CN1692366A - Patient medical fluid parameter treatment system - Google Patents
Patient medical fluid parameter treatment system Download PDFInfo
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- CN1692366A CN1692366A CNA03822822XA CN03822822A CN1692366A CN 1692366 A CN1692366 A CN 1692366A CN A03822822X A CNA03822822X A CN A03822822XA CN 03822822 A CN03822822 A CN 03822822A CN 1692366 A CN1692366 A CN 1692366A
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Abstract
A system extrapolates and interpolates patient fluid intake or output parameter values and associated cumulative values over variable time intervals from a reduced set of stored fluid parameter values affecting fluid cumulative volume computation or rate of fluid intake or output computation. The extrapolation and interpolation function accomodates drip (continuing) fluid volumes as well as supplemental (non-continuing e.g., bolus) fluid volumes. A patient medical parameter data processing system provides patient medical parameter data for trend indicative display covering a time period comprising user selectable patient parameter acquisition time intervals. The system includes an acquisition processor for receiving data identifying, for a continuing infusion, rate of volume of fluid infusion into a patient, a fluid type identifier and a start time and start date of said continuing infusion. The received data also identifies for a non-continuing infusion, a total volume of fluid infusion, a fluid type identifier and a time and date of the non-continuing infusion. A data processor determines, from the received data, a cumulative total volume infusion of a particular fluid into a particular patient for a particular user selectable patient parameter acquisition time interval.
Description
This is the provisional application SerialNo.60/413 that A.Alpert submitted on September 2nd, 2002,033 formal application.
Invention field
The present invention relates in network environment, handle and the demonstration patient's medical information, and be particularly related to the assistance storage, retrieve and handle relevant fluid picked-up and discharge calculating and data presented.
Background of invention
Patient medical parameter data is obtained, arrangement, storage and show, is used for providing the patient clinical nurse in hospital, clinic and other medical care mechanisms.Patient medical parameter data can comprise the vital sign ventilator information, inculcate Pump data and other data about what fluid was sent.This patient medical parameter data typically is presented on the screen of patient monitoring apparatus with the form of trend index map with time shaft.The figure of the type is commonly called flow graph.Patient monitoring apparatus is usually located at patient bed side or the nursing station in hospital ward or severe nurse ward, medical ward or other places, and can be connected to network, such as, internet, LAN, WAN or Intranet, (for example be used for from local source, attaching is in patient's sensor) or remote source (for example, the electronic patient of remote storage record) obtain patient parameter data and patient data.Scheme when this flow graph is the electronics preface of patient parameter information, it has replaced the vital sign flow graph of papery.
Required is, electronic flowsheet is than its paper flowsheet of replacing, and provides similar or better feature and dirigibility.Therefore, electronic flowsheet need make medical personnel can obtain with the picked-up of record and patient's fluid and discharge relevant parameter, comprises with fluid sending relevant Pump data and other information inculcated.Known system typically obtains, puts in order the patient medical parameter data relevant with fluid with storage, is used for being presented in the flow graph with time shaft at interval at the relevant parameters acquisition time.For this reason, known system has obtained and has stored a large amount of patient medical parameter data in the long relatively time cycle (for example, the duration that the patient is in hospital), be used for short relatively flow graph acquisition time at interval (for example, 3 minutes to a few hours) show.Typically, for each at least one patient parameter value of acquisition time interval acquiring.This has caused comprising the obtaining of lot of data collection of redundant data, and this requires to distribute corresponding a large amount of storer.Fluid picked-up of being obtained in addition, or discharge data value are used to calculate and show the picked-up of patient's fluid and the discharge value of accumulation.Therefore, if picked-up of the fluid of the precedence record that uses or discharge data value change, then need to recomputate and upgrade a series of subsequent computed fluid accumulated values that are used for the flow graph demonstration in this calculating.This previous fluid picked-up or discharge that corresponding fluids that the variation in the data value comprises existing value in response to for example user (such as the nurse) managing fluids medicine and manual entry is absorbed or discharge value and occurring.Related mass data has increased related difficulty in the fluid cumulative picked-up recomputated in cycle a period of time or the discharge value (perhaps upgrading the accumulated value of independent parameter acquisition time at interval).System's problem of being devoted to these problems and deriving in accordance with the principles of the present invention.
Summary of the invention
Fluid cumulative volume is calculated or the storing fluid parameter value collection of the reduction of fluid picked-up or rate of discharge calculating from influencing in a kind of system, and the patient's fluid in extrapolation or the interpolation variable time interval absorbs or discharge parameter value and relevant accumulated value.This extrapolation and interpolation functions are applicable to drippage (continuous) fluid volume and replenish (discrete, for example pill) fluid volume.A kind of patient medical parameter data disposal system provides the patient medical parameter data that is used for trend indicative display, and this trend indicative display has comprised and comprised the optional patient parameter acquisition time interlude cycle of user.This system comprises the processor that obtains that is used to receive data, and for inculcating continuously, this reception data identification enters patient's volume of fluid infusion speed, fluid type identifier and described start time of inculcating continuously and Start Date.And, inculcate the total consumption of this reception data identification fluid infusion, fluid type identifier and this discontinuous time and date of inculcating for discontinuous.Data processor determines to enter the total volume infusion of accumulation of the particular fluid of particular patient from receiving data in the optional patient parameter acquisition time of specific user interval.
