All themes of priority application do not pass through with in the case of runing counter to herein at these themesWith reference to being expressly incorporated herein.
Detailed description of the invention
Have references to accompanying drawing in ensuing detailed description, accompanying drawing forms a part herein.In the accompanying drawings, unless the context requires otherwise, otherwise similar symbol generally identifies similar portionPart.Illustrated embodiment described in detailed description, accompanying drawing and claim does not hasIt is intended to limit.In the case of the spirit or scope without departing substantially from theme described in this paper,Other embodiments can be utilized, it is also possible to make other changes.
In one embodiment, method disclosed herein, equipment, computer system or meterAt least one in calculation machine program product is used in medical environment to the medical treatment of patient's automatic transportService or product.In one embodiment, method disclosed herein, equipment, department of computer scienceAt least one in system or computer program is used in non-medical contexts automatic to patientConveying medical services or product.In one embodiment, method disclosed herein, equipment,At least one in computer system or computer program is used for such as handling official business being positioned atRoom；School；Pharmacy；Retail shop；Pharmacy；Airport；Church, temple, synagogue orOther week places；Hospital；Nursing house or other long term care facilities；Child care facility；Health treatment for adults facility；Government bodies；Or it is automatic to patient in the booth (kiosk) in other positionsConveying medical services or product.In one embodiment, the optional position in these positions,Patient is not direct and people is mutual, but can be mutual with the computerized equipment for auxiliary.OneIn embodiment, described booth is the ingredient of booth network.In one embodiment, booth networkIn each booth be positioned at separately and different positions.In one embodiment, multiple in networkBooth position is very close to (such as, the multiple booths in airport, school etc.).At an embodimentIn, at least one booth in network includes that GPS locator seeks medical product or service to identifyThe position of patient.
In one embodiment, method disclosed herein, equipment, computer programOr computer system based on evaluation criteria (EC) and uses the EC of described patient to distribute healthStatus indicator (HSI) thus assist assessment (such as, diagnosis, temporary stabilization, the wound of patientHinder mensuration etc.), whether HSI instruction medical services or product can be carried, if can be carried,Then which medical services or product can be carried.
In one embodiment, the HSI of patient is according to time data, spatial data or troublePerson's performance data real-time update.Described data can (such as, patient oneself or medical treatment carry by userDonor) input, by one or more sensor or other can detect indicator or test come defeatedEnter.
In one embodiment, the request of specific medical service or product is sent by patient orRepresented patient by medical supplier to send.Such as, patient can ask analgesic, antibiotic, stretch tightBand, antidiuretic, nutrient, soft stool agent, feminine hygiene, cold compress or heating cushion, x penetrateLine, pregnancy tests, HIV test, cholesterol or blood sugar test, urine test, MRSA test,Influenza test, bird flu test, hearing test, ophthalmologic examination, body-mass index test,Glucose bar, glucose finger stick, glucose monitor, heart and brain watch-dog, etc..
In one embodiment, automatization equipment is calculated or directly by medical worker (exampleAs, via Skype, visual telephone or other similar electronic reciprocal modes) regarding of carrying outFeel that inspection is provided by the screen in booth.In this way, if it is desired, skin colorOr color, natural hair color or color, green around the gills, contusion, lacerated wound, erythra etc. and wholeBody situation can be evaluated to meet threshold value thus receives sought by patient or connect for described patientReceive medical product or service.
In one embodiment, automatization equipment is calculated or directly by medical worker (exampleAs, via phone, voice mail or other similar electronic audio frequency interactive modes) carry outAudio frequency inspection is by being operably coupled to the microphone calculating equipment with booth and/or booth network interactionOr other input-output apparatus are provided.In this way, if it is desired, cough, the heartJumping, sound or integral status can be evaluated to meet threshold value thus receive sought by patientOr receive medical product or service for described patient.
In one embodiment, to the request of specific medical service or product in advance by patientProposing in medical institutions, in described medical institutions, this patient acquisition can be scanned or can be by patientBeing manually entered can be maybe that patient is manually entered (such as, if patient is not human patients, or notBe adult human patient or his/her can not use booth) the voucher of coding.
In one embodiment, patient is pre-before using automatization's booth or other remote systemsOrder medical services or product and/or for medical services or product advance payment.In one embodiment,Described voucher provides medical services, and (such as, assessing or test, such as pregnancy tests or HIV are surveyedExamination, sexually transmitted disease (STD) test, malaria test etc.) or the single distribution of product.An embodiment partyIn formula, (such as, often described voucher provides a series of of described service or product or regular distributionThe 3rd day of individual month).In one embodiment, described voucher has effect duration or special timeWindow, it is necessary to obtain medical services or product during special time window, the most described voucher terminatesAnd can not re-use.In one embodiment, described voucher includes papery voucher or electronic certificate(smart mobile phone, kneetop computer, notebook computer or other electricity such as, can be displayed onOn subset or that such as flash drive can be utilized to be shown by e-file voucher).In one embodiment, described voucher must be present in specific booth position so that it is effective.?In one embodiment, described voucher may alternatively appear in arbitrary booth position.In one embodiment,Described voucher include passing through such as bar code, text identification, quickly response (QR) code,RFID, magnetic stripe, can encrypt (keyable) code sequence (numeral, letter, letter-numberWord, byte/binary system etc.), UPC bar code, light pattern, reflection graphic patterns etc. or other can examineSurvey the information that identification code is scanned.In one embodiment, described voucher contains for patientsSpecific securing electronic information, such as identify information or with prescription, payment, time of paymentThe information that the distribution of table or service or product is relevant.
In one embodiment, patient receiving the medical product asked or must service itBefore meet verification threshold.In one embodiment, described verification threshold is predetermined, and canIt is customized for patient or product or the service sought.Such as, as described herein, justFor controlled substance, high level checking that can be necessary to patient requests, and for binder,Can checking low-level to patient requests.In one embodiment, as described herein, verify thresholdValue is satisfied by predetermined proof procedure, and described predetermined proof procedure includes such as identity cardBright (such as, licence number, SSN (social security number) etc.), optionally include prescription (such as, fromThe voucher of medical worker or approval in advance) or optionally include insurance information or insurance approval,And optionally, to the assessment of the electric health record of patient and/or with described medical product or serviceThe relevant inquiry such as use, allergy or other health status can be needed to meet described in testCard threshold value.In one embodiment, patient seeks by medical product or the service of advance payment.In one embodiment, verification threshold is not satisfied, and instead, patient is rejected soughtMedical product or service.In one embodiment, patient can be mentioned that medical institutions or medical treatment workAuthor is to carry out and sought medical product or service relevant further checking.Implement oneIn mode, medical worker or mechanism are to be accessed by booth itself.At an embodimentIn, medical worker or mechanism be not can be accessed by booth and in some cases map or itsHis positional information is provided to patient to continue this process elsewhere.In one embodiment,If booth accesses all records of this patient and this patient beyond sought medical treatment via networkProduct or the approved level of service or quantity, then this patient is rejected and verification threshold does not hasIt is satisfied.In the case, whole network can be labeled to prevent this patient from using in this networkAnother booth seek product or service.
In one embodiment, when input information is provided to described system, if in advanceThe prescription of approval is sought, then can be edited or delete at this, such as, if patient isSeek universal medication and non-physician institute prescription brand medicine, if or patient seekEquivalent Drug medicine by the insurance approval of patient.Patient enters information into input/output and setsStandby, described prescription is edited in the request of this input-output apparatus.It is right that described system includes being arranged toPrescription carry out specific amendment and without the circuit of approval further, as defeated by medical worker beforeEnter, and permit this repair when amendment falls in the scope specified by the approval of medical workerChange.If the amendment asked falls outside the scope specified by the approval of medical worker, then repairThe request changing this prescription is rejected.Patient can continue the original prescription ratified in advance, or seeksApproval is sought in negotiation further with booth system in the first round after refusing.To believe furtherBreath is input in system and optionally consulting automated computerization responds system or human medical's workAfter author, if the request of amendment prescription is satisfied, then this prescription be noted as revising andThis information is shared with this booth system.The original prescription ratified in advance be noted as subsequently byPatient deletes or refusal.
In one embodiment, relevant with the negotiation of patient and booth all input information and defeatedGo out information to be shared by the network (if network existence) with this specific booth being its member.Real oneExecuting in mode, all information about any particular patient are all real time updated so that described troublePerson can not attempt the prescription cashed the voucher more than or ratify in advance, or can not exceedAttempt at the booth of to seek medical product or service at once.Thus, about the renewal of patientInformation prevents this by seeking things of the same race twice in forbidding patient's at the appointed time frameworkThe abuse of system.As indicated by elsewhere herein, patient can seek to be ratified by medical workerTimetable on medical product or service, this timetable provide at the appointed time, refer toAfter the section of fixing time or one continue time point receive this medical product or service legitimacy fromDynamic extension.In one embodiment, output includes distributing the medical product asked or service.
In one embodiment, patient or represent patient's action someone (such as, if suffer fromPerson is minor or non-human animal) it is required to sign signature boxes, set as in input/outputA part (such as, with pointer or finger) for standby upper booth system input.Alternatively, can carryFor fingerprint, unsigned receives this product or service.
In one embodiment, if patient is seeking to go through with the individual medical treatment of this patientA things (such as, other drug, allergy etc.) in Records of the Historian record causes the doctor of untoward reactionTreat product or service, this patient of the most described system alert.In one embodiment, this prompting is preventedOnly patient receives the medical product or service sought and requires with booth further alternately with amendmentDescribed request, or require this booth and medical worker mutual (such as, by phone, regardFrequently phone, Email, chat tool etc.), or indicate this patient seek medical rescue and be somebody's turn to doRequest is refused immediately.
In one embodiment, seek medical product with patient or service relevant input informationBy with supplier, social media, corporate sponsorship business, advertising partner, business tie-up partnerOne or more in companion or other third parties is shared.In one embodiment, patient is apprised ofThis sharing is optional.In one embodiment, relevant with patient input information is being sharedIt is anonymous before.In one embodiment, seek medical product with patient or service relevantInput information is by with Health database (such as, CDC, state, place or federal agency) altogetherEnjoy.In one embodiment, patient is apprised of, in order to continue to look for the medical treatment product soughtProduct or service, it is necessary to share some or all information relevant with this patient.
In one embodiment, it is desirable to identifying code be not only provided together with voucher and also byThe guardian's (such as, by short-message sending to mobile phone) giving patient or patient is passing through to increaseUse voucher obtains safety when medical services or product at booth.
In one embodiment, patient can examine (such as, by via the Internet or anotherOne network electronic accesses) specific booth has specific medical services or the product of this patient obtainableProduct.
In one embodiment, described method, equipment, computer system or computer journeySequence product saves the time of medical institutions, money, and by improve efficiency and collection and inNow receive automatization's medical services or the relevant precise information of product with each patient and reduce mistakeBy mistake.Described method, equipment, computer system or computer program also provide for patientBenefit, includes but not limited to, the relief of customization, time-consuming, save money, insurance is closedRule property (including government's compliance), reduce written (such as, medicine distribution wrong, easierAutomatic record), storage controlling, controlled substance control (such as by with DrugEnforcement Agency networks), the management of effect duration of any product with effect duration, withAnd treat faster.Therefore, various embodiments disclosed herein help medical institutions, specialBie Shi emergency unit, decreases the over loading of patient, and these patients can need not remove emergency roomIn the case of receive enough medical rescues.Further, at booth or other remote locations from troubleThe high level of data of person is collected may result in and less is caused service because of the inaccurate information receivedThat pays the bill repeats charging event or the mistake made when patient takes to medical institutions.
In one embodiment, described method, equipment, computer system or computer journeySequence product also accesses any electric health record, and described electric health record especially can include patientMedical care problem once and/or treatment and feasible identification information.In one embodiment, suffer fromPerson can ask his/her electric health record is sent to booth, such as by upload they to booth,By they scannings are entered, by inserting in booth equipment via flash drive, or remotelyGround is carried out by the electronics transmission by the Internet or other secure network access.
It not the embodiment of usual medical services or product in described medical services or productIn, patient can subscribe described product or service, or obtains pre-authorization (such as, by such as hereinVoucher for described in other embodiments), then, booth can lay in that not generally to be stored in this specificThis product of booth or service.In one embodiment, described deposit and order can be by electronicallyOr automatically control, maybe can be manually entered in described system.In one embodiment, instituteStating booth is the net using the standard stock's Controlling principle being suitable to various embodiment disclosed hereinThe ingredient of network, such as, by utilizing amount detection or expression to ordering specific products againOr the reordering points on the date of the time of service.Such as, each product or service (if notIt is positioned in the drop-off box (locked dropbox) locked, as described herein) can be located at so that instituteState product or in box (cartridge) that service is readily delivered.In one embodiment, various boothsBenefit stock by centrally-located, zone location or individual positioned.Thus, workerMend stock or the automatic stock of benefit sends out in the mode similar with the mode mending stock for automatic vending machineRaw, the extra level of the checking of the identity of the most each product or service is stored in this booth.
In one embodiment, booth include storage cabinet (such as, heavy metal lock drop-off box orCondom), described storage cabinet is configured to only pass through patient at the medical supplier writing prescriptionThe voucher obtained is opened, and opens optionally by the security feature added, and such as provides troublePerson's proof of identification (such as, fingerprint, licence number, debit card, date of birth, social insuranceNumber, patient's specific health records number, insurance card number, iris scan, passport number,The credit card, flexible savings account card, Health Savings Accounts card, healthy reimbursement account card etc.) beatOpen, or optionally by the identifying code obtained at medical supplier but be not necessarily located on voucher(short message such as, obtained by patient or Email or separate code) is opened.Implement oneIn mode, coded lock includes that the termination time makes described voucher at the appointed time to be carried in sectionHanding over to open the case locked, otherwise these medical services or product can not be obtained by this patient again.?In one embodiment, the case locked is configured to open with key, and this key is by medical supplierIt is supplied to patient or is supplied to patient in another way.In one embodiment, it is used for openingKey or the password of the drop-off box of lock are that patient is specific or service/product is specific.An embodiment partyIn formula, read and/or imaging device be used for read credit or debit card, social insurance card,Insurance card, voucher etc./make credit or debit card, social insurance card, insurance card, voucher etc. becomePicture, and image or other electronic information by network be transmitted for assessing the identity of patient,Payment, insurance coverage etc..
In one embodiment, hand over each of any aspect (including the case locked) of boothRelate to and be recorded (such as, by photographic head and/or electronic gate).Such as, the drop-off box locked canRecord when this case is opened and fills and when be opened and empty.At an embodimentIn, the receipt of the printing of this behavior is by by electronically creating or print to filling, this is lockedThe worker of case or give and receive this product or the patient of service.In one embodiment, lockCase include at the appointed time section after the password that changes so that patient must receive the password of renewalTo make voucher effective.
In one embodiment, described system includes by booth system for health and fitness information, paymentThe real-time data capture of information, proof of identification etc. and integration.
