners ed to as clinicians. Instead of conducting a. sleep test in a sleep lap or sleep clinic, a diagnostic providers increasingly use portable take home g devices to diagnose patients with sleep disorder breathing. Once the patient is diagnosed, they may he put on a suitable fhfi‘l‘flpy. {0008] The ation of the respiratory therapy defines the therapy stage, during which the patient is treated for the purpose of ng the patient’s condition and/or ameliorating its symptoms. The services to supply the CPAP s used for such therapy and r the progreas of the patienfs therapy may be provided by a therapy provider organisation, such as a Home Medical Equipment (HME) company.

A therapy provider from the therapy provider company such as a therapy clinician, may configure the device. as per directions from the prescription, and put, the patient on a program to monitor their ongoing adherence to therapy and the patient’s therapy progress. For example, patients suffering from sleep apnea may be diagnosed via a Home. Sleep Test. by a diagnostic provider and prescribed a therapy device, such as a continuous ve airway pressure ("CPAP") device, for home atory therapy that, is prescribed to operate at a particular pressure. The therapy provider for this patient will provide the device and set the required pressure and other settings.

Alternatively, the therapy device may be configured for automatic initial setup, based on the prescription gs in the diagnostic prescription issued by the diagnostic provider, Thus, the therapy provider may be responsible for setting the patient for therapy. This may e selection of a treatment. mask, humidifier, crmd‘uits and other accesseries, which may or may not be ied in the iption issued by the diagnostic prtwider. Apart from the initial setup, the therapy provider will also WO 48857 monitor the therapy data from the patient therapy sessions. if the t’s y progress is unsatisfactory or there are other problems with the therapy, the therapy provider may refer the patient. hack to the diagnostic provider for review and modification. to the therapy. {0010] Insrrrance companies. or other assessing or reimbursing entity computer 103., often e evidence that the patient has been diagnosed in an appropriate manner before paying tor the diagnosis. in order for a determinatirm to be made of whether a t was appropriately diagnosed, a diagnostic provider will need to present the appropriate data from a Home Steep Test device {which will also be referred loin this specification as a diagnostic device) and a diagnosis needs to he made available that is signed by a qualified ian. Furthermore, insurance companies often want to track whether a patient. once diagnosed with a medical. condition successfully proceeds to and remains on the therapy for which they are prescribed. This process can be inefficient and time consuming, with very poor patient traceahiiity during the er of the patient between the. diagnostic and therapy provider. The er may he inconvenient and disruptiv :, because multiple records of the patient (eg. one during the diagnostic stage patient management. and another one during the therapy stage) are being created on different software es and in different software environments. The communication between the two stages also currently involves paper records and/or faxed doc nrnents. This may cause inconvenience to the patients and the diagnostic and therapy service providers. as well as cause errors in the patient"s s. 1.2.3 Systems {0013] A therapy system may comprise a atory Pressure y Device {RPT device), an. air circuit, a humidifier. a patient i'ntettaee. and data management. 1.2.4 Patient Interface {0012] A patient interface may be used to interface respiratory equipment to its user, for example by providing a flow of ahie gas. The flow of breathable gas may be provided via a mask to the nose and/or month a tube to the month or a trachoostotny tube to the trachea of the user. Depending upon the therapy to be applied the patient interface may form a seat. eg. with a face region of the patient, to facilitate the delivery of gas at .3 pressure at sufficient variance with ambient pressure to effect therapy. eg. a. positive pressure of about ermHZO. For other forms of therapy. such as the delivery of oxygen. the patient interface may not include a seal Sufficient to tate ry to the airways of a supply of gas at a positive pressure of nbnut lilomH'LZO, {0013] The design of a patient interface presents a number of challenges. The face has. a complex threewdimensional shape. The size and shape of noses varies considerably between duals. Since the head includes" bone. cartilage and soft tissue. different regions of the face renpond differently to mechanical. forces. The jaw or mandible may move relative to other bones of the skull. The whole head may more during the course of a period of respiratory therapy.

As a consequence of theee Challengea Some masks suffer from being one or more of obtrusive, aesthetically undesirable, costly, poorly fitting. difficult to use and uncomfortable especially when won} for long periods of time or when a patient is: unfamiliar with a system. For example, masks designed solely for aviatore, mask designed as part Of personal protection equipment (eg. filter masks)g SCUBA masks or for the administration of annerstiieties may he tolerable for their original application. but nevertheless be undesirably uncomfortable to be worn for extended periods of time, eg. several hourn This; is even more so if the mask. is to be worn during sleep. {0015] Nasal CPAP therapy is highly ive to treat certain respiratory disordersi provided patients comply with therapy. If a mask is uncomfortable, or difficult to use a, patient may not comply with y. Since it is often recommended that a, patient regularly wash their mask, if a mask is difficult to clean (eg. difficult to le or dieassemble). ts may not. clean their mask and this may . on t compliance. {0016] While a mask for other applications (6.3;. aviators) may not. be suitable for use in treating sleep disordered breathing. a mask ed for use in treating sleep disordered breathing may be le for other applications. {0017] For these reasons, masks for delivery of nasal CPA]? during, sleep form a distinct field. 1.2.4.1 Seal-forming portion {0018] Patient interfaces may include a seal—forming portion. Since it. is in direct contact with the patient’s face. the shape and configuration of the seal—forming portion can have a direct impact the effectiveness and comfort of the patient. interface. {0019] A patient interface may be partly characterised aecerding to the design intent of where the seal—ferming n is to engage with the face in use In one form of patient interface, a seahi‘orniing pnrtion may cemprise two submertions' to engage with respective left. and right hares. In one fame of patient. interface, a seal—ferming portion may comprise a. single element that surrounds both name in use. Such single element may he designed to for example overlay an upper iip region and a ,nzztenl bridge region {If a face. In tine fem“: of patient. interface a. seaivferming n may comprise an element that Surrounds a month regien in use, eg. by forming. a seal on a lower lip .regien of a face. In one farm of patient inter ace, 3. seal—forming poflion may comprise a, single element that nds both name and a mouth region in use. These different types of patient aces may be known by a variety of names by their manufacturer including nasal masks, full-face masks, nasal piliews, nasal puffs and ore—nasal masks. {0020] A sealdi‘n‘riiiiig portion that. may be effective in one region of a patient’s face may be. in appropriate in another region. eg. because of the different Shape, re. variability and Sensitivity regime of the patient‘s face. For example, 21 Seal on swimming goggles that overlays a patienfis ferehead may not. be riate to use on a patient’s nose. {0021] Certain seal—fanning ne may be designed fer mass cture such that one design [it and be ernnfoitabie and effective for a wide range of different face shapes and sizes; To the extent to which there is a ch n the shape (if the t‘s face, and the seal—forming, portion of the mass—mzsnulfnetured patient interface-i one {31“ both must adapt in order for a seal to form. {0022] One type of seal-forming n extends mound the periphery of the patient interface and is intended to 581211 against the user's face when force is applied tn the patient interface with the seat-forming portion in confronting engagement with the user‘s face. The neahi‘orming portion may include an air or. fluid filled cushion, 0r a moulded or formed surface of a resilient seal element made of an elastomer such as a rubber. With this type of seal-forming .01}, if the fit is not adequate, there will be gaps between the seal—forming portion and the face, and additional force will he required to force the patient interface against the face in order to achieve a seal. {0023] Another type of seal—forming portion incorporates a flap seal of thin material so positioned about the periphery of the mask so as to provide a. selfvscaling action against the face of the user when positive pressure is applied within the mask.

Like the previous style of seal forming n, if the match n the face and the mask i s not good, additional force may he required to effect a seal, or the mask may leak. Furthermore, if the shape of the wallowing portion does not match that of the patient, it may crease or buckle in use, giving rise to leaks.

Another type of seal—forming portion may comprise a friction-fit element, eg. for insertion into a naris. {0025] r form, of seal—forming portion may use adhesive to effect a seal.

Some patients may find it. enient to constantly apply and remove an adhesive to their face. {0026] A range of patient inteii‘aee orming portion technologies are. disclosed in the following patent applications, assigned to d Limited: WO 1993004310; ‘NO 2006/0745133VC) 2010M 35.785. [0027'] One form of nasal pillow is found in the Adam Circuit manufactured by Puritan Bennett. Another naaal pillow, or nasal puff is the subject of US Patent 4,782,832 (Triniblc et 31.), assigned to Puritan—B ennett Corporation. {0028] ResMed Limited has manufactured the following products that. incomt‘n‘ate nasal pillows: SWIFT nasal pillows mask, SWIFT ll nasal pillows mask, SWIFT LT nasal pillowa mash SWIFT FX nasal pillows mask and LIBERTY full— face mask. The following patent ations, assigned to ResMcd d, describe nasal. pillows masks: International Patent Application VVOZUEMIURJ’YS (describing annonga‘t other things; aspects of ResMcd SWIFT natal pillows), US Patent Application 2.0091(ltl44808 (describing amongst other things; aspects of ed SWIFT LT nasal pillows); ational Patent Applications W0 2.005X063,328 and W0 20061130903 (describing amongst other things aspects of ResMed LIBERTY full-face mask): International Patent Application WC) 52560 (describing amongst other things aspects. of Rest/led SWIFT FX nasal pillows). 1.2.4.2 Positioning and stabilising {0029] A seal—forming portion of a patient interface used For positive air pressure therapy is subject to the ponding force of the air pressure. to disrupt a seal. Thus a variety of techniques have. been used to position the senhforming n, and to in it in sealing relation with the appropriate portion of the face. {0030] Cine technique is the use of adhenivee. See for example U5 Patent publication US EMU/0000534. [003i] Another technique is the use of one or more straps and stabilising harnesses. Many such harnesses suffer from being one or more of tting, bulky, ortable and awkward to use. 1.2.5 atory Pressure Therapy (RPT) Device {0032] One known RPT device used for ng Sleep disordered breathing is the S9 Sleep Therapy System, manufactured by ResMed. Another example of an RPT device is a ventilator. Ventilators such an. the RenMed t‘3tellanM Series of Adult and Paediatric Ventilators may provide support for invasive and nominvaaiue new dependent ation for a range of patients for treating a number of conditions such as but not limited to NMD.‘ ()HS and COPD. RPT devices have also been known as flow tors.