The accompanying drawing summary
In the accompanying drawings:
Fig. 1 is the block diagram according to the communication network with plurality of devices of principle of the present invention, and it comprises the system of the fluid parameter value collection that is used to store reduction.
Fig. 2 has described according to principle of the present invention, is used for obtaining the fluid picked-up of variable time interval or discharging the process flow diagram that parameter value reaches the method for relevant accumulated value from the data set of reduction.
Fig. 3 has described according to principle of the present invention, is used for providing the fluid picked-up of the variable time interval that derives from the reduction data set or discharges parameter value and the process flow diagram of the method that the user interface of relevant accumulated value shows.
Fig. 4～10 show according to principle of the present invention, present the user interface display images that fluid patient in the resulting variable time interval absorbs consumption, cumulative volume and net flow body balance values.
Figure 11 has the block diagram of the server of function in accordance with the principles of the present invention.
Detailed Description Of The Invention
A kind of system and user interface calculate and show flow graph trend, this flow graph trend indication patient's fluid input and discharge data, cumulative fluid information and be identified in the optional variable time of user in the cycle clean input or discharge the data of the surplus consumption of fluid only.This system has advantageously stored the fluid parameter value collection of the reduction that influences fluid cumulative volume calculating or fluid uptake rate or rate of discharge calculating, and has got rid of other data.In response to the order of demonstration trend indication flow graph demonstration (comprising fluid volume data), promptly showing the generating run time, by the dynamically Fluid Computation usage data of data set of this reduction.As a result, the user changes or change reduces the value (for example, by the value that is confirmed as being worth more accurately replacement data point) of the past data point in the data, and can not cause the variation of a series of follow-up storage data values.In response to the user command that is used to begin to show generation, the reduction data set that the use predetermined algorithm is used to show certainly is extrapolation and this fluid volume data of interpolation dynamically.This has advantageously eliminated the needs to storage redundancy central fluid usage data value, and it calculates for patient's fluid cumulative volume or fluid absorbs or rate of discharge calculating is inessential.The dynamic extrapolation of the usage data before the flow graph usage data shows and interpolation have also been eliminated the change of previous fluid volume data value being upgraded the needs of a large amount of storing fluid usage data value series in response to the user.This system has advantageously avoided storage and has revised a large amount of fluid volume data, and be supported in the extrapolation and the interpolation of the central fluid usage data value that is used to show in the optional flow graph acquisition time of the user interval, and do not require the fluid parameter data set that renewal is stored.
Known flow graph display system has typically been set up the minimum interval (the patient parameter acquisition time at interval) that obtains patient parameter and continue and has also been stored the data point about each time interval.This has caused adding up heavyly, store, safeguarding and has handled a large amount of patient parameter data and patient data.And, in this known system, if the user's modification data value that before obtained (for example, fluid volume value) relevant at interval with specific acquisition time, then need to upgrade a series of follow-up continuous data values (for example, cumulative volume or clean surplus data) to reflect this modification.By contrast, system responses is in the user command that is used to begin to show generation in accordance with the principles of the present invention, Suo Jian data set certainly, extrapolation or in be inserted in the patient's fluid picked-up in the variable time interval or discharge parameter value and relevant accumulated value.This system advantageously uses the data set of reduction, the fluid volume of the optional variable time of extrapolation and interpolation user in the cycle, the data set of this reduction comprises the variation of identification fluid type, fluid volume picked-up and rate of discharge and the data of fluid replacement consumption (for example, once, discrete, the additional pill of inculcating) and relevant time of origin.Therefore, the data set of this reduction is advantageously only stored the data variation of relevant fluid volume picked-up and rate of discharge, consumption and the time that relevant identification changes.And, this system is based on the data set of this reduction, showing generating run time extrapolation and the new usage data of interpolation, thus this system be easy to adapt to historical fluid data value and the change of time cycle and do not relate to a series of complementary data values in history heavy recomputate and upgrade.Use algorithm and the database of having incorporated this reduction data set into, and compatible mutually database interface, the extrapolation and the interpolation of execution fluid data.