In one embodiment, for the payment of medical services or product directly by booth or booth systemSystem processes.In one embodiment, pay by the supplier of described product or service (such as,By for should the pharmacy of booth or pharmaceutical warehouse) process.In one embodiment, booth is configured toThe insurance company of patient is lodged claims.In one embodiment, booth is configured to connect patientReceive medical product or service before, during, or after send bill to this patient, such as, exampleAs for being set to receive the patient of regularly Pay Bill (pick ups), if or suffered fromPerson (such as, can allow this patient in payment in another time by electronically payingObtain before this medical product or service before require the pre-authorization for credit card expense or otherAuthorize (such as by online electronic fare payment system)).In one embodiment, described bill withElectronically submit to patient.In one embodiment, described bill is submitted to paper billPatient.In one embodiment, insurance is conciliate and is received medical treatment clothes patient from booth with patient's paymentAll by electronically completing before business or product.In one embodiment, for from patientOr user (such as, if this patient is minor or non-human) obtains the side of paymentMethod, such as by the credit card, debit card, bluetooth payment, smart card, cash card, cash accountList or check reader, electronics on-line payment or other, as described herein.
In one embodiment, booth can determine the coverage of the insurance of patient, and will suffer fromPerson is directed to cover the medical services under the plan of patient or product, and optionally guides patientThe medical services under the plan of patient or product it is not coated over away from those.Such as, booth can carrySupply " insurance authorizes " product or service and " insurance unauthorized " product or the list of service, together with respectivelyFrom the expense for patient be also visible.In this way, patient is optional has guarantorPlan product or the service covered by inches, or do not select to have the product that insurance plan is coveredOr service, and pair valency that this decision of Zhi Fuyu is relevant.
In one embodiment, body weight can be required as the ingredient of the assessment to patient, such as, patient be children's or young patient situation in.In some cases, productOr the dosage of service can be depending on body weight or the age of patient, so that body weight is passed through before the inputHealth records are obtained, or patient inputs at once, or there is scale in booth and (such as, be embedded inIn chair or floor or table top) and the Current body mass of patient can be obtained.Patient be baby orIn the case of the most young patient, booth can inquire whether there is car seat or other babies on scaleChildren's health care holding equipment, and guides user only to make this scale zero balancing with baby carrying vehicle (without patient)And then patient is put in this baby carrying vehicle, in order to obtain the accurate reading of the body weight of this patientNumber.
In one embodiment, if (or patient is asked for the product of suggestion or serviceProduct or service) currently can not obtain at this ad-hoc location, then this patient reminded by booth, and optionallyGround provides map or guides for obtaining the nearest booth with this specific products or service.OneIn embodiment, described booth recommends to be positioned at substitute products or the service of this specific booth position.
In one embodiment, patient has received for specific products or the voucher of service or has pushed awayRecommend, but patient changes his/her idea.In the case of voucher, such as, patient can askSubstitute products or service replace product listed on voucher or service to be provided (such as, businessThe general version of mark medicine), and described booth can be based on such as this obtainable trouble in specific booth positionThe healthy history of person or inquiry and/or other evaluation criterias (Evaluated Criteria) determine thisThe most feasible.In one embodiment, described booth can permit this request thus amendment described withDemonstrate,prove, and this original certificate is discarded by booth network or keeps invalid.In one embodiment, describedBooth can not permit revising this request of described voucher.In one embodiment, if describedVoucher is modified, then identity validation and/or the assessment of the second level can occur.Such as, described boothCan and patient confirm this patient to this product/service not allergy, or do not take may with revisedRequest for credentials have any medicine of untoward reaction.
In one embodiment, the request of specific medical service or product is verified by patient,Such as, by for the medical treatment asked with this patient and reception the most authorized with this patientService or the relevant information verification electric health record of product or drug data bank and DrugEnforcement Agency.Patient, there is the medical treatment from medical product described in prescription or serviceIn the embodiment of the voucher of worker, described place can item based on prescription and at system scopeIn level before patient to the use of booth (such as, every day sheet number, from upper a piece of since timeBetween, on prescription remaining quantity, etc.) be verified.
In one embodiment, (roving) worker (example on schedule of flowingAs, once a day) or as required medical product or service are sent to the drop-off box locked.In one embodiment, at least one spy that can be obtained by patient possessed by one or more case lockedFixed output quota product or the stock of service.
In one embodiment, patient includes the mankind.In one embodiment, patient includesMedical worker.In one embodiment, described computer system, equipment, method, calculatingMachine program product determines that described automated system is directly or remotely programmed with defeated by a medical workerSend medical services or product to patient, access specific medical data base or perform some task(such as, diagnose, carry out testing, distributing Drug medicine or utensil) is the most legal.OneIn embodiment, patient includes medical patient.In one embodiment, patient is fetus.?In one embodiment, patient is non-human animal.In one embodiment, patient is sucklingClass, amphibian, Fish, birds or reptiles.In one embodiment, patient is babyOr child.In one embodiment, patient is old man.In one embodiment, patient's right and wrongAdult.In one embodiment, patient is cattle, horse, Canis familiaris L., cat or other are domestic dynamicThing.
In one embodiment, system as herein described, equipment, method and computer programProduct does not diagnose patient.In one embodiment, system as herein described, equipment, method andComputer program does not treat patient, but instructs patient in the most nearest emergency treatmentRoom, emergency room or similar hospital facility seek instant medical rescue.At an embodimentIn, system as herein described, equipment, method and computer program product instruct patient continuingInsurance approval is sought before the automatic transport process of medical services or product.At an embodimentIn, system as herein described, equipment, method and computer program product instruct patient continuing(such as, by the credit card or bank account before the automatic transport process of medical services or productDeng electronically) submit to and pay.
In one embodiment, patient receive by medical worker (such as, doctor, protectReason, midwives, Senior Nurse etc.) first prescription or by booth itself (such as, by sensingTo information or the information provided by patient, by medical worker or health records (such as, electricitySub-health records) information that provides) the Drug medicine of prescription.In one embodiment, suffer fromPerson must provide for proof of identification to receive Drug medicine from booth.In one embodiment, singleSecondary dosage is provided to patient by booth.In one embodiment, video frequency pick-up head record patientReceive medicine or other medical products or service and optionally record patient on medication or otherMedical product or service (such as, suck, consume, take down, coating etc. or otherwise profitWith the medical product distributed or service).Therefore, in one embodiment, booth include audio frequency orAt least one (such as, booth includes microphone, photographic head, keyboard etc.) in videograph and canIncluding instant message, audio or video transmission.In one embodiment, photographic head includes numeralPhotographic head or IP Camera.In one embodiment, by patient by mobile phone, electricitySub-flat board or digital camera send oneself use the record of this medical product or service to booth,Described booth accepts video or the audio recording of patient.
Therefore, in one embodiment, booth provides patient to take down or otherwise utilizedThe medical product distributed or the checking of service.
In one embodiment, prescription drug includes measuring indicator, such as RF identificationEquipment so that booth itself is configured to monitor described medicine in the patient (such as, by borrowingComputer system is helped to send/receive the signal of medicine).In one embodiment, medical product orService includes the packaging with radio frequency identification equipment or radio frequency reflectors, described radio frequency identification equipmentOr radio frequency reflectors is configured to the most described packaging and is opened or is interfered and just send signal.Such as, the case accommodating glucose testing tool contains RFID, or for particular drug physical property medicineBlister package each contain RF reflector make the most described signal be sent to booth or toThird party.
In one embodiment, patient seeks to obtain the subdivision of previous prescription, and booth is joinedPut and access the health records of this patient and determine that this patient is allowed to obtain being asked of medicineSubdivision, and if so, this subdivision asked distributed by the most described booth.If described boothDetermining that this patient is not allowed to obtain the subdivision asked, the most described booth is optionally configuredFor refusing any medicine of this patient, described booth only distribution can be allowed for medicine (if there is)To patient, or described booth can be to the further information of patient admission to assess whether to distribute this medicineThe dosage at least one times of physical property medicine gives this patient.In one embodiment, described furtherInformation can include the inquiry to patient, inquiry or logical to one or more medical records of patientCross the inquiry of the sensor engaged with this patient.
Therefore, in one embodiment, including at least one calculate equipment booth receive fromRelevant at least one of the part seeking prescription medical product or service with patient of patient is defeatedEnter, and utilize the circuit of this calculating equipment the described input from this patient to be tested with one or moreCard data set compares, and described calculating equipment compares generation validation value based on this.Such as,Described checking data set can include the identification with patient, code (insurance code, safety code etc.) orThe information that prescription information is relevant.In one embodiment, checking data set also includes the doctor of patientTreat record or medical record database, including clinician information (or other medical worker information)Medical records, health status etc..The most described system has met verification threshold, and patient just occursThe distribution in whole or in part of sought described part.If described verification threshold is not expiredFoot, then the request of this patient is rejected.In one embodiment, this patient can also refer to such asOther mandate is sought from medical worker, pharmacy or insurance company.At an embodimentIn, this patient is directed and seeks other medical rescue.Described part sought by patient canIncluding at least one day aliquot (aliquot), all aliquots, a Ge Yuedeng branchPoint or arbitrary value between them, be specifically dependent upon sought specific medical product or service(such as, liquid, tablet form, device form, etc.), and the described portion sought by patientPoint can include less than generally (such as, as such as the disposable prescription of antibiotic, orAs such as the persistence prescription of contraceptive) any amount of full recipe quantity distributed.
In one embodiment, the calculating equipment of booth also access one or more medical supplier withConfirm prescription or a part for prescription.
In one embodiment, system includes the medical record database communicated with booth, describedWhen medical record database represents inquiry with booth communication, the satisfied or refusal of medical records threshold value is defeatedGo out or from patient for medical product or service (such as, prescription medical product or serviceA part) input.Therefore, in one embodiment, booth leads to the medical records of patientLetter, and medical record database and booth communication.In one embodiment, medical record databaseThe prescription information of patient, pharmacy information, medical worker information or health insurance letter can be includedOne or more in breath.In one embodiment, the calculating equipment with booth communication includes generation tableShow meeting or output (such as, medical record data collection and the checking of refusal of medical records threshold valueThe difference of data set is to verify that data set can include medical record data collection and other knowledgesOther information).In one embodiment, the satisfied or refusal of medical records threshold value is by patientSeek the presenting of obtainable prescription of distribution, patient seeking distribution for this patient'sThe approval of new recipe, for such as sought medical product or service relevant chronicSymptom or persistence health problem contact medical worker (such as, in order to ratify to ratifySend a signal to doctor from medical data base) device, health insurance companies is to for this patientPrescription approval at least one be determined.In one embodiment, described system and doctorAt least one communication in treatment worker, pharmacy or health insurance companies represents medical records threshold valueMeet or refusal output.In one embodiment, the meter associated with medical record databaseCalculation equipment is configured to receive and represents prescription sought by patient (or the one of this prescription from boothPart) all or part of distribution at least one input.In one embodiment, describedDistribution includes amount or the quantity of distributed prescription.In one embodiment, described distribution is rememberedRecord is in the medical records of patient and/or is sent to third party's (such as, insurance company, medical treatmentWorker, pharmacy etc.).
In one embodiment, medical services or product include prescription products or service.OneIn embodiment, medical services or product include over-the-counter products or service.At an embodimentIn, described system have specific user identify (such as, fingerprint, SSN (social security number), suffer from randomPerson's identifier, retina scanning etc.) to identify patient.In one embodiment, security breachesIdentify service operation break down being allowed to of having been attempted of booth or other remote facility orOther remind described system when destroying or attack.In one embodiment, pass through such as fruit productDestroy booth or make booth break down and be acquired, then product identification (such as, RFID mark) carriesAwake described system.About this point, " checkout " program be used as patient admission's medical product orA part for the process of service, and to control stock and safety.If " settling accounts " programBeing destroyed by any way, the most described system is closed and safety alarm is triggered.Implement oneIn mode, every time the using of booth system is registered or records (such as, passing through photographic head) and canIt is recorded in described system journal.In one embodiment, being included in from motion tracking of stock(such as, reduce by more than triggering automated system prompting and order more when specific products is not enoughCertain threshold value) automatic more this specific products of ordering, and in one embodiment, any medicineThing or recalling of other products are automatically delivered by network so that quilt will not occur in described systemThe extra distribution of recall, and optionally, notice has the trouble receiving the product being called backPerson (such as, gives their mobile phone by short-message sending, by Email, by written postalPart notifies, by making a phone call).
In one embodiment, OTC (over-the-counter) medical services or product can pass through the credit card/debitCard/smart mobile phone/wired pecuniary exchange/cash/electronics pecuniary exchange or other devices are purchasedBuy.Such as, booth can be comprised for distributing and can such as be carried out by pipe or other single actuation gearsThe container of the particular appliance (such as glasses, crutch, walking aid, support etc.) of distribution or latticeSon.In one embodiment, multiple requests of patient are satisfied in a simple transaction.?In one embodiment, for each product asked or service, patient is required to submit to independentlyRequest.
In one embodiment, speech recognition or facial-recognition security systems are used for the identity of patientChecking, request or the product asked or the reception of service.
In one embodiment, described system includes network, such as Intranet or the Internet,Or other LANs and wide area network.As described herein, host computer system can be connected to can be at by networkDifferent geographic regions (such as, the different piece in city, different cities, not Tonzhou, different stateFamily etc.) in one or more long-range booth or other remote locations or facility.
In one embodiment, patient be provided for obtain medical services or the one of product orMultiple options.Such as, if patient's report has headache and asks OTC (over-the-counter) analgesic, then booth orOther interactivity remote distribution systems can inquire whether patient has allergy, or whether relative to otherPreferably a kind of analgesic of analgesic, such as, by listing aspirin, acetaminophen, ibuprofenRealize.
In one embodiment, particular patient experience utilizes the assessment of one or more sensor.Such as, in one embodiment, with one or more first sensor assess patient, described one orMultiple first sensors then activate one or more the second sensor, are specifically dependent upon based on firstSecondary sensing (and optionally, it is considered to information included in one or more health records of patient)First sensor starts system (such as, patient through it or enters this facility) or patient from reportSituation that feature (such as, symptom) is sensed and the criticality of patient.An embodiment partyIn formula, patient experience is based on originating in first sensor and/or patient from reporting feature (such as, diseaseShape) the assessment of decision tree.(see for example, the Science Direct pp.2016-of Shi et al.2028,Vol.42(2007)；U.S. Patent Application Publication No.2010/0049095, each of whichIndividual content is expressly incorporated herein by reference.) such as, non-physiological sensing and physiological sensing can pass through instituteOne or more sensor stating system individually or combines execution, bioid with biological assayTest can by described system (the fingerstick test of blood glucose, breath tester, DNA cotton swab,Pulse oximeter etc.) or patient from any feature (such as symptom) of report and conscious tight of patientThe criticality of principal characteristic or this category feature (such as, symptom) (such as, problematic battery orOther typical patient of the position of the bodily form of people or reported pain or other problems) it is performed in order toOne or more evaluation criteria is produced for this patient.In one embodiment, patient is unaware thatTo the assessment utilizing one or more sensor.In one embodiment, patient is reactionless or nothingConsciousness.In one embodiment, it is simply that no selected to patient by one or more sensor evaluationSelect.In one embodiment, privacy curtain or single space, room are designed to the specific of patientAssessment, or patient admission it time.In one embodiment, when patient uses booth, curtainOr other privacy screens are automatically switched off.In one embodiment, patient can be inserted into a set of headphones orHis/her individual earphone is to listen to any sound prompting from booth or message.