Kit 33] The ResMed EliséeTM 150 ventilator and Flesh/ted V5 111"“ ventilator may e support for invasive and noninvasive dependent ventilation suitable for adult or paediatric patients for treating a number of conditions. These ventilators provide volumetric and barometric ventilation. modes with a single or double limb circuit.

RPT devices typically comprise a pressure generator, such as a motor— driven blower or a compressed gas oir, and are configured to supply a flow of air to the airway of a patient. In some cases, the flow of air may be supplied to the airway of the patient at positive pressure. The outlet of the RPT device is connected via an air circuit to a patient interface such as those described above. {0035] RPT devices typically also include an inlet filter, various sensors and a microprocessor-‘based controller. A blower may include a Servo—controlled melon a voiute and an impeller. In some cases a brake for the motor may be implemented to more rapidly reduce. the speed of the blower so as to overcome the inertia. of the motor and impeller. The braking can permit the blower to more rapidly e a lower ’pI‘ESSUYG condition in time for synchronization with expiration despite the inertia. in some cases the pressure generator may also include a valve capable of dischm‘ging generated air to atmosphere as a means for altering the re delivered to the patient as an alternative to motor speed control. The senders measure, amongst other things, motor speed, mass flow rate and outlet pressure, such as with a pressure transducer or the like. The controller may e data storage capacity with or without integrated data retrieval and display functions. {0036] Table of noise output levels of prior devices (one specimen only, measured using test method Specified in 1503744 in CPA? mode at llktnIHEO).

Device name Aa weighted sound power Year (approx) level dBtA) (3—Series Tango (3-Series Tango with fier .2007 ‘58 Ban-ape II 2005 S8 Escape. I] with H4i Humidifier S9 AutoSct 39 AutoSet with H51 Humidifier 1.2.6 Humidifier {0037] ry of a flow of breathable gas t ficatlon may cause drying of s. Medical humidifiers are used to increase humidity andlor temperature of the flow of able gas in relation to ambient air when required: typically where the patient. may be aaleep or renting leg. at a hospital). As a result, a medical humidifier is preferably small for bedaide placement, and it is preferably configured to only humidify andfor heat the flow of breathable gas delivered to the patient without humidifying andfor g the patient’s surroundings. Room—based systems tag a sauna, an air ioner, an evaporalive cooler), for example, may also humidity air that is ed in h}; the patient, however they would also humidity andjor heat the entire room which may cause discomfort. to the occupants. {0038] The one of a humidifier with a flow generator or RPT device and the patient interface produces humidified gas that minimizes drying of the nasal mucosa and increases patient: airway comfort. 1an addition, in cooler climates warm air applied generally to the face area. in and about the patient interface is more comfortable than cold air. {0039] Respiratory humidifiers are available in many forms and may he a standalone device that is coupled to a respiratory apparatus via an air circuit, is integrated with or configured to be coupled to the relevant respiratory apparatus. While known passive humidifiers can provide some relief, lly a heated humidifier may be used to provide sufficient humidity and temperature to the air so that, the patient will be comfortable. Humidifiers typically comprise a water reservoir or tub having a capacity of l hundred milliliters (1111), a g element for heating the water in the reservoir, :1 control to enable the level of humidificutiou to be varied, a gas inlet to receive gas from the. flow tor or RPT device and a gas outlet, adapted to be connected to an air circuit that: rs the humidified gas to the patient interface. {0040] Heated passover humidification is one common form of hurnidification used with a RPT device. In such fiers the heating t may be incorporated in a heater plate which sits under, and is in thermal contact with, the water tub. Thus, heat is transferred from the healer plate to the water reservoir primarily by conduction. The air flow from the EFT device passes over the heated water in the water tub resulting in water vapour being taken up by the air flow. The ResMed H4?“ and FliiiTM Humidifiers are examples of such heated passover humidifiers that are used in combination, with ResMed SS and S9 CPAP devices respectively.

{DOM} r humidifiers may also he used such as a bubble or diffuser humidifier, a jet humidifier or a Melting humidifier. In a bubble or er humidifier the ' z ' is ted below the surface of the water and allowed to bubble back to the top. A jet humidifier produces an aerosol of water and baffles or filters may be used so that the particles are either removed or evaporated before leaving the fier, A wire-hing humidifier uses a water absorbing material, such as sponge or: paper, to 2014/050268 absorb water by capillary action. The writer absorbing material, is placed within or adjacent at least a portion of the air flow path to allow evaporation of the water in the absorbing material to be taken up into the air flow. {0042] An alternative form of humidifieatinn is presided by the ResMed HumiCare‘l‘M 13900 humidifier that uses a {InunterStresm‘l‘M logy that directs the air flow over a large surface area in at first direction whilst ing heated water to the large surface area in a second opposite direction. The ResMed HumiCaiel'M D900 humidifier may be used with a range of invasive and vasive ventilators. 2 BRIEF SUMMARY OF THE TECHNOLOGY {0043] The t teehnnlngy relates tn the diagnosis and treatment 01“ sleep disorder breathing patients and related respiratory insufficieneies. Currently the diagnostic stage and the therapy stage of patient management are snmewhal disconnected. and incoherent. What is needed, is an ated electrnnic system which links the diagnostic provider and therapy er to the same t database. and allows for easy generation, management, and transfer of a patient’s diagnostic. information directly in the prescribed flow generator (which will also be referred to in herein as a therapy ). {0044] The present technology therefnre relates to a. method and system for an integrated processing and management nf the patient data during the diagnostic and therapy . in particular, the described system, provides diagnostic providers and therapy device providers with a simple and first way to generate a al. diagnosis from a diagnnstie device and tn transfer that. pafient’s reenrd and diagnostic data directly to the therapy {prnvider responsible for the patient’s ongoing care. {0045] In ance with nne aspect iii the technology a server enntains memory configured to store medical device dirt-at and a processnr in communication with the memnry. {0046] The processor is configured to receive. diagnostic and therapy data for a plurality of medical device users, and to process diagnostic. report data and y device usage. data. A successful dnwnload of data. may he Pissed on whether the received diagnostic data from the device contains a predetennined duration of recording information and conforms to acceptable clinical ranges. Therapy compliance may be "based on whether the received medical device usage data satisfies predetermined usage criteria, such an a number of hours of continuous usage or another predetermined criterion.