Fig. 1 is a block diagram of having incorporated the communication network of the server 20 of leaving with executable application programs 19 into, this executable application programs 19 provides the trend indicative user interface of patient parameter to show (being called as flow graph), and this patient parameter comprises the acquisition time interval of identification.Flow graph can show with for example, medicine, blood product, blood pressure, ventilation, vital sign, the blood oxygen concentration of internal jugular vein fluid, drippage management and inculcate the pump fluid and send relevant dissimilar parameter.Specific parameter comprises different data slots, and it is important to describing specific fluid.And hospital typically uses the different practice that relates to included data of each parameter and the mode that shows these data.The system that is carried out by application program 19 advantageously stores the fluid parameter data set of reduction, it is used for showing the generating run time, calculates and be presented at the data that the flow graph patient fluid of the optional variable time of user in the cycle imported and discharged the clean input of data, cumulative fluid information and identification or discharge the fluid balance consumption only.
In interchangeable embodiment, provide in another treatment facility in any part that the executable application programs of flowsheet user interface can reside in network shown in Figure 1.Communication network 1 (Fig. 1) is represented by having the LAN (Local Area Network) that is interconnected and IP (Internet protocol) compatible network of wide area network layering.It should be noted that, although this exemplary hospital or medical network is the IP compatible network, but also can use those to use other to calculate agreement, such as such as but not limited to X.25, other type network of frame relay, IBM SNA etc., such as, but not limited to optical-fiber network or wireless network, understand easily as those skilled in the art institute.In addition, although described example networks is a hierarchical network, this is not of the presently claimed invention.Providing any kind network architecture that communicates to connect between the equipment all can be used on the network.
As shown in Figure 1, the first order of exemplary hierarchical network 1 comprises medical interface bus (MIB) 2.MIB is the known medical industry standard that Medical Devices are linked together with local mode of being used for.As shown in Figure 1, MIB 2 typically is used for the Medical Devices in the interconnection nurse ward (such as the patient room at nursing station), in order to the nurse of management to particular patient, and the patient in order to monitor that this is specific.Can connect several kinds of medical equipment by MIB 2; Example shown in Fig. 1 comprises lung ventilator 6a, IV (vein) pump 8 or other Medical Devices 10.MIB 2 typically is connected to second level lan network 3 by interface Docking station (IDS) equipment 12, is used for the lan network 3 of interface to Ethernet compatibility (Ethernet-compatible).LAN3 can be, for example, and by the commercially available unlimited LAN of Siemens Medical System.The size that depends on mechanism, although this more senior LAN 3 typically not necessarily, is used by other nurse chambers, such as the specific section office in the hospital, such as severe nurse chamber or outer section office or the like.
Although in Fig. 1, do not illustrate, can be connected to second level LAN 3 more than a MIB, can monitor more than a patient or to it by LAN 3 thus provides nurse.In addition, Medical Devices can be directly connected to more senior LAN 3.For example, as shown in fig. 1, lung ventilator 6b and anesthesiaing system 22 are directly connected to LAN3, and do not use MIB.And it is the LAN of the hospital backbone 4 of Ethernet compatibility equally that LAN 3 can be interconnected to.This backbone network 4 provides communicating to connect between the multiple section office in hospital or the medical institutions; For example, hospital management system 15 is linked together with chemical examination chamber system 17.In addition, the LAN of hospital 4 has remote access gateway 11, and it provides the visit to long-range, the safety of multiple systems and equipment in the network 1 from for example long-range doctor's office 23 or long-range nurse place 24 by for example internet 29.Replacedly, long-range place also can connect directly visit remote access gateway 19 by the special use of for example dial telephone port, ADSL or other type.As known in the art, remote access gateway 11 also can be the part of server 20 hereinafter to be described,, but not independent the existence.
According to principle of the present invention, executable application programs 19 (the perhaps a plurality of application programs among another embodiment) resides on the central server on the LAN 3, be used to collect and handle from peripheral medical devices or be connected to LAN 3 or the data of the facility of the LAN of hospital 4, these data for example comprise, the laboratory results that the laboratory system 17 that connects by the HL7 interface provides.ASTM message transmits by for example using, and server 20 can obtain extra medical parameter data, and it comprises the extra laboratory results of any number Medical Devices that are obtained from all Medical Devices as shown in Figure 1.Comprise that the medical parameter that is obtained laboratory test results, relevant with given patient is obtained from the Medical Devices on the network 1, be used in monitor 5a, 5b or PC 26 and 39 or be on any level of Fig. 1 network any other and show and show on main process equipment and control.Those skilled in the art will readily recognize that, all different levels of (for example 3 or 4) because LAN, and the long-range place among Fig. 1 interconnects, so server 20 can reside in any classification of network 1.The example of server 20 is by the commercially available Chart Assist server of Siemens Medical System.This server can be left with the computer system that for example can move Microsoft Windows operating system.Application program 19 provides the user interface trend indicative display (flow graph) of patient parameter, and this trend indicative display has comprised and comprised the optional acquisition time interlude cycle of user.The optional acquisition time of user that is shown by the tabulation in the flow graph has comprised the time cycle (3 minutes to 4 hours or the other optional time interval of user typically) of obtaining patient parameter therein at interval.
