TW200422917A - Wireless medical data communication system and method - Google Patents

Abstract

A system and method is disclosed for reporting on the integrity of a wireless communication link within a healthcare facility. The system comprises a wireless remote device within the healthcare facility having a message indicator responsive to status information, representative of a signal generated by a medication treatment application device, transmitted over the wireless communication link and software installed on the wireless remote device having a time-out output, wherein the time-out output indicates loss of the wireless communication link.

Description

200422917 Description of the invention: Included reference items This application explicitly incorporates the following list as a reference and forms part of this application: US Patent Application Serial No .: 10/040, 887, filed on January 7, 2002 ; 10/040, 908 filed on January 7, 2002 and published under publication number US-2003-0130624-A1 on July 10, 2003; 10/059, 929 filed on January 29, 2002 and published in 2003 Published on July 31, 1998 under Publication No. US-2003-0141 98 Bu A1; 10 / 135,180 filed on April 30, 2002; 10 / 424,553 filed on April 28, 2003; September 10, 2003 10/659, 760 filed daily; 10/749, 101 filed December 30, 2003; 10/749, 10 filed December 30, 2003; 10/748 filed December 30, 2003 , 762; 10/748, 750 filed on December 30, 2003; 10 / 748,749 filed on December 30, 2003; 10/749, 099 filed on December 30, 2003; December 30, 2003 10/748, 593 of the application; and 10/748, 589 of the application dated December 30, 2003; US provisional patent application serial number: 60/377, 027 of the application dated April 30, 2002; 2002 60/376, 625 filed on April 30; 60/376, 655 filed on April 30, 2002; 60/444, 350 filed on February 1, 2003; 60 / filed on July 18, 2003 488, 273; and 60/528, 106, filed December 8, 2003; and U.S. Patent No. 5,842,841. 200422917 [Technical field to which the invention belongs] The present invention relates generally to wireless medical data communication systems and methods. More specifically, the present invention relates to a system and method for reporting the integrity of a wireless communication link. [Previous Technology] Patient care systems typically include computer networks, medical equipment for treating patients, and control of medical equipment. Although the patient care system has been improved through the use of computerized automated systems and methods, the patient care system's control of medical devices and medical devices still relies on manual data management procedures. For example, in modern hospitals, nurses' stations are typically connected to computer networks, but it is rare for computer networks to extend to patient wards. The computer network provides the opportunity to have automated data management and processing at the point of treatment including medical devices and the control and operation of medical devices. Despite advances in this area, & is an automated data management technology-it has not been fully utilized for treatment point use due to the lack of more efficient systems and methods. As the dependence on automation technology grows, there is a need to provide users with the ability to determine the operating status of a system or sub-system. SUMMARY OF THE INVENTION The present invention provides a system and method for reporting the integrity of a communication link in a healthcare facility. ‘,’ ,,, and so on. The invention includes a system having a drug delivery module to treat a wireless remote device in a healthcare facility. The given set is related to an application device for medicinal treatment such as an infusion chestnut. The 200422917 wireless remote device contains an information display or an audible invitation, "from :: < listed, a vision generated by the drug delivery module: and by; the indicator responds Yu-ge ^ V ^ ^ ^-Dedicated, on a wireless communication link: == turn-out. The wireless remote dress also includes-one for: when the wireless communication link is lost-one timeout The module, or the system, method, and method of applying Maoyue's Eight Daggers are characterized and advantageous for those who have the general skills in this surgery. When examining the following drawings and detailed explanations, the marriage will become obvious or become obvious. The additional systems, methods, features, and advantages included in this description are intended to be included in the materials of the present invention, and are protected by the scope of accompanying patents. [Embodiment] The description can have many different forms of embodiment, but only one car X embodiment of the present invention is shown in the drawings and will be described in detail here. This disclosure is intended to be regarded as an example of the principles of the invention, and is not intended to limit the broad features of the invention to the illustrated embodiments. Figure 1 is a graphical representation of a patient care system. In one embodiment, the 'side patient care system 100' includes a pharmacy computer 104, a central system 108, and a treatment location ιo6 connected via a network 102. As shown in FIG. 2, the patient care system 00 also includes an infusion system 21 0 ′, which is also referred to as a healthcare system. The infusion system 210 is a medication system, which is preferably implemented as a computer program, 200422917, and is especially implemented as a module or application program (ie, set. Ten = a program in the final use I Or {a set of programs), which resides on one or more electronic computing devices within the patient makeup system, system 100. As described here, the infusion system 21 0 connects patients such as physicians, pharmacists, and nurses to clinicians with a patient ... The i-EjL system ° Refer to Fig. 3, the patient care system 100 may include a plurality of medical materials 12G ° In one embodiment, the medical II material is an infusion pump 120. Furthermore, in another embodiment, the medical device is a controller for an infusion pump. For ease of reference, this disclosure will generally treat the medical material of the system as an infusion pump. However, it can be understood that Yes, the overall system 100 may include any one or more of various medical devices. Thus, as shown in Fig. 3, a plurality of infusion pumps 120 are connected to a hub or interface 107. As explained in further detail herein, the infusion pump 120 may be made from a conventional design, where each infusion pump 120 is connected to a patient. However, as those skilled in the art will appreciate, even if the infusion pumps are connected to the same hub 107, the infusion pump 12 shown in Figure 3 does not need to be The same patient or treatment location is connected. Furthermore, each infusion pump 120 may be a single channel pump or a plurality of channel pumps, such as a triple channel pump. Typically, the pumps send a message containing system status information to the hub 107 on a periodic basis. For cost-effectiveness and / or for existing medical 200422917 therapeutic devices that are not currently in communication with the central computer system 108, each such medical 'has a separate hub to facilitate retrofitting of the centralized communication equipment, The equipment can communicate with the central computer system 108, 107, and it can be used separately from the medical equipment 120. In one embodiment, the communication hub of the overall system, the serial port of the infusion pump 120, or other I / 0 is connected to the hub using a traditional non-wireless transmission medium 105, such as twisted pair, coaxial cable, fiber optic cable, or the like. Preferably, the hub 107 can be connected to a plurality of infusion pumps 120 or only to a single pump through a unidirectional serial communication link | 105. The hub β 107 is ready to receive signals from the connected pump and regenerate the received signals. In particular, the signal received from the pump 120 is converted by the hub 107 into a signal suitable for transmission on the system network via the wireless communication path or the link 128 and the cable communication system 11 〇 format. Typically, the hub 107 transmits pump data to the system network i 02. Hub 1 07 can also filter incoming information from pumps 20 to remove duplicate messages. In addition, the 'hub 107' allows the chestnut status information to be viewed remotely on the digital assistant 118 of the medical staff 116. Typically, whenever the hub 107 is connected to the pump 120 and the hub ^ 107 and the $ 120 are both turned on, the hub 107 line transmits pump information. As explained in detail here, the hub 107 also provides the ratio of the order entered by the pharmacy to the setting of the pump. In a preferred embodiment, the hub 107 is connected to the 1V column ' supporting the pump 120 or the hub 107 is incorporated into the infusion pump 120 to produce an integrated medical / communication device as indicated above. 10 200422917 An embodiment of the hub 107 is shown in Figure 47. In this embodiment, the hub 1G7 series includes up to four 1-pointers 411, a lost wireless signal indicator 413, a low battery indicator 415, a warning mute button 417, an on / off button And indicator 419, and a charge indicator 421. The material indicator 4m provides a status indicator for the pump port of each hub 107. The indicator light indicates whether the corresponding chestnut is properly communicating with the network 102. However, when the indicator light is off, this indicates that the corresponding pump port is not connected to the pump 120, or that the port is not connected from the pump 120 to the network 102. The lost wireless signal indicator 413 is out of the hub, and 107% of the money is communicated with the network 102 on the wireless link. If there is a lost wireless signal, each pump port indicator 4jj will also be turned off This indicates that the hub 107 does not communicate with the network 102. When there is a loss of wireless signal on the right, the hub will transmit this event to the system network 102, the central computer system 108 and the server 10 for the final, and then to the medical staff 116. This warning silence button M 417 allows the paramedic Bay 116 to temporarily silence all audible warnings from the hub i 07. Alternate embodiments of the communication hub include a single dedicated wireless module physically located within the pump, or a R & S line communication to the separate module of the server. In addition, in an alternative embodiment, the hub i 07 can be optionally incorporated into the infusion system 120 to produce an integrated medical / communications material. The combined hub / medical equipment will still function in relation to each other. The access point of the overall system 200422917 As shown in Figure 3, the plurality of access points 114 in the healthcare facility provide an interface between the wireless communication path and the cable communication system. Preferably, when the system network 102 is unavailable, the set line 107 stores the signal received from the pump 120, and then 'transmits the converted signal to the system network when the system network becomes available. In a preferred embodiment, the communication between the hub 107 and the access point 114 is unidirectional from the hub 107 to the access point 114, and finally to the network 102. Therefore, in this embodiment, the infusion pump 120 can transmit data to the network 102; however, the network 102 cannot transmit data to the infusion pump 120. However, it is understood that in the alternative embodiment also disclosed herein, the communication between the hub 107 and the access point 114 is bidirectional. Thus, in these embodiments, data and other information may be transmitted from the network 102 to the infusion pump 120. In either case, the information transmitted between the network ^ 2 and the hub 107 is encoded for security purposes

Now referring to Figures 1 and 3, the central system 108 can include-bite multiple servers or computers. The disclosure is generally referred to as servers 109, 108a, but it can be understood that these components can Is a non-server computer. Preferably, but not necessarily, the central system 108 may include a first central server or computer 109 and a second central server or computer 10 8 a. In a practical example , Another communication system 103 can

It is provided for communication between the first ΦA music center servo state 10 9 and the second center servo state 10 8 a. In a preferred embodiment, the individual communication system 12 200422917 system 103 is an independent point-to-point cable communication Ethernet network. Because the communication system 103 is an independent point-to-point system connection, the data transmitted between the two servers 109, 108a is typically not encrypted. Typically, the communication system between the two servers 109 and 108a allows two-way communication.

As explained in detail herein, the first central server or computer 10 is a first database and a first feature set with data and functions related to medical devices and user interfaces. . The medical device 120 and the user interface 118 generally communicate directly with the first central computer 109. Furthermore, as explained in detail herein, the second central server or computer 108a has a second database and a second functional feature set. The first central computer 109 is fixedly connected to the second computer 108a, and the medical device 120 and the user interface 118 are not directly in communication with the second central computer 108a. The user interface 118 may receive data through the first central computer 109 from a second database related to the second central functional feature set. the first

The second central server 108 and its software subsystem are typically connected to a pharmacy system interface to provide information about medicines, patients, and provide typical workflows for nurses and other medical staff (w 〇rkfi〇w) The first central server 丨 〇8a is also connected to the first central server 1⑽ interface to provide information about patients, nurses, nursing staff, instructions, and between the digital assistant 118 and medical staff Related information. Certain other functions in this second central servo state 108a may include patient management, item management, facility management, representation of messaging charts, and various interfaces to other systems. In particular, patient management refers to general information about each patient entering a hospital or facility. This information is maintained along with information about each visit, and it contains basic information, allergies, admission date, discharge date, initial diagnosis, ward, bed, etc. In addition, information about each drug that has been prescribed, booked, and administered is maintained by the second central server 1G8a. The patient management function also includes the examination of previous adverse reactions, the examination of drug interactions, the examination of repeated treatments, the examination of doses, and drug-disease contraindications. Facilities & information for each drug is available. This information is managed and maintained within the second central feeder ⑽a. :: The seed shell contains drug name, strength, treatment classification, manufacturer, etc. Furthermore, the wrist of the second central temple server maintains a perpetual inventGry of the contents of the medicine storage and other smart storage locations on an instant basis. This second central feeder system helps make it possible to replenish when the store is replenished and when the dose is administered or discarded. Facility management means information describing the overall facility. This information is managed and maintained within the second central device ⑽a of the system 21o. This information includes: the analysis of the physical entities of the facility into buildings, floors, single living rooms and hospital beds, the plans and services provided by the Gu'an " The storage unit for the replenishment items is indicated by: the :: counterfeit and the location where the replenishment items will be supplied. Erwei 200422917-Information material refers to the function of the second order central feeding device 108a, in which the second central feeding device 108a provides a communication link between the pharmacist and the medical staff. This second central server 108a makes it possible to standardize the dose and the specific administration 1 'and it automatically transmits a notification of the missing dose 1. The presentation of reports and graphs means that some business and management reports are available, which can be executed on request or on a predetermined basis by authorized users of the system and system 210. The second central server 108a also has various interfaces, such as ADT; | surface, billing interface, discrete results interface, document-based results interface, prescription interface, f0rmulary interface, Pharmacy instruction interface, treatment point drug delivery interface, and inventory interface. These interfaces are explained in more detail below, however, a brief explanation is presented immediately below. The adt interface refers to the facility's admission, transfer, and discharge system (ADT). This system also typically operates with enrollment and registration of outpatients. The discrete results interface is the interface to the laboratory results. Generally speaking, after the κ laboratory results and supplementary instructions are input to the external laboratory information system, the discrete results interface or laboratory interface in the HL7 engine_ transfers this data to the second central server 丨〇8a. Once the laboratory results are stored in the second central server 108a, the user may enter a (cp0e) system from the handheld device 118, a computerized physician (physician) command, and the second central computer 108a. The main application to view the lab results. The laboratory interface system can be used in at least four interfaces: radiology laboratory interface, microbiology laboratory " surface, biochemistry laboratory interface, and pathology15 200422917 (pathology) through the laboratory interface. These interfaces can be configured to operate on four different ports or on the same port. The result interface of this document is mainly connected to the second central server 108a of radiology and pathology reports. The prescription interface generally refers to a second central server 1 capable of accepting a master file header to synchronize external system drug files. Changes to a prescription will trigger an outward transaction from the server to an external third party system. The pharmacy instruction interface system enables the use of the drug finger to be transmitted to an external third party system. This cargo interface makes it possible to change the pharmacy inventory in turn from the second party system of the external α 卩. In addition, the cart storage interface is available for this system. The first central server 108a stores the changes in instructions and drug files in the servo negative library, which then sends this information to the cart of the second party in the HL7 engine of any third party cart interface. The interface processes this information to become 7 MFN and RDE floods. The MFN message contains drug file information, and the RDE message contains patient instruction information. The Zhuang 7 engine then transmitted no messages to the third party's cart server. The HL7 engine also receives formatted DFT messages from the third-party cart server. The DFT message contains billing information for drug administration. The HL7 engine processes this information and then sends it to a second central server 108a, which can then send this information to a billing application. The billing application can then calculate the patient's cost and bill the patient. The billing interface refers to an interface for patient expense software. The billing interface supports selective use of billing algorithms to differentiate costs. The billing interface deals with internal transactions and inbound transactions from outside the second 16 200422917 system. The billing interface is provided. An HL7 interface is between the second central server 108a and the hospital's third party financial system. The amount of the bill can be transmitted directly, or the patient's cost can be calculated through the billing interface 'to the third party financial system of the hospital. The f message is transmitted in real time from the HL7 message. The treatment point interface consists of a web service communication that integrates information about treatment point administration for non-infusion-related data. This information is transmitted in real time so that the user interface can integrate the administration of infusion-related and non-infusion-related drugs. Conversely, the first central server 109 has software loaded and configured to send and receive data to and from multiple hubs 〇7, multiple digital assistants or user interfaces 118, and a second central server.器 丨 〇8a. As explained in detail below, the first central server 109 can perform several functions. 'It includes (but is not limited to): comparing the prescription parameters received from the server 丨 〇8a with the slave 107 Applicable planned system settings received by the system; delivery of notifications and messages to digital assistant 118; delivery of alarm and alert information received from hub 107 system to appropriate digital assistant 118; pass the pharmacy and patient information from server 108a to the appropriate digital assistant 118; and compile pump status and alarm monitoring data and pass this data to server 108a on a periodic basis. If necessary, the actions performed by server 1009 are in accordance with the Health Insurance Portability Act of 1996 (August 21), Public Law 104-191. Typically, the data residing in the first central computer or server 109 is 17 200422917 and the intersection of the data residing in the second central computer or server 1 0 & 1 is G9, contains A subset of the data contained in the feeder = 8a needed to perform its function. The feeding device 109 also contains the shell material network 1G2, the hub 107, and the infusion fruit 120 required for performing its functions. As explained above, such information is generally used for the functions or implementation of the digital assistant 118 and the medical device 120. In one embodiment, a cost-effective integration of the medical equipment 120 or other equipment and functions: and the hospital information system in the first and second central power lines 109, 108a is proposed by isolating the aforementioned A sub-collection of general information, such as information about patient safety in particular, is placed in this > flood and function in a read / validated section of the series. In this context, that is, in the blame of Regulation A, "verified" means to provide objective evidence that all requirements have been tested, and "confirmed" means to provide the product to the customer. Objective evidence is sought. In this embodiment, the identified part of the system is located within the first central computer 109. In one embodiment, the subset may include the data generated by the infusion pump Alarms and / or warnings, and / or parameter information for the planning or operation of the medical device 120 / infusion pump 120 / controller 120. This sub-collection is isolated and set in the confirmed part of the system, that is, Within the first central computer 109, the rest of the overall data is maintained in the database of the unconfirmed part of the system, that is, within the second central computer 108a. Located in the The confirmed database of the first central computer 109 and the unconfirmed database of the second central computer are kept synchronized by using network service backup 18 422917 (replication), usually the skilled person from the following Mentioned ... ^ 、 有 有The implementation examples of the technology generation may include the confirmed and unconfirmed parts of the system on ^ ΛΛ in the early electricity, and (㈣ ... ^ and borrowed from the force moon It is separated by a software firewall: 'The characteristics of the operating system or other software'. As will be described below, "Douban ^ · ° Synchronization" can be cycled according to time It is performed at a time of 1 to 5 times and / or 5 times and / or when an important data change such as a disease registration state occurs and is performed when necessary. In between

^ Below, a brand-new redundant data is transmitted to another central computer, and the new data confirmed by the central government is replaced by its local data. When critical information changes, the change is immediately passed to the identified first central computer 109 and processed as a change, rather than replacing existing information. therefore,

= In the first-a subset of the f library of the central electronic library-some or all of them also exist in the second central computer, as if you would know from the details provided here. Please refer to the details provided below, which will be more understandable. Therefore, 'by localizing a subset of the database, especially the patient safety data, to the first command center computer, at least the cost of system development is further optimized and compared with the third party The integration of unidentified systems and their individual data and information is completed more time-saving and cost-effectively. In one embodiment, the first central computer 009 may include a confirmed server, for example, Compaq's DLG_380 with Windows 2000 server 0s, which is executed for users and devices. Check 19 200422917's "Active Directory", "Certificate Authority" for issuing servers and client certificates, "SQL Server 2000" for temporary data storage, Internet Information Server (ns) at appliCat10n hosting (web services and web pages). The second central computer i08a may include an unproven server, such as an external hospital information system (HIS) server, which is connected via a dedicated Ethernet TCP / IP connection 103 to Connection access is provided through a redundant web service shown by a server identified at the other end of the dedicated connection. Alternatively, the second central computer 08a may include software for performing one or more of the various functions generally described herein, such as pharmacies and other systems. Therefore, the second central electric crescent may include these types of functions and have a "face" to other systems, such as an external hospital information system (HIS) server. The first central computer (ie, the server 109) includes a database or a first database containing a set of data storage. In one embodiment, the first database can be external or internal to the first central computer 1 and Preferably, only the user of the application program 5412 loaded on the __th φ = electric shame as shown in Fig. 54 can use it. The data table in the first two shell database is It is used in the use examples described further herein. Preferably, the data sheet contains information on medical equipment, digital assistants, medical devices, patients, medical personnel, prescriptions, titrations, and comparison shells. Tables of difficulties, alarms, and escalation alarms. Moreover, the medical: equipment table may include tables for n channels and m channels. Furthermore, the alarm table may include alarms for hubs, pumps, and channels. Alarm 20 200422917 In the black embodiment, each table may contain a key number, and the shell material within the wire responds to the key number. For example, it corresponds to a pump channel shell Δ δ A key number of the record (10g) can be a pump. The identification of the record 'of which in response to the key number, the channel identification, pump rate, dose mode, dose, remaining amount, main infusion volume, Similar table data is provided. Furthermore, it can be linked ked) Lu Ru, a patient table with patient information can be linked to a side staff list, and the medical staff list can be linked to a digital Assistant table. The patient care system J 〇 in Figure 3 can be divided into hub subsystem, first central computer or server subsystem, medical equipment or pump subsystem, first central computer or servo Device system and personal digital assistant) system. The 6H hub system and the first central computer system are described in further detail here. Now turning to the medical equipment system, the system is better this time. Department contains One or more medical devices 120, for example, an infusion device used to allow drugs to be delivered to a patient, wherein the status and infusion information of each callus device is transmitted periodically from the communication port associated with each device In general, the second central computer subsystem is a server i 08a with computer hardware and software used to interface with the pharmacy system to provide information about medicines, patients and typical nurse workflows The server 108 may also have various other applications, such as an interface to a hospital information system (HIS), as previously described herein. Preferably, the second 21 200422917 central computer interface is connected with The first central computer sub-system interface connects to provide the first central computer with information about patients, nurses, instructions, and connections between personal digital assistants and nurses or medical staff. In one embodiment, a central computer system has at least two environments: one confirmed environment and one unconfirmed environment. The identified mount may have a first operating system with a set of applications and a first database. The first database may have a first functional feature set related to some of the materials therein. In one embodiment, this function = feature set has the related medical equipment and the function of using the :: for the medical equipment. The medical device and user interface communicate directly and securely with the identified brother. The unconfirmed environment may have a second operating system with a set of applications and a second database. The second database may have a second = feature set related to some of them. Typically, there is a logical separation between this identified environment and the unidentified brothers. The user interface may receive data from the unconfirmed and partially confirmed database related to the second functional feature through the part of the system confirmation. In one embodiment, the confirmed part is separated from the unconfirmed wound by a logical partition or firewall made of software. For example, VMware and virtual (the various software outside Virtual C are examples of simulation software that simulates multiple environments on the same server. In another embodiment, the part of the confirmation may be in the first central computer. 109, and the unconfirmed part may be on the second central computer 10 =. In another embodiment, the central computer system includes a first server and a second individual server. The first Separated from the second server 22 200422917 by a firewall, the existence of the first server is the part of the second server that is centrally confirmed by the central computer, and the second unconfirmed by the central computer Preferably, as explained in detail elsewhere in this specification, the personal digital assistant subsystem includes one or more small portable devices 118 'which provide medical personnel and nurses 116 (section 1 (Picture) Information about its patient, the status of the infusion containing the delivery of alarm and warning information, and the remote end of the infusion comparison results. As discussed herein, the first central computer system It is operatively connected to one or more personal digital assistants 118 within the PDA secondary system. In one embodiment, the personal digital assistant is based on Windows CE Net and is used as a terminal device for medical staff. Especially The personal digital assistant can be operatively connected to the first central computer through a confidential PKI-certified (authenticate /) wireless LAN (802.1x) connection, as explained in more detail here. The hub subsystem system is more The system preferably includes components such as one or more hubs 107 for receiving data from the medical device 120, transmitting pump data to the first central computer subsystem 109, and detecting possible interference with one or more hubs. The situation of data communication. As previously mentioned, in one embodiment, the hub 107 in the hub subsystem is connected to up to four infusion devices 120 via a unidirectional serial communication link. , Where the infusion devices send a message (ie, a data packet) containing pump status information to the hub on a periodic basis. Alternatively, the packet may be based on the user Defined standards, such as regular time intervals, event occurrences, combinations of time intervals and event occurrences 23 200422917, or the like. In one embodiment, each hub 1 within the hub subsystem is transmitted. The 7 series uses a built-in wireless network transceiver to filter incoming information to repeat messages, store, and then pass the system information to the first central electric-human system. In one embodiment, the pump information is not It is passed unless the data received from the medical device has been changed. The transceiver built into the hub 107 is designed to route the outgoing information to a wireless access point 114, and then the wireless access point 114 It uses the connected Ethernet sub-system J 丨 0 to designate the route to 0 and the information to the first central computer 109. This outgoing information preferably contains XML-encoded data, which is formatted into SOAP messages specifically designed to be received through a software interface of the web service type. As one skilled in the art will appreciate, the term "XML" refers to a single system for organizing and tagging web files, where the use of XML Customized tags can be generated to enable the definition, transmission, validation, and interpretation of data between applications and between systems or sub-systems. Furthermore, as used herein, the term "network service" refers to a network-based service that uses the integration of XML and SOAP. The term "SOAP" is a message transfer protocol that is used to The information encoded in the network service request message and response message before sending the network service request message and response message over the network or communication path. The first central computer subsystem is preferably composed of a servo ϋ 109 with a software application 24 200422917, which is loaded and configured to transmit and receive data to and from multiple hubs 1 07, a plurality of digital assistants 118, and a second central computer subsystem including a server 108a and a first central computer subsystem. Turning now to Figure 54, the server 10 is preferably COMPAQ DLG-380 with Microsoft Windows 2003 Server Operating System 5414. In one embodiment, the software component loaded into the memory of the first central computer 109 is a first central computer or server application included in a .NET framework (Framework) 5416. 5412, a 0 Dynamic Directory Domain service for user and device confirmation 5418, a SQL server 5420 for temporary data storage (expanded as a database), and for applications Hosted Internet Information Feeder 5422 (IIS). The .NET framework 5416 is preferably Microsoft Corporation's .NET framework 1 or a newer version, where the .NET framework connects the first central computer application 5412 to the operating system, the Internet Information Service 5422, SQL database 5420, and Active Directory Domain Services 5418 and other components. As those with ordinary skills in this technology will appreciate _ the 'the dynamic directory domain service 5418 is to provide services used by the Windows server operating system 5414 and the first central computer application 5412' Helps ensure that only authentic and authorized hub subsystems, second central computer subsystems, and personal digital assistant sub-system users have access to the first central computer and thus applications to the first central computer 5412 Has the right to use. In one embodiment, the first central computer (ie, the server 25 200422917 in FIG. 3 to the appropriate personal digital assistant 18; 4) is transmitted as if from the second central computer 1G8a (FIG. 3). Send the pharmacy and patient information to the appropriate personal digital assistant 118; & 5) Compile pump and alarm monitoring data on a periodic basis and pass this data to the second central computer 108a. The server 109) performs several functions, which include: comparing the local parameters received from the second central computer subsystem with the expected schedule received from the central subsystem and / or planning the Fruit settings ^; 2) Pass the alarm and warning information received from the hub subsystem to the appropriate personal digital assistant 118 (Figure 3); 3) Provide fruit status and flow rate (fi0w)

The first central computer preferably includes a plurality of external software component interfaces. In the embodiment, 'three of these interfaces can be classified as "entering interfaces".' The entering interface is to receive incoming τττρ request messages and Then it sends out the leaving HTTP response message. The remaining two interfaces can be categorized as "leaving interfaces", which send Ηπρ request messages or XML formatted response messages, as explained below. As used herein, the five software interfaces are called the DatabaseRefreshListener entry and exit interfaces,

The interface that RoutePDA enters and leaves, and the interface that PumpDataUstener enters. In one embodiment, four "faces" in the external software component interfaces are paired to generate two between the first central computer 1009 and the second central computer 108a in FIG. 3 Different two-way communication channels. The first channel contains the interface to and from the DatabaseRefreshListener paired together. Therefore, the first channel is called 26 200422917

"DatabaseRefreshListener", and it is used by the second central computer 108a to periodically synchronize the data in its database table with the data located in the database table of the first central computer. Utilize the "DatabaseRefreshListener channel" The second central electric monthly direction 108a is to update the database table of the first central computer by transmitting the XML-encoded data formatted as a soAp message to the network service type interface of the first central computer. . Similarly, the second central computer 108a sends an XML-encoded request for the data to the interface of the first central computer's network service type, so the request triggers the first central computer 109 to encode the XML-encoded data. To respond to update the database table of the second central computer itself. As pointed out above, the access interface part of the j) atabaseRef reshListener channel is used by the second central computer to use the data from the database table of the first central computer to update the bit located in the first central computer. Database table. Furthermore, the part of the DatabaseRefreshListener channel that is leaving is used by the second central computer to use the data from the database table of the first central computer to update the database called by the second central computer itself. Preferably, the interface entered by the DatabaseRefreshListener includes several web service methods named "RefreshXXX", where "χχχ," corresponds to the type of data being transferred. In one embodiment, these methods receive An incoming HTTP request message for xML-encoded data formatted by the SOAP protocol. The XML-encoded data is constructed into a form corresponding to a column in a database table. For example, the method 27 200422917 "I? Ef f "eshUsers" receives a data structure consisting of a pair of user names and user passwords corresponding to one of the columns in a database table. The database table is a row containing user names and user passwords.

As shown in FIG. 54, the incoming message is designated to be routed via the Internet Information Server and the components of the .NET framework to the first central computer (ie, the FIG. 3 Server 109). The first central computer application 5412 uses the dynamic directory domain service 5418 to verify whether the second central computer message is authentic, processes the content, and then stores the result data in the SQL server database component 5420. The application 5412 loaded on the first central computer then responds to the second central computer by issuing an HTTP response method, which is designated to be routed via the .NET framework component 5416 and Internet information The server component 5422 is connected to the second central computer. This response message indicates whether the data transmission and processing was successful or failed.

Preferably, the interface entered by the DatabaseRefreshListener is asynchronous in nature, so the second central computer and the first central computer are separated from each other to the extent feasible. This separation (dec0Uping) allows the second central computer to be programmed for continuous data processing while waiting for a response, and for responding to loss of communication in a program-controlled manner. Moreover, the interface entered by the DatabaseRefreshListener may also include a network method for the second central computer to periodically send a signal that the second central computer is operating to the first central computer. 28 200422917 Relative to the interface entered by the DatabaSeRefreshListener, the interface exited by the DatabaseRefreshListener is used by the second central = monthly package to use the data from the database table of the first central computer to update its own database. & To ensure that the data has been captured by the second central computer before being removed from the first central computer for a long time, the interface that DatabaseRefreshListener leaves uses a multi-step method for data transmission, which is as follows:丨) The second central computer = check whether the data is available; 2) the second central computer system requests the first central computer to transmit the data; 3) the second central computer system confirms that the data has been received; 4 ) The second central computer system confirms that the data has been correctly stored in its warehouse table. In order to check whether the data is available, the second central computer first sends an applicable network method to the interface left by the DatabaseRefreshListener is an m-coded request message formatted according to the SOAp protocol. Preferably, the specific network method used is in the form of "BeginGetXXXTo Archive", where "χχχ" corresponds to the type of data requested. For example, the method "BegmGetChannelDataToArchive" is a request to use the — The central pumping station records the timestamped pump channel received from the pump through the hub sub-system. The request message is passed through the Internet Information Server component 5422 and the NET framework component 5416 to be loaded in The application right in the first central computer. The application 5412 loaded in the first central computer decodes the XML contained in the request message to judge the second medium. 29 200422917 What kind of data are you looking for? "The application program loaded in the _ central computer 2 is to check whether the SQL server database 542〇 is",- Data. If the data is available, the application A 1 糸 prepares an XML-encoded response message indicating that the data is payable. If Masuda Plus 4… ",, the data will be paid The distinction of any kind should be used to prepare a system type 5412 is to be noted that the information message. & Unable to send back the XI code. If the data is not available, the second central computer can try another transmission in accordance with its processing rules. 〆 If the data is available, the second central computer initiates the data transfer by sending a second XML code correction request message to DatabaseRefre, the applicable network method for leaving the interface. The specific network method being used is in the form of "EndGetXXXToAcrchive" '纟 中 "χχχ, which is the same as the one used. ▲ ▲ The application program 5412 in the first central computer decodes the content The XML in the request message is used to determine what kind of data is to be returned to the second computer, and the data is placed in an appropriate XML response message. This message corresponds to a piece of data. The form of the column in the library table is constructed in accordance with the method used by the corresponding interface. $ In one embodiment, the data is designated to be routed via the .net architecture component 5416 and Internet information server component 5422 Central electronic fine. When the right material is not received correctly, the _ φ ^ Yining Central Electric 30 200422917 The brain can try again or perform another one that meets its processing rules Transmission. If the data is received correctly, the second central computer then sends an applicable network method for the second request message to this interface. Preferably, the specific network being used Method is a form of "BeginDeleteArchivedXXX", wherein "ΧΧΓ, based on the same as to the user. 'Upon receiving this message, the application 5412 loaded into the first central computer marked the relevant data in the Sql server database component as being transmitted to the second central computer It is used for archiving, and it sends a response (ackn〇wiedgi ^) = response message that the data has been marked. In order to send a signal indicating the success or failure of storing the data in the second central computer database, the second central computer sends a second request message to the applicable network method of this interface. The specific network method being used is in the form of "EndDeleteArchivednx," where "XXX" is the same as the one used above. If the second central computer indicates that the transmission was unsuccessful or if it has passed After a sufficiently long time, and when the first central computer determines that the loss of communication has occurred, the relevant data is retained in the shell library of the first central computer for use by the second central computer when requested. For retransmission. — Right the second central computer indicates that the transmission was successful, the archived data is cleared from the first central computer database and the application loaded in the first central computer Program 5412 sends out a response message confirming that the last step of this pass has been completed. 31 200422917 Preferably, the interface left by the DatabaseRefreshListener is asynchronous in nature, so the second central computer database and the first central The computer is separated to the extent feasible. The second two-way channel between the first central computer 109 and the second central computer 108a is referred to herein as " "RoutePDA", and it contains the interfaces that R0utePDA enters and leaves together in pairs. The

The RoutePDA channel is used by the first central computer 109 to designate a route to the HTTP request message originating from the PDA secondary system to the second central computer 108a, and then receives the corresponding Ηττρ response message from the second central computer , Processing (if applicable), and then assigning the personal digital assistant 118 to route back to that source. In the second channel (i.e., RoutePDA), the message received from the personal digital assistant 118 or the message transmitted to the personal digital assistant 丨 8 is preferably a B via a connection of a hospital or a health care facility. The Ethernet system 11 〇, the wireless access point 114, and the wireless transceiver built into each personal digital assistant J Worker 8 are transmitted to and from the first central computer 109. Preferably, The HTTP request message is transmitted to the second central computer 108a through the first central computer 109 without being processed. The second central computer 108a then issues a response message containing the XML or HTML formatted information. The HTML-formatted response message was routed to the personal digital assistant 118 via the first central computer 109 without further processing. The XML-formatted response message is used by the second central computer 1 "a to use 32 200422917 to send a signal to the first central computer that the user 116 (figure i) has requested the web page generated by the first central computer ι09. Computer 109, for example, a prescription page or a fruit monitoring page. The first central computer i 09 checks the XML response, processes it appropriately, and sends a Hm or hungry formatted response to the message. The personal digital assistant 118 sent. As previously mentioned, the RoutePDA channel is used by the first central computer to route the Ηπρ request message received from the PDA 118 to the second central computer, and then receives the second central computer. The corresponding HTTP response, processing (if applicable) returned by the central computer and then specifying the route back to the transmitting PDA. Therefore, the interface entered by the RoutePDA is used by the web browser in pDA 118 Communication. This interface receives incoming request flood information, the message contains data encoded as name-value pairs that correspond to Ηττρ "get, and POST" protocols. The incoming The message is designated to be routed through the Internet information server and the .NET framework component to the application program 5412 loaded in the first central computer. As discussed below, the message is loaded in the first An application program 5412 on a central computer # Uses the .NET framework 5416 and the interface left by R0utepDA to reassign the incoming message to the second central computer. When an HTTP response is received at the interface where RoutePDA leaves The application 5412 loaded on the first central computer judges the response and is formatted using HTHL or XML. The HTML-formatted response is processed by the first central without further processing. The computer designated the route again, and the NET framework component 5416 and the Internet Information Server 33 200422917 server component 5422 went to the PDA. However, the XML-formatted response was used by the second central computer to signal to The first central computer informs the user that a web page generated by the first central computer has been requested, such as a prescription comparison result page or a pump monitor

Watched pages. The first central computer checks the XML response from the second central computer, processes it appropriately, and sends an HTML or XML formatted response to the appropriate PDA via the .NET framework and the Internet Information Server component. Preferably, the RoutePDA interface is synchronous in nature, because of the inherent synchronization nature of the web browser included in the PDA. With respect to the interface entered by the RoutePDA, the "outside" of RoutePM is used to designate routes to be received from the personal digital assistant system through the application 5412 loaded on the first central computer Ηττρ requests a message to a second central computer for processing, and it then receives a corresponding HTTP response returned by the second central computer. In the DatabaseRefreshListener channel and the RoutePDA channel, the "the first-central computer 109" sends and receives data from the first through a separate point-to-point Ethernet network system 103 (preferably dedicated to this purpose). Information of two central computers 108a. As indicated above, in using the DatabaseRefreshListener channel, the first central computer provides a special network service on the dedicated link 103, which is used periodically by the second central computer Location and when the first central computer needs it, back up new and updated tribunal information (for example, patient information, medical staff information, medicine 34 200422917 similar to the capital). Furthermore, data is provided from the second central computer to the first central computer. Furthermore, 'Using the RoutePDA channel at the end of the terminal device of the medical staff, the first central computer 1009 provides a ⑽τ 11S servo w' I plane whai interface provides fiTTP-style web pages and maintain Network talks with PDA # 置 118 的 证 (sessi⑽). In other words, the terminal device of the medical staff (i.e., the personal digital assistant 118) receives the authenticated webpage from the first central office 109. At the first central computer end of the dedicated connection 103 connected to the second central computer, the central computer system establishes a virtual Ηττρ talk for each PDA device 118 connected to the first central computer. And play the role of a web browser 'when the first central computer is receiving an HTTP request from the ship, it is transmitting a bile request from ρM to the second central electric month 1¾ 〇 In other words,' the first The central computer system is connected to the second Central Electric Power Station through a dedicated connection and cable! 〇3 to pass the request for the unconfirmed part to the second central computer. Therefore, when the information flow between t PDA 118 and the server system needs to be derived from the information on the second central computer side, or when the information that needs to be merged is proposed, the second central computer system sends an XML s〇AP packet To the first CCTV network service provided on the dedicated connection 103, and the first central computer uses the XML data to execute a message from the first central computer side of the system The merged action, converted its result 2 to HTML, and then passed the HTML back to the pDA device of the medical staff. 35 200422917 The fifth external software component interface called PumpDataListener is used to communicate with the hub subsystem. Enter the interface, as explained in more detail here. In one embodiment, the PumpDataListener interface does not have a corresponding interface, because except for communication verification, the data transmission is only one-way. However, in an alternative embodiment, a leaving interface may be configured to transmit pump commands and control data to the medical device 120.

