WO2011074744A1 - Système et procédé de gestion d'administration de médicament pour la gestion en temps réel de l'administration de médicament à des patients - Google Patents

Système et procédé de gestion d'administration de médicament pour la gestion en temps réel de l'administration de médicament à des patients Download PDF

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Publication number
WO2011074744A1
WO2011074744A1 PCT/KR2010/001724 KR2010001724W WO2011074744A1 WO 2011074744 A1 WO2011074744 A1 WO 2011074744A1 KR 2010001724 W KR2010001724 W KR 2010001724W WO 2011074744 A1 WO2011074744 A1 WO 2011074744A1
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Prior art keywords
medicine
taking
medication
time
information
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PCT/KR2010/001724
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English (en)
Korean (ko)
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윤태원
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주식회사 제윤
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Publication of WO2011074744A1 publication Critical patent/WO2011074744A1/fr

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/10—Office automation; Time management
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/13—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered from dispensers

Definitions

  • the present invention relates to a medicine-taking management system and a medicine-taking management method for informing a medicine-taking time by using real-time communication to a patient who takes a medicine periodically and managing the medicine-taking status of the patient.
  • the present invention has been made in view of the above-described points, and provides a data communication function to the medicine box for storing the drug to inform the user taking the medicine at a predetermined time, and the patient's medicine taking so that the server detects the patient's medicine It aims to manage taking information.
  • the medicine-taking management system of the present invention for achieving the above-mentioned object is a medicine-taking management system that transmits medicine-taking prescription information using an IP network and a notification of medicine-taking at each preset medicine-taking time.
  • the drug administration server for transmitting the medication taking information, and receiving a medication taking telegram including at least the medication taking time; And storing the medicine-taking prescription information received from the medicine-taking management server, storing the medicine therein, controlling the medicine to be taken out only for a predetermined time after the start of the medicine-taking time,
  • a medicine box terminal for transmitting medicine-taking information to the medicine-taking management server when medicine is made for a predetermined time after the start; It includes.
  • a medicine-taking management system in which drug-taking prescription information is transmitted using an IP network and notification of medicine-taking is performed for each predetermined medicine-taking time:
  • the medicine-taking management server includes: Registering patient information and medicine box terminal information from the box terminal; Receiving, by the medicine-taking management server, medicine-taking prescription information; Transmitting, by the medicine-taking management server, medicine-taking prescription information to a medicine box terminal corresponding to a patient ID or medicine box ID read out from the medicine-taking prescription information; And receiving and storing medicine taking information from the medicine box terminal; It includes.
  • the drug administration system using the IP (IP) transmission of the drug administration prescription information and notification of the medication taking every predetermined time of taking the medicine medicine box Transmitting, by the terminal, the patient information and the medicine box terminal information to the medicine-taking management server; Receiving, by the medicine box terminal, medicine-taking prescription information from the medicine-taking management server; Controlling, by the medicine box terminal, the medicine to be taken only for a predetermined time after the start of the medicine-taking time read out from the medicine-taking prescription information; And transmitting, by the medicine box terminal, the medicine-taking information including the current time when the medicine-taking is detected for a predetermined time after the start of the medicine-taking time, to the medicine-taking management server. It includes.
  • IP IP
  • the doctor can inquire the medicine taking state of the patient in real time.
  • FIG. 1 is a schematic configuration diagram of a medicine-taking management system according to a first embodiment of the present invention.
  • Figure 2 is an illustration of a technical model of the drug administration system according to the first embodiment of the present invention.
  • FIG. 3 is a block diagram of a medicine-taking management server according to the first embodiment of the present invention.
  • Figure 4 is a block diagram of a drug box terminal according to a first embodiment of the present invention.
  • 5 and 6 are a flow chart of the drug administration method according to the first embodiment of the present invention.
  • FIG. 7 is a configuration diagram of a medicine box terminal according to a second embodiment of the present invention.
  • FIG. 8 is a schematic structural diagram of a medicine-taking management system according to a third embodiment of the present invention.
  • Figure 9 is a flow chart of the drug administration method according to a third embodiment of the present invention.
  • FIG. 1 shows a schematic configuration of a medicine-taking management system according to a first embodiment of the present invention.
  • the medicine-taking management system 1 is connected through an IP network, and transmits the medicine-taking prescription information of the doctor to the patient and receives the medicine-taking information of the patient.