Fig. 2 shows the function of being carried out by executable application programs 19 in a flowchart.After starting from step 201, as shown in step 202, the communication that application program 19 is set up with equipment on the network.As known in the art, this is by the known IP device address of for example using the IP agreement and going up each equipment about network 1 (Fig. 1), finishes in conjunction with any higher application layer protocol.In case set up the communication between server 20 and other equipment, then in step 204, application program 19 begins to obtain parameter, laboratory results and the selected setting that is used for plurality of devices that is being monitored.As previously mentioned, can perhaps obtain laboratory results by having the HL7 interface of LIS17 by ASTM shown in Figure 1 or MIB nurse point (point ofcare:POC) Medical Devices.Also can obtain fluid and other parameters by the user data inlet.The type of being obtained that is subjected to the monitored patient parameter comprises, blood pressure parameter, breathing or ventilation parameter, vital sign parameter, blood oxygen concentration represent parameter, about fluid send inculcate the pump parameter, inculcate the drippage correlation parameter continuously, discrete pill is inculcated correlation parameter and other fluid correlation parameters.
Medical data and laboratory results can be that obtain continuously, that periodically obtain or aperiodicity is obtained, and can be associated with given patient, in order to be stored in the Relational database 25 in the server 20.Database 25 can have the type that is used to store related data, such as Microsoft SQL Server.In addition, application program 19 can obtain to comprise the patient parameter data and patient data and the patient data of medical laboratory results, and this medical treatment laboratory results is at first logined and is stored in the laboratory system 17 of Fig. 1 for example.And application program 19 can be obtained the medical records of the medical care ISP login that is used to show.In step 206, the fluid related patient parameter data collection that obtains of application program 19 identifications and storage reduction, it influences, and fluid absorbs or rate of discharge is calculated or fluid cumulative volume is calculated, and does not comprise and fluid picked-up or rate of discharge calculating or the irrelevant fluid parameter data of fluid cumulative volume calculating.For inculcating continuously, the fluid related patient parameter data collection of this reduction comprises: the volume of fluid infusion speed, fluid type identifier and this start time of inculcating continuously and the Start Date that enter into the patient.Similarly, for discrete inculcating (for example, the pill that replenishes is inculcated consumption), the data set of this reduction comprises: the total consumption of fluid infusion, fluid type identifier and this discontinuous time and date of inculcating.In step 210, application program 19 uses the data set (by interpolation and extrapolation) of these reductions to determine that the fluid volume that enters the particular fluid of this particular patient in the time cycle that specific user selects inculcates, accumulates total volume infusion and inculcate fluid balance only, and this time cycle comprises the optional patient parameter acquisition time of one or more user at interval.The time cycle that the user selects can comprise: some minutes, one hour, the time interval, one day and a work shift period of a few hours.And in another embodiment, application program 19 is interpolation or extrapolation rate of volume infusion also.
In step 210, application program 19 uses extrapolation and interpolation algorithm to determine the fluid volume related data, and this algorithm uses continuous irrigation transporting fluid data and the discontinuous input data of inculcating fluid data that are included in the reduction data set of storage in the step 206.Exemplary algorithm is as follows.In this algorithm, the input value that is used for inculcating continuously is the volume of fluid infusion speed that enters the patient, and the input value that is used for discontinuous inculcating (replenish or pill inculcate consumption) is the value of the total consumption of fluid infusion.And in this algorithm, the input value time is the time (the total volume value of volume of fluid infusion rate value or fluid infusion) of typing input value.In specific time set volume of fluid infusion speed, for example, 11:00 begins salt solution with the 1000cc of the speed of 250cc/hr in the morning on the 12nd February in 2002.Enter the patient or flow out the patient replenish or the fluid volume of pill also input or the efflux time with specific is relevant, for example, in the medicine injection of 100cc of 11:00 in the morning on the 13rd February in 2002, perhaps at the fluid amount discharge container of 1000cc of emptying of 10:00 record in the morning on the 14th February in 2002.And the fluid rate of discharge is by negative rate representation.This algorithm is stored discontinuous total volume value of inculcating dividually with the continuous volume infusion value of using the consumption speed data to obtain, so that can show the item that these are different individually in different display modes.
Algorithm:
Initially current inculcates consumption and rate of volume infusion is zero (for example, the beginning of being in hospital corresponding to the patient).