The interface that the PumpDataListener enters is used to receive data from the hub subsystem. Preferably, this interface contains a single network service method called "SendPumpData". This method receives an incoming http request message containing XML-encoded data formatted according to the SOAP protocol. The XML-encoded data is constructed in a hierarchical form, so that at several different points in time, data from several pumps and channels from each pump can be combined into a single large message structure .

The incoming message is designated to be routed via the Internet information server and the .NET framework component to the application program 5412 loaded into the first central computer. The application program of the first central computer uses the dynamic directory domain service component to verify whether the message of the hub subsystem is authentic. The first central computer system then processes the content and stores the generated data in a SQL server database component. Finally, the application program of the first central computer sends an HTTP response message to the sending hub 36 200422917 device via the .NET framework and the Internet Information Server component. This response message indicates that the data packet received by the first central computer (i.e., the 'feeder 109') from the hub ι07 is preferably recognized as a successful or failed transmission and processing. It is stored in the first command database of the first-central computer. Preferably, if an alarm or warning event is contained in the packet, the first-central computer can immediately send the event to the appropriate medical staff via the digital number 118 of the medical staff, or the first-central computer can The event was entered into the database of the first central computer 'and the information was subsequently sent φ when requested by appropriate medical staff via its digital assistant. As previously indicated, the first central electronic unit 9 maintains a record of all medical staff registered to its digital assistant S 118, and the digital assistant 118 is authenticated each time the medical staff logs into the system. Preferably, the interface entered by the PumpDataListener is asynchronous in nature, so the hub subsystem and the first central computer subsystem are separated to a practically feasible level. The separation allows the hub 107 within the hub subsystem to be programmed for continuous data processing while waiting for a response, and to respond in a programmatic way to the loss of communication. By all means, the pumpI) ataListener maintains a "heartbeat" to monitor the continuity (or loss of continuity) of communication between all wireless modules and / or remote pump units and the central computer The information of the hand-held decoration of the offender is as described in further detail here, pump status, warning, alarm, patient information, chart information, comparison information, to-do items (t〇 —D〇37 200422917 1 ist) and other data / information via personal digital assistant or user with display i 18a and (if required) audible audio (t0ne) 4 is a sound generator (not shown) The interface 118 is provided to the medical staff. The digital assistant 118 communicates with the central, first 10 via the central network 102, and especially via the wireless communication path or link 12β and the cable communication system 110. 8-channel sfl. As previously mentioned, one or more wireless access points 114 provide a conventional interface between the wireless communication path and the cable communication system. The digital assistant 118 may Receive messages from the servers 109 and 10 8 a. J is preferably 'two-way' between the central system 108 and the digital assistant 118. Furthermore, the digital assistant 8 contains enough Memory and processing functions to store and execute a module or application (not shown) are desirable for testing the communication link between the digital assistant and the central system 108 or wireless access point 114 Integrity 0 (preferably, not necessarily), a module or application installed on the digital assistant 丨 丨 8 is a high-level program such as JAVA written in one of the languages A script or other computer instructions (ie, software code) that can be executed with or without the intervention of a medical staff. The script can be automatically downloaded from the server 108a or 109 The digital assistant 118 or medical device 12 which functions as a receiver of the system. For example, 'a script type that can be automatically downloaded from the server to the digital assistant is-by periodically querying, or Watch from The central system 108 or access, point 114 includes notification and messaging communications to test 38 200422917. The integrity of the Haitong Λ link produces bismuth a. In a preferred embodiment, the erbium is located in a digital assistant. The script above is executed by a large user. If the system 108 is not queried from the priest /, and the mother for 3 seconds, when the response is received by the central system j08 or the security access point 4, the female On the digital assistant 118, Bian Xu ’s team or application program on the digital assistant 118 generates an item in the second me; lut), the time-out system produces audible audio and / or- The notice above Zhai 118a is a notification that communication has been lost. Examples of notifications on the visual display ⑽ include the activation of a pop-up window stating that the communication link information has been lost,

: 疋 The change of the moving image display on the visual display 118a. As used herein and recognized by those with ordinary skills in this technology, a timeout is an output generated by a module or application to indicate the mode The group or application has been waiting for input for a certain amount of time, but has not yet received input. Another script type can be queried to determine if a news report or warning has been triggered. Many other scripts can be executed simultaneously. One advantage of executing scripts downloaded from the system to the digital assistant is

There is no need to install a custom code on each digital assistant 18. If there is any event (ie, a message, notification, alert, warning, etc.) 'the digital assistant 118 automatically retrieves the event from the server and displays it on the interface of digital ㈣118 Above the screen. Other additional advantages of the script method are:) the script code can be easily updated on the central server without having to update each digital assistant, 2) the script can be quite independent of the hardware platform of the digital assistant The field is verified / confirmed, as this feature is hardware-independent, so changes or upgrades to the digital assistant have minimal impact on script actions. 39 200422917 As previously noted, each medical staff preferably has a digital assistant 118 associated with it. In one embodiment, the digital assistant U8 provides medical staff with one A page consisting of a frame set of a dedicated frame for display. The special frame wood can have an} ΑνΑ script inserted in it for the display of the event, where the script asks the first central computer 119 if there is a new event, such as a chestnut alert for the 5th Digital Assistant II II As well as warnings. If any new event has occurred, the first central computer system provides this information to the digital assistant 118, where the remote information is displayed in a dedicated frame for the display of such an event. ... ^ A type of notification provided on the digital assistant 118 instructs medical personnel that the information provided by the digital assistant 118 is not current and that the use of warnings and alerts is not available. Conversely, the digital assistant 118 can also indicate when the digital assistant 118 is connected to the central system 108 to provide immediate utilization of warnings and alarms. Other notifications typically delivered via scripts include (but are not limited to): "quietly shut down the pump," pump infusion restriction override, end of infusion, information on occlusion tendency, low battery, pre-occlusion Pre-occlusion indicators, overuse of single doses (bolus), warnings to keep blood vessels open, immediate medication notifications, change orders, follow-up results, radiological results, updates, telemetry Changes in vital signs and / or vital signs, doctors or pharmacies attempting to contact nurses, requesting nurses' patients, loss of communication, messages from other devices, new rates of medical devices based on important information, rate-dependent 200422917 rate following purge, etc. As mentioned earlier, medical staff in a healthcare facility is via a remote wireless device 118 (also known as a personal digital assistant (PDA) 118) or Is it another computer device, wireless or fixed connection to the network 1 08 and has access to infusion warnings, alarms and messages, for example, has A tablet computer with a bar code reader operatively attached, or a laptop computer with a bar code reader operatively attached to the computer attached to the IV column. Preferably, the infusion system 210 is provided for medical personnel And other users ’options for automated alerting to event-driven messages. Furthermore, healthcare facility managers and other users can use automated messaging types for remote wireless devices. The type or classification of the message, the severity of the abnormality, and the time-based reminder are presented. In addition, the infusion system provides medical staff and other users with the ability to configure settings (connig igure) of audible messages, vision The message transmission provided by the infusion system 2 丨 0 preferably includes a user-configurable rule engine, a scheduler, and an interface connected to the infusion pump system. Moreover, the result-driven (dnven) message transmission is via workstations, electronic tablets, wireless personal digital assistants, Or similar, it is desirable to provide immediate decision-making support for medical staff at the treatment site. Generally speaking, the communication between the infusion pump 12 and the network 102 and the progress of the network 102 and the health care Personnel's digital device 丨 丨 Communication between 8 and 422917 allows medical staff 116 to: among other functions, its ability to watch the pharmacy's turn-by-turn instructions and planned recording settings after comparing electronic circuits and / Or plan results, use the system as a way to remotely view pump warnings and alarms, remotely view spring status, watch notifications, and watch history of changes to infusion settings. Patient care 糸 赫, now turning back to Figure 1, the patient care system 100 preferably contains a computer-based physician input module (CP0E), a patient patient (mpatient) pharmacy module , A wireless nurse tabulation system, and a phi electronic recording module for patient side treatment. In one embodiment, such a system and module is an application program of the second central feeding device or the second central computer 1G8a. A patient care system that provides a comprehensive patient safety solution for drug delivery! 〇〇 is expected. Within the Patient Care System ：: The software module is configured to link the existing patient care system using an interface such as the HL7 interface, which is known to those skilled in the art. Preferably, the patient care system 100 is operated on various computers and personal digital assistant products to transmit instructions, call for new patient medical records, and use warnings, alarms, and messages. ^ The module of the doctor's instruction input of the computer is to enable the physician to input the warnings, alarms, messages, reminders, vital signs, and results for use with a computer. Each pharmacy module checks the allergy of the patient to check the prescription drug and check the compatibility with other drugs and food. The pharmacy module also provides the information at the time of inventory management. A nurse's medication tabulation module provides clinical information immediately available at the bedside, thus ensuring the verification of medications and dosages at point 42 200422917. The Patient Care System 100 integrates drug delivery products with the information needed to help ensure safe and effective drug delivery. When the medical staff performs patient care under increasing time and cost pressure, the clinical decision support of the patient care system 100 and the accompanying warning, alert, warning and message transmission system provide a secure support network for medical care personnel. This information is preferably provided over a wireless network, and it is used to provide information in a way that improves the medical staff's workflow and makes care easier. King L

夜 .1 of the night system. Among other functions, the infusion system 210 or the medical care system 21 in the patient care system 100 provides computer prescriptions and an electronic medical record (eMAR). . The infusion system 21 is designed to allow healthcare professionals to know the charts, medication history, inventory tracking, and messaging. The patient care system is a combination of barcodes and real-time technology to help ensure that the right patient gets the right medicine and the right dose in the right room, the right way. The infusion system 2110 provides warnings, alarms, messages, and reminders such as (but not limited to) laboratory values, out of range, and forgotten doses. As part of verifying the correct dose, the system can also provide verification of the settings of the infusion pump. As explained in further detail herein, the infusion system 210 is (at least partially) present on one or more electronic computing devices', for example, a wireless remote personal digital assistant, a workstation, a module for physician order input, an electronic Tablet, processor-controlled infusion pump, or the like. The infusion system 210 may be configured to display a number of hospital-definable warnings and alarms in the form of 43 200422917 via one or more electronic computing devices therein. In one example, time-based warnings are provided to remind medical staff to perform patient care functions, such as (but not necessarily limited to) changing the infusion rate. Furthermore, an emergency (emergenCy) alert is provided, for example (but, necessary to be limited to) the infusion is cut off. Furthermore, fortunately, the information that is not urgent is provided by j, for example (but not necessarily limited to) the infusion is completed or the pipeline is blocked. In addition, the infusion status can be viewed from anywhere within the healthcare facility via one or more wireless remote personal digital assistants or other electronic computing devices. As disclosed in more detail below, the system 210 provides an elevated alert for alarms or warnings that have not been indicated as corrected within a preset period of time. The conditions of an elevated alert that may cause an alert or warning are preferably defined by a healthcare facility. Similarly, the time before an alarm or warning escalate can be defined by a health care facility. Thus, a pre-defined alert or warning that is not corrected by a healthcare provider within a pre-defined period will result in an elevated alert for that related alert or warning. Therefore, the audio frequency of the alerts or warnings that the medical staff is notified by the system to increase the alert is preferably increased. Similarly, the volume of the audible audio related to the alerts or warnings of the alert may also be increased Increase. As will be appreciated by those skilled in the art, the infusion system 210 helps to ensure patient safety by checking the infusions given and instructions for the patient. As explained in further detail here, a bar code solution is used, in which the infusion bag and patient ID are scanned 200422917. The infusion information is displayed on the electronic computing device and on the pump to ensure that the right infusion is being given to the right patient at the right time, at the right rate, and in the right way. In one embodiment, the "correctness of the administration" is described, and when the upper right one is discouraged, an auditory and visual notice appears on the electronic device. &Quot; Through a comparison process described in more detail below, when the medical staff sets the infusion fruit rate, if the planned disagreement does not meet the patient's infusion instructions, an audible and visual warning appears on the electronic On the computing device. In addition, any medical staff can check the settings of the infusion system through the electronic device to confirm whether the settings conform to the infusion instructions contained in the central database. In one embodiment, The infusion system and system 210 provide one or more "sub-computing devices or the like to provide audio and phrase announcements and invitations with different severities or urgency levels for rapid identification of messages. Desirably, conventional infusion pump warnings and alarms can also be used by two beta electronic computing devices. Examples # (but not necessarily limited to) are above personal data assistants to keep medical staff informed of all appointments The state of the patient ’s infusion, which saves time in solving problems and improves the safety of work processes. In particular, for reporting purposes, all alarms and warnings are preferably, which can be retrieved from a database of the central system. This retrievable data can help healthcare facilities to check and analyze how many medication errors were avoided through alerts, warnings, and warnings. Desirably, the audible warnings and alarms are configured to sound differently depending on the severity or urgency associated with the 45 200422917 message or problem. Alerts requiring immediate attention are sounded differently than less urgent warnings. The visual text describing the problem is preferably displayed by one or more of the electronic computing devices. In one embodiment, a warning sounds on the personal digital assistant when the infusion is near completion or is completed. The personal digital assistant also displayed the patient, location, type of infusion, and time remaining before the infusion bag became empty. At any time, medical personnel can take advantage of the status of the infusion via a personal digital assistant, and therefore respond accordingly. In one embodiment, before visiting the patient's ward, the medical staff can view the status of the infusion on the personal digital assistant to determine: again: when another bag 1 is needed soon, another infusion bag is needed, then You can save time by carrying a new bag on your first visit without having to realize that you need a new bag after arriving at the patient's ward. Similarly, the pharmacy can view the status including the remaining time, so that

Schedule the infusion of the next infusion bag (inixinge).

If desired 'and as those skilled in the art will recognize, other alarms and warnings regarding the infusion pump can be used as an electronic computing device located remotely from the infusion pump. Appropriate resources can be displayed on the electronic computing device, thus saving care time and steps in solving problems. As noted above, ^ When a pump reports or warns, 'medical staff can watch patient information, medication instructions, and alert or warning messages on a personal digital note, and collect them before going to the patient's ward Necessary items to actually change the conditions of this alert or warning. 46 200422917 In one embodiment, the infusion system 21 provides a configurable, time-based alert to remind medical staff of scheduled infusion instructions. In this connection, a tapering instruction to perform Ns for two hours at 200 ml / hr and then drop to 50 ml / hr caused the infusion system 21 to warn the nurse to reduce the rate two hours after the start of the infusion. Furthermore, when the scheduled infusion exceeds the time tolerance set by the facility, a delayed warning is provided to notify the medical staff. Furthermore, time-based protocols, such as the warning for pain assessment, are initiated after the infusion of epidural morphine. f The configurable features of the infusion system 210 also include audible warnings from an electronic computing device such as a personal digital assistant. Preferably, the consciousness warning can be configured by a healthcare facility and within a specific unit of the healthcare facility to meet a unique environment within the healthcare facility. As previously indicated, a plurality of visual warnings and messages may be displayed by an electronic computing device such as a personal digital assistant to indicate the importance or urgency of the flood. Desirably, color, flicker, and bold text are options for displaying messages. In addition, hyperlinks can be provided when messages are generated. Images on the display can also be used, and emergency messages can be configured to interrupt the handheld electronic device, etc., to immediately alert medical staff. Furthermore, the alert / warning alert is raised by the system 210. The alerts / warnings and their escalation alerts are detailed below. . "Also as previously noted, the infusion system 210 allows medical personnel 47 200422917 b to be able to view all fluids or designated patients on an electronic computing device such as a personal digital assistant or the like, thereby reducing Time spent traveling to and from the patient's ward. In addition, the prescription information is displayed on the electronic calculation unit for the amount of medicines, diluent, dose, and rate = verification for the infusion. In addition, the instant of the infusion The status of the infusion is viewable, which shows the amount of ml per hour or the like, the duration of the infusion, the amount of infusion, the remaining day-to-day interval, and i to be infused. As previously noted, the status of the infusion and The flow rate history can be viewed from anywhere within the healthcare facility via these electronic computing devices. As described in further detail here, the infusion system 2 can calculate the commanded dose based on the patient's weight 'And show the appropriate rate of infusion. If the infusion is set to proceed beyond the ordered dose, the mental system is generated. Furthermore, pediatric Pediatric dosing is available and is configured for use in pediatric units within healthcare facilities. In one embodiment, the state of the primary infusion and the secondary infusion such as a piggy back It is displayed on an electronic computing device such as a personal digital assistant by the infusion system 21. The medical staff can check the 1 left in a small soft bag for infusion at any time, and when the small When the soft bag is used up and the main infusion has been restarted, a flood is displayed. In addition, the message is sent to the pharmacy to replenish inventory and infusion instructions. The right is expected, the 210 infusion system allows medical care Facilities are not sufficient to define the limits of system infusions and are used to warn medical personnel who plan to perform infusions beyond the set range. The warning can be configured with 48 200422917 to allow medical personnel to override the warning or prohibit Withdrawal. As will be appreciated by those with ordinary skills in this technology, withdrawal of certain infusions can be avoided to prevent inadvertent patient acceptance. Overdose. The infusion system 210 can also provide reference information showing the needs of each professional unit within the healthcare facility. In addition to the policies and procedures of the professional unit, the drug information can also be used, for example, in a personal digital assistant. View on the electronic device. The guidelines (prOt〇c〇1) and standard instructions can be configured to provide information according to the condition of the patient. In one embodiment, for example, heparin infusion guidelines are grouped The state setting is to warn the medical staff of a new blood glucose result, and the titration method is used to measure a set number of milliliter of insulin (insuiin) infusion according to the criterion of sliding scaie. When the messages or notifications are related to the condition of the patient, the messages or notifications are transmitted to the nurse related to the specific infusion through the rules set by the configuration. In one embodiment, a message is generated, for example, when a patient receiving a nephrotoxic infusion has an increase in BUN (blood urea nitrogen) and creatinine. In addition, when a certain infusion is measured by titration, configuration criteria can be configured to generate messages. In one embodiment, 'for example, when a medical staff measures a dopamine infusion by titration, a message recording blood pressure can be configured. Furthermore, hemodynamic monitoring parameters can be linked to the infusion to generate information. As pointed out previously, a 'new infusion command can be configured to provide a message warning 49 to the healthcare practitioner that there is a new command. Messages can be configured to be audible and visually visible, for example, female, colored warnings, flashing hyperlinks, images, and the like. The P4 command and the discontinue command can be configured as an old version of the message forwarded by k to separate it from non-emergency messages. Fortunately, the news of ‘Father ’s Land’ education has been created and set through the care of health care facilities. In a conference office, officials, and implementation examples, for example, the need for a specific tube group (such as 'non-PVC tube group') infusion system leads to the presence of a message to notify medical staff: in another- For example, an infusion system that requires access to the central vein results in a warning that is indispensable and cannot be infused in a peripheral vein. In one embodiment, a scheduling message is generated and On top of an electronic computing device, to remind the user to complete the time of changing the infusion rate to change the infusion rate at the time of exhaustion, the notification is transmitted to these electronic computing devices, for example, in the case of a reduced infusion. In addition, a criterion with a time-based warning can be configured, for example, a blood transfusion criterion. Turning again to Figure 1, and as noted above, the patient care system 100 allows the prescription, dispensing, and administration of drugs to occur at the patient's bedside. Physicians have no hand H device, simple and complex prescriptions, intravenous treatments, and total intravenous nutrition (TPN) treatments. The infusion system 21 checks for drug interactions and other possible errors and correct dosages. The infusion department and the department 210 then immediately transmitted this information to the patient care facility or the local pharmacy, hospital care unit, 50 200422917 home care unit, and / or clinic. Medical staff can use this handheld # 次 _ 廑. i plus set up to access a medical record shell library. In one embodiment, the medical tank / Lu 7 Mod i-a, η-scans the bar-coded objects and patients with -π Barcoded bracelet ”to confirm the existence, dosage and time of the correct medicine before giving any medicine. The infusion system 210 updates medical and medication records to eliminate most, if not all, of the time-consuming paperwork. As a result, infusion systems can reduce costs and improve efficiency, and may save lives. The patient care system 100 may include access to controlled operations and fixed storage of medicines and supplies, which includes the Leifadian Hall # Your 13 patients' medical records and computer prescriptions, from the treatment point Provide complete preparation and inventory management to the pharmacy. As previously mentioned, Figure i is a graphical representation of the patient care system 100. The patient care system 100 includes a pharmacy computer 104 connected via a network 102, a central system 108, and a treatment site 106. In one embodiment, the pharmacy computer 104 includes a processing unit 104a, a keyboard 104b, a video display 104c, a printer 104b, a bar code reader 104e, and a slider. Rat 104f. Although not shown in Figure 1, the patient care system 100 may also include a subsystem for hospital management, a nurse station, a clinical information subsystem, a hospital information subsystem, a hospital admission, discharge, and transfer (ADT) subsystem. , Billing systems, and / or other secondary systems typically embedded in conventional patient care systems. Such a system is typically connected to the second central server 108a interface. In one embodiment, the central system 108 includes a central servo computer 108a, a database 108b, a video display 108c, an input / output module 51 200422917, and others known to those having ordinary skill in the art. Known * hardware components. The network 丨 02 preferably includes a cable communication system 110 section and a wireless communication system section. The cable communication system 110 may be, but is not limited to, an Ethernet cable system and a thin net system. In one embodiment, the treatment location 106 may include a treatment bed 106a, an infusion pump 120, and a medical treatment cart 132. In the i-th figure, the personnel 116 and the patient 112 are displayed in this treatment position. Drug 124 may be a type that is administered using an infusion pump 12 or other medical # device. The medicine 124 may also be a type that can be administered without using medical devices. The medicine may be stored in a medicine storage area 132a of the medical treatment trolley 132. Medical personnel 6 are using digital assistants 118 in the process of administering drugs 1 to 24 to patients 112. In an embodiment, the medical staff 116 uses a digital assistant 丨 j 8 in the treatment of the patient 112 to communicate via the first wireless communication path 1M: net, 102 of the electrical winding communication system 110. The infusion fruit 120 has the function of communicating with the electrical communication system 110 via the second wireless communication path 128. The medicine cart 132 also has a function of communicating via a wireless communication path (not shown in FIG. 1). -A wireless transceiver 114 is connected to the 110 interface of the communication line of the electrical line. The wireless communication system f of the network can use, for example, but is not limited to, a technology known in the art, such as, for example, 802.11b "Wireless Ethernet" ^ , Kushiro, wireless local area network, tree-like network-cloth-like network, wireless Internet of existing systems 52 200422917 points, Ethernet, Internet, radio communication, infrared , Fiber, and telephone. Although the communication paths are shown as wireless communication systems' in Fig. I, these communication paths may be communication paths of fixed connections. In the patient care system 100, a physician may prescribe a medication 124 to a patient 112. In a tenth embodiment, the instruction may be derived from the medical staff 116 at the treatment location 106. The physician and / or healthcare personnel 116 may use a computerized physician order entry system (cpOE), a medical cart 132, or similar device ' to prescribe medication 124 to the patient. The general giants in the zhenzhen technology are familiar with the computerized doctor's order input system. Despite its name, any medical staff 116 can use the computerized physician order entry system. If the drug 124 passes through the infusion fruit 120, and the administration is efficient, the infusion instruction includes the f message of the operating parameters for generating the infusion pump 120. The operating parameters are information and / or instructions that must be set to plan the infusion fruit 120 to operate according to the infusion instruction. 〆 The infusion instruction can be input at various locations, such as the treatment center m and the treatment floor i⑽. When the finger is entered in the medicine, '彡 may be in the pharmacy computer 104' via an input / output device such as a keyboard 104b, a mouse 104f, a touch screen display, a cp〇E system, and / Or, the medical treatment cart 132 is input. The processing unit 104a is capable of converting the instructions of the individual workers into computer-readable Z materials. For example, a device of CP0E can convert the instruction into computer-readable data before the instruction is directed to the processing order = 104a. The operating parameters were then printed on a drug 53 200422917 label 124a in barcode format by a printer 1G4d. The label ma of the drug is then affixed to a container of a drug 124. Then, the container of the drug Kobe J 24 was transported to the treatment position 1G6. ㈣124 can then be administered to the patient in a variety of ways known in the art, including orally and through an infusion pump 120. If medication 124 is administered orally, medical staff 116 may communicate via digital assistant 118 and / or medical cart 132. The medical cart 132 is computerized and generally has a keyboard (not shown), a display 132b, and other input / output devices such as a barcode scanner (not shown). As will be appreciated by those with ordinary skills in the art, the infusion bag can also be pre-mixed, and a non-specific patient barcode is attached to the bag to identify the drug 124. Furthermore, the infusion bag can be mixed in the pharmacy or on the floor, and a barcode for a particular patient is attached to the bag, which identifies the drug i 24 and, if desired, the drug When will it be administered to the patient. At the treatment site, the medication 124 may be installed above the infusion pump 120 and flowed from the infusion pump 120 to the patient 112 using an intravenous (IV) line 130. The infusion pump 120 may include a pumping unit 120a, a keypad 120b, a display 120c, an infusion pump ID 120d, and an antenna 120e. The conventional infusion pump can be provided with a wireless adapter (not shown) to facilitate the complete implementation of the system 100. If necessary, the wireless adapter may have its own battery to avoid shortening the battery life of conventional infusion pumps. The wireless adapter can also use intelligent data management, such as (but not limited to), storage and delivery of data management and data 54 200422917 to reduce power consumption and network transmission. The wireless transfer can also include the function of communicating with the digital assistant, even when the network 102 is not in operation. In one embodiment, the patient care system 100 may include various identifiers, such as (but not limited to) the identifiers of personnel, equipment, and drugs. In FIG. 1, the medical staff 116 may have one medical staff Badge 116a identifier, patient 112 may have a wristband 112a identifier, infusion pump 120 may have an infusion pump ID 120d identifier, and medication 124 may have a medication label 124a Identifier. The medical staff badge 116a, wristband 112a, infusion pump ID 120d, and medication label 124a contain information to identify the person, device, or medication connected to it. These identifiers can also have additional information. For example, the label 124a of the drug may contain information about the intended recipient of the drug 124, operating parameters for the infusion pump 120, and information about the lot number and the expiration date of the drug 124. The information contained in the identifier can be printed, but is preferably printed in a device-readable format, such as (but not limited to) an optically readable device format such as a bar code, Examples include RFID, iButton, smart card radio frequency (RF) device-readable formats, and laser-readable formats. The digital assistant 118 may include a display 118a and have a function of reading the identifiers, which includes reading biometric information such as fingerprints. The wristband 112a is typically when the patient 112 enters a medical care facility 'Set on top of this patient 112. The wristband 112a contains a patient 55 200422917 identifier. The patient identifier can be white ^ J 付 "乂 contains printed information to identify the patient and additional information, such as the name of a treating physician. The patient identifier for the disease string m may include, for example, but is not limited to, the patient's name, age, social security number, patient's blood type, address, allergy, hospital ID number, and the name of the relative of the patient. Information. In one embodiment, 'if desired or desired #, the patient identifier may include a unique reference code or password for the patient, and is also stored in a central database for communication Contrast. Figure 2 is a block diagram of computer 2GG, which represents the pharmacy computer 104, central system 108, cp〇E, digital assistant 118, and / or internal computer of Figure 1 A computer included in any number of other secondary systems, such as the medication cart 132, that communicate via the network 102. As previously indicated, the computer 200 includes the infusion system 21 or a part of the infusion system 21 for use in the patient care system, system 1GG. The infusion system described with reference to Figure 2 is preferably a computer program. However, in addition to being implemented as a computer program, the infusion system can be fully or partially implemented as a method and system. A key consideration in this technique is that the right drug is administered to the right patient. Therefore, the infusion system 2110 includes features to help ensure that the right medicine is administered to the right patient in an efficient manner. The infusion system 210 may be implemented in software, firmware, hardware, or a combination thereof. In one mode, the infusion system 21 is implemented by software into an executable program and executed by one or more special or 56 200422917 I digital computers, such as a personal computer ( PC; 1⑽ compatible, App 1 e compatible, or others), personal digital assistant, workstation, microcomputer, or mainframe computer. An example of a general purpose computer that can be used with the infusion system 210 is shown in FIG. The fluid system 210 may exist in (or cause its various parts to exist in) any such as (but not limited to), the pharmacy computer 104, the central system 108, the medication trolley 132, and the digital assistant 118. Computer. Therefore, the computer 200 in FIG. 2 represents any computer in which the infusion system 21 exists or is partially present. Generally speaking, as far as the hardware architecture is concerned, as shown in Figure 2, the computer 200 includes a processor 202, a memory 204, and one or more communicatively coupled via a local interface 108. Input and / or output (1/0) device 206 (or peripheral equipment). The local interface 208 may be, for example (but not;), or a bus or other wired or wireless connection, as known in the art. The local interface 208 may have, for example, a controller, a buffer (cache), a driver, a repeater, and a receiver, and an additional 7G piece (which is omitted for the sake of brevity) so that the communication becomes possible. Furthermore, the local interface may include addresses, controls, and / or data connections to enable proper communication between other computer components. The processor 202 is a hardware device for executing software, especially software stored in a memory 2 ?. The processing H 202 can be any special or commercially available processor, a central processing unit (cpu), several auxiliary processors associated with the computer's processing, a semiconductor-based 57 200422917 microprocessor ( In the form of a microchip or chipset), a macro processor

(maCrOprOceSSor), or substantially any device used to execute software instructions. Examples of suitable commercially available microprocessors are the following: PA-RISC series microprocessors from Hewlett-Packard Co., 86 or PentiUm series microprocessors from Intel Corporation, PowerPC microprocessors from IBM, Sun Microsystems Microsystems @ SParc microprocessor, or 68XXX series microprocessors from Motorola. The processor 202 may also represent a decentralized processing architecture. For example (but not limited to), muscles, “Heart APL KLisp Snobol > Developer 200 'MUMPS / Magic ° S memory module 2G4 may contain memory devices (For example, random access memory (RAM, such as DRAM, SRAM, SDRAM, etc.)) and non-dependent memory elements (for example, _, hard disk, tape, CD brain, etc.)- Or a combination of them. Furthermore, the memory volume may include electronic magnetic 14 photons, and / or other types of storage media. The memory 204 may have a decentralized architecture in which various components are located at the far end of each other, but are still accessible by the processor 202.

The software in the 'memory body 204' may include-or a variety of individual programs. j An & & system includes a sequential list of executable instructions for performing logical functions. In FIG. 2, the soft system in the memory 204 includes the infusion system 21 of the present embodiment and a suitable operating system (0 ·〗. A non-exhaustive list of examples of suitable commercially available operating systems 212 The list is as follows. (A) Windows operating system available from Microsoft Corporation. (B) Israeli operating system available from Novell; 公司 Macintosh available from Fruit Computer ( Macintosh) operating system; available ^ 58 422917 For example, many are sold by Hewlett-Packard Company, Sun Microsystems, and AT & T. Commercially available UNIX operating systems; (e) Free and readily available on the Internet Software LINUX operating system; (f) VxWorks operating system from WindRiver Systems; or (g) w Application-based operating system ^ For example, in a handheld computer or personal digital assistant (PDA) Make a spoon operating system (for example, ^ almOS available from Palm Co., Ltd. and Windows CE available from Microsoft). The operating system only controls other programs such as the infusion system 21 〇 # computer program Execution and scheduling Input and output control, file and data management, recording, hidden body management, and communication control and related services. The infusion system 210 can be an original program, an executable program (target (Obje code), script, or Is any other entity that includes—a set of instructions to be executed. When the original program is converted by a compiler, combiner, interpreter, or the like, it may or may not be included in memory 204. It's easy to operate properly with 0 / s 212. Furthermore, the infusion system 21G can be written as an object-oriented programming language, which is a category with data and methods, or a programming language, which It has «hanging people, and / or functions, such as (but not limited to), c, 匸 + + 'p_i' Basic, F〇]: tran, coboi, μ,] _, and application In one embodiment, the system program 210 is written in C ++. In the example, the infusion system 21 is generated using BuUder. The 1/0 device 206 may include a wheel Access devices, such as (but not limited to) 'keyboards, sliders , Scanner, microphone, touch screen, interface for various medical equipment, barcode reader, stylus, Ray 59 200422917 radio reader, RF device reader, etc. Furthermore, this / 〇 shock set, can also include output shock set, such as (but not limited to) ~ table machine ', bar code printer, display, etc. We / 〇 device 2 06 can also include as input and output communication Devices, such as (but not limited to), modulators / demodulators (modems; used to access other devices, systems, or networks), radio (RF) or other transceivers, telephone interfaces, bridges (Bridge), router, etc. If the computer 200 is a PC, a workstation, a personal digital assistant, or the like, the software in the memory 204 may further include a basic input / output system (BIOS) (not shown in FIG. 2). The BIOS is a basic software routine that initializes and tests the hardware at startup, starts at 0 / s 212, and supports data transfer between hardware devices. The BIOs is stored in ROM, so the BIOS can be executed when the computer 200 is started. When the computer 200 is in operation, the processor 202 is configured to execute software stored in the memory 204, transfer data to and from the memory 204, and control the operation of the computer 200 substantially based on the software. . The infusion system 210 and 0 / S 212 are read in whole or in part (typically partly) by the processor 202, and can be temporarily stored in the processor 202, and then executed. When the infusion system 21 0 is made of software, that is, as shown in FIG. 2, the program of the infusion system 210 can be stored on any computer-readable medium, by or in combination with any computer. Related systems or methods are utilized. As used herein, a computer-readable medium is an electronic, magnetic, optical, or other entity that can contain or store a computer program. 200422917 device or organization for use by or in conjunction with any computer-related system or method. The money / night system 210 can be implemented in any computer-readable medium, by or in conjunction with a system, system, device, or component that executes instructions

Using, for example, a computer-based system, a processor-based system, or other system that can fetch and execute instructions from the system, device, or component that executes the instructions. In the context of this document ... A "computer-readable medium" can be any device that can store, communicate, disseminate, or transmit a program to or from a system, device, or component that executes instructions Make use of it. Examples of the computer-readable medium θ are (not limited to) 'electronic, magnetic, optical, electromagnetic, infrared, or semiconductor systems, advanced devices, devices, or propagation media. More specific examples of computer-readable media (not fully listed) would include the following: Electrical connections (electronic) with one or more wires, portable computer discs (magnetic) , Random access memory (RAM) (electronic), read-only memory

(ROM) (electronic), erasable and programmable ROM (EPROM, EEPR0M, or flash memory) (electronic), optical (optical), and portable CD-ROM only Memory (CDROM) (optical). Please note that the media that can be easily accessed can even be the paper on which the program is printed or other suitable media, because the program can be electronically scanned by optical scanning such as paper or other media. They are captured, then compiled, interpreted, or processed in an appropriate way (if necessary), and then stored in computer memory. In another embodiment, the infusion system 210 is made of hardware, and the infusion system 210 can be completed by using any one of the following techniques well known in the art 61 200422917 or a combination of techniques. Discrete logic circuits of logic gates for implementing logic functions on data signals, special application integrated circuits (ASICs) with appropriate combinational logic gates, programmable gate arrays (PGA), field programmable gates Array (fpga), etc.