Then, according to the result of assessment (that is, the situation that senses, biological assay, from reportFeature, and optionally, one or more health records (such as, electronic health care note of patientRecord)), and the corresponding evaluation criteria for this patient, based on the ratio with characteristic value data collectionRelatively.Once the EC of patient produces, and just distributes health based on the comparison with health status Value Data collectionStatus indicator (HIS) value gives this patient.Described state of health data collection can include indication,Various body measuremenies or result of laboratory test or the value of parameter sensed or statistical value, including but do not limitIn blood pressure, heart rate, body temperature, height, body weight, body-mass index, pupil size, bloodSugar, muscle quality, virus load, virus infection, antibacterial infection, bacterial loads, gestation shapeThe existence of condition, medicine or other medicines or level, the existence of tumor or state, blood group, allergyState, nutriture, etc..Described state of health data collection can include general demographics,It can include from crowd selected especially (such as, based on sex, family history, population systemMeter or geographical group) statistics, it can include patient oneself the health records formerly collected orInformation, or their combination in any.
In one embodiment, that sense, chemical examination is arrived or report feature is with knownValue compares, and that described given value includes but not limited to standardized value or patient's oneself is strongThe data base of health history value.HSI based on patient, utilizes on the equipment of calculating (network etc.)The instruction performed makes decision to start second group of sensor, biological assay or healthy inquiry(HQ).Second assessment can be previously validated for particular patient or customize, and is specifically dependent upon doctorTreat needs or the needs of patient of mechanism.
Such as, if be detected or from reporting patient have the heart rate of rising and may generate heat,Then from information (or the letter from the friends/relatives together with this patient of this patient health recordBreath) can be considered to determine that this patient has accepted or do not accepted which immunity inoculation.This can carryShow a HQ, inquiry patient he/her the most whether went elsewhere, or with went to this placeSomeone is in close proximity.This also can make other sensor sense other feature or make described systemSystem performs biological assay and (such as, utilizes the fingerstick blood testing of the PCR for pathogenDeng), and integral status based on the assessment of scenario patient sensed.If other sensorOr biological assay shows that patient does not has other symptoms, for example, then this discovery can determine whether specificHIS and indicate patient next take what step (such as, seek other medical rescue,Take that sell on sales counter or prescription febrifuge, rest, etc.).
In one embodiment, at least one first sensor of described system or miscellaneous partOperatively communicate with at least one second sensor or miscellaneous part.In one embodiment,At least one first sensor described or miscellaneous part and at least one second sensor or other portionsPart radio communication.The various modes of radio communication is described in this article.At an embodimentIn, about institute's information of obtaining or collecting of patient by the part of described system and another partShare or be sent to another part from a part for described system.Such as, the result of chemical examination can quiltInput the medical records of patient, or the health records of patient may be guided for assessing patient currentThe focus of the sensor of health status.So, in one embodiment, described system code oneOr the integrated system of the intercommunication in many ways and between chemical examination one or more times, sensor or oneself report inquirySystem, described one or in many ways include patient, medical worker, one or more data base.Real oneExecuting in mode, at least one symptom as evaluation criteria of assessment patient includes for receiving doctorTreat product or the input of service.In one embodiment, assessment includes that one or more is good for by registrationAt least one of Kang Zhixun is from reporting answer.In one embodiment, as described herein.
In one embodiment, when patient uses booth for the first time, he or she is rejected by being led to(such as, sensor, biological assay, health records (include prescription record, are deposited to cross assessmentThe electronic monitoring data etc. of storage), family health care history (include inquire kinsfolk) or HQ) receiveCollect any data.In this case, for example, patient still provide fingerprint, driving license,SSN (social security number), date of birth, anonymous unique identifier or other forms for logging inProof of identification, and the optional access to patient health record, be specifically dependent upon by this patientThe request (such as, to obtain part or all of prescription drug) proposed.At an embodimentIn, date and/or timestamp are registered when patient uses booth or begins the evaluation at process.Real oneExecuting in mode, described system, equipment, method etc. are the most expansible utilizes the multiple of booth to accommodateIn " feeding person " medical institutions or medical worker or a booth system or booth position multiple notSame conveying equipment.Such as, in one embodiment, have for conveying products or service manyThe individual case locked or box.
In one embodiment, system as herein described, equipment, method or computer journeySequence product includes with from such as another data set computer system, (such as, personal data are depositedStorage, personal monitoring and control equipment or sensor network, patient follow the tracks of system (such as, AmeliorEDTracker), information system (such as, Amelior ED), network sensor are (such as,mT TagTMOr other network sensors), implant sensor or user input extraneous informationMutual ability.See for example, U.S. Patent Application Publication No.2007/0088713 and2006/0212085, each of which is expressly incorporated herein by reference.
In one embodiment, described sensor includes that electric potential sensor, high input impedance are quietElectricity meter, electromagnetic transducer, radio frequency sensor, microwave remote sensor, micropower impulse radar sensingDevice, sonac, imager, photographic head, heat sensor, laser instrument, infrared sensingAt least one in device or audio sensor.In one embodiment, described sensor is positioned atWall, floor, input-output apparatus, door, doorway, pen, pointer or computer systemIn at least one in hardware.In one embodiment, described imager include thermal imaging system,At least one in photoimaging instrument or ultrasonic imaging device.
In one embodiment, described sensor include ECG, EOG, EEG,MEG, sphygmometer, oximeter, pupillometer, fluid detector, Biomechanical evaluation device, pointLight photometer retina inquiry meter, apnea detector, spirometer or the physiology sensing implantedAt least one in device.In one embodiment, described fluid detector includes that at least one is micro-Fluidic chip or device.In one embodiment, described apnea detector includes long-range imagerOr at least one in direct pressure sensor.
As described herein, the various parts of described system include one or more transmitter, transmitting-receivingDevice or receptor so as among the components or between communicate, the most such as, in booth networkCommunicate between the parts beyond this network between parts or in some cases.
In one embodiment, system as herein described, equipment, method or computer journeySequence product includes the visit to patient health history (such as, individual and/or the healthy history of family)Ask.In one embodiment, described system, equipment, method or computer program areAt least one step of one or more embodiment described uses artificial intelligence (such as, OSCAR-MDA, CodeBlue etc.).
In one embodiment, system as herein described, equipment, method or computer journeySequence product include with other data sets (such as, publilc health data base (such as, CDC,NIH, state or municipal corporation database)) information is mutual or information trace.An embodiment partyIn formula, system as herein described, equipment, method or computer program access infectious diseaseInformation, biological weapons or chemical weapons information (such as, Homeland Security), medicine or equipment are notGood reaction information (such as, recalling for manufacture) or medical institutions' statistics is (such as,Infection rate, health, responsibility etc.) and mutual with these.In one embodiment, can be at leastIt is based in part on the information received from this data base and makes the necessary segregate decision of patient.?In one embodiment, information is transmitted one or more direction, including by infectious disease or other are publicHealth problem (signs of biology/chemical weapons), untoward reaction (example to medicine or equipmentAs, be used for recalling), hospital's problem (such as, infection rate, health or responsibility) more new dataStorehouse.
In one embodiment, HSI or HQ of patient meets threshold condition, and optionallyOne or more evaluation criteria indicating this patient must be monitored.Such as, based on patient or patientSituation, this patient can by continually or intermittently monitoring (such as, with pre-determined number or customizationNumber of times).Such as, if particular patient is asking anesthetis prescription, but HQ or EC showsThis patient is at its internal existing anesthetis or narcotic Metabolic byproducts product, and the most described place can be byRefusal, such as, described patient (can be determined the anesthetis in blood or by-product by assessment furtherThe accurate degree of product), or be directed at doctor or other medical workers.
In one embodiment, one or more sensor used during assessment patient (includes oneOr multiple long-range non-conductive sensor) it is positioned at furniture, wall, floor, door, doorway, reception(patient is from this calculating equipment for platform, pen, computer monitor or other hardware or the equipment of calculatingFrom report one or more feature (such as, symptom)) in one or more in.At an embodimentIn, one or more sensor described be included in examining table, armrests, gurney or otherIn furniture.
In one embodiment, one or more sensor described includes sonac, biologyAt least one in impedance transducer or infrared temperature-test sensor.In one embodiment, instituteState one or more sensor and include that audio sensor is (such as, as audio frequency and/or video recorderPhotographic head) or eye-tracking (such as, imager).See, e.g., United States Patent (USP) ShenPlease announce No.2010/0049095；2006/0190419；2008/0039698；Or2010/0174533, or United States Patent (USP) No.6,475,161, each of which has passed through referenceIt is expressly incorporated herein.
In one embodiment, one or more patient's special characteristic is measured, including but do not limitIn the feature of patient, the feature of described patient include height, body weight, fingerprint, facial characteristics,Visual body deformity, eye feature, skin appearance, hair appearance, nail appearance, breathingSound, body temperature, blood gas levels, heart rate, brain electrical acti, breathing rate, facial expression, sanguificationStudy point, hemocyte quantity, platelet counts, antibody titer, calcium level, blood AntigensType, tissue antigen type, pathogen contact evidence, lipid level, pain perception level,Body movement (tremble, spasm or paralysis etc.), gait, stiff (such as, muscle or jointStiff), the evidence of cognitive state, dehydration, from report pain, from report discomfort, from report being subject toWound, from the event of report, feel cold, generate heat, from report having a dizzy spell or dizziness, from the mouth reportedDry, from the feeling sick of report, from the rapid breathing of report, from report thirsty, weak, from report addicted toSleep, hearing disability or hearing problem, visual loss or visual problems, from the constipation of report or abdomenRush down, flatulence, from report urinary incontinence, from report anosmia or olfactory sensation problem, from report crying outOr noise problem, from report gustatory anesthesia, from report locomotor activity lose, from report write energyPower loses, use in Disability or other features at least from the limbs of report or fingers and toesOne.Such as, the outward appearance of skin, hair or fingernail can be commented by standardized standardEstimate, include but not limited to alopecia or the change of situation, the change of any birthmark, tatoo or skinFlaw (or any new birthmark, nevus or appearance of other skin labellings), body odour, fingernail shapeThe change of condition, because of the injury being exposed to the sun or chemicals causes, etc..At an embodimentIn, the evidence of cognitive state includes at least one vision or acoustic cue.
In one embodiment, one or more patient's special characteristic by one or more directly orIndirect sensors (such as, long-range non-conductive sensor) is evaluated.In one embodiment,One or more patient's special characteristic is by evaluated from report by patient.Such as, at an embodimentIn, patient and at least one input/output calculate equipment (such as, booth, flat board, desktop computer,Laptop computer, handheld device etc.) mutual and respond and his or her feature (such as, diseaseShape) or ask relevant healthy inquiry (HQ).Such as, in one embodiment, can by withThe relevant HQ of one or more following feature (with any number of different possible language orThe audio/video form of expression, such as the health figure of the point of instruction pain or disease) present to suffer fromPerson: abdominal pain, knee pain, have blood in stool, flank pain, chest pain, nasal obstruction, justSecret, n or V, cough, cervical pain, diarrhoea, numbness of hands and feet or numb, swallow tiredDifficulty, pelvic pain (women or male), dizziness, eyes are uncomfortable and/or rubescent, it is anxious to breathePromote, foot or ankle pain, shoulder aches, foot or leg swelling, have sore throat, have a headache, secreteUrine problem, visual problems, cardiopalmus, hip pain, asthma, joint or myalgia, skinMeasles or other erythra, ear's pain or other symptoms.
In one embodiment, the HQ being asked of patient is based on the formerly answer providedOr known to other about patient information (such as, by from report or remembered by electronic health careRecord, the information sensed, etc.) be customized and guide.Such as, according to the property of individualNot, healthy history or to answering the response of the first round concrete HQ, described HQ can notWith.In one embodiment, according to such as utilize because of its one or more symptom criticality orThe order of severity and be assigned high weight the oneth HQ propose symptom or request (such as, to fiber cropsThe request of liquor-saturated analgesic), described HQ is prioritized, and according to the sound to this HQShould, ensuing HQ is customized the problem in the presence of the response before solving.
Such as, if there being the patient of HDH to use booth or other remote facility, and firstLong-range non-conductive sensor senses patient to be had irregular heart beating and sends patient and have irregular heart beatingSignal, then the second sensor quickly determines whether this patient sufficiently responds to answer HQ.IfIt is then to may is that " I has anything can help you in a HQ of this patient's？If " patient by asking all or part of dosage of his nitroglycerin prescription to respond,For example, then the 2nd HQ may is that " you have chest pain？If " patient's answer"Yes", then another HQ is it may be that such as: " arrange your pain level in the range of 1 to 5Sequence, wherein 5 is the highest pain level." again, according to answer, and each HQ receivesTo the evaluation criteria value of special value, can specifically adjust HQ for the patient of report.Such as, asReally patient reports high pain level " 5 ", and the most described system can determine whether that this patient has high assessment markQuasi-value, and specific overall HIS is produced with health status indicator data set when comparingValue.
When one or more HSI value meets threshold condition, patient is by assessment, quilt furtherInquire further or gone to medical institutions to receive medical rescue by instruction further.According to patient'sAnswer, and optionally according to the health records (such as, by electronically accessing) of patient, he/ she can receive or can not receive the prescription that he/her is asked.In one embodiment, patientThe medical services receiving placebo rather than asked or product.
In one embodiment, patient identity prove, ask, payment authorization and/or insuranceCoverage as individual data input point by allow patient complete input from his/her insurance cardInformation step (such as, scan it, manually type in it, oral reading it, etc.) quiltBooth equipment or system receive, or can be as multiple different data entry point by making patient completeBecome input from driving license or the information of social insurance card, credit or debit card and/or insurance cardSeparate step received by booth equipment or system.If having used described system before patientIn booth, then it is unnecessary for inputting this information, and in one embodiment, this patient's quiltGiving to have secure access to authority (such as, login username and password) makes this patient to pass through notMust all input identification information when he/her uses this booth equipment or booth system and time-consuming every time.Thus, in one embodiment, described system includes memory unit as shown in drawings, describedMemory unit storage one or more health and fitness information relevant with one or more electric health record, commentEstimate standard, HQ (and/or the answer to them), patient input information, by medical workerThe information of input, etc..Equally, as regular medical product described elsewhere or serviceA part for conveying, in one embodiment, patient need not authorize to receive medical treatment product of the same raceProduct or service, but only need to log in this system and ask be placed on appropriate parking lot and the most awardedThe regular part of the prescription of power.Therefore, for particular implementation as herein described, the most alwaysIt is to need prescription voucher or assessment.