For each input value (from will be the time cycle of Fluid Computation usage data first to last one)
The if input value is in current time interval then
Use present rate to calculate about the consumption of this interval until this input time
This consumption is added in the total consumption in this interval
This input of if has rate variation
Make this input rate as present rate
end?if
This input of if has the pill consumption
This pill consumption is added in the consumption about this interval
end?if
The else if input value time is after space before
Use present rate to calculate the consumption that finishes at interval to this about when space before
This amount is joined in the total consumption in this interval
The while input value time is after space before
Increase progressively when space before (and outputing to display buffer)
Use present rate to calculate about this consumption at interval
Storage is about this consumption at interval
end?while
Use present rate to calculate the consumption that arrives this input time about when space before
This consumption is added in the total consumption in this interval
This input of if has rate variation
Make this input rate as present rate
end?if
This input of if has the pill consumption
This pill consumption is added in the consumption about this interval
end?if
end?if
Next input value
Algorithm finishes
In response to the user to comprising the selection of second time cycle at interval of one or more acquisition time, in step 210 and 212, application program 19 is used the data set of reduction, automatically determine and be presented at the particular fluid that enters particular patient in second time cycle another inculcate consumption, accumulation is always inculcated and clean surplus is inculcated.The user can use the PC 26 of MicrosoftWindows compatibility as shown in Figure 1 or the PC 39 of Windows NT compatibility, perhaps can move any other treatment facility, in order to observe flow graph, medical parameter and the laboratory results information relevant with given patient such as the menu generator program of web browser program (for example Microsoft Internet Explorer or NetscapeNavigator etc.).That is, as long as set up communicating to connect of server 20 and application program 19, the user just can be in office where use the web browser to claim on the reason equipment and watch obtained and be stored in information in the database 25.This is favourable, and this is because for example, the visit that the doctor can for example obtain flow graph or laboratory test results from remote physician office 23, and needn't visit special-purpose terminal.Certainly, the user can use keyboard and/or mouse or any other user interface facilities the user to be selected or requires sign in on the subscriber computer, as known in the art simply.Therefore medical data can be put and format to application program 19 in order in order to for example being used on the web browser video data, and HTML (HTML (Hypertext Markup Language)) programming language is compatible mutually.Application program 19 is also in response to for example HTTP (HTML (Hypertext Markup Language)) that is used to the claim order that is derived from the user's web browser.The processing procedure of Fig. 2 ends at step 214.
Fig. 3 has described to be used to provide the process flow diagram of the method for user interface to present resulting fluid patient parameters.After in starting from step 221, in step 223, application program 19 receives the data of flowchart configuration and user's login, the time cycle of fluid parameter, display mode and the selected fluid parameter of demonstration that this data identification is to be shown.Application program 19 is in response to receiving data, and the fluid volume data, the total volume infusion data of accumulation and the clean surplus that obtain entering the particular fluid of particular patient are inculcated usage data.In step 225, application program 19 begins to generate the data of at least one display image of expression, and this image shows and comprises that resulting usage data, the total volume infusion data of accumulation or the clean surplus that enters the particular fluid of particular patient in the time cycle that the user selects inculcate the trend indicative display of usage data.Particularly, application program 19 begins to generate the data of presentation graphs 4～10.
The display image of Fig. 4 shows total fluid input of (01:00 to 08:00, item 405) patient in each hour (the parameter acquiring time interval) and discharge consumption 403 in cycle a period of time, and fluid rate 407.Application program 19 was with 1 minute interval calculation fluid volume.The display image of Fig. 5 show with 410 that add up, each work shift period per hour 413 that add up with clean (input deducts discharge) the fluid balance consumption 410 of the patient who adds up every day 415, and it is presented in the independently row in per hour parameter acquiring time interval in cycle a period of time (23:00 to 09:00,417).Application program 19 was with 1 minute interval calculation fluid volume.The cumulative fluid surplus presents with graphical format, for example, in the window portion 420 in per hour cumulative fluid net balance, advantageously make the clinician can carry out the acceleration assessment of patient's fluid state.
Fig. 6～10 show a series of flowsheet display image, and it has illustrated that the user edits the fluid input rate and the convection cell that caused is accumulated recomputating of total consumption, and in order to the renewal of the display image that reflects this value of recomputating.Fig. 6 shows a kind of flowsheet display image, and it has been indicated for hour to be fluid dosage 425, fluid input rate 428 and the fluid volume 430 of determined medication medication of the time interval.Fig. 7 shows a kind of flowsheet display image, its indicated for hour be the intravenous pharmacy determined in the time interval per hour 433, the fluid net consumption input of each working in shifts time cycle 436 and every day 439 and per hour 441, the net flow body input surplus of each working in shifts time cycle 443 and every day 445.Fig. 9 and 10 shows the flowsheet display image of the image that corresponds respectively to Fig. 6 and 7, but it comprises the fluid data that fluid dosage and fluid input rate data according to user change recomputate.Particularly, Fig. 9 shows the variation in response to the fluid dosage, speed and the consumption that occur in interlude interval (08:00), according to recomputating of fluid data, point out the flowsheet display image of Fig. 6 of fluid dosage 480, fluid input rate 483 and fluid volume 485.Similarly, Figure 10 shows in response in the at interval variation of the fluid input rate of appearance in (09:00) of interlude, according to the flowsheet display image of Fig. 9 that recomputates of fluid data.Particularly, Figure 10 pointed out for hour to be the intravenous pharmacy of determining in the time interval, per hour 491, the fluid net consumption that the recomputates input of each working in shifts time cycle 493 and every day 495 and per hour 497, the net flow body input surplus of each working in shifts time cycle 499 and every day 501.And the user begins to generate the menu 459 of Fig. 8, in order to login or be modified in the fluid data of identification fluid in 467, and uses menu bar 470 to accept or the cancellation clauses and subclauses.Particularly, menu 459 is used for revising or the input of login fluid or rate of discharge 463, fluid input or discharge consumption 465 and dosage 460.