Descriptions or blocks of any process in the drawings such as Figures 3-11 are intended to be understood as modules, fragments or parts representing hardware, software or the like, which may contain Logic function or one or more executable instructions in the process, and alternatives are included in the scope of the embodiment, where different from the shown or discussed depending on the function involved. To perform functions sequentially, this includes performing at substantially the same time or in the reverse order, as would be understood by those having ordinary skill in the art. Patient care system components

Figure 4 is a first block diagram showing the functional components of the patient care system of Figure 1; As shown in Figure 4, the patient care system 100 can be implemented as a modular system, where the module system represents various functions of the patient care system, which includes the infusion system 21〇 (第2)). When the system is implemented as a modular system, the flexibility of the patient care system and the infusion system can be enhanced. The module of the infusion system 21 (Figure 2) can be included in various parts of the patient care system 100. In one embodiment, the functional components of the patient care system may include, in particular, a drug management module 302, a prescription generation module 304, a prescription activation module 306, and a prescription authorization module 308. The drug management module 302 can coordinate the functions of other modules for drug delivery in the patient care system ι〇62 200422917. The drug management module 302 is generally coordinated with other parts of the patient care system 100. The medicine

Property management_302 may include a sub-module for operation and / or connection with the CPOE interface, a sub-module for operation and / or communication with the treatment point module, and a module for operation and / or medical comparison Sub-module for group communication. In Figure 4, the 'ADT' interface 31, the billing interface 312, a laboratory interface 314, and a pharmacy interface 316 are shown. The ADT interface 31 is used to capture, for example, patient's basic information, body type, weight, and allergy information. In a preferred embodiment, the ADT system and system use an HL7 type interface to transmit events inputted into the hospital's ADT system to the second central server 108 &. HL7 is a protocol for formatting, transmitting, and receiving data in a healthcare environment. It is a standard for transmitting information to provide interoperability between healthcare information systems. This enables different healthcare applications, such as various third-party applications.

Program 爿 b is sufficient to change key clinical and drug data sets. Typically, in this system 100, the HL7 ADT interface is composed of three applications: HL7 ADT server, HL7 ADT client, and HL7 ADT viewer. The pharmacy interface 316 is input from the pharmacy. The pharmacy interface 316 may be an HL7 type interface, which is connected to other systems for inputting commands, such as a CPOE interface. This function reduces the need to enter data into the patient care system 100 more than once. The pharmacy interface 316 can be configured for use with commercially available third-party systems such as (but not limited to) Cerner, HBOC,

Pyxis, Meditech, SMS, Phamous, communicate with similar people. Example of a web 63 200422917 service interface that can support the administration of oral medications θ

McKesson MminRx, pyxis Verif5, etc. + + / σ Jue point music; ^ κ 丨 between the management system and infusion pump-related drug management, instant adjustment. Various other interfaces that are also of ordinary skill in the art are not shown in Figure 4. ’For example, the function of the test, music allergy limit period. Food can include cases, premature infants, and area-related systems to avoid losing from the same patient

The drug management module 302 may have additional features to be caused by incompatibility between drugs and drugs, repeated dosing, restrictions on drug dosages, restrictions on frequency of medications, drug control, and contraindications to drug diseases The interaction of adverse reactions with alcohol can also be noticed. Drug restrictions such as (but not limited to) restrictions on adults, children, toddlers, newborns, seniors, age groups, weight groups, height groups, and body surface restrictions. In one embodiment, two different sources within the drug management module 300 patient care system 100 are related to the same prescription.

The medicine management module 302 may also include a report generating function. The two reports σ include (but are not limited to) the end of the shift (t), titration information, patient event list, infusion history, pump performance history, pump position history, and pump maintenance history. The shift end report can include the pump channel, start time ... beam interval, main infusion, small soft bag infusion, medication, dose, rate of pump status, amount of infusion, remaining amount, time remaining, and time of last clearing . The infusion history report contains medicines and amounts infused. A medicine management module 302 may also include a shell library for medical device status. The medical equipment status database contains information indicating the location of medical equipment 64 200422917 332 within the patient care system 100. The medical equipment and equipment status database may also include data indicating the past performance of the medical device 332. The medical device status database may also include data indicating a maintenance schedule and / or history of the medical device 332. An infusion prescription or instruction is entered in the prescription input 324. Such instructions may include, for example, but are not limited to, single-dose infusions, intermittent infusions, continuous infusions, sequencing, titration, and parent type. Infusion prescriptions can also include total intravenous nutrition (TPN). Continuous infusion of admixtures, chemotherapy, small weight bags, parenteral, and other infusion prescriptions. The patient care system 100 can operate with no end date as instructed. The patient care system] [00 uses a continuous schedule generator that takes into account a predefined period in the future and generates a schedule for the supply mix for that period. The predefined period may be defined at the level of the patient care system 100 or at a level of a sub-system such as the level of a clinical discipline and the level of an organization. This predefined period can be adjusted by the healthcare professional M 116 who enters the instruction. The plan 4 ♦ The table can be extended automatically, as long as the instruction is valid in the patient care system 100. The Kou Hai prescription generating module 304 is a hard prescription and an electronic (E-copy) prescription. Text prescriptions in medical facilities are generally produced in three copies. The first copy of the text 318 is generally transmitted to the pharmacy, the first copy of the text 320 is generally stored as a patient record, and the third copy of the text 322 is transmitted to the treatment site 106. The electronic prescription 65 200422917 is transmitted to the medicine management module 302. The prescription generating module 304 may include a confirmation operation parameter. The operating parameters may be determined based on information from the prescription input module 324. Prescription generation 304 can occur anywhere in the patient care system 100, such as (but not limited to) a pharmacy, a treatment location 106, and a care center. A computerized physician order input (CP0E) system or the like may be employed to perform some or all of the functions of the prescription generation module 304. The medical personnel 116 can input information in various ways, such as (but not limited to), using a tablet wireless computer, a personal digital assistant, a treatment cart 132, and a workstation. The drug management module 302 can be connected to more than one prescription generating module 304. The medication management module can receive instructions from anywhere within the patient care system 100. The Pharmacy Computer 104 series can access the electronic copy from the drug management module 302. The prescription activation module 3006 is a computer-assisted system for coordinating 4 parties' #medicine to label. The prescription supply and the generation or location of the medication 124 from the inventory are handled by the prescription activation module 306. In one embodiment, the medication supply process results in the generation of a label 124a of the drug relative to the prescription initiation process. The patient care system 100 can bypass the prescription activation module 306. This may occur when, for example, a healthcare professional 116 ordered by a patient's physician has the power to initiate an order immediately. If the instruction is immediately activated ', the medicine management group 3G2 can directly supply the medicine, and therefore proceeds to the prescription labeling module 326. Patient care system in box 326] 〇〇Series printed drug collection 66 200422917 124a. The prescription can be printed remotely, so it will often be printed by the pharmacy printer 104d. After block 326, the patient care system proceeds to block 328. At a block 328, a label 124a of the medication is affixed to the medication 124. The pharmacist generally provides a visual confirmation 334 of the first copy of the drug's label 24a for compliance with the prescription. Figure 4 shows that a visual confirmation 334 is also associated with the prescription authorization module 308. The medication 124 can then be transported from the pharmacy to the treatment location 106. The portable medical cart 132 can be used as part of the path from the pharmacy to the treatment site 106. The label 124a of the medication may contain information for preparing an infusion bag. If the drug label 124a is not generated within the patient care system 100, the drug label 124a may be provided by a large number of drug suppliers. When provided by a large number of drug suppliers, the patient care system 100 collects information from the label ma of the drug. In addition, the patient care system 100 can add information such as the patient identifier to the label of the drug 2 ". —The labeling module 328 of the drug sets the label 124a of the drug to the drug 124 This can be done manually. This can also be achieved by using an automatic F-side drug supply and packaging system (not shown). If the automatic drug supply and packaging system is used, then the drug labeling module commits Series 8 provides the labeling for drug m and the drug supply and packaging system.

data. J At 'Oral treatment location 106, medical staff 〖Bai 116 is using a wireless device 330', such as digital helper 118 and / or medical cart 132, and it is also possible to give the drug 124 to the patient 112 What is the wireless device and the drug 67 200422917 The management module 302 communicates via a communication path such as the first communication path 26. The medical staff 116 scans the badge U6a to indicate their identity, and through knowledge and description The wristband 112a is used to identify the patient. 2, the medicine 124 is scanned by scanning the tag 124a, and the medical device 332, such as the infusion pump 120, is scanned by scanning the tag 120d. The medical staff 16 may also borrow The identity is provided by providing a fingerprint and / or a password as described above and shown in the login day 1903 shown in Figure 19. The medical device 332 may be a two-way communication capable of communicating with the drug management module 302. Medical equipment. F Alternatively, the medical equipment 332 can only provide information to the drug management module 302. The infusion system 21 assists the medical staff 116 in giving and verifying medical treatment. In an alternative implementation In an embodiment, the infusion system 21 may include downloading of operating parameters to the medical device 332. The medical staff 116 may provide a visual confirmation to confirm whether the third 322 and / or mar meets the labeled drug 124. The scanner 338 can be used to input machine-readable information from the second copy 322 of δH to wireless device 330 and medical equipment 332. _ The patient care system 100 can adjust and modify the infusion instructions. In particular, the modules that can include infusion adjustment functions are the prescription input 324, prescription activation 306, prescription authorization 308, and prescription modification module. The medical staff 116 uses the prescription modification module 336 to make adjustments to the instructions. The medical staff 116 can The patient care system 100 uses the prescription modification module 336 everywhere. However, a very useful location for the medical staff U6 to use the prescription modification module 336 is at the treatment location 106. 68 200422917 #In the prescription authorization module 308 The patient care system _ judges whether li personnel m has the power to independently modify an infusion instruction. A medical caregiver can be recognized as having authority by the Department of Patient Care ^ Amend certain parts of the order 4 When the medical staff 116 does not have the power to modify the order alone, a pharmacist or physician can be requested To approve the changes entered by the medical staff 116. "In a method of the patient care system 100, the instruction is input to the music computer 104. The instruction includes a first patient identifier and an operating parameter. The pharmacy computer 104 generates a The medicine label 1243 'is attached to the medicine bag or container. The ㈣124 is transferred to the treatment position f⑽. At the treatment position ，, the medical staff 116 uses the digital ㈣m to read the medical staff's badge 116a, the patient Wristband U2a and drug label i24a. The digital assistant! ^ 8 reports whether the drug label 124a and wristband n2a correspond to the same patient 112 based on the judgment made by the central system 108. The system 100 then transmits The drug identifier is sent to the pharmacy computer 104. The pharmacy computer 104 determines the label 124a of the drug, identifies the same patient as the instruction, and transmits the operating parameter to the infusion pump. The operating parameter can be directly transmitted to Infusion pump 12. The operating parameters are then used to plan the infusion pump to administer the medication 124 to the patient 112. Figure 5 is useful in implementing the various functions of the infusion system 21 (Figure 2). A block diagram of an example of a computer day surface 400. Among other functions, the computer day surface 400 can be used to enter new infusion instructions, modify existing infusion instructions, and stop infusion instructions. Computer screen 400 compared to 69 200422917 The best system includes a processing area 402, a plurality of search areas 404, a drug information area 406, a titration / reduction standard area 408, a command and precaution area 41 〇, and a planned solution composition area 412. Infusion medication instructions The types include single-dose, intermittent, continuous, sequential, and alternating types. Computer screen 400 can be used for digital assistant 118, pharmacy computer 104, infusion pump 120, CPOE system, and Medical cart 13 2. The computer day surface 400 is designed to have the appearance and feel as a computer screen that can be used by medical staff in the patient care system in the i-th figure. The computer screen 400 The function is partly using database connection technology familiar to those with ordinary skills in this technology, such as (ren is not limited to), hyperlinks, The definition box (def ini ti〇nbox) and pull-down item list to achieve. — This processing area 402 contains functions to trigger the generation of infusion instructions, storage of infusion instructions 2, modification of infusion instructions, and cancellation of infusion instructions The salesperson 116 can customize the computer screen 400 to provide a better input instruction program for the medical staff 116. The processing area 402 contains a status indicator for the instruction. The processing area $ right also contains An area ^ is used to indicate a just instruction ("if necessary, or" when needed, means:) 疋 Can it be opened by a medical staff! 16. The processing area contains functions for display and adjustment. Operating parameters of medical device 332, infusion instructions: by, infusion tube, infusion administration site, infusion instruction start time, infusion: = type, infusion flow rate tolerance, infusion flow rate, infusion duration, and prepared area (for example, pharmacy Or a remote location). The processing area 2 may also include an area for linking medical instructions to other medical orders 70 200422917 or related clinical supervision, for example, linking a physician's infusion instruction to another medical staff u 6 Entered medical instructions. The processing area 402 may include a starting device for displaying data in other areas of the computer day 400, such as (but not limited to), in the planned solution area 412. The search area 404 makes it possible to search for drugs, solutions and / or additives for infusion instructions. Pre-set dilutions are available for instruction. If a preset dose of a drug is defined in the patient care system 100, the preset dose automatically appears with the search results containing the drug. A search from the search area 404 can result in the name of the drug, the route of administration, cost, package size, dosage form, scientific name, whether the drug is a narcotic, whether the drug is controlled , Prescription, and whether the drug has been made. The medication information area 406 can be used to define additives and solutions for infusion instructions. The drug information area 406 may include individual additive areas and solution areas. The solution area may contain a label "solution / diluent". The patient care system 100 can use a drug database 24, a solution database, and an additive database to make drug 1 24, solution and addition Substances exist in the drug information area 406. Substances identified in one database may also be identified in other databases. These databases can be linked to provide default values for the combination of drug 124 and solution The titration / decrement standard area 408 is generally applied to continuous infusion commands. Titration defines certain parameters of a command, for example, dose and / or 71 200422917 is the flow rate. The dose and flow rate can be entered as absolute values. Furthermore, for example (but not limited to) greater than ">", less than "<, and mathematical symbols equal to" = "can be used alone or in combination to enter information in the titration / decrement standard area 408 A calendar can also be used to enter data in the titration / reduction standard area 408. The dose and flow rate can also be entered as a Acceptable range. When non-continuous infusion instructions are entered and / or modified, the titration / decrement standard area 408 can be hidden. The titration standard can include various parameter values related to the condition of the patient, such as ( But not limited to), various experimental results, vital signs, functions of oral fluids, fluid input and output, and the like. Instructions and precautions area 410 contains a physician who stores, for example, a patient 11 2 and / or a transfusion instruction. The function of the information of the precautions. The ancient command and precautionary area 41 〇 may include a display and query area for identifying the medical staff 116 responsible for the patient 112, such as the patient's physician. The planned solution area 412 is The solution plan and related components are displayed according to the current status of the instructions processed for the patient 112. The period of the foliation can be a preset value of the patient care system 100. This period can also be provided by the medical staff 116 Adjustments. The planned solution area 412 may contain an adjustable number indicating the planned period for the patient care system. The day area is shown. The data displayed in the plan's solution area 412 is roughly stored when the command storage is triggered in the processing area 402. The plan's solution area 412 may include a review of a previously entered instruction when modifying a previously entered instruction Function during this period. This allows the medical staff 116 to view the solution that can be prepared in accordance with the unmodified infusion instruction 200422917. Group 1 of the infusion system

Fig. 6 is a block diagram showing functional components of the infusion system 21 of Fig. 2. These functional components include blocks for setting H system parameters 5 (2), infusion command generation 504, infusion command preparation 506, medication 512, infusion command modification 514, and message transmission 52. Figure 6 also contains blocks for pharmacy authorization 508, physician authorization 51, stop order 516, and inventory and billing early 518. Figure 6 is a description of the infusion system. However, Figure 6 does not define a process that is required for implementing the infusion system 0 δHai infusion system S sigma S λ g 11. _ ^ Benu points 4 people and 116 people can access and enter information from many actual and functional locations within the patient care system 100. For example, an infusion instruction might be CPOE by a physician, a pharmacy computer by a pharmacist, 106, and a medical staff by 6

It is generated using a digital assistant 118 and a medical treatment trolley 132 made by a medical staff. Furthermore, the patient's vital signs, experimental results, and other records can be examined from many locations within the healthcare facility, including, for example, in-hospital pharmacies. Therefore, a user within the hospital pharmacy 104 (picture 1) can view the ward in the medical care facility from the computing device. Upon selection of a ward by a user, a patient list is provided in which the user can select a patient and associated records for display on the computing device. Alternatively, the user may enter all or part of the patient's name into the computing device, whereby records related to the patient are provided to the user for selection through the computing device. At the time of selection, these records are displayed. 73 200422917 In one embodiment, FIG. 6 can be regarded as: first, preparing the patient care system 100 for receiving an infusion instruction—setting a system parameter 502; second, generating the infusion instruction—infusion instruction generation 504; third, prepare the infusion instruction—preparation 506; fourth, authorize the infusion instruction—pharmacy and physician authority 508 and 510; fifth, provide the infusion instruction—administration 512; sixth, accounting and supplementation Used to prepare the inventory of the infusion instruction, and bill the patient with a stock and bill for the infusion instruction 518; seventh, modify the infusion instruction-modify 514; and eighth, provide information to the infusion instruction , Various personnel and sub-systems of the infusion process, that is, to provide information to help ensure that the right medicine is efficiently prepared, and the right dose is provided to the right patient at the right time, or similar者 一 信息 520. Modification 514 may include stopping the instruction-stopping instruction 516-this is based on the information provided by the transmission interface 3 10. The setting system parameter 502 includes a function block which prepares the infusion system 21 to generate and process an infusion instruction. The setting system parameter 502 includes (but is not limited to) setting tolerance 542, setting a preset value 544, establishing a database 546, a sense function 5 4 8 and setting 5 5 0 which determines the system. The setting system parameter 502 is further described below with reference to FIG. 7. The infusion instruction generation 504 is a function block which is used to generate an infusion instruction. The infusion command generation 504 series contains functions similar to those described in the reference place generation 304 (Figure 4). The infusion command generation 504 series includes (but is not limited to) input information 560, calculation 562, check 564, and cancellation 566. The infusion command generation system is further described below with reference to FIG. 8. The result of the infusion instruction is an infusion instruction 702 (Figure 8 200422917 Infusion button 702 roughly contains an infusion plan table § Figure). The infusion instruction may require consultation as described in reference block 308 (Figure 4). In Figure 6, prescription authorization by the pharmacist and prescription authorization by the physician are considered separately in the functional blocks of the pharmacy authorization 508 and the physician authorization 510. If the infusion instruction was initiated by a physician, the physician's authorization may be unnecessary. If the order was generated by a medical staff other than a pharmacist or a physician at the treatment location 106, the infusion order would generally require FDA authorization 508 and physician authorization 51. However, if the medication 124 is needed immediately, the infusion system 21 allows the medical staff to cross prescription authorization 508 and physician authorization 51. In the case of a fish emergency instruction or a routine non-emergency instruction, the infusion system 210 may determine that the patient care system 100 has not stored information about the medical staff 11 6 intended to administer Medical information for patients 1 丨 2. If the infusion system 100 recognizes the medical staff 116 as having the power to initiate the desired medical treatment, then the system 210 allows the administration of the medical treatment to proceed to blocks 508 and 510. This authorization was then obtained after administration. Infusion order preparation 506 can be reached at various locations throughout the medical facility, such as (but not limited to) a pharmacy, a care center, on this floor, and at a treatment location 106. The preparation 506 series includes a finger 80 that provides for preparation of the drug 12 4 and minimizes the possibility of errors in preparation of the drug. The 512 series of administration takes place at the treatment site 106. The infusion system 200422917 210 is designed to make the administration of the instruction as efficient and correct as possible. The infusion system 2H) is a tool for medical staff to provide medicines at the right time 7 and through the right channels, under the right purity, and at the right dose to give the right drugs to the right patients. Assuming warnings, invitations: reminders or other messages are appropriate to assist the medical staff in drug administration, the drug delivery module provides a status information output to the message transmission module, group 520. In response to the status information output, the message transmission module 520 transmits a related text message, an audible indicator enable, or both to one or more electronic computing devices. As is known to those skilled in the art, infusion instructions are often modified. The infusion system 21 is provided with repair & 514 to be responsible for the modification of the infusion instructions. Repair & 514 includes modifications to the duration of infusion, flow rate, infusion site, and stop finger + 516. Modification 514 also includes function blocks required to complete the modification of the infusion instruction. The infusion system 210 may include a stop instruction 516 defined by the entire patient care system 100. Changes in the patient's state can generate corresponding messages 52G of appropriate actions. The infusion system 210 is coordinated with the transport interface 31 to automatically stop the instruction 516 upon discharge from hospital or death. . The system 100 includes an inventory and billing module 518. Inventory and billing 518 allows financial transactions related to patient care to be performed with minimal human intervention. The completion of dosing 512 may trigger the billing of the patient through the billing interface 312. The billing interface can include an HL7 interface. If the patient will be charged based on the completion of the infusion instruction preparation 506 ', then the inventory and billing system 21 will include a crediting process. It can be triggered when the infusion bag is returned to the pharmacy for disposal or re-entered into the pharmacy's inventory management system. 、 The infusion system 210 #White ^ care department " ... The information module 520 is used to communicate with patients ˜4 throughout the body. In particular, the message module 520 enables the instructions of Wenzi m, or both: one or more electronic computing devices within the system. These two messages should be transmitted through the output of status information provided by the patient care system, the drug delivery module within the system 100, or other infusion system modules. These messages are related to the output of the status information, and thus provide warnings, alerts, alerts: or other messages suitable for assisting medical personnel in drug administration. — For example, when a physician enters a new order, a message appears in the pharmacy to alert the pharmacist — an infusion order is in need of authorization. Similarly, when the infusion instruction is properly authorized, the medical staff 116 receives a message transmission on the digital assistant 118 to warn the medical staff 116 that the infusion should be ordered according to the infusion schedule table 704. Dosing. Revocation 5 6 6 can generate §fl 5 2 0 to the physician and / or the pharmacy. The infusion system 100 can distinguish the withdrawal of the entire system and the sub-systems to determine whether it is necessary to generate a message 520. Messaging 520 includes receiving messages from and / or to central systems, pharmacies, physicians, billing and inventory. The system can present the screen of a personal computer monitor to the medical staff 11 6. The personal computer monitor provides a picture that outlines the clinical issues that remain unsolved for the healthcare provider's patient. The medical staff 116 can quickly retrieve detailed information of the patient. When some serious patient conditions prevail, 200422917, the system 100 can also generate an email or page to the digital assistant 118 or other communication device.

Figure 6 also depicts some communication paths that occur in the patient care system. These emphasized communication paths are presented to facilitate the description of the infusion system 210. Those with ordinary skills in this technology recognize that when the patient care system 100 is implemented on the Internet, various functional blocks can be routed through the paths highlighted in Figure 6 and via the path not shown in Figure 6. The alternative paths shown in the figure communicate with each other. Setting the system parameter 502 includes transmitting data about the system parameters to the infusion instruction generation 504 via the path 522 and / or receiving data from the infusion instruction generation 504, and providing information to notify the infusion instruction generation 504 of the received The information is about system parameters. The infusion instruction can be transmitted directly to the infusion preparation 506 via the path 5 2 4. The infusion instruction may also be transmitted to the pharmacy authorization 508 via the path 526 before being transmitted to the preparation 506, and / or to the physician authorization via the path. Path 530 emphasizes the delivery of medication 124 from this preparation area to treatment location 106. Teleportation can be made using a medication trolley 132

Was reached. Paths 532, 534, 536, and 538 emphasize that the transactions of inventory and billing 518 can be linked to various other functions, such as (but not limited to;) 'infusion instruction generation 504, preparation 506, administration 512, and modification. Paths 572, 574, and 576 emphasize a significant number of functions / participants involved in the patient care system 100 and the participants can pass the message 5 to the birth attendant and receive information. Path 582 emphasizes that the system default value 544 can be generated and / or modified by the pharmacist. At the same time, path 58 is a strong word. 78 200422917 Information such as infusion instructions is available to various functional units in the system 100. Fig. 7 is a block diagram showing the functional components used for the setting of the system parameter 502 of Fig. 6. The setting system parameter 502 includes (but is not limited to), setting a tolerance 542, setting a preset value 544, establishing a database 546, defining a function 548, and determining a system setting 55. Tolerance 542 includes, for example, but is not limited to, a net medication tolerance 542a, a flow rate tolerance 542b, a dosing time tolerance 542c, a drug system duration M%, a drug duration tolerance 542e, and The tolerance of the part change tolerance 542f. The infusion system 210 may also include individual tolerances for instruction input and modification of private tolerances. For example, individual tolerances can be determined, such as (but not limited to) the duration of the drug delivery system 542d, the maximum infusion duration setting that can be withdrawn by instructions, and the maximum infusion duration setting that can be undone. . > The net drug tolerance 542a is the maximum concentration of drug that can be safely administered to a patient over a specific period of time. The infusion system 21 0 relates the j drug $ tolerance to the drug. The net drug volume tolerance 542a can be defined in the drug identification file in the drug library. When the infusion command generates 504 =, the infusion system 210 can determine the flow rate of 560e, in a specified period: the number of infusion bags required 562a, the main, 'you, and mother' of each infusion bag The period during which the infusion bag will be administered, as well as two: each of the infusion bag. Flow rate can be manually entered or adjusted by changing the final concentration of each infusion bag: 疋 duration. In one embodiment, the Hailuan fluid system 210 performs a net concentration check 564a (Figure 8) to determine the maximum concentration of the drug 200422917. 1 If you are a doctor in the hospital, you are adjusting the final concentration. 116 When the concentration of the solution is modified to cause the multiplication of the solution to a concentration that exceeds the maximum concentration of the rit + ^ I article, the infusion system, the first 210 system sends a message 52 to the Medical staff taking medication. The health care provider for this administration can be authorized to withdraw the net drug volume tolerance. The infusion system 210 may require medical personnel 116 to provide a reason for the revocation. The infusion system 210 may include an adjustable flow rate tolerance 542b for drug administration and a flow rate adjustment tolerance. The flow rate tolerance 542b is optional to define all levels of the organization of the patient care system 100. The tolerance 542b may be a sub-system for the entire patient care system 100 or a sub-system for the patient care system 100. For example, different flow tolerances 542b may be applied to, for example, but not limited to, neonatal, pediatrics, psychiatrics, secondary systems at specific nursing stations, and for specific patients. The flow rate tolerance 542b may be specified relative to the original commanded flow rate or relative to the previous flow rate. Medical personnel 6 can also specify a special command-specific flow rate tolerance. The infusion system 21 0 may contain a pre-defined indication indicating whether the medicating staff 116 for the administration is allowed to unlock the flow rate tolerance 542b without requiring new instructions. This instruction can be applied to the entire patient care system 100, sub-systems, or individual medical staff. The maximum infusion duration 542d can be individually defined for various parts of the patient care system 100. The maximum infusion duration 542d may also be dedicated to a specific drug. If the maximum infusion duration period 542d is allowed to be revoked at the time of input of the order 200422917, the maximum infusion duration cancellation period 566 (the second and second mentions of the infusion holding, ..., ”can be provided to set in the The largest infusion lasting _ 5 ·, and which group of users are allowed to do this revocation on the occasion of the drug. If the infusion is ordered and / or the phase 1 gate can be revoked, the infusion system, system 21〇 It is possible to define a subset of medical personnel ^ having the power to revoke the largest infusion duration "M. ^

The preset value 544 includes preset values such as (but not limited to), a preset value 544a of the drug diluent, a preset value 54p of the diluent volume, a preset value 544c of the dose, and a preset of the measurement unit. Value 544d. The unit of measurement (u0m) has a default value of 544d, which includes the function of specifying the unit that is most suitable for the measurement of different internal injuries of the patient care system 100. For example, drugs can be measured by physicians, medical staff, pharmacists, financial staff, and drug screeners in different units. The physician's uOM is generally a measurable value such as "mmol", "mEq", "ml", and / or "mg" relative to "vial," and / or "agent" (Puff) ,. The doctor ’s U0M is used to, for example, give instructions and enter information 5 60. The U0M of the medical staff who administers medicine is generally a value that reflects the U0M used by the medicine, For example, "agent", "tbsp", and "tab". The U0M of the medical staff who is administered is used during the administration of 512. The U0M of the medical staff who is administered can also appear in the document record (document at ion ), For example, dosing reports, supply of mixtures, and manufacturing work instructions. U0M of the pharmacy is generally a value that reflects the physical form 81 200422917 used in drug formulations, such as "tablets", "vials,", " Inhalers, and "cans". The U0M of the pharmacy is used in preparation 506 and in the inventory and formulating system. The U0M of finance is generally used to calculate the amount that appears on the bill And the value of the financial amount on the invoice. U〇M for drug screening is generally used when screening drugs. The default value of 544d for the unit tested can be described using a check box table, where the checkmark is checked. It is set in a table which associates various OMs with the OM of the user. The infusion system 210 can use the same OM in more than one function. For example, the OM of a physician can Same as the Pharmacist ’s OM. The preset value 544 contains the information needed to coordinate various UOMs. For example, the U0M default 544d may contain the one-to-one correspondence needed to generate a variety of OMs. Multipliers and dividers. The default value of 54 μm can be changed to meet the expectations of individual medical staff. However, this one-to-one correspondence should be maintained by the patient care system i 00. The infusion System 21 can be counted by δ to maintain a history of preset drug unit values. The remote infusion system 210 can also include a suffix for drug measurement. Some drug measurement suffixes can be preset during command entry The suffix of the drug 1 can be It is a common unit for measuring drugs, and can include units such as patient characteristics such as body surface area and weight. The suffix of drug measurement can be named according to the drug, according to the type of instruction, according to the dose, and 〇〇Μ. Establishing database 546 is part of creating a database and / or a single database, such as (but not limited to), preparation area 546a, additive information 200422917 546b, solution 546c, prefabricated mixture definition 546d, favorite items 546e, timing Reason for cancellation 546f, Reason for cancellation of flow rate 546g, Conversion table 546h, Description of flow rate 546i, Equipment and designated routing information 546j, and Message trigger incentive 546k. Reasons for cancellation of day-to-day order 546f include displayable reasons for modifying the timing of infusion instructions. For example, the timing revocation reason may include an optional reason for the digital assistant display 118 & stylus for $ line one infusion instruction at a time other than the time specified in the original infusion instruction Of dosing. If the medical staff 116 administers the drug outside the indicated dosing time tolerance 542c, then the medical staff 116 may be asked to choose a rationale for the modification from the reasons shown.

By the yard (No. 11). Examples of other reason codes include (but are not limited to) PRN administration reason codes and codes for stopping infusion.

The musical object 124 and / or the infusion instruction may have a flow rate tolerance including a system flow rate limit 542b. The infusion system 21 may include a flow rate withdrawal reason table 546g. The reason for the revocation of the flow rate is 546g. If the medical staff needs to change the flow rate beyond the limit defined by the flow rate tolerance 5421), the medical staff member can choose and / or provide a note—a—. The infusion system 210 may contain a defined message to trigger incentives. If the medical staff 116 revokes the flow rate tolerance defined by an instruction, it indicates L: whether the message should be transmitted to the patient's physician. The infusion system also contains a defined message that triggers an incentive 546k 'If the medical staff is revoked at a level other than the order, such as the flow rate tolerance limit', it indicates whether a message should be transmitted And 83 200422917 to whom. The infusion system 210 may include a conversion table 546h, such as (but not limited to), a flow rate conversion table, a varying component conversion table, and a variable μ-speed conversion table. Flow rate conversion involves converting an infusion command into a flow rate defined by volume / time, where the command was originally specified using any = formula, for example (but not limited to), a dose with a special concentration, Unit weight / time capacity, body surface area / time dose per unit, and total dose and duration. The changing component conversion system includes a process time for converting a plurality of infusion instructions having a changing component in an infusion bag to become a flow rate for the infusion bag currently being used. Instructions with varying components include, for example, but not limited to, sequential instructions. In the ordering instructions, different bag systems have different compositions and potentially different flow rates. Eight changing flow rate conversion system includes changing the infusion solution with changing flow rate: the flow rate of the solution used for the current being infused. Changed flow rate instruction = d a is, for example (but not limited to), a single dose / continuous background infusion al) private order, reduced dose order, and alternating dose order. The infusion system 21G may contain a predefined infusion flow rate 542b . The pre-defined infusion flow rate 542b can be related to the flow rate specification. Gu Ming selects from a drop-down list, as a shortcut to enter the flow. The function S 548 includes, for example, but is not limited to, a preparation area function 5483, a function of the bag duration 5 injury, a function to verify the revocation request 200422917, a function from the continuous period to the capacity 548d, and a function from the duration to the flow rate. 548e, as well as a function of the velocity of the drop. The infusion system 210 may include a function 548d to the valley® for a duration of 5 [theta] to determine the amount of infusion according to the infusion instruction. The function of flow rate to drip rate is just the use of information about medical materials 33G to convert flow rate to drip rate. The determined settings 550 include, for example (but not limited to), settings such as ㈣㈣ 5 center, flow rate accuracy i 550b, volume accuracy grasp, and time accuracy 55 ° d. If desired, the infusion system 210 can determine the total volume of infusion and the flow rate of the infusion command. If these numbers are determined, the calculated values are rounded to a flow rate accuracy of 55 () b and a volume accuracy of 55Gc is required. It is understood by, for example, the staff member 116 of a physician, pharmacist, and nurse . The accuracy of the flow rate display can be set to 55 ° b to display the flow rate to a set number of decimal places. Various parts of the patient care system 100 can independently determine the accuracy of the flow rate used for display. For example, the infusion system 2 10 can be displayed to a decimal point in the adult treatment position and displayed in the treatment position of the newborn. Up to three decimal places. The flow rate accuracy of 550b reflects the service of the patient of the medical staff. The flow rate of the infusion command can be rounded to a system-defined accuracy. The accuracy can be the same for all infusion instructions, or it can depend on the service to the patient. The accuracy of Gu day display 550c can be similarly set to display the infusion volume to a set number of decimal places. If the infusion is a single-dose infusion or intermittent infusion, a settable time accuracy of 55 d can be used to calculate the duration of the administration based on the flow rate. The calculated 200422917 of each infusion bag was rounded according to the volume accuracy of 55 ° c. The administration time is rounded by the infusion system 210 according to the set time accuracy of 55 d. The time accuracy 550d may be the same for all infusion instructions without affecting the service to the patient, or may be specific to the service. Instruction

Fig. 8 (a) shows a block diagram of the functional components used in the infusion command generation 504 of Fig. 6. The infusion command generation 504 is a function block for generating an infusion finger. The infusion command generation 504 includes input information 560, Ye Yi 562, check 564, and revocation 566. The input information 560 may include, for example (but not limited to), a function of identifying an instruction type 560a, identifying a drug 5601, identifying a dose 560c, identifying a diluent 560d, identifying a flow rate 560e, and identifying an infusion site 560f.

