TWI821335B - 藥物庫管理系統、電腦實施之方法、及非暫時性電腦儲存媒體 - Google Patents
藥物庫管理系統、電腦實施之方法、及非暫時性電腦儲存媒體 Download PDFInfo
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- 230000007246 mechanism Effects 0.000 description 2
- 229960005205 prednisolone Drugs 0.000 description 2
- OIGNJSKKLXVSLS-VWUMJDOOSA-N prednisolone Chemical compound O=C1C=C[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 OIGNJSKKLXVSLS-VWUMJDOOSA-N 0.000 description 2
- 229960004618 prednisone Drugs 0.000 description 2
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Abstract
本發明針對於一網路連線型臨床環境中之藥物庫之管理及使用。臨床環境可包含各種類型及/或版本之輸液幫浦。一輸液幫浦使用一藥物庫而操作,該藥物庫闡述可用於施用之藥品、施用藥品之規則、幫浦可在其中操作之臨床照護區等。不同類型或版本之輸液幫浦可經組態以使用不同格式之藥物庫資料。另外,藥物庫資料可經歸檔以維持一改變歷史。
Description
本發明係關於臨床管理之領域,且更特定而言,係關於用於網路連線型臨床環境中之藥物庫之高效管理之系統及方法。
現代醫療照護通常涉及使用醫療輸液幫浦將流體及/或流體藥遞送至患者。輸液幫浦准許將流體受控制地遞送至一患者且提供靈活但受控制之遞送排程。輸液幫浦內之藥物庫提供與流體遞送有關之某些限制。輸液幫浦可與經組態以管理個別輸液幫浦之藥物庫更新及操作軟體更新之一伺服器通信。
本文中闡述用於跨越一臨床環境及一雲端環境而管理藥物庫之各種技術。此等技術可包含:建立及維持一藥物庫資料庫中之藥品及施用資料;使用該資料來建立及維持藥物庫;及將該等藥物庫分佈至各種系統及組件。舉例而言,可將客製化藥物庫資料提供至輸液幫浦以供在藥品之施用中使用,而一般化藥物庫資料被證明為中間軟體、歸檔等以供在系統管理、報告、備份等中使用。下文參考圖1至圖10更詳細地闡述此等及其他實施例。儘管該等實例中之諸多實例係在包含特定輸液幫浦、資料格式等之一醫院環境之脈絡中闡述,但本文中所闡述之技術可應用於其他
類型之輸液幫浦、資料格式等。
本發明之某些態樣係關於促進由各種輸液幫浦使用(包含在具有不同類型及/或版本之輸液幫浦之臨床環境中使用)之藥物庫之集中式管理之一藥物庫管理系統。使用藥物庫管理系統(在本文中亦稱為「藥物庫管理器」)來維持藥品、施用規則、重症照護區規則等。藥物庫管理器產生且分佈呈幫浦特有格式或其他客製化格式(視需要)之藥物庫資料。因此,在一臨床環境中可使用不同類型及版本之輸液幫浦(甚至使用呈不同格式之藥物庫資料或使用完全不同藥物庫資料之輸液幫浦),且可使用一單個藥物庫管理系統來管理該等輸液幫浦。
本發明之額外態樣係關於產生可由臨床環境中之除輸液幫浦之外的系統或組件使用之藥物庫資料版本。舉例而言,藥物庫資料可由中間軟體系統、報告系統、歸檔系統等使用。當待完成一藥物庫時,除針對使用藥物庫資料之特定輸液幫浦而客製化之一版本之外,藥物庫管理系統亦可產生為標準化或否則為一般化之一藥物庫資料版本。藥物庫資料之一般化版本可由處理自各種輸液幫浦接收之訊息之中間軟體系統、報告由各種輸液幫浦產生或以其他方式與各種輸液幫浦相關聯之資料之報告系統等使用。另外或另一選擇為,一般化版本可經歸檔使得藥物庫資料之歷史版本在需要時可用(例如,用於歷史報告、用於在使用藥物庫之一先前版本時解決關於輸液幫浦之問題等)。有利地,一般化版本可獨立於藥物庫管理器所使用之藥物庫資料庫而歸檔,且因此,藥物庫資料庫不需要儲存歷史藥物庫資料。
100:網路環境
102:臨床環境/特定臨床環境/網路連線型臨床環境
104:網路
106:雲端環境
202:臨床IT系統/組件
204:輸液幫浦/幫浦/特定輸液幫浦/目標輸液幫浦/目標幫浦/組件
204A:輸液幫浦/適當輸液幫浦
204B:輸液幫浦
206:連接配接器/組件
208:雲端使用者介面/組件
320:馬達控制器單元
322:通信引擎
324:記憶體
326:藥物庫資料/客製化藥物庫資料
328:操作軟體
330:變換工作者
332:裝置狀態管理器
334:快取記憶體
336:入站佇列
338:出站佇列
340:資料儲存器
342:藥物庫資料
402:藥物庫管理器/模組
404:報告管理器/模組
406:裝置管理器/模組
408:資料流管理器/模組
410:雲端管理器/模組
412:資料分析器/模組
414:藥物庫資料庫
416:藥物庫歸檔/單獨歸檔
500:藥物庫管理器編輯器
502:工作單
504:臨床照護區/特定臨床照護區
504A:臨床照護區/兒科臨床照護區
504B:臨床照護區/ICU/ICU臨床照護區
506:藥品/特定藥品
506A:藥品
508:施用規則
508A:施用規則/不太嚴格施用規則
508B:施用規則
510:終端使用者運算裝置/遠端運算裝置
512:使用者介面
520:客製化藥物庫資料
522:一般化藥物庫資料
700:說明性程序/程序
702:方塊
704:方塊
706:方塊
708:方塊
710:方塊
712:方塊
714:方塊
716:方塊
718:方塊
720:方塊
722:方塊
724:方塊
800:介面
802:輸液幫浦選擇區
804:藥品資訊項目區
806:劑量限制項目區
808:臨床照護區選擇控件/控件
810:施用規則資料項目群組
840:泛用藥物名稱
841:顯示名稱
842:臨床使用
843:藥品量
844:體積量
845:藥品單位
860:劑量單位
861:硬下限
862:軟下限
863:軟上限
864:硬上限
865:額外施用技術
900:介面
902:輸液幫浦選擇區
904:臨床照護區資訊項目區
906:幫浦設定項目區
908:藥品選擇控件/控件
940:臨床照護區名稱
941:服務專線
942:臨床照護區說明
960:最大劑量速率
961:額外施用功能
962:堵塞警報設定
963:最小體表面積
964:最大體表面積
965:最小身高
966:最大身高
967:最小體重
968:最大體重
在所有圖式中,可重複使用元件符號來指示參考元件之間
的對應性。該等圖式經提供以圖解說明本文中所闡述之實例性實施例,且並非意欲限制本發明之範疇。
圖1係根據某些實施例之一實例性臨床環境及一實例性雲端環境之一方塊圖。
圖2係根據某些實施例之圖解說明一臨床環境之組件之一方塊圖。
圖3係根據某些實施例之圖解說明一臨床環境之一輸液幫浦之組件及一連接配接器之一示意圖。
圖4係根據某些實施例之圖解說明一雲端環境之組件之一方塊圖。
圖5係根據某些實施例之在藥物庫之建立及分佈期間一藥物庫管理器、一終端使用者裝置、一輸液幫浦與各種其他系統組件之間的各種資料流及互動之一方塊圖。
圖6係根據某些實施例之一藥物庫之說明性組件之一方塊圖。
圖7係根據某些實施例之用於管理藥物庫之建立、維護及分佈之一說明性程序之一流程圖。
圖8係根據某些實施例之用於建立及維持藥品及施用資料之一說明性介面之一使用者介面圖式。
圖9係根據某些實施例之用於建立及維持組織資訊之一說明性介面之一使用者介面圖式。
圖10係根據某些實施例之在藥物庫之使用期間藥物庫管理器、一輸液幫浦與各種其他系統組件之間的各種資料流及互動之一方塊
圖。
本發明主張於2018年7月26日提出申請且標題為「藥物庫管理系統(Drug Library Management System)」之美國臨時專利申請案第62/703,772號之優先權,該美國臨時專利申請案以引用方式併入本文中。
本發明針對於一網路連線型臨床環境中之藥物庫之管理及使用。臨床環境可包含各種類型及/或版本之輸液幫浦。一輸液幫浦使用一藥物庫而操作,該藥物庫闡述可用於施用之藥品、施用藥品之規則、幫浦可在其中操作之臨床照護區等。不同類型或版本之輸液幫浦可經組態以使用不同格式之藥物庫資料。另外,可需要或期望維持藥物庫資料之一改變歷史。
本發明之某些態樣係關於促進由各種輸液幫浦使用(包含在具有不同類型及/或版本之輸液幫浦之臨床環境中使用)之藥物庫之集中式管理之一藥物庫管理系統。使用藥物庫管理系統(在本文中亦稱為「藥物庫管理器」)來維持藥品、施用規則、重症照護區規則等。藥物庫管理器產生且分佈呈幫浦特有格式或其他客製化格式(視需要)之藥物庫資料。因此,在一臨床環境中可使用不同類型及版本之輸液幫浦(甚至使用呈不同格式之藥物庫資料或使用完全不同藥物庫資料之輸液幫浦),且可使用一單個藥物庫管理系統來管理該等輸液幫浦。
本發明之額外態樣係關於產生可由臨床環境中之除輸液幫浦之外的系統或組件使用之藥物庫資料版本。舉例而言,藥物庫資料可由中間軟體系統、報告系統、歸檔系統等使用。當待完成一藥物庫時,除針
對使用藥物庫資料之特定輸液幫浦而客製化之一版本之外,藥物庫管理系統亦可產生為標準化或否則為一般化之一藥物庫資料版本。藥物庫資料之一般化版本可由處理自各種輸液幫浦接收之訊息之中間軟體系統、報告由各種輸液幫浦產生或以其他方式與各種輸液幫浦相關聯之資料之報告系統等使用。另外或另一選擇為,一般化版本可經歸檔使得藥物庫資料之歷史版本在需要時可用(例如,用於歷史報告、用於在使用藥物庫之一先前版本時解決關於輸液幫浦之問題等)。有利地,一般化版本可獨立於藥物庫管理器所使用之藥物庫資料庫而歸檔,且因此,藥物庫資料庫不需要儲存歷史藥物庫資料。