In step 225 (Fig. 3), application program 19 begins to generate the data (for example, as illustrative among Fig. 4) of expression fluid parameter flowsheet display image in response to the display mode of selecting in step 223.The fluid flowsheet picture specification of Figure 4 and 5 different display images.In another different display mode, application program 19 generates the fluid flowsheet of having incorporated two row into.First row show the time (time interval that expression is relevant), and second row shows the fluid volume that adds up in the corresponding time interval.Flow rate Fluid Computation volume value by fluid input or discharge.In this display mode, do not consider discrete (pill) fluid volume of replenishing.Independently the time interval is presented in the independent flowsheet row, and is not counted in the accumulation of follow-up time interval fluid volume value about independent time fluid volume value at interval.
In another different display mode, application program 19 generates the fluid flowsheet of having incorporated three tabulations into.First row comprise express time interlude value (for example, in the time interval per hour), and secondary series is illustrated in the total fluid volume that adds up in the corresponding time interval, and the related fluid of the 3rd row (being called examples of parameters) identification.Import or discharge flow rate and calculate volume value by fluid by discrete (pill) fluid volume of replenishing.Independently the time interval is presented in the single flowsheet row, and counts the accumulation of follow-up time interval fluid volume value about the fluid volume value in the time interval independently, and the fluid volume value is accumulated thus.Added extra flowsheet column in the display mode in shifts at another, the fluid volume that adds up in the time in order to the working in shifts that is illustrated in the mechanism.The duration of this working in shifts time cycle and start time are can be by user configured.In working in shifts in the time, fluid volume use the mode similar to the time interval (for example, in hour consumption) add up, still in shifts end, the fluid cumulative volume value is re-set as zero, and new first hour in shifts has single hour the fluid volume that adds up.Similarly, in another display mode (in the display mode in sky), added extra flowsheet row, in order to being illustrated in independently the fluid volume that adds up in 24 hours periods, and each one day new first hour has single hour the fluid volume that adds up.The processing of Fig. 3 ends at step 231.
Figure 11 shows the block diagram that comprises according to the exemplary embodiment of the server 20 (Fig. 1) of function of the present invention, this server 20 is used to generate the data that are used to dispose and present flowsheet trend indicative display, and is used to manage, put in order, search for and upgrades the database 25 that comprises calibration-based hearing loss evaluation.Executable application programs and processor that operation is used to carry out the instruction that is used to realize multiple function described herein comprise: executable application programs 19 is used for the execution flowchart relevant treatment; With Communications Processor Module 2502, its obtain comprise automatic network distribute to given patient monitored parameter patient data and put this information in order and be used for being stored in database 25.Navigation arrangement processor 2504 is operated and display generator software in conjunction with the web browser, and in order to when selecting multiple application program to navigate by the user via user interface, arrangement and priority ordering are used to be shown to user's parameter.Unique identifier (ID) is connected to each node of grid together with name server processor 2506 and each patient in the system connects, so that the patient information in tracking and the renewal total system.I/O data and control signal are used for communicating by letter between multiple processor, also are used for and database 25 and search engine 23 interfaces, and are used for by order wire 2510 and network interface.
The fluid data derivation that is presented in Fig. 1～11 and display system, image and processing are not exclusive.Can obtain other display image, system and processing according to principle of the present invention, in order to realize identical target.Although by having described the present invention with reference to certain embodiments, but be to be understood that, embodiment that illustrates herein and describe and variation scheme only are used for illustration purpose, and those skilled in the art can realize multiple modification under the prerequisite that does not depart from scope of the present invention.Data extrapolation and interpolation system can extend to other application of the heavy supplemental characteristic amount of storage.