The infusion instruction generation 504 is connected to the infusion bag preparation 506, the infusion bag delivery (path 530), the medication administration 512, and the infusion instruction modification 514. The infusion instruction type 560a includes, for example, but is not limited to, single dose administration, bulk administration, intermittent administration, and continuous instruction types. The continuous infusion system consists of alternating infusions, sequential infusions, reduced infusions, and titrations. When the first medicine 560b is selected in an infusion instruction, a form of the infusion instruction type 560a for the medicine may be preset. The medical staff who gave the order may have the option to choose different types of orders. The dose 560c and the measurement unit 544d can also be preset. The unit of measurement 544d can be linked to a drug and / or dose 544c. The infusion system 21 〇 may contain a preset diluent or several preset diluents to use 86 200422917 for the drug. One of the preset diluents can be designated as the preferred diluent. A note can be associated with the diluent to help the healthcare provider who is instructed to decide which diluent to choose. The instructions for the diluent may include a reference that if the patient is hypertonic, then a specific diluent should be avoided for that patient. The infusion system 210 may also allow for an additional infusion instruction sub-type 560a according to the previously mentioned infusion instruction type. Additional infusion instruction times Type 560a may include (but is not limited to) TPN infusion instructions, continuous infusion instructions for chemotherapy, small soft bag infusion instructions, and infusion instructions for large volume injections. The infusion instruction subtypes can be used from different parts of the infusion system 21 (), which allows to sort and filter the infusion instructions based on the infusion types. A special markup format for each type of infusion instruction can also be defined to further customize the infusion instruction type and the associated pharmacy workflow. When searching for a drug 124 during the infusion instruction generation 504, the drug 124 may be labeled as an additive and / or a solution to help the medical staff 116 generate an infusion 'order. Such labeling can be made in the drug identification file. The drug dose 560c can be determined in some ways, such as (but not limited to) based on body weight and body surface area, and entered based on the rate. When the flow rate is not entered, the infusion system 210 calculates the flow rate based on the specified dose and duration. The medical staff who ordered can specify the dilution = 56 ° d and its amount. The pharmacy can provide preset values for this parameter ~ please see line 582 (Figure 6). A check 564 may be performed to ensure that the net concentration 564a and flow rate 564b of the drug 200422917 560b are appropriate. · The infusion system 210 may be specified and / or calculated based on the patient's weight, body surface area, and / or the frequency and duration of the therapy. The indicated flow rate 56oe is checked against the flow rate tolerance of, for example, the system flow rate tolerance 542b. The net concentration of the drug 124 can be checked against, for example, the net concentration tolerance of the 疋 system net concentration tolerance 542a. 564a In one embodiment, the flow rate 560e may also include a description showing a preset flow rate to assist in the instruction output. people. For the flow rate 56Ge, refer to the flow rate explanation and database 546i. The calculation 562 may include calculating the dose based on the patient's weight and / or height (probably provided by the ADT interface 310), the amount of medicine, the volume of the diluent, the concentration, or the rate of radon. Count # 562 彳 includes (but is not limited to) the flow rate of # based on the concentration of the components in the solution (if not specified in $), the amount of bag 562a required for a specified period or the infusion bag The number, the period during which each infusion bag is administered, and the total preparation for each infusion and infusion. The flow rate, volume of fluid to be pumped, and / or duration can be modified. If modified, the infusion system 21 will automatically calculate the corresponding amount based on the calculated value, if it will exceed the maximum dose of the component in the concentration as specified in the drug file: Alas, the patient care infusion system 21 〇 warns pharmacists and / or medical staff 116 and may request a reason code for this adjustment. . The ten count 562 may include, for example, (but not limited to) the calculation of the amount 562a of the bag, the calculation of the difference 562b, and the calculation of the duration to the capacity 562. , And flow 88 200422917 calculation of speed to drip rate calculation 562d. Inspection 564 includes various inspections in which the infusion instruction is regulated and regulated. These tests include, for example, but are not limited to, a net concentration check 564a, a flow rate check 564b, a dosing time check 564c, a continuous check 564d, and an infusion site check 564e. If an infusion instruction fails the inspection 564, the medical practitioner 116 may be able to cancel the inspection. Cancellation 566 can include, but is not limited to, withdrawal of net concentration 566a, withdrawal of flow rate 566b, withdrawal of dosing time 566c, cancellation of duration 566d, and cancellation of infusion section f-position 566e. Revocation 566 may generate message 520 to the physician and / or pharmacy. The infusion system 21 can distinguish between the cancellation of the entire system and the cancellation of the secondary system to determine whether it is necessary to generate a message 520. Revocation may include an indication as to whether the health care provider has the authority to revoke a tolerance. For example, flow rate reversal 566b may provide an indication as to whether the healthcare provider who entered the infusion instruction has the authority to revoke the system flow rate tolerance 542b. This instruction can be applied to a patient care system or a sub-system. The cancellation period 566d of the duration may provide an indication as to whether the medical staff 116 who entered the infusion command has the authority to cancel the system duration period 542d. This instruction can be applied to a patient care system or a sub-system. Revocation 566 also includes an indication of the reason for revocation 566f. The reason for the unlocking 566f can be selected by the medical staff 116 from the pull-down menu. 0 The result of the infusion command 504 is an infusion command 702. The infusion instruction 702 may include an infusion schedule 704. The infusion system 210 can take into account a period in the future and generate an infusion schedule 704 (as long as the infusion 89 200422917 infusion instruction 702 is valid) for use in this period or on request for an infusion bag designated as a longer period supply. The healthcare provider who gave the order is not required to specify the end date of the infusion order. The infusion system 2 1 Q may include automatic scheduling of infusion bag delivery according to a tolerance 542 defined by the infusion system 210. Instruction Preparation FIG. 9 is a block diagram showing the functional components of the infusion instruction preparation 506 used in FIG. 6. The infusion preparation 506 includes a function block for preparing an infusion instruction 702 (Fig. 8). The infusion preparation 506 may include, but is not limited to, determining a preparation position 506a, a scanning component 506b, a check 506c during the duration of the bag, and a barcode printing 506d for the drug label 124a. The barcode second print 506d may include the functions described above with reference to the print label 326 (Fig. 4). After the infusion instruction is input into the infusion system 21, the preparation instruction is routed to a preparation position. The preparation position is determined according to the preparation program 5206 of the infusion system and the infusion assembly. The infusion system 210 may include an adjustable database, such as a preparation area database, which indicates where the infusion instruction will be prepared. The infusion instruction may be prepared in a pharmacy, or at, for example, a location remote from the floor, or at a treatment location 106. The healthcare worker M 116 was guided through the bar code verification of the preparation of the package, using the event management information that can be displayed on the digital assistant UI8 or other display-equipped devices. 1 # π Name the ingredients and their concentrations. 0 200422917 Label 124a of the drug can be printed anywhere. The drug label (24 & preferably) contains a barcode print 506d. The barcode printing 506d may include printing a barcode label l24a for each infusion bag. The label 12 乜 helps to ensure that the medicines on the plate are given in the correct day and / or in the correct order. Alternating and sequencing infusion instructions are particularly prone to sequence and time errors. The barcode sequence Hp 506d may contain a unique barcode label printed for each bag in the infusion instruction 702. The bar code printing 506d may also include printing a bar code label 124a that uniquely identifies a combination of components in the infusion bag and the concentration of those components. The bar code for medication 124 may include a prefix, a suffix, and a National Drug Code (NCD). In one embodiment, the barcode may also include a lot number and an expiration date. Alternatively, another bar code may be provided to include the lot number and a valid date. Other embodiments that include active or passive RFID tags, magnetic stripes, and the like can be used. Administration Figure 10 is a block diagram showing the functional components of Administration 512 used in Figure 6. Administration 512 consists of functional blocks used to administer medication to patient 112. Dosing 512 may include reading a drug barcode 512a, reading a patient barcode 512b, performing an effective date check 512c, providing a notification by titration 512d, providing a flow rate to drip rate display 512e, providing "as required (as needed) "start 512f of infusion, 512g download operation parameters, and time monitoring 512h. The infusion system 210 can also convert instructions that may have more than one flow rate, such as decrement and alternate instructions, to become the flow rate for the infusion bag being administered. The infusion system 210 can also change the instruction of 200422917 to change infusion bags with different components (such as sequencing instructions), which becomes the flow rate of the infusion bag currently being administered.

At the time of the administration of the drug m, the medical staff 116 scans the label 124a of the drug. The infusion system 210 includes a label 124a that scans a bar code when the infusion instruction is initiated, the flow rate is changed, and / or the infusion instruction is stopped. The infusion system and system 21 confirmed that the infusion bag with a bar code label should be administered at that time and is intended for patients. 12 A history of dosing including the flow rate and the amount of dosing can be retrieved and maintained. Some infusion instructions require the suspension of an infusion bag ', the intention being that only a part of a certain amount of the infusion bag will be administered. The infusion system 21 allows the medical staff to instruct the amount of an infusion bag to be administered. Most infusions ^ have the function of defining the amount to be administered or the flow rate and duration. Once this time has elapsed, the infusion pump will automatically avoid further dosing. The infusion system 210 serves as a reminder to the medical staff of the administration that it provides a message on the label 124a of the medication that will be partially administered and the appropriate amount to be administered.

The display of flow rate to drip rate 5! 2e uses the data just generated by the function of flow rate to drip rate to provide the drip rate of the infusion bag used by the medical staff for administration. During medication 512, the medical staff j can use the digital assistant's 118 steps to check the flow rate and other operations to determine the flow rate modification 1 002b (Figure U) is transmitted instantly. The infusion system 210 may include pRN or "as needed, the infusion is initiated. The" as needed "infusion starting 512 is caused by the creation of a new effective order and the preparation of the drug. Such The option may include mentioning 2004200422917 medical staff 116 to select a PRN infusion from a list of expected PRN instructions set up for the patient, and presetting the requested infusion bag as a bag. Medical staff 116 may have The power to modify the requested infusion bag volume. Downloading 512g of operating parameters may include determining whether the patient identifier associated with the medical treatment and / or the patient identifier retrieved from the wristband 112a is in the center The location is the same as the patient identifier of the medical treatment. This judgment is often done by, for example, the first computer of the first central server 09. If the infusion system 210 judges various patient identifiers When not the same, the system can generate an alert message 520. If the infusion system 210 determines that the various patient identifiers are the same, the infusion system 210 can directly download the operating parameters to Medical device 332. The infusion system 21 can transmit operating parameters to the medical device 3 3 2 which is, for example, an infusion fruit 12 0. One benefit of the system program 210 is that the operating parameters used for the medical device 3 do not have to be available at this time. Before operating the medical device 332 with these operating parameters, a digital assistant 118 or any other remote computer must be used. Bypassing the computer at the remote location eliminates the need to administer medication 124 to patient 112 One of the potential sources of error above. Assuming that the confirmation of each item is reached, the operating parameters for the medical material 332 can be "directly transmitted to the medical device 3 3 2". In this context, "directly," means that the operating parameters can be transmitted to the medical device without going through the digital assistant U 8 or any other computer at a remote location. In another embodiment 'infusion Department 210 can contain an additional block (not shown), in which the central computer department accepts a second drug 200422917

The medical staff 116 at the position of the remote editor can enter the second object identification 4. The second drug identifier may be a modified first drug identifier. For example, the second drug identifier can be the ID of the first patient and the source of the known parameter or part of the 2 fluid system and system 210 entered by the electronic physician's medical order. Therefore, the operating parameter can be transferred to the medical device before the "The Haidishiao second drug ID is the same. The second drug ID can be replaced with a modified first drug ID between the time the prescription is entered and the time the drug 124 reaches the treatment location 106. If The second drug identifier is different from the first drug identifier contained in the label i 24a of the drug. The infusion system 21 will emit an alarm sound. In another embodiment, the infusion system 210 may Contains an additional block (not shown) where operating parameters are used to plan the medical device 332.

Various blocks of the infusion system 210, such as block 512, may include displaying the treatment information on the digital assistant 118. This may include information displayed on the display 120c of the infusion system 120. The information on the display 120c of the infusion pump 120 can be supplemented with information about the patient U2, the patient's position, and the infusion instruction. This information may include information about the channels of the infusion pump 120. The displayed information may include, for example, but not limited to, features, prompt lines, status lines, operating images, and beep messages for pump title display. The operation image system includes a falling drop, a stop sign, a small pouch for flow inspection, and a delayed start. The pump header display contains information such as drug labels and infusion rates. Those with general skills in this technology are familiar with the information displayed above and the operating images. The time monitoring 512h of the infusion system 210 calculates how long it takes to complete an instruction 94 200422917 and 4 infusion instructions to be administered. When medical personnel 116 use infusion system, system 21. When giving this infusion instruction, in order to change the flow rate and to check the status of the infusion, the infusion system 21 calculates the time and amount to be administered, and it indicates whether the calculation result is an indication that it will be used. To part of the bag. For example, before the entire amount is administered: at the end of an instruction-when the bag is to be stopped, and / or before the entire amount is administered, a bag within one instruction must be replaced, the caregiver Zhen 116 was warned on Digital Assistant 118 and / or Push + 132. The warning can include a message such as "Please only administer 150ml." Time monitoring 512h includes using a barcode scan to track any changes to the flow rate. The pharmacy is immediately warned to follow this Modification to adjust the preparation of the next required infusion bag 506. The monitoring of preparation 506 and administration of 512 allows just-in-time delivery of the drug 124 is feasible. The just-in-time delivery is reduced due to interruptions or changes The waste of the infusion instruction. Monitoring also ensures the safety of the patient 112. For the titration method PRN instruction, if the titration conditions in the instruction indicate that the flow rate must be changed, the medical staff 116 is automatically notified / Claw speed change. Infusion system 21 0 contains a defined function for calculating the flow rate to drip rate conversion 548f. The value defined by infusion system 21 0 can be adjustable. Infusion system 21 0 can include automatic flow rate to Switching of drip rate 548f to assist medical staff during treatment dosing 116 095 200422917

Fig. 11 is a block diagram showing the function records of the infusion instruction file 1012 and the infusion instruction modification 514 and message transmission 52 of Fig. 6. Modification 514 is a function block that is used to modify an existing infusion instruction. Modification 514 can also be seen as generating new instructions to replace existing infusion instructions. Modification 514 may include modified changes. 〇〇〇2, available for the new instruction, almost all the options to issue 丨 〇04, re-check 1 006, re-check revocation 1 008, and the new flow rate to new points The speed is not 1010. Modifications to infusion instructions often result in documented records 1012 and message transmissions 520. Modification 514 includes the functions described in Reference Recipe Modification Module 336 (Figure 4). However, modification 514 can also be used from other parts of the patient care system 1000, such as (but not limited to) prescription input 324, prescription activation 306, and prescription authorization 308.

Modification 514 includes the modification duration of 1002a, modification of the flow rate of 100 bar, the use of a new infusion site of 1002c, the reason for the modification, 1002d, the specification of the infusion bag's grain volume of 1,002e, and the processing stop instruction if Patient 112 is complaining of discomfort or to promote fluid balance. For example, when patient 112 is vomiting, medical staff 116 may also change the infusion rate without instructions. The modified change 1002 includes a new duration 1002 & instruction 516. The options during the initial infusion command generation 504 are generally available to modify the infusion command. The following options are available during the order of 504, the new flow rate 1 002b, the new infusion site 1002c, the reason for the modification 1002d, and the remaining amount in the infusion bag 1002e. And the stop finger is available under the instruction in the initial infusion finger included in Figure 8 as shown in 96 200422917. Re-check 1 006 and re-check revocation 1 008 are similar to check 564 and revocation 566 described with reference to FIG. 8. The display of the new flow rate to the new drip rate of 1010 assists the medical staff and minimizes the possibility of errors during the administration of 512. This modified infusion instruction can lead to a modified infusion schedule. The flow rate at the treatment location 106 is often modified for reasons such as when the infusion has been accidentally stopped for a short period of time to catch up without changing the schedule used for preparation. This modification may not require passing a new infusion schedule 704 to the pharmacy. In other cases, the new Φ schedule 704 should be transmitted to the pharmacy or other prepared staff. The modification of the flow rate 002b triggers a change in the infusion command schedule and / or a message 520 to the appropriate medical staff 116. When the medical staff 116 enters the flow rate modification 1 002b at the treatment location 106 into the infusion system 210, the medical staff 116 can also choose to cause the infusion schedule 704 to be recalculated and transmitted to the pharmacy. The medical staff 116 has the option to request that the new medication label 124a be printed by the barcode printing module 506d. The new drug label 124 & contains information to reflect this new information for any previously prepared infusion bags. The infusion system 210 and / or the medical staff 116 may request modifications to the infusion site 1002c. This part can be selected from an anatomical representation on a computer screen. Healthcare personnel 116 may be required to indicate a reason for the modification. The reasons stored in the database can be displayed, such as (but not limited to), the reason for sequential revocation 54 6 f and the reason for flow rate revocation 546g, so that it can be specified by medical staff 97 200422917 person 116. For the repairs ordered by the doctor, 说 βι ^ said that AA, U 』U U has a certain hard-coded fixed reason. For amendments to the physician's instructions for canisters / mouths,-Bian Renbei 116 may be requested to identify the physician. Before the implementation of the modification, the remaining amount in the current infusion bag is referred to. The medical person Zhen 116 may be provided with the option to accept a volume calculated from the modified flow rate and / or the displayed value of the volume. * The current infusion can be stopped by 10 if desired. If the = stop command is not necessary, 'e.g.' Shao-an infusion bag can be used for the flow rate and / or newly added drug, the flow rate of Mlj f can be specified and compared with the modified flow rate. Any previously prepared infusion bag can be checked for a valid sundial according to the new infusion meter cut-off table 704. When an infusion instruction is resumed after a temporary stop or hold instruction, the expiration date check may be performed in relation to the expiration date of the prepared solution. The new infusion schedule 704 is used to control preparations 506 in a pharmacy or other preparation site. A system default value of 544 can be set for whether any prepared bags should be billed to the patient 112 through the billing interface 312, and whether the bags should be credited to inventory. Changes to the infusion instructions 1002 include all the options 1004 available for the new instructions. The modified flow rate can be checked again for rules and tolerances, such as (but not limited to), a net concentration of 1006a, a flow rate of 1 006b, a dosing time of i06c, a duration of 1006e, and infusion Part 1 006f. Revocation 1008 is a modification that can be used beyond the tolerance. The infusion system 210 may display the reason 1008f for revocation and for administering the drug in addition to the time specified in 200422917 in the original instruction. Health care providers may be asked to indicate a reason for the change. The infusion system 210 can provide medical personnel 116. A display screen indicates that the modified drip rate is related to the modified flow rate. The invisible information can be calculated by a function defined by the flow rate to the drip rate 548f. The infusion system 21 can also be provided in the infusion system 210. "Instructions of a typical infusion tube, U is used to calculate the drip rate. The modification is caused by the infusion system 210 to confirm the expiration date of the infusion bag and if the infusion bag is on completion of the instruction When it has expired before, it provides a message to the medical staff 116. This message can ask the medical staff i i 6 to contact the pharmacy. Confirmation of the expiration date of the solution (eg, but not limited to, pre-mixed solution, and solution manufactured outside the infusion system 210) may include parsing the scan code. The revocation of the flow rate 108b may provide an indication as to whether the medical staff 116 who has amended the infusion instruction has the authority to revoke the indicated restriction without the need for approval of the new infusion instruction. This instruction can be applied to the patient care system 100 or a sub-system. Document record 1012 captures information about infusion commands in real time. The file record system records multiple simultaneous infusions and infusion modifications, such as (but not limited to) changes in duration 1012a, changes in flow rate 10i2b, changes in volume 1012c, and changes in infusion site 1012d . When a change is occurring, the infusion system 21 can assist the medical staff 116 to capture all changes in flow rate. The medical staff 116 can change the flow rate required by 200422917 in the instruction, for example, reduce the flow rate of morphine infusion from 4ml to 2ml. Although the infusion system 210 can treat this change as a new instruction ', the infusion system 210 can be configured to avoid repetition, so the modified instruction does not result in the creation of a new bag. The file e Jilu 1 012 contains functions such as, but not limited to, temporarily stopping, interrupting and / or restarting the infusion. The medical staff 11 6 can stop the infusion for various reasons, for example, the infusion site has been damaged, the infusion has been loosened, and / or the infusion can be locked with heparin / saline (sa 1 i ne) to make the movement of the patient 112 change. Make it easy. When the new site / infusion has been re-established, the infusion can be resumed and continued. However, the length of time this may take is variable and is generally recorded by the infusion system 210. Government regulations often need to track every step in the process of infusion administration. The infusion system 210 allows the medical staff 116 to administer the medication to record changes in flow rate on a digital assistant 118 or other computer device. This is by scanning the label of the drug 24a and according to the tolerance, such as by setting the valley limit. 542 produces a tolerance to adjust the flow rate to 002a. The flow rate modification 002b corresponds to the infusion schedule 704 of the associated pharmacy in real time to ensure that the infusion bag delivered to the patient treatment area 〇06 has just-in-time inventory management. Documentary record 1012 may allow instructions to date back sometime in some cases. The infusion system 210 includes a function of recording an infusion site 1012d and recording a plurality of infusion sites 1012e for a plurality of infusion sites. In many cases, patient 112 can have multiple drugs 124 and "gamma-shaped," infusions, 100 200422917. Therefore, some infusions flow into one site while others are injected into another. For example, morphine infusions, antibiotics, The saline solution was injected into the right arm (Site 1), while TPN and 2/3 & 1/3 flowed into a double lumen CVL (Site 2). The infusion system 210 allows 5 医Personnel 116 can record where the various fluids are passing through the infusion. In a treatment position such as an intensive care center, many more than two infusions can flow into a tube or lumen. Department of medical personnel 116 Can indicate which lumen of CVL the infusion or medicine is flowing into. The infusion system 210 includes the function of recording the position of the site for infusion and any changes in the position of the site. The infusion site is often due to blockage n) or policy changes. Therefore, if the infusion becomes loose and then restarted, the medical staff 116 must record the location of the site The infusion system makes centralized device configuration possible. The operating parameters for medical devices such as infusion pumps 12G often include preset values and / or tolerances. Preset values and / or capacities Limits may exist in the infusion system, such as the flow rate tolerance 542b and / or in the memory associated with the device 332. For example, the infusion pump 1201 contains a database that has -A drug with an associated flow rate tolerance: Table. If the healthcare provider Zhen 116 enters a flow rate capacity that exceeds the association

Quick time ’then the medical staff 116 # 被 赵 主 # 0 # ", L 戍 is that the victim may be allowed to carry out the 疋 疋 into more than 仃. For example, the device #hunger of the heart rate monitor is also available and has a configurable tolerance for warning 1. In addition to the warning, many special features can be configured for device # M2, such as: The network / name, I p # 210 series includes the frequency and color from the _, = query (P0Ung). The infusion system sets medical devices 2; a central computer to configure them individually or in groups. These numbers can be defined for the first type of medical device. ,: Non-parameters are transmitted and received by the -type device. The type = :: = type device has parameters applicable to that particular -type medical material configuration. For example, the 'first plurality of first materials may be located in a general care position 4. The second plural types of medical doctors, such as Zhao Gu, ..., are located at the treatment site. This general position does not include the parameters of the intensive care treatment, " A "> treatment parameters. The system configuration parameters will be applicable to all the first type of medical equipment in the submission, and the second = ^ care treatment Location devices, unless there are specific configuration parameters applicable, such as the intensive care location. For each type of device, specific configuration parameters apply to all devices of that type in a specific device group If two fixed devices belong to a group with such a definition, those specific configurations = the number of system configuration parameters will be revoked unless these specific configuration parameters are in one of the more specific levels in the two-liquid system 210. Revoked. These groups:: Skin: Designated as a clinical service, nursing station, and / or service and nursing station. For each type of device, the user can define configuration parameters that apply to This type of device is used in households with actions that have a specified range of attributes, and these actions override any other definitions. / Jinyouren Hospital 200422917, these actions can be composed of infusion instructions Therefore, these attributes can include the patient's weight, medicine, patient's disease status, and disease severity. The device can be referred to by including "# 办 办" 命 人 Β "., In a table in the database " Part of another group, a specific group, and / or general or specific configuration parameters associated with a patient of one or two can then be communicated to the device according to ". These specific configuration parameters are then connected The user can be read back to the infusion system # 9 〖Λ 0 ^】 Cross system 210 and compare it with the configuration parameters originally transmitted to verify that the original configuration parameters have been correctly received by the equipment 332. If these Do not read the configuration history number 〇1Λ > When the number is not received correctly, the infusion system 〇 can provide a message indicating inconsistency or communication failure 52. The infusion system 210 can detect the configuration parameters made at the device Change 'instead of via a central computer' and it sends a message and / or warning 520. The infusion system and system 21 can also query the equipment to verify its configuration parameters. If the system and / or specific configuration parameters When changes are made, according to the designated group in the infusion system 210, the changes can be passed to all equipment milks in the system that are designated as belonging to the group. In this entire document and related patent applications, "Central location," and "distal location," are relative terms. "Distal location," is any location where the patient is being treated through a controlled medical device, for example, where the disease Suffering 112 is a patient treatment site 106 that is being treated through the infusion system 120. "Central location is any location other than the remote location where parameters for operating the medical device are available, such as (but not limited to) the location of the pharmacy computer 104 and the central system 108. In a typical In the configuration, for example, a number of positions 103 200422917 distal to the treatment position 106 communicates with a central position. The content of this disclosure has focused on the use of the infusion pump 120 within the system 21, However, it can be understood that other medical equipment can also be used in the system 210 without departing from the scope of the present invention. For example, various types of medical equipment include (but are not limited to) infusion pumps, respirators ( ventilator), dialysis machine (dialysis), etc. An additional type of medical device is a micro-motor system (MEMS) component. MEMS is a small or tiny device that is used to create a size that can be smaller than 丨 millimeters Technology, although these devices can also be larger. MEMS devices are typically made from glass wafers or silicon, but the technology has evolved far beyond its The technology that originated in the semiconductor industry. Each MEMS device is an integrated microsystem on a wafer. In addition to optical, fluid, electrical, chemical, and biomedical components, it can be incorporated into mobile mechanical neighbors. The resulting MEMS device or element is responsive to many types of inputs, including pressure, vibration, chemicals, light, and acceleration. MEMS components can be a number of different elements that include various types of pumps, wide flow, and flow sensors , Tube, pressure sensor, or a combination of components. Thus, as described in more detail below, one use of the MEMS assembly is as a line MEMS pump 5314 shown schematically in Figure 53. MEMS pump 5314 series The fluid contained in the IV bag 5320 can be pumped out through the tube 5312, and enter the patient via the access device 5324. The MEMS component has a MEMS local electronic component attached to it, and the MEMS electronic component system Connected to an external, durable MEMS controller, which can communicate with the system 200422917 21〇 as the infusion pump 12o described herein. In one embodiment of the MEMS pump 5314, the _s electronic component 5332 is internally included therein, and preferably can store the operation information of the subsequent number. The MEMS controller and its electronic circuit and power supply can be actually or It is wirelessly connected to the MEMS electronic component. In one embodiment, the operation information of the parameter can be loaded from the detachable coffee controller MM. Preferably, the component 5314 is stored in the electronic circuit according to the present invention. The information within 5332 is passed through the tube 5312 to generate a liquid flow. This information is preferably downloaded from a connected but detachable dirty controller 5c. Furthermore, the 'xiao_component can be accessed via Wireless communication comes with: unified 210 communication. In addition, the controller can provide information to and from the system 21 through a wireless or wired communication path to fully automate the control and query of the components in the system 21. The use of S or its emerging economic manufacturing technology provides the opportunity to retrofit MEMS components into a disposable line group, which provides: 'functions such as pumps, valves, and Sensing. Some or local electronic circuits supported by the: Department can also be included in one of the pipeline groups using: P lost. p know towel. For example, it contains a 4 cross-reference _ 杳 + + at 〇5 including a combination of components for pumps, pressure sensors and / or flow sensors, valves, or disposable components. A bulk wafer may be preferred. It can be discarded after use: jin / month difference ’because it eliminates the need for disinfection of the system ’s components, i i 1 ^ 叩, between each subsequent application. In one embodiment, the system can automatically provide information related to one or more drugs to the medical staff through a pop-up window. Preferably, a 200422917 drug list is entered into the central database 108b. The drug list can contain the scientific name of one or more drugs and any trade names associated with them. Each of the drugs in the list is connected to a separate message for display via pop-up view. These messages can be defined by the healthcare facility or pre-defined by the system provider. Preferably, the information related to each drug is related to: υ dangers related to the drug, such as handling or exposure to the drug; 2) how the medical staff should administer the drug; 3) related drugs Physician's reference information, 4) Appropriate pump channels for infusion of the drug; & 5) Warnings about procedures for infusion setting, for example, opening a roller clamp (Γ〇ιΐπ clamp for small infusion bags ).

A pop-up window is displayed when a drug is selected or entered into a computing device, for example: when the drug is being instructed by a physician via cp (; when the drug is being processed by a pharmacy or the like; When the drug is being administered to a patient by a healthcare professional. In one embodiment, 'When the selection or input of a drug is already at a remote location. When done on a different device' in the central system 108 The internal database is profitable, in which at least one pop-up window message related to the drug is provided to the remote computing device for display to the medical staff.-Preferably, it is related to-a drug -At least one pop-up window message--Provided for display at the beginning of a specific step in the medication instructions, process and dosing procedure. For example, in the case of input-the peony instruction is a computing device of the coffee In the present, a pop-up window is «shown, ^ in a message is the doctor's reference information about the drug, and in one; 106 200422917 embodiment, another pop-up window can be displayed right M _ ^ ^, "Solitary", and members are not related Dangerous matters related to the drug. Then, when the instruction is processed by the pharmacy or the like, two pop-up windows are displayed in one of the pharmacy's 104: 10: above the device , Used to provide general information about the drug and possible dangerous things related to the puppet drug ', when the nurses administer it, "..." Is displayed on a computing device (ie, a handheld device) related to the 酉 4 person shellfish, with = providing information about the administration of the drug, and how to deal with it in one embodiment. For example, the drug should preferably have a pop-up window displayed on the computing device that is specific to the medication instructions, procedures, and steps in the dosing procedure being performed by the medical staff. For example, contains Done ▲ ▲ 枉 未 枉 厅 r The side pop-up window where the side teacher refers to the negative message is preferably and displayed to the nurse via the handheld device m. Nevertheless, in a practical case, < the user or the hospital Can define when a drug is selected or lost When (and whether) a pop-up window should be displayed when it comes to a particular computing device. The pharmacy defines when (and whether) a pop-up window will also be displayed. For example, 'for ordinary medicine 'Pop-up windows are preferably not displayed. Instead, pop-up windows are preferably for pharmacies or healthcare slogans. Additional information in the pop-up window will help the drug It is displayed only when the drug is given by 进 θ, ^ ^ dry preparation or medicament administration. Jing Yu Drugs A method of administering ㈣ 124 using the infusion system 21 is described 107

"厶 丄 y γ I

"厶 丄 y γ I

Contains for flow rate, infusion site, ⑼ ^ = ^. These modifications are as well as the new drug 124: Dispensing fluid, restarting the infusion. Describe the patient-related barcode 512b. • Modification. The method includes: sweeping; if the infusion is-species ^ object H and the bar code of the f phase 11 modify the selection and selection of heart: ^ then confirm the effective date 512c, for the B, and 5 remaining infusion bag The capacity or: accept those calculated from the previous capacity and flow rate. . 2e. Of infusion bag

The validity date confirmation 512c can contain a mixture of barcodes. Han 疋 For the reasons for the amendment, ^ Γ ,; water & The reason for this modification can also be white yte π Μ Ο: DJ ^ j U package 3 A hard-coded fixed value is used by the physician to change. When the hard-coded fixed value is selected, the medical staff 116 is reminded to select a physician from a list of physicians. The attending magistrate may be a preset physician in the physician's list.

There may be a quick-select feature to stop the administration of the drug 124, for example, a stop instruction 1002f. If this quick selection is not selected, the following process may be included: recording the flow rate and / or accepting a value previously used for the flow rate-the previous value is displayed on the display of the digital assistant 8a, the display of the infusion pump 12oc and / or medical cart 132; compare the previous flow rate with the indicated flow rate-this comparison can be achieved by using the rules and tolerances of the infusion system 210 or the secondary system; show appropriate The conversion between the flow rate and the drip rate can be displayed. 1-These conversions can be calculated according to the drip rate conversion table 548f defined by the infusion system 210. The infusion system 21o typically uses the description of the pipeline used according to 108 200422917 to make it easy for the medical staff to select the correct drip rate conversion. Changing the flow rate triggers the infusion system 210 to confirm the effective date of the infusion bag based on the scheduled flow rate. If the solution expires before or during the dosing period, a message is sent to the health care staff16, for example, "This solution will expire within the scheduled dosing period. Please contact the pharmacy If a pre-mixed infusion bag and / or a custom infusion bag are used, the expiration date is confirmed, if possible, by parsing the scan code. The previous infusion site is Accepted, or a new infusion site location was selected from a list or a graphic anatomical map. The schedule 704 was then recalculated to perform pharmacy restocking. Infusion system 210 It may include biometrics (biometris cs) for identifying the patient and the medical staff 116. Before the medical staff 116 was allowed to use the infusion system 21o, the infusion system 210 obtained information about the identity of the medical staff 116 The infusion system 210 can identify the medical staff 116 by using a device such as a bar code reader to read the medical staff's badge U6a. The system can also use biological Make sure to identify the medical staff clearly 6 to ensure that the medical staff is an authorized user of the system, and to determine whether the medical staff 116 has the power to use the part of the infusion system 2 i 〇 The infusion system 210 may require a combination of the medical staff ’s badge U6a or other key 4 and a verified biometric compliance in order to permit the medical staff 116 to use the infusion system 210. The system may also be configured to place a badge 116a is removed from the vicinity of the device used to read the badge of the medical staff 109 200422917 116a or other key, the use of the liquid system 210 is terminated. Biometrics is a statistical analysis of the measured organisms Technology and science of information. One area of biometrics is the field of judging unique physical characteristics such as fingerprints. The biometrics department makes it possible to identify individuals to enter digital systems such as the infusion system 210. A digital The character ⑽na) system was created, which makes communication and interaction more convenient and secure. Biometrics for identification Symptoms include features such as (but not limited to) fingerprints, faces, iris and retina scans, and speech recognition. Biometric devices include a scan or device to convert the scan The software package becomes a digital format software and a memory to store the biometric information for comparison with a stored record. The software system uses an algorithm to identify the specifics of the data that has been processed. And compare the information. Unlike passwords, PINs, and smart cards, the biometrics of this infusion system 210 is unlikely to be lost, forgotten, or stolen. The biometric scanner can be used with The device for taking the badge of medical staff is related. For example, the biometric scanner may be a thumbprint fingerprint reader on the handle of a barcode reader. In other embodiments " Hai biometric scanner and a thunderbolt wheel can be placed on a portable medical cart and two, the pick-up can be set on top of a medical device and / or medical equipment. The medical practitioner 116 places the electronic key at a specified distance from the medical device: the second is that the grabber processor will know the specific personal identification file that it should expect to have. The infusion system 210 is preferably a reminder to the medical staff 110 200422917 personnel 116 to scan their biometric information. The system is turned into an infusion system with a certain type of biometric reading or 91 n combat skill μ, which is referred to as clothing. In the biometric information profiled by this knowledge, a specific one's electronic biometric identification file stored by Bei Qiaoxian was first compared one by one. Compared to comparing one-to-many identity files, this one-to-one: point = is more efficient ’because it does not need to search the entire medical staff ’s database for a phase #. Instead, only one specific comparison was made. If there is a match, Bay 1 medical staff 116 is allowed to use medical equipment 332. If there is no match, the medical staff 116 is denied the right to use. In addition, in another embodiment, the medical device does not have a controller. For example, the medical device may be a pumping unit without a controller, but simply receives a control signal from another controller. In one embodiment, the controller for such medical equipment may be the first central computer 109. Therefore, the first central computer 109 can directly transmit a control signal to the medical equipment for controlling the medical equipment. In another embodiment, after the infusion system 21 0 grants the medical staff u 6 the right to use the 'infusion system 21 0 system when the electronic key is removed from the biometric scanner or from the vicinity of the biometric scanner. Terminate the use. The proximity within which the electronic key must be maintained may be preset and / or may be a variable and programmable parameter of the infusion system 21 0. In one embodiment, the infusion system 21 0 includes a Encrypted digital fingerprint template, medical staff's name, login name, and password. A technology used to make identifiers for health care workers includes from 200422917

Dallas Semiconductor's "IBBτττΝΝ 400" technology. The infusion, system 210 may be activated when a healthcare professional places a finger on a fingerprint scanner. If the infusion system 21 〇 finds a match, the infusion system 21 〇 can clearly seek medical attention 5 people 116 log in to the infusion system 2 丨 0. If the infusion system 2 does not find a biometric match, the system does not allow medical personnel 116 to use the infusion system 21 〇. In another embodiment, a database storing biometric information may be stored in the central system 108, the pharmacy computer 104, and / or the treatment location 106. At the treatment location 06, the database may be maintained in a mobile cart 132, a digital assistant 118, and / or a medical device 332. This distributed database allows remote devices to be used even if the network 102 cannot communicate between various locations. When the communication of the network 102 is re-established, the remote and central databases can be synchronized with any information modified elsewhere, so the databases of the two infusion systems 21 are appropriately Update. The infusion system 210 provides a closed-loop infusion therapy management system. The closed circuit begins with a medical staff order. Among other methods, the medical staff U6 can input instructions through the digital assistant 118 and / or the medical cart 132. The order is then immediately available for pharmacy authorization 508 and physician authorization 51. This instruction is immediately available as an electronic dossier (eMAR). Medical personnel can use the eMAR for infusion administration. The infusion system 21 automatically records medication administration and, for example, changes in flow rate changes 002b 514. By administering 512 insults, the beta Hai infusion system 21 〇 simultaneously adjusts the infusion system 21 〇 and / or 112 200422917 the human deposit and billing system 518. The infusion system 21 0 also provides information on event management and decision support. The infusion system 210 is device-independent, meaning that it can be implemented on workstations, wireless tablets, and handheld digital assistants 118. The infusion system 21o operates substantially instantaneously, however, batch processing and / or messaging can be utilized to coordinate the various stages of the infusion system 210 process. The closed-loop infusion therapy management system includes the input of an infusion command, 60 buttons, preparation for 506, and availability of the infusion status. The infusion instruction input 560 may be through some devices such as (but not limited to) a prescription input module 324, a prescription 4 modification module 336, and a pharmacy interface 316. The computer screen 400 can be used for inputting an infusion instruction. The status of the infusion is to provide patient 2 with the special purpose of infusion, and warns the pharmacy that an extra infusion bag is required. 200422917 Error. If the username and password are valid, the medical staff 1 1 6 will have the right to use the system 210. In addition, if the medical staff member 11b logs in to the digital assistant 11 ", but has not used it for a period of time, a security feature of the system 21 prevents the digital assistant 118 from being continued to be used until the medical staff 116 logs back in . ^ Charge medical staff can also log in to the system 21〇. As explained in detail here, the health care provider in charge is usually someone who the supervisor or beta health care provider wants to report. In addition, the medical staff in charge: the staff can = someone who assists the medical staff's workflow or assists in monitoring the alarm or the favor =. Typically, the medical staff in charge maintains at least one role: a supervisor or a responsible role. Therefore, the medical staff in charge must log in with the login and password explained above, and then select the unit related to the medical staff in charge. _ ° After the medical staff 116 has completed the registration process shown in Fig. 19 'and has been authorized to use the department and system 21G, the medical staff 6 can perform several drug delivery functions. One such drug delivery function Yes, select an f bit. As shown in the unit selection interface screen 2105 in FIG. 21, 'the medical staff 16 can select a unit from the pull-down list 2107. In the example shown in Figure 21, the medical staff has selected "Neurology (Ne㈣. Grab 0 !, as the unit. After the medical staff Gong 贡 6 has been selected from this drop-down: Project 2107, the appropriate unit was selected, the medical staff ιΐ6 You can see the arrow button 4809 to enter the selected unit. -Another function that the staff can order is to select the shift of the medical nurse. As in the picture of the selection shift screen in Figure 22, 22U Order 114 200422917 The 'Medical staff 116' shown can select standard shifts or customized shifts. Several types of standard shifts that can be selected are proposed for input in the drop-down list 21o. However, if the medical staff 116 chooses For a customized shift, the medical staff is required to enter the start time and end time for the customized shift. The medical staff can also enter a manual shift in the provided area 2255 'and then tap The input button Agog 〇 A viewing patient interface day surface 2313 is shown in Fig. 23. In this day surface 2313, after the shift has been selected, the medical staff 116 may To watch the patients related to the medical staff 1 丨 6. The medical staff ii 6 can also watch the work related to the medical staff U6. Therefore, a "to-do list" list can be based on the patient, the medical staff's Work or both to provide. Different degrees of shading and / or coloring can be used to isolate the degree of emergency care needed for a particular patient. In addition, 'various images can be used with Patients are used to provide medical staff 11 6 to quickly understand the care needed by a patient. The patient viewing interface in Figure 23 The day screen 2313 also provides medical staff 116 to add more patients at the button 2315 Function. When the medical staff i6 selects the "Add more patients," button 2315, the medical staff can be provided with an additional list of patients. The medical staff 116 can also be provided as shown in Figure 24 The patient selection shown in the picture 2417. In this day and night 2417, the medical staff 116 can remotely select the patients who are added to the shift of the medical staff. The patient can be from the unit related to the medical staff, It is the medical staff who can choose to join the patient from different units of 200422917. The medical nurse 110 can also choose the amount of time it will be associated with the patient. Furthermore, the medical order | Look for more patients. You can also learn that the medical staff Zhen 116 can also remove patients from a shift at any time. The remote system 210 also provides special relevant information for patients who are assigned to shifts The caregiver M 116. Typical messages may include items such as instructional profile changes and forgotten dosing. 丄 Allergies and Ht / Wt, medication history, and experimental results. An example of allergy and Ht / wt " face picture 2521a is presented in Figure 25A. Typically 'This picture® 2521a is displayed when the small chart is opened for the first time ^ It shows the patient's medicines and general allergies and the patient ’s identity and weight Information. An example of the 2Mb daytime interface of the medication history interface is presented in Figure 25B. Typically, this screen 252ib is provided to the medical staff about the patient's medication history during the selected review period. This review period can be adjusted by medical staff. Finally, experimental results An example of the interface day 252lc is presented in the figure. The experimental results are made in a system 2iq through a laboratory interface which is profitable. A patient information item single interface screen 2521 shown in Figure 25 is also available on this system. The patient information item screen 2521 provides a small patient chart for the selected patient. The patient ^ list screen 2521 also provides the medical staff 116 link to the project related to the disease: for example: administering drugs / infusion, stopping infusion, continuing infusion after recovery, titration infusion, flow rate history, Pump status and removal of patients from shifts. The patient item screen 2521 also has a mark ⑽) for 116 200422917. All the results of W 4 " Qiao j are used are displayed, and they are displayed in the order of the most recent Yu Guo ranked first. , ". Used for _

The patient's infusion plan interface screen 2623 is shown in the picture.-^ L No. This day face 2623 describes an infusion schedule for this selected string. Here are some of the instructions given by clicking on one of the infusion schedules above 2623. For example, instruction 2625 for morphine sulfate, the department, 'first 210 will be linked to the 26A The medicine instruction interface screen 2627 shown in the figure. The medication instruction day surface 2627 provides details 2625 of the specified instruction (ie, f stone claw I mafei). The treatment parameters 2629 as part of this detailed instruction and any warnings 2631 and functions 2633 linked to additional information are presented. Figure 28 illustrates a patient profile infusion plan interface screen 2835, one of which is scheduled for an infusion that was previously forgotten. As shown in picture 2.835, a "forgotten medication", image 4837 is displayed next to the schedule morphine sulfate infusion instruction 2839. By clicking on the "forgotten medication" image 4837 The system 210 connects the medical staff 0 116 to the forgotten medication interface screen 2941 shown in FIG. 29. The forgotten medication screen 2941 is asking the medical staff to enter a reason for the forgotten medication or select a reason 2943 from the drop-down list. The forgotten medication interface screen 2941 also asked medical staff 116 whether the medication schedule for the order 2839 should be adjusted. To adjust the medication schedule, the medical staff 116 will select a box 2945 above the interface screen 2941. When the medical staff 116 clicks on the drop-down list to enter and select a reason for the forgotten medication 2943, the drop-down list 117 200422917 will be expanded into the interface screen 3G47 shown in Figure 30 Presenter. Typically, if the medication is no longer needed, the medical staff will choose the "unnecessary reason 3045. When the medical staff n 6 selects the" unnecessary reason 3045 "for the forgotten medication, the system 210 is removed The forgotten drug image 4837 is inserted with "unwanted, image ㈣ 'as shown in the infusion plan screen 3135 of Fig. N.