WOW] The processor in also configured to receive a request from the diagnostic er or health providers for the diagnostic stage. as well as a. compliance status for one or more of the patients using medical devices, and to transfer access to those patients from one provider to another. {0048] In accordance with another aspect of the logy, a medical device can either be u Diagnmtic l-Iotne Sleep Testing Device or a Therapy Device (eg. a Flow Generator) used for atory therapy. In. addition, the memory of the server may be further configured to Store device identifiers, e.g., a unique ID number, wherein the l device data for each of the plurality of medical device users includes a device identifien which may be a unique device identifier, and wherein the processor of the Server is r configured to associate the medical device usage data with. a. l device user based on the received device identifiers. {0049] in another aspect of the logy, the server’e processor is further configured to regenerate medical device diagnostic data from at least one of the plurality of medical device t based on a user determined change in analysis parameterg. {0050] In another aspect, a clinical diagnostic summary report may he. ed, the report being of a fomiet that allows an aeseseing entity to accept the report as verification of sis, For e. the report may contain summary statistics from the diagnostic test date, a. ian’s interpretation. of the test. results and an electronic signature, as proof of review or acceptance. {0051] In another aspect! a prescription based on u clinical. diagnostic report may be provided. The prescription may he of a format that allows a therapy provider to Supply a device, configure it. for therapy and begin monitoring 21 schedule for reimbursement, For example, the prescription may contain a specified therapy device {eg CPAPL an itemised lint of accessories (eg. mask type), pressure settings for the device and an, electronic signature. This document may he used by a Therapy Provider to legally supply the patient with the listed therapy items. {0052] in another aspect of the technology, diagnontie and compliance indications are generated and displayed as selectable icons on the screen QE 3. user. {0053] In another aspect, a compliance report may he provided. The report may be of a format that allows an assessing entity to accept the report as verification of compliance. For example, the report may contain a. numerical or graphical tion of compliance. {0054] in another aspect of the technology, 21 healthenre professional ated with a diagnostic er may access a website and select on the website one or more medical device users nts) for which diagnostic information is available. The user may then select a therapy provider from a list of eligible zations within the system and send the ed patients" diagnostic information to the selected zation. A user Within the therapy provider will then receive. a notification of the availability of diagnostic information for each of the one or more n‘misfened medical device users, as well. as the prescription informatimi required to set up the patients on therapy. {0055] In accordance with r aspect, a, method for patient data processing during diagnosis and therapy of sleep disorder ing may be performed. The method may include generating, by one or more ing devices, an eleetronic patient record for a patient; during a diagnostic stage of the t, storing, by the one or more computing devices, diagnoeticsrelated data in the electronic patient record; providing by the one or more computing devices, a diagnostic medical practitioner with access to the electronic patient record; during a therapy stage of the t, providing, by the one or more computing devices, a treating medical practitioner with access to the electronic patient record; and updating, by the one or more ing devices, the electronic patient record to include tliierapy'related data. {00:36] In another aspect, the method may include storing at. least one of reports and prescriptions, generated during either the diagnostic stage or the therapy stage. in the electronic patient record. When the diagnostic stage is at an end? the treating medical practitioner is notified and provided access to at least one of diagnostic data and iption, data of the patient. Therapy gs from a therapy prescription may be retrieved from the electronic t record and used to automatically configure a therapy device for the patient. The tic configuration may be effected by way of a network connection or a memory card. in addition, the data storage, sing, and access during the diagnostic stage and the y stage are performed on a single software platform and on a single physical system of servers. {0057] Once the electronic t record is created, medical, practitioners associated with either the diagnostic stage or the therapy stage may he provided access to the electronic patient record during both the diagnostic stage and the the. ‘apy stage. In addition, the diagnostic stage may include receiving data from a diagnostic device and the therapy stage may include receiving data from a therapy medical device, the therapy medical device being a flow generator for respiratory therapy. {0058] in ance with another , a disclosed method may include receiving, by one or more computing devicesi l device data for a plurality of l device users; storing, by the one or more computing devicea the medical device data; determining, by the one or more computing devices, whether to process the medical device data as diagnostic information or as compliance information, based on a emiined criterion related to identification data, of the medical devices; it the medical device data is processed as diagnostic data generating, by the one or more computing s, diagnostic information based on predetermined analysis criteria; enabling, by the one or more. computing devices, an electronic transfer of at least one of an clinical sis report to an associated therapy provider, wherein the diagnosis repott is based on. the diagnostic infonnation; and transmitting by the one or more computing devices, a therapy settings to a therapy device associated with the diagnosis report. {0059] In accordance with another aspect, receiving the l device data further comprises receiving a signal that. one of the medicai devices has data available for uploading. In addition, the medicai device may he a. home steep testing device or a flow generator used for respiratory therapy. {0060] A generated diagnostic report may contain statistical, indications which assist diagnosis and provide an area where a healthcare professional may input their 2014/050268 Clinical interpretation. The diagnostic report may also include a, prescription [or therapy that identifies one or more therapy devices and one or more therapeutic gs to be used by a patient. The diagnostic report for therapy may be displayed as HTML on a web browser or as a Portable Document Format (PDF). {0063] The method may also e assigning a therapy provider to a patient that is ready for therapy; transferring diagnostic information for the patient to the assigned therapy provider; and electronically importing therapy settings from the diagnostic information onto the therapy device to be used by the patient. {0062] In another aspect, an tus for ated electronic management of diagnostic and therapy data of a plurality of sleep disorder breathing patients may include; a memory red to store medical data, and one or more processors in communication with the mommy. The one or more processors may be configured to receive medical device data. for a plurality of l device users; associate the ed inedi :al device data with at corresponding patient records; determine whether received medical device data is diagnostic or usage data; update the patient records in accordance with the determination of whether the received medical device data is diagnostic or usage data; store a list of therapy providers within a system of therapy providers; receive a request: to display the list from a diagnostic provider; receive diagnostic data from the plurality of medical devices; generate summary statistics by processing the diagnostic data using a set of predetermined analysis criteria; receive a t ted by a clinical uner; and transmit, in respon se to the request, a diagnostic report. comprising the summary statistics. l0063] The processors may also be configured to store a list of medical s and ntcessory items; receive a request to display the list by a, clinical user; receive clinical settings information generated by the clinical user; receive text generated by the clinical user; transmit a prescription for therapy report displaying a selected item manifest and clinical settings; securely allow access to diagnostic and prescription data of a patient record by the ed therapy provider; dynamically update the. therapy provider" 5 available t list with at least one patient record; display the additional patient record in the patient list; securely display t ation, diagnostic reports and prescription for y reports as selected by a therapy provider user; receive a request to assign a patient with n therapy device ID that canesponds to the prescription; and autmnaticnlly tran slur clinical satl‘ings information into the niemnry from the prescriptiun. 3 BRIEF DESCRIPTION OF THE DRAWINGS {0064] The pressnt logy is rated by way of example, and not by way of limitation, in the figures of the accompanying drawings, in which liks refs-rams numerals refer to similar elements including: 3.1 THERAPY SYSTEMS {0065] Fig. 1A slinws a system in mammalian with the present. technnlogy. A patient 1000 wearing a patient interfacs: 3000,, in the form of nasal pillows. receivss a supply at" air at pnsitive pressure from a RPT device 4000. Air from the EFT device is humidified in a lmmidifier 5000, and passes airing an air circuit 4179 to the patient 1.900, {0066] Fig. 1B shows a system including a patient 1000 wearing a psiisnt ace 3600, in the farm m“ a nasal mask receives a, supply 0f air at pnsitive prssmre from a RPT device 4000. Air fmm the EFT device. is humidified in a humidifier 5000. and passes along an air C’iI‘Cuit 4170 to the patient 1000. {0067] Fig. 1C shows s system including a patient 1000 g a. patient interface 3000,, in the form of a full-face mask, receives a supply 0f air at positive pressure from a RPT device. Air from the EFT device is fied in a humidifier 5000, and passes along an air circuit 4170 in the. patient 1000. 3,2 THERAPY 3.2.1 Respiratory system {0068] Fig. 2A shows an ovci'vicw of a human respiratory system including. tlu: nasal and oral es, the . vocal folds, oesophagus, Hashes, bronchus. lung, alveular sacs, heart and sgm. {0069] Fig. EB shows a vinw of a human upsr airway including lht': nasal cavity, nasal E30116, latsrnl nasal aga granter slur cartilage, nnstril, lip superior, lip inferior, larynx, lurid , soft palate, ompharynx, tongue, epiginttis, vocal fold-s, oesnphngus and trachea. 3.2.2 Facial anatmny {0070] Fig. 2C is a front View of a fee-e with several features (if surface eneterny identified including the lip superior. upper ve‘i‘millien, lower vermillion. lip trr. mouth width. endocanthien. a nasal ala, namlabiel 31110113 and cheilitm. 3,3 PATIENT INTERFACE Fig. 3:1 ehewe an example of a. patient ace known in the prier art. 3.4 RESPIRATORY PRESSURE THERAPY (RPT) DEVICE {0072] Fig. 4A shows a RPT‘ device in aceerdance with me form of the present technology. {0073] Fig. 4B shows a schematic. diagram of the pneumatic circuit Of a RPT device in acem‘rlz‘mce with one form of the present technology. The directitme‘s of upstream and downstream are indicated. {0074] Fig. 4C shows a schematic. diagram of the ical components of a RPT device in accordance with one respect Of the present technelegy. 3 .5 HUMIDIFIER {0075] Fig. 5A shows a fier in accordance with one aspect of the present technelegy. 3.6 BREATHING WAVEFORMS {0076] Fig. 6A skews a mode} typical breath wavefemi of a persen while sleeping. the herizmitsrl axis is time and the vertical axis l8 atory flew. While the parameter vaiues may vary, a typical breath may 131th: the fellewing approximate values: tidal velume, Vt. 0.5L. inhalation time. Ti. 1.63., peak inspiratmy flew. Qpeali, 0.4 Us, exhalation time, Te. 5.2.45.4y peak expiratory flew, Qpeak, 415 Us. The {01211 duratien 0f the breath. T‘tet, is about 4s. The person typically breathes at a rate of about. 15 s per minute (BPM). with Ventilatieni Vent. about 7.5 US. A typical duty cycle, the ratio of Ti to Ttot is fiber“. 40%., 3.7 DIAGNOSIS AND THERAPY DATA MANAGEMENT {0077] Fig. 7 shows a system 100 that. may be used in diagnosing and treating a patients sleep cliaorder. breathing. Figs. 8a] 4 elevations 'wehpages that may be displayed in accordance with aspects of the disclosed system. {0078] Fig. 15 is a schematic diagram of aspect of the sed system and. methods 4 DETAILED DESCRIPTION OF ES OF- THE LOGY {0079] Before the present technology is bed in further detail,_ it is to be understood that the technology is: not limited to the particular exmnples described herein, which may vary. It is also to be understood that the terminology used in this discloeure is; for the purpose of describing only the particular examples discussed herein, and is not intended to be limiting. 4.1 THERAPY SYSTEMS {0080] In one form. the present. system composes an apparatus for treating a respiratory disorder. The apparatus may se a. flow generator or blower for supplying rised atory gas, such as air, to the patient 1000 Via an air delivery tube g to a patient interface 3000. 4.2 THERAPY {0031] In one form. the present technology comprises a method for ng a respiratory disorder comprising the step of applying positive pressure to the entrance of the airways of a patient .1000. 4.2.1 Nasal CPAP for USA {0082] In one form, the present technology composes a method of treating Obstructive Sleep Apnea. in .21 patient by applying nasal continuous positive airway pressure to the patient. 4.3. PATIENT INTERFACE 3000 {0083] A nen~=invasive patient interface 3.000 in aeeerdnnee with one aspect 0f the present technnlegy comprises the fellewing funetitmnl aspects: 21 seal—forming structure BIOI), a, plenum chamber 3200., a. positioning and stabilising structure 330i), a. vent. 3400 and a connection pert 3600 for eennectien tn air circuit 4170. In seine forms a funetinnal aspect may he provided by one er more physical. enmpnnents. In some forms, ene physical component. may preside ene (11' more enel aspects. In use the seal—forming structure 3100 is arranged. tn surround an entrance to the airways of the patient so as tn facilitate the supply of air at positive pressure to the airways. 4.3.1 Seal-forming structure 3103 {0084] In tine form of the present technelegy, 21 fenning ure 310$ provides a sealing—forming surface, and may additionally provide a cushiening function. {0085] A seal~f0nning stmettn‘e 3100 in accordance with the present technology may be constructed fmm a soft. le, resilient material Such as silicone. {0086] In nne farm, the m‘ming structure 3l0i) comprises a sealing flange and a suppen flange. Preferably the sealing flange eemnrises a relatively thin member with a thieknese Of less than about 1mm, fer example nbeut (3.25111111 to about 0415111111, that. extends around the perimeter 3310 of the plenum Chamber 3200.