  • the IP network is a concept encompassing wired and wireless networks.
  • the medicine management server 2 and the medicine box terminal 3 communicate with each other through a WiFi network.
  • the medicine-taking management server 2 stores the medicine-taking prescription information prescribed together by the doctor in the medicine prescribing process, stores the data in an internal DB, and wirelessly transmits the medicine box terminal 3 in real time.
  • the stored medication information is inquired and the SMS of the medication guide is sent to the user's mobile terminal at every notification interval set by the patient between the start time and the end time. That is, the medication prescription information includes the medication start time and the medication end time that the patient should take each time.
  • the medicine box terminal 3 wirelessly stored in the DB and provides the inquiry service of the medication taking information in response to the request of the queryer.
  • the medication administration server 2 stores the mobile communication terminal information of the receiver receiving the SMS together with the ID of the patient and the medicine box terminal 3 used in the hospital.
  • the recipient may be at least one of the patient, the caregiver, or the caregiver.
  • the mobile communication terminal of the receiver receives an SMS for guiding the medicine from the medicine taking management server 2.
  • the medication taking management server 2 does not receive the patient's medication taking information from the medicine box terminal 3 at every notification interval, it sends an SMS to guide the medication again.
  • the receiver receives the medication guide SMS, the receiver opens the medicine box terminal 3 and allows the patient to take the medicine.
  • the medicine box terminal 3 receives the doctor's medicine prescription information from the medicine administration server 2 and stores it in the internal memory. Also, keep the medicine prescribed by your doctor inside. When it's time to start taking medication, you'll hear a beep (voice or voice) to remind you to take your medication. If the medicine is not detected at the start time of taking the medicine, a sound is generated at the set notification interval to remind the user to take the medicine immediately.
  • a beep voice or voice
  • the medicine taking detection of the medicine box terminal 3 uses the opening detection sensor of the cover.
  • the cover provided on one side of the medicine box terminal 3 is controlled to be opened under power supply only within the medicine taking time.
  • the sensor of the cover detects the opening, and the medicine box terminal 3 generates the medicine-taking information including the current time and wirelessly transmits it to the medicine-taking management server 2. . If the sensor detects two or more cover openings in the medication time period, a warning sound is generated to prevent the patient from taking duplicate doses.
  • the medicine box terminal (3) is an example of 'home use' in which the user (patient himself, the caregiver, the guardian) is guided by the notification sound in the main living place of the patient.
  • the present invention provides a 'portable' medicine box terminal (3) for patients moving, such as work, school.
  • the portable medicine box terminal 3 performs short-range wireless communication (eg, Bluetooth) with at least one mobile communication terminal among the users.
  • the user's mobile communication terminal can be notified of the medicine taking through the notification sound or vibration when the dose management program is installed start time of the medicine, it is possible to re-inform the medicine at a set alarm interval.
  • the cover sensor provided in the portable medicine box terminal 3 receives the open detection signal wirelessly. Upon receiving the open detection signal, the dose management program transmits the medicine dose information of the patient to the medication dose management server 2.
  • the hospital server 4 illustrates a case where the medication management server 2 is associated with a hospital system. If the doctor treats the patient and prescribes taking the medicine at the same time as prescribing the medicine, the hospital server 4 stores the medication taking prescription information input from the doctor or nurse.
  • the patient may decide to start and stop taking the medicine based on his or her meal time during the day. Ask for your prescription information. Then, the nurse enters the medication taking prescription information into the hospital system, the hospital server (4) receives and stores the medication taking prescription information of the patient and transmits to the medication taking management server (2) in real time.
  • the doctor requests the patient's medicine taking information from the hospital server 4 and the hospital server 4 takes the medicine taking information of the linked patient. It is received from the management server 2 and provided to the doctor.
  • the doctor terminal it is also possible for the doctor terminal to receive the patient's medicine-taking information directly from the medicine-taking management server 2 without the mediation of the hospital server 4 according to the linkage policy with the hospital system.
  • the embodiment linked to the above hospital system is an embodiment using a hospital server 4 possessed by a large hospital.
  • the hospital server 4 is not established, such as a private hospital
  • the doctor terminal accesses the homepage of the medication administration server 2 using an IP network, and then enters a patient ID or a medicine box terminal ID. Enter your medication information.
  • the doctor terminal inquires the patient's medicine taking information using the home page at the time of the patient's medicine taking information inquiry.