As shown in Figure 32, when the medical staff 116 is ready to provide fun treatment or instructions to the patient, the medical staff 116 will select the finger + 3225 in the schedule " face 3235, and Then scroll down to the pick up button 3249. After the medical staff 116 selects the "acquire item" button 3249 in the screen 3249 of the first offender picture, the system 20m displays the drug interface screen "Η" as shown in Fig. 33. "Medicine" in the drug day screen 3351 Personnel 116 is able to scan the medicine selected from the medicine store as shown in the "scan store" image 3353, or by selecting the "skip scan store", press 3355 to skip the Scan the store block. When the medical staff 116 scans an item, for example, by scanning a barcode on the item, the item information is displayed on the medical staff's PDA 118. An example of scanning day ^ 3465 is shown in Figure 34. For example, when a nurse scans a drug, the prescription 3467 is displayed in the scan day 3465. However, if the scanned article does not meet the instructions for the patient ', a scan error day 3569 such as that shown in Figure 35 will be displayed on the PDA 118 of the medical staff. As shown on interface screen 3569, when a scanning error is detected, the paramedic 116 will be provided with the item's identification 118 200422917 and should not be used for requests or searches as shown on screen 3569. If, for example, the barcode cannot be recognized due to obscured or damaged barcode labels ^ 'The information requested by the reader can be entered manually. If the selected medication is in the same treatment category as other medications recently given to the patient, the medical assistant's digital assistant 118 does not display a warning message. Similarly, if the item has been retrieved by other medical personnel, the offending digital assistant 118 displays a message indicating the occurrence of the event. If the instruction to be retrieved is a mixed infusion on the floor, the individual components are specified above the digital assistant 118 and taken by the medical staff 116. After the items are retrieved, the system 20 generates a bag ID and reminds the medical staff 116 to print a label 12 乜. At this time, the medical personnel 116 also mix the ingredients. After the medical staff 116 prints the label, the label is attached to the bag and it can be scanned by the digital assistant 118. Some instructions can be on-call (On_call) or delayed (On-hold). These instructions are displayed on the patient profile screen, for example, screen 2835 of the interface of Figure 28. Standby or delayed commands are for viewing only, not for retrieval. These commands are then activated at the appropriate time. Drug 3657, medical staff 116 may also have a plot that is not being used in patient counterfeits (including). Please refer to the interface Day in Figure 36: due to rejection. Medical staff 116 is able to specify the reason for not administering the medication, such as the results of monitoring are unnecessary, the patient is not available, or the medication is indicated if the patient is no longer specified in the day 3657, then the medical staff 119 200422917 11 6 You can select patient 3661 by scanning the patient or entering the patient's name. In addition, the medical staff 116 can choose to return the medical item to the medicine storage by pressing the "Discard / Return" remote selection button 3663. For some narcotics and controlled drugs, obtaining the drug initially and returning it to the store may require two signatures (that is, typically a second authorized signature in the form of a login and password). The interface 3657 in Figure 36 also provides medical staff 116 to scan the patient ID to identify the patient's function. If the wrong patient is scanned, or if the patient ID is not scanned properly, the system 21 displays a message that the scan is invalid. Furthermore, if the medical staff 6 is unable to administer the drug, the medical staff will typically have to enter a reason for not administering the drug as shown in day 3657 of Figure 36% 59. Some reasons for not administering the drug are because the drug is not needed due to the results of monitoring, the patient is not available, or the drug is rejected by the patient. After the medical staff 116 has verified the patient with the article or drug, a channel confirmation interface screen 3771 is displayed. As shown in Figure 37 |, an example of pathway confirmation day 3771 is to assist medical staff in verifying pathway 3783, pipeline 3775, and site 3777. Medication 3778 can also be provided in the route confirmation screen 3771. After the medical nurse's input method is 3773, the official line 3775, and the site 3777, the medical nurse's 116 can select the comparison according to 4 817, so the system 21 will verify whether the entered data is correct. The medical staff 116 may then select the pump channel mode as shown in the interface day 3881 of FIG. 38. In the pump channel mode interface screen 120 200422917 3 deletion, the therapy 3882 series is displayed, and the medical staff ιι 6 series has the option to designate the therapy 3882 as the main treatment 3884 or a small soft bag, treatment 3883. With the exception of small soft-bag treatments, each channel of the department has a function b to operate the main treatment. After the chestnut channel mode has been selected, doctors and nurses can perform a pump channel scan. Figure 38A illustrates a pump channel sweep field image I 3885. In this pump scan image 3885, the medical staff 116 system Scanning medical equipment, for example, by scanning the bar code corresponding to the system channel 121 and then clicking on the arrow button 48009. The personnel 116 have already: (a) For example, the interface in FIG. 23 Day | The patient is scanned on the surface 2313, (b) for example, the drug is scanned on the interface screen 3465 in Figure 34, and (c) the patient is scanned on the interface 3885 in the third image. After the pump channel, the medical staff 116 can plan the infusion pump and perform the comparison of the planned infusion pump parameters or the settings with the parameters instructed by the pharmacy. Comparison of equipment settings and instructions A flowchart of an example of the comparison process 5200 The system is proposed in Figure 52. This process can also be used to plan these infusion settings remotely from the server. Please refer to Figure 52. The comparison process 5200 is initiated at block 5 2 0 2 Be 'in the care Member 116 has scanned patient ID 112a, drug container or bag ID 124a, and pump channel 121 as specified above. Jingyouyi " Putian patients, music bags and department channels, relevant baseline data Relations are provided so that the system 2110 (more specifically, the server 10 9) can perform further analysis and compare this with additional information. However, the first central server 109 is first in block 121 200422917

Scanning at 5204 places a ji 4a. The db channel scans out or ensures that the patient, the medicine bag and the fruit are suitable, and the input data has an effective correlation. If a valid connection is not generated in the block 5206, the system 210 is shown in the second square box-an error message, and the medical staff 116 is requested to the two data items in the right side of the horse in the block 5204: as follows: = When connected, the temple server will also perform a sequence (jin commentator) to determine the specified pump channel

Server; 109 in the database, 廿 B-疋 φ in 1J + rhino and whether the pump channel 121 is available. After the chest channel ID has been scanned into the system 21, the device performs a check at block 5208 to determine whether the selected channel 121 is valid. The various reasons for the invalid chestnut channel judgment are: the fruit channel does not exist in the system, the selected pump channel is already in operation, and it is considered to be smooth. Even if the inspection of the temple ’s right pump channel 121 resulted in an error, an error message was displayed, and the medical staff

The department was warned that an invalid channel was selected. The comparison process 5200 was obstructed, and the system was unable to perform the comparison as specified in the call of block 5 'until the paramedic Zhen 116 rescanned the lane and a valid channel was recognized at block 52G8 until. However, if the results of these checks confirm that the selected channel 121 is a valid channel, the system proceeds to block 5212 to establish the appropriate connection, as described below. At some point during the comparison process 5200, the second central server 108a generates a 122 200422917 XML message containing data related to the patient ID and the command ID. As shown in the flowchart of the comparison process 5200, at any point before block 5212, the XML data can be generated and transmitted to the first central server 109, as shown at block 5210. However, if the XML data received from the second central server 108 and the first central server 109 is invalid or incomplete, the comparison process is hindered again, and the system This comparison process is not allowed to proceed as shown in block 5 214. In contrast, if the XML data related to the patient ID and the instruction ID are complete and valid after the first central server 109 receives the XML data from the second central server 108a, the comparison is performed. Process 5200 proceeds to block 5212. At block 5212, the first central server 109 attempts to establish a relationship or relationship between the patient ID, the command id, and the pump channel 121. If the first central server 109 cannot establish a relationship between the specified data at block 5212, the comparison process 5200 is hindered, and the system 21o as at block 5214 The process shown does not allow the process to proceed. Furthermore, the system 2 0 displays an error message that some data is missing or incorrect, and the system cannot compare. If the first central server 109 is at block 5212 and a relationship is appropriately established between the specified materials, then the department and the first 210 department proceed to block 5216, where the medical staff The 116 series is required to press a comparison button 4817 on the digital assistant 118. One example of a series of pictures appearing at block 5216 is indicated below. After an appropriate connection has been established by the first central computer 109, the system 210 proceeds to a daylight surface in the comparison interface screens, eg, 123 200422917, eg, the comparison interface daylight surface 3986 in FIG. 39. In this comparison interface day 3986, the system 210 provides instructions to the medical staff 116 to plan the infusion pump before making any comparisons. Comparisons can be made to ensure that the pharmacy parameters for the drug and the pump settings are consistent. In a preferred embodiment, the system 2100 performs a rate comparison during the comparison process 5200 indicated herein. However, the system can perform any single comparison of infusion parameters such as rate, volume, dose, etc. or multiple comparisons simultaneously. If the infusion is the main infusion, the instructions are provided to click the "Compare, button 4817" on the comparison interface screen 3986, and then wait for instructions before starting the pump channel. If the infusion is small During the soft bag infusion, the instructions are provided to press the start button above the pump 120, and then click the "Compare," button 4817. In the small soft bag infusion, if the "medical staff 116 presses the comparison button 4817 at the block 5216 before the start button on the bottom 3 Hai Li, then the interface screen 4287 shown in Fig. 42 It will typically be displayed to provide an error message to the medical staff. Initially, the system 210 queries the server 109 to make sure that the communication link between the pump 120, the server 109, and the digital assistant 118 is still valid before making a comparison. If the communication link is valid, the comparison process 5200 is continued. If the communication link is lost, the comparison process cannot continue. Thus, after the medical staff 116 has pressed the comparison button 4817, the system 210 proceeds to block 5218 shown in FIG. 52. At block 124 200422917 5218, the system 210 determines whether the channel 121 is ready. Cangshikou, -owe-X with *. The infusion has been designated as the main infusion, but when the channel is already being executed, the system will default to block 5214 and display a wrong message as the system cannot Compare. Furthermore, if the infusion has been privately known as a small soft bag infusion, and the start button on the pump has not yet been written, τ is the system will preset to go to the interface in Figure 42 at day 4287 to notify the medical staff 116. Press the start button above the system before pressing the comparison button 4817. The comparison process 5200 also checks the pump 120 at block 5220 to determine whether the settings or operating parameters planned into the pump 120 contain new data. For example, the system may require that the pump data has been programmed into the pump within a certain time limit (ie, 5 minutes) just before the comparison is requested. The time limit for determining whether the data is new can be set by the health care facility. If the data is not new, the system will revert to block 5214 and display an error message as the data is old. The system 21 will then require the pump 120 to be re-planned so that the comparison process can continue. If the data is judged to be new at block 5220, the system 21 will perform a comparison at block 5222. The actual data comparison is generally performed at the first central server 109. As explained previously, the comparison is to determine whether the parameters programmed into the pump are in accordance with the physician's instructions. In addition, these pump settings can either be remotely planned by a remote controller or server. After the comparison at block 5222, the system 21 determines whether there is a match or a non-match at block 200422917 5224, and returns the results to the medical staff 6 through the digital assistant. An example of the resulting comparison interface screen 3987 in which the comparison is consistent is shown in Figure 39A and indicated at box 5226 in Figure 52t. In this example, if the prescription parameters of the pharmacy match the planned chestnut channel settings, the medical staff 116 is instructed to activate the infusion fruit 120. An example of a comparison interface screen of the results where the comparison of the prescription parameters of the pharmacy at block 5224 and the planned pump settings are not consistent is depicted by Xin in the non-matching comparison interface in Figure 40, day 4087 There is no non-conforming image 4825 in the exhibition. If this occurs, the system 21 will require the medical staff 116 to accept the discrepancy as indicated at block 5228, or re-plan the infusion pump at block 5230 and perform another at block 5216. One comparison. Typically, a parameter in which a mismatch occurs will be displayed in the mismatch screen 4087. If the mismatch is received, it will be recorded in the system database 109 at block 5232. Furthermore, if a discrepancy is accepted at block 5228, the server 108a will guide the medical staff to the appropriate daylight. Figure 41 shows an example of the comparative interface day surface 4187, whereby the system 210 is unable to perform a lucky match because some information is not available. Specifically, 'in the example of Fig. 41, the pump speed setting has not yet been entered into the system 210. Therefore, the system 21 cannot make comparisons until additional information (for example, rate in this example) has been entered. Typically, if the infusion is already in progress, the system cannot receive updated pump 126 200422917 information, there is an error in the system communication, or there is a lack of information about the planned channel information or the pharmacy prescription information. Not able to order comparisons. Finally, the comparison day 4287 line in Figure 42 shows another scenario where the child system 2 0 cannot be compared until further steps are taken as indicated. Typically, this interface screen 4287 is proposed when the infusion is a small soft bag infusion and the medical staff has pressed the comparison button 4817 in the interface screen 3986 of FIG. 39, rather than pressing the comparison button 4817 before When the start button on the infusion pump 12o is pressed, that is, as indicated in the instruction of the interface screen 3986 in FIG. 39. After the infusion pump has started the treatment, the medical staff 116 is able to view the state of the pump on the eight-digit assistant 118 in the pump state interface 4391 shown in Fig. 43. The pump status display 4391 shows a list of all currently available infusions for a particular patient. Typically, one of the five images will be displayed on this screen and associated with an infusion · infusion execution fingertip 4807, infusion standby indicator 4810, infusion fingertip fingertip 4811, unknown image , And delayed images. The pump status display 4391 is not updated in real time while the current day is being displayed; however, by pressing the update button 4819, the latest real-time pump status screen will be displayed. As shown in Figure 44, the medical staff J6 can also view the flow rate history " face day face 4493. The medical staff 116 can directly click on the flow rate history screen 4293 by clicking on the flow rate history link on the patient item single interface screen 2521 shown in FIG. 25. The flow rate history is a history of changes in the flow rate history of the current infusion that is not on a particular channel. In general, patient information related to the channel and prescription information specific to the channel are displayed. Furthermore, after the medical staff 116 has registered, "the worker logs on the digital device 118, selects the shift and selects the sick heart", the medical staff j] 6 can perform various tasks on the digital device ^ 8, which includes ( (But not limited to) · · record the infusion administered, record the stopped or resumed infusion, record the interrupted infusion, watch the pump flow rate history as described above, loss & μM, +, ^ ^ ^ The status of the pump infusion as described above, responding to pump alarms and warnings as described below, viewing messages / notifications, and responding to the news ^ ^ 5 months, regarding the recording of the infusion administered, in the health care staff / 16 After describing the item bar, patient bar code, and pump channel bar code, the medical staff can compare the planned system settings with the instructions entered by the pharmacy as explained in detail above. Typically, the medical staff 116 will then use the A pump 120 The infusion is administered, and the infusion is recorded using a digital device 8. In order to start the infusion, the medical staff 116 typically scans the patient's wristband barcode 112a and scans the infusion bag label tag. When being digital When reminded by the device 118, the 'medical staff 116' inputs and compares the pipelines, parts, and routes used for the infusion, which is as shown in the interface screen 3771 in Fig. 3. Then, in the screen M " The medical staff 116 selected the main or small soft bag for infusion leaks, and scanned the pump. C4 »The staff 116 was then planned as instructed by the doctor's medical order. Choose to perform a comparison check between the pharmacy instruction and department ', as shown in Figure 39_42. If the planned 杲 setting matches the instruction entered by the pharmacy, for example, the day-to-day 128 200422917 interface day-to-day will Will refer to the warrior * to pay, and the medical staff 116 can click the 0K button 4805 to accept the payment ^ > μ pay. Finally, the medical staff 116 will press the above view from the above 12 0] The digital assistant UI 8 will then display the record in Figure 49 to 筚 蛀. ^^ 、,,, and 0 interface screen 4937, and the medical staff He can enter the appropriate one of the options in the drop-down list. Results. These steps can be repeated for Outside the patient and / or the pump or additional channels. Prior to administration of the drug, [mu] Jiang Huo human primer # mouth shell 116 may be reminded to enter a monitoring parameters, e.g., -μ β Λ

Enter a heart rate before dioxin, or a, or enter a pain assessment before giving it. When a surveillance participant is related to a drug, each of the admins displayed on the digital assistant 118 has a link to an interface where the medical staff can enter health. An example of such an instruction having an input linking 501 to a monitoring parameter is shown in the instruction shown in the f50 diagram. After the monitoring parameter link 5 is selected, the monitoring parameter input interface daytime surface 5qg3 system as shown in Fig. _ Is displayed. Here, the medical staff 116 can enter the requested information into the system 21o. In addition, the system 210 may request a paramedic 116 to monitor a cycle count, typically when an anesthetic is administered from a drug store or a drug is administered. For example, when the drawer of the storage room is opened to provide anesthetic or controlled drugs, the digital assistant 118 may display the ^ period counting interface screen 510 as shown in FIG. 51. This interface screen 5101 reminds medical staff. Calculate the drug unit currently in the box or storage area, and then enter this data in the provided stop. The system 21 then compared this amount with the expected count. If the cycle counts do not match, the number ^

129 200422917 The system displays a message indicating a mismatch, and then displays the cycle count screen 5101 again. If the cycle counts do not match, the system 210 will record the inconsistencies and can take appropriate measures. When circumstances require, the medical staff can stop the ongoing infusion before the infusion is complete. This can be done in the system with or without interruption instructions to stop the infusion. Infusions that have been stopped can be resumed as needed, for example, titration instructions. When the interrupted infusion "M" and the infusion image 4807 in progress are displayed on the digital assistant 8, the medical staff 116 is instructed to navigate on the digital assistant 118 to display the information for the patient. A list of all infusions in progress. An example of such an interrupted infusion interface screen 2727a is presented in Figure 27A. In Figure 27A, the interrupted infusion instruction will be highlighted and designated as an interruption The infusion instruction. The medical staff will then scan the barcode on the solution container for the interrupted infusion, and then scan the patient's ID. Then, as shown in Figure 27B, the interface written 2727b is on the digital of the medical staff The assistant 118 is raised. In the interface day 2727b, the medical staff can enter the time when the infusion has been stopped and the reason for stopping the infusion. The medical staff 116 can then press the stop on the infusion pump 120 Button to actually stop the infusion pump 120. A resume infusion interface screen 2727c is presented in Figure 27C. It is recorded without interruption instructions The infusion to stop can be resumed. In order to resume the infusion, the medical staff 116 must initially browse to the appropriate interface screen on digital assistant 118. By pressing the stop infusion map in the patient 130 200422917 menu Like 4811, all currently stopped infusions for a list of patients will be displayed, as shown in the interface screen 2727c in Figure 27C. A reminder is provided to the medical staff to choose to be The resumed infusion was resumed. The medical staff 116 then scanned the barcode on the solution container used for the infusion / night to be resumed. The system 210 compared the scanned ID with the current status of the patient. ID of the infusion stopped. After the system 210 compares the ID with the ID of the patient's currently stopped infusion, the digital assistant 118 reminds the medical staff 116 to scan the patient's ID. The system 210 then confirms that the scan Whether the ID of the patient matches the ID of the patient, and the system 210 will display a description of the scanned infusion on the digital assistant 118, and prompt the medical staff 16 to continue the recovery for the recovery Fluid for a reason defined by the facility, as shown in interface 2727d in Figure 27D. Once the reason is selected, the medical staff 116 may restart the infusion at the pump 120 and then click The arrow 4809 continues. The system 210 records that the infusion has been resumed. As shown in the various screens / interfaces for the digital assistant 118, various images are used to assist the medical staff 116. Many of these images are shown in Figure 48. The patient list button 4801 is a button that when clicked 'allows medical staff 116 to navigate directly to the patient list screen, for example' shown in Figure 23 Patient Listing Screen 2313. The back button 4803 is a button that, when clicked, returns the day view above the digital assistant 118 to the previous screen. The OK button 4805 is clicked to acknowledge the material displayed on the digital device 118. When the 〇κ button 4805 is clicked on 200422917%, the next screen is usually not displayed. The infusion execution indicator button 4807 indicates that a planned infusion is now being performed on the selected pump 120 and channel. The infusion standby indicator 4810 indicates that the planned infusion for the selected patient, pump 120, and one of the channels is already on standby. Infusion stop indicator 4811 indicates that the planned infusion for the selected patient, pump 120, and channel has been stopped. The Infusion Interruption Instruction Indicator ⑴ indicates that an instruction entered by the pharmacy will interrupt an infusion for the selected patient, pump 120, and channel. Physician's precautions refer to * stomach. M indicates that there is a physician's attention clerk for the selected m 12G and the channel. 4 4 personnel 116 can click on the attention indicator 4815 = to watch these precautions. Compare by The 4817 system is proposed in various daytimes, and when ordered, it enables ㈣21 () to perform a comparison and additional comparison of the scanned item with the instructions entered by the pharmacy. The update button period is clicked to update , And the latest information is displayed on the screen. The side of the leave button allows the medical staff to leave the current screen and return to the first day and day. The 4m input button is also a ⑽button and is selected 乂 ⑽ You can also enter the data selected from the options in a drop-down list, or the data manually entered in a block. The comparison indicator indicates that the planned chestnut setting matches the instruction information entered by the pharmacy. .Comparative mismatch indicator 4825 indicates that the planned system settings do not match the instruction information entered by the pharmacy. Uncomparable indicator multiple 7 indicates that the system cannot compare the planned pump settings with the pharmacy. Entered command information. The pump report / invitation indicator 4872 indicates that an alarm or warning situation is occurring .: When the alarm / warning indicator 4872 is clicked, an expanded pump report ^ 132 200422917: report The screen is displayed. On top of this alarm and warning screen, the alarm / warning image does not indicate an alarm condition, and the color report / warning image does not indicate a warning condition.

Γ8: 4: Clicked to temporarily mute the digital device. Please put on: audible alarm y = communication indicator 4833 indicates that the pump 120 and / or the hub 107 are not properly communicating with the system 210. A message accompanying this instruction describes the steps to be taken to resolve the problem. Wireless module low battery warning indicator 4835 indicates that the hub it 107 is currently running on a backup battery, which has less than 30 minutes of remaining battery power. The above disclosure regarding the setting and use of the digital assistant 118 has been discussed in relation to the medical staff 116 performing these functions. However, it should be understood that these tasks can be performed by any medication in the hospital or by individual staff, regardless of whether the individual has been notified of a medical emergency.

Please refer to FIG. 12, which shows a preferred embodiment of the emergency notification system 1220. A notifying party 12i0 communicates with a communication network 1220. Those skilled in this technology will realize that various communication networks are operational, including (but not limited to) Ethernet, coaxial cable networks, and wireless local area networks. And wireless WAN. In addition, various communication network protocols are operational, including (but not limited to) Transmission Control Protocol / Internet Protocol ("TCP / IP"), Wireless Application Protocol ("WAp"), and user data elements (Datagram) protocol ("UDP"). In addition, communication network 1 220 series is operational 133 200422917

It is one of a larger communication network, w θ Λ, for example, the communication network 1220 is similar to the existing communication network in a hospital, for example. The wired communication network communicates wirelessly. The county that communicates with the communication network 1 220, plus a notification party 1210. The portal 1210 can be a hospital doctor's face, such as a nurse, a doctor, a hospital politician, or a security guard ^ 忒 Notifying party 1210 can also be sick ~ . In addition, the notifier i 21 〇 ^ 3.;, An automated process, such as a computer program or medical equipment. Make

The automated process functioning as the notifying party 1210 can be planned to broadcast an emergency notification to all parts of the communication network-z 0 while satisfying a certain slip condition or an event. For example, the automation process can be planned to broadcast an emergency notification when the condition of the patient is being adjusted. The emergency notification is received by one or more target parties 1 230. Target party: Bismuth party 1230 can be medical staff, such as doctors and nurses. The target party 123〇, ^ J Μ 疋 an emergency response director or security director, or a ring training "彡 宝 丨 &

1U clothing 丨 brother fire damage group. The target 1230 can be any individual who communicates with the communication network 12 2 0 iS 4 ^ ^ 5 ^ 1. This embodiment provides the right of selection to the notifying party 121. It is possible to send the notification of the emergency situation to a certain target party 12 3 0, and send it to multiple target parties. The party 1230, or It is all the target parties 1 230; this embodiment allows the notifying party, which is enough to choose which of the objectives 1 230 to receive the emergency notification. μ Target 1230 and Notifier mo communicate with this communication network 1220. Those skilled in this technology will realize that various communication modes 124 can provide the notifying party mo and the target party with the communication network 122 134 200422917 For example, the communication mode 124G can be a wired connection, for example, personal = yes Programmable controller. The communication mode can also be a wireless network connection via / electricity% or mobile phone. _ —The 13th reference is used, which is displayed from the perspective of the notifying party 1210 ° The person skilled in the art will appreciate that this kind of interface will enable the notifying party 1210 to pass Communication network to broadcast an emergency notification. The notification interface can be a website connected to the intranet or the Internet. The notification interface can also be activated by a second or other call, or by email. = In one embodiment, the notification interface is a type that is widely available in the market. It is package 3, a Paim garment manufactured by Palmone, a Visor device manufactured by PalmOne, and a Hewlett-Packard company. Manufactured—On devices, Axim devices made by Dell, Clie devices made by Sony, and Pocketpc devices made by Toshiba, Compaq, and Symbol. In one embodiment, the notification interface 1300 includes an item sheet 1330 listing one or more options 1340. For example, a notification option 1 3 4 0 can be notified to the party 121 Γ) on the appointment, step 4® 1Z1, this is enough to select a specific medical staff or a specific type of medical staff as the target party Cong. Another notification option 134 can allow the notification party to be notified of an incident that was sent incorrectly in an emergency, and Neng Jun could choose to cancel the emergency notification. Additional notification options can also include items such as patient identification information, patient location, type of emergency, and expected response time. 135 200422917 Now please refer to Figure 14, which is the target of 1230. An angle to show a solid wire of the receiving interface 14 0 0, 丨 _ y is known. Similar to the notification interface 1300, the receiving interface should be able to operate on a variety of different platforms and remain feasible under the principles of this month. In one embodiment shown in FIG. 13, the receiving interface is a handheld computer of 1400 counties. The interface 1400 contains a daylight surface 1420 for displaying the information ... A non-configurable set of information 2350. Hungry negative § Hole 2350 can contain all kinds of information, such as patient identification, emergency location, the type of cheek that is closely related to the situation of π and home, and anticipation. The response time: the notification interface 1300 and the receiving combination 1 / ΙΛΛ + Han receive; the interface 1400 is optionally equipped with a hot key 1350, 1460. Regarding Xibu a person, regarding the "Hai notification interface 1300, the hotkey 1350 can be configured to transmit an emergency situation that includes automatic secret notifications, notifications, and payment from the notification interface 1300 itself. Notification. For example, ^ J, the hotkey 1350 on the notification interface 1300 can be configured with white text 1-7, and configured by 1 to automatically send an emergency notification containing the information. Information_message transmission with alarm / alarm notifications-delivery and recitation The system provides transmission notifications and messages. Notifications can include (but not limited to): patient status list, alarms, warnings, infusion schedules, instructions Three revocations, warnings, treatment parameters, links to additional information, forgotten medications, route confirmation, comparisons, flow rate information, physician notes, loss of communication, low battery, advice to wardens, hope. 5 The system also provides display of these and additional notifications. One way the notifications are displayed is on the digital assistant 118. Notifications can be provided to many healthcare professionals and / or any of the healthcare professionals in charge. 136 20042 2917 ^ As explained above, the type of notification is the alarm system. 诵 & s σ notification. In-report ~ promoted alert (-) ... a specific two "promotion alert process is Shown in Figure 15, a notification has been posted in the picture. Typically U6. Article Γ: Send notifications to any number of healthcare professionals as shown in Figure 5. Alerts / warnings are promoted = :: 二: r "For example, & when you go against, via 嫛 螬, · The device 118 folder chants the position of: nursing staff. In a preferred embodiment, 1 medical staff household = Γ solid number assistant ("PDA") U8, for example, stands in Figures 1 and 3: Health 1 typically has a display 118a and audible audio or: ⑽. But for the purpose of illustration only, the device of the medical staff in the “Mingzhong” will be designated as Digital Assistant 118 below. Furthermore, when the medical staff is unable to respond to the alert / warning notification on the digital assistant us, the alert / warning escalation alert process 150 provides a escalation alert process. When an ascending alert process is initiated, a notification is presented to the digital assistant 118 of another or second medical staff designated in the ascending alert process. When the alarm / warning notification is transmitted to the digital assistant 118, it is understood that pump alarms and warnings can typically only be resolved at the pump. As explained herein, for example, in block 1580 of Figure 15, the silence of the alarm or warning at the digital assistant 118 may or may not affect the pump. When at least one or both of an alarm or a warning condition is triggered at the medical device 120, the alarm / warning escalation process 1500 begins at block 1505. In a preferred embodiment of 137 200422917 shown in FIG. 3, after the triggering of the alarm or warning at the medical device 120, a signal containing data related to the alarm or warning condition is in a box. The 1510 place was generated and transmitted from the medical device 120 to the server 10 09. In a wireless environment, a medical device 120 series having a wireless transmitter is provided, or a medical device 120 series connected to a wireless hub 107 is provided. In the latter example, as shown in Figure 3, the OH hub 1 107 receives a signal from the medical device 12 q and converts the signal into a format suitable for use over a wireless communication path or link. 128 to transmit to the system network 102. Furthermore, if the hub 107 recognizes that the alert, warning, or other notification is a duplicate, the hub 107 may discard the duplicate notification. The transmitted signal is received by a wireless access point 114 within the healthcare environment. The wireless access point 114 provides an interface between a wireless communication path (i.e., the wireless path 128) and a cable communication path (e.g., the cable communication path 110 shown in FIG. 3). After the server 109 receives the information about the alert or warning transmitted at block 1510, the server 109 performs a precondition (prec〇nditi〇n) at block 1515. an examination. The prerequisite check 3030 may include: associating an alarm or warning condition at 120 medical devices to a specific patient; associating the patient to a primary medical staff, also known as a first medical staff (This connection may be performed at the central system servo unit 108a); and, the first medical staff is connected to the digital assistant 118 of the medical staff. The server OM09 uses the information obtained from the inspection of its prerequisites at block 1515 to 138 200422917 in the medical device 120 (and in one embodiment a specific channel 1 21 for the infusion pump 120), A relationship is established between the patient, the primary or first medical staff, and the digital assistant 118 of the first medical staff. It can be understood that there is a many-to-many relationship between multiple patients 112 and multiple medical staff 116. As a result, many first-level medical personnel, many second-level personnel, and many n-level medical personnel can be associated with a specific patient. In addition, η-level escalation warnings are also feasible within this system. Typically, the server 108a already has a many-to-many relationship between the patient and the medical staff, and a patient-to-unit relationship. The server 108a transmits the relations to the server 1009, and the server 1009 stores the relations. Similarly, the server 108a transmits the connection from the medical staff in charge to the unit to the server 109 for storage. After checking the prerequisites at block 15 15, the server 10 g decides the appropriate channel 121 for the patient 112 to the medical staff i i 6 mapping. Once the mapping is complete, the server 109 determines at block 1 520 whether the digital assistant 118 of the first medical staff member is valid. If the first medical assistant's digital assistant 118 is valid, the server 109 generates a signal representing the presence of the alarm or warning condition. The signal contains information such as the patient's name, patient's location, ward identification, bed identification, alarm or warning type, fact sheet, time, date, medical staff identification, and / or prescription. In the preferred embodiment, the signal is transmitted from the server 10 to the wireless access point 4. The wireless access point 114 then transmits 200422917 the signal related to the alarm or warning condition to the digital assistant of the medical staff 118 via the wireless communication transmission at block 1525. The signal related to the alarm or warning condition is also transmitted. At block 1525, it can be sent to a supervising paramedic, a secondary paramedic, or a paramedic. Such signals can be sent via wireless or wired communication. In addition, the medical staff of F tube can use digital assistant S 118, | PC or some other electronic device. The & Medical 4 staff-usually a supervisor or someone who the medical caregiver wants to report. In addition, the medical staff of the 'f tube' can be people who assist in the workflow of the medical staff or assist in monitoring the alarm or warning situation.号 "The number is received by the medical assistant's digital assistant 丨 丨 8, and then displayed at box 1530 in Figure 15. This box is provided for pointing out above the medical assistant's digital assistant 118 The alert or warning condition. The instructions on the digital assistant of the medical staff can be visual, audible, or visual and audible. Furthermore, the visual instructions can include text, images, symbols, etc. One or more. Similarly, as explained above, the auditory indication may include a variety of auditory audio below various decibel levels. The visual and auditory indicators are set by the hospital configuration. Section 16 Figure A shows an example of the alarm / warning interface listing screen 1662a above the digital assistant of the medical staff. The Annunciation / Warning List Interface 1 662a contains the currently active channels. One of the listed patients is reported / warned. As shown in Figure 16A, the digital assistant 118 of this medical staff currently has three active alarm / warning indicators. There is an alert for "patient one" Case 1664, for "patients ,, there are two alarm conditions 1,402,004,229,171,666, as well as for" Chi in a casual ,, disabilities * patients two have also 々 warning condition 1668. The name of each patient and the corresponding @ Alarm / Warning image is a hyperlink to the proper pump alarm detail interface screen, as shown in the figure below. In one embodiment, the list of patients is filtered to include only patients currently associated with the medical staff member 6 in the digital assistant s 118 logged on to the display screen. This kind of medical staff-to-patient relationship can be as the main medical staff or 疋: for the temporary medical staff. Secondary medical staff can also be used through this escalation alert process. The alarm / warning list interface 1 662 is typically displayed during a normal health care worker's workflow. # Is displayed by clicking

The alert / warning image 4 8 7 2 on the digital assistant 118 of the Baikun personnel 116 is utilized.