In one embodiment, the request of patient be allowed and medical services or product processedDirectly to distribute at booth or another location.In one embodiment, in the course of processing, booth isIt is pre-loaded with various conventional prescription drugs physical property medicine, utensil or test.At an embodimentIn, described system or equipment includes labelling to product container or service carrier (slip), and appointsSelection of land includes the specific information of patient, and the information of inclusions therein.At an embodimentIn, booth by scan the code on described label or described container distribute medical product orService.Various types of codes are described in elsewhere herein.
In one embodiment, the information from patient inputs according to information source allocated notSame trusting degree, in order to reduce conflicting information.Such as, if patient is from offering a high price pain levelNot, but (such as, hurriedly sensor can't detect the typical feature of corresponding high pain levelHeart rate, sweat, confusing, uncomfortable facial expression, etc.), the highest pain level from reportHQ can receive and authenticate to the typical special of high pain level residing for patient than one or more sensorNumerical value low when levying.
In one embodiment, example HQ includes but not limited to, " for your situation,What you have attempted today？" " you want to ask prescription drug？If it is, connect before youReceived the prescription for this medicine？If it is not, you want to ask over-the-counter drug？”；" you want to ask any prescription service or utensil？" " you smoke？”；" you have any allergy?？If it is, you are to any Drug drug allergy？”；" your skin or hair have appointWhat change？”；" you have and tremble or tremble？”；" have numb with you Anywhere?？”；" you have travelled recently？”；" you have dysphagia？”；" you once had duskFaint or faint from fear？”；" your health has any tumor or lump？”；" please show that you are that male goes backIt is women.”；" your pregnancy？”；" appetite has any change？”；" you are highly sexed?？”；" you have any vomiting？”；" you drink？”；" take in listing over 24 hoursUnder any medicine, including recreational drug or Drug medicine.”；" you did any recentlyMedical science chemical examination or treatment (including operation)？”；" in the range of 1 to 5, your pain is arrangedSequence, wherein 5 is the highest amount of pain that you once had.”；" your energy grade how？”；" you have human communication disorders？”；" you feel anxiety recently？”；Etc..Possible problemOther examples can obtain in such as U.S. Patent Application Publication No.2004/0138924, shouldPatent application is expressly incorporated herein by reference.
If patient uses booth or other remote facility (such as, by pressing by " beginning "Button), but at least one HQ can not be answered, then one or more distance sensor can assist in thisPatient is the most clear-headed or whether can continue to this process.Such as, photographic head can determine that thisWhether patient be in pain, whether show epilepsy or apoplexy, whether show drunk orIt not the most to regain consciousness completely.At least some of of described image is carried out with various parameters and data baseContrast for the sign of wound, (skin, hair, fingernail etc.) outward appearance, movable and cognitiveAssessment.Optionally being carried out with medical history by facial recognition at least partially of described image is rightRatio.
In one embodiment, booth sends lead to relevant with the request of patient's proposition or voucherKnow.Such as, red light/green light or sound notification can provide notice: voucher is invalid, it is impossible to justOften play a role.In another example, described notice provides checking: voucher is effective and justOften play a role, and the request present to medical product or service.
In one embodiment, patient utilizes " intelligent " distribution for his/her personal useDevice, described " intelligent " distributor can be by electronically communicating with booth or other remote facility.Such as, described " intelligent " distributor can be wirelessly (such as, via bluetooth, flash driveDeng) upload information to booth and/or from booth download information.In another example, described " intelligent " pointSend out device can with booth (such as, by electronically, by audio-video pattern or other mouldsFormula) communication is with acquisition or asks medical product or service.
As it is shown in figure 1, system 100 includes or is fixed to wall or removable (such as at deskOr on sales counter) at least one input-output apparatus 117, at least one input-output apparatus117 optionally include a sensor 118, and each can include that data input, such as, such asIn input through keyboard, mouse track ball or touch pad input, phonetic entry or audio/video inputOne or more.In embodiments, input-output apparatus include printer, facsimile machine orScanner (combinations of 120 expression printer/fax/scanner).In embodiments, defeatedGo out to include to receive the product or the printing voucher of service asked for patient.As it can be seen, oneOr multiple sensor 102,118 is positioned at neighbouring patient 104 or directly contacts with patient 104.AppointThe position indicator 119 (being shown as armband) of choosing is entered by booth or booth network for patient positionThe determination of row, optionally allows to give notice to patient, instructs whether this patient leaves this booth alsoSeek medical rescue to other places, or obtain the medical product asked or clothes in another locationBusiness.In embodiments, this optional position indicator can illustrate on map that patient institute is in placePut and should advance to obtain the medical services or the position of product asked with patient.
As it can be seen, in embodiments, input-output apparatus (include keyboard, audio frequency/Video or other equipment) include that receptor 106 is (optionally, wireless, on photographic headIllustrate), transceiver 108 (optionally, wireless), transmitter 110 is (optionally, wireless), including audio/video function (such as, photographic head 114), including power supply 115, Yi JicunReservoir 116.In embodiments, input-output apparatus 117 is operably coupled to computerEquipment 112.
In embodiments, code receiver 160 is included within system 100.Such as,Code receiver 160 can include voucher scanner, fingerprint reader, iris scanner, driving licenseScanner, bar code scan instrument, QR scanner, keyboard or other code receiver.
In embodiments, described system include having the most operatively coupled (such as,Communicatedly, electromagnetically, magnetically, ultrasonically, optically, inductively, electrically, electric capacityGround coupling, etc.) the circuit of one or more parts.In embodiments, circuit includes oneOr multiple it is positioned at long-range parts.In embodiments, long-range parts it are positioned at via channel radioLetter is operatively coupled.In embodiments, it is positioned at long-range parts to connect via one or moreReceive device 106, transceiver 108 or transmitter 110 etc. to be operatively coupled.
In embodiments, circuit especially includes one or more calculating device, such as processor(such as microprocessor), CPU (CPU), digital signal processor (DSP),Special IC (ASIC), field programmable gate array (FPGA), etc., or itCombination in any, and discrete numeral or analog circuit element or electronic device can be included, orPerson's combinations thereof.In embodiments, circuit includes having multiple predefined logical blockOne or more ASIC.In embodiments, circuit includes having multiple programmable logic unitsOne or more FPGA.
In embodiments, circuit includes that one or more memory devices 116 (such as, is depositedStorage instruction or data).Such as, in one embodiment, automated data collection system 100 wrapsInclude the storage information relevant with one or more feature of the most evaluated patient, electronic health care noteRecord, certainly report one or more memory devices 116 of symptom, insurance or other health related informations.The non-limiting example of one or more memory devices 116 includes that volatile memory is (such as,Random access storage device (RAM), dynamic RAM (DRAM) etc.), non-easilyThe property lost memorizer (such as, read only memory (ROM), the read-only storage of electrically erasableDevice (EEPROM), compact disc read-only memory (CD-ROM) etc.), non-volatile storageDeng, Erasable Programmable Read Only Memory EPROM (EPROM), flash memory, etc..One or more is depositedStorage device 116 can be coupled to by one or more instruction bus, data/address bus or power busSuch as one or more calculates equipment 112.
In embodiments, circuit includes one or more computer-readable medium drive, connectsMouthful socket, USB (universal serial bus) (USB) port, storage card slot, etc., and one orMultiple input/output components (such as, such as graphic user interface, display, keyboard, little keyDish, trace ball, stick, touch screen, mouse, switch, dial etc.), and any itsHis ancillary equipment.In embodiments, circuit includes one or more user's input/output component,One or more user's input/output component described be operably coupled at least one calculating equipment with(electrical control, Electromechanical Control, software realization control, firmware realize controlling or other in controlControl or combinations thereof) relevant to such as health and fitness information about patient health statusAt least one parameter.
In embodiments, described system is configured to transport with application service provider's formOK.In embodiments, described system is configured to, with Open-Source Tools realization.Such as, existIn one embodiment, described system include use Java, Java the service end page (JSP),Java data base connects (JDBC), SQL (SQL), extensible markup language(XML), ui language (XUL) and/or scalable vector graphics (SVG) technologyIn one or more.
In embodiments, application based on image, such as reader and/or tool kit(such as, see clearly segmentation and registration tool kit (ITK)), is merged in further picked-up information.In embodiments, CAD realizes or image segmentation can allow previously at patient during picked-up informationThe process in advance of the image received.
In embodiments, circuit includes being configured to accept non-transitory signal bearing mediumThe computer of (such as, computer-readable recording medium, computer readable recording medium storing program for performing etc.) canRead media drive or memory bank.In embodiments, it is used for causing system to perform institute publicAny one program in the method opened can be stored in such as computer readable recording medium storing program for performing(CRMM), above non-transitory signal bearing medium etc..Signal bearing medium non-limitingExample includes recordable-type media, such as tape, floppy disk, hard disk drive, CD(CD), digital video disk (DVD), Blu-ray Disc, digital magnetic tape, computer storageDeng, and transmission type media, such as numeral and/or analogue communication medium (such as fiber optic cables,Waveguide, wired communications links, wireless communication link (such as, receptor 106, transceiver108 or transmitter 110, send logic, receive logic etc.)).Signal bearing medium enter oneStep non-limiting example include but not limited to DVD-ROM, DVD-RAM,DVD+RW, DVD-RW, DVD-R, DVD+R, CD-ROM, super-audio CD,CD-R, CD+R, CD+RW, CD-RW, video disc, super video compact disc, sudden strain of a muscleDeposit, tape, magneto-optic disk, miniature hdd, Nonvolatile memory card, EEPROM, laser disc, lightMemorizer, RAM, ROM, Installed System Memory, Website server, cloud, etc..
In embodiments, ADC system 100 includes the electricity with one or more moduleRoad, one or more module described optionally may operate to and configures trunk subscriber input/outputOne or more input/output component communicates.In embodiments, module includes that electric-controlled sets upStandby, electromechanical control equipment, software realize control equipment, firmware realizes control equipment or otherOne or more example of control equipment.This kind equipment include memorizer, calculating equipment, antenna,Power supply or other sources of supply, logic module or other signalling modules, gauge table or other are thisActive or passive detection part, piezoelectric transducer, shape memory member, MEMS(MEMS) one or more example of element or other actuators.
In embodiments, calculating equipment farther includes be connected to described system and be configuredCarry out the audio/video input/output mutual with patient.In embodiments, described system is furtherIncluding the printing device being connected to calculating equipment.In embodiments, described system include input/Outut device, described input-output apparatus includes graphical interfaces (such as, display, touch screenDeng).
In embodiments, one or more sensor described includes the most one or more of acousticsSensor, optical pickocff, electromagnetic sensor, imageing sensor, photodiode battle arrayRow, charge-coupled image sensor (CCD), complementary metal oxide semiconductors (CMOS) (CMOS) device,Transducer, optical recognition sensor, infrared sensor, radio-frequency component sensor, heat sensingDevice, three-dimension sensor (such as, with assess the displaying pain of patient or the facial expression of discomfort,Blush or the rubescent or gait of patient or other motion, etc.).
In embodiments, one or more parts of described system are (such as, equipped with being used for commentingEstimate the chair of the sensor of one or more feature of patient) utilize set with one or more remote computationStandby (such as, common network node, network computer, network node, peer device, individualComputer, router, server, flat board PC, tablet etc.) logic connect operate in netIn network environment, and generally include many or all of said elements.In embodiments, describedLogic connects and includes and LAN (LAN), wide area network (WAN) and/or the company of other networksConnect.In embodiments, the connection of described logic includes and one or more of nterprise-wide computerThe connection of network, Intranet and the Internet.In embodiments, system 100, described systemOne or more parts described etc. operate in and include one or more cloud computing system (privately owned cloudCalculating system, public cloud computing system, mixing cloud computing system etc.) cloud computing environment in.
In embodiments, patient 104 includes fetus.In embodiments, patient includesThe mankind.In embodiments, the mankind include fetus.In embodiments, patient includes livingBody, described live body is self-movement and response sensory organ with the difference of plant.
In embodiments, one or more sensor 102 can be by using high input impedance quietThe electricity little electromotive force of measurement amount remotely senses eartbeat interval and ECG reading.Sensors with auxiliary electrode deviceExample at preceding U.S. Patent Application Publication No.2006/0058694, preceding WO2003/048789, the Meas.Sci.Technol. of preceding Harland, preceding PranceHaving described in 2007Journal of Physics:Conference Series, each of which is led toCross with reference to being expressly incorporated herein.The expection of sensors with auxiliary electrode device provides noninvasive and long-range monitoring.?In embodiment, one or more sensor 102 can be through in clothes or jewelry by patient or be throughOn clothes or jewelry (such as, be through in wrist strap), and can non-conductive with health contact.Such as,Such as preceding U.S. Patent Application Publication No.2006/0058694, preceding WO2003/048789, the 14Meas.Sci.Technol.923-928 (2003) of C.J.Harland et al.Described, each of which is expressly incorporated herein by reference.In embodiments, one or manyIndividual sensor 102 can be included in a piece of furniture (such as, chair or desk) or electrical equipment (ratioSuch as, personal computer) in or with a piece of furniture (such as, chair or desk) or electrical equipment(such as, personal computer) or some other in the range of such as about one meter from patientRemote items be associated.In embodiments, it is possible to measure one or more sensor of electromotive force102 can be embedded in direct with patient but the non-conductive object (such as, bed or chair) contacted.Such as, such as preceding United States Patent (USP) No.7, described in 245,956, each of which is passed throughWith reference to being expressly incorporated herein.In embodiments, one or more sensor 102 can be by checking patientOr the physiological activity of its organ senses eartbeat interval and ECG information, and may operate to responseSense patient 104 in sending or illuminate patient the electromagnetic signal that reflected by patient facing to patientFeature.In embodiments, illuminate described in and can include exposing energy facing to patient, making patientStand energy or guide energy facing to patient.The electromagnetic signal illuminating or reflecting is used (to includeRadio frequency (RF) or microwave signal) system in United States Patent (USP) No.7,272,431, United States Patent (USP)Shen Qing Publication No.2004/0123667 or U.S. Patent Application Publication No.2008/0045832In have described, each of which is expressly incorporated herein by reference.In embodiments, one orMultiple sensors 102 can be sensor arraies or include sensor array, one or more sensingDevice 102 can be deployed in the most whole room, possibly as the composition portion of intelligent space networkPoint, in order to the patient during monitoring is had a rest or in motion.
In embodiments, one or more sensor 102 information collected can be transmitted toComputer.In embodiments, information can electronically send the calculating of described system toMachine.In embodiments, information wirelessly (such as, can use radio wave or ultrasonicRipple or Bluetooth technology) send the computer of described system to.In embodiments, computer canIt is used for processing described information.Described computer can be the ingredient of network.