  • FIG. 2 illustrates a technical model of a medication administration system according to a first embodiment of the invention.
  • the medicine-taking management server 2 stores the medicine therein as a medicine box which a patient rents or purchases from a hospital or an operator.
  • the outer shape is a box-type which has a double wall structure and has a cover opening and closing structure on the upper side.
  • a partition may be installed inside the drug for convenient storage, and a function of maintaining an internal proper temperature may be provided to prevent alteration of the drug.
  • a wireless communication function is provided to perform encrypted communication with the medication management server (2).
  • the medication administration server 2 receives the medication administration prescription information of the doctor through the homepage or the hospital server 4 associated with the task (1). When receiving the medicine-taking prescription information, it stores in the internal DB and wirelessly transmits the medicine-taking prescription information to the corresponding medicine box terminal 3 using the medicine box ID.
  • the medicine box terminal 3 receives the medicine-taking prescription information without any trust and stores it in the internal memory, and supplies the internal power only during the medicine-taking time period to control the cover to be opened.
  • a guide sound is output to inform the patient of taking the medicine (2). If the patient's medicine is not detected after the guide sound is output, the guide sound is re-printed at each notification interval to remind the patient to take the medicine.
  • Patient side is informed that the time to take the medicine by SMS reception and guide sound output, the patient opens the cover and takes the medicine taken out (3).
  • the medicine box terminal 3 generates the medicine-taking information including the current time and wirelessly transmits to the medicine-taking management server 2.
  • the medicine-taking management server 2 stores wirelessly received medicine-taking information and provides an inquiry service of medicine-taking information according to a doctor's inquiry request (4).
  • FIG 3 shows the internal structure of the medicine-taking management server according to the first embodiment of the present invention.
  • the medicine-taking management server 2 receives a medicine box information register 21 for receiving and storing a patient ID and a terminal ID in a DB, and stores the received medicine-taking prescription information in a DB.
  • the medicine-taking prescription information transmitting unit 22 which transmits to the medicine box terminal 3 in real time, and when the patient's medicine-taking start time arrives each time, an SMS of the medicine-taking guidance is sent to the pre-registered recipient mobile communication terminal at a set notification interval.
  • Medication guide SMS transmission unit 23 when the patient takes the medicine, the medicine taking information receiving unit 24 for receiving the medicine taking information from the medicine box terminal 3 and stores in the DB and the individual patient at the request of the authorized query It comprises a medicine taking information transmitting unit 25 for providing medicine taking information.
  • Figure 4 shows the internal structure of the drug box terminal according to the first embodiment of the present invention.
  • the medicine box terminal 3 receives a patient ID and a terminal ID from a user, stores in the internal memory, and wirelessly transmits the stored information to the medicine-taking management server 2 to request registration.
  • the medicine-taking prescription information receiving unit 32 for receiving the doctor's medicine-taking prescription information from the medicine-taking management server 2 in real time wirelessly
  • the medicine box cover control unit controlling the cover to be opened by supplying power only at the time of medicine-taking
  • the medicine box alarm unit 34 which outputs a notification sound of the medicine taking guide every set reminding interval when the medicine taking start time arrives, and when the cover is opened in the medicine taking time, the medicine taking information is transferred to the medicine taking management server.
  • a medicine-taking information transmitter 35 for wireless transmission.
  • the medicine dosage management method for real-time medicine administration of a patient according to the first embodiment of the present invention can be preferably realized through the construction of the medicine-taking management system described above.
  • FIG. 5 is a flowchart of a medication management server
  • FIG. 6 is a flowchart of a medicine box terminal interacting with the medication management server of FIG. 5.
  • the user rents or purchases the medicine box terminal 3 from the hospital or the operator.
  • the medicine box information input unit 31 of the medicine box terminal 3 receives medicine box information from the user, stores the medicine box information in the internal memory, and stores the registration information in the medicine-taking management server ( 2) Wireless registration is requested to register (S31).
  • the medicine box information registration unit 21 stores the medicine box information in the internal DB (S21).
  • the medicine box information in the present invention is a patient ID, a terminal ID, a mobile communication terminal number for receiving an SMS of the medication guide, notification of the start and end time of taking the medicine every time, SMS and output sound Intervals and the like. Medication start time and end time are automatically set upon receipt of a doctor's prescription information.
  • the user can also enter medicine box information after accessing the homepage of the medicine-taking management server 2.