Suppt‘n‘t flange may be lelntively thicker than the sealing flange. The support flange is disposed between the g flange and the al edge elf the plenum chamber 3200., and extends at least part of the way around the perimeter 3210. The support flange is. UT includes a. spring—like element and functions to support. the g flange from buckling in use. In use the sealing flange can y respond. in system pressure in. the plenum chamber 320i} acting On its ide It) urge it into tight: g engagement with the face. {0087] In one form the sealal‘nrming pertien (if the nen‘invasive patient. interface % comprises. a pan" of nasal puffs, or nasal pillows, each nasal. puff 01' flElSal pillow being censtmcted and arranged to form a seal with a respective earls of the nese Di :1 patient. {0088] Nasal. pillows in accordance with an aspect of the preeent logy include: a haste-cone; at least a portion of which forms a seal on an underside of the ts nose; a stalk, a flexible region on the ide of the cone and. connecting the cone to the stalk, in addition, the structure to which the na sail pillow of the present technology is; connected includes a flexible region adjacent the bane of the stalk. The flexible regions can act in concert to tate a. universal. joint structure that is acconunodating of ve movement— both displacement and angular— of the frustc— cone and the structure to which the nasal pillow is connected. For example, the HUSH)“ cone may he axially ced towarde the Structure to which the stall; is connected. {0089] In one form the nonsinvasive patient interface 3000 comprises a scab forming n that forms a seal in use on an upper lip region (that. is¥ the lip superior) of the patients. face. {0090] In one form the nominvauive patient interface 300() comprises a 5eal~ fanning portion that forms a seal in use on a chin—region of the patients face. 4.3.2 Plenum chamber 3200 {009.1} Preferably the plenum chamber 320() has a perimeter 3210 that is shaped to be complementary to the surface contour of the face of an average person in the region where a seal will form in. tree. in. use, a marginal edge of the plenum chamber 3200 is oned in close proximity to an adjacent. surface of the face. Actual eontact with the face is provided by the seal—forming structure 3106. Preferably the seal- forming structure 3100 extends in use about the entire perimeter 32H) of the plenum Chamber 3200.. {0092] In one form, the plenum chamber 3200 may surround and/or be in fluid communication with the cares of the t where the plenum chamber 3200 is a part of a nasal mask (cg. shown in Fig lb). In another form, the plenum r 3200 may surround audios? he in fluid communication with the name and the mouth of the patient. where the plenum chamber 3200 is a part of a full—face mask. leg shown in Fig. 1C). In yet another form, the plenum chamber 3200 may engage andfor be in fluid communication with one or more of the hares of the patient where the plenum chamber 320i} is a part of nasal pilluws. 4.3.3 Positioning and stabilising structure 3300 {0093] Preferably the seal~fonning structure 3100 of the patient. interface 3000 of the present technology is held in sealing on in nee by the positioning and stabilieing Structure 3300. 4.4 RPT DEVICE 4000 {0094] An example RPT device 4000 that may be suitable for implementing aspects of the present: logy may include mechanical and pneumatic components 4100-, electrical components 4200 and may be programmed to execute one or more of the control methodologies or algorithms described throughout this specification. The RPT device may have an external housing 4010, preferably formed in two parts, an upper portion 4012 of the external g 4010, and a lower portion 4014 of the external homing 40,10. In alternative forms, the external g 4010 may include one or more panelts) 4Ql 5. Preferably the EFT device 4000 comprises a Chassis 40,16 that supports one or more al. ents of the RPT device 4000. In one form a pneumatic: block 4020 is supported by, or formed as. part of the chassis; 4016. The RPT device 4000 may include a handle 4018i {0095] The pneumatic path of the RPT device 4000 preferably comprises an inlet air filter 4.112, an inlet muffler 4122, a controllable pressure device 4141') capable of Supplying air at positive pressure (preferably a, blower 4142), and an outlet muffler 4.124. One or more flow sensors 4272 and pressure sensors 4274 are included in the pneumatic path, {0096] The preferred tic block 4020 comprises a portion of the pneumatic path that is located . the external g 4010. {0097] The RPT device 4000 preferably has an, ical power supply 42“), one or more input devices 4220, a, central controller 4230, a, therapy device controller 4240 andinr any of the controllers previously described, a pressure device 4140* one or more protection circuits 4250, memory 4260, transducers (also referred to as sensors) 4270, data communication ace 428.0 and one or more output devices 4290. Electrical erm‘tponenta 4300 may be mounted on, a single Printed Circuit Board Assembly (PCBA) 4202. In an altemative form, the EFT device 4000 may include more than one PCBA 42,02, {0098] The central controller 42.30 of the RPT device 4000? which may include one or more processors, can he pi‘ogmnuned to execute one or more algorithm modules, ably including a pro—processing module, a therapy engine module. a pressure control module, anti further preferably a fault ion module. It. may further include a vent control module that may be configured with one or more of the vent, control methodologies bed throughout. this specification. 4.4.1 RPT device mechanical & pneumatic eomnonents 4100 4.4.1.1 Air filtert‘s) 4110 A RPT device in accordance with one form of the t technology may include on air filter 41 .10, or a plurality of air filters 4110. {0100] In one form, nu. inlet air filter 4112» is located at the beginning of the pneumatic path upStrezun of a blower 4 142. See Fig, 4B. {0101] In one form, an outlet air filter 41.14, for example an antibacterial filter, is located between an outlet of the pneumatic block 4020 and a patient interface 3000.

See Fig. 413. 4.4.1.2 Mul‘fler(s) 4120 {0102] In one form of the present technology! an inlet muffler 41.22 is located in the pneumatic path upstream of a blower 4142. See Fig. 4B. {0103] In one fonn of. the present technology an outlet r 4124 is located in the pneumatic path between the blower 4.142 and a patient interface 3000. See Fig. 413. 4.4.1.3 Pressure device 4140 {Dill-4] In a profound 'lforin of the present logy, a pressure device 4140 for producing a flow of all at positive e is a controllable blower 4142“ For example the blower may e :1 ess DC motor 4144 with one or more impellers housed in a volute. The blower may he preferably capable of delivering a supply of air, for example about 1:20 litres/minute, at a. positive pressure in a iuuge from about 4 omH30 to about 20 cull-[2Q or in other forms up to about. 30' cmHgfi {0105] The preasure device 4140 is under the control of the therapy device controller £1240. 4.4.1.4 Transducefls) 4270 In one form of the present logy, one or more transducers 4270 are located upstream of the pressure device 4140. The one or more tzranaducers 4270 are constructed and arranged to measure properties of the air at that. point in the pneumatic path. {0167] In one form of the preoent technology, one or more transducers 4-2th are located downstream of the pressure device 414(L and upstream of the air circuit 4170.

The one or more transdueers 4270 are constructed and ed to measure ties of the air at that point: in the pneumatic path. {0108] In one form of the present technology, one or more transducera 427i) are located proximate to the patient. interface 300G. 4.4.1.5 Anti-spill back valve 416“ [010,9] In one form of the t technology, on anti—spill book value is located between the humidifier 5000 and the pneumatic block 4020. The antiatspill. hack valve is uoted and arranged to reduce the risk that: water will flow upstream from the humidifier 5000, for example to the motor 4144. 4.4.1.6 Air circuit 4170 {0110] An air circuit. 4170 in ance, with an aspect. of the present technology is nonstructed and arranged to allow a flow of air or breathable gasses between the pneumatic block 4020 and the. patient. interface 3300 7 Oxygen delivery {0111] in one form of the present technology, supplemental oxygen 4180 is delivered to a point in the pneumatic path. {0112] In one form of tho present technology, supplemental oxygen 4l.80 is delivered upstream of the pneumatic block 4020. {0113] In one form of the present technology, supplemental. oxygen 4181) is red to the air circuit 4170;. {0114] in one form of the present technology, supplemental oxygen 418i) is delivered to the patient interface 3000. 4.4.2 RPT device electrical components 4200 44.2.1 Power supply 4210 {(11 15] In one form of the present: teefltnology, power supply 4210 is al of the extremal housing 4010 of the RP? device 4000. In another form of the present technology, power supply 4210 is external of the external] housing 4010 of the EFT device 4000. {0116] In one form of the present technology, power supply 4210 provides electrical power to the RPT device 4080 only. In another form of the present technology, power supply 4210 provides electrical power to both RPT device 4000 and humidifier 50th The power supply may also ally provide power to any actuator, controller andfor sensors for a vent arrangement as bed hout. this specification 4.4.2.2 Input devices 42-21) {0117] In one form of the present technology, a RPT device 4000 includes one or more input devices 4221) in the form of s, switches or dials to allow a person to interact with the device. These may be implemented for entering settings for operation of the components of the RPT device such as the vent arrangement. The buttons, switches or dials may be physical devices, or software devices accessible via a. touch screen. The buttons, es or dials may, in one form, be physically connected to the al housing 4010, or may in another form, he in wireless communication with a receiver that is in electrical, connection to the central controller 4230. {(11 18] In one thou the input device 4220 may be constructed and arranged to allow a permit to select a value antifor a. menu option, 4.4.2.3 Central controller 4230 {0119] In one form of the present logy, the central controller 4230 is a dedicated electronic circuit configured to receive input. signalts) from the input device 4220, and to provide output Sigiial(n) to the output device 4290 and I or the therapy device controller 4240. {0120] In One form, the central controller 42.30 is an application-specific integrated t. In, another form, the central controller 4230 compriSes discrete electronic components. {0121] In another form of the present technology, the central controller 4230 is a processor suitable to control. a RPT device 4000 such as an X86 INTEL- processor.