As it is shown in figure 1, in one embodiment, for carry medical product or service it isSystem 100 includes one or more sensor 102 being configured to evaluate patient 104.As it can be seen,Patient 104 can be evaluated by various patterns, includes but not limited to input-output apparatus (exampleSuch as, user interface) 117, (such as, breath tester, thermal scanner, breathing pass sensorSensor, pupillometry meter, retinal scanner etc.) 118, audio/video devices 114 (exampleAs, photographic head), optionally include receptor 106, transceiver 108, transmitter 110, calculateOne or more in machine equipment 112, memorizer 116 or power supply 115.
In embodiments, one or more sensor 102 include being configured to not with patientThe sensor array of the feature of patient 102 is sensed in the case of Body contact.Such as, described biographySensor array can include at least two sensor head.In embodiments, described at least two passesSensor head can include at least two sensor head being configured to sense the same characteristic features of patient.?In embodiment, described at least two sensor head can include the difference being configured to sense patientThe sensor head of feature.Such as, a sensor head can be configured to sense temperature, and another passesSensor head is configured to sense heart rate, and another sensor head is configured to sense blood pressure.In realityExecuting in mode, sensor includes the impedance to patient, electric capacity, dielectric constant, reflectance, suctionReceive or the sensor response of electrical activity, but do not contact with described patient body.For example,Including the capacitive proximity being configured to sense the feature of patient but do not contact with described patient bodySensor element has described in U.S. Patent Application Publication No.2008/0246495, and this is specialProfit Shen Qing Publication is expressly incorporated herein by reference.Such as, in embodiments, reflection or reflectanceFeature can include sound, light or radio-wave reflection rate.In embodiments, sensor includesSensor response to the feature of patient, but do not contact with described patient body.At embodimentIn, sensor includes being configured to sense the feature of patient, and (such as, at least one is anatomicallyOr physiological feature) sensor.Measured feature includes steady state characteristic (exampleAs, height, body weight etc.) and characteristics of variables (such as, heart rate, blood oxygen level etc.).
In embodiments, one or more sensor 102 include being configured to not with patientThe sensor of the evaluation criteria of patient 104 is sensed in the case of Body contact.Such as, sensorCan be configured to be associated with chair, medicated pillow or gurney.Embodiment at this sensorIn, dress that sensor can include being configured to be worn with patient or clothing physical interconnection andIt is configured in the case of not contacting sense the sensing of the feature of described patient with patient bodyDevice.In the embodiment of this sensor, sensor can include being configured to thing worn with patientPart physical interconnection and be configured in the case of not contacting with patient body sense described patient'sThe sensor of feature.Such as, sensor can be configured to and glasses or jewelry physical interconnection.LiftFor example, it is configured to the sensor of object physical interconnection worn with patient by T.Clark's et al.U.S. Patent Application Publication No.2006/0058694, Electrodynamic sensors andapplications thereof；The WO 2003/048789 of T.D.Clark et al.,Electrodynamic sensors and applications thereof；Or C.J.Harland et al.High resolution ambulatory electrocardiographic monitoring usingwrist-mounted electric potential sensors,14Meas.Sci.Technol.923-928(2003) being described, each of which is expressly incorporated herein by reference.
In embodiments, one or more sensor 102 includes being configured to touch at not healthThe sensor device of the evaluation criteria of patient 104 is sensed in the case of touching patient.At embodimentIn, sensor device includes being configured to do not sensing patient with in the case of patient's Ohmic contactThe sensor device of evaluation criteria.In embodiments, sensor device includes being configured toThe sensor device of evaluation criteria of patient is not being sensed with in the case of patient's conductive contact.?In embodiment, sensor device includes being configured to cross over the non-conductive gap between patientThe sensor device of the evaluation criteria of sensing patient.
In embodiments, sensor device includes being configured to do not contacting with patient bodyIn the case of sense the electrodynamic transducers device of electrical activity of heart of patient.Such as, electronicFormula sensor can be configured to sense electrical activity (the such as electrocardiogram of heart rate, heart) or electrical conductivity (ECG).It is configured to sensing in the case of not contacting with patient body suffer fromThe example of the high input impedance electrodynamic transducers device of the electrical activity of the heart of person is at U. S. applicationAnnounce No.2006/0058694；Preceding WO 2003/048789；Clark et al's et al.Electrodynamic sensors and applications thereof have described.Embodiment partyIn formula, sensor device includes that being configured to sensing in the case of not contacting with patient body suffers fromThe self adaptation electric potential sensor device of the feature of person.It is configured to do not contacting with patient bodyIn the case of sense the example of self adaptation electric potential sensor device of feature of patient at R.L.PranceEt al. Adaptive Electric Potential Sensors for smart signal acquisition andProcessing, 76Journal of Physics:Conference Series, has in 012025 (2007)Described.In embodiments, sensor device includes being configured to do not connecing with patient bodyThe potential probe sensor device of the feature of patient is sensed in the case of Chuing.Be configured to not withThe health electrical activity or the signal that sense patient in the case of patient body contact are (such as, the most dynamicAffectionately fight or other health electric power activity or signals) the example of potential probe sensor deviceThe 13Meas.Sci.Tech.163-169 (2002) of C.J.Harland et al. have described.
In embodiments, one or more sensor 102 includes being configured to sense patient'sElectricity evaluation criteria, acoustic evaluation standard, hot evaluation criteria, radiation evaluation criteria, absorption assessment markIn standard, reflection evaluation criteria, gas emission evaluation standard or genetic evaluation standard at least oneIndividual sensor.In embodiments, hot evaluation criteria can include the thermal characteristics of infrared analysis.In embodiments, hot evaluation criteria can include the microwave length (3-naturally sent by patient30cm) electromagnetic radiation.Such as, the sensor bag of the hot evaluation criteria of patient it is configured to senseInclude microwave radiometer, microwave radiometer may operate to measure from patient interior tissue micro-Natural electromagnetic radiation in the range of ripple.In embodiments, microwave radiometer can be with infrared sensingDevice combines, such as the New diagnostic methods in acupuncture of R.Avagyan et al.,ICMART’99International Medical Acupuncture Symposium 7,Riga,(May21-23,1999) in described, the document is expressly incorporated herein by reference.Also can be found in announcement No.WO 2006/091123 (PCT/RU2006/000072), this announcement is expressly incorporated herein by reference.Such as, inherited characteristic can include that the light wave as evaluation criteria of patient or radio wave heredity are specialLevy.Such as, in embodiments, radiation feature can include being sent out by his/her health of patientThe gamma radiation gone out or other kinds of radiation, such as potassium 40.Be configured to not with patient's bodyBody contact in the case of sense patient feature gamma ray sensor device example expection byThe Radtell of the Oak Ridge National Laboratory of Tennessee State Oak RidgeTMPassive gamma ray sensorThere is provided.
In embodiments, sensor 102 is operably coupled to one or more sensor controlUnit 134 processed.In embodiments, one or more sensor control unit 134 is for control oneOr the activity of multiple sensor 102.Such as, in embodiments, one or more sensor controlUnit 134 processed control one or more sensor 102 detect from patient with the one of described patientOr one or more time of relevant one or more signal of multiple evaluation criteria.At embodimentIn, one or more sensor control unit 134 control one or more sensor 102 detect fromThe one or many of one or more signal relevant with one or more evaluation criteria of described patient of patientThe individual time period.
In embodiments, what sensor 102 was configured to that Wireless transceiver senses is derived from troubleThe signal of telecommunication of person.In embodiments, sensor 102 electrically or is optically coupled to controlCircuit is to transmit one or more signal.In embodiments, sensor 102 includes one or moreSensor housing 144.In embodiments, one or more sensor housing 114 and one or moreSensor 102 is operatively coupled.
In embodiments, if the sensor of dry type 102 can be operatively coupled meterCalculation equipment 112.The example of sensors with auxiliary electrode 102 includes but not limited to electrode, surface plasmaResonance detector, MEMS detector, micro-cantilever detector, Nitric oxide detectors,Osmotic pressure detector, based on correlation detector, chemical detector, pressure detector, electrificationLearn detector, piezoelectric detector, pH value detector, hydrogel detector, enzyme detector, ballIntegrated circuit detector, parent viscosimetric detector, blood pressure detecting device, metal detector, Fructus Vitis viniferaeSugar detector, etc. (such as, United States Patent (USP) No.:7,162,289；6,280,604；5,603,820；5,582,170；6,287,452；7,291,503；6,764,446；7,168,294；6,823,717；7,205,701；6,268,161；4,703,756；6,965,791；6,546,268；6,210,326；6,514,689；6,234,973；6,442,413；Tu's et al.Electroanalysis, 11:70-74 (1999), each of which is expressly incorporated herein by reference).?In embodiment, one or more detector 136 is configured to detect the pH value from patient, changeOne or more in product or nerve signal.
In embodiments, one or more sensor housing 114 includes being operably coupled toThe circuit of one or more sensor 102.In embodiments, one or more sensor housing 114Circuit including the elimination being configured to facilitate one or more sacrifice layer.In embodiments, oneOr multiple sensor housing 114 includes being configured to be operably coupled to one or more sensorThe circuit of control unit 134.In embodiments, one or more sensor housing 114 includesIt is configured to be operably coupled to the circuit of one or more probe power 115.Embodiment partyIn formula, one or more sensor housing 114 includes being configured to be operably coupled to one or manyThe circuit of individual transducer receivers 106.In embodiments, one or more sensor housing 114Including being configured to be operably coupled to the circuit of one or more sensor transmitter 110.
In embodiments, sensor 102 includes one or more probe power 115 (bagInclude but be not limited to battery).In embodiments, sensor 102 is operably coupled to one or manyIndividual sensor battery 115.In embodiments, sensor battery 115 includes Membrane Fuel electricityPond, such as solid oxide type (SOFC), solid polymer type (SPFC), proton exchangeMembranous type (PEMFC) and/or their substantially combination in any.Manufacture this Membrane Fuel electricityThe method in pond be known and be described (such as, United States Patent (USP) No.:7,189,471, shouldPatent is expressly incorporated herein by reference).In embodiments, one or more sensor battery 115 wrapsInclude and be arranged to energy storage and one or more storage films of energy conversion.Manufacture this storageThe method of film be known and be described (such as, United States Patent (USP) No.:7,238,628, shouldPatent is expressly incorporated herein by reference).In embodiments, sensor battery 115 is based on biologyBattery (such as, United States Patent (USP) No.:6,994,934, this patent is incorporated by reference into thisLiterary composition).In embodiments, one or more sensor battery 115 is hull cell.Manufacture thin filmThe method of battery (including thin-film microbattery) is known and has been described that (such as, the U.S. is specialProfit No.:5,338,625,7,194,801；7,144,655；6,818,356, those patents are passed throughWith reference to being expressly incorporated herein).In embodiments, one or more sensor electromagnetic receiver (does not showsGo out) it is used for electromagnetic coupled power to supply to one or more sensor 102 from external power source 115Electricity.Structure electromagnetic receiver method be described (such as, United States Patent (USP) No.:5,571,152, this patent is expressly incorporated herein by reference).In embodiments, receptor and/orTransmitter is not the ingredient of sensor.
In embodiments, system 100 includes one or more sensor transmitter 110.IfThe transmitter 110 of dry type can be used in association with system 100.This type of transmitter 110Example include but not limited to send one or more acoustic signal, optical signalling, radio signal,The transmitter of wireless signal, hardwired signals, infrared signal, ultrasonic signal etc. is (such as, beautifulState's patent No.:RE39,785；7,260,768；7,260,764；7,260,402；7,257,327；7,215,887；7,218,900), each of which is expressly incorporated herein by reference.In embodiments, one or more sensor transmitter 110 can send one or more letter of encryptionNumber.If the transmitter of dry type is known and has been described (such as, United States Patent (USP) and announcementU.S. Patent application No.:7,236,595；7,260,155；7,227,956；US2006/0280307), each of which is expressly incorporated herein by reference.
In embodiments, system 100 includes one or more transducer receivers 106.IfThe transducer receivers 106 of dry type can be used in association with system 100.Sensors with auxiliary electrodeThe example of receptor 106 include but not limited to receive one or more acoustic signal, optical signalling,The reception of radio signal, wireless signal, hardwired signals, infrared signal, ultrasonic signal etc.Device.This type of receptor 106 be known and be described (such as, United States Patent (USP) No.:RE39,785；7,218,900；7,254,160；7,245,894；7,206,605), each of whichAll it is expressly incorporated herein by reference.
In embodiments, system 100 includes optionally being electrically connected to calculating equipment 112The drop-off box 136 (locked drop box) locked.In embodiments, one or more grid(compartment) 145 multiple medical product or the service that patient 104 may seek is preserved.In embodiments, system 100 includes distribution boxes 142, is optionally disposed in medical product or serviceThe place being distributed.In embodiments, described product or service are directly from the grid at its place145 fetch.In embodiments, grid 145 be used for reminding patient 104 medical product orService is positioned in this grid 145 and is ready for being retrieved (such as, by opening gridDoor) at least one device configure.In embodiments, for reminding, patient's is describedDevice includes at least one sound prompting, visual alerts or tactile alert, such as, such as lamp,Bleep, buzz, vibration or other similar promptings.In embodiments, system100 farther include printer/scanner/facsimile machine 120.In embodiments, system 100Including exchange through money machine or receiver 140.In embodiments, privacy curtain/door 150 account forPatient 104 uses privacy during system 100.In embodiments, medicine-chest () equipment 155Be configured to port (such as, by wired connection, flash disc drives (USB), micro-firmlyDish or wireless connections) engage with calculating equipment 112.In embodiments, described medicine-chest bagInclude at least one grid (such as, closable grid), at least one grid operability describedGround be arranged at described grid that occupied (such as, be opened, medicine is distributed to instituteState in grid) time send signal circuit coupling
The various statistical procedure of analogue system or computerized algorithm can be with described herein variousEmbodiment realizes.Such as, ANOVA, Monte Carlo (Monte Carlo), etc., withAnd other programs can be implemented.
In embodiments, signal can be external signal 188.The example bag of this type of signalInclude but be not limited to analogue signal, digital signal, acoustic signal, optical signalling, aerogramNumber, wireless signal, hardwired signals, infrared signal, ultrasonic signal, etc..Embodiment partyIn formula, one or more signal can not be encrypted.In embodiments, one or more signal can quiltEncryption.In embodiments, one or more signal can be sent out by the safe mode that use is transmittedSend.In embodiments, one or more signal can be encoded to be received by particular patient.In realityExecuting in mode, this code can include specific anonymous code for patients.Accordingly, includingInformation in one or more signal can be protected against by be not expection recipient other peopleAccess.
As it is shown in figure 1, describing method described herein, system and computer programEmbodiment in, one or more patient is used for cashing voucher or asks one or more medical treatmentProduct or the booth of service.