儘管出於圖解目的,本發明中所闡述之某些實施例之態樣將集中於輸液幫浦、藥品施用規則、藥物庫資料格式等之特定實例,但該等實例僅係說明性的且並非意欲為限制性的。在某些實施例中,本文中所闡述之系統及方法可應用於額外或替代輸液幫浦、藥品施用規則、藥物庫資料格式等。現在將就某些實例及實施例而闡述本發明之各種態樣,該等實例及實施例用於圖解說明本發明,而不限制本發明。
圖1圖解說明網路環境100,在該網路環境中,臨床環境102經由網路104與雲端環境106通信。臨床環境102可包含一或多個健康照護設施(例如,醫院)。下文參考圖2更詳細地闡述臨床環境102之組件。網路104可係任何有線網路、無線網路或其組合。另外,網路104可係一個人區域網路、區域網路、廣域網路、空中下載廣播網路(例如,用於無線電或電視)、電纜網路、衛星網路、蜂巢式電話網路或其組合。舉例而言,網路104可係鏈接網路之一公開存取性網路,諸如網際網路。在某些
實施例中,臨床環境102及雲端環境106可各自在一或多個有線及/或無線私人網路上實施,且網路104可係一公用網路(例如,網際網路),臨床環境102與雲端環境106經由該公用網路而彼此通信。雲端環境106可係經組態以與多個臨床環境通信之一基於雲端之平台。雲端環境106可包含經由網路104作為web服務而遞送之服務之一集合。下文參考圖4更詳細地闡述雲端環境106之組件。
圖2圖解說明臨床環境102,該臨床環境包含一或多個臨床IT系統202、一或多個輸液幫浦204及一或多個連接配接器206。此外,臨床環境102可經組態以提供雲端使用者介面208(例如,由雲端環境106產生及提供)。臨床IT系統202可包含經設計以管理設施之諸如醫療、行政、財務及法律問題以及對應服務處理等操作之一醫院資訊系統(HIS)。HIS亦可包含一或多個電子病歷(EMR)或電子健康記錄(EHR)系統。輸液幫浦204係經組態以將藥品遞送至一患者之一醫療裝置。連接配接器206係經組態以與臨床環境102之其他組件通信且亦代表臨床環境102之其他組件而與雲端環境106通信之一網路組件。在一項實施例中,在臨床環境102與雲端環境106之間傳遞之所有訊息皆通過連接配接器206。在某些情形中,連接配接器206係具有有限儲存空間(例如,記憶體及/或持久性儲存裝置)之一網路器具。雲端使用者介面208可經由一瀏覽器應用程式、桌面應用程式、行動應用程式等而提供至臨床環境102中之一使用者。使用者可經由雲端使用者介面208而存取雲端環境106中所儲存之狀態報告及其他資料。
圖2中所圖解說明之組件202-208可與臨床環境102中之其
他組件中之一或多者通信。舉例而言,臨床IT系統202及輸液幫浦204中之每一者可經由實體區域網路(LAN)及/或虛擬LAN(VLAN)與連接配接器206通信。儘管圖2中未展示,但臨床環境102可包含促進臨床環境102之操作之其他醫療裝置及非醫療裝置。
圖3圖解說明由臨床環境102中之連接配接器206接收、儲存及傳輸之訊息及資料。如圖3中所展示,輸液幫浦204可包含馬達控制器單元(MCU)320及通信引擎(CE)322以及儲存藥物庫資料326及操作軟體328之記憶體324。藥物庫資料326包含用於可藉由輸液幫浦而遞送至患者之各種藥品之藥物遞送之界限。操作軟體328可包含輸液幫浦204之作業系統以及用於執行各種功能之其他軟體。每一類型之輸液幫浦及甚至相同類型之輸液幫浦之不同版本可與一不同作業系統一起操作。在某些實施例中,MCU 320使用一不太強大處理器(例如,12MHz),且CE 322使用一更強大處理器(例如,400MHz)。
MCU 320可產生幫浦訊息且將幫浦訊息發送至CE 322以供儲存及傳輸至連接配接器206。幫浦訊息可包含臨床資訊。CE 322可將此等幫浦訊息發送至連接配接器206。經由CE 322而發送至連接配接器206且由MCU 320產生之幫浦訊息可藉由變換工作者330而變換為一標準化資料集訊息(例如,連接配接器206用於與雲端環境106通信之訊息格式,有時在本文中簡稱為一訊息)。舉例而言,變換工作者330可使用下文所闡述之藥物庫資料342來將一幫浦訊息變換為一標準化資料集訊息。
CE 322亦可自連接配接器206接收指示更新(諸如對藥物庫之更新或對操作軟體之更新)可用之訊息,且可將訊息發送至請求該等更
新(例如,更新資料)之連接配接器206。CE 322亦可自連接配接器206接收更新資料以供儲存於記憶體324中。更新資料可係藥物庫更新資料或可係操作軟體更新資料。更新資料可經由與用於發送或接收訊息之通信通道不同之一通信通道而提供。
亦如圖3中所展示,連接配接器206可包含變換工作者330、裝置狀態管理器332、快取記憶體334、一入站佇列336、一出站佇列338及一資料儲存器340。變換工作者330可將自輸液幫浦204發送至連接配接器206之訊息變換為標準化資料集訊息。變換工作者330亦可將自連接配接器206發送至輸液幫浦204之訊息變換為可由輸液幫浦204使用之一訊息格式。
入站佇列336接收且儲存來自雲端環境106之訊息以供由連接配接器206處理。舉例而言,入站佇列336可自雲端環境106接收一藥物庫更新訊息。藥物庫更新訊息可係針對與連接配接器206相關聯之輸液幫浦204之至少一部分的一藥物庫更新可用之通知。在一實施例中,連接配接器206可包括一個以上入站佇列,使得(舉例而言)存在經由網路104自雲端環境106接收之訊息之至少一入站佇列336及經由區域網路自一或多個輸液幫浦204接收之訊息之至少另一入站佇列。入站佇列336中所儲存之訊息可與一或多個順序識別符(ID)相關聯。自雲端環境106接收之訊息可經由與網路104相關聯之一訊息通道而發送。
出站佇列338接收並儲存將自連接配接器206發送之訊息。舉例而言,出站佇列338可接收將經由區域網路發送至一或多個輸液幫浦之一藥物庫更新訊息。藥物庫更新訊息可係對一或多個輸液幫浦204的一藥物庫更新可用之一通知。在一實施例中,連接配接器206可包括一個以
上出站佇列,使得(舉例而言)存在將經由網路104發送至雲端環境106之訊息之至少一出站佇列338及將經由區域網路發送至一或多個輸液幫浦204之訊息之至少另一出站佇列。出站佇列338中所儲存之訊息可與一或多個順序識別符(ID)相關聯。自連接配接器206發送至輸液幫浦204之訊息可經由與區域網路相關聯之一訊息通道而發送。
裝置狀態管理器332自雲端環境106接收藥物庫及操作軟體更新且將更新資料之區塊快取於快取記憶體302中。裝置狀態管理器332處理來自入站佇列336之所接收訊息且將訊息發送至出站佇列338以供傳輸至雲端環境106或輸液幫浦204。自雲端環境106接收之資料可經由與網路104相關聯且獨立於網路104之訊息通道之一資料通道而發送。由於雲端環境中之資料通道獨立於雲端環境中之訊息通道,因此資料傳送不妨礙自連接配接器至雲端環境之臨床訊息傳遞。自快取記憶體302發送至輸液幫浦204之資料可經由與區域網路相關聯且獨立於與區域網路相關聯之訊息通道之一資料通道而發送。由於區域網路中之資料通道獨立於區域網路中之訊息通道,因此資料傳送不妨礙自輸液幫浦至連接配接器之臨床訊息傳遞。因此,雲端環境之訊息通道及區域網路之訊息通道兩者上之擁塞得以減小。
裝置狀態管理器332亦處理由變換工作者330提供之經變換訊息且將經變換訊息中所包含之資料合併至快取記憶體334中以更新快取記憶體334中所儲存的輸液幫浦204之當前狀態。
資料儲存器340可儲存藥物庫資料342以及其他。藥物庫資料342可係一幫浦204上所儲存之一個一般化版本之幫浦特有藥物庫資料。藥物庫資料342可用於處理自一幫浦204接收之訊息。舉例而言,幫
浦204可將關於幫浦204上已起始之一藥物輸液程序之一訊息發送至連接配接器206。該訊息可包含關於被輸注之藥品或輸液程序之一子組資訊,且連接配接器206可自該訊息導出資訊。舉例而言,該訊息可包含正輸注之藥品之一識別符,但該訊息可不包含藥品之名稱。連接配接器206可存取藥物庫資料342,並獲得對應於自幫浦接收之識別符之藥品之名稱。作為另一實例,該訊息可包含一臨床照護區之一識別符,但該訊息可不包含臨床照護區之名稱。連接配接器206可存取藥物庫資料342,並獲得對應於臨床照護區之識別符之藥品之名稱。作為又一實例,該訊息可包含輸液幫浦之一特定通道之一通道識別符、輸液幫浦之一特定管線之一管線識別符、一特定醫囑號碼之一自動程式化參考ID、其他識別符資訊、其某一組合等。連接配接器206可使用藥物庫資料342依據訊息資料而判定一對應名稱、說明或其他人類可讀形式。下文更詳細地闡述使用藥物庫資料342來處理自一輸液幫浦204接收之訊息。
圖4圖解說明雲端環境106,該雲端環境包含藥物庫管理器(DLM)402、報告管理器404、裝置管理器406、資料流管理器(DFM)408、雲端管理器(CM)410、資料分析器(DA)412、一藥物庫資料庫(DLDB)414及一藥物庫歸檔416。
DLM 402可提供在建立及管理供與輸液幫浦一起使用之藥物庫時所涉及之一組特徵及功能,如下文更詳細地闡述。藥物庫可提供使用者定義之設定以實現幫浦組態及藥物輸注錯誤減少。舉例而言,藥物庫可用作一劑量錯誤減少系統(DERS)之一部分。報告管理器404可提供關於使用者可選擇用於進一步分析之臨床相關輸液資料之各種報告能力,諸如
臨床實踐之追蹤及趨勢。
裝置管理器406可監督及管理對輸液幫浦之維護,從而為使用者提供查看及管理資產及操作資料之能力。舉例而言,裝置管理器406可針對輸液幫浦對藥物庫及軟體更新進行排程。
DFM 408可促進資料在相容輸液幫浦、相容外部系統等之間的儲存、快取及路由。舉例而言,DFM 408可儲存自輸液幫浦接收之輸液及操作資料、儲存及快取輸液幫浦藥物庫及軟體影像、在雲端環境106與臨床環境102之間轉換及路由網路訊息傳遞、將來自一醫院資訊系統之藥品次序資訊轉換及路由至一輸液幫浦(例如,自動程式化或智慧型幫浦程式化),及/或將來自輸液幫浦之警示資訊及輸液事件轉換及路由至醫院資訊系統(例如,警報/警示轉送及自動文件製作,或輸液文件製作)。