As explained above, when the alert or warning condition is indicated above the digital assistant of the medical staff at block 1530, the indication may be provided visually, audibly, or both. When an audible instruction is provided at the medical assistant's digital assistant 118, the alert image 4872 appears on the display of the medical assistant's digital assistant 118! Above 8a. If an audible instruction is presented, the medical staff can mute the audible instruction 'even if the medical staff has not responded to the alert or warning situation. If the medical staff does mute the alarm, the server 9 will start a silence timer. The visual indication will be maintained even if the audible indication is muted. As shown in Figure 16A, if an alarm / out-of-warning will provide an audible indication at the medical staff's digital assistant 118, but when the medical staff can be silenced, a silent alarm / warning image 4874 series is provided. Furthermore, at the time of the alert / warning escalation alert 141 200422917, if the medical staff does not respond to the alert within the time limit of the timer, the mute of the auditory instructions can be released. An alternative embodiment of the indication may be a warning of vibration.

Furthermore, it is understood that multiple alert / warning conditions can occur simultaneously or in overlapping periods. Thus, a simultaneous or overlapping signal containing information related to the condition of that particular alert or warning is generated at block 1510 and transmitted from the medical device 120 to the server 109. The alarm / warning signal may originate from the same or different medical devices 120. Furthermore, the alarm / warning signals can be related to the same or different patients. However, as in the alert / warning escalation process 1500 described herein for individual alert / warning situations, each alert / warning signal is individually routed. As shown in Figure 16A, a particular healthcare professional may have many alarm / warning conditions on his digital assistant 118. Another example of the alarm / warning screen is shown on the interface screen 1 662b in FIG. 16B. As is typical in this system, the line marked 1676 in interface screen 1 662b in Figure i6B indicates the end of a list, and in this interface it is clearly indicated that for a particular healthcare worker The alarm / warning indications are listed. Figure 17 depicts a detail after the medical staff has been selected over the medical staff's digital assistant 118 from interface list 1662a in Figure 16A to view one of the alert / warning instructions for the patient hyperlink. Patient's alarm / warning interface 1765 〇Here, the medical staff has chosen to select "Patient 1", the alarm refers to 1 765 Department to provide medical staff 1664. The details of the alarm / warning describe the alarm / Details of the reason for the warning 142 200422917 message. Medical staff can click on the update button 4819 to update the information currently displayed on the screen 1765. As shown on the interface 1867 in Figure 18 There may be multiple invitations or warnings for the same patient 1878, 1882. This alarm / warning interface 1867 provides two listed pump alarms / warnings that are currently relevant to all specific patients These active pump alarms / warnings can come from multiple channels 121 and / or pumps 120, and even spread to multiple hubs ι07. This interface screen 1867 A specific patient is designated for use on the listed day surface 1662. The signal is transmitted to the digital assistant of the medical staff at block 1525 and the digital of the primary medical staff at block 1530 After assistant 118 receives, at block 1535, a timer is started at server 109. The timer has a timer time limit. A typical alarm alert timer time limit is about A 2 & However, this limit can be set by the hospital configuration. At block 1540, the system determines whether the response was raised for the warning or alarm within the timer time limit. If the timer time limit is reached When there is no response from the digital assistant 118 of the primary medical staff, the process proceeds to block 1545. At block 1545, the system conducts further inquiries regarding whether the alarm / warning condition is already present. The medical device 12 is made a response or a response. If it is the digital assistant 118 of the main medical staff, the medical device 120, or the medical staff in charge If no response has been made, the alarm / warning process is raised at block 1545. If after an alarm / warning condition is triggered, but before the alarm / alarm 143 200422917 response is answered When a loss of communication occurs, the alarm / warning condition will be issued again once the loss of communication has been repaired. Similarly 'if an alarm / warning condition is triggered after loss of communication' then the communication is When re-established, the Shaw alert / warning condition will be issued again. 9 When an alert is raised, the server 1 () 9 places an additional prerequisite check at 1550. The examination of this prerequisite 1550 may include: associating the patient to a secondary medical staff (this connection may be performed at the place where the central system servo unit is purchased); and associating the second medical staff to the The digital assistant m of the medical staff is also referred to as the device of the second medical staff or the digital assistant 118 of the second medical staff. The server 109 uses the information obtained during its examination of the prerequisites at block 1550 to identify the medical device 120, the patient, the secondary medical staff, and the digital assistant 118 of the second medical staff. Establish a relationship between them. After checking the second prerequisite at block 1550, the server 109 may also determine whether the digital assistant 118 of the second medical staff is valid. If the digital assistant 118 of the second medical staff member is valid, the server 109 generates a # sign indicating that the alarm is being raised or an alarm condition exists. The elevated alert signal also includes, for example, the patient's name, patient location, ward identification, bed identification, alarm or warning type, fact sheet, time, date, medical staff identification, and / or prescription . In the preferred embodiment, the signal of the lifted alert is transmitted from the server 109 to the wireless access point 114. The wireless access point 114 is 144 200422917 and then transmits the signal related to the alarm or warning condition to the digital assistant of the second medical staff 11 8 via a wireless communication transmission at block 1555. A signal of an elevated alert related to the alert or warning condition may also be sent to a medical officer in charge at block 1555. The signal for such an alert can be via wireless or wired communication. Furthermore, the medical staff in charge may use a digital assistant, a desktop computer, or some other electronic device. As explained above, the medical staff in charge is usually the supervisor or someone the medical staff wants to report, or the person who assists the medical staff in their workflow or assists in monitoring alerts or warnings. The signal of the k-raised roar was received at block 1 560 in Figure 15 by the second medical assistant's digital assistant 118 and then displayed. This block is used to indicate the alarm or warning condition above the digital assistant 1 1 8 of the second medical staff. The instructions on the device of the second healthcare worker may be visual, auditory, or visual and auditory. Furthermore, the visual indication may include one or more of text, images, symbols, and the like. Similarly, as explained above, the audible indication may include various audible audio. The visual and audible indicators are set by the hospital configuration. However, it should be understood that the original signal transmitted to the first caregiver seen at block 1 525 is still maintained at the digital assistant of the first caregiver, as shown in the block of FIG. 15 15 3 0. The signal at the digital assistant's 118 of the first medical staff can be boosted (ie, the signal can be displayed in a larger size or font, it can be flashing, the volume of the audible warning) Can be louder (145 200422917, etc.). After the secondary signal is transmitted to the digital assistant of the medical staff at block 15 5 5 and received by the digital assistant 118 of the secondary medical staff at block 1560, there are at least two individuals (the first Paramedics and / or paramedics) and at least two devices with active alarm / warning conditions. Thus, any of these health care providers can respond to the alert / warning condition, as shown in blocks 1540 and 1565. The alert process for today's elevated alert will continue at block 15 7 0 until the alert / warning condition is in one of the medical staff's digital assistant 118, the medical staff's computer or device in charge, or Until the medical equipment 12 is removed. Please return to block 1520, if the server 109 judges that the digital assistant 118 of the main medical staff is not valid, and if the server judges at block 1545 that the alarm / warning condition still exists, then The server 109 will proceed to block 1550 as discussed above to determine the appropriate secondary or supervisory medical staff to transmit the alert / warning signal. In addition, it can be appreciated that block 1520 can occur at any point during the 1500 escalation alert process of the alert / warning. One reason for the paramedic's digital assistant 118 to fail may be the loss of the signal from the server 109. As shown in Figure 45A and 45B in the loss of communication interface screen 45001, § When the signal is lost, the digital assistant i8 will provide the medical staff 116-a daytime surface indicating the lost signal 4501 and / Or an audible / vibration indicator. The lost communication screen 4501 also informs the medical staff 116 about which patients' signals have been lost. At screen 4501, the system 146 200422917 210 also provides tips for the medical staff 116 to solve the problem to regain a · number. * When the hub 1 07 or digital assistant 丨 8 is out of wireless range, pump alarms and warnings cannot be received at the digital assistant 118. Other reasons for the failure of the digital assistant 118 may be a loss of battery power at the digital assistant 118, a loss of battery power at the wireless hub 107, or a loss of the signal related to the access point i 14 by the digital assistant. The system 210 does provide a low battery picture for the medical staff 116. As shown in the interface day 4603 of FIG. 46, one type of low-power picture: a # report to the medical staff of the low battery situation exists on the day of the wireless hub 107 connected to the patient # φ infusion pump. When a low battery screen is provided, the screen contains a list of patients who are infused with the particular hub 107. The patient's list is generally filtered to include only patients who are related to the medical staff registered in the digital assistant 118 displaying this screen 4603, and all the infusion pumps 120 / shared with the registered medical staff. Hub, patient of 107. Through this escalation alert process, such a medical staff-to-patient relationship can be a medical staff in relation to the first medical staff. What you can understand is that the digital assistant of the medical staff :: 18: · Other reasons for the failure are also possible. Nonetheless, if the medical assistant's digital assistant 118 becomes ineffective at any point in time, the process 1500 can proceed to block 1 550 so that the signal can be transmitted to the secondary medical worker and / or the person in charge Medical staff. Furthermore, as explained above with respect to a time-out feature and other features of the disclosure, if a communication signal is lost from the server 109 or the medical device 120, a lost signal message may be as in the 45A and 45A. 45B is provided on the 147 digital assistant 11 8 as shown in the figure. At any point during the alert / warning process, the primary caregiver can respond to the alert / poster / gazette number. If the primary caregiver responds to the alert / warning signal at block 1540, the process of raising the alert will be avoided. ”…, And, the process of raising the alert on the right has been initiated, and when box 1550 is initiated, the primary physician or secondary medical staff may respond to the alert / warning signal at box 1565. Similar to j: The alarm / warning condition can be at the time of the alarm / warning escalation process, or at any time during the alarm / warning escalation process, at the medical equipment or by the medical staff in charge. Address it. After the alert / warning condition has been at block 1540, block 1 565, and after the medical device 120 or a medical staff member has resolved it, the medical device # 120 and the digital number of the medical staff member The audible alarm at Assistant 118 will be terminated at block 1540. The server 109 records all alarm / warning conditions at block 1585 as one event. Recording the event may include: recording information about the alarm / warning condition; recording the medical staff responding to the alarm / warning condition, " the initial time when the alarm / warning condition was recorded (see box 1 505), and ' Record the time when the alarm / warning condition was corrected. In addition, at block 1 590, the server 10 will reset the timer and update the alarm list of the western medicine. The alarm / warning condition can also be recorded in the event history of the chestnut. Example of an Example Use Figure 55A to Figure 62 show that the system described here can be used to perform the actions of 200422917. Xuanzang A 丨 ΛΑ & Consumption actions include giving new infusions, scanning channels, changing channels of pure fingers, stopping / interrupting infusions, resuming infusions, and removing U. Each of these actions is from, for example, a digital assistant The electronic device 118 receives the input, the electronic device including information indicating the action to be performed, information indicating which drug 124 of the patient 112 is to be affected (eg, Rx ID). This information is then transmitted to the first Central Feeder 09, the first: Central Servo H 109 confirms whether the channel identification information conforms to the infusion instruction and confirms that the correct infusion action has occurred. Pill Pharmacy Fluid Excessive Patient 112 will be affected (e.g., Patient ID) with information indicating and

Figure 55A illustrates an example of 5500 during the administration of an infusion solution. Part of the dosing process 5500 is one of the comparison procedures 5200 outlined above: an alternative example. The infusion process 5500 can be used to start a new infusion. Generally speaking, the medication infusion process 5500 receives input from an electronic device, such as a digital assistant 118, which contains information indicating the medication infusion procedure to be performed, which patient 112 Information of the affected (eg, patient ID), and information indicating what (eg, RxiD) the drug 124 is for the patient Π2 to be started. The process 5500 then sends this information to the first central server 1009, and the first central server 109 confirms whether the channel identification information conforms to the infusion instruction information and whether the correct infusion is started. More specifically, the infusion process of this example 5500 starts at block 502. The first central server 1 makes the digital assistant 118 display 149 200422917

Not one patient is listed. An example of a digital assistant display 118a showing a patient list is depicted in the figure. The patient list is preferably limited to patients associated with a user (e.g., medical staff 116) logged into the digital assistant 118 at that time. Once the user selects a patient U2, information indicating the selection and / or the patient 112 is transmitted from the digital assistant 118 to the second central server 108a. The communication between the digital assistant 118 and the first central server 08a may be via any appropriate communication channel such as the wireless / wired network 2 described above. 4 The first central server 108a then causes the digital assistant 118 to display an action list at block 5504. An example of a digital assistant display 8a showing an action list is depicted in the first figure. The list of actions is preferably limited to the actions corresponding to the selected disease $ 112. For example, if at least one infusion is currently associated with the selected patient, then there will only be "administer the infusion, and the action is available.

When the user selects "administration infusion," from the action list, when the action, the data indicating the selected action is transmitted to the second central server for purchase. As a response, the second central server 1G8a is At block 55 () 6, the digital assistant 118 is displayed with a screen to prompt the user to select a drug to be infused 124 from the drug list displayed on the digital assistant 118 (shown above). An example of a digital assistant's display 8a is depicted in Section 26. The drug list is preferably based on the actual instructions for the patient 112 to retrieve information from the second central server. Retrieved from the library. Of course, the list can have any number of items, including the infusion of 要, σ, σ medicine or an infusion to be administered. Instruct the institute 150 200422917 of the selected drugs 124 The data is then transmitted to the second central server 108a. Then, the second central server 108a causes the digital assistant 11 8 to display a daylight surface at block 5508 to prompt the user to scan one Machine readable associated with the patient 112 An example of the digital assistant's display 118a prompting the user to scan a machine-readable identifier associated with the patient 112 is depicted in the figure%. The user can use the digital assistant 118 scanner to scan the bar code label on the patient's wrist π 112a. Alternatively, the user can manually enter f into the patient identifier into the digital assistant 118. The patient identifier is then At block 5510, it is transmitted to the second central server 108a for verification. The first central server 08a then attempts to query the patient identifier in a database. If the patient identifier ( For example, when the wristband loop does not exist as a valid patient identifier in the poor library, the second central temple server 108a is tied to block 5512 so that the digital assistant 118 displays an invalid patient Notification ... Once the user responds to the invalid patient's it notification (or the notification is paused), the digital assistant 118 is located at block 55008. Let's face it again 4 days to remind the user to scan_ Machines related to the patient worker 2 Readable identifier. —Right at block 5510, when the patient identifier (for example, wristband ID) does exist in the A shell as a valid patient identifier, the second central servo The device 108a is at block 5514 so that the digital assistant 118 is displayed-a diurnal surface is to prompt the user to scan a machine-readable identifier associated with the drug 124 to be administered. The user is prompted to scan- 151 200422917

An example of a digital assistant's display 118a with a machine-readable identifier associated with the drug 124 is depicted in FIG. The user may use the scanner of the digital assistant 118 to scan the label 124a of the medication on a bag of medication 124 (e.g., a barcode on a transfusion bag). Or, 'the user can manually enter the drug identifier into the digital assistant 118. The drug identifier is then transmitted to the second central server 108a for verification at block 5516. The second central server 108a attempts to query the drug identifier in the database. If the drug identifier (eg, bag ID) does not exist as a valid drug identifier in the database, the second central server 108a informs the digital assistant 118 at block 5518 Display an invalid item notification. Once the user responds to the invalid item notification (or the notification is suspended), the digital assistant 118 displays the screen again at block 5514 to prompt the user to scan a machine-readable machine associated with the drug 124 Identifier to resume.

Once a valid drug identifier is obtained, the second central server 108a uses the drug identifier to query a patient identifier in the database. The patient identifier from the database is then compared to the scanned (or manually entered) patient identifier at block 5520 to determine the scanned (or manually entered) drug 124 Whether it belongs to the scanned (or manually entered) patient 112. If the two patient identifiers do not match, the second central server 108a is at block 5518 so that the digital assistant 118 displays the invalid item notification. If the two patient identifiers do match (ie, this patient 112 is matched with this 152 200422917 drug 124), then the second central feeding device was purchased at the side. Block 5522 makes the digital assistant 118 displays a diurnal surface to prompt the user to enter a route, pipeline, and location. An example of the display of the digital assistant prompting the user for input channels, pipelines, and locations is depicted in Figure 37. The data of the control and official lines and locations are then transmitted to the location at block 5524. The second central server 108 is used for authentication. If a path mismatch occurs, the second central server is tied to block 5526 so that the digital assistant 118 displays a notification of a path mismatch. An example of a display U8a with a digital assistant with a non-compliance notification is depicted in Figure 40 ... Once the user responds to a notification that the channel does not match (or the notification is suspended), the digital assistant 118 is in the box At 5522, the screen is displayed again to prompt the person to enter the route, pipeline, and location. If the path does not match, the second central server ⑽ "causes the digital assistant 118 to display at block 5528-a screen asking the user to choose between manual prescription comparison and automatic prescription comparison At block 5530, if a manual prescription comparison is selected, the second central feeding device 108a is at block 5532 so that the digital assistant 8a displays an indication that the parameter will be manually changed by the user. Verification. Θ Next, the second central server i08a judges at block 5534 if there are additional items (eg, drugs) to apply to the patient. For example, the infusion selected in block 5506 The instruction may require a main infusion as well as a small soft bag infusion. If there are additional items (eg, drugs) to be applied to this patient 112 _ 'then the second central warship 1Q8a is located at block 5514 to make the digital self-help 118 is displayed ^ This screen prompts the user to scan a 153

Do not use a machine-readable identifier related to ㈣, ㈣124. The number of mentions-a machine 11 related to the medicine & 124. Readable two: Assistant's display ... An example of 18a is depicted on the right side. ) To be applied to this sick heart 112, the second central feeder ⑽a is placed at block 5536 so that the assistant 118 displays a daylight surface to show the result of the administration. Show me the medicine, ’. An example of the digital assistant's display U8a is shown in Figure 57.

The results of these administrations are also transmitted to the first central server 109. For example, the results of these administrations can be passed to the first central server ι09 as a form variable (as if provided from a web page). The first central service. The σ 109 is then checked at block 5538 for any failures in the dosing results. If there is no failure on the right, the first central server does not hand over all the new channel-patient-drug relationships to the database of the first central server 109 at block 5540. The first central server 109 then returns control to the second central server 108a at block 5542 by browsing to a predefined URL related to the second central server 108a. . If there are one or more failures, the first central server 109 discards the relationship between the channels associated with those failures-patient_drug at block 5544, and the channels associated with success-patient_drug The relationship is handed over to the database of the first central server 109. The failures may be related to the second central server 108a and / or the first central server 108. Thus, when the first central server 109 returns to 154 200422917 control to the second central server i08a at block 5546 by browsing to a predefined URL related to the second central server 108a, A central server j09 preferably passes failures (eg, integrity failures) related to the first central server 109 back to the second central server 08a. Sunny returns to block 5530. If the automatic prescription comparison is selected, the first central server 108a sends a "prescription comparison" XML file to the first central server 1009 at block 5531. The "prescription The "Compare" XML file contains the patient identifier (eg, wristband! D), medication identifier (eg, bag ID), completed URL, and canceled URL. The completed URL is used when a prescription match is found An Internet address. The canceled URL is a network address used if no prescription match is found. Once the first central server i 09 receives the "prescription comparison, the XML file, the first The central server 109 determines whether the "prescription comparison" XML file is valid at block 5548. For example, the first central server 109 can check whether there is any information normally expected in the "prescription comparison" XML file The received "prescription comparison" is missing from the XML file. If the first central server 109 judges that the "prescription comparison" and the XML file is not valid, the first central server 1009 is at block 5 The 55 ° point causes the digital assistant 118 to display an error message indicating that the user is informed that the "prescription comparison" action cannot be performed. This display may include a reason such as which information is missing from the "prescription comparison" XML file. After the user presses a "〇κ" button to recognize the error message, the first central server 1009 is located at block 5552, and a cancellation code is returned to the second central server via the cancelled URL. If the first central server 109 determines that the "prescription comparison" XML file is 155 200422917

: Effective ’The first central servo $ 109 system scans 釭 5554 for the first channel. To put it bluntly, the channel scanning process 5554 prompts the user to scan a machine-readable identifier related to the "new" Si channel, I channel (eg, pump channel 103a), and judge Whether the scanned channel is available (the patient is not given to any patient "i2; assigned to the current patient 112 but not in use; given to other patients 112 and overwritten

(〇VerWriUen); etc.). If the scanned channel is not available, the "administration infusion, the action is cancelled. In such an event, the first central server, 109, sends the cancellation code back to the Two central servers 1 G8a. Right the scanned channel is available, then a new LC patient drug relationship is generated. The channel scanning process "M is described in more detail below with reference to Figure 5 6 description.

If the channel scanning process 5554 determines that the scanned channel is valid and available, the first central server 109 at the block 5556 causes the digital assistant 118 to display a screen to prompt the user to plan the system. aisle. Preferably, the display 118a of the digital assistant includes a "compare, button, and a cancel" button. If the user presses the "Cancel," button, the first central server, 109, discards the new channel-patient relationship at block 5558, and passes the canceled URL at block 5552. The cancellation code is returned to the second central server 108a. If the user presses the 忒 button, the first central server 1009 judges at block 5560 whether the communication with the pump channel is appropriate For example, if the state information flood has not been received from the channel within a predefined period of time, the first central feeder 109 may determine that the communication with the pump channel is not suitable for local operation. 2004200417 If the communication with the pump channel is not functioning properly, the first central server 109 is at block 5562 so that the digital assistant 118 displays a daylight surface to indicate that the communication with the pump channel is lost, so the prescription is compared Cannot be executed. Furthermore, the digital assistant's display 8a preferably includes a "Compare" button and a "Cancel," button. If the user presses the "Cancel" button, then the first central server 109 discards the new channel-patient-medicine relationship at block 5558, and cancels it through Yuehai at block 5552. The URL returns the cancellation code to the second central server 丨 〇8a. If the user presses the "Compare" button, the first central server 丨 09 checks again with the pump at block 5560 Whether the communication of the channel is working properly. If the communication with the pump channel is properly functioning, the first central server 10 9 judges at block 5 5 6 4 whether there is any missing information related to this channel. For example, if the status information received from the channel is missing an expected serial number, the first central server i 09 can determine that the data related to the channel is missing. If the channel information is missing, the central server 009 is located at block 5564 so that the digital assistant 118 displays a screen to indicate that the comparison of the prescription cannot be performed due to the lack of channel data. Furthermore, the display 118a of the digital assistant preferably includes a, a comparison button and a "cancel," button. If the user presses the "Cancel" button ', the first central feeding device 109 is discarded at block 5558: the new channel-patient-to-medicine relationship, and at block 5552 via the canceled The URL returns the cancellation code to the second central server i 08a. If the user knows that the "Compare" button is pressed, the first central server ι 09 is located at 157 200422917 block 5560 again to check whether the communication with the pump channel is working properly. If there is no missing channel data , The first central server 109 judges whether the channel is already running at block 5 5 6 8. For example, the first central server 109 can judge the pump by reading the status information received from the channel. Whether the channel is running. If the channel is already running, the first central server 109 is at block 5570 so that the digital assistant 118 displays a face to indicate that the comparison of the prescription cannot be performed because the channel is already running. An example of a digital assistant's display 0 118a that indicates that the comparison of prescriptions cannot be performed is depicted in Figure 42. The digital assistant's display Is 118a can also indicate that the user should press on the pump i 2〇 (For example, start). Moreover, the digital assistant's display u8a preferably includes a "Compare," button and a "Cancel," button. When the user presses the "Cancel," button, the first central server 109 discards the new channel-patient-drug relationship at block 5558, and passes the canceled URL at block 5552. The cancellation code is returned to the second central server 108a. If the user presses the "compare, press narrative, the 109th central feeding device · 109 at block 5572 again checks whether the communication with the pump channel works properly. If the communication with the pump channel is not When operating properly, the first central server 109 at block 5574 causes the digital assistant 118 to display a screen to indicate that the comparison of prescriptions cannot be performed due to loss of communication with the pump channel. Furthermore, the digital assistant The display U8a preferably includes a "compare," button and a "cancel" button. If the user presses the "take 158 200422917 Cancel" button, the first central server 109 discards the new channel-patient-drug relationship at block 5558, and cancels it at block 5552. URL returns the cancellation code to the second central server 1. If the user presses the '' compare 'button, the first central server 099 checks again at block 5574 whether the communication with the pump channel is functioning properly. If the communication with the pump channel is working properly, the first central feeder j 009 performs the comparison of the requested party at block 5576. Please return to block 5568. If the channel is not running, the first central server 10 9 judges at block 5 5 7 8 whether the channel of the system is ready to transmit rate data. If the pump channel is not ready to transmit rate information, the first central server 109 at block 5580 causes the digital assistant 118 to display a daylight surface to indicate that because the channel does not transmit rate information, the prescription is compared Cannot be executed. An example of the digital assistant's display 118a indicating that the comparison of prescriptions cannot be performed is depicted in FIG. The display 118a of the digital assistant may also indicate that the user should press a certain button (e.g., rate) on the pump 120. Moreover, the display 118a of the digital assistant preferably includes a "comparison, button, and a cancel" button. If the user presses the "cancel, button," the first central server 109 is in a box The new channel-patient-drug relationship is discarded at 5558, and the cancellation code is returned to the second central server 108a via the canceled URL at block 5552. If the user presses the "comparison," button, the first central server 109 checks again at block 5572 whether the communication with the pump channel is working properly. If the pump channel is ready to transmit Rate information, the first central server 109 performs the comparison of the requested place at block 5576 at 200422917. · As part of the comparison of the prescription, the first central server 09 uses the channel Scan the channel identifier obtained in the process 5554 and the patient identifier transmitted by the second central feeding device 108a to look up a drug identifier in the database (or if the main drug 124 and Xiaosoft (Bag drugs 124 are two drug identifiers when both are associated with this channel.) The drug identifiers from this database are then identified with the scanned (or manually entered) drug at block 5582. If one of the drug identifiers from the database does not match the scanned (f or manually entered) drug identifier, the first central server 1 09 is on the side. Block 5584 causes the digital assistant 118 to display an invalid medication notification. For example, the digital assistant 118 may display a message that the scanned musical object 124 is not related to the scanned channel and indicates that it is actually assigned to the scanned channel. Scanned channels of medication 124 (both primary and small soft bags, if applicable). Furthermore, the digital assistant's display U8a preferably includes a "Compare" button and a "Cancel," button. If the user presses the "Cancel" button, then the first-central server 1Q9 is located in the box. Abandon the new channel-patient-drug relationship, and go through the canceled box at box 5552. Returns the cancellation of the purchase to the second central server. If the user presses the "comparison" button, the first central temple serving stomach ι09 is located at the place 4 5572 again-a person checks whether the communication with the chestnut channel works properly 0 as a comparison of the prescription As an additional part, the first central server 10 9 uses the channel identifier 160 200422917 obtained by the channel broadcast and suppression process 5554.

And a "canceled" independence. If the user presses the "Cancel, button, then the first: the central server 109 discards the new channel 'patient_medicine' relationship at block 5558, and passes the material at block 5552 Hungry back the cancellation code to the first: Servo Central Servo !! 1G8a. If the user presses the "Compare" button, then the "Central Device" will check the communication with the pump channel at block 5572 again. Whether it is working properly and the patient identifier transmitted by the second central server to query the drug library for a drug rate. The drug rate from the database is in block 5584. Compared with the actual rate received from the tunnel, the speed of the drug from the nursery does not match the actual rate when it is received from the chestnut channel. This makes the digital assistant S 118 display—an it does not match the speed it knows. And there is an unknown digital display—an example is depicted in Figure 40. For example, the digital assistant 118 can display a The rate of messages for that channel should be adjusted and Further indicate the correct value, the digital assistant display 118a preferably comprises a system - a "button to compare ,,

In addition, the digital assistant's display 1183 may include a "Accept Disagree" button. If the user presses the "Accept non-conformance," button, the first: the central server 109 is located at block 5588, and returns a non-conformance code and the non-conformance rate to the second central server through the completed Device 108a. If at block 5584, the drug rate from the database does match the rate actually received from the pump channel, then the first central server 109 is at block 5590 to enable the digital assistant 118 displays a compliance notification. An example of a digital assistant's display U8a with a compliance notification is 161 200422917. The notification message is depicted in Figure 39 through this to the second center.-Once the user accepts the compliance, it violates The first-the central servo 11 1Q9 is a URL formed at the block 5588 to return a matching code and the matching rate server 108a.

Figure 56 illustrates an example of the channel scanning known 5554 used above with reference to Figure 55. In general, the channel scanning process is not related to

& Awake user scans a machine-readable identifier 2 related to the lane and judges whether the scanned channel is available (for example, designated, current disease 4 112, but not in use ). If the scanned channel is not available, the infusion is administered, and the action is cancelled. In such an event, the first central server 109 returns a cancellation code to the second central server 108a via the cancellation. If the scanned channel is available, a new channel_patient-drug relationship will be created.

More specifically, the channel scanning process of the example 5554 starts at the central server 1 009 at block 5 602, so that the digital assistant 118 displays a daylight surface to prompt the user to select a secondary channel (for example, (Main or small soft bag), and scan a 4-pin pay that can be read by a machine associated with the channel. An example of a digital assistant's display U8a prompting the user to scan a machine-readable identifier associated with the channel is depicted in FIG. For example, the user may use the scanner of the digital assistant 118 to scan a barcode label associated with the channel. Alternatively, the user may manually input the channel identifier into the digital assistant 118. In addition, the user can choose to skip the scanning process, which will cause the URL returned by the 162 200422917 to return to the second central server 108a, or the user may choose to cancel the scanning, which will cause Go back to the second central server 108a via the cancelled URL. The channel identifier is then transmitted to the first central server 109 at block 5604 for verification. The first central server 109 then attempts to query the channel identifier in the database. If the channel identifier does not exist in the database as a valid channel identifier (for example, it is not properly formatted, it is not configured and set in the first central server 10, etc.) , The first central server 109 causes the digital assistant 118 to display an invalid channel notification at block 5_. For example, the digital assistant 118 may display a message that the channel is not configured in the first central server 109, and it includes a button to allow the user to rescan the channel identifier or cancel the action. If the user chooses to cancel the action, the first central server 109 preferably sends a cancellation code to the second central server 108a via the cancelled URL at block 5608. Once a valid channel identifier is obtained, the first central server 109 uses the channel identifier to query a patient identifier in the database. The first central server 109 then compares the patient identifier from the database with the scanned (or manually entered) patient identifier at block 5610. If a valid patient identifier exists in the database, but the two patient identifiers do not match (that is, the channel is assigned to a different patient 112), the first central server 109 checks the database at block 5612 to see if the channel is running (163 200422917 in main and / or small pouch mode). If the channel is running, then 士 — 士 ^, then the central server 109 is located at block 5 614 so that the digital assistant 118 Gu + U8 displays an error message that cannot be overwritten, which indicates a bit Different mole strings]! 9 & & i, A 丨 』112 is related to the scanned channel, and the channel is currently running. The dream 4 wrong block flood information can also contain data indicating the disease related to the scanned channel, the patient U2 of Tongguan (for example, the patient's name), the main drug 124, and / or Xiaosoft Bag of medicine 124. Better

The user is given the option to cancel or rescan. If the user chooses to cancel the action, the first central server τ day 1 "service state 109 is at block 5608, and a cancellation code is transmitted to the second central feeder 108a via the cancellation paper. If the user chooses to rescan, the central feeding device is located at block 5602 so that the digital assistant 118 displays the daylight surface to prompt the user to select a secondary channel (for example, a primary or small soft bag), Scan a machine-readable identifier associated with the channel.

If the channel is not running, the first central server 109 at block 5616 causes the digital assistant 118 to display a `` continue to overwrite, '' the warning message indicating a different patient 丨 2 It is related to the scanned channel, but the channel is not currently running. Preferably, the warning message indicates that the continuation will overwrite existing data (for example, eliminating the association with another patient 112). The warning message may also include information indicating the patient 12 (e.g., the patient's name), the main drug 124, and / or the small soft bag of drug i 24 associated with the scanned channel. Preferably, the user is given the option to cancel, rescan or continue. If the user chooses to cancel the action, the first central server 109 is located at the box 56008, and the first central server is 164 200422917.

Send a cancel code from the canceled URL to the first: central ㈣m. If the user chooses to rescan, the first—the central server 1G9 is at block 5602 so that the digital assistant 118 displays this screen to prompt the user to choose a time. Channel (for example, primary or small pouch), and scan for a machine-readable identifier associated with the channel. An example of the digital assistant display 118a prompting the user to scan a machine-readable identifier associated with the channel is depicted in FIG. If the user chooses to continue, the first central organ system generates a channel-patient-medicine relationship at block 5618, and stores the new channel_patient-medicine relationship in the current "Online talks", if the new channel between China and China _ the patient-drug relationship will eventually be saved, then the first-the central ship ^ to the new channel-patient-drug relationship to the first Database of the central server 1009 (as described in detail in block 5550 of Figure 55).