A processor of a central controller 423G suitable to control a RPT device 4000 in accordance with another form of the present logy includes a proceseor based on ARM Cortex~M proceesor from ARM Holdinge. For example, an STMBE Bert es microcontroller from ST MICROEILJECTRONICS may be used. {0123] Another processor suitable to control a. RPT‘ device 4000 in accordance with a further alternative form of the present technology ineludes a member selected from the family ARM9-based 32—bit IRlSC‘I CFUS. For example an STR9 series microcontroller from ST MICROELECTRONICS may be used. {0124] In certain alternative forms of the t logy, a it RlSC CPU may be used as the processor for the RPT device 4000. For e a processor from the MSP430 family of microcontrollers, manufactured by TEXAS INSTRUMENTS, may be used. {0125] The processor is configured to receive input signalts) from one or more transducers 4270, and one or more input s 4220.

The processor is configured to provide output signalts) to one or more of an output device 4290'~ a. therapy device controller 4240? 2-1 data. eomirl’unication interface 4280 and humidifier controller 52.50. {0127] In some forms of the preeent technology the processor of the central controller 4230. or le such sors, is configured to implement the one or more methodologies described herein such as the one or more algorithms 4300 expressed .as computer programs stored in a non-transitory computer readable storage medium such as memory 4260. In some cases, as usly discussede such processorts) may be integrated with a RPT device 4000, However, in some forms of the present, [Echl‘lfliflgy the processortjs) may be implemented. discretely from. the flow tion ents of the EFT device 40m such as for purpose of performing any of the methodologies described herein t. directly controlling delivery of a respiratory y. For examine, such 21 processor may perform any of the methodologies described herein for purport-:5 of determining l settings for a ventilator or other respiratory related events by analysis of stored data such as from any of the sensors described herein. Similarly, such 21 processor may perform any of the methodologies described herein for purposes controlling operation of any vent arrangement clescribed in this specification. 4.4.2.4 Clock 4232 {0128] Preferably RPT device 40th includes a clock 4232 that. is connected to plTJCCSiSOI. 43.2.5 Therapy device controller 4240 {0129] In one form of the present technology, therapy device controller 4240 is a pressure control module 4330 that forms [part of the algorithms 4300 executed by the processor of the central controller 4230.. {0130] In one form of the present technology, therapy device controller 42,40 is a ted. motor control integrated circuit. For example. in one form a MC33035 broshlcss DC motor ller, manufactured by {)NSEMI is used, 4.4.2.6 Protection circuits 425i} {013l] Preferably a RPT device 4000 in ance with the t technology comprises one or more protection circuits 4250. {0132] One form of P‘rotection circuit 4250 in accordance with the Present logy is an electrical protection circuit.

One four: of protection circuit 4250 in accordance with the present technology is a temperature or pressure safety circuit. 4.4.2.7 Memory 4260 {0134] In accordance with one term. of the present technology the EFT device 4000 includes memory 4260, preferably non—volatile memory. In some forms, memory 4260 may include battery powered static RAM. In 80.1116 farms, memery 4260 may include volatile RAM. {0135] Preferably memew 4260 is located on PCBA 4202. Memow «$260 may be in, the form of EEPROM. 0r NAND flash. {0136] onally 01’ alternatively. RPT device 4000 includes renmvable form of memory 4,260, fer example a memory card made in accordance with the Secure Digital {SD} rd. {0137] In one form of the present legy, the memory 4260 acts as a non- transitnty computer readable storage medium. on which is stored computer program instructiens sing the one 01‘ mere methodologies described herein. such as the one or mere ulgerithms 4300. 4.4.2.8 Transducers 4270 {0138] Transducere may be al 0f the device, 01' external of the RPT device.

Extemnl transducers may be leceted for example on at form part of the air ry circuit, eg. the t interface. External transducers may be in the farm of neu— eentact sensors such as a Doppler radar movement sensor that transmit or ttmisfer data to the RPT . 4.4.2.3.]. Flew {0139] A flow sensor 4272. in accordance with the present technelngy may be based on a differential pressure transducer. for example. an SDPéGO Series ential pressure transducer {item SENSIRIION, The differential pressure transducer is in fluid communication with the pneumatic circuit. with one of each of the pressure transducers etinnected to respective first. and second points in a flew restricting element. {0140] In use? a signal represent.ng total flow Qt fI'Gfl'l the flew senser 4272. is received by the processor.

WO 48857 4.42.8.2 Pressure {0143] A pressure ucer 4274 in accerdance with the preeent techneiegy is lecated in fluid communication with the pneumatic circuit. An example of a suitable pressure transducer is a seneor from the HONEYWELL- ASDX series. An alternative suitable pressure transducer is a sensor frem the NPA Series from GENERAL ELECTRIC. {0142] In Use, a Signal item the pressure transducer 42?4 is, received by the central controller ser. In ene tonne the Signal from the pressure transducer 4274 is filtered prier in being received by the central centreller 423i}. 4.42.8.3 Meter speed {0143] In one term. of the present logy a motor Speed signal is ted. A meter speed signal is preferably provided by therapy device eentrelier 4240‘ Meter speed may, for example, be generated by a speed sensor £1276, such as a Hall effect 33118011 4.4.2.!) Data communication interface 4230 In one preferred form of the present, logy, a data communication interface 4280 is provided, and is connected to central controller processor. Date communication interface 4280 is preferably table to remete external communication, network, 4282. Data cennnunicatien interface 42.80- is preferably connectable to local external cennnnnieation network 4284. Preferably remete external communication k 4282 i3 cennectable to remote external device 4286.

Preferahly lace} external cemmunicatien k 4284 is table to local external device 4288,. {0145] In ene term, data eotnmunicatien interface 4280 i5 part of processor of, central controller 4230. In another form, data et‘nnmunicatien interface 4280 is an integrated circuit. that. is separate from. the central controller sor. {0146] In one term. remote external communieatien netwerk 42.82 is the Internet.

The data communication interface 4280 may use wired communication (eg. via Ethernet, er optical fibre) or a wireless pretoeel to connect to the Internet. 2014/050268 {0147] In one form. local external communication network 4284 utilises one or more ication standards, such as Bluetooth, or a consumer infrared protocol. {0148] in one form, remote external device 4286 is one or more computers, for example a cluster of networked computers. in one form, remote external device 4286 may he virtual computers: rather than physical computers. In, either case: such remote al device 4286 may be accessible to an appropriately authorised person such as a clinician. {0149] Preferably local external device 4288 is a personal computer, mobile phone, tablet or remote control. 4.4.2.10 Output devices ing optional y, alarms An output device 4290 in accordance with the present technology may take the form of one or more of a visual, audio and liapi‘ic unit. ,A visual display may be a Liquid Crystal Display (LCD) or Light Emitting Diode (LED) display. 4.4.2.10J Display driver 4292 [015i] A display d1iver 4292 receives as an input the characters, symbols? or images intended for y on the display 4294 and converts them to commands. that cause the display 4294 to display those charactera, symbola, or images. 4.4.2.102 Display 4294 {0152] A display 42.94 is configured to ly display Characters, symbols, or images in response to ds received from the display driver 4292'. For example! the display 4294 may be an eight—segment display, in which case the y driver 4292 converts each character or symboL Such as the figure “0", to eight logical signals indicating whether the eight respective segments are to be activated to display a pa'mieular character or symbol. 4.5 ICATION AND DATA MANAGEMENT SYSTEM {0153] Fig. 7 depicts an example- systcm fill) in which aspects ol‘the disclosure trial}; be implemented. This example should not be considered as limiting the scope of the disclosure or usefulness of the features described herein. The system is compatible with, and procesSes data from both diagnostic and therapy devices. As provided above, patient l diagnostic device .101 may he any steep testing device used in tion with diagnosis of the patients steep-related breathing disorder. Therapy device 105 may be any device used in connection with providing therapy for the patients; sileepq'eiated ing disorder. The diagnostic device till and therapy device 105 may each include the EFT device 4000, humidifier 5000, and patient interface 3000 described herein. Thus, when ing data from, a medical device, the system may be ured to not onl}i associate the received medical device data with a corresponding patient record, but also determine whether the received medical device data is diagnostic usage data or therapy usage data and update the patient records accordingly, based on ermined one or more criteria.