CM 410可充當用於圖4中所圖解說明之其他模組之一個一般用途運算平台。在功能上,CM 410可類似於Microsoft Windows或Linux作業系統,此乃因CM 410提供以下服務:網路連線、運算、使用者管理及安全性、儲存及監測。
DA 412可提供用於基於由圖4中所圖解說明之其他模組產生及/或接收之資料而產生使用者介面及報告之資料分析工具。
DLDB 414可儲存關於藥品、藥品施用規則、臨床照護區以及由藥物庫管理器402維持及用於產生用於輸液幫浦及其他系統或組件之藥物庫資料之其他資料的資料。
藥物庫歸檔416可儲存藥物庫管理器402已產生之一般化藥物庫資料。藥物庫歸檔416可儲存藉由藥物庫管理而產生之每個一般化藥物庫資料集或其某一子組之一複本,以供在記錄保持、報告等中使用。下
文更詳細地闡述經歸檔一般化藥物庫資料之使用。
儘管圖4中未圖解說明,但雲端環境106可提供諸如處理器、記憶體、磁碟空間、網路等其他資源。模組402-412可係經組態以執行本文中所闡述之技術中之一或多者之硬體組件。另一選擇為,模組402-412可使用實體儲存裝置中所儲存且由一或多個處理器執行之軟體指令而實施。儘管圖解說明為單獨組件,但模組402-412可實施為一或多個硬體組件(例如,一單個組件、個別組件或任何數目個組件)、一或多個軟體組件(例如,一單個組件、個別組件或任何數目個組件)或其任何組合。
在某些實施例中,雲端環境106可使用一商業雲端服務提供者(例如,Amazon Web Services®、Microsoft Azure®、Google Cloud®等)而實施。在其他實施例中,雲端環境106可使用由圖4中所展示之模組402-412之提供者及/或開發者管理之網路基礎設施而實施。在某些實施例中,由模組402-412中之一或多者提供之特徵及服務可作為經由一或多個通信網路可消費之web服務而實施於一或多個硬體運算裝置上。在其他實施例中,模組402-412中之一或多者由一主控運算環境中所實施之一或多個虛擬機提供。該主控運算環境可包含一或多個快速佈建及釋放運算資源,諸如運算裝置、網路連線裝置及/或儲存裝置。
參考一說明性實施例,圖5展示其中可實施藥物庫管理之態樣之一網路環境。如所展示,一DLM 402可包含一DLM編輯器500之組件。DLM編輯器500可包含產生供在一終端使用者運算裝置510上顯示之一使用者介面512之可執行指令。舉例而言,DLM可包含一web伺服器或與一web伺服器相關聯,該web伺服器產生web頁、將web頁發送至終端使
用者運算裝置510且處理使用者輸入及與web頁之互動。
DLM編輯器500可用於管理DLDB 414中所儲存之資料,且產生藥物庫資料以供由諸如輸液幫浦204A、204B及連接配接器206等各種裝置及系統使用。DLDB 414中所儲存之資料可包含關於藥品506之資料、關於藥品506之使用之施用規則508、使用藥品之臨床照護區(CCA)504及與藥物庫之管理相關之其他資料。
在某些實施例中,DLDB 414可包含關於與雲端環境106相關聯之所有藥物庫之管理之資料。在其他實施例中,DLDB 414可包含關於與雲端環境106相關聯之一子組藥物庫(例如,用於一特定臨床環境102或臨床環境群組之藥物庫、用於一特定顧客或其他實體之藥物庫等)之資料。舉例而言,可存在實體上或邏輯上彼此獨立之多個DLDB。
藥品506係表示可經由一輸液幫浦而施用之藥品之資料實體。在某些實施例中,一藥品506資料實體可包含關於一藥品之一名稱、藥品之一識別符(例如,一HIS所使用之一唯一識別符)、對藥品是否為一高風險藥品之一指示及/或其他資訊之資料。
施用規則508係表示施用一藥品可依據之參數之資料實體。舉例而言,針對一特定藥品之一施用規則508可包含表示諸如一劑量單位、一臨床使用及/或其他資訊等各種藥品施用參數之資料。在某些實施例中,針對一特定藥品506之一施用規則508可包含關於施用藥品之一絕對或「硬」最小及/或最大極限值(例如,總體或在一時間週期內可施用之最小或最大量、藥品可被施用之最小或最大速率等)之藥品施用參數資料。此等硬極限值通常無法被覆寫。在某些實施例中,施用規則508亦可或替代地可包含關於施用藥品之一推薦或「軟」最小及/或最大極限值之
資料。此等軟極限值可被覆寫(例如,在產生諸如一聽覺及/或視覺通知等之一警示之後,被具有適當權限級別之使用者覆寫)。針對一單種藥品506可存在任何數目個施用規則508。舉例而言,針對相同藥品506之不同臨床使用、將施用藥品之不同輸液幫浦204及/或將施用藥品之不同CCA 504可單獨地維持不同施用規則508。在某些實施例中,一藥品506可與零個或零個以上施用規則508相關聯。在某些實施例中,一施用規則可僅與一單種藥品506相關聯。
CCA 504係表示健康照護企業之組織單元之資料實體。舉例而言,CCA可表示醫院、個別醫院設施、部門、或照護行業。在某些實施例中,一CCA對應於類似臨床使用、患者類型、其他特性、其某一組合等之一單元。CCA 504可與各種藥品506及施用規則508相關聯。
圖6展示與多個施用規則508A及508B相關聯之一藥品506A之一實例。施用規則508A及508B分別與不同CCA 504A及504B相關聯。CCA 504A可對應於一醫院之一兒科病房,且CCA 504B可對應於醫院之一ICU。兒科CCA 504A及ICU 504B可各自具有各種資料元素,該等資料元素中之任一者或全部可對應於藥品施用設定。舉例而言,如所展示,兒科CCA 504A可包含指定200mL/hr之一最大劑量速率之一資料元素。ICU CCA 504B可包含指定999mL/hr之一最大劑量速率之一資料元素。兒科CCA 504A可與針對藥品506A之一施用規則508A相關聯,且彼施用規則508A比針對相同藥品506A的與ICU CCA 504B相關聯之施用規則508B更嚴格(例如,更小最大劑量),施用規則508B係針對一成人群體的。在某些實施例中,當在兒科CCA 504A內使用藥品506A時,針對兒科CCA 504A之設定可阻止或覆寫一不太嚴格施用規則508A。然而,若針對
藥品506A之施用規則508A比兒科CCA 504A之一設定更嚴格,則CCA 504A之設定將不覆寫施用規則508A。
返回至圖5,一使用者可使用DLM編輯器500將藥品、施用規則及CCA組織至分佈至輸液幫浦及其他系統組件之藥物庫中。在某些實施例中,組織機制可稱為一工作單502。一工作單502係包含對可用於輸液幫浦之個別藥品及施用規則之參考之一資料集。另外,工作單502可係針對於共用相同客製化藥物庫資料格式之一特定輸液幫浦204或輸液幫浦204之群組。可使用一工作單502來指定一子組藥品506及施用規則508,而非將關於DLDB 414中可用之每種藥品506及施用規則508之資料提供至輸液幫浦204。舉例而言,可將一CCA 504添加至一工作單502,且自動添加與CCA 504及目標輸液幫浦204相關聯之所有藥品506及施用規則508。在某些實施例中,可視情況獨立於可被添加之任何CCA而將個別藥品添加至一工作單。
工作單502資料集可儲存於DLDB 414中。工作單502資料集可包含表示工作單之各種性質之資料,諸如一名稱、工作單之目標輸液幫浦類型及/或版本、工作單之建立者、建立及/或編輯日期、審批狀態、版本等。另外,工作單502資料集可包含對表示與工作單502相關聯之各種CCA、藥品及施用規則之資料實體之指示或其他參考之一集合。下文更詳細地論述工作單502之建立及其他相關聯操作。
DLM 402之DLM編輯器500或某一其他組件可使用一工作單502來產生藥物庫資料。舉例而言,一旦已建立或編輯一工作單502,工作單502便可呈一「等待」狀態而等著審批。在適當審批已被准予之後,DLM 402可產生以目標幫浦204之操作所需之格式表示CCA、藥品、
施用規則及其他資料之客製化藥物庫資料520。另外,DLM 402可產生一般化藥物庫資料522以供由諸如連接配接器206之一中間軟體組件使用,以用於報告及歸檔目的等。
如圖5中所展示,DLM 402可將客製化藥物庫資料520及一般化藥物庫資料522發送至與多個輸液幫浦204A、204B通信之一連接配接器206。連接配接器206可將一般化藥物庫資料522儲存於資料儲存器340中。一般化藥物庫資料522可併入至藥物庫資料342中作為對應於亦已接收或即將接收之客製化藥物庫資料520之一般化藥物庫資料。
CA 206可將客製化藥物庫資料520提供至適當輸液幫浦204A,或指示適當輸液幫浦204A去獲得客製化藥物庫資料520。輸液幫浦204A可將客製化藥物庫資料520儲存於記憶體324中以供在未來操作中使用。舉例而言,輸液幫浦204A可用新接收之客製化藥物庫資料520替換當前存在於記憶體中之客製化藥物庫資料326。
不給其他輸液幫浦(諸如不使用相同格式之客製化藥物庫資料來操作之輸液幫浦)提供客製化藥物庫資料520,或不指示該等其他輸液幫浦去獲得客製化藥物庫資料520。舉例而言,輸液幫浦204B可係與輸液幫浦204A不同類型之一輸液幫浦,或可係與客製化藥物庫資料520不相容之一不同版本之輸液幫浦204A。在此實例中,不給輸液幫浦204B提供客製化藥物庫資料520。作為另一實例,與輸液幫浦204A相比,輸液幫浦204B可位於與一不同CCA相關聯之一位置中。客製化藥物庫資料520可以與輸液幫浦204A相關聯之CCA為目標,而不以與輸液幫浦204B相關聯之CCA為目標。在此實例中,不給輸液幫浦204B提供客製化藥物庫資料520。在一同在申請中之國際專利申請案第PCT/******/******號中更詳