If at block 5620, a valid patient identifier exists in the delta database 'and the two patient identifiers do match (ie, the channel is assigned to this patient Π 2) Then, the first central server] 09 checks the database at block 5622 to see if the secondary channel is empty. In other words, if the main secondary channel is selected in block 5602, the first central temple server 109 checks whether there is no major infusion related to this channel and if the small soft bag secondary channel is selected in block 5602, it checks Is there a small soft bag infusion associated with this channel? If the secondary channel is empty, the first central server generates a new channel-patient-drug relationship at block 5618, and stores the new channel-patient-drug relationship in the current " Network Talk ', Medium. If the secondary channel is not empty, then 165 200422917 a central feeder is checked at box 5624 to see if the secondary channel is running (in the primary and / or In the small soft bag mode, if the secondary channel is running, the first central server 109 is located at the box 6 so that the digital assistants 18 will display an error message "Cannot be overwritten." Indicate that patient 112 is already associated with the scanned channel, and that the selected secondary channel is currently running. The error message may also include data indicating patient 112 (eg, patient name), primary medication 124 And / or small soft bag ㈣ 124. Better Yu also, the user is given the option to cancel or rescan. If the user chooses to cancel the action, the first central feeder 109 is at box 56. 8 places through which to take The cancellation URL to send a cancellation > code to the second central server i () 8a. If the user selects: rescan ', the first-central server 109 is at block 5602 and the digital assistant 118 displays the screen To prompt the user to select a human-channel (for example, the main or small soft bag) and scan a machine-readable identifier associated with the channel. Right 4-When the human-channel is not running, the first A central server 0009 at block 5628 causes the digital assistant 118 to display a "continued. The message indicates that the patient 112 is related to the scanned channel, but the selected secondary channel is not present. Operation. The message may also include information indicating the patient 112 (eg, the patient's name), the main medication 124, and / or the pouch medication 124. Preferably, the user is given the option to cancel , Re-scan or continue. If the user chooses to cancel the action, the first central server 109 is at block 5608 and sends a cancellation code to the second central server via the canceled URL. If the user chooses to re- 166 200422917 Hapkin towel central feeding device 109 is placed at block 5602, so that the digital assistant 118 displays the daytime surface to prompt the person to select a sub-channel (for example, 々 or 疋), weight bag and scans a The machine-readable identifier associated with the channel. If the user chooses to continue, the-central feeding;

The relationship is created at block 5618-a new channel_patient_drug relationship, and 4 new channels_patient-drug relationships are stored in the current "Internet talk". When the user presses Continue again, the first-central feeding device 109 returns control to the current action (for example, drug delivery and magic. The evil of choosing a channel I_

FIG. 57A illustrates an example of the process 5700 of changing the channel of the system. The process of changing chestnut channels 57QG can be used (for example, by a nurse): change the infusion from one pump channel to another without losing the channel-patient-drug relationship in the shell. Generally speaking, the process of changing the pump channel is to receive input from an electronic device, such as the digital assistant 118, which contains information indicating the process of changing the pump channel to be performed, and which one will be affected. Information of the affected patient 112 (eg, patient ID) and information indicating the drug = ⑻ for the patient to be affected (e.g., Rx ID). The process 5 then sends this: fl to the first central server i 〇9, the first central server ^ 009 is to confirm whether the channel identification Gongxun meets the command information to change the pump channel. More specifically, the process of changing the pump channel 5700 of this example starts at the second 'central temple server 108a at block 5702 and causes the digital assistant 118 to display a patient list for selection. An example of a digital assistant display 118a showing a patient listing is depicted in FIG. 167 200422917

The patient list is preferably limited to patients associated with a user (eg, medical staff 116) logged into the digital assistant 118 at that time. Once the user selects a patient 112, the data indicating that the selection and / or the patient 112 is transmitted from the digital assistant 8 to the second central server 108a. The communication between the digital assistant 118 and the second central server ι8 & may be via any appropriate communication channel such as the wireless / wired network 102 described above. The second central register ma then causes the digital assistant 118 to display an action list at block 5704. An example of the digital assistant's display U8a showing an action list is depicted in FIG. The action list is preferably limited to actions related to the selected patient? 2 :: Off. For example, if the -item-related infusion for this patient 112 is currently listed in the database of the second central server 108a, then only ‘‘ change the pump channel, action is available. When the user selects "change the pump channel from the action list, and the action, the Bei Xun system of the selected action is transmitted to the second central server ⑽ &

= σ 应 4 The _central server ⑽ & is displayed at the place where the digital assistant 118 is displayed. This screen prompts the user to scan one and the following: to this "change the channel, the effect of the action The machine related to medicine # 124 takes a nickname. Note that the user should scan—a digital assistant's display corresponding to the medicine 124: a machine-readable identifier. An example of this is depicted in section S4.

认 # In the picture. The user can use the digital assistant 11S 12: scanner to scan the label of the drug on a drug bag (the bar code on the infusion bag). Or S, it should be used to manually enter the drug identifier into the digital assistant 118. 168 200422917 The drug identifier is then transmitted to the second central server 108a for verification at block 5708. The second central server [0a] tries to query the drug identifier in the database. If the drug identifier (for example, the bag ID) does not exist as a valid drug identification in the data 4, the second central server 108a is located at block 57] so that the remote digital assistant 118 Display an invalid item notification. Once the user responds to the invalid item notification (or the notification is paused), the digital assistant 118 redisplays the screen at block 5706 to prompt the user to scan a device that will be affected by this "change pump channel" action. A machine-readable identifier associated with the affected drug 124. Right at block 5708, when the drug identifier (for example, bag ID) does exist as a valid drug identifier in the 4 negative magazine, the second central server 108a sends a "change pump Channel "XML file to the First Central Temple Service. The "change chestnut channel" dish file contains a patient identifier (e.g., 'selected from the list in box 5702), a drug identifier (e.g., a bag ID), a completed URL, and a canceled URL. The completed URL is a network address used when the pump channel is changed if the "5 type" is used. The URL that is canceled is the network address used when the operation fails when the pump channel is changed.

Once the first central server 109 receives the "change pump channel" XML file, the first central server 109 determines whether the "change chestnut channel" is valid at block 5724. For example, The first central server 109 can check whether any information normally expected in a "change pump channel" file is missing from the received "change pump channel" XML 169 200422917 file. If the first The central server 109 judges that the "change chestnut channel" XML file is not valid, so the first central server 丨 09 causes the digital assistant 118 to display an error message at block 5 7 2 6 to indicate that the use should be made. The user knows that the "change pump channel" action cannot be performed. This display can include a reason, such as the lack of data in the "Change Pump Channel" XML file. After the user presses the "0K" button in response to the error message, the first central server 109 is located at block 5728, and a failure code is returned to the second central server 108 via the cancelled URL. ;. If the first central server 10 9 determines that the “change pump channel” UL file is “valid”, then the first central temple server 10 5 may start a channel scanning process 5730. This channel scanning process 5730 is related to the "old," channel (ie, the user is trying to move from the "old", to the "new ,," channel). In general, the channel scanning process 5730 prompts the user to scan a machine-readable identifier associated with the "old" pump channel, and determine whether the scanned channel is identified with the patient identifier and drug identification Symbol correlation, that is, as described in more detail below with reference to FIG. 58. If the scanned channel is not related to the patient identifier and the drug identifier, the "change pump channel action is canceled. In such an event, the first central server is at block 5728" A cancellation code is returned to the second central server 108a via the canceled URL. If the scanned channel is related to the patient identifier and the drug identifier (ie, the old channel is valid), Then the first central server 109 is located at the block 5732 so that the digital assistant 118 displays a message indicating the old channel of the infusion for the patient 112, i and the old 170 of the small infusion bag. 200422917 'More Ground, Digital Assistant 118 also displayed a message indicating that two infusions (. Main and small soft bags) were moved because of this action, and: a "Continue" button and a "Cancel," as described. If the user presses "Cancel, the first central server 109 is located at block 5728, and a cancellation code is returned to the second central feeder via the URL of x J. ⑽ & If the user presses" Continue, , Button, the first central temple server system starts another channel scanning process 5734. This channel scanning process is related to the "new" channel (that is, the user is trying to move from the "old, channel to the new" channel) ... In general, the channel scanning process 5734 system prompts |: The user scans a machine-readable line identifier associated with the "new" pump channel and determines whether the scanned channel is available (e.g., leather talent a 疋, Ό any patient ! 2; assigned to the current patient] 1 2 but not = in use, assigned to other patients, i 12 and overwritten; etc.). If the scanned channel is not available, then "change the pump channel, get ready and get 4. In this event, the _ central feeding service $ ⑽ is at = block 5728, via The cancellation of the hunger is to send a cancellation code back to the central feeding device 108a. The channel scanning process 5734 is described in more detail in Figure 5-9 below. When the channel is related to the patient identifier and the drug identifier (that is, the new channel is valid), then the first central temple service writes: 09 determines whether there is any other infusion at block 5736. The H infusion related to the new channel is already associated with the new channel. Then, the-central server, 109 at block 5738 causes the digital assistant 118 to display-indicating that another-the infusion is currently associated with the new channel. Relevant news 171 200422917 Heart T and a query _ The user wants to overwrite the current infusion message. Preferably, the message includes a "Yes," button, a "No," button, and a "Cancel" button. If the user presses the "Cancel," button, the first central server 109 is located at At block 5728, a cancellation code is returned to the second central server 108a via the cancelled URL. If the user presses the "No" button, the first central server 1009 starts another channel scanning process 5834. If the user presses the "No" button, the first central server 109 attempts to remove the channel-patient-drug relationship for the new channel in the database at block 5740. If at block 5742, the attempt to remove the new channel channel ~ patient_drug relationship from the database is unsuccessful, then the first central server 1009 is at block 5744 Causes the digital assistant 118 to display a "change pump channel. The error message contains the patient identifier, the drug identifier associated with the main infusion (if applicable) that has not been moved, and a small soft bag that has not been moved. The drug identifier associated with the infusion (if applicable). Once the user responds to the "change pump channel by pressing a" 〇κ ,, button, "the first central server 109 is in the box after an error message At 5746, a failure code is returned to the second central server 108a via the completed URL. If at block 5736, another infusion is not already associated with the new channel, or at block 5742 Attempt to remove the channel-patient-drug relationship for the new channel in the database is successful, then the first central server 109 attempts to block the main channel in the database for the main of And small soft bag infusion channel-patient-medicine relationship, changed from the old 172 200422917 channel to the new channel. If at block 5750, the channel-patient-drug relationship is changed from the database When the attempt to move the old channel to the new channel is unsuccessful, the first central server 109 causes the digital assistant 118 to display the "change pump channel," error message.

If at block 5750, the attempt to move the channel_patient-drug relationship from the old channel to the new channel in the database is successful, the first central server 109 is located at block 5752. The agent causes the digital assistant 118 to display a "change pump channel", a success message containing the patient identifier, the drug identifier associated with the main infusion (if applicable) being moved, and the small soft bag being moved The drug identifier associated with the infusion (if applicable). Preferably, the display also contains a message to the user to move the tube to the new channel. Once the user has pressed the button by pressing a "〇κ, After Ying Heyuan changed the fruit channel "Success message", the first central feeding device 109 was located at block 5746, and a success code was returned to the second central server 108a via the completed URL. Channel Scanned @

Fig. 58 illustrates an example of the channel scanning process 5730 used above with reference to Fig. 57. Generally speaking, the channel scanning process does not require the user to scan a machine-readable identifier associated with a pump channel, and determine whether the scanned channel is related to the previously scanned patient identifier and drug identification. Symbol related. If the scanned channel is not related to the patient identifier and drug identifier, the current actions (eg, stop, interrupt, resume resume, channel change, remove pump, etc.) are canceled. 173 200422917

More specifically, the example channel scanning process 5730 starts at the central feeder. At block 5802, the digital assistant 8 displays a screen to prompt the user to scan—a machine-readable identifier associated with the channel. The digital assistant Wang Luoxi chain, which prompts the user to scan a permissible identifier of the machine associated with the channel—μ month In the 38th PIΦ, an example is depicted in the brother's picture. For example, the user can use the benefit of the digital assistant u8 to scan a barcode label associated with the channel. Alternatively, use: The channel identifier can be manually entered into the digital assistant 118.

The channel identifier is then transmitted to the first central server 109 at block 5804 for verification. The first-central server 109 then tries to query the channel identifier in the database. If the channel identifier does not exist as a valid channel identifier in the a > magazine (for example, it is formatted properly, it is not configured and set in the first-central servo stomach ig9, etc.) 'Then-Central Feeding $ 109 at Box 5806 causes the digital assistant 118 to display an invalid channel notification. For example, the number

The assistant 118 can display a message that the channel has not been * in the first central temple service ^ § 10 9 and can be μ ... ^ ^, heart sigh, and it contains knowledge to allow the user to rescan The channel identifier will either cancel the action. If the user chooses to cancel the action, then the first-central server 109 is preferably at block 5808. Via the canceled IPT seat 1 ^, the month URL sends a cancellation code to the second central server. After the server 108a obtains a valid channel identifier, the first central server 109 uses the channel identifier to query the database for a patient identification payment. The patient identifier from the 4 poor library is then compared with the scanned (or manually entered) patient identifier at block 5 174 200422917. If the two patient identifiers do not match, the first central server 099 causes the digital assistant 118 to display an invalid patient notification at block 5812. For example, the digital assistant 8 may display a message that the scanned disease 112 is not related to the scanned channel, and indicate that the patient 112 is actually assigned to the scanned channel. Similarly, the pM display may include a button to allow the user to rescan the channel identifier or cancel the action. If the user chooses to cancel the action, the first central server 109 is preferably at block 5808, via the cancelled URL to # send a cancellation code to the second central server 108a. Once a valid channel-patient relationship is established, the first: Central Feed Service 1 109 uses the channel identifier and the patient identifier to query a drug identifier in the poor library (or if When both the main drug 124 and J softk drug 1 24 are related to this channel, they are two drug identifiers). The drug identifier from the database is then compared to the scanned (or manually entered) drug identifier at block 5814. If one of the drug identifiers from the database does not match the scanned (or manually entered) drug identifier, the first central server 109 is located at block 5816 so that Digital assistant 118 displays an invalid medication notification. For example, the digital assistant 118 may display a message that the scanned drug 124 is not related to the scanned channel, and indicate that the drug actually assigned to the scanned channel 12 "if applicable, for Both main and small soft bags). Furthermore, the m display may include a button to allow the user to rescan the channel identifier or cancel the action. If the user chooses to cancel the action, the first central server k is preferably at block 5808, and a cancellation code is transmitted to the second central server 108a via the canceled ⑽1. If a valid channel-patient-drug relationship is established, the central server 109 at 5818 indicates that a valid channel scan has occurred and returns control to the current action (for example, Stop medication, interrupt, resume resume, channel change, remove pump, etc.) without sending an additional display to digital assistant 118. Kuo (new recitation 1) Figure 59 shows that the sun and the moon have been scanned in the above reference to the channel in Figure 57 ^ _5734-an example. In general, the channel scanning process 5734 series

The user is prompted to scan a machine-readable identifier associated with the -pump channel, and the assignment to the destination channel is not cancelable.

176 200422917 / ^ 哉 Don't pay for it is then transmitted to the first central servo state 109 at block 5 904 for verification. The first central server i 09 series then searches the > 5th delta channel identifier in the magazine. If the channel identifier does not exist as a valid channel identifier in the database (for example, it is not properly formatted, it is not configured in the first central server, configured in 109, etc. ), The first central server 109 causes the digital assistant 118 to display an invalid channel notification at block 5906. For example, the digital assistant 118 may display a message that the channel is not configured in the first central server 109, and it includes pressing-to allow the user to rescan the channel identifier or cancel The action. If the user chooses to cancel the action, the first central server 109 is preferably at block 5908 and sends a cancellation code to the second central server 108a via the cancelled URL. Once a valid channel identifier is obtained, the first central server 109 uses the channel identifier to query a patient identifier in the database. The first central server 109 then compares the patient identifier from the database with the scanned (or manually entered) patient identifier at block 5910. If a valid patient identifier exists in the database, but the two patient identifiers do not match (that is, the channel is assigned to a different patient 112), the first The central server 109 checks the database at block 5912 to see if the channel is running (in main and / or small pouch mode). If the channel is in operation, the first central server 1 09 at block 5 914 causes the digital assistant 118 to display an "Unable to overwrite," error 177 200422917 message, which indicates a different patient 112 is related to the scanned channel, and the channel is currently running. The error message may also include data to indicate the patient 112 (for example, the patient's name), the main drug 124 related to the scanned channel And / or a small soft bag of medicine 124. Preferably, the user is given the option to cancel or rescan. If the user chooses to cancel the action, the first central server 109 is at block 5908. A cancellation code is sent to the second central server 108a via the canceled URL. If the user chooses to rescan, the first central feeding device 109 is at block 5902 so that the digital assistant 118 displays the daytime display for use The user scans a machine-readable identifier associated with the channel. If the channel is not running, the first central server ι09 is at block 5916 and the digital assistant 118 displays A "continued ,, override the warning message to indicate a different patient, 112 scanning lines out of the channel-related 'but the channel is not currently running. Preferably, the warning message indicates that the continuation will overwrite existing data (e.g., eliminate the association with another patient 112). The warning message may also include information indicating the patient 112 (e.g., the patient's name), the main drug m, and / or the pouch drug 124 associated with the scanned channel. It is better to give the option to cancel, rescan or continue. If the user chooses to cancel the action, then the "-th central feeding device" 109 is transmitted from the canceled URL at block 5908 to a second central feeding device purchase. If the user chooses to rescan ', the first central servo g 109 is at the block 5902 so that the digital assistant 118 displays the screen to prompt the user to scan-a machine-readable identifier associated with the channel. If the user selects 178 厶 Δ ”ι /: continued, then the central server is just tied to the box off to make the digital device 18. It is not a message to indicate that the selected channel is possible Under "continue, when, the -th central ship nm system will return airspace to the current action (eg, dosing, channel change, etc.), without 'X showing an additional day to the digital assistant η 8.

…; Place M 592, '_ A valid patient identifier exists in the X shell library towel' and the two patient identifiers do match (ie, the channel is assigned to this patient 112) Time 1 The first central organ is at Fang Gui 5922 to check the database to see if the channel is empty (for example, 'No main or small soft bag infusion is related to this channel). If the channel is empty, the first central server 109 causes the digital assistant 118 to display a message at block 5918 indicating that it is possible to use the selected channel. The right Shihai channel is not empty, then the first central feeder j 009 checks the database at block 5924 to see if the channel is running (in the main and / or small pouch mode).

If the channel is running, the first central server 109 at block 5926 causes the digital assistant 118 to display an "unable to overwrite" error message, which indicates that the patient 112 has been scanned with the scan The channel is related, and the channel is currently running. The error message may also include data indicating the patient 112 (eg, the patient's name), the main drug, 24, and / or the small soft bag of drug 124. Better The user is given the option to cancel or rescan. If the user chooses to cancel the action, the first central server 109 is at block 5908 and sends a cancellation code to the second via the cancelled URL Order the central server 108a. If the user chooses to rescan 179 200422917, then the first central server 1G9 is located at the square box so that the digital assistant 118 displays the day surface to prompt the user to scan a machine related to the channel. Read the identifier. When the right mouth Xuan channel is not running, the _ central server is at block 5928 so that the digital assistant 118 displays a "continue," the message indicates that the patient The 112 is related to the scanned channel, but the channel is not currently running. The message may also contain information indicating the disease $ ιΐ2 (for example, the name of the patient), the main ㈣124, and / or the pouch 124. Preferably, the user is given the option to cancel, rescan or continue. If the user chooses to cancel the action, the first-central feeding service writes 1009 at the 5_ block, and sends a cancellation code to the first-central server via a via the canceled fox. If the user chooses to re-scan, the first central server 1G9 is at the box 59G2 so that the digital assistant ιΐ8 displays that the day surface is to prompt the user to scan—a machine-readable identifier associated with the channel. If the user chooses to continue, then the central feeding device 109 is located at block 5918, so that the digital assistant 118 displays a message indicating that it is possible to use the selected channel. The person who presses "Continue, time" again The first-central feeding device 109 returns control to the current action (such as 'channel change') without issuing an additional display to the digital assistant. Ϊ́ 〇 ○ Discontinued fluid flow. Figure 60 illustrates the stop / An example of interrupting the infusion process 6000. λ Each stop / interruption of the infusion process 6000 can be used to temporarily stop (ie, pause) an infusion process or to completely interrupt (ie, end) an Infusion 180 200422917 process. Generally speaking, the stop / interruption infusion process 6000 receives input from an electronic device, such as a digital assistant 118, which contains information about the stop or interrupt to be performed, indicating that the Information on affected patient 112 (eg, patient! D) and information on drugs 124 (eg, iD) that are to be discontinued or discontinued for that patient 112. (Process 6000) Send this information to the first central server 109, the first central server 109 confirms whether the channel identification information matches the stop / interrupt instruction information, and confirms whether the correct infusion is stopped or interrupted. That said, the example of stopping / interrupting the infusion process 6000 started at the first central server 108a of the Uhai where the digital assistant 118 displayed a patient list. Displaying a patient list An example of the digital assistant's manifestation 118a is depicted in Figure 24. The patient is shown below] Nujiadi is limited to users who are logged in to the digital assistant 118 at that time (eg, frontline staff 丨16) Relevant patients. Once the user selects patient u 2, the selection and / or the Bessin system of the patient 112 is transmitted from the digital assistant 118 to the second central servo. The communication between the child digital assistant 1 and the second central server 1 may be via any appropriate communication such as the wireless / wired network 2 described above. The second The central feeder 1 () 8a is next to the square_4 Biography. The digital assistant jj 8 displays an action list. An example of the digital assistant display jj 8a showing an action list 歹 J is depicted in Figure 25. The action list is preferably limited to The selected patient related actions. For example, even an XS LL r *-ttr 1 member's infusion related to this patient 11 2 is currently 181 200422917 when the fluid is in the "operating state" action is available If you do, stop the infusion "action and" Interrupt the infusion "

When the user selects the "stop infusion" action or "interrupt the infusion," action from the action list, the information indicating the selected action is transmitted to the second central server 108a. In response, the second central The feeder is hidden in the box view so that the digital assistant 118 is displayed-a screen listing all the infusions used for the patient 112 and prompting the user to scan a medication that will be stopped or discontinued 124 related_readable㈣ identifier. An example of a digital assistant's display 118a prompting the user to scan a machine-readable identifier associated with the drug 124 is depicted on page 34®. The The manufacturer can scan the label of the drug on the Sibu 124 bag (such as a barcode on an infusion bag) or the user can manually enter the drug. The identifier is in the digital assistant.

The drug identifier is then transmitted to the second central server 1G8a at block 6008 for verification. The first: Central Temple Server 1 () 8 & Department tries to query the drug identifier in the database. If the drug identifier (for example, a 'bag ID') does not exist as a drug identifier in the database, the second central server 108a is located at block 6010, so that the digital assistant 11 8 Display an invalid item notification. Once the user responds to the invalid item notification (or the notification is suspended), the digital assistant 118 displays the screen again at block 6006 to prompt the user to scan for a drug 124 that will be stopped or discontinued. Machine-readable identifier. 182 200422917 For each 6006 block, the drug identifier (for example, when the bag identifier is only a valid drug identifier in the database, the second server ^ G8a is located at block 6G12 to make a digit The assistant ιι8 reveals that the user can scan a machine-readable identifier related to the patient 112. The user is prompted to scan one of the machine-readable identifiers related to the patient ι2. An example of the digital assistant's display η% is depicted in Figure 36. The user can use the digital assistant's scanner to scan a bar code on a patient's wristband 12a. Alternatively, use The patient can manually enter the patient identifier into the digital assistant 118. The patient identifier is then transmitted to the first central server 108a for verification at block 60o-4. The first The two central servers then try to query the patient identifier in the database. If the patient identifier (eg, wristband ID) does not exist as a valid patient identifier in the database, Then the second central server 108a At block 6016, the digital assistant 118 displays an invalid patient notification. Once the user responds to the invalid patient notification (or when the notification is suspended), the digital assistant 118 is at block 6012. Displaying the screen again is to prompt the user to scan a machine-readable identifier associated with the patient 112. If at block 6014, the patient identifier (for example, a wristband does exist in the side database) When it is a valid patient identifier, the first central server 10 8 a may also prompt the user to provide a code to indicate the "stop infusion" action or "interrupt the infusion, and the reason for the action. If this reason When the code is not provided, the system preferably displays a message to the user as a reason code must be provided. In addition, the second central server 108a may 183 200422917 timestamp the instruction and / Or prompt the user to provide the time when the action will take place. Furthermore, the second central servo is 108a preferably to check the status of the infusion instruction to determine the infusion Whether the command is valid or interrupted. If the infusion command is valid, the second central server 108a is at block 6018, and according to the user selection from block 6004 to determine whether the user is trying to issue "Stop infusion, action or" interruption of infusion, "action. If the user is trying to issue" stop infusion, action ", the second central server 108a is set to the" stop infusion "XML file at block 6020 The "DCFlag" in the table is "FALSE." If the user attempts to issue an "infusion interruption" action, the second central server 108a is set in the "stop infusion" XML file at block 6202. "DCFlag" is "TRUE". Of course, any well-known method of indicating the status of a variable can be used. It includes a patient identifier (for example, wristband ID), a drug identifier (for example, bag ID), completed URL, cancelled URL, and Shen Yi Ton (indicating stop or interrupt) of the "stop infusion" XML file is then transmitted to the tenth central server 109. The completed URL is a network address used if the infusion was successfully stopped or interrupted. The canceled URL is the _ = network address used when the "stop infusion" action or "interrupted infusion, failed or was canceled. Once the first central server 109 receives" stop infusion, XML After the file, the first-central servo 11 109 judges the stop of the infusion at block 6024 "; whether the iML file is valid. For example, the first central server 184 200422917 can be checked whether any , The expected shellfish in the xml file is the received "stop infusion, which is missing from the XML file. Right first central server 1 009 determines that the" stop infusion "XML file is not valid, then the first The central server 109 causes the digital assistant 118 to display an error message at block 6026 to indicate to the user that the "stop infusion" action or "interruption of the infusion" cannot be performed. This display may include a reason, for example, which information is missing from the "Stop Infusion" xml file. After the user presses a "〇κ," button to respond to the error message, the first central temple service $ 109 is located at block 6028, and a failure code is returned to the second central station via the canceled URL. Server i08a. If the first central server 109 determines that the "stop infusion" XML file is valid, the first central server, 1G9 series starts a channel scanning process 5730. Generally, the The channel scanning process 5730 prompts the user to scan a machine-readable identifier related to the pump channel currently performing the infusion to be stopped or interrupted, and to determine whether the scanned channel is identified with the patient And the drug identifier are related (that is, as described above in detail with reference to Figure 58 + Figure). If the scanned channel is not related to the patient identifier and the drug identifier, the "stop infusion, action or The "interrupted infusion" action was cancelled. In such an event, the first central server is at block 6028, and a cancellation code is returned to the second central server 108a via the cancelled URL. When the 18-belt iron tie described by Youzhuofu is related (that is, the channel is valid), the first central server 109 is located at block 6032 so that the digital assistant 118 displays one, W is It was said that the 185 200422917 patient 112 and the stopped infusion contained details of the drug i 24 to be stopped and the channel where the drug 124 is located. Preferably, the pDA display also includes a "Continue," button and a "Cancel," button. In this way, the user can manually stop the indicated infusion and then press the "Continue" button to notify the first central server 9 to check whether the correct infusion was actually stopped or interrupted. Alternatively, the user can press the "Cancel" button. At this time, the first central server 109 is located at block 6028, and a cancellation code is returned to the second central server 108a via the cancelled URL. . ~ If the user presses the "Continue," button, the first central server 109 is located at the block 6034, and the status information transmitted by the pump 120 to the first central server 1 09 is read. To determine whether the infusion is stopped. If the pump 120 is unable to communicate with the first central server 109, the first central server 109 generates a loss of communication event for the channel. If the communication with the channel is lost During communication, the status of the infusion on the channel cannot be changed to "stopped" or "interrupted" until communication with the channel is resumed. If communication is properly functioning #, but the infusion is not When stopped, the first central server 109 at block 6036 causes the digital assistant 118 to display a warning message indicating that the infusion has not been stopped, and that the patient U2 and the infusion to be stopped. Preferably, The display also includes a K button and a Cancel button. If the user presses the "οκ" button, the first central server 109 checks again at block 6034 to see if the infusion is actually stopped or interrupted. If the user presses the "Cancel" button, the first central server 1009 is located at the block 6028 186 200422917 'via the cancellation URL returns a cancellation code to Sheng Yishan 108a 〇 帛- The central feeding device is at the right of the block 6 0 3 4 'When the infusion is stopped, the younger one's central server 109 is located at the block 6038. Check that the system is "stop infusion, action or" interrupt the infusion " ,,action. For example, the first central server 109 can check the status of a flag set by block 6020 or block 6022, such as Qing Huan'an. If this is the "stop infusion" action (ie, pause the infusion) 'then-the central temple server 1 () 9 is located at block 6044, a success code and DCFlag = FALSE to the second central server 108a. 'If this is the "interruption of infusion" action (that is, the end of the infusion), the first central server 109 preferably tries to infuse the main infusion or a small soft bag at block 6040 ( But preferably not both) remove the database connection between patient identification, drug identifier, and channel identifier. If the user wishes to stop or interrupt both the main infusion and the small soft diarrhea running on one channel, the user can perform the "stop infusion" action or "interrupt the infusion, twice, for Each infusion is performed once. If the first: the central server 109 is unsuccessful in removing the database connection at block 6040, the first central server 109 is located at block 6028. 'The random canceled return a failure code to the second central feeder 108a .: The first-central feeder has just removed the database connection in the box, and the first-central server 1 〇9 is in the box "", and returns a success code and DCFlag = to the second center via the completed URL. 187 200422917 If only `` interrupt the infusion, the action is successful, then the first central server 109 The relationship between the patient identifier, the drug identifier, and the channel identifier is removed for the selected infusion. Otherwise, the relationship is maintained. For example, if "stop the infusion, the action is successful or" interrupt the infusion, and the action fails, "the relationship between the patient identifier, the drug identifier, and the channel identifier is maintained. Similarly, the second central server 108a only updates the status of the infusion to "stopped" or "interrupted," only when it receives a success code from the first central server 109. Any Other results (for example, a cancellation code or a failure code) cause the second central server 108a to keep the infusion in its previous state. Preferably, at any point in the process 6000 the user has Select the right to cancel the process 600. The stop / interrupt process can be used to record that the infusion is restarted for MAR purposes. Rebellion Continuing Rotation Process Figure 61 illustrates the resumption of continuing the infusion process. 61 An example of 〇. ΔHai resumes the infusion process 61 〇〇 can be used to restart a stopped (ie, paused) infusion process. However, the resumed continuation infusion process 6100 cannot be used to restart an interruption The (ie, ended) infusion process. Generally, the recovery continues with the infusion process 6100 which receives input from an electronic device, such as digital assistant 118, which The placement package S only provides information on a recovery process to be performed, information indicating the patient 112 that will be affected (for example, patient id), and information indicating that it will be recovered. ▲ Continued for the patient 112 Information (for example, Rx ID) of the drug 124. The process 61 〇 is then to send this information to the first central server 1 09, the 200422917 a central server 109 to confirm whether the channel identification information meets the resume continue instruction Information, and confirm whether the correct infusion is resumed. More specifically, the example resume resume infusion process 6 00 starts at the second central server 108a at block 6102 and the digital assistant 11 8 A patient list is displayed. An example of a digital assistant display 118a showing a patient list is depicted in Figure 24. The patient list is preferably limited to the time when the digital assistant is logged in to the digital assistant.丨 丨 8 related patients (such as' medical staff 11 6). Once the user selects a patient 112, the information indicating the selection and / or the patient 112 is obtained from the digital assistant 118 Return to the second central server 08a. The communication between the digital assistant 118 and the second central server 08a can be via any appropriate communication such as the wireless / wired network 1 02 described above Channel. The second central server 108a then causes the digital assistant 118 to display an action list at block 61104. An example of a digital assistant's display showing an action list 丨 8a is depicted In Figure 25. The list of actions is preferably limited to actions related to the selected patient 112. For example, if an infusion related to this patient 112 is currently in a stopped state, Then there will only be "Resume to continue the infusion, and the action is available. t When the user selects “Resume to continue infusion,” from the action list, when the action is performed, the information of the action selected by the private month is transmitted to the second central server just a. For 2 responses, the second central server ⑽a causes the digital assistant ii 8 to display __ day faces at block 6106 to prompt the user to scan a machine-readable identifier associated with the drug 124 to be resumed. 200422917 prompts the user to scan An example of a digital assistant's display 118a with a machine-readable identifier associated with the ㈣124 is depicted in Figure 34. The user can use the scanner of the digital assistant 118 to scan over the ㈣124 bag The label of the medicine (for example, a bar code on an nrr). Alternatively, the user can manually enter the musical identifier into the digital assistant 8.

The drug identifier is then transmitted to the second central feeder at the 6m block for poem verification. The second central device_system tries to query the drug identifier in the database. If the drug identifier (for example, bag πυ does not exist as a valid drug identifier in the database, then the second central server ⑽a is at block 611 () so that the digital assistant S 118 displays -An invalid item notification ... once the user responds to the invalid item notification (or the notification is paused), the digital assistant m redisplays the daytime surface at the square box to prompt the user to scan him and The machine-readable identifier associated with the resumed drug # i 24. If the user scans a machine-readable identifier associated with the resumed drug 124, but the "m has been interrupted Then, the second central server 1G8a preferably causes the digital assistant 118 to display a message to the user, which indicates that the medicine 124 cannot be resumed due to the interrupted state of the medicine # 124. At block 6108, the drug identifier (for example, bag 1)}) does exist as a valid drug identifier in the 4 shell storehouse, and has not yet, when interrupted, then the second central server 1Q8a is tied to the block 6112 places make The assistant 118 displays a screen to prompt the user to scan a machine-readable identifier associated with the 190 200422917 patient 112. The user is prompted to scan a digit of a machine-readable identifier associated with the patient 112 An example of the assistant's display Is 118a is depicted in Figure 36. The user can use the scanner of the digital assistant 118 to scan a bar code label on a patient's wristband 112a. Alternatively, the user can manually The patient identifier is entered into the digital assistant 丨 8. The patient identifier is then transmitted to the second central server 108a for verification at block 6114. The second central server 10 8a then attempts to query the patient identifier in the database. If the patient identifier (eg, wristband ID) does not exist as a valid patient identifier in the database, the second The central server 108a causes the digital assistant 118 to display an invalid patient notification at block 6116. Once the user responds to the invalid patient notification (or when the notification is suspended), the digital assistant 118 The display of the daytime surface again at block 611 2 is to prompt the user to scan a machine-readable identifier associated with the patient 丨 2. If at block 6114, the patient identifier (for example, , Wristband iD) When a valid patient identifier exists in the database, the second central server 108a may also prompt the user to provide a code to indicate the reason to resume the infusion. If the reason code is not provided, the system preferably displays a message to the user as a reason code must be provided. In addition, the second central server i 08a may time stamp the instruction and / or The user is prompted to provide the time when the action will occur. Furthermore, the second central server 108a preferably checks the status of the infusion instruction to determine whether the infusion instruction is valid or interrupted. 200422917 If the infusion instruction is valid, the second central servo The device 108a transmits a "resume continued infusion" XML file to the first central server 109. The "resume continued infusion" XML file contains a patient identifier (for example, a wristband ID), a drug identifier (for example, a bag ID), completed URL, and cancelled URL. The completed URL is a network address used if the infusion was successfully resumed. The cancelled URL is if the "resume resumed infusion, the action failed, or A network address used when cancelled. Once the first central server 109 receives the "resume to continue the infusion", and returns the 108a file via the cancelled URL, the first central server 109 determines the "resume to continue the infusion" at block 6124. Whether the XML file is valid. For example, the first central server 10 9 can check if any of the information normally expected in the "Resume Continuation Infusion" XML file is missing from the received "Resume Continuation Infusion" XML file. If the first central server 10 judges that the "Resume Continuation Infusion" XML file is not valid, the first central server 109 causes the digital assistant 118 to display an error message at block 6126 indicating that it is for use. The person knows that the "resume continued infusion, action cannot be performed. This display may include a reason for which data is missing from the" resume continued infusion "XML file, for example. After the user presses "〇κ, button to answer the error message, the first central server 1009 is in the box Η"

‘’ Resume infusion, XML file 109 starts the channel scan. If the first central server 109 judges that the ‘’ item is valid, the first central server 1 200422917 process 5730. Generally speaking, 'the channel scanning process 5730 prompts the user to scan a machine-readable identifier related to the current pump channel to be resumed for infusion and to determine whether the scanned channel is related to the patient The identifier is related to the drug identifier (ie, as described in detail above with reference to Figure 58). If the scanned channel is not related to the patient identifier and the drug identifier, the "resumption of infusion continued and the action was cancelled. In such an event, the first central server 109 was At block 6128, a cancellation code is returned to the second central server 1 08a via the canceled URL. If the scanned channel is related to the patient identifier and the drug identifier (that is, the channel is valid ), Then the first central server 099 at block 6132 causes the digital assistant 118 to display a message indicating the patient 112 and the resumed infusion. Preferably, the display of ρρΑ also includes a "Continue" button and a "Cancel," button. In this way, the user can resume the indicated infusion manually, and then press the "continue" button to notify the first central server 10g to check whether the correct infusion has been resumed in the interim. . Alternatively, the user can press the "Cancel" button. At this time, the first central server 丨 09 is at block 6128, and a cancellation code is returned to the second central server 108a via the cancelled URL. . 'If the user presses the "Continue, button", the first central server 109 is located at block 6134, and is judged by reading the status information transmitted from the pump 120 to the first central server 109 Whether the infusion is resumed. If the pump 120 is unable to communicate with the first central server 109, then the first 200422917 central server 109 generates a loss of communication event for the channel. If the communication with a channel is lost , The state of the infusion on the channel cannot be changed to "resumed and resumed" until the communication with the channel is resumed. If the communication is properly functioning but the infusion is not resumed, the first center The server 109 is at block 6136 so that the digital assistant 118 displays a warning message to indicate that the infusion has not resumed, and indicates that the patient 112 and the infusion to be resumed. Preferably, the display also includes a "OK" button and a "Cancel," button. If the user presses the "OK" button, the first central server 109 checks again at block 6134 to see if the correct infusion is actually resumed and continued. If the user presses the "Cancel" button, the first central server j 09 is located at block 6128, and a cancellation code is returned to the second central server 10 8 a via the canceled URL. Right? 丨? Night in the square ~ several u 1 μ