  • the medicine box information can be delivered to the patient after setting in advance in the medicine-taking management server 2 and the medicine box terminal (3) in the hospital or operator side.
  • the patient is prescribed a medicine in addition to the medicine prescription in the process of seeing a doctor.
  • the medicine-taking prescription information transmitting unit 22 receives the medicine-taking prescription information and stores it in a DB, and wirelessly transmits the medicine-taking terminal 3 to the medicine box terminal 3 using the corresponding terminal ID. (S22).
  • the medicine-taking prescription information receiving unit 32 receives the medicine-taking prescription information and stores it in the internal memory (S32).
  • the medicine-taking prescription information includes information on what medicine, when, and how to take the medicine prescribed by a doctor.
  • the medication management server 2 and the hospital server 4 are linked, the medication prescription information of the doctor is stored in the medication management server 2 through the mediation of the hospital server 4.
  • the doctor or nurse directly registers the medicine-taking prescription information on the homepage of the medicine-taking management server 2.
  • the medicine box cover control unit 33 supplies power only within each time of medicine-taking start time and medicine-taking time included in the medicine-taking prescription information, and thus medicine box terminal.
  • the cover of (3) is controlled to be opened (S33). That is, the cover does not open at a time other than the prescribed period of medicine taking time for each cycle.
  • the medication management server 2 and the medicine box terminal 3 guides the patient in real time to take the medicine.
  • the server (2) medication guide SMS transmission unit 23 when the time to start taking the drug by the timer method or reservation method sends an SMS of the information for guiding the medicine to the mobile communication terminal of the inquired recipient (S23) .
  • the timer method is to generate and send a message when the start time reaches the real time
  • the reservation method is to generate and reserve the next guide message when the current guide is finished.
  • the medicine box alarm unit 34 on the terminal 3 side outputs a set notification sound (signal tone or voice) when the medicine start time is reached (S34).
  • the SMS notification and the output sound notification do not detect the patient's medicine taking during the medicine taking time period, the SMS is re-sent and the guide sound is re-printed at the notification interval to remind the patient to take the medicine.
  • the SMS notification upon receiving the medicine-taking information from the medicine box terminal 3 by user setting, it is possible to send an SMS of medicine-taking completion.
  • the medicine box terminal 3 When the time to start taking the medicine, the medicine box terminal 3 is switched to the cover open state, and when the user opens the cover, the sensor detects the cover open. At this time, the medicine-taking information transmitter 35 generates medicine-taking information including the current time and wirelessly transmits the medicine-taking management server 2 in real time (S35). In addition, the server 2 side medicine taking information receiver 24 receives the medicine taking information and stores it in the DB (S24).
  • the user may output a guide sound indicating that the medicine is taken repeatedly to prevent the abuse of the drug.
  • the medicine-taking-information transmitting unit 25 receives an inquiry request from a patient or a doctor and inquires and provides the medicine-taking information of the patient from the DB (S25).
  • FIG. 7 is a configuration diagram of a medicine box terminal according to a second embodiment of the present invention.
  • the same components as those of the first embodiment of the present invention described above among the components of the second embodiment of the present invention will be referred to with reference numerals of FIG. 3, and a detailed description thereof will be omitted.
  • the medicine box cover controller 33 of the first embodiment of the present invention is deleted, and the medicine box terminal 30 uses the medicine weight sensing unit 36. It includes more.
  • the medicine weight sensing unit 36 serves to detect the weight of medicine stored in the medicine box terminal 30. In the second embodiment of the present invention, if there is no difference in the weight of the medicine detected by the medicine weight sensing unit 36 for a predetermined time after the elapse of the medicine taking time, it is determined that the medicine is not taken.
  • the difference in the weight of the drug detected by the drug weight detection unit 36 for a predetermined time after the elapse of the medicine taking time is more than or less than the weight of the drug corresponding to one dose Even, it is determined that the normal medicine is not taken.
  • FIG. 8 is a schematic configuration diagram of a medicine-taking management system according to a third embodiment of the present invention
  • FIG. 9 is a flowchart of a medicine-taking management method according to a third embodiment of the present invention.
  • the reference numerals of FIGS. 1 to 7 are used, and a detailed description thereof is omitted. Let's do it.
  • the medicine-taking management system further includes a mobile communication terminal 5 and a portable medicine box terminal 6.
  • the mobile communication terminal 5 is connected to the medicine-taking management server 2 via the IP network.