細地闡述藥物庫更新程序之細節及實例,該國際專利申請案代理人案號為ICUH.223WO、標題為「更新的輸液幫浦藥物庫及網路連線環境中的操作軟體(UPDATING INFUSION PUMP DRUG LIBRARIES AND OPERATIONAL SOFTWARE IN A NETWORKED ENVIRONMENT)」且申請日期為**/**/****,該國際專利申請案以引用方式併入本文中。
該工作單結構允許在針對一特定子組之CCA及輸液幫浦而選擇之不同藥物庫資料版本當中進行比較。舉例而言,可比較正編輯之一工作單與工作單之一當前版本及/或工作單之一或多個歷史版本。工作單之各種版本及因此對應藥物庫資料之各種版本可儲存為一般化藥物庫資料(例如,JavaScript物件表示法或JSON檔案),且可彼此進行比較(例如,使用基於文字之比較方法)以判定檔案之間的任何差異。可將檔案之間的差異呈現給一使用者,使得使用者可瞭解藥物庫資料之各版本之間的不同。此等儲存及比較方法通常比將藥物庫資料之每一個別記錄之多個版本連同對應有效日期、作用/非作用狀態之指示符等一起儲存於DLDB中更高效。
該工作單結構亦允許使用者依據一共用資料集而構建用於特定目的之特定藥物庫。舉例而言,針對一癌病中心而設計之一第一工作單利用總體DLDB之一第一子組,而針對一兒科中心而設計之一第二工作單利用總體DLDB之與第一子組不同之一第二子組。在DLDB中可維持關於CCA、藥品及施用規則之個別記錄而不針對不同工作單而改變。不同工作單之工作單資料集在DLDB中可做出修改,且可參考關於CCA、藥品及施用規則之資料。
該工作單結構便於維持及查看一組特定藥物庫資料之生命
週期。舉例而言,對應於一特定工作單之一組特定藥物庫資料可經歷各種階段,包含:可編輯、在審查、作用及經歸檔。工作單資料集中可包含關於狀態中之每一者之資料。因此,工作單結構獨立於其他組藥物庫資料(如使用其他工作單而管理)而提供對每一組藥物庫資料之修正控制。
該工作單結構亦促進串接至所有工作單之全域改變之識別及實施。舉例而言,當兩個工作單含有一特定CCA且彼CCA被更新(例如,添加一新施用規則、改變一限制等)時,此時兩個工作單可藉由使工作單參考已改變之CCA資料而非包含CCA之一複本(此乃因該CCA先前已存在)而自動併入對CCA之改變。作為另一實例,當已更新一工作單之資料集時,系統可向健康照護專業人員通知可需要完成新藥物庫資料以併入改變以供在輸液幫浦上使用。
圖7係可由DLM 402之一DLM編輯器500或某一其他組件執行以管理DLDB 414中之資料之建立及維護以及供由輸液幫浦204、連接配接器206、報告系統、歸檔系統等使用之藥物庫之建立及維護之一說明性程序700之一流程圖。有利地,程序700促進以一流線型方式維護DLDB資料,使得關於藥品、施用規則、CCA等之資料僅需要建立或編輯一次,且將跨越所有相關聯藥物庫而反映改變。此外,程序700提供一般化藥物庫資料之建立,除被其他系統或組件使用之外,該一般化藥物庫資料亦可被歸檔。因此,經歸檔一般化藥物庫資料檔案之一儲存庫可提供藥物庫在各個時間點之狀態之快照,而不需要維護DLDB中之過時資料。將參考圖5中所展示之說明性資料流及互動之圖式以及圖8及圖9中所展示之說明性使用者介面之圖式而闡述程序700之部分。
圖7中所展示之程序700以方塊702開始。程序700可回應於一事件而開始,諸如在DLM編輯器500開始執行時開始。當起始程序700時,可將一或多個非暫時性電腦可讀媒體(例如,硬碟機、快閃記憶體、可抽換式媒體等)上所儲存之一組可執行程式指令載入至雲端環境106之一運算裝置之記憶體(例如,隨機存取記憶體或「RAM」)中。可執行指令然後可由運算裝置之一基於硬體之電腦處理器(例如,一中央處理單元或「CPU」)執行。在某些實施例中,程序700或其部分可在多個處理器上連續或並行地實施。
在方塊704處,DLM 402之DLM編輯器500或某一其他組件可管理DLDB 414中之藥品。對藥品之管理可包含建立、查看、更新及/或刪除藥品506資料實體。
在某些實施例中,一使用者可使用一終端使用者運算裝置510來存取DLM編輯器500,如圖5中所展示。終端使用者運算裝置510可呈現用於管理DLDB 414中之藥品之一介面。舉例而言,DLM編輯器500可提供圖8中所展示之介面800以管理一特定藥品506。介面800包含一輸液幫浦選擇區802、一藥品資訊項目區804、一劑量限制項目區806及一臨床照護區選擇控件808。
使用者可使用輸液幫浦選擇區802來選擇可用於施用藥品之輸液幫浦及/或幫浦版本。使用者可使用藥品資訊項目區804來管理藥品之性質。舉例而言,可輸入識別相關性質,諸如一泛用藥物名稱840及顯示名稱841。亦可輸入一臨床使用842。亦可輸入藥品量843、體積量844、藥品單位845及濃度類型。
在某些實施例中,一單種藥品可與不同顯示名稱相關聯。
舉例而言,一輸液幫浦可僅支援有限數目個字元來顯示藥品名稱。由於某些藥品名稱之長度可超過字元限制,因此可使用一縮短名稱,諸如一品牌名稱、縮寫等。另外或另一選擇為,可將重點放在用於顯示之藥品名稱之部分以幫助避免藥品之施用中之錯誤。說明性地,顯示名稱可使用「高個男子」字法而輸入,其中一藥品之名稱之部分以大寫字母顯示以幫助區分該藥品與可能看起來及/或聽起來類似之其他藥品名稱(例如,「普賴蘇」及「普賴蘇濃」可顯示為「predniSONE」及「predniSOLONE」)。
各種項目區中之資訊之一子組可對應於由施用規則資料項目群組810指示的藥品之一施用規則。在某些實施例中,各種項目區中之額外及/或替代資訊可係一特定施用規則之部分。舉例而言,可將一施用規則指派給一單個輸液幫浦及/或幫浦類型,且因此,施用規則資料項目群組810中可包含輸液幫浦選擇區802。作為另一實例,一施用規則可不包含藥品之一特定顯示名稱,且因此,施用規則資料項目群組810可不包含顯示名稱841,或顯示名稱841可係選用的。
在某些實施例中,一單種藥品亦可或替代地可與不同臨床使用、量、體積、單位及/或濃度類型相關聯。對應於不同資料庫記錄、介面800之不同呈現等之額外藥品項目可用於擷取此等不同性質組合。然而,藥品項目中之每一者可連結至頂級藥品(例如,如由一泛用藥品名稱及一唯一識別符所識別)。以此方式,藥品及其全部不同可用性質組合可在需要時視為一單個單元,或在需要時視為單獨藥品實體。
返回至圖7,在方塊706處,DLM 402之DLM編輯器500或某一其他組件可管理DLDB 414中之施用規則。對施用規則之管理可包含查看及/或更新、刪除藥品506資料實體。
在某些實施例中,一使用者可使用圖8中所展示之介面800來管理一特定藥品506之施用規則。除如上文所闡述之一藥品506之識別及其他性質之外,介面800包含一劑量限制項目區806。劑量限制項目區806可用於指定各種施用限制、准許等。此等欄位中所提供之資料然後被併入至用於所選擇輸液幫浦之藥物庫中,且用來約束准許輸液幫浦施用藥品之方式。舉例而言,在指定一劑量單位860之後,一使用者可輸入一硬下限861、軟下限862、軟上限863及/或硬上限864,此等全部係按照所選擇劑量單位。將不准許正遵從此施用規則而施用藥品之一輸液幫浦施用超過硬下限及硬上限之一量。可准許輸液幫浦施用超過軟下限及軟上限之一量,但在此之前,輸液幫浦可需要執行各種程序,諸如起始警示、提醒授權等。
可准許或阻止額外施用技術865,諸如推注施用、揹負遞送、揹負中斷等。某些施用技術可與其自身性質相關聯,且准許此等技術可致使顯示額外資料項目區或介面。舉例而言,若額外施用技術865部分中准許推注施用,則可展示關於劑量單位、硬/軟上限及下限等之額外欄位。
在某些實施例中,多個施用規則508可與一單種藥品506相關聯。舉例而言,不同施用規則可用於不同輸液幫浦。作為另一實例,不同施用規則可與藥品之不同臨床使用或濃度相關聯。在此等情形中,針對藥品,可添加額外藥品項目,且可相應地建立不同施用規則。然而,單獨藥品項目及對應施用規則中之每一者可與一單個頂級藥品506資料實體相關聯。
返回至圖7,在方塊708處,DLM 402之DLM編輯器500或
某一其他組件可管理DLDB 414中之CCA。對CCA之管理可包含建立、查看、更新及/或刪除CCA 504資料實體。在某些實施例中,一使用者可使用呈現用於管理DLDB 414中之CCA之一介面之一遠端運算裝置510。舉例而言,DLM編輯器500可提供圖9中所展示之介面900以管理一特定CCA 504。
介面900包含一輸液幫浦選擇區902、一CCA資訊項目區904、一幫浦設定項目區906及一藥品選擇控件908。一使用者可使用輸液幫浦選擇區902來選擇可用於在CCA中施用藥品之輸液幫浦及/或幫浦版本。使用者可使用CCA資訊項目區904來管理CCA之性質。舉例而言,可輸入諸如一CCA名稱940、服務專線941及CCA說明942等識別相關性質。使用者可使用幫浦設定項目區906來管理所選擇幫浦之CCA特有設定,諸如CCA中之幫浦之幫浦限制及其他操作設定。舉例而言,使用者可提供一最大劑量速率960、准許或禁止額外施用功能961(諸如經延遲開始或備用)及設定堵塞警報設定962。在某些實施例中,使用者可輸入用於約束准許使用CCA上之輸液幫浦來治療哪些患者之CCA特有患者限制。舉例而言,患者限制可包含最小體表面積(BSA)963、最大BSA 964、最小身高965、最大身高966、最小體重967、最大體重968等。
儘管圖7圖解說明方塊704及706係在一個執行路徑上以一順序方式發生,且方塊608係在一並行執行路徑中發生,但此實例僅係說明性的。在某些實施例中,對應於方塊704、706及708之操作可循序執行、不同時執行、並行地執行,或可視需要重複個別方塊。
在方塊710處,DLM 402之DLM編輯器500或某一其他組件可管理可用於DLDB 414中之CCA之藥品。舉例而言,針對一特定藥品