The server 109 is located at the block 6144, and transmits a huge success code to the second central server 108a via the completed muscle. The first central server maintains the relationship between the patient identifier, the drug identifier, and the super-identifier for the selected infusion. The second central fitness device & updates the infusion silver to "running" only when a success code is received from the central server H 1G9. Any other result (eg, cancellation code or failure) Both make the second central server hold the infusion at its previous level. Preferably, if the user wishes to resume both the infusion and the small soft bag infusion that continue to run on one channel, the user can execute This compound continued the infusion, and performed two actions, which were performed _ times for each infusion. The process of stopping the purpose of 194 200422917 mar can be interrupted by Xiang to record the infusion to restart. '' Figure 62 illustrates the removal process A 6 2 GG process of 62〇〇 can be used to terminate a channel in the first central server ^ to the shell library, interrupt the infusion instruction in the database of ° ③ and exist in the pharmacy JL / Interrupt h and do not need to stop from a program through the above-mentioned stop. Generally speaking, the removal process is an electrical device such as a digital assistant. It contains an indication that one will be executed: 2: 二 :: : Affected Patients (For example, Patient 2: :: Information of _ 124 of the affected patient 112 (such as A. The process then sends this f message to the first central server 9 and the first central server 109 It is to confirm whether the channel identification information conforms to the removal pump instruction information, and confirm whether the correct one is removed. _ More specifically, the example of the removal of the pump process 6200 is started at the first, the central server i〇8a At block 6202, the digital assistant 118 displays the patient list for selection. An example of the digital assistant display 118a showing a patient list is depicted in Figure 24. The patient list It is preferably limited to patients related to a user (eg, medical staff 1 丨 6) who is logged in to the digital assistant 118 at that time. Once the user selects patient n2, the selection is indicated and / or It is the information of the patient 112 that is transmitted from the digital assistant 118 to the second central server 108a. &Quot; Communication between the digital assistant 118 and the second central server 108a can be reached via 2004200417 For example, the above wireless / wired network i 〇2 Any appropriate. Communication channel. The second central server 1G8a then causes the digital assistant 118 to display an action list at the box 4 field. An example of the digital assistant display 118a displaying an action list is Illustrated in Figure 25. The action list is preferably limited to actions related to the selected patient 112. For example, if the -infusion related to this disease 4 112 is currently listed in the first central shrine In the database of the server 109, only the "remove pump" action is available. When the user selects "remove pump from the action list", when the action is specified, f The message is transmitted to the second central feeder! _. In response, the second central remnant ⑽a is located at block 62Q6 so that the digital assistant 118 displays a diurnal surface to prompt the user to scan a machine related to the drug 124 which will be affected by the action of the `` remove pump '' The minus sign read. An example of the digital assistant's display U8a that scans a machine-readable identifier associated with the drug i 24 is depicted in Figure 34. The user can use the scanner of Digital Assistant Wang 118 to scan the label 124a of a medicine on a medicine bag (example #, a bar code on an infusion bag). Alternatively, the user can manually enter the drug identifier into the digital assistant 丨 8. The drug identifier is then transmitted to the second central server 108a at block 6208 for verification. The second central server 108a (or digital assistant 118) checks whether a properly formatted drug identifier has been received. Preferably, the second central server 108a does not need to check whether the drug identifier conforms to 196 200422917 in the database of the second central server 0082004a a current infusion because the "remove pump The purpose of the action is to remove from the database of the first central server 109 the connection that does not have a corresponding infusion in the database of the second central server 108 &. Right the drug identifier (for example, When the bag ID is not properly formatted, the second central server 108a causes the digital assistant 118 to display an invalid item notification at block 6210. Once the user responds to the invalid item notification. (Or the notification is suspended), the digital assistant 8 again displays the day surface at block 6206 to prompt the user to scan a machine-readable identifier associated with the medication 124 to be resumed. If At block 6208, when the drug identifier (eg, bag ID) is properly formatted, the second central server i08a is at block 6212 so that the digital assistant 118 displays a daylight surface to prompt the Make The user scans a machine-readable identifier associated with the patient 112. An example of the digital assistant's display 118a prompting the user to scan a machine-readable identifier associated with the patient 112 is depicted in Figure 36. The user can use the digital assistant's 8 scanner to scan a bar code label on a patient's wristband 112a. Alternatively, the user can manually enter the patient identifier into the digital assistant 118 The patient identifier is then transmitted to the second central server 108a for verification at block 6214. The second central server 108a (or digital assistant 118) is then checked for A properly formatted patient identifier was received. Preferably, the second central server 108a does not need to check whether the patient identifier fits in the database of the second central server 08a One of the current infusions, because the purpose of the "remove pump" action is to remove from the database of the first central server 200422917 109 there is no corresponding one in the database of the second central server i 08a Infusion Related. However, the second central server 108a (or digital assistant 118) can check whether the patient identifier matches the patient U2 selected in block 6202. If the patient identifier (for example, the wrist (With ID) is not properly formatted, or the patient identifier does not match the patient 112 selected in box 62202, the second central server i08a is located in box 6216 The digital assistant 118 causes the digital assistant 118 to display an invalid patient notification. Once the user responds to the invalid patient notification (or the notification is suspended), the digital assistant 丨 丨 8 series f displays the screen again at block 6 212 To prompt the user to scan a machine-readable identifier associated with the patient 112. If at block 6214, the patient identifier (eg, wristband ID) is properly formatted and matches the patient 112 selected at block 62〇2, then the second central server 丨 〇8a At block 6217, a "Routing Alarm Designated Routing" XML file is transmitted to the first central server j09. The "Stop Alarm Designated Routing" XML file contains a patient identifier (eg, wristband ID), a drug identifier (eg, bag ID), a completed muscle, and a canceled URL. The completed URL is a network address used if the pump 120 is successfully removed. The canceled URL is a network address used if the "removed result, the action failed, or was canceled." Once the first central server 109 receives the "stop alarm specified routing file," the first The central server 109 judges at block 6224 whether the "stop alarm designated routing" pass file is valid. For example, 'the first central feeder 109 can check whether there is any "stop 198 200422917"

The device 109 is located at block 6228. This display can include a reason, such as' XML file is missing data. After the use t error message, the first central server ′ returns a failure code to the second central server i 08a via the canceled URL. If the first central server 109 judges that the "stop alarm designated routing" xml file is valid, the first central server 109 starts the channel scanning process 5730. Generally speaking, the channel scanning process 5730 prompts the user to scan a machine-readable identifier related to the pump channel currently associated with the pump 12 to be removed, and determine whether the scanned channel is Related to the patient identifier and the drug identifier (ie, as detailed above with reference to Figure 58). If the scanned channel is not related to the patient identifier, g, and drug identifier, the "remove the pump and the action is cancelled. In such an event, the first central server 109 At block 6228, a cancellation code is returned to the second central server via the cancelled URL. If the scanned channel is related to the patient identifier and the drug identifier (that is, the channel is Valid), then the first central server 丨 09 is at the block 6 2 3 2 so that the digital assistant 118 displays a message indicating the 199 200422917 patient 112 and the infusion related to this action. Preferably, the PDA The display also includes a "Continue," button and a "Cancel," button. In this way, the user can manually stop the indicated infusion and then press the "Continue" button to notify the first center The server 109 is used to check whether the correct infusion has been stopped. Or, the user can press the "Cancel" button. At this time, the first central server 109 is located at the block 6228.

, A cancellation code is returned to the second central server 108a via the cancelled URL. W

If the user presses the "continue, button, the first line is located at ... 34 'by judging whether the infusion is transmitted by reading the status information transmitted from the spring 120 to the second: middle 丨: feeding benefit_ Be stopped. If the game fluid has not been stopped, the concern that the first-central feeder was tied to block 6236 causes the digital assistant 118 to display a warning message indicating that the infusion has not been stopped. Preferably, the display also includes a "continue, continue, press red, and a" take :: if the user presses this "to cancel, and press-, the -th central feeding device 109 is located at block 6228虚 ， 她 山 #,

From here, the cancellation URL returns a cancellation code to the second central server 108a. 々: The user presses the "Continue, 'button, then the first central feeding device ⑽ At the box 624G, the sample is mainly infusion or small soft bag infusion (but it is better for both) , And between the channel identifiers;; = identifiers, drug identifiers, and the main money saver who runs on the-channel want to stop the alarms related to the specified route, so that = round liquid and small soft bag infusion At the same time, each infusion can be performed ::: This should "remove the fruit, and move people. The right first central server 109 200 200422917 is unsuccessful in removing the database connection at block 6242, then the first central server 109 is at block 6228 and returns a failure code via the canceled URL To the second central server 108a. If the first central feeder 109 was successful in removing the database connection at block 6242, the first central server 109 is at block 6244 and returns a success code to the completed URL to The second central server 108a.

Only when the "remove pump" action is successful, the first central feeder 1 09 will remove the association between the patient identifier, the drug identifier, and the channel identifier for the selected infusion. Otherwise The relationship is maintained. Upon receiving a success code from the first central server 1009, the second central server 108a does not need to update the "removed," status of the infusion. A secure communication process As described above, the δH system can include a plurality of digital assistants 118 and a plurality of medical equipment (e.g., infusion pump 120) for communication over a wired or wireless network. Because some of the transmitted data is confidential medical information, the data is preferably encrypted and only transmitted to authorized users and devices in an open environment. To set up a new digital assistant 118 or medical device 120, a commissioning phase of the confirmation process can be performed. Each time a commissioned device is powered on, it is preferred to perform a confirmation process to verify that it is communicating with an authorized device and / or user. Once a device and / or user is identified, 'confidential one-way and / or two-way communications can be generated to facilitate the transfer of parameters, commands, data, and information between digital assistants, medical devices, and / or servers, Alarms, status information, 201 200422917 news, and any other type of information. Please refer to FIG. 63. The secure communication process of the digital assistant commissioning stage (ie, the server registration stage) of 6300 starts to generate a digital assistant at Block 632, the first central server 109. User account. For example, the digital assistant user account can be created in a well-known manner using Microsoft's Active Directory. The first central server 109 then generates a digital voucher to the digital assistant 118 at block 6304. The digital voucher can be generated in any way. For example, the digital voucher can be generated in a well-known manner on the first central server, 109, using Microsoft's digital voucher service. The digital voucher preferably contains the public key of a digital assistant who digitally signs the drought using the private secret of the first central server. In other words, the first central server 107 functions as a certificate authority (ca) for the digital credentials of the digital assistant. Once the digital certificate is generated, the first central server $ 109 maps the digital certificate to the user account at block 6306. The child's digital assistant's digital credentials and the digital assistant's private key are then transmitted by the first central server 109 at block 6308 to the digital assistant 118 at block 6310. Preferably, the digital certificate of the digital assistant and the private key of the digital assistant are transmitted to the digital assistant 118 via a secure connection. For example, an rs-232 cable that is not connected to any other device can be used. In addition, the digital voucher for the first central feeder is transmitted at block 6312 via the first central server 109 to the digital assistant 118 at block 6314. Likewise, the digital credentials of the first central feeding device are preferably transmitted to the digital assistant via a secure connection such as an RS-232 cable that is not connected to any other device 202 200422917. At this time, the digital assistant 118 was appointed (ie, registered with the server). Of course, any method of communicating with the digital assistant 118 can be used. In one example, the digital assistant's private key may be stored in a memory (eg, EPROM) associated with the digital assistant 118 when the digital assistant 118 is manufactured. In addition, each digital assistant

Have the same private key, but with different identification codes to be used to distinguish between the digital assistants 118.

Each time an appointed digital assistant is turned on, the digital assistant 118 and the first central server 109 must perform a confirmation process to facilitate the move from an unsecured wireless connection to a secure wireless connection. In the example given, the 'digital assistant 118' establishes an insecure 802.11 (wireless Ethernet) connection with the first central server 1009 at blocks 6316 and 6318. Of course, any type of connection can be used, such as a wired connection or a connection using other protocols. Turning now to Figure 64, at block 6402, the digital assistant 118 sends a request to the first central server 1009 to establish a secure connection. The first central server 109 receives the digital assistant's request to establish a secure connection at block 6404. The first central server 109 is located at block 6406, and responds to the request to establish a secure connection by transmitting a digital certificate of the first central server to the digital assistant 118 over an insecure connection. . The digital assistant 118 receives the digital certificate of the first central server at block 6408. 203 200422917 The digital assistant 118 uses the digital certificate of the first central feeding state at block 6410 to confirm the first central server 10 g. In addition, at block 6412, the digital assistant 118 uses the digital certificate of the first central server to retrieve a universal resource identifier (URL) associated with the first central server. When the digital assistant 118 knows that it is talking to the real first central server 10, it can request data and services from the retrieved URL. Next, at block 6414, the first central server 109 sends a request to the digital assistant 118 to establish the other half of the secure connection 0. The digital assistant 118 receives the request from the first central server at block 6416. The digital assistant 118 is at block 6418 and responds to the request to establish a secure connection by sending a digital certificate of the digital assistant to the first central server. The first central server 09 receives the digital credentials of the digital assistant at block 6420. The first central server 109 uses the digital assistant's digital credentials to confirm the digital assistant at block 6422. When the first central server 109 knows that it is talking to an appointed digital assistant 118, it can communicate with the digital assistant 118. In addition, turning now to Figure 65, the first central server 109 is located at block 6502 by mapping the conversations of the user account for the digital assistant to a dynamic directory. Create which files this digital assistant is authorized to access. Since the digital assistant 118 communicates with the first central server 109 over a secure connection, and the digital assistant 118 is granted access to certain files on the first central server 109, then At block 6504-204 200422917, the digital assistant 118 can establish a full communication session with the first central server by accessing the URL retrieved from the digital certificate of the first central server . The first central server 109 also establishes a secure communication session at the block 06. In addition, an application program on the first central server 109 confirms at block 6508 whether the digital assistant 118 belongs to the appropriate dynamic directory. Although the digital assistant 118 is now identifiable, the first central server 10 9 still does not know the identity of the user using the digital assistant 18. This is important because some users may have different access rights than other users 0, and some alerts and other data are only sent to specific users. Thus, an application on the first central server 09 may request the user of the digital assistant 118 to provide a username and password at block 6510. Once the digital assistant 11 § receives a request for a username and password at block 6 512, the digital assistant 118 is at block 6514, and prompts on the digital assistant's display 118a to remove the The user retrieves the username and password. The username and password are then transmitted by the digital assistant 118 at block 6516 and received by the first central server 109 at block 6518. The application on the first central server 109 can then confirm the user at block 6520. Once the user is confirmed on one server (eg, the first central feeder 109), then the confirmed credentials (cre (jential) can be used to automatically be on another server ( For example, the second central feeding device 10 8 a) does not tolerate the digital assistant 118. In the solid example, only when the user 205 200422917 is on the beta central server 109 and the second central server 108a When confirmed, the user will be confirmed. Therefore, the user name and password are fortunate. Whenever a user name or password is generated or modified, it is on the first central server 109. And the second central server is synchronized. After confirming the user, the first central server 109 preferably returns a token, and the token will be the user. And is unique to the talks between the first central server, 109. This talk token is transmitted with every request made to the first central server 109 (for example, HTTP 'Tongzhong or 疋 as a small Text file (co〇kie)), as a confirmation that The source of the request and therefore the means of confirming the destination of the response. This token is in place, the digital assistant 8 can roam from one wireless access point 114 to another wireless access point without gaps. Turning to Figure 66, the process of commissioning the medical device (ie, the registration phase of the server) at 6300 starts at block 662, when the first central server 109 generates a medical Device user account. For example, the medical device user account can be created in a well-known manner using Microsoft's Active Directory. The first central server 109 then generates a number at block 6604. The voucher is given to the medical device 120. The digital voucher can be generated in any way. For example, the digital voucher can be used in the well-known manner at the first central server 10 by using Microsoft's digital voucher service and Generated. The digital certificate preferably contains the public key of the medical device digitally signed using the private key of the first central server. In other words, The first central server 206 200422917 109 acts as a certificate authority (CA) for the digital certificate of the medical device. Once the digital certificate is generated, the first central server 10 9 places the block at 6606 The digital certificate is mapped to the user account. The digital certificate of the medical device and the private key of the medical device are then transmitted by the first central server 109 to the medical device at block 6610 at block 6608. 120. Preferably, the digital certificate of the medical device and the private key of the medical device are transmitted to the medical device 120 via a secure connection such as an RS-232 cable that is not connected to any other device. In addition, 'the digital voucher of the first central feeding device is the same as the doctor who transmitted the first central server 1109 to the block 6614 at the same place as the first central feeding device' The digital voucher is preferably transmitted to the medical device via a connection such as a female connector of an RS-232 cable that is not connected to any other device. At this time, the medical staff 120 is appointed (ie, registered with the server). Tiand Any method of communicating with the edge treatment equipment 120 can be used in the example. The private secrets of the medical equipment can be stored at the time when the medical equipment 120 is manufactured. Body (for example, EPROM). In addition, each medical device 120 may have the same private key 'with a different identification code to be used to distinguish between medical devices 120. Each commissioned medical device] When the 20 is turned on, the medical device 120 and the first central device must perform a confirmation process in order to facilitate the complete wireless line from the unsafe wireless connection. In the example shown in Figure 67, the medical device 12o establishes an unsecure 敝 η (wireless Ethernet) connection with the first central feeder 1009 at the box following and box 207 200422917 6704 . Of course, any type of connection can be used, for example, a wired connection or a connection using other protocols. Next, at block 6706, the medical device 120 sends a request to the first central server 109 to establish a secure connection. The first central server 1G9 receives the request for establishing a secure connection of the medical equipment at block 6 ·. The first central server 1009 is located at block 67m0 'in response to the establishment of a secure by transmitting a digital certificate of the first central feeder to the medical device 12 Request for connection φ. The medical device 120 receives the digital certificate of the first central server at block 6712. The medical device 120 uses the digital certificate of the first central server state at block 6714 to confirm the first central server i 09. In addition, at block 6716, the medical device 120 uses the digital certificate of the first central server to retrieve an embedded universal resource tag (URL) associated with the first central server. . When the medical device 120 knows that it is talking to the real first central server 109, it can request data and services from the retrieved% URL. Then 'at block 6718, the first central server 109 sends a request to the medical device 120 to establish the other half of the secure connection. 4 Medical device 12 0 is at block 6 7 2 0 A request from the first central server is received. The medical device 120 is at block 6722, and responds to the request to establish a secure connection by transmitting a digital certificate of the medical device to the first central server. The first central server receives the digital voucher for the medical device at block 208 200422917 block 6724. Turning now to Figure 68, the first central server 1009 uses the digital credentials of the medical device to confirm the medical device 120 at block 6802. When the first central server ι09 knows that it is talking to an appointed medical device 120, it can then communicate with the medical device 20. In addition, the first central server 109 is located at block 6804, by mapping the talks of the user account for the medical device to a dynamic directory to establish which files are authorized for the medical device 120. Access.

Since Rong Medical Device 120 is communicating with the first central server 109 over a secure connection, and the medical device 120 is granted access to certain files on the first central server 109 Then, at block 6806, the medical device 120 can establish a female by accessing the URL retrieved from the first central server's certificate and the first central server 109. Full communication talks. The first central server 109 also establishes a secure communication session at block 6808. In addition, an application program on the first central server 109 confirms at block 6810 whether the medical device 120 belongs to an appropriate dynamic directory. The Yangci server 1G9 still does not know the use of the medical equipment 12 (). In the multi-life scenario 'no user will interact with the medical device 120. In some applications, $ may be important because some make it possible to have access to π u different from other users. In addition, a medical material can have different “corners,” «colors. For example, a medical device can communicate in one direction, role, or" such as, s # ,, 々 two-way communication, role. In this way 209 200422917 medical devices 120 capable of two-way communication can be set up in a system which is expected to have only one-way communication devices. Similarly, a system capable of handling one-way communication devices and two-way communication devices may need to be informed of the type of device it is connected to. Thus, an application on the first central server 09 may request the user of the medical device 120 to provide a username and password at block 6812. Once the medical device 120 receives a request for a username and password at block 6814, the medical device 120 is at block 6816 via the display of the medical device 120 or an associated digital assistant 118a prompt to retrieve username and password from the user. The username and password are then transmitted by the medical device 12 (or other device) at block 6902 in Figure 69, and by the first central server 109 at block 6904. Received. The application on the first central server 109 can then confirm the user at block 6906. Once the user is confirmed on one server (for example, the first central server 109), the confirmed credentials can be used to automatically be on another server (for example, the second central server) The server 1080 confirms the user. In one example, when the user is confirmed on the first central server 109 and the second central server 108a, the user ^ will be Confirm. Therefore, the username and password are preferably between the first central feeding device 109 and the second central server 108 every time the username and password is generated or modified. Synchronized., ^ After confirming the user, the first central temple server ι09 is preferably 210 200422917 疋 returned ㈤ to pay '4 generation symbol will be the user and the first central servo state 109 Specific to the talk between the parties. This talk token is transmitted with every request made to the 1st-central server 1G9 (for example, in an HTTP header or as a small text file) as a confirmation of the request Source and therefore the purpose of the response Land's means.

Secure one-way communication can then be transmitted from the medical device 120 to the digital assistant 118. For example, the medical device 120 can report settings, generate alerts, and so on. In the illustrated example, the medical device 120 determines at block 6908 the data to be transmitted to the digital assistant 118 via the first central server 1009. This data is then transmitted to the first central server 1009 at block 6910 and received by the first central server 109 at block 6912. The first central server 109 can then determine at block 6914 which users are authorized to receive this data, and at block 6916 which digital assistant (s) 118 are currently associated with the users. of. For example, a lookup table stored in the database of the first central server 109 may be used. The first central server 10 9 then sends the data to the appropriate digital assistant 8 at block 6 918, and the digital assistants 8 receive and display the data at block 6920. In addition, secure two-way communication can be achieved. For example, the digital assistant 118 and / or the first central server 109 may send data, commands, configuration information, or any other type of information to the medical device 120. It should be emphasized that the above-mentioned embodiments of the present invention, in particular, any "preferred" embodiment is a feasible embodiment, and it is explained only to clarify the principle of the present invention. Many variations and modifications can be made to the above-mentioned embodiments of the present invention without substantially departing from the spirit and principle of the present invention. All such modifications are intended to be included within the scope of this disclosure and the invention and protected by the scope of the following patent applications. [Schematic description] (1) Schematic part Figure 1 is a simplified graphical representation of a patient care system. The disease

The patient care system includes the pharmacy computer, the central system, and the digital assistant at the treatment location. Figure 2 is a block diagram of the computer system of the pharmacy computer, the central system, and / or the digital assistant in Figure 1. The computer system includes an infusion system or part of the infusion system; Figure 3 is a simplified graphical representation of the patient care system of Figure 1; Figure 4 is the patient care system of Figure 1 A block diagram of the functional components of the infusion system; FIG. 5 is a computer screen used to implement various functions I of the patient care system of FIG. 1; FIG. 6 is a block diagram of the functional components of the infusion system of FIG. Its functional components especially include blocks for setting infusion system parameters, infusion finger generation, infusion instruction preparation, drug administration, infusion instruction modification, and message transmission; Figure 7 shows the parameters of the infusion system used in Figure 6 Block diagram of the set of functional components; 212 200422917 Figure 8 is a block diagram showing the infusion command generation king < function components not used in Figure 6; Figure 9 is a diagram showing the preparation of the infusion instruction used in Figure 6的 Block diagram of functional components; Figure 10 is a block diagram showing the functional components used for the administration of Figure 6; Figure 11 is a diagram showing the functions of the infusion instruction file recording, infusion instruction modification, and message transmission used in Figure 6 Block diagram of the components; Figure 12 is a communication diagram depicting the emergency notification system; Figure 13 is a diagram of the emergency notification interface from the perspective of the notifying party ', which depicts the emergency notification system provided Better notification options available to the notifying party; Figure 14 is a diagram of the emergency notification interface from the perspective of the target party, which depicts the comparisons received by the target party Emergency information; Figure 15 is an example of the flow chart of the alarm / warning escalation process; Figure 詈 m / Obligation interface screen diagram; Figure 16B is another daytime warning / warning interface A picture · Figure 17 is another picture of the alarm / warning interface screen;

Figure 18 is an interface of a handheld device from a medical staff. Figure 19 is an interface screen of the login process. Figure 20 is another interface screen of the login process of Figure 19. 213 200422917 Figure 21 is a unit Figure of interface selection screen; Figure 22 is a shift selection interface screen; Figure 23 is a patient viewing interface screen; Figure 24 is a patient selection interface screen; Figure 25 is a disease A diagram of the day view of the single information interface of the patient information item; Fig. 25A is a view of the allergy and height / weight interface screen; Fig. 25B is a day view of the medication history interface;

Figure 25C is a day view of a laboratory results interface; Figure 26 is a day view of a drug delivery schedule interface; Figure 26A is another day view of the interface of the drug delivery schedule process of Figure 26 Figure 27A is a diagram of an interface of a workflow infusion stop day view Figure 27B is another diagram of an interface screen of a workflow infusion stop;

Figure 27C is a day view of an interface of a workflow for resumed continuous infusion, Figure 27D is another view of an interface screen for a workflow of resumed continuous infusion; Figure 28 is a drug delivery schedule process of Figure 26 Figure 29 is another view of the daytime interface; Figure 29 is a view of a forgotten drug interface screen; Figure 30 is another view of the interface screen of Figure 29; Figure 31 is the daytime interface of Figure 29 Another picture; 214 200422917 Figure 32 is a day view of a schedule interface; Figure 33 is a view of a drug interface screen; Figure 34 is a day view of a scanning interface; Figure 35 is another scan interface Day view; Figure 36 is a view of the drug interface; Figure 37 is a way to confirm the day view of the interface; Figure 38 is a view of the interface of the scan pump channel;

Figure 38A is another picture of the interface of the scanning pump channel; Figure 39 is a picture of the daylight interface of the comparison interface; Figure 39A is another picture of the daylight interface of the comparison interface; Figure 40 is another view of the daylight surface of the comparison interface A picture; Fig. 41 is another picture of a daylight surface of a comparison interface; Fig. 42 is another picture of a daylight interface of a comparison interface; Fig. 43 is a daytime picture of a pump state interface; Fig. 44 is a flow velocity history Interface screen drawing;

Figure 45A is a picture of the communication interface lost; Figure 45B is a picture of the communication interface lost; Figure 46 is a day view of a low-power interface; Figure 47 is a hub view; Figure 48 It is a diagram of various images used in the interface screens; Fig. 49 is a diagram of an interface screen for recording administration results; Fig. 50 is a diagram of medication instructions with monitoring parameter links; and Fig. 50A is a diagram Figure of monitoring parameter input interface picture; Figure 51 is a cycle counting interface picture; 215 200422917 Figure 52 is a flowchart of the instruction comparison process; Figure 53 is a schematic diagram of a flow control system, in which the micro motor system (MEMS) components are connected to a line group; Figure 54 is a simplified block diagram of a software component loaded onto the first central computer in Figure 3; Figures 55A-55C are an example of a drug infusion solution Process flow

Figure 56 is a flowchart of an exemplary channel scanning process; Figure 57A-Figure 57B is a flowchart of an example of a pump channel changing process; Figure 58 is a flowchart of another example of a channel scanning process; Figure 5-9 is a flowchart of another exemplary channel scanning process;

Fig. 60 is an exemplary flowchart of stopping / interrupting an infusion process; Fig. 61 is an exemplary flowchart of recovering and continuing an infusion process; Fig. 62 is an exemplary flowchart of removing a chestnut; and Figure 6-3-Figure 6-9 is a flowchart of an example confirmation process. (II) Symbols for components 1 00 Patient care system 1 2 Network 1 0 3 Communication system 104 Pharmacy computer 104a processing unit 104b keyboard 104c video display 216 200422917 104d printer 104e barcode reader 104f mouse 105 transmission Medium 106 treatment position 1 0 6 a treatment bed 107 hub (interface)

1 0 8 Central system 108a Second central server 108b Database 108c Video display 109 First central server 109a server 110 Cable communication system 112 Patients

112a wristband 114 access point 116 medical staff 116a medical staff badge 118 digital assistant (user interface) 118a display 120 medical equipment (infusion pump) 12 0 a pump 11 ie unit 120b small keyboard 217 200422917 120c display 120d infusion pump ID 120e Antenna 121 channel 124 drug 124a drug label 126 first communication path

128 wireless communication path (link) 130 venous line 132 treatment trolley 1 32a drug storage area 132b display 200 computer 202 processor 204 memory

206 I / O device 208 Local interface 210 Infusion system 212 Operating system 302 Drug management module 304 Prescription generation module 306 Prescription activation module 308 Prescription authorization module 310 Admission, discharge and transfer (ADT) interface 218 200422917 312 Account opening Single interface 314 Laboratory interface 316 Pharmacy interface 318 First copy text 320 Second copy text 322 Third copy text 324 Prescription input module

326 labeling module 328 labeling module 330 wireless device 332 medical equipment 334 visual confirmation 336 prescription modification module 338 scanner 400 computer

402 processing area 404 search area 406 drug information area 408 titration / reduction standard area 410 instructions and precautions area 411 pump port indicator 412 planned solution composition area 413 wireless signal indicator lost 415 low battery indicator 219 200422917 417 warning mute button 419 On / Off button and indicator 421 Charging indicator 5 0 2 Set system parameters 504 Infusion command generation 506 Infusion command preparation 506a Ready position

506b Scanning component 506c Bag inspection during continuous period 506d Bar code printing 508 Authorization by pharmacy 510 Authorization by physician 512 Drug administration 512a Read drug barcode 512b Read patient barcode

512c Performs a check of the effective date 512d Provides notification by titration 512e Provides a display of the flow rate to the drip rate 512f Provides the start of the infusion as needed 512g Downloads operating parameters 512h Time monitoring 514 Infusion instruction modification 516 Stop instruction 518 Inventory and Billing 220 2004 229 917 5 2 0 messaging 522, 524, 526, 528, 530, 532 542 Set tolerance 542a Net drug volume tolerance 542b Flow rate tolerance 542c Dosing time tolerance 542d Dosing system duration 542e Drug duration Period tolerance 542f Part change tolerance 544 Set preset value 544a Drug diluent preset value 544b Dilution volume preset value 544c Dose preset value 544d Measurement unit preset value 546 Create database 546a Preparation Area 546b Additive information 5 4 6 c Solution 546d Prefabricated mixture definition 546e Favorite matters 5 4 6 f Reason for revocation of time sequence 546g Reason for revocation of flow rate 546h Conversion table 546i Flow rate description, 534, 536, 538 Path

221 200422917 546j Device and designated routing information 546k Message triggering trigger 548 Definition function 548a Preparation area function 548b Bag duration function 548c Verification cancellation function 548d Duration to capacity function

Function of 548e duration to flow rate 548f Function of flow rate to drip rate 550 determines system settings 5 5 0 a Revoke authorization 550b Flow rate accuracy 550c Volume accuracy 550d Time accuracy 5 6 0 Enter information

560a identification instruction type 560b identification drug 5 6 0 c identification dose 560d identification diluent 5 6 0 e determination flow rate 560f identification infusion site 562 calculation 562a bag volume calculation 562b conversion calculation 222 200422917 562c duration to volume calculation 562d flow rate to Calculation of drip rate 564 check

564a net concentration check 564b flow rate check 564c administration time check 564d duration check 564e infusion site check 5 6 6 undo 568a net concentration withdrawal 568b flow rate cancellation 568c dosing time cancellation 568d duration cancellation 5 6 8 e Cancellation of infusion site 5 6 8 f Reason for withdrawal

572, 574, 576, 580, 582 Path 702 Infusion instruction 704 Infusion schedule table 1 002 Modification changes 1 002a Modification duration 1 002b Modification flow rate 1 002c Use new infusion site 1 002d Specify the reason for the modification 1 002e Specify an infusion bag The capacity is 79Λ 200422917 1 002f Processing stop instruction 1004 All available options under the instruction 1 006 Double check 1 006a Net concentration 1 006b Flow rate 1 006c Dosing time 1 006e Duration

1 006f Infusion site 1 0 0 8 Revocation of recheck 1 0 0 8 b Revocation of flow rate 1 Reason for 008f display 1 01 0 Display of new flow rate to new drip rate 1 012 File record of the change of 1012b flow rate during the duration of 1012a change

1012c Change in capacity 1012d Change infusion site 1012e Multiple infusions 1 200 Emergency notification system 1210 Notifier 1 220 Communication network 1230 Target 1240 Communication mode 1300 Notification interface 224 200422917 1330 Item list 1 340 Option 1 350 Hotkey 14 0 0 Receiving interface 1420 Day surface 1460 Hotkey 1 500 Alarm / warning alarm process

1 662 alarm / warning interface 1 662a alarm / warning interface screen 1 662b interface day 1 664 "Patient 1" has an alarm condition 1 666 "Patient 2" has an alarm condition 1 668 "Patient 3" has a Warning Situation 1 765 Patient Alarm / Warning Interface 1867 Alarm / Warning Interface

1 903 login screen 2005 login day 2105 unit selection interface day 2107 unit selection interface screen 2211 select shift screen interface 2255 area 2313 view patient interface screen 2315 "Add more patients" button 2350 configurable information 225 200422917 2417 Patient selection interface screen 2419 Key 2521 Patient information item Single interface screen 2521a Allergy and Ht / Wt interface screen 2521b Medication history interface Day surface 2521c Experiment results interface Day surface 2623 Infusion plan table interface Day surface 2625 Instructions for morphine sulfate 2627 medication instruction interface screen 2629 treatment parameters 2631 warning 2633 link to additional information 2727a interrupt infusion interface day 2727b interface screen 2727c resume infusion interface day 2727d interface 2835 patient profile infusion plan interface day 2839 sulfuric acid Morphine Infusion Instructions 2941 Forgotten Medication Screen 2943 Reason 2945 Box 3045 "Unwanted" Reason 3047 Interface Day Surface 3135 Infusion Plan Table Screen 226 200422917 3225 Instruction 3235 Schedule Table Interface Day Surface 3249 "Get Items" Button 3351 Drug Interface Day Surface 3353 "Scan Store" Image 3355 "Skip Scan Store" button 3465 scan day 3467 prescription 3569 scan error screen 3657 interface screen 3659 reason 3661 select patient 3663 "discard / return" selection button 3771 route confirmation interface day 3377 route 3775 pipeline 3777 site 3778 drug treatment 3881 Pump channel mode interface screen 3882 therapy 3883 small soft bag treatment 3884 main treatment 3885 pump channel scan interface screen 3986 comparison interface day screen 227 200422917 3987 comparison interface screen 4087 non-matching comparison interface screen 4187 comparison interface day interface 4287 interface day surface 4391 Pump status interface Day surface 4493 Flow rate history interface screen 4501 Communication interface screen lost

4603 interface day surface 4801 patient list button 4 8 0 3 return button 4805 OK button 4807 infusion execution indicator 4809 button 4811 infusion stop indicator 4813 interrupted infusion

4815 Physician's Caution Indicator 4 81 7 Compare Press Red 4819 Update Button 4821 Exit Button 4823 Compare Match Indicator 4825 Disagree Image 4827 Cannot Compare Indicator 4833 Lost Communication Indicator 4835 Wireless Module Low Battery Warning Indicator 228 200422917 4837 "Forgotten medication" image 4857 "Unwanted" image 4872 Pump alarm / warning indicator 4874 alarm / warning mute button 4937 Recording administration results interface Day surface 5001 Link 5003 monitoring parameter input interface Day surface

51 01 cycle count interface screen 5200 comparison process 5312 tube 5314 MEMS pump 5320 IV bag 5324 access device 5332 MEMS electronic component 5338 MEMS controller

5412 Application program on the first central computer 5414 Operating system 5416. NET architecture 5418 Dynamic directory domain service 5420 SQL server 5422 Internet information server 5500 Drug administration infusion process 5554 channel scanning process 5700 pump channel changing process 229 200422917 5730 channel scan process 5734 channel scan process 6000 stop / interrupt the infusion process 6100 resume the infusion process 620G remove the pump process 6300 secure communication process #% 230

Claims (1)

200422917 The scope of patent application: 1.- A system for reporting the integrity of health care facilities, which includes:…, line through Λ chain-none in the health care facility-a response In the wireless communication device, the device instructs you to send the status information message on the branch At time j ^, and the heart is represented by a signal generated by a medical application device. ; And the software on the wireless remote device, which has a time-out output, where the time-out output indicates that the wireless communication key has been lost. 42. The system according to item 1 of the scope of patent application, which further includes a module related to the application device for the treatment of the musical object. The module has a signal output in response to the application device treated by the drug Status information output. —3. The system according to item 2 of the patent application, wherein the connection between the module and the application device for drug treatment causes at least some data within the status information output to pass through the module. 4. The system of item 1 in the scope of patent application, wherein the drug treatment application device is an infusion pump for infusion to a patient. 5. The system according to item 1 of the scope of patent application, wherein the number output generated by the drug treatment split is a notification. 6. The system of claim 5, wherein the notification includes information regarding at least one of an alarm condition, a warning condition, an infusion volume rate, and the time remaining before an infusion bag becomes empty. 231 200422917 7. If the system according to the scope of patent application, the wireless remote device is a digital assistant. 8. The system according to item 1 of the patent application range, wherein the wireless communication link operates within a radio frequency. 9. The system according to claim 1, wherein the message indicator includes at least one of an audible alarm and a visual display. The system according to claim 9, wherein the audible alarm is An audible sound is generated in response to the timeout output. 11. If the system of claim 9 is applied, one of the images in response to the timeout is provided on the visual display. 12. The system of item 9 of Shen Qing's patent scope, wherein a pop-up window is provided on the visual display in response to the timeout output. Pick up, schema: as next page 232