Claims (22)
1. patient medical parameter data disposal system is used to be provided for the patient medical parameter data of trend indicative display, and this trend indicative display has comprised and comprised the optional patient parameter acquisition time interlude cycle of user, and this system comprises:
Obtain processor, be used to receive data, this data identification,
For continuous inculcating,
(a) enter patient's volume of fluid infusion speed, fluid type identifier and described start time of inculcating continuously and Start Date and
Inculcate for discrete,
(b) the total consumption of fluid infusion, fluid type identifier and the described discontinuous time and date of inculcating; With
Data processor is used for from described reception data, determines to enter in the optional patient parameter acquisition time of specific user interval the total volume infusion of accumulation of the particular fluid of particular patient.
2. the data handling system of claim 1 comprises
Maker, be used to generate the data of presentation video, the trend indicative display of at least one during this image shows down and lists: (a) fluid volume inculcate, the clean surplus of (b) fluid infusion and (c) enter the total volume infusion of described accumulation of the described particular fluid of described particular patient.
3. the data handling system of claim 1, wherein
To the selection at interval of second acquisition time, this second acquisition time is different at interval with the optional acquisition time of described specific user at interval in response to the user,
Described data processor is from described reception data, determines that automatically another of described particular fluid that enters described particular patient at described second acquisition time at interval accumulate total volume infusion.
4. the data handling system of claim 1, wherein
Described data processor is automatically determined comprising that the optional patient parameter acquisition time interlude of a plurality of users enters the total volume infusion of accumulation of the described particular fluid of described particular patient in the cycle from described reception data.
5. the data handling system of claim 1, wherein
In response to user command and data entry, for described specific fluid and described specific patient, this logon data comprises: at least one in volume infusion data value, fluid identifier and following the lising, (i) enter patient's continuous consumption fluid infusion speed, and the start time of described continuous consumption fluid infusion and Start Date, the (ii) total discontinuous consumption fluid infusion and the time and date of described discontinuous consumption fluid infusion
Described data processor uses described logon data, is used for determining to enter at interval at the optional patient parameter acquisition time of specific user the total volume infusion of accumulation of the described particular fluid of described particular patient.
6. the data handling system of claim 1, wherein
Described data processor is stored described reception data, and these reception data comprise the fluid parameter data set that influences the reduction that fluid cumulative volume calculates, and does not comprise the storage to calculating irrelevant fluid parameter data with fluid cumulative volume.
7. the data handling system of claim 6, wherein
The fluid parameter data set of described reduction influences the fluid picked-up or rate of discharge is calculated, and does not comprise calculating irrelevant fluid parameter data with fluid picked-up or rate of discharge.
8. the data handling system of claim 1, wherein
Described data processor is determined comprising that the optional patient parameter acquisition time interlude of a plurality of users enters the total volume infusion of accumulation of the particular fluid of particular patient in the cycle.
9. the data handling system of claim 1, wherein
During described data processor use reception data list under the interpolation at least one,
In special time, enter the particular fluid of particular patient
(a) accumulate total volume infusion and
(b) volume of fluid infusion speed.
10. the data handling system of claim 1, wherein
Described at least one that comprises in lising down of inculcating continuously, (a) the drippage medicinal fluid is inculcated and (b) constant rate of speed pump fluid infusion, and
Described discontinuous at least one that comprises in lising down of inculcating, (i) pill, (ii) injecting fluid is inculcated and (iii) single labor management fluid infusion, and described discontinuous inculcating is to manage being shorter than basically in the described time cycle of inculcating continuously.
11. the data handling system of claim 1, wherein
Described reception data comprise the fluid related patient parameter data collection that receives of the reduction that influences fluid cumulative volume calculating.
12. a patient medical parameter data disposal system is used to be provided for the patient medical parameter data of trend indicative display, this trend indicative display has comprised and has comprised the optional patient parameter acquisition time interlude cycle of user, and this system comprises:
Obtain processor, be used to receive fluid related patient parameter data;
Data processor is used for
Identification influence fluid cumulative volume calculating reduction the fluid related patient parameter data collection that receives and
Store the collection of identification fluid related patient parameter data of described reduction, it does not comprise and the irrelevant fluid parameter data of fluid cumulative volume calculating.
13. the data handling system of claim 12, wherein
Described data processor determines to enter the total volume infusion of accumulation of the particular fluid of particular patient from the collection of identification fluid related patient parameter data of described reduction in the optional patient parameter acquisition time of specific user interval.
14. the data handling system of claim 13, wherein
Described data processor is automatically determined the total volume infusion of described accumulation in response to the user command that is used to visit fluid parameter trend indicated number image.