506之介面800包含一臨床照護區選擇控件808。一使用者可啟動此控件808以存取促進准許施用藥品506之CCA之選擇之一介面。作為另一實例,針對一特定CCA 504之介面900包含一藥品選擇控件908。一使用者可啟動此控件908以存取促進准許在CCA 504中施用之藥品之選擇之一介面。
在方塊712處,DLM 402之DLM編輯器500或某一其他組件可產生用於管理一藥物庫之一工作單502。工作單502提供產生一藥物庫以供由一輸液幫浦使用之機制。可針對不同輸液幫浦及/或不同設施、CCA等中之輸液幫浦而產生及維持單獨藥物庫。在某些實施例中,一使用者可使用呈現用於管理DLDB 414中之工作單之一介面之一遠端運算裝置510。使用者可輸入工作單特有資訊,諸如工作單之一名稱、工作單之一目標輸液幫浦類型及/或版本等。表示工作單特有資訊之資料可儲存於DLDB 414中。
在方塊714處,DLM 402之DLM編輯器500或某一其他組件可將一或多個CCA 504添加至工作單502。添加CCA 504亦具有將與CCA 504相關聯之各種藥品506及施用規則508添加至工作單502之效應。在此實例中,CCA提供可將藥品群組添加至一特定工作單且因此添加至一特定藥物庫之組織手段。
在某些實施例中,DLM 402之DLM編輯器500或某一其他組件可將一或多種藥品506添加至工作單502。將藥品506添加至工作單502亦可具有將與藥品506相關聯之各種施用規則508添加至工作單502之效應。在某些實施例中,除CCA之外,亦可添加藥品,或可在不將CCA添加至工作單之情況下個別地添加藥品。在方塊716處,DLM 402之DLM
編輯器500或某一其他組件可完成工作單502。工作單502可按需要完成(例如,在DLM編輯器500之一使用者請求後立即完成),或工作單502可遵從一授權工作流程。舉例而言,使用者可在已做出各種改變之後請求完成一工作單。其他使用者然後可存取工作單、查看改變(若需要)及批准或駁回工作單。一旦批准對工作單之改變,便可完成工作單。
在方塊718處,DLM 402之DLM編輯器500或某一其他組件可使用工作單502來產生客製化藥物庫資料。如上文所闡述,工作單可指定工作單適用之一特定幫浦類型或版本。DLM 402可使用針對特定輸液幫浦類型或版本之藥物庫規範資料來產生幫浦之客製化藥物庫資料。
藥物庫規範資料可包含用於產生輸液幫浦所需之客製化藥物庫資料之規則,諸如預期藥物庫資料被遞送之資料結構及格式、應用於DLDB 414中之資料以產生能夠由輸液幫浦使用之資料之功能或其他變換等。舉例而言,針對每一藥品記錄,一第一類型之輸液幫浦可預期資料欄位a、b、c、d及e以彼順序存在。一第二類型之輸液幫浦亦可預期欄位a、b及c連同對應於其中應用一數學變換之欄位d以及一不同欄位f而非欄位e之資料一起存在。另外,第二類型之輸液幫浦可預期該等欄位呈與第一類型之輸液幫浦不同之一順序。針對兩種不同類型之輸液幫浦之藥物庫規範資料可提供關於此等預期資料欄位、格式、變換、順序等之資料。
DLM 402可判定工作單502資料集中指定之輸液幫浦類型及/或版本。然後,DLM 402可使用DLDB 414中之工作單502資料來產生用於輸液幫浦之客製化藥物庫資料520,且產生用於輸液幫浦之藥物庫規範資料。
在方塊720處,DLM 402之DLM編輯器500或某一其他組
件可使用工作單502來產生一般化藥物庫資料。如上文所闡述,一般化藥物庫資料係由中間軟體組件(例如,連接配接器206)、報告系統、歸檔系統等使用之資料。此等不同裝置及組件中之每一者可經組態以使用相同一般化藥物庫資料而操作。說明性地,一般化藥物庫資料可以諸如JavaScript物件表示法(JSON)、eXtensible標記語言(XML)等之一標準化資料格式建立。在某些實施例中,一般化藥物庫規範資料可用於產生一般化藥物庫資料。一般化藥物庫規範資料可包含用於產生一般化藥物庫資料之規則,諸如一般化藥物庫資料將被遞送之資料結構及格式、應用於DLDB 414中之資料以產生一般化藥物庫資料之功能或其他變換等。DLM 402可使用DLDB 414中之工作單502資料及一般化藥物庫規範資料來產生一般化藥物庫資料。
儘管圖7圖解說明方塊718及720係在一個執行路徑上以一順序方式發生,但此實例僅係說明性的。在某些實施例中,對應於方塊718及720之操作可以一不同順序執行、不同時執行或並行地執行。
在方塊722處,DLM 402之DLM編輯器500或某一其他組件可分佈上述所產生之藥物庫資料。舉例而言,如圖5中所展示,DLM 402可將一般化藥物庫資料522及客製化藥物庫資料520提供至一連接配接器206。在某些實施例中,DLM亦可或替代地可將一般化藥物庫資料儲存於一藥物庫歸檔416中。將一般化藥物庫資料522儲存於藥物庫歸檔416中可提供某些益處,諸如即使在已產生藥物庫之其他中間版本之後的某一未來時間,亦能夠存取藥物庫,此乃因其在被產生時即存在。另外,藉由維持單獨歸檔416中之藥物庫之先前版本,可控制DLDB 414之大小及複雜性,此乃因不必將對資料之每一先前版本之記錄儲存於DLDB 414中。
在方塊724處,程序700可終止。在某些實施例中,程序700可返回至先前方塊。舉例而言,一使用者可返回至方塊712以產生針對其他CCA、輸液幫浦等之額外工作單。
圖10係在藥物庫資料之使用期間網路連線型臨床環境102與雲端環境106之組件之間的資料流及互動之一圖式。如所展示,一輸液幫浦204可在[A]處將一訊息發送至一連接配接器206。舉例而言,該訊息可指示一特定藥品之一藥品輸注程序之開始。輸液幫浦204所使用之客製化藥物庫資料可使用一識別符「13BSF68X」用於該藥品。因此,該訊息可包含識別符「13BSF68X」而非該藥品之名稱,以便減小訊息之大小。訊息可包含關於輸液之其他資訊,諸如輸液之開始之一時間戳記、一劑量量等。另一選擇為或另外,為減小訊息之總體大小,訊息可包含關於輸液之其他資料之識別符或可導出人類可讀形式之其他資訊。舉例而言,訊息可包含一患者識別符、一輸液類型識別符、一CCA識別符、一通道識別符、一管線識別符、一自動程式化參考識別符、其他識別符、其某一組合等。
連接配接器206可自輸液幫浦接收訊息,且在[B]處處理訊息。舉例而言,連接配接器206可使用資料儲存器340中之一般化藥物庫資料將訊息處理成一標準化資料集訊息。一般化藥物庫資料可包含對應於識別符「13BSF68X」之藥物之名稱、對應於一CCA識別符之CCA之名稱等。因此,連接配接器206可在標準化資料集訊息中包含藥物名稱、CCA名稱等,而不自輸液幫浦204接收藥物名稱、CCA名稱等。連接配接器206可在[C]處將標準化資料集訊息發送至雲端環境106。
輸液幫浦204可在[D]處將一第二訊息發送至連接配接器206。第二訊息可與輸液幫浦204處之一過去事件有關,諸如在輸液幫浦204正使用一不同版本之客製化藥物庫資料之前幾天發生之一輸液。舉例而言,當雲端環境106接收到[C]處之標準化資料集訊息時,可判定尚未接收到一先前訊息(例如,藉由檢查訊息中之一順序訊息識別符)。然後,雲端環境106可起始用以獲得丟失訊息之一程序,且因此,輸液幫浦204在[D]處將訊息重新發送(或第一次發送)至連接配接器206。
連接配接器206可在[E]處開始處理第二訊息。然而,為訊息之標的之輸液發生於輸液幫浦204正使用一較舊版本之客製化藥物庫資料時。因此,訊息可包含連接配接器206藉由參考當前存在於資料儲存器340中之一般化藥物庫資料無法解析之資訊(例如,一識別符),此乃因當前存在於資料儲存器340中之一般化藥物庫資料對應於輸液幫浦204所使用之當前客製化藥物庫資料。在此例項中,連接配接器206可在[F]處自雲端環境106擷取對應於輸液幫浦204在最初產生第二訊息時所使用之客製化藥物庫資料之一般化藥物庫資料之一經歸檔版本。
連接配接器206可繼續在[G]處使用一般化藥物庫資料之經歸檔版本將第二訊息處理成一標準化資料集訊息。舉例而言,連接配接器206可使用識別符及一般化藥物庫資料之經歸檔版本來判定藥物名稱,且繼續在[G]處將第二訊息處理成包含藥物名稱之一標準化資料集訊息。然後,連接配接器206可在[H]處將一第二標準化資料集訊息發送至雲端環境106。
本發明之實施例可由以下非限制性條款定義:
條款1:一種經組態以管理一臨床環境內之一藥物庫之系
統,該系統包括:複數個輸液幫浦,其經組態以將藥品遞送至一或多個患者,該複數個輸液幫浦中之每一各別輸液幫浦包括經組態以儲存藥物庫資料之一記憶體;一藥物庫管理器,其包括一或多個電腦處理器及記憶體,該藥物庫管理器經組態以:自一使用者裝置接收表示一或多種藥品之第一輸入資料;自該使用者裝置接收表示一或多個施用規則之第二輸入資料,其中該第二輸入資料包括:表示該一或多種藥品中之一藥品之資料;表示複數個輸液幫浦類型中之一輸液幫浦類型之資料;及表示一或多個藥品施用參數之資料;自該使用者裝置接收表示一或多個臨床照護區之第三輸入資料,其中該第三輸入資料包括:表示一或多個臨床照護區設定之資料;及表示一臨床照護區與零個或零個以上施用規則之一關聯性之資料;自該使用者裝置接收表示對該一或多個臨床照護區中之一第一臨床照護區之選擇之第四輸入資料;將表示一藥物庫之工作單資料儲存於一藥物庫資料庫中,其中該工作單資料包括:對該藥物庫資料庫中之輸液幫浦資料之一第一參考,該輸液幫浦資料表示第一輸液幫浦類型;及對該藥物庫資料庫中之臨床照護區資料之一第二參考,該臨床照護區資料表示該第一臨床照護區;
使用該工作單資料來產生客製化藥物庫資料,其中該客製化藥物庫資料係根據與該第一輸液幫浦類型相關聯之一幫浦特有格式而格式化,其中該客製化藥物庫資料表示該藥物庫資料庫中之一子組藥品及該藥物庫資料庫中之一子組施用規則,且其中該子組施用規則中之個別施用規則與該子組藥品中之個別藥品相關聯;使用該工作單資料來產生一般化藥物庫資料,其中該一般化藥物庫資料表示該子組藥品及該子組施用規則;將該客製化藥物庫資料提供至該複數個輸液幫浦中之一第一輸液幫浦,其中該第一輸液幫浦與該第一輸液幫浦類型相關聯,且其中不向該複數個輸液幫浦中之一第二輸液幫浦提供該客製化藥物庫資料,該第二輸液幫浦與一第二輸液幫浦類型相關聯;及將該一般化藥物庫資料提供至與該第一輸液幫浦及該第二輸液幫浦通信之一連接配接器。