In embodiments, at least one data set described herein includes that dynamic data is tiedStructure.In embodiments, at least one data set described herein includes that static data is tiedStructure.In embodiments, patient's inquiry based on evaluation criteria and evaluated, evaluation criteriaAddress inquires to and form data structure and can be used for determining overall health status indicator value.ImplementingIn mode, described inquiry includes the inquiry to patient, the standard observed or sense or baseAt least one in the healthy history of patient or the input of health records.Such as, embodiment partyIn formula, described inquiry includes the investigation from input-output apparatus.In embodiments, describedInvestigation can be with any language, or with picture or other forms.In embodiments, describedInvestigation includes allowing formerly response based on patient to customize skipping of investigation for this patient and patrolCollect or conditional branching.Such as, if patient first inquiry include inquire patient be male orWomen, and this patient answers " women ", then investigation skip logic rule may be such that by forceMake this patient and skip the symptom proprietary to male or the relevant problem of situation.
In embodiments, a specific evaluation criteria value is tighter than another specific evaluation criteria valueThickly couple with health status indicator value.Such as, heavier weight can be endowed with correspondingThe evaluation criteria of health status indicator value (such as, heart rate, breathing etc.) close-coupled.?In embodiment, the weighting of one or more evaluation criteria value is heavier, thus is being included in patient'sProduce higher value time in response, and make analysis tend to permit the request of patient (if shouldAsk needs assessment).Such as, heavier weight can be endowed in that sense or patient health recordThe feature existed, and lighter weight can be endowed the feature from report, particularly when collectedData occur contradiction or inconsistent time.
In embodiments, in order to permit medical product or service some request need not orHave only to few patient evaluation (such as, the request of adhesive bandage, the request of 2 ibuprofen, etc.Deng), simultaneously need the medium or patient evaluation (example of height to permit other some requestsAs, the request of pregnancy tests, the request of Statins, etc.), some request then may require that troublePerson seeks other treatment and in any case all without permitting maybe only having by before patientThe voucher that obtains at medical supplier and be allowed (such as, narcotic request, etc.).
As it is shown in figure 1, system 102 includes calculating equipment 112, calculate equipment 112 optionalGround has receptor 106, transceiver 108, transmitter 110, memorizer 116 or power supply 115In one or more.In embodiments, as discussed, dynamic data set includes from queueIn the compiling of data of each patient assessed.Such as, patient is evaluated, produces ABC numberAccording to (one or more one or more evaluation criteria value being subject to assess feature based on patient), ABCData provide the health status indicator value for producing patient based on evaluation criteria Value Data collectionBasis, ABC data enter the evaluation criteria data set for this patient.In embodiments,This information is uploaded so that any booth in network or remote access dispatch station are updated, andThis patient does not allow because that be just satisfied or firm unaccepted same request uses second booth.
Fig. 2 shows the embodiment including system 255, and system 255 includes at least oneIndividual calculating equipment 200.Described calculating equipment can be in any number of forms or an object (such as,Limited resources calculate equipment, Wireless Telecom Equipment, mobile radio communication apparatus, electronic pen, handsHold formula electronic writing equipment, digital camera, scanner, ultrasonic device, x-ray machine, non-intrudingProperty imaging device, mobile phone, PDA, electronic plane equipment, medical apparatus and instruments (implantable or itsHe), printer, automobile and aircraft) ingredient.
Calculating equipment 200 be operatively connected at least one input-output apparatus (seeOther accompanying drawings), patient 204 can be mutual with this at least one input-output apparatus.Such as, in realityExecuting in mode, system 255 includes that input-output apparatus 211, input-output apparatus 211 includeMay operate to the non-transitory signal bearing medium mutual with user 218 (can be to medical treatment workCertainly the breath of notifying of author, the information sensed or obtain from healthy historical record or family memberInformation, etc., patient can from report or auxiliary can represent patient report) and receive and patientSeek medical product or service relevant input.In embodiments, input-output apparatus 211Including may operate to by from patient with patient try to medical product or service relevant extremelyA few input compares (as described herein) and based on this with one or more checking data setRelatively produce validation value and the most again to initiate to receive at least one at this patient otherThe non-transitory signal inputting and optionally repeating described comparison step and generation validation value holdsCarry medium.In embodiments, non-transitory signal bearing medium may operate to again initiate to connectReceive from least one other input of patient until verification threshold is satisfied or refuses and passSend the output representing this validation value.In embodiments, described output includes visual cues, soundAt least one in sound prompting or tactile cue.In embodiments, input-output apparatus canOperation converts the input into the electronic signal including digitized or weighting protocols.
In embodiments, checking data set includes the electron medical treatment of inventory data collection, patientIn log data set, identifying code data set or health status indicator data set one or manyIndividual.In embodiments, described input includes in response to one or more at least one addressed inquires to defeatedEnter.In embodiments, described input includes being detected at least by one or more sensorOne physiological parameter or feature, such as electrical measurement, Biochemistry measurement result or thermal measurementResult.
In embodiments, described input include from data storage device (such as, USB,CD, DVD or similar storage device) input.Equally, with patient by mobile phone,Computer flat board, computer notebook computer or other calculating equipment seek medical product or clothesRelevant input of being engaged in can be provided that.
If additionally, use one or more sensor, then information is sensed 213.System255 also include the comparator 214 for validation value data set, for the comparison of validation value data setDevice 214 couples with electric health record or family's health history 215 operably.ImplementingIn mode, system 255 also includes at least one for one or more validation value for patientGeneration unit 217.In embodiments, system 255 includes distributing validation value unit 225, andProduce output 229, output 229 can include medical product sought by patient 204 or service pointSend out.In embodiments, when the validation value of patient meets verification threshold, a signal is permissibleRemind.
In embodiments, further with regard at least one Symptoms Assessment patient (by by sensingDevice senses, certainly reports, represents patient's report or retrieve from electric health record, etc.), and willThe symptom standard of assessment compares with state of health data collection.This does not have patient criticizes in advanceDuring accurate prescription particularly useful.In embodiments, patient is based on the allocated health of described comparisonIndicator value, and described system can be in the satisfied health of the health status indicator value of this patientAlerting signal is sent during state threshold.
In embodiments, produce validation value to include coordinating to be satisfied by medical conditions code or valueThe function of threshold condition.As described elsewhere herein, feature or the symptom of patient can be encodedThus produce medical conditions code.
In embodiments, relatively described input include by least one in identification information withIdentify that data set coordinates the function for threshold condition.Identification information is described in this article, and bagInclude such as fingerprint, driving license or be special for seeking the identification of patient of medical product or serviceOther fixed information.In embodiments, at least one input is stored.
In embodiments, described system is further configured for testing in response to transmission expressionThe output of card value and send one or more signal, one or more signal described can include tactile expressionAt least one in mode, sound manifestation mode, visual performance mode.In embodiments,Tactile expression mode includes at least one vibration mode (such as, pulse mode or velocity mode).In embodiments, described method and system farther includes record and optionally stores from patientPlace receives the result of one or more validation value of at least one input and/or reception patient.ImplementingIn mode, system and method as herein described includes that recording patient has taken or used medical treatment product awayThe confirmation of product or service (such as, sound, video, etc.).In embodiments, described noteRecord include timestamp, position stamp, patient's name, medical product or service name or code orDrug dose.In embodiments, record includes that reception is relevant to medical product or serviceRFID signal (such as, RFID signal represents that packaging is opened or medicine is swallowed).
As shown in Figure 1-2, patient makes the request needing at least some to assess, and provides productAt least one response of raw validation value data set (can be static or dynamic) is (such as,By addressing inquires to or sensor).From checking data set, the validation value of patient is determined, and optionally wrapsInclude the analysis to healthy history/record.If as it can be seen, in the validation value of patient one or manyIndividual beyond [making a reservation for] threshold value, then the request of patient is allowed.As described herein, at embodimentIn, checking input includes the identification (driving license, fingerprint etc.) of patient.In embodiments, checkingInput includes identifying and symptom or health status are (such as, by evaluation criteria or senseOr report symptom or situation).As described herein, in embodiments, patient show forThe voucher cashed, and need not assessment.
In embodiments, in patient admission's medical product or service, and patient evaluation standardOne or more can exceed that and maybe may be less than [making a reservation for] threshold value, but the request of patient needs notBase that is that exceed described threshold value or that represent the standard permitting the further assessment of these request needsFurther assessment on plinth.
Fig. 3 shows the input-output apparatus operatively coupled with calculating equipment 320300, calculating equipment 320 includes processing unit 321, system storage 322 and will includeSystem sensor 322 is at the system bus of interior multiple couple system components to processing unit 321323.System bus 323 can be include memory bus or memory controller, peripheral bus, withAnd use any one the local bus in various bus architecture at interior some type bus knotAny one in structure.System bus 323 can be include memory bus or memory controller,If peripheral bus and use any one local bus in various bus architecture interiorAny one in dry type bus structures.For example (and unrestricted), this type of framework includesIndustry Standard Architecture (ISA) bus, Micro Channel Architecture (MCA) bus, enhancement mode ISA(EISA) bus, VESA's (VESA) local bus and outer partPart interconnection (PCI) bus (also known as mezzanine bus).
System storage includes read only memory (ROM) 324 and random access storage device(RAM)325.Comprise help sub-portion in thin calculating equipment 320 in start-up courseThe basic input/output (BIOS) 326 of the basic routine transmitting information between part is storedIn ROM 324.Some program modules can be stored in ROM 324 or RAM 325,It is included in operating system 328, one or more application program 329, other program module 330 and journeysOrdinal number is according in 331.
User can be by being connected to the input equipment of described system via suitable interface 345(such as, some switch and buttons) (being shown as hardware button 344) will order and information inputCalculating equipment 320.Input equipment can farther include have touching of suitable input detecting circuitQuick display, it is shown that for display 332 and screen input detector 333.Touch-sensitive display 332Output circuit be connected to system bus 323 via video driver 337.Other input equipments canIncluding the microphone 334 connected by suitable audio interface 335 and physical hardware keyboard (notIllustrate).Outut device can include at least one display 332 or projector display 336.
Outside display 332, calculating equipment 320 can include other peripheral output devices,Such as at least one speaker 338.Other outside inputs or outut device 339 (such as, are handledBar, game paddle, satellite antenna, scanner etc.) USB port 340 and USB can be passed throughPort interface 341 is connected to processing unit 321, may be connected to system bus 323.Alternatively,Other outside input and output devices 339 can be by (such as, parallel port, the game of other interfacesPort or other ports) connect.Calculating equipment 320 can farther include maybe can be by appropriateConnectivity port (not shown) be connected to flash card memory (not shown).Calculating equipment 320Can farther include maybe can be connected to the network by the network port 342 and network interface 343,And be available for helping and other ancillary equipment by radio port 346 and corresponding wave point 347The communication of (include other computers, printer, etc.) (not shown).It is to be understood thatShown in various parts and connection be example, and set up the miscellaneous part of communication link and device alsoCan be used.
Calculating equipment 320 is designed to include user interface.User interface can include viaCharacter, key base (key-based) or another user data of touch-sensitive display 332 input.WithInterface, family can include using pointer (not shown).Additionally, user interface is not limited to be arranged useIn the touch-sensitive flat board of the reality directly receiving input, and alternatively or additionally respond another inputEquipment, such as microphone 334.Such as, the word said can be received at microphone 334 and be knownNot.Alternatively, calculating equipment 320 is designed to the user interface including having physical keyboard(not shown).
In some cases, can be not deemed must for one or more parts of calculating equipment 320Want and can be omitted.In other circumstances, one or more miscellaneous part can be considered as necessaryAnd it is added to calculating equipment.
In some cases, calculating equipment generally includes various computer readable medium product.Computer-readable medium can include any medium that can be accessed by calculating equipment 320, and includesVolatibility and non-volatile media, removable and irremovable medium.For example (not limitSystem), computer-readable medium can include computer-readable storage medium.(not limit for by way of further exampleSystem), computer-readable medium can include communication media.
Computer-readable storage medium includes (comparing for information with what any method or technology realizedAs, computer-readable instruction, data structure, program module or other data) storageVolatibility and medium non-volatile, removable and irremovable.Computer-readable storage medium include butBe not limited to random access storage device (RAM), read only memory (ROM), electric erasable can be compiledJourney read only memory (EEPROM), flash memory or other memory technologies, CD-ROM, numeralMultiplex CD (DVD) or other disk storages, magnetic holder, tape, disk memory orOther magnetic storage apparatus, maybe can be used for storing desired information and can be by calculating equipment 720Any other medium accessed.In further embodiment, computer-readable storage medium can wrapInclude computer-readable storage medium equipment group.In another embodiment, computer-readable storage medium canStore including information.In another embodiment, information storage can include quantum memory, lightSub-quantum memory or atomic weight quantum memory.Any of the above described combination also can be included in meterIn the range of calculation machine computer-readable recording medium.
Communication media can generally comprise computer-readable instruction, data structure, program module,Or other data in modulated data signal (such as carrier wave or other transmission mechanisms), and includeAny information delivery media.Term " modulated data signal " mean to have in its feature set orIt is multiple or so that the information in signal is encoded the signal that is changed of such a mode.For example(and unrestricted), communication media includes wire medium (such as, cable network and direct wired companyConnect) and wireless medium (such as, acoustic medium, RF medium, optical medium and infrared JieMatter).
Calculating equipment 320 may also include other removable/nonremovable, volatibility/non-volatileProperty computer-readable storage medium product.Such as, this type of medium includes irremovable non-volatile memoriesDevice interface (hard-disk interface) 345 or removable non-volatile memory interface 350, can not moveDynamic non-volatile memory interface 345 reads from the most irremovable non-volatile magnetic media and writesEnter the most irremovable non-volatile magnetic media, removable non-volatile memory interface 350 exampleAs being coupled to disc driver 351, reading and write can move from removable non-volatile magnetic disk 352Move non-volatile magnetic disk 352 or be coupled to CD drive 355, from removable anonvolatile optical disk356 (such as CD ROM) read and write removable anonvolatile optical disk 356 (such as CDROM).Can be used in other removable/nonremovable, the volatibility/non-in Example Operating EnvironmentVolatile computer storage medium include but not limited to cassette tape, storage card, flash card,DVD, digital video tape, solid-state RAM and solid-state ROM.Hard disk drive 357 is usualIt is connected to system bus 323 by non-removable memory interface (such as interface 345), and magneticDisk drive 351 and CD drive 355 are generally by removable non-volatile memory interface(such as interface 350) is connected to system bus 323.
Driver discussed above and correlation computer storage medium thereof are calculating equipment 320Computer-readable instruction, data structure, program module or the storage of other data are provided.
User can pass through input equipment, and (such as, microphone, keyboard or pointing device are (generallyIt is finger mouse, trace ball or touch pad)) will order and information input calculating equipment 320.ItsHe can include touch-sensitive display, stick, game paddle, satellite by input equipment (not shown)At least one in antenna and scanner.These input equipments and other input equipments often throughThe user's input interface being coupled to system bus is connected to processing unit, but also can be connect by otherMouth and bus structures (such as, parallel port, game port or USB (universal serial bus)(USB)) connect.