The data identification may be associated with the data itself or with a device ID from which it is received. If the l device data is determined as diagnostic data, the system may be configured to process the diagnostic data and to generate a diagnostic report andlor a prescription based on predetermined analysis criteria. The system may be further ermfigured to display the diagnostic report andlor the prescription to a diagnostic provider for review and to enable an electronic transfer of a diagnosis report or a therapy prescriptiotn based on the diagnostic data, to a therapy provider, {0154] System. 100 has the ability to seamlessly transfer a patient’s health information (including demographic and medical data) directly from diagnosis through to patient therapy within the same system within a single patient record. To facilitate this ow, system 100 may have the following, functional features: {0'1 9.2; 5] The ability to upload and analyse therapy management data within the same software system as the diagnostic data. allowing for a single software system for both diagnostic and therapy ment users. This may be helpful. in avoiding formatting problems when transitioning between different software applications. {0156] The ability to share the patient’s diagnostic record with therapy ment users, thus enabling them to save a patieri‘t’s therapy and compliance data ly to the common patient record having the patient’s diagnostic report and prescription data. {0157] Th 2. ability of therapy provider to access the diagnostic data, as well as therapy settings infomiation from the l prescription. data, as saved in the patients WO 48857 record, or even. for the therapy device to be automatically configured via a cable connection, wireless connection, or a memory card, by acceseing this record. {0158] As the patient uses medical diagnostic device .101. diagnostic date lli may he recorded on a. Storage medium, also referred to as memory, 112. stic date 111 may include any data relating to the patient’s steer; test, such as date, time and duration of test, as well as iogieal data obtained during the test, sueh as ed respiratory flow data, respiratory effort: ditto, oximetry and pulse date, or other clinical infomintion. Memory 112 may be of any non—transitory type capable of Storing information aeeessible by a prooeseor, including a1emriputer—readabie medium, or other medium that stores date that may be read with the aid of an electronic device, such as a 'hnrd~drive, memory card, ROM, RAM. DVD or other optical disks, as well as other write-capable and read-only memories. {0159] Server 20] ineludee a processor 210 and a memory 220 for storing data 230 and. instructions 234. Memory .220 stores information accessible by proeessor 210, ineiuding instructions 234 that may be executed or otherwise used by the processor 21. The mommy 220 may be of any non—transitory type capable of g information accessible by the processor, including a eomputemendable medium, or other medium that stores date that may be read with the aid of an electronic device, such as a rive, memory card, ROM. RAM, DVD or other optical disks, as well as other write—capable and read—only memories. Systems and methods may include different ations of the foregoing, whereby different portions of the ctions and data are stored on difiierent types of media. {0160] The instructions 2'34 may be any set of ctions to be ed directly {Such 213 machine code) or ctly touch as scripts) by the sor. For example, the instructions may be stored as computer code on. the computer—readable medium.

In that regard, the terms "instructions“ and "programs" may be used interehmigezibly herein. The instructions may be stored in object code format for direct proceseing by the pn'aeesoor, or in any other computer language including scripts or collections of independent more code modules that are interpreted on demand or compiled in advance. Functions, methods} and routines of the inetructions are explained in more detail below. Instructions 234 may also contain instructions for operating one or more virtual servers, such as Communication (Comm) server 240. Easy Care Online {ECU} Server 250, and ication Abstraction Layer (CAL) server 260. {0161] The Communications; Server (Comm) is responsible for eonnnnnicating with wireless Therapy Devices and validating their output. The Cemmnnicatinns Server’s core responsibilities may include, communicating with Flow Generators via a Communication Module or inbuilt Communications ; validating the incoming wireless data; and converting the Wireless data into a format which can be read by the CAL server. {0162] The CAL server is responsible for communicating with Therapy s.

The CAL sewer’s enre responsibilities may include, nbtaining daily summary data for active patients; retrieving and changing therapy device settings; and ting raw therapy device data inte an easily digestible i’nrmat.

The ECO Server is responsible for application functionality within the system. The ECU Server’s). core responsibilities includes, presenting patient and device information within the user interface, and writing and ng patient health infrn‘irtation; and running applieatien related processes. {0164] The data 230 may be retrieved, stored or modified. by processor 210 in accordance with the instructions 2.34. For instance, although the syetem and metth is not d by any ular data structure, the data may be stored in computer registers, in a relational database as a table having a plurality of different: fields and recnrds, XML documents or flat files. The data may also be formatted in any centputerneadable format. The data may comprise any information useful in identifying the; relevant information such as numbers, descriptive . etary codese references to data stored in. other areas of the same memory or (lifterent memories (“including other locations accessible through other network connections) or infinmatien that is used by a function to calculate the relevant data. Data 230 may include one or mere databases, including a Comm se 231. CAL se 2'32, ECO database 233, and HST database 235} Various types of data may be saved in these databaces. Fer example the Comm. database 231, CAL database. 232 and the ECO database 233 may store data associated with the respective servers. as described above. The HST database may store diagnostic data received from diagnostic s till. {0165] The proceusor 210 may be any conventional processor, including commercially available proeeusors. Alternatively, the proceeuor muy be a dedicated device such as an ASIC or FPGA. Although Fig. 2. functionally illustrates the sor, memory, and other elements of server 201 as being within the same block, it will he understood by those of t'u‘dinary skill in the art that the processor and memory may actually comprise multiple processors and memories that may or may not be stored within the same phyeicul housing. For example, memory may be :1 hard drive or other storage media located in a housing ent from that of server 201.

Accordingly, references to a processor or computer will be understood to include references to a collection of processors or ers or memories that may or may not ope “ate in parallel or even be located at the same site. Rather than using a. single. processor to perft'u'm the steps described herein some of the components Such as steering components and deceleration components may each have their own processor that: only pert‘cmns calculations related to the component's specific function. Thus server .201 may be referred to as both a System and an tus. {0166] ers 102., 103 and NM may include all of the components uotmally used in connection with a computer, such as a central processing unit (CPU),. memory tog, RAM mid internal hard drives) for storing, data 120 and 121 and instructions 1‘30 and 13] leg. at web browser for displaying wehpuges in HTML and a portable document format (PD?) reader), on electronic display l ll) and 115 (cg, a monitor having a screen. a small LCD touch-screen. or any other electrical device that is le to display information), and user input. lot) and 1:31 (ewg a mouse, keyboard, touch screen, audfor microphone). {0167] The memory 112 may be internal to diagnostic device 101 which may be ucces sect by connecting an USE data cable to a. separate er. Accordingly. the term. “medical. device” in such a case may be reted broadly to include a personal computer, such as a desktop or ile computer, which ns usage dutut including diagnostic data. 1 ll collected from a l device. such as u home sleep testing device. in addition. While Fig. ‘2 illustrates server 201 and computeru 101-104 as being connected via a network 150, each two or more devices Within system. 1.06 may be ted via a separate network or Via the Internet. {0168] in one example, any one of the ECG server 250 and its associated ECU database 1233, the Comm server 240 and its associated Comm database 231 and the CAL server 260 and its associated CAL database 232 may reside on a device at. a location that is remote from the. ing servers. In addition, at least two of these servers, such as the Comm server 240, Comm database 231, CAL server ”260, and CAL database 232', may exist on a single device. 46 EXAMPLE METHODS {0169] In order for a patient to undergo a test, the patient may need to he issued with a diagnostic order by the patient‘s treating physician. The patient is referred to a sleep test where the patient may be issued a diagnostic device 101 for sleep testing.

The diagnoatie device 101 may eoiieet any one of the ing types of data Poiysomnography (PEG) data? polygraphy data, oximen‘y data pneumatic or Respiratory Inductance Plethysmography (RIP)-based respiratory effort data, respiratory flow data, audio signal data, body position data etc. {01?0] The patient’s record is first created, during the diagnostic stage, when the patient is approved for running a diagnostic test. The. patient’s record may comprise any data that is associated. with the patient or with the patient’s condition, such as the patient’s personal details (name, , age, s, contact details etc), symptoms, treating physician, nce provider; type of insurance cover etc. From diagnostic provider‘s er 104, where the patient’s record is created, it is en‘ed to the ECO database of server 20]. It should be iated that computer 104 may not be a personal eomputen but. an administration computer used at the diagnostic er clinie As such, this computer may be ed, at least partially, not by the specific diagnostie physician responsible for the g and diagnosis of the respective patient. but by a data administrator on the site. For example, it can, be envisaged that such an administrator may be responsible for creating the patient’s record, {0171] During the actuai test, the diagnoatie device collects diagnostic data indicating any respiratory condition that the patient may have, as well as other information, such as the type and model of the diagnostic device; the patient’s details? including these of the referring diagnostic physieinni time and dates of usage etc. {0172] During the actual test, the diagnestic device saves the diagnostic test data 111 in memory 112,. A 11am of system 100, such as a user of diagnostic provider er 104, may have a remote access to the merncry 112 of the medical diagnestie device 101. Alternatively, user of diagnostic prdvider computer 184 may extract, the portehie memory card of device 101 and ad the data to computer .104. An addition, one can connect the device 101, eg. via a USB cable, to the diagnostic provider computer 1041- to access the device memory 112.. A web browser 1131 en the diagucstic provider cemputer 104 may then he used to contact. server 2131. and upiead diagnestic data 111 to (me or more of the databases 2'31. 2.32, 233 and 235.

The diagntistic date 111 ed to server 201 frem diagnostic device 101 may be stored in. 21 CAL se 2325 which may fy the type of patient device from which it. came. Fer example, each diagnostic device 101 may be assigned a device 11), which is previded tn server 201 along with the diagnostic date. The diagnostic data may then be stored by server 201 in a database that uses the device 1]) to associate the receii." ed data with. the appropriate patient diagnostic: device 101. The usage data from therapy device 105 may be processed in a, similar manner. {0174] In some ces: a patient is required to use a medical diagnostic device fer a set duratidn and exhibit, certain al symptoms in order to be eligible to qualify for therapy of the petienti's sleep disnrder ing. For example, a patient who has been ordered a heme sleep test may be required to use the diagnostic device for at least four hours and exhibit an Apnea—Hypopnen Index (AHI) of greater than 5 in order for a physician to write a prescription for CPA]? therapy. The prescription (also referred to as prescription data. or iptien information) may be saved in the HST database 235'). System 10G may he used to track whether the patient. has been compliant in using the diagnostic device and may assist a physician in making a diagnosis. {0175] Once- the patient is ; a. diagnosis may he issued by the sleep provider and may be based on the stic infnmratien produced by system 100, and more specificaliy by the testingfdiagnostic device it) .1. Depending. en the patientris sis, :1 stic provider, and more specifically a diagnostic physician, may issue a prescription for therapy. The diagnostic provider may input his or her clinica‘t interpretation of diagnostic data into the patients record. In addition, the. ECO database may contain a list of clinical. options for a number of therapy devices 105 which the dingncstic physician may assign in a patient as they see appropriate. In assigning these devices, ECU server 250 may select the nppreprinte pie—set of gs from the ECO database and then allow the diagnostic provider to input the clinical values into the riate fields. The data crn‘respont‘ling tn the patient and device type may then be stored on server 20] . such as in the ECG database 233. {0176] In some cases. the testing compliance criteria is usually defined by the reimbursing authority and may he set in the system 100 by a. user, such as the sleep physician or clinician in the diagnostic site (in user of diagnostic computer HM). For e, usage data from diagnostic device 101 may demonstrate that. a. patient was tested for at. least 4 hours and had an Obstructive Sleep Apnea with an AHE of '20, and therefore may be a candidate fer CPAP therapy. A qualified fheeithcere professional, such as a sleep physician, may use ccntpnter 1.04 to write a prescription within a web r 1‘31 for therapy for a CPA? device at a, pres sure of 14CDIH2Q Dingnnstic computer 104 may transmit the prescription data to server 201, wherein it will be stored in a database, such as in. the ECU se 233, to become a part of the t’s recnrd.