條款2:如條款1之系統,其中該第一輸液幫浦經組態以在該第一輸液幫浦之記憶體中用該客製化藥物庫資料替換一先前版本之客製化藥物庫資料。
條款3:如條款1之系統,其中該第一輸液幫浦經組態以:顯示包括一藥品名稱之輸液資料;及將一輸液訊息傳輸至該連接配接器,其中該輸液訊息包括一藥品識別符且不包括該藥品名稱。
條款4:如條款3之系統,其中該連接配接器經組態以至少:自該第一輸液幫浦接收該輸液訊息;及
使用該藥品識別符及該一般化藥物庫資料來判定該藥品名稱。
條款5:如條款4之系統,其中該連接配接器進一步經組態以至少:自該第二輸液幫浦接收包括一第二藥品識別符之一第二輸液訊息;及使用該第二藥品識別符及與該第二輸液幫浦相關聯之第二一般化藥物庫資料來判定一第二藥品名稱。
條款6:如條款1之系統,其中:該子組施用規則中之一施用規則與該子組藥品中之一藥品相關聯;該施用規則與一第一劑量上限相關聯;該第一臨床照護區與低於該第一劑量上限之一第二劑量上限相關聯;且在該第一輸液幫浦施用該藥品期間,該第二劑量上限覆寫該第一劑量上限。
條款7:如條款1之系統,其中:該子組施用規則中之一施用規則與該子組藥品中之一藥品相關聯;該施用規則與一第一劑量上限相關聯;該第一臨床照護區與高於該第一劑量上限之一第二劑量上限相關聯;且在該第一輸液幫浦施用該藥品期間,實施該第一劑量上限。
條款8:如條款1之系統,其中該藥物庫管理器進一步經組態以至少:自該使用者裝置接收與一藥品相關聯且表示對一硬劑量下限、一軟
劑量下限、一軟劑量上限或一硬劑量上限中之至少一者之選擇的輸入;及將表示該選擇之施用規則資料儲存於該藥物庫資料庫中,其中該施用規則資料參考表示該藥品之藥品資料。
條款9:如條款1之系統,其中該連接配接器經組態以至少:自該第一輸液幫浦接收與一先前版本之客製化藥物庫資料相關聯之一輸液訊息;獲得對應於該先前版本之客製化藥物庫資料之一先前版本之一般化藥物庫資料;及使用該先前版本之一般化藥物庫資料來處理該輸液訊息。
條款10:如條款1之系統,其中該藥物庫管理器進一步經組態以至少:結合該工作單資料一起儲存狀態資料,其中該狀態資料指示該工作單資料之一狀態;及自該使用者裝置接收指示該工作單資料之一狀態改變之輸入,其中回應於接收到指示該工作單資料之該狀態改變之該輸入而產生該客製化藥物庫資料及該一般化藥物庫資料。
條款11:如條款1之系統,其進一步包括一藥物庫歸檔,其中該藥物庫管理器進一步經組態以將該一般化藥物庫資料提供至該藥物庫歸檔,且其中該藥物庫歸檔經組態以針對複數個不同藥物庫中之每一者而儲存複數個版本之一般化藥物庫資料。
條款12:如條款11之系統,其中該藥物庫管理器進一步經組態以:
比較該一般化藥物庫資料與第二一般化藥物庫資料或第二工作單資料中之一者;及基於比較該一般化藥物庫資料而產生使用者介面資料以顯示一差異。
條款13:一種電腦實施之方法,其包括:在組態有特定電腦可執行指令之一或多個運算裝置之控制下,將表示一藥物庫之工作單資料儲存於一藥物庫資料庫中,其中該工作單資料包括:對該藥物庫資料庫中之輸液幫浦資料之一第一參考,該輸液幫浦資料表示複數個輸液幫浦類型中之一第一輸液幫浦類型;及對該藥物庫資料庫中之臨床照護區資料之一第二參考,該臨床照護區資料表示複數個臨床照護區中之一第一臨床照護區;使用該工作單資料來產生客製化藥物庫資料,其中該客製化藥物庫資料係根據與該第一輸液幫浦類型相關聯之一幫浦特有格式而格式化,其中該客製化藥物庫資料表示該藥物庫資料庫中之一子組藥品及該藥物庫資料庫中之一子組施用規則,且其中該子組施用規則中之個別施用規則與該子組藥品中之個別藥品相關聯;使用該工作單資料來產生一般化藥物庫資料,其中該一般化藥物庫資料表示該子組藥品及該子組施用規則;將該客製化藥物庫資料提供至與該第一輸液幫浦類型相關聯之一輸液幫浦;及將該一般化藥物庫資料提供至與該輸液幫浦通信之一運算系統。
條款14:如條款13之電腦實施之方法,其進一步包括:
存取對應於該工作單資料之一先前版本之經歸檔一般化藥物庫資料;比較該一般化藥物庫資料與該經歸檔一般化藥物庫資料;及呈現顯示該一般化藥物庫資料與該經歸檔一般化藥物庫資料之間的一差異之一使用者介面。
條款15:如條款13之電腦實施之方法,其進一步包括:接收與一藥品相關聯且表示對一硬劑量下限、一軟劑量下限、一軟劑量上限或一硬劑量上限中之至少一者之選擇的輸入;及將表示該選擇之施用規則資料儲存於該藥物庫資料庫中,其中該施用規則資料參考表示該藥品之藥品資料。
條款16:如條款13之電腦實施之方法,其進一步包括:結合該工作單資料一起儲存狀態資料,其中該狀態資料指示該工作單資料之一狀態;及接收指示該工作單資料之一狀態改變之輸入,其中回應於接收到指示該工作單資料之該狀態改變之該輸入而產生該客製化藥物庫資料及該一般化藥物庫資料。
條款17:如條款13之電腦實施之方法,其進一步包括將該一般化藥物庫資料提供至一藥物庫歸檔,該藥物庫歸檔經組態以針對複數個不同藥物庫中之每一者而儲存複數個版本之一般化藥物庫資料。
條款18:如條款13之電腦實施之方法,其中產生該一般化藥物庫資料包括:使用JavaScript物件表示法將該一般化藥物庫資料格式化。
條款19:一種系統,其包括:
一電腦可讀記憶體,其儲存可執行指令;及一或多個處理器,其與該電腦可讀記憶體通信,其中該一或多個處理器藉由該等可執行指令而程式化為至少:將表示一藥物庫之工作單資料儲存於一藥物庫資料庫中,其中該工作單資料包括:對該藥物庫資料庫中之輸液幫浦資料之一第一參考,該輸液幫浦資料表示複數個輸液幫浦類型中之一第一輸液幫浦類型;及對該藥物庫資料庫中之臨床照護區資料之一第二參考,該臨床照護區資料表示複數個臨床照護區中之一第一臨床照護區;使用該工作單資料來產生客製化藥物庫資料,其中該客製化藥物庫資料係根據與該第一輸液幫浦類型相關聯之一幫浦特有格式而格式化,其中該客製化藥物庫資料表示該藥物庫資料庫中之一子組藥品及該藥物庫資料庫中之一子組施用規則,且其中該子組施用規則中之個別施用規則與該子組藥品中之個別藥品相關聯;使用該工作單資料來產生一般化藥物庫資料,其中該一般化藥物庫資料表示該子組藥品及該子組施用規則;將該客製化藥物庫資料提供至與該第一輸液幫浦類型相關聯之一輸液幫浦;及將該一般化藥物庫資料提供至與該輸液幫浦通信之一連接配接器。
條款20:如條款19之系統,其進一步包括該連接配接器,其中該連接配接器經組態以至少:自該輸液幫浦接收一第一輸液訊息,該第一輸液訊息包括對應於由該輸液幫浦輸注之一藥品之一藥品識別符;
使用該藥品識別符及該一般化藥物庫資料來判定一藥品名稱;自該輸液幫浦接收與一先前版本之客製化藥物庫資料相關聯之一第二輸液訊息;獲得對應於該先前版本之客製化藥物庫資料之一先前版本之一般化藥物庫資料;及使用該先前版本之一般化藥物庫資料來處理該第二輸液訊息。
條款21:一種系統,其包括:電腦可讀儲存裝置;及一或多個電腦處理器,其經組態以至少:接收根據與一第一輸液幫浦類型相關聯之一幫浦特有格式而格式化之客製化藥物庫資料,其中該客製化藥物庫資料表示複數種藥品及複數個施用規則,且其中該複數個施用規則中之個別施用規則與該複數種藥品中之個別藥品相關聯;接收一般化藥物庫資料,其中該一般化藥物庫資料表示該複數種藥品及該複數個施用規則;將該客製化藥物庫資料發送至與該第一輸液幫浦類型相關聯之一輸液幫浦;將該一般化藥物庫資料儲存於該電腦可讀儲存裝置中,其中該一般化藥物庫資料之一先前版本儲存於該電腦可讀儲存裝置中;自該輸液幫浦接收一第一輸液訊息,該第一輸液訊息包括對應於由該輸液幫浦輸注之一第一藥品之一第一藥品識別符;使用該第一藥品識別符及該一般化藥物庫資料來判定一第一藥品名稱;
自該輸液幫浦接收與一先前版本之客製化藥物庫資料相關聯之一第二輸液訊息,該第二輸液訊息包括對應於由該輸液幫浦輸注之一第二藥品之一第二藥品識別符;及使用該第二藥品識別符及該先前版本之一般化藥物庫資料來判定一第二藥品名稱。
條款22:如條款21之系統,其進一步包括該輸液幫浦,其中該輸液幫浦經組態以在該輸液幫浦之記憶體中用該客製化藥物庫資料替換一先前版本之客製化藥物庫資料。
條款23:如條款22之系統,其中該輸液幫浦經組態以:顯示包括該第一藥品名稱之輸液資料;及將該第一輸液訊息傳輸至包括該一或多個處理器之一連接配接器,其中該第一輸液訊息包括該第一藥品識別符且不包括該第一藥品名稱。
條款24:如條款22之系統,其中該輸液幫浦經組態以:顯示包括一臨床照護區名稱之輸液資料;及將該第一輸液訊息傳輸至包括該一或多個處理器之一連接配接器,其中該第一輸液訊息包括一臨床照護區識別符且不包括該臨床照護區名稱。
條款25:如條款21之系統,其中該一或多個處理器進一步經組態以至少:自一第二輸液幫浦接收包括一第三藥品識別符之一第三輸液訊息,其中該第二輸液幫浦與一第二輸液幫浦類型相關聯;及使用該第三藥品識別符及第二一般化藥物庫資料來判定一第三藥品名稱。
條款26:如條款21之系統,其中:該複數個施用規則中之一施用規則與該第一藥品及複數個臨床照護區中之一臨床照護區相關聯;該施用規則包括一第一劑量上限;該臨床照護區與低於該第一劑量上限之一第二劑量上限相關聯;且在該輸液幫浦施用該第一藥品期間,該第二劑量上限覆寫該第一劑量上限。
條款27:如條款21之系統,其中:該複數個施用規則中之一施用規則與該第一藥品及複數個臨床照護區中之一臨床照護區相關聯;該施用規則包括一第一劑量上限;該臨床照護區與高於該第一劑量上限之一第二劑量上限相關聯;且在該輸液幫浦施用該第一藥品期間,實施該第一劑量上限。