Calculating system can use one or more remote computer (such as, remote computer380) network environment that logic connects is run.Remote computer 380 can be individual calculusMachine, server, router, network PC, peer device or other common network node, andGenerally include the many or all elements described above in connection with calculating equipment 320, although only depositReservoir storage device.Cellular logic connects and includes LAN (LAN) and wide area network(WAN), and may also include other networks, the most individual territory net (PAN) (not shown).ThisNetwork environment is common in office, enterprise-wide. computer networks, Intranet and the Internet.
When being used in network environment, described calculating system is by network interface (such as,Network interface 370, modem 372 or wave point 393) it is connected to network 371.This network can include lan network environment or WAN network environment (such as the Internet).?In network environment, program module or its part that contact calculating equipment 320 describes can be stored inIn remote memory storage device.For example (and unrestricted), remote application 385 is stayedStay on computer media 381.It is to be understood that the connection of shown network is example and can useSet up other devices of communication link between computer.
In some cases, can be not deemed must for one or more element of calculating equipment 320Want and can be omitted.In other circumstances, one or more miscellaneous part can be considered as necessaryAnd it is added to calculating equipment 320.
Signal generator 390 includes being configured to generate the assessment being sensed representing patientThe signal generator of the signal of standard.In embodiments, signal can include that original number it is believed thatNumber, i.e. the change of position of the skin on the capacitance measurements of patient, carotid artery, acoustic pressure,Or brain electrical acti.In embodiments, signal generator can include processor circuit 392, controlTreat resolution circuitry 394, Treatment decsion circuit 396 or telecommunication circuit 398.At embodimentIn, telecommunication circuit may operate to utilize electric conductor or utilization to be wirelessly transferred communication.At embodimentIn, described signal generator can include the example of thin calculating equipment 320, and described processor electricityRoad can be processing unit 321.
In embodiments, described system actively monitoring (such as, detect, tracking etc.) is logicalCross use computed axial tomography, optical fiber temperature-measurement, infrared thermal imaging, magnetic resonance one-tenthPicture, Magnetic Resonance Spectrum, microwave thermal imaging, micro-wave dielectric spectrum, pet,Ultrasonic reflections meter, light spectrum image-forming, visual imaging, infrared imaging, single photon emission computedAt least one in tomography etc. and the patient that is positioned.
In embodiments, described system includes that patient follows the tracks of system (not shown).Such as, in embodiments, described system includes (comparing with physical space for real-time updateAs, the office of doctor, airport, school, campus etc.) in the physical location of patientThe patient of the virtual location of the corresponding patient in Virtual Space follows the tracks of system.At embodimentIn, followed the tracks of relative to the drop-off box locked or the distribution of product/service by described tracking systemThe patient position of mouth.In embodiments, map is provided to patient to guide patient elsewhereSeek medical treatment and nursing.In embodiments, patient's system of following the tracks of includes the distributed biography of optical identificationSensor network, it is whole that described optical identification distributed sensor networks is based in part on patientThe continuously monitoring of health (including the motion of patient, gait etc.) and produce health status and refer toShow identifier value, optionally as to from patient for medical product or the request of service or voucherThe part approval cashed.
As shown in Figure 4, system 400 includes being operatively connectable to central server 405One or more booth (is respectively shown as 411,412 and 413), described central server 405 operabilityBe connected to disk drive memory 410.As described elsewhere herein, each booth (411,412,413) include the optional feature that can communicate further with central server 405, including butBe not limited to printer/scanner/facsimile machine, currency receiver, for detecting the special characteristic of patientSensor and for patient interactive menu with provide with patient seek medical product or clothesIt is engaged in relevant input.In embodiments, central server 405 includes being arranged to arrangeMedical product of equal value each other or the circuit (if patient admission's equivalent) of service.Embodiment partyIn formula, central server 405 includes being arranged to produce seeking medical product or clothes with patientThe circuit of relevant output information of being engaged in.In embodiments, central server 405 includes being joinedPut for processing approval, checking approval in advance or by the electricity of feature evaluation criterion evaluation patientRoad.In embodiments, central server 405 includes being arranged to process producing for medical treatmentThe financial transaction (including accepting currency or credit/debit card/online financial transaction) of product or serviceOr process the circuit of insurance clause.In embodiments, central server 405 includes being configuredStock in determining each booth in network and mending to user or central authorities for trunk informationInventory facilities (not shown) to supplement is up to the stock's of predeterminated level in any specific boothCircuit.In embodiments, each booth has reached predetermined water at specific medical product or serviceSignal to central server 405 at ordinary times, or in each medical product or each distribution of serviceSignal to central server 405 the most in real time.In embodiments, central server 405Including monitoring security breaches for any one booth in a network and disabling the suspicion of being tamperedOr the circuit of the most leaky booth of safety.In embodiments, central server 405 includes usingIn when whether the validation value and this value determining patient meets verification threshold communicate with each boothCircuit.
In embodiments, each booth (411,412,413) includes for one or manyIndividual sensor, one or more input-output apparatus, central server etc. communication circuit and can wrapInclude for the user interface mutual with the patient seeking medical product or service.At embodimentIn, server interface (not shown) includes for wirelessly sending out between booth and central serverSend and receive the circuit of data.
As it is shown in figure 5, in embodiments, system 500 includes that booth 100, booth 100 haveThere is one or more grid (510,520,530,540,550,560,570 and 580), appointSelection of land, each grid preserves the medical product different from other grid or service.At embodimentIn, each grid (510,520,530,540,550,560,570,580) includes usingIn by medical product or delivery of services to the opening of patient 104 or fluting 505.At embodimentIn, more than one grid (510,520,530,540,550,560,570,580)Public for by medical product or delivery of services to the central opening of patient 104 or fluting 590.?In embodiment, public fluting or opening 590 can be configured to from row, column or other are manyIndividual grid (510,520,530,540,550,560,570,580) distribution medical productOr service.In embodiments, the aforementioned drop-off box 136 locked also includes for central authorities' clothesBusiness device sends data or receives the circuit of data (dotted line) from central server and can include such asThe parts such as security alarm sensor, photographic head 114 or electronic lock 575.In embodiments,As described herein, each booth 100 includes multiple fluting or opening (505,590), described manyIndividual fluting or opening (505,590), medical product or serve is divided when verification threshold meetsSend out.In embodiments, the input-output apparatus of booth 100 and one or more grid (510,520,530,540,550,560,570,580) electronic communication and with central server 405Electronic communication (communication is represented by dotted lines).Additionally, as it can be seen, photographic head 114 and lockingDrop-off box 136 is also each and server 405 electronic communication (dotted line).
As described in Figure 6, system 600 includes booth 100, and patient 104 is by by medicine-chest equipment155 input-output apparatus 112 inserting booth 100 seek medical product or service.ImplementingIn mode, medicine-chest equipment 155 is configured as usb driver and inserts input-output apparatus112, and information transmits (dotted line) and optionally between medicine-chest equipment 155 and server 405(dotted line) is transmitted between medicine-chest equipment 155 and one or more grid 510.At embodimentIn, medicine-chest equipment 155 can be inserted into fluting or the opening 505 of particular grid 510.Embodiment partyIn formula, medicine-chest equipment 155 can be inserted into the public fluting of more than one grid 510 or opening590.As it can be seen, medicine-chest equipment 155 include one or more grid separated (656,657,658,659,660), the described grid that one or more separates (656,657,658,659,660) distribution of different pharmaceutical medicine can be allowed (at each grid separatedOn represent with distinct symbols).In embodiments, medicine-chest equipment include for (example in networkAs, at booth 100) one or more computing device communication or communicate with server 405 send outSend device or receptor (representing with antenna 670).In embodiments, GPS or other localizersIngredient as medicine-chest equipment is included.
That lists in that mention in this specification and/or any request for data list is all above-mentionedUnited States Patent (USP), U.S. Patent Application Publication, U.S. Patent application, foreign patent, foreign patentApplication and non-patent publications be not expressly incorporated herein by reference with in the case of runing counter to herein.
It will be appreciated by those skilled in the art that the state of the art has evolved to such oneThe degree of kind: almost do not have between the hardware of the many aspects of system, software and/or firmware implementationHave any different；The use of hardware, software and/or firmware is typically (but the most always, because at someIn situation, the selection between hardware and software can become significant) representative cost and benefit weighThe design alternative of weighing apparatus.It will be appreciated by those skilled in the art that existence is capable of described hereinMethod and/or system and/or other technologies variety carrier (such as, hardware, software and/orFirmware), and preferably carrier can be according to disposing described method and/or system and/or other technologiesSituation and become.Such as, if implementer determines that speed and accuracy are most important, then implementPerson may select predominantly hardware and/or the carrier of firmware；Alternatively, if motility is most important, then implementer may select the implementation of predominantly software；Or, the most alternatively, implementPerson may select some combinations of hardware, software and/or firmware.Accordingly, there exist and be capable of hereinDescribed method and/or equipment and/or the several viable carriers of other technologies, without onePlant carrier and be better than other carriers inherently, because being should according to deployment by any carrier usedThe situation of carrier and implementer focus particularly on point (such as, speed, motility or can be pre-Survey property) depending on selection, and any of which one all it may happen that change.People in the artMember is it will be recognized that the optics aspect of implementation can generally use the hardware in terms of optics, softwareWith or firmware.
In implementations more described herein, logic can be wrapped with similar implementationInclude software or other control structures being suitable to operation.Such as, electronic circuit can show and be constructedWith one or more current path that layout realizes various logic function described herein.OneIn a little implementations, one or more medium is configured to keep or transmit running at this mediumWith by load bearing equipment detectable implementation during the special equipment instruction set of execution described herein.In some change case, such as, this can behave as to existing software or firmware or gate array or itsThe renewal of his programmable hardware or other amendment, such as by perform with described herein one orThe reception of one or more instruction that multiple operations are relevant or transmission.Alternately or in addition, oneIn a little change case, it is achieved mode can include special hardware, software, fastener components and/or executionOr otherwise call the general purpose module of personal module.Specification or other implementations can be passed throughOne or more example of tangible transmission media described herein sends, and passes optionally by packetDefeated or otherwise by passing through distributed medium at different Time Transmission.
Alternately or in addition, it is achieved mode can include performing special instruction sequence or with otherMode is called for enabling, trigger, coordinate, ask or be otherwise result in above-mentioned any meritThe operable circuit occurred one or more times.In some change case, operability herein or itsHis logicality describe can be directly expressed as source code and be compiled as or otherwise call intoExecutable instruction sequence.In some situations, such as, C++ or other code sequences can be by directlyConnect compiling or be otherwise embodied as senior descriptor language (such as, can logic synthesis languageThe emulation of speech, hardware description language, hardware designs and/or other such similar expression patterns).Alternately or in addition, some or all of logical expression is can quilt before hardware physics realizationShow as Verilog type hardware description or other circuit models, in particular for basic operation or timeSequence closes of bonding application.In view of these are instructed, those skilled in the art will understand how to obtain, joinPut and optimize suitably transmission or computing element, material supply, actuator or other general knotsStructure.
Detailed description above is explained by the use of block diagram, flow chart and/or embodimentThe various embodiments of equipment and/or method are stated.If these block diagrams, flow chart and/or realityExecuting example and comprise one or more function and/or operation, those skilled in the art just should be appreciated that soBlock diagram, flow chart or embodiment in each function and/or operation can be by far-rangingHardware, software, firmware or their almost combination in any realize by oneself and/or jointly.?In embodiment, if the stem portion of subject matter described herein can pass through special IC(ASIC), field programmable gate array (FPGA), digital signal processor (DSP) or itsHe realizes integrated form.But it will be appreciated by those skilled in the art that embodiment party disclosed hereinSome aspects of formula can be implemented the most in integrated circuits in equivalence, as one orOne or more computer program run on multiple stage computer (such as, is counted as at one or moreIn calculation machine system run one or more program), as on one or more processor operation oneOr multiple program is (such as, as one or more journey run on one or more microprocessorSequence), as firmware or as their almost combination in any, and in view of the disclosure, design electricityRoad and/or write for software and or the code of firmware can be completely in the ability of those skilled in the artIn the range of.In addition, those skilled in the art will appreciate that, mechanism's energy of subject matter described hereinEnough it is distributed as various forms of program product, and is suitable for the explanation of subject matter described hereinProperty embodiment unrelated with the particular type of signal bearing medium performing distribution for reality.LetterThe example of number bearing medium includes but not limited to set forth below: recordable-type media, the softestDish, hard disk drive, CD (CD), digital video disk (DVD), digital magnetic tape, meterCalculation machine memorizer etc.；And transmission type media, such as numeral and/or analogue communication medium are (such asFiber optic cables, waveguide, wired communications links, wireless communication link (such as transmitter, receptionDevice, transmission logic, reception logic etc.), etc.).
In general sense, it will be appreciated by those skilled in the art that described herein variousEmbodiment can by have far-ranging electric component (such as hardware, software, firmware and/Or their almost combination in any) and the far-ranging parts giving mechanical force or motion(such as rigid body, spring or twist mechanism, hydraulic system, electromagnetic actuating device and/or theyAlmost combination in any) various types of Mechatronic Systems realize by oneself and/or jointly.CauseThis, " Mechatronic Systems " used herein includes but not limited to: (such as, activate with changerDevice, motor, piezoquartz, MEMS (MEMS) etc.) operatively coupled electricityRoad, have at least one discrete circuit circuit, have at least one integrated circuit circuit,There is the circuit of at least one special IC, form the general meter configured by computer programCalculation equipment is (such as, by the calculating realizing approach described herein and/or equipment at least in partMachine program configuration general purpose computer or by realize at least in part approach described herein and/Or equipment computer program configuration microprocessor) circuit, formed storage device (exampleAs, various forms of memorizeies (such as, random access memory, flash memory, read only memoryDeng)) circuit, formed communication equipment (such as, modem, communication switchboard, photoelectricityEquipment etc.) circuit and/or similar therewith non-electrical system (such as, optics or otherSimilar system).Those skilled in the art also will appreciate that, the example of Mechatronic Systems includes but not limited toVarious consumption electronic products systems, armarium and other system, such as electric transportation systemSystem, factory automation system, security system and/or communication/calculating system.Those skilled in the artIt will be recognized that unless the context requires otherwise, electromechanics the most used herein is not necessarily limited toElectrically and mechanically activate the two system having concurrently.