Patients prescribed for therapy will need to ripen new records with their diagnostic cr, eg. on diagnostic cnmputcr 1.04. Instead, the proposed system chews access to their record: including any usage and settings (latter, to a therapy provider computer 102 so that the patients can be supplied and set up with a therapy device. For example the patient diagnosed with Obstructive Steep Apnea wit] need to have their patient information and prescription sent to an ed therapy provider who can supply them with a CPAP device. System 100 may be used to facilitate the assignment, accesa and er of data from the diagnostic provider to a d therapy er. Instead cf creating a new t record, the patient’s reccrd may be electronically transferred. Furthermore instead cf transferring the patient record, the system may allow the therapy provider to access the present pntient record, as created and updated during the. diagnostic stage. Depending on the arrangement, the therapy (a: U] er may he allowed access either to the entire patient record. or only to some of the t identification data. stic data. diagnostic report. therapy prescription and initial device g data. Also. the access to the respective data may be open access with full. functionality. or only limited . Such a limited access. for example. may involve the capability to View and/or download the diagnostic data, but not to modify it. {0178] The therapy provider may he allowed to modify the access of the diagnostic provider: For example, after the record is made accessible to the therapy pmvider. the therapy provider may allow continuous access by the diagnostic provider to the patient’s record. Depending on the arrangement, the diagnostic provider may be allowed access either to the entire patient record. or only to some of the patient data, such as the fs identification data. diagnostic date, but not to the t’s therapy data. Also. the access to the respective data may he open access with full functionality, or only limited access. Such, a limited access, for e, may involve the capability to View andjor download the therapy data, but not to modify it. {0179] Thus. once the electronic patient record is created, medical practitioners associated with either the diagnostic stage or the therapy stage may he provided various level of access to the electronic patient record during both the diagnostic stage and the therapy stage. {0180] A health care professional at, a diagnostic provider location, may monitor the status of their patient’ 5 diagnostics data and formed their iption to a therapy provider by contacting server 201 Via. a website accessed on stic computer 104.

For example, the healthcare professional may access patient data via webpage 800 tthe oard‘) shown in Fig. 8. Webpage 800 may n a list of active ts who are cunfently proceeding through home sleep testing. including status- tors that indicate the status of the patients diagnostic tests. The variOus icons indicate the different status of the patient. For example — the bed-like icons indicate that the patient. is stiil in testing phase. The physician profiledike icon indicates that the patient. has moved to the diagnostic report phase. Different colour. for example. may he used to, indicate whether the report has or has not being iswed yet. Similarly, the Rat icon indicates that the pa‘tient’s diagnostic report is ready and the patient has moved to the prescription stage. Again, different colour may he used to indicate WO 48857 whether the prescription has or has not being issued yet. Finally, icon 87] may indicate that the patient is in the “patient record lining finalised" phase. {0181] As shown in Fig. 9: the patient Noemy Berber has ted her testing, diagnostic report and prescriptions . The ieen Rn indicates that Noemy’s diagnostic report and prescription are ready. As indicated by status indicatnr 87; the pntient’s record has undergone. even the finai cheeks and is now ready to be sent.

Such final. checks may involve verification of the patient’s name, phone number and nce previder details. {0182] Once a diagnostic provider associated with diagnostic computer 104 has determined that the patient needs to go onto therapy the diagnostic provider may elicit on. the icon 87]. As shown in Fig. 9,. pop—up window 973 may appear when icon 871 is selected. Pop—up window 973 may then be used to send patient information to a selected therapy provider that is to he as sociated with the therapy of the patient. The diagnostic provider may select a. particular therapy prnvider from it list of y providers using own menu 974. For that purpose the diagnestie provider computer 104 may send a transmission to the ECG server requesting data for a‘rniinble therapy ers within. the system of therapy providers. ECO server will then provide data responsive to the request; which will populate menu 974 within the web hrewser 131. By clicking on send hutten 976 the healtheare professional can instantly confirm their Choice and initiate a cnniniand to, the ECU server to transfer hip of the patient record to the therapy provider nominated in menu 974.

Clicking on send button 976 transfers ownership of the patient: to the thernpy provider and changes the status of the patient within the dashboard tn "Resuits Sent." in this way, heuitheare pi‘t‘ifessionnls may quickly and easily transfer their patients directly into the therapy provider’s in‘hox without having to manually transfer paper reenrde viz-1 fax, mail, or via the patient In some instances. ECO server 250 may automatically previde thempy provider coniputer .102, by way of. web browser (eg. instmetimis 130) and via the network 150. with the usage and therapy settings data required to set. up a; patient on y device 105 as threaten by the diagnostic er physician‘s iption. For e a therapy previder may he notified by the ECG server 250 when a diagnosis and prescription for y has been created on the server by n diagnostics provider and assigned to them. This allows the therapy provider to be immediately informed of a. patient’s er into their care and ensuree that a patient is supplied with the correct therapy device having the required therapeutic settings... The settings data. can be automatically transferred directly to therapy device 105, each as via an internet connection, or manually ed via an SD card or the therapy device’s. interface. {0184] A therapy provider may be automatically alerted that a patient has been referred to them by messaging service, such as Email or SMS messaging, or by contacting therapy er computer 192 via server 201. For example, the therapy provider or an administrator at the therapy provider” 3 office may aceea 3 th ‘ transferred patient information described above via wehpage 900 shown in Fig. 10.

W’ehpage 900 may contain s data items, such as patient names 970: referring diagnostic providers 982,. contact: details 933, diagnostic and prescription. information 984, insurer data. 986. an acceptance Status 987,. or any other patient information of intereat. A therapy provider may use wehpage 900 to accept or reject a patient. referral. For example, the therapy provider may select a patient having an ”accept/reject” Status, and then deaignate the ts al as either "accepted" or "rejected" Once the therapy provider has accepted the desired patient, the therapy provider computer 102 may send a transmission to the ECG server requesting additional t health intonnatilon from the ECU database for the relevant patient ID. ECO server will then provide patient. demographi : and therapy settings data responsive to the request... which once available will be used to fire—populate data. fields required for a Setup of the new patient with a therapy . Thus, the system is ured to dynamically update the therapy provider‘s available patient list the record of the new patient, as well as to start displaying the additional. patient. record in the patient list of the therapy provider. For example, Fig. 11 shows webpage 910 in which the t Noemy Harbor may be automatically assigned s therapy s in accordance with her prescription. The healthcare professional. may alter the aasigned devices or identify additional therapy s or components infield 1102. and have those devices or ents assigned to the patient by selecting the Add icon l .164. {0185] As shown in Fig. it), Noenty Barber’s patient. record details are now visible to the administrative staff using therapy er computer 1(i2. After contacting the patient. such an by the website. email, or phone, the administrator may le .a time for a therapy provider to meet with the patient. For example. the administrator may click on Accept and use dialogue box. 985 to assign the t to a clinical user and transfer the new patient into the therapy provider” s work queue. The therapy er’s work queue is Shown in Fig. 12 as webpage 9:20. The work queue wehpnge may Show compliance icons 1202 and noncompliance icons 1204 to indicate r a patient. is currently compliant with his or her prescribed therapy. The work queue may also indicate the last time the compliance data was updated, as Welt as tics regarding the patients usage of the therapy device. The work queue of webpage 920 may be securely accessed by a ciinic.ian,. an administrator, or both.