條款28:一種電腦實施之方法,其包括:在組態有特定電腦可執行指令之一或多個運算裝置之控制下,接收根據與一第一輸液幫浦類型相關聯之一幫浦特有格式而格式化之客製化藥物庫資料,其中該客製化藥物庫資料表示複數種藥品及複數個施用規則,且其中該複數個施用規則中之個別施用規則與該複數種藥品中之個別藥品相關聯;接收一般化藥物庫資料,其中該一般化藥物庫資料表示該複數種藥品及該複數個施用規則;將該客製化藥物庫資料發送至與該第一輸液幫浦類型相關聯之一輸液幫浦;
將該一般化藥物庫資料儲存於一電腦可讀儲存裝置中,其中該一般化藥物庫資料之一先前版本儲存於該電腦可讀儲存裝置中;自該輸液幫浦接收一第一輸液訊息,該第一輸液訊息包括對應於由該輸液幫浦輸注之一第一藥品之一第一藥品識別符;使用該第一藥品識別符及該一般化藥物庫資料來處理該第一輸液訊息;自該輸液幫浦接收與一先前版本之客製化藥物庫資料相關聯之一第二輸液訊息,該第二輸液訊息包括對應於由該輸液幫浦輸注之一第二藥品之一第二藥品識別符;及使用該第二藥品識別符及該先前版本之一般化藥物庫資料來處理該第二輸液訊息。
條款29:如條款28之電腦實施之方法,其中處理該第一輸液訊息包括:使用該第一藥品識別符及該一般化藥物庫資料來判定一第一藥品名稱。
條款30:如條款28之電腦實施之方法,其中處理該第二輸液訊息包括:使用該第二藥品識別符及該一般化藥物庫資料來判定一第二藥品名稱。
條款31:如條款28之電腦實施之方法,其中將該客製化藥物庫資料發送至該輸液幫浦會致使該輸液幫浦在該輸液幫浦之記憶體中用該客製化藥物庫資料替換一先前版本之客製化藥物庫資料。
條款32:如條款31之電腦實施之方法,其進一步包括:藉由該輸液幫浦而顯示包括該第一藥品名稱之輸液資料;及藉由該輸液幫浦而產生該第一輸液訊息,其中該第一輸液訊息包括
該第一藥品識別符且不包括該第一藥品名稱。
條款33:如條款28之電腦實施之方法,其進一步包括:自一第二輸液幫浦接收包括一第三藥品識別符之一第三輸液訊息,其中該第二輸液幫浦與一第二輸液幫浦類型相關聯;及處理該第三藥品識別符及第二一般化藥物庫資料。
條款34:如條款28之電腦實施之方法,其中:該複數個施用規則中之一施用規則與該第一藥品及複數個臨床照護區中之一臨床照護區相關聯;該施用規則包括一第一劑量上限;該臨床照護區與低於該第一劑量上限之一第二劑量上限相關聯;且在該輸液幫浦施用該第一藥品期間,該第二劑量上限覆寫該第一劑量上限。
條款35:如條款28之電腦實施之方法,其中:該複數個施用規則中之一施用規則與該第一藥品及複數個臨床照護區中之一臨床照護區相關聯;該施用規則包括一第一劑量上限;該臨床照護區與高於該第一劑量上限之一第二劑量上限相關聯;且在該輸液幫浦施用該第一藥品期間,實施該第一劑量上限。
條款36:一種非暫時性電腦儲存媒體,其儲存引導一運算系統執行一程序之一可執行組件,該程序包括:接收根據與一第一輸液幫浦類型相關聯之一幫浦特有格式而格式化之客製化藥物庫資料,其中該客製化藥物庫資料表示複數種藥品及複數個施用規則,且其中該複數個施用規則中之個別施用規則與該複數種藥品中
之個別藥品相關聯;接收一般化藥物庫資料,其中該一般化藥物庫資料表示該複數種藥品及該複數個施用規則;將該客製化藥物庫資料發送至與該第一輸液幫浦類型相關聯之一輸液幫浦;將該一般化藥物庫資料儲存於一電腦可讀儲存裝置中,其中該一般化藥物庫資料之一先前版本儲存於該電腦可讀儲存裝置中;自該輸液幫浦接收一第一輸液訊息,該第一輸液訊息包括對應於由該輸液幫浦輸注之一第一藥品之一第一藥品識別符;使用該第一藥品識別符及該一般化藥物庫資料來處理該第一輸液訊息;自該輸液幫浦接收與一先前版本之客製化藥物庫資料相關聯之一第二輸液訊息,該第二輸液訊息包括對應於由該輸液幫浦輸注之一第二藥品之一第二藥品識別符;及使用該第二藥品識別符及該先前版本之一般化藥物庫資料來處理該第二輸液訊息。
條款37:如條款36之非暫時性電腦儲存媒體,其中處理該第一輸液訊息包括:使用該第一藥品識別符及該一般化藥物庫資料來判定一第一藥品名稱,且其中處理該第二輸液訊息包括:使用該第二藥品識別符及該一般化藥物庫資料來判定一第二藥品名稱。
條款38:如條款36之非暫時性電腦儲存媒體,該程序進一步包括:自一第二輸液幫浦接收包括一第三藥品識別符之一第三輸液訊息,
其中該第二輸液幫浦與一第二輸液幫浦類型相關聯;及處理該第三藥品識別符及第二一般化藥物庫資料。
條款39:如條款36之非暫時性電腦儲存媒體,其中:該複數個施用規則中之一施用規則與該第一藥品及複數個臨床照護區中之一臨床照護區相關聯;該施用規則包括一第一劑量上限;該臨床照護區與低於該第一劑量上限之一第二劑量上限相關聯;且在該輸液幫浦施用該第一藥品期間,該第二劑量上限覆寫該第一劑量上限。
條款40:如條款36之非暫時性電腦儲存媒體,其中:該複數個施用規則中之一施用規則與該第一藥品及複數個臨床照護區中之一臨床照護區相關聯;該施用規則包括一第一劑量上限;該臨床照護區與高於該第一劑量上限之一第二劑量上限相關聯;且在該輸液幫浦施用該第一藥品期間,實施該第一劑量上限。
應理解,未必可根據本文中所闡述之任一特定實施例來達成所有目標及優點。因此,舉例而言,熟習此項技術者應認識到,某些實施例可經組態而以達成或最佳化如本文中所教示之一個優點或優點群組而不必達成如本文中可教示或建議之其他目的或優點之一方式操作。
依據本揭示內容將明瞭除本文中所闡述之彼等變化形式之外的諸多其他變化形式。舉例而言,取決於實施例,本文中所闡述之演算法中之任一者之某些動作、事件或功能可以一不同順序執行、可被添加、
被合併或被完全忽視(例如,並非所有所闡述動作或事件皆係演算法之實踐所必需的)。此外,在某些實施例中,動作或事件可同時執行,例如,透過多線程處理、中斷處理或者多個處理器或處理器核心,或在其他並行架構上執行,而非循序執行。另外,不同任務或程序可由可一起運行之不同機器及/或運算系統執行。
連同本文中所揭示之實施例一起闡述之各種說明性邏輯區塊、模組及演算法元素可實施為電子硬體、電腦軟體或兩者之組合。為清楚圖解說明硬體與軟體之此可互換性,上文通常已就其功能性闡述了各種說明性組件、區塊、模組及元素。此功能性係實施為硬體還是軟體取決於特定應用及強加於總體系統之設計約束。所闡述功能性可針對每一特定應用以不同方式實施,但此等實施決策不應解釋為導致背離本發明之範疇。
結合本文中所揭示之實施例而闡述之各種說明性邏輯區塊及模組可由一機器實施或執行,該機器諸如一個一般用途處理器、一數位信號處理器(DSP)、一特殊應用積體電路(ASIC)、一場可程式化閘陣列(FPGA)或其他可程式化邏輯裝置、離散閘或電晶體邏輯、離散硬體組件或經設計以執行本文中所闡述之功能之其任何組合。一個一般用途處理器可係一微處理器,但在替代方案中,處理器可係一控制器、微控制器或狀態機、其組合等。一處理器可包含經組態以處理電腦可執行指令之電路。在另一實施例中,一處理器包含一FPGA或執行邏輯操作而不處理電腦可執行指令之其他可程式化裝置。一處理器亦可實施為運算裝置之一組合,例如,一DSP與一微處理器之一組合、複數個微處理器之一組合、一或多個微處理器與一DSP核心之一組合,或任何其他此類組態。儘管本文中主要相對於數位技術進行闡述,但一處理器亦可主要包含類比組件。舉例而
言,本文中所闡述之信號處理演算法中之某些或全部演算法可在類比電路或混合式類比與數位電路中實施。一運算環境可包含任何類型之電腦系統,包含但不限於基於一微處理器、一大型電腦、一數位信號處理器、一可攜式運算裝置、一裝置控制器或一器具內之一運算引擎(僅舉幾例)之一電腦系統。
結合本文中所揭示之實施例一起闡述之一方法、程序或演算法之元素可直接以硬體、以一或多個記憶體裝置中所儲存且由一或多個處理器執行之一軟體模組或以兩者之一組合體現。一軟體模組可駐存於RAM記憶體、快閃記憶體、ROM記憶體、EPROM記憶體、EEPROM記憶體、暫存器、硬碟機、一可抽換式磁碟、一CD ROM或此項技術中已知之任何其他形式之非暫時性電腦可讀儲存媒體、媒體或實體電腦儲存裝置中。一實例性儲存媒體可耦合至處理器,使得該處理器可自儲存媒體讀取資訊並將資訊寫入至該儲存媒體中。在替代方案中,該儲存媒體可與處理器成一體。該儲存媒體可係揮發性或非揮發性的。處理器及儲存媒體可駐存於一ASIC中。ASIC可駐存於一使用者終端機中。在替代方案中,處理器及儲存媒體可作為離散組件駐存於一使用者終端機中。
除非另外具體陳述或另外在內容脈絡內如所使用而理解,否則本文中所使用之條件語言(諸如「可(can、might、may)」、「等(e.g.)」及諸如此類,以及其他)通常旨在傳達某些實施例包含而其他實施例不包含某些特徵、元件及/或狀態。因此,此條件語言通常不旨在暗示一或多項實施例以任何方式需要特徵、元件及/或狀態或一或多項實施例必然包含在有或沒有作者輸入或提醒之情況下決定在任一特定實施例中是否包含或執行此等特徵、元件及/或狀態的邏輯。術語「包括」、「包含」、
「具有」及諸如此類係同義詞且以一開放式方式包含性地使用,且不排除額外元件、特徵、動作、操作等。此外,術語「或」係在其包含性意義上(而非在其排他性意義上)使用,使得在用於(舉例而言)連接一系列元件時,術語「或」意指清單中之元件中之一個、某些或全部元件。此外,如本文中所使用,術語「每一」除具有其普通意義外亦可意指術語「每一」應用於的一組元件中之任何子組。
除非另外具體指明,否則諸如片語「X、Y或Z中之至少一者」之析取語言在內容脈絡內被理解為通常用於呈現一項目、項等可係X、Y或Z,或其任一組合(例如,X、Y及/或Z)。因此,此類析取語言通常不意欲且不應暗示某些實施例需要各自呈現X中之至少一者、Y中之至少一者或Z中之至少一者。
除非另外明確指明,否則諸如「一(a、an)」或「該(等)(the)」之冠詞通常應解釋為包含一或多個所闡述項目。因此,諸如「經組態以...之一裝置」之片語意欲包含一或多個所陳述裝置。此類一或多個所陳述裝置亦可共同地經組態以實施所指明陳述內容。舉例而言,「經組態以實施陳述內容A、B及C之一處理器」可包含經組態以實施陳述內容A之一第一處理器連同經組態以實施陳述內容B及C之一第二處理器一起工作。