  • the mobile communication terminal 5 is connected to the portable medicine box terminal 6 through short-range wireless communication.
  • the portable medicine box terminal 6 is used when going out of the patient.
  • the medicine received from the medicine box terminal 3 is stored in the portable medicine box terminal 6.
  • Medicine taking information and the like about the medicine stored in the portable medicine box terminal 6 are transmitted to the medicine-taking management server 2 via the mobile communication terminal 5.
  • the configuration of the medicine box terminal 3 and the portable medicine box terminal 6 according to the third embodiment of the present invention is the same as that of the second embodiment of the present invention described above.
  • the medicine box terminal 3 receives the extra medicine from the portable medicine box terminal 6 after the user goes out. And the medicine box terminal 3, the weight of the medicine delivered to the portable medicine box terminal 6, the weight of the medicine to be taken by the patient calculated in consideration of the outing period, and the weight of the delivered medicine to go out Determine whether or not normal medication has been taken during this period. In addition, the medicine box terminal 3 transmits the medicine taking information during the outing period to the medicine taking management server (2).
  • the medicine box terminal 3 detects a medicine weight. (S41) And the medicine box terminal 3 determines whether the medicine weight is reduced. Here, the weight reduction is achieved by the patient moving the medicine stored in the medicine box terminal 3 and storing it in the portable medicine box terminal 6. If it is determined in step 43 that the weight of the medicine is reduced, the medicine box terminal 3 generates an alarm sound. (S45) The alarm sound in step 45 allows the user to select whether to go out or not. It is for alarm sound.
  • the medicine box terminal 3 determines whether the patient selects to go out in the 45th step. (S47) If the patient selects going out in the 47th step, the medicine box terminal 3, The medicine-taking information including the outing period and the weight of the medicine stored in the portable medicine box terminal 6 is transmitted to the medicine-taking management server 2 (S49).
  • the medicine box terminal 3 determines whether the weight of the medicine stored therein is increased (S51). In step 51, the medicine box terminal 3 determines the weight of the medicine stored in the medicine box terminal 3. The increase is made by storing the medicine left by the patient in the portable medicine box terminal 6 in the medicine box terminal 3.
  • the medicine box terminal 3 compares the weight of the medicine. Comparison of the reduced drug weight with the dosage sum of the time period between steps 43-51.
  • the medicine box terminal 3 determines whether the normal medicine is taken by the weight of the medicine compared in step 53. (S55) For example, in step 43, the medicine of 200g is decreased. The actual patient's outing period is 5 days and the daily dose is 40g. If 40g of medicine is added to the medicine box terminal 3, the medicine box terminal 3 has not been given a daily medicine. It can be judged that.
  • the medicine box terminal 3 may determine that the normal medicine has been taken. If it is determined in step 55 that the normal medicine is taken, the medicine box terminal 3 transmits the medicine-taking information indicating that the medicine was normally taken during the outing period to the medicine-taking management server 2. (S57)
  • step 59 if it is determined in step 59 that the medicine is not taken or in step 55, it is determined that the normal medicine is not taken, the medicine box terminal 3 is made to take the normal medicine to the medicine taking management server (2) The medicine-taking information which has not been received is transmitted to the medicine-taking management server 2 (S61).

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Abstract

Un système de gestion d'administration de médicament de la présente invention transmet des informations concernant une prescription d'administration de médicament au moyen d'un réseau IP et notifie l'instant de prise de médicament selon une planification d'administration de médicament prédéterminée. Le système comprend : un serveur de gestion d'administration de médicament qui transmet des informations concernant une prescription d'administration de médicament et reçoit des informations concernant l'administration de médicament comprenant au moins l'instant d'administration ; et un terminal de boîte de médicaments, qui sauvegarde les informations concernant une prescription d'administration de médicament transmise par le serveur de gestion d'administration de médicament, stocke les médicaments dans celui-ci, effectue une opération de contrôle pour garantir que les médicaments ne sont pris qu'à l'instant prédéterminé après que le temps d'administration de médicament a commencé, et transmet des informations d'administration de médicament mises à jour au serveur de gestion d'administration de médicament si un médicament a été administré pendant l'intervalle de temps prédéterminé après que le temps d'administration de médicament a commencé.
PCT/KR2010/001724 2009-12-18 2010-03-19 Système et procédé de gestion d'administration de médicament pour la gestion en temps réel de l'administration de médicament à des patients WO2011074744A1 (fr)

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