In general sense, it will be appreciated by those skilled in the art that described herein leading toCross far-ranging hardware, software, firmware and/or their combination in any by oneself and/or jointlyThe various aspects that ground realizes can be considered to include various types of " circuit ".Therefore, made herein" circuit " include but not limited to: there is the circuit of at least one discrete circuit, have at leastThe circuit of one integrated circuit, there is the circuit of at least one special IC, formed by countingThe universal computing device of calculation machine program configuration is (such as, described herein by realizing at least in partMethod and/or equipment computer program configuration general purpose computer or by real at least in partThe microprocessor of the computer program configuration of existing approach described herein and/or equipment) electricityRoad, formation storage device (such as, various forms of memorizeies (such as, random access memoryDevice, flash memory, read only memory etc.)) circuit and/or formed communication equipment (such as, adjustModulator-demodulator, communication switchboard, optoelectronic device etc.) circuit.Those skilled in the art can recognizeKnowledge is arrived, and subject matter described herein can be with analog or digital mode or their some combinationsRealize.
It will be appreciated by those skilled in the art that equipment described herein and/or method extremelyA few part can be integrated in image processing system.It will be appreciated by those skilled in the art that allusion quotationIt is one or more of that the image processing system of type generally comprises down in lising: system unit housing, regardsFrequently the memorizer of display device, such as volatibility or nonvolatile memory etc, the most micro-placeThe calculating of the reason processor of device or digital signal processor etc, such as operating system etc is realBody, driver, application program, (such as, touch pad, the touch of one or more interactive deviceScreen, antenna etc.), include feedback circuit and control motor (such as, be used for sensing lens location and/ or the feedback of speed, for moving/distort camera lens to provide the control motor of desired focus)Control system.Image processing system available such as those generally at Digital Still system and/or numberThe suitable commercially available parts found in word mobile system realize.
It will be appreciated by those skilled in the art that equipment described herein and/or method extremelyA few part can be integrated in data handling system.It will be appreciated by those skilled in the art that numberAccording to processing system generally comprise down in lising one or more of: system unit housing, video showThe memorizer of equipment, such as volatibility or nonvolatile memory etc, such as microprocessor orThe computational entity of the processor of digital signal processor etc, such as operating system etc, drivingDevice, graphic user interface, application program, one or more interactive device (such as, touch pad,Touch screen, antenna etc.) and/or include that feedback circuit and control motor (such as, are used for sensingPosition and/or the feedback of speed, for moving and/or adjust the control horse of parts and/or quantityReach) control system.Data handling system is available, and such as those generally calculate/communication in dataAnd/or the suitable commercially available parts found in network calculations/communication system realize.
It will be appreciated by those skilled in the art that equipment described herein and/or method extremelyA few part can be integrated in mote system.It will be appreciated by those skilled in the art that typicalIt is one or more of that mote system generally comprises down in lising: such as volatibility or non-volatile memoriesThe processor of the memorizer of device etc, such as microprocessor or digital signal processor etc, allAs the computational entity of operating system etc, user interface, driver, sensor, actuator,Application program, one or more interactive device (such as, antenna USB port, audio portDeng), include feedback circuit and control motor (such as, be used for sensing or estimate position and/or speedThe feedback of degree, for moving and/or adjust the control motor of parts and/or quantity) control systemSystem.Mote system available such as those find in mote calculating/communication system suitableParts realize.That the concrete example of this parts includes such as intel corporation and/or Ke ErThe mote parts of Si Bo company and the hardware of support, software and/or firmware.
It will be appreciated by those skilled in the art that in the art, it can be common that, it is achievedEquipment and/or method and/or system also use engineering and/or other ways to set such laterStandby and/or method and/or the system integration are in more comprehensive equipment and/or method and/or system.AlsoThat is, equipment described herein and/or method and/or system at least partially can be by closingThe experiment of reason quantity is integrated in other equipment and/or method and/or system.People in the artMember is it will be recognized that the example of other equipment such and/or method and/or system can include (depending on feelingsDepending on border and application) all or part of in equipment set forth below and/or method and/or system:(a) aerial transportation (such as, aircraft, rocket, helicopter etc.), (b) ground transportationInstrument (such as, automobile, truck, locomotive, tank, armored personnel carrier etc.), (c) building(such as, family housing, warehouse, office etc.), (such as, refrigerator, the laundry of (d) electrical equipmentMachine, dehydrator etc.), (e) communication system (such as, network system, telephone system, ip voiceSystem etc.), (f) commercial entities (such as, such as Comcast cable television (ComcastCable), the Internet service such as Qwest (Qwest), Southwestern Bell (Southwest Bell)Provider (ISP) entity), or (g) wire/wireless service entities (such as, Sprint(Sprint) company, Singh strangle (Cingular) company, this safe (Nextel) company of NikeDeng), etc..
In some cases, the use of system or method can occur in somewhere, but assemblyIt is positioned at outside this area.Such as, in a distributed computing environment, the making of distributed computing systemWith occurring in somewhere, but the parts of this system can be located at this area outside (such as, positionRelay outside this area, server, processor, signal bearing medium, transmission calculateMachine, reception computer etc.).Equally, the sale of system or method can occur in somewhere, but isUsed outside the assembly of system or method is but positioned at this area and/or outside this area.
Additionally, be used for performing at least one of realization of the system of method in an area alsoDo not hinder the use in another area of this system.
It will be appreciated by those skilled in the art that components described herein (such as, behaviourMake), equipment, object and be used as showing for the purpose of clear concept with discussing of theyExample, and various configuration modification is predictable.Therefore, as it is used herein, illustratedConcrete example and subsidiary discussion be intended to represent its more generally class.It is said that in general, it is anyThe use of concrete example is intended to represent its class, and concrete assembly (such as, operation), equipment andIt is not construed as not the including of object limiting.
It will be understood by the skilled person that unless the context requires otherwise, otherwise user Ke DaiTable human user, robotic user's (such as, computational entity) and/or theirs is the most anyCombination (user that such as, can be assisted by one or more robot agent).
For substantially any plural number herein and/or the use of singular references, this area skillBased on context and/or complex conversion is odd number and/or is converted to by odd number multiple by application art personnel canNumber.For clarity sake, the displacement of various singular/plural the most specially illustrates.
Subject matter described herein sometimes elaborate to be included in different miscellaneous parts orThe different parts being connected from different miscellaneous parts.Only should be appreciated that the framework of so descriptionIt is only exemplary, and in fact can implement to realize other frameworks of many of identical function.?In conceptual meaning, it is achieved any parts of identical function arrange and all effectively " associated ", makeObtain desired function to be achieved.Therefore, combination realizes any of specific function in this articleTwo parts can be considered each other " operatively coupled " so that desired function is achieved, andNo matter framework or intermediate member.Equally, any two parts of so association also can be regardedFor " being operatively connected " each other or " operatively coupled " is to realize desired function, and canSo any two parts of association also can be considered each other " coupling to being operable to property " to realizeDesired function.The concrete example coupled to being operable to property includes but not limited to join by physicsTo and/or parts that physics is mutual and/or can wireless interaction and/or the portion of wireless interactionPart and/or logic mutual and/or can the mutual parts of logic.
In some cases, one or more parts be referred to alternatively as in this article " being configured to "," be configured to ", " operable/operation come ", " be suitable to/may be adapted to ", " can ", " can in accordance with/abide byAccording to " etc..It will be appreciated by those skilled in the art that unless the context otherwise requires, otherwise " joinedPut " parts of active state and/or the parts of inactive state and/or shape of awaiting orders can be generally comprisedThe parts of state.
Though it has been illustrated and described that the particular aspects of theme as herein described, it will be clear that to thisFor skilled person, based on teaching herein, can be without departing substantially from subject matter described hereinAnd make a change and revise in the case of wider range of aspect, therefore, appended claimAll such changes and amendment are included in the range of them, are considered as described hereinIn the true spirit of theme and scope.
It will be appreciated by those skilled in the art that it is said that in general, the most especially want in appended rightThe term used in (such as, the main body of claims) is asked to be generally intended to as " openFormula " term (such as, term " comprise " and should be interpreted " including but not limited to ", term " toolHave " should be interpreted " having at least ", term " includes " should being interpreted " to include but do not limitIn ", etc.).Those skilled in the art will further appreciate that, wants if being intended to institute's introducing rightSeeking the particular number of statement object, the most this intention can be explicitly recited in this claim,And if there is no such record, the most there is not such intention.Such as, as to understandingAuxiliary, claims appended below can comprise introducing phrase " at least one " and " one or manyIndividual " use with introducing claim state object.But, the use of this kind of phrase should be byIt is construed as to imply that and by indefinite article "a" or "an", the introducing of claim statement object is incited somebody to actionAny specific rights containing this institute introducing claim statement object requires to limit only to compriseThe claim of one this statement object, even if including introducing phrase " in same claimOr multiple " or also such (example during indefinite article such as " at least one " and such as "a" or "an"As, " one " and/or " one " should be typically interpreted to refer to " at least one " or " one or manyIndividual ")；For the use for the definite article of introducing claim statement object the most such asThis.Even if additionally, the particular number of institute introducing claim statement object has been expressly recited, thisSkilled person will also recognize that, this record generally also should be interpreted to refer at leastDescribed quantity (such as, only record " two statement objects " and there is no other modifiers,Typically refer at least two statement object or two or more statement objects).Additionally, usingIn the case of the idiom similar with " at least one in A, B and C etc. ", general andSpeech, this structure means that the usual meaning that it will be understood by those skilled in the art that (such as, " hasThe system of at least one in A, B and C " system of only A can be included but not limited to, only haveThe system of the system of B, only C, there is the system of A and B simultaneously, there is A and C simultaneouslySystem, there is the system of B and C simultaneously and/or there is the system of A, B and C simultaneously,Etc.).In those feelings using the idiom similar with " at least one in A, B or C etc. "Under condition, it is however generally that, this structure means the usual meaning that it will be understood by those skilled in the art that(such as, " there is the system of at least one in A, B or C " only can include but not limited toThe system of the system of the system of A, only B, only C, have simultaneously A and B system,System, the system with B and C with A and C and/or have simultaneouslyThe system of A, B and C, etc.).Skilled person will also understand that, generally, propose twoOr the disjunction word of more optional item and/or phrase, either description, claims,The most in the accompanying drawings, all it is appreciated that and anticipated includes one of which, any one or twoProbability.Such as, phrase " A or B " would generally be understood to include " A " or " B " or " A andB " probability.
For claims, it will be understood by the skilled person that wherein described behaviourMake generally can perform in any order.Although it addition, various operating process is to be given in order, it is to be understood that, described various operations can by with those order different illustratedPerform, or can perform simultaneously.The example of this alternate orders can include overlap, staggered, interrupt, rearrangement, increase, preparation, supplement, simultaneously, reverselyOr other variants order, unless the context requires otherwise.Additionally, such as " in response to "," with ... relevant " or other preterite adjectives be typically not intended to get rid of this variant, unlessContext states otherwise.
In this article, various non-limiting embodiment are described as indication embodiment.
Indication embodiment
Indication embodiment 1
For medical product and the automatic conveying system of service
The automated system providing medicine, medical product and medical services includes that having medicine dividesSend out device, the booth of physiological sensor and connect the computer based network of described booth, medical treatment carriesDonor, patient and third party requestee (such as, insurance company).
Booth is shaped with computer interface, and described computer interface includes touch screen monitor, videoPhotographic head, keyboard and speech recognition capabilities.Booth also includes the distributor for multi-medicament and storageStorage and the sensor of quantity with the remaining stock of monitoring for detecting the medicine carried.FromThe booth of definition design can carry out self-definition design and adjustment, such as from state of Colorado Yi SiweiThe booth of the self-definition design of the KIOSK information system company of you (80027).They can include manyKind of composition technology, described technology includes: computer, liquid crystal display, touch screen, keyboard,Card reader, biological label scanner, bar code scan instrument, printer, video frequency pick-up head andWireless transceiver (such as, broadband, WiFi, bluetooth and RFID).
Described booth can comprise the computer interface with biological label scanner with checking patient'sIdentity.Such as, patient and touch screen computer (such as, compare Dinon from storehouse, CaliforniaThe iPad2 of Apple) and finger sensor apparatus (such as, from New Mexico A ErThe Lumidigm Venus fingerprint sensor of the Lumidigm company of Bai Keji；SeeLumidigm Venus tables of data, this tables of data is expressly incorporated herein by reference) mutual.ComputerIt is programmed to mutual with patient's speech or mutual by touching.Patient is prompted to touch fingerprint and passesSensor, and the data base of finger print data with patient medical records is compared.Alternatively,Patient is it is proposed that the credit card, insurance card or other proofs of identification are to verify their identity.To medicineThe payment available credit card of thing and/or service or insurance plan debit card (such as, Flex plan)The card reader of booth completes.Payment can be included in and combine the trouble seeking medical product or serviceIn the input that person is received.Additionally, patient can be by the oral inquiry of computer to verify their bodyPart.For example, it may be desirable to date of birth, SSN (social security number), home address and authorization code obtainMust be to the access rights of booth and obtain medicine or medical services.Alternatively, the medical treatment offer of patientPerson can be by the authorization code containing patient identification information and being used for booth and the USB flash memory disk of prescription informationDriver issues patient.After the mandate and access of automatic conveying system, patient is at described boothTaken pictures by touch screen computer, and this mug shot is sent to their medical supplier, useIn authentication.
Medicine distributor is incorporated in booth, it is possible to select a small amount of medicine and packed,Label and distribute.Such as, described booth can distribute 30 or 90 paroxetines, i.e. 1 or 3The supply of individual month.Distribution medicine machine be described (see for example, Rosenblum'sUnited States Patent (USP) No.8,033,424 on October 11st, 2011 and Vishnubhatla et al. inOn November 29th, 2012 announce U.S. Patent application No.2012/0303388, this patent andThis patent application is expressly incorporated herein by reference).Such as, with the medicine of plastic uptake bag packing list dosesPackerT60 can be from the Pearson Medical of Alexandria (LA)Technologies company obtains.Medical product (such as, syringe, transdermal patch, lotion,Binder etc.) also may utilize medicine distributor and be distributed from booth that (see for example, aforesaid US is specialProfit No.8,033,424).Booth includes medicine distributor, medicine storage cabinet and medicine stock monitoringDevice.Such as, when 30 paroxetines (30mg tablet) are distributed, paroxetine stockState be updated on the computer of booth, and if need mend stock, then send electronics postalPart or short message remind pharmacy to supplement the storage cabinet of specific booth.
Booth is equipped with video frequency pick-up head, with record, medicine is distributed to patient.Patient receives medicineVideo data by the computer capture of booth and be sent to medical supplier (such as, to patient'sElectric health record), to insurance company and give this patient.Additionally, video data can be by electricitySub-mail or short message have the written details of described distribution.Such as, described Email can be detailedState: the name and address of this patient, prescription, prescriber, health insurance plan, payment shapeDate, time and the booth position that state, drug costs and medicine are distributed.At embodimentIn, the input received in conjunction with the patient seeking medical product or service includes authorization code, insuranceAt least one in code or identification code.
Described automatic conveying system also provides medical services at described booth, including to physiology and facingThe measurement of bed parameter, analyze and report to provide Telemedicine and defeated with notice prescriptionSend.Such as