15. the data handling system of claim 12, wherein
The collection of identification fluid related patient parameter data of described reduction comprises:
For continuous inculcating,
(a) enter patient's volume of fluid infusion speed, fluid type identifier and described start time of inculcating continuously and Start Date and
Inculcate for discrete,
(b) the total consumption of fluid infusion, fluid type identifier and the described discontinuous time and date of inculcating; With
16. a user interface system is used to be provided for the patient medical parameter data of trend indicative display, this trend indicative display has comprised the optional time cycle of user, and this system comprises:
Obtain processor, be used to receive the relevant data of selecting with the user of time cycle, for inculcating continuously, described reception data identification enters patient's volume of fluid infusion speed, fluid type identifier and described start time of inculcating continuously and Start Date,
Data processor is used for from described reception data, determines to enter in the time cycle that described user selects the total volume infusion of accumulation of the particular fluid of particular patient; With
Display generator is used to begin to generate the data of presentation video, and this image shows trend indicative display, and has pointed out to enter in the time cycle that described user selects the total volume infusion of described accumulation of the particular fluid of particular patient.
17. the user interface system of claim 16, wherein
Inculcate for discontinuous, described reception data comprise the data of the total consumption of identification fluid infusion, fluid type identifier and the described discontinuous time and date of inculcating.
18. the user interface system of claim 16, wherein
The time cycle that described user selects comprises at least one in lising down, (a) the patient parameter acquisition time at interval, (b) a plurality of patient parameter acquisition times at interval, (c) one hour, (d) interval of a few hours and (e) work shift period.
19. the user interface system of claim 16, wherein
Described reception data comprise the fluid related patient parameter data collection that receives of the reduction that influences fluid cumulative volume calculating.
20. a method that is used to be provided for the patient medical parameter data of trend indicative display, this trend indicative display has comprised and has comprised the optional patient parameter acquisition time interlude cycle of user, and this method may further comprise the steps:
Receive data, this data identification,
For continuous inculcating,
(a) enter patient's volume of fluid infusion speed, fluid type identifier and described start time of inculcating continuously and Start Date and
Inculcate for discrete,
(b) the total consumption of fluid infusion, fluid type identifier and the described discontinuous time and date of inculcating; With
From described reception data, determine in the optional patient parameter acquisition time of specific user interval, to enter the total volume infusion of accumulation of the particular fluid of particular patient.
21. a method that is used to be provided for the patient medical parameter data of trend indicative display, this trend indicative display has comprised and has comprised the optional patient parameter acquisition time interlude cycle of user, and this method may further comprise the steps:
Receive fluid related patient parameter data;
Identification influence fluid cumulative volume calculating reduction the fluid related patient parameter data collection that receives and
Store the collection of identification fluid related patient parameter data of described reduction, it does not comprise and the irrelevant fluid parameter data of fluid cumulative volume calculating.
22. a method that is used to provide the patient medical parameter data of trend indicative display, this trend indicative display has comprised and has comprised the optional time cycle of user, and this method may further comprise the steps:
Receive the relevant data of selecting with the user of time cycle, for inculcating continuously, described reception data identification enters patient's volume of fluid infusion speed, fluid type identifier and described start time of inculcating continuously and Start Date,
From described reception data, determine in the time cycle that described user selects, to enter the total volume infusion of accumulation of the particular fluid of particular patient; With
Begin to generate the data of presentation video, this image shows trend indicative display, and has pointed out to enter in the time cycle that described user selects the total volume infusion of described accumulation of the particular fluid of particular patient.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US41303302P | 2002-09-24 | 2002-09-24 | |
| US60/413,033 | 2002-09-24 | ||
| US10/411,056 | 2003-04-10 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN1692366A true CN1692366A (en) | 2005-11-02 |
Family
ID=35346990
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNA03822822XA Pending CN1692366A (en) | 2002-09-24 | 2003-09-06 | Patient medical fluid parameter treatment system |
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| Country | Link |
|---|---|
| CN (1) | CN1692366A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105229648A (en) * | 2013-03-13 | 2016-01-06 | 康尔福盛303公司 | There is the infusion management platform of infusion data grouping logic |
| CN108025132A (en) * | 2015-08-14 | 2018-05-11 | 巴克斯特国际公司 | Medical device data integrating device and method |
-
2003
- 2003-09-06 CN CNA03822822XA patent/CN1692366A/en active Pending
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105229648A (en) * | 2013-03-13 | 2016-01-06 | 康尔福盛303公司 | There is the infusion management platform of infusion data grouping logic |
| CN105229648B (en) * | 2013-03-13 | 2018-07-06 | 康尔福盛303公司 | Infusion management platform with infusion data grouping logic |
| CN108025132A (en) * | 2015-08-14 | 2018-05-11 | 巴克斯特国际公司 | Medical device data integrating device and method |
| CN108025132B (en) * | 2015-08-14 | 2021-10-08 | 巴克斯特国际公司 | Medical equipment data integration device and method |
| CN114010874A (en) * | 2015-08-14 | 2022-02-08 | 巴克斯特国际公司 | Medical equipment data integration device and method |
| CN114010874B (en) * | 2015-08-14 | 2024-04-12 | 巴克斯特国际公司 | Medical equipment data integration device and method |
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