雖然以上詳細說明已展示、闡述且指出如應用於各種實施例之新穎特徵,但將理解,可在不背離本發明之精神之情況下在所圖解說明之裝置或演算法之形式及細節方面做出各種省略、替換及改變。如將認識到,本文中所闡述之某些實施例可在不提供本文中所陳述之所有特徵及益處之一形式內實施,此乃因某些特徵可獨立於其他特徵而使用或實踐。
在本文中,所有此類修改及變化形式皆意欲包含在本發明之範疇內。此外,在本文中,藉由組合本文中所闡述之一或多項實施例之任何兩個或多於兩個特徵或技術而形成之額外實施例亦意欲包含在本發明之範疇內。
204A:輸液幫浦/適當輸液幫浦
204B:輸液幫浦
206:連接配接器/組件
324:記憶體
326:藥物庫資料/客製化藥物庫資料
340:資料儲存器
342:藥物庫資料
402:藥物庫管理器/模組
414:藥物庫資料庫
500:藥物庫管理器編輯器
502:工作單
504:臨床照護區/特定臨床照護區
506:藥品/特定藥品
508:施用規則
510:終端使用者運算裝置/遠端運算裝置
512:使用者介面
520:客製化藥物庫資料
522:一般化藥物庫資料
Claims (20)
- 一種藥物庫管理系統,其包括:電腦可讀儲存裝置;及一或多個電腦處理器,其經組態以至少:接收一般化藥物庫資料,其中該一般化藥物庫資料表示複數種藥品及複數個施用規則(administration rules);接收根據與一第一輸液幫浦類型相關聯之一幫浦特有格式而格式化之客製化藥物庫資料,其中該客製化藥物庫資料表示該複數種藥品及該複數個施用規則,其中該複數個施用規則中之個別施用規則與該複數種藥品中之個別藥品相關聯,且其中該客製化藥物庫資料不同於該一般化藥物庫資料;將該客製化藥物庫資料發送至與該第一輸液幫浦類型相關聯之一輸液幫浦(infusion pump),其中該輸液幫浦以該客製化藥物庫資料替換一先前版本之客製化藥物庫資料;將該一般化藥物庫資料儲存於該電腦可讀儲存裝置中,其中對應於該先前版本之客製化藥物庫資料之該一般化藥物庫資料之一先前版本儲存於該電腦可讀儲存裝置中;自該輸液幫浦接收一第一輸液訊息,該第一輸液訊息包括對應於由該輸液幫浦輸注之一第一藥品之一第一藥品識別符;使用該第一藥品識別符及該一般化藥物庫資料來判定一第一藥品名稱;在將該客製化藥物庫資料發送至該輸液幫浦之後,自該輸液幫浦 接收與該先前版本之客製化藥物庫資料相關聯之一第二輸液訊息,該第二輸液訊息包括對應於由該輸液幫浦輸注之一第二藥品之一第二藥品識別符;及使用該第二藥品識別符及該先前版本之一般化藥物庫資料來判定一第二藥品名稱。
- 如請求項1之藥物庫管理系統,其進一步包括該輸液幫浦,其中該輸液幫浦經組態以在該輸液幫浦之記憶體中用該客製化藥物庫資料替換一先前版本之客製化藥物庫資料。
- 如請求項2之藥物庫管理系統,其中該輸液幫浦經組態以:顯示包括該第一藥品名稱之輸液資料;及將該第一輸液訊息傳輸至包括該一或多個處理器之一連接配接器,其中該第一輸液訊息包括該第一藥品識別符且不包括該第一藥品名稱。
- 如請求項2之藥物庫管理系統,其中該輸液幫浦經組態以:顯示包括一臨床照護區名稱之輸液資料;及將該第一輸液訊息傳輸至包括該一或多個處理器之一連接配接器,其中該第一輸液訊息包括一臨床照護區識別符且不包括該臨床照護區名稱。
- 如請求項1之藥物庫管理系統,其中該一或多個處理器進一步經組態以至少: 自一第二輸液幫浦接收包括一第三藥品識別符之一第三輸液訊息,其中該第二輸液幫浦與一第二輸液幫浦類型相關聯;及使用該第三藥品識別符及第二一般化藥物庫資料來判定一第三藥品名稱。
- 如請求項1之藥物庫管理系統,其中:該複數個施用規則中之一施用規則與該第一藥品及複數個臨床照護區中之一臨床照護區相關聯;該施用規則包括一第一劑量上限;該臨床照護區與低於該第一劑量上限之一第二劑量上限相關聯;且在該輸液幫浦施用該第一藥品期間,該第二劑量上限覆寫該第一劑量上限。
- 如請求項1之藥物庫管理系統,其中:該複數個施用規則中之一施用規則與該第一藥品及複數個臨床照護區中之一臨床照護區相關聯;該施用規則包括一第一劑量上限;該臨床照護區與高於該第一劑量上限之一第二劑量上限相關聯;且在該輸液幫浦施用該第一藥品期間,實施該第一劑量上限。
- 一種電腦實施之方法,其包括:在組態有特定電腦可執行指令之一或多個運算裝置之控制下,接收一般化藥物庫資料,其中該一般化藥物庫資料表示複數種藥 品及複數個施用規則;接收根據與一第一輸液幫浦類型相關聯之一幫浦特有格式而格式化之客製化藥物庫資料,其中該客製化藥物庫資料表示該複數種藥品及該複數個施用規則,其中該複數個施用規則中之個別施用規則與該複數種藥品中之個別藥品相關聯,且其中該客製化藥物庫資料不同於該一般化藥物庫資料;將該客製化藥物庫資料發送至與該第一輸液幫浦類型相關聯之一輸液幫浦,其中該輸液幫浦以該客製化藥物庫資料替換一先前版本之客製化藥物庫資料;將該一般化藥物庫資料儲存於一電腦可讀儲存裝置中,其中對應於該先前版本之客製化藥物庫資料之該一般化藥物庫資料之一先前版本儲存於該電腦可讀儲存裝置中;自該輸液幫浦接收一第一輸液訊息,該第一輸液訊息包括對應於由該輸液幫浦輸注之一第一藥品之一第一藥品識別符;使用該第一藥品識別符及該一般化藥物庫資料來處理該第一輸液訊息;在將該客製化藥物庫資料發送至該輸液幫浦之後,自該輸液幫浦接收與該先前版本之客製化藥物庫資料相關聯之一第二輸液訊息,該第二輸液訊息包括對應於由該輸液幫浦輸注之一第二藥品之一第二藥品識別符;及使用該第二藥品識別符及該先前版本之一般化藥物庫資料來處理該第二輸液訊息。
- 如請求項8之電腦實施之方法,其中處理該第一輸液訊息包括:使用該第一藥品識別符及該一般化藥物庫資料來判定一第一藥品名稱。
- 如請求項8之電腦實施之方法,其中處理該第二輸液訊息包括:使用該第二藥品識別符及該一般化藥物庫資料來判定一第二藥品名稱。
- 如請求項8之電腦實施之方法,其中將該客製化藥物庫資料發送至該輸液幫浦會致使該輸液幫浦在該輸液幫浦之記憶體中用該客製化藥物庫資料替換該先前版本之客製化藥物庫資料。
- 如請求項11之電腦實施之方法,其進一步包括:藉由該輸液幫浦而顯示包括該第一藥品名稱之輸液資料;及藉由該輸液幫浦而產生該第一輸液訊息,其中該第一輸液訊息包括該第一藥品識別符且不包括該第一藥品名稱。
- 如請求項8之電腦實施之方法,其進一步包括:自一第二輸液幫浦接收包括一第三藥品識別符之一第三輸液訊息,其中該第二輸液幫浦與一第二輸液幫浦類型相關聯;及處理該第三藥品識別符及第二一般化藥物庫資料。
- 如請求項8之電腦實施之方法,其中:該複數個施用規則中之一施用規則與該第一藥品及複數個臨床照護區中之一臨床照護區相關聯; 該施用規則包括一第一劑量上限;該臨床照護區與低於該第一劑量上限之一第二劑量上限相關聯;且在該輸液幫浦施用該第一藥品期間,該第二劑量上限覆寫該第一劑量上限。
- 如請求項8之電腦實施之方法,其中:該複數個施用規則中之一施用規則與該第一藥品及複數個臨床照護區中之一臨床照護區相關聯;該施用規則包括一第一劑量上限;該臨床照護區與高於該第一劑量上限之一第二劑量上限相關聯;且在該輸液幫浦施用該第一藥品期間,實施該第一劑量上限。
- 一種非暫時性電腦儲存媒體,其儲存引導一運算系統執行一程序之一可執行組件,該程序包括:接收一般化藥物庫資料,其中該一般化藥物庫資料表示複數種藥品及複數個施用規則;接收根據與一第一輸液幫浦類型相關聯之一幫浦特有格式而格式化之客製化藥物庫資料,其中該客製化藥物庫資料表示該複數種藥品及該複數個施用規則,其中該複數個施用規則中之個別施用規則與該複數種藥品中之個別藥品相關聯,且其中該客製化藥物庫資料不同於該一般化藥物庫資料;將該客製化藥物庫資料發送至與該第一輸液幫浦類型相關聯之一輸液幫浦,其中該輸液幫浦以該客製化藥物庫資料替換一先前版本之客製化 藥物庫資料;將該一般化藥物庫資料儲存於一電腦可讀儲存裝置中,其中對應於該先前版本之客製化藥物庫資料之該一般化藥物庫資料之一先前版本儲存於該電腦可讀儲存裝置中;自該輸液幫浦接收一第一輸液訊息,該第一輸液訊息包括對應於由該輸液幫浦輸注之一第一藥品之一第一藥品識別符;使用該第一藥品識別符及該一般化藥物庫資料來處理該第一輸液訊息;在將該客製化藥物庫資料發送至該輸液幫浦之後,自該輸液幫浦接收與該先前版本之客製化藥物庫資料相關聯之一第二輸液訊息,該第二輸液訊息包括對應於由該輸液幫浦輸注之一第二藥品之一第二藥品識別符;及使用該第二藥品識別符及該先前版本之一般化藥物庫資料來處理該第二輸液訊息。
- 如請求項16之非暫時性電腦儲存媒體,其中處理該第一輸液訊息包括:使用該第一藥品識別符及該一般化藥物庫資料來判定一第一藥品名稱,且其中處理該第二輸液訊息包括:使用該第二藥品識別符及該一般化藥物庫資料來判定一第二藥品名稱。
- 如請求項16之非暫時性電腦儲存媒體,該程序進一步包括:自一第二輸液幫浦接收包括一第三藥品識別符之一第三輸液訊息,其中該第二輸液幫浦與一第二輸液幫浦類型相關聯;及 處理該第三藥品識別符及第二一般化藥物庫資料。
- 如請求項16之非暫時性電腦儲存媒體,其中該複數個施用規則中之一施用規則與該第一藥品及複數個臨床照護區中之一臨床照護區相關聯;該施用規則包括一第一劑量上限;該臨床照護區與低於該第一劑量上限之一第二劑量上限相關聯;且在該輸液幫浦施用該第一藥品期間,該第二劑量上限覆寫該第一劑量上限。
- 如請求項16之非暫時性電腦儲存媒體,其中該複數個施用規則中之一施用規則與該第一藥品及複數個臨床照護區中之一臨床照護區相關聯;該施用規則包括一第一劑量上限;該臨床照護區與高於該第一劑量上限之一第二劑量上限相關聯;且在該輸液幫浦施用該第一藥品期間,實施該第一劑量上限。
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