Secure access may include some form of' protection to prevent unauthorized individuals from access patient data. F01“ example. Server 201 of Fig. 7 may require a password before transmitting patient. data. Server 20} may also encrypt: the transmitted data so as to prevent unauthorized devices from displaying the data. {0186] A healthcare professional may also assign and configure Noemy Heather’s therapy device via webpage 920 shown in Fig. 12, and set her up for ongoing, monitoring by clicking on her name and opening the patient record shown in Fig. 13 as wehpage 9‘30. As seen on wehpage 930 within the patient record n, the patient information required to set up a patient for ongoing monitoring may be already pro-populated from the ECO database 233 with any patient data. available from the diagnostic provider including patient demographics, nce ation and device therapy settinge. As described above, a. prescribed CPAP therapy device with a. ficntion unit is may be automatically aSsigned to the patient. In this way, healthcnre professionals may quickly and easily set up patients on y without having to re—enter the patient: data manually from paper prescriptions as well as reducing the percentage of patient who fail to present at the therapy provider for y. All therapy note-s, prescriptions, and diagnostic reports may be viewed within the notes section of the t record as shown in webpage £140 of Fig. 14. {0.1 $7] Returning to Fig. 7, a therapy healthcnre pretensional who accesses eerver ]. Via therapy provider computer 1‘32 may provide diagnostic; and compliance y s. which. bewe been generated by server 201, to the respective assessing entities. This can be performed, by transmitting the diagnostic and/or compliance reports from. therapy prttwider computer 102 to an external party, such as the reimbursing entity computer 163, via network 150. The diagnostic andfor ance reports may be transmitted in any number of ways. including as part of an Email transmis sinn. Alternatively, the cliagnnstic andfor compliance reports may be saved either at therapy provider computer 102 or server 201 and the assessing entity may send, via the reimbursing entity computer KB, a request for diagnostic andjor compliance reports to either computer 102 or sewer 201. {0188] Fig. 15 provides a schematic representation for the system and methods described above. As seen, in Fig. 15? a single t record may he created, saved to a single data platform! d and acces and by using a single settwarc system, regardless of whether the t is the diagnostic or the therapy stage of the t management. In addition, the data platform may reside on multiple remote servers or en a. single physical system of servers so as to allow for integrated electronic management of data relating to both the diagnnstic stage and therapy stage. Medical practitioners from both the diagnostic management stage and the therapy management stage may be provided access to this record and can save and access relevant data associated with at least one of general patient data, diagnostic data, device usage data, compliance data, device parameters, diagnostic report, device prescription etc. This reduces the time and effort involved in creating multiple records, as well as minimises the likelihood of errors The described system has the following es: The capability to ad to, upload from. View anti analyse diagnostic data within the same software management: tools and, in, some cases, physical set of servers as the therapy management; stage data. This makes it much more convenient for both the diagnostic providers and the therapy providers, as they have a single point of access to the patient’s data and do not need to use two different data platforms, have two different passwords etc. Here the term data platform is used broadly in relation to at least one of the hardware setup and the used software. The service previtlers front the reimbursement entity 1633 also need to access both the stic and the therapy data {if the patient to evaluate r the patient is ant with the prescribed diagnostic or y requirements. Thus, they also benefit from the single password, the single point of entry and the use of a single data rm used for accessing both types of data. {0190] The capability to upload diagnostic data, diagnostic reports, prescription information. as well as a therapy device usage and compliance data, directly into the original patient’s therapy record d mid populated in the. diagnostics data management stage. {0193] The capability to send device settings data from, a prescription issued by a sleep ian ly to the diagnostic patient reenrd, where it can be accessed and downloaded by the therapy provider without the need of manual rewriting or onic recreating of the record. This contrasts with the current practice of the patient having to personally take their prescription to the therapy er or, at best. the diagnostic provider faxing or otherwise transfening the prescription to the therapy provider who then has to read the prescription and manually input the settings into the device. The proposed system allnws the diagnostic provider to save the prescription in the patient record from where it is directly accessed by the therapy provider. Those gs can also he automatically downloaded to a card or sent. wirelessly to the device upon device setup. 4.7 OTHER REMARKS {0192] Unless defined otherwise, all technical and scientific terms used herein have the same meaning as connnonly understood by one of ry skill in the art. to which this. technology belongs. Although any methods and materials r or equivalent to those described herein can also he used in the practice or testing of the present technology, a limited number of the exemplary s and materials are described herein. {0193] It must be noted that: as used herein and in the ed claims, the singular forms “a", "an"; and "the“ include their plural equivalents. unless the context clearly dictates otherwise. {0194] The subject headings used in the detailed ption are included only for the ease of reference of the reader and should not be used to limit the subject matter t‘nnnd throughout the disclosure er the claims. The subject headings should not be used in construing the scope of the claims or the claim limitations. {0195] Althnugh the tachuology herein has baan described with Tefercnca to particular examples. it. is to be understood that thcsc examples 2m: merely illustrative of the principles and applications of the technology. in some instances, the terminolagy and symbols may imply spacific s that, are not required to practice the. technology. For exztmplts, although. the temm H first" and "second" may be used, unless atheiwise Specified. thay are not intended tn indicate any order but may be utilised to distinguish between distinct elements. Fuithermore, althOugh process steps in the ologies may be descrihad 01' illustrated in. an t‘fl‘dfil‘, such an ring is not required. Those skilled in the. art: will remgnize that such ordering may be modified andmr aspects f may be: conducthd rently or Even synchronously. {0196] It is therefore to be understand that numerous mfldifications may ht: made: to the illuStrative. ments, and that other arrangements may be devised without departing from the spirit and Scope 0f the technology.

Claims (12)

1. An apparatus for integrated electronic management of stic and therapy data of a plurality of sleep disorder breathing ts, wherein diagnostic data of a diagnostic stage is evaluated by a stic provider and therapy data of a therapy stage is ted by a therapy provider, the apparatus comprising: a memory ured to store medical data; and one or more processors in communication with the memory, the one or more processors configured to: receive medical device data for a plurality of ts; associate the received medical device data with a corresponding patient record; determine whether received medical device data is diagnostic data or therapy usage data; update the patient records in accordance with the determination of whether the ed medical device data is diagnostic data or therapy usage data; electronically transfer a therapy prescription of the diagnostic provider to the therapy provider, wherein the therapy provider is selected from a group of therapy providers by the stic provider; generate a user interface that presents both of (a) a plurality of patient ance icons presenting a plurality of compliance states comprising identifying compliance and lack of compliance for each the plurality of sleep disorder ing patients for the therapy stage , and (b) a plurality of selectors for configuring the therapy devices of the plurality of sleep disorder breathing patients by the therapy provider, wherein each of the plurality of selectors is presented in association with each of the ity of patient compliance icons, wherein selection of a selector of the plurality of selectors provides access to pre-populated device therapy settings of the therapy prescription for setting up a new patient on therapy by the therapy provider without having to manually re-enter the device therapy settings; and transmit the device therapy settings to a therapy device.

2. The tus of claim 1, n the one or more processors are configured to: store a list of the group of therapy providers; and receive a request to display the list from the diagnostic provider.

3. The apparatus of claim 1 or claim 2, n the one or more processors are configured to: receive stic data from the plurality of medical devices; generate summary statistics by processing the diagnostic data using a set of ermined analysis criteria; receive a request generated by the diagnostic provider; and transmit, in response to the request, a diagnostic report comprising the summary statistics.

4. The apparatus of any one of claims 1 to 3, wherein the one or more processors are further configured to: store the diagnostic report; store the therapy prescription comprising a selection of at least the therapy device and therapy device settings; store a note generated by the stic provider; and transmit the diagnostic report and the note to the ed therapy provider.

5. The apparatus of claim 4, wherein the one or more processors are configured to: allow access to diagnostic and/or prescription data of a patient record to the selected therapy provider; dynamically update a list of patients available to the therapy provider with at least one new t record; and display the new patient record in the patient list.

6. The apparatus of any one of claims 1 to 5, wherein the one or more processors are ured to: display patient information and the therapy iption as selected by the y provider; receive a request to assign a patient with a therapy device ID that corresponds to the therapy prescription; and automatically transfer clinical settings information from the prescription into memory of the therapy .

7. A method for ment of diagnostic and therapy data of a plurality of sleep disorder breathing ts, wherein stic data of a diagnostic stage is evaluated by a diagnostic provider and therapy data of a therapy stage is ted by a therapy provider, the method comprising: receiving, by one or more computing devices, medical device data for a plurality of patients; associating, by the one or more computing devices, the received medical device data with a corresponding patient record stored in at least one memory; determining, by the one or more computing devices, whether the received medical device data is diagnostic data or usage data; ng, by the one or more computing s, the patient records in accordance with the determination of whether the received medical device data is diagnostic data or therapy usage data; electronically transferring a therapy prescription of the diagnostic provider to the therapy provider, wherein the therapy provider is selected from a group of therapy providers by the diagnostic provider; and generating, by the one or more computing devices, a user interface that presents both of (a) a plurality of patient compliance icons presenting a plurality of compliance states comprising identifying compliance and lack of compliance for each the plurality of sleep disorder breathing patients for the therapy stage, and (b) a plurality of selectors for configuring the s of the plurality of sleep disorder ing ts by the therapy provider, wherein each of the plurality of selectors is presented in association with each of the plurality of patient compliance icons, n selection of a selector of the plurality of ors provides access to pre-populated device therapy settings of the therapy prescription for setting up a new patient on therapy by the therapy provider t having to manually re-enter the device therapy gs, transmitting, by the one or more computing devices, the device therapy settings to a therapy device.

8. The method of claim 7, the method comprising: storing a list of the group of therapy providers; and receiving a t to display the list from the diagnostic provider.

9. The method of claim 7 or claim 8, the method sing: receiving diagnostic data from the ity of medical devices; generating summary statistics by processing the diagnostic data using a set of predetermined analysis criteria; receiving a request generated by the diagnostic provider; and transmitting, in response to the request, a diagnostic report comprising the summary statistics.

10. The method of any one of claims 7 to 9, the method sing: storing the diagnostic report; storing the therapy prescription comprising a selection of at least the therapy device and therapy device settings; storing a note generated by the diagnostic provider; and itting the diagnostic report and the note to the ed therapy er.

11. The method of claim 10, the method comprising: allowing access to stic and/or prescription data of a patient record to the selected therapy provider; dynamically updating a list of patients available to the therapy provider with at least one new patient record; and displaying the new patient record in the patient list.

12. The method of any one of claims 7 to 11, the method comprising: displaying patient information and the therapy prescription as selected by the therapy provider; receiving a request to assign a patient with a therapy device ID that corresponds to the therapy prescription; and automatically transferring clinical settings information from the prescription into memory of the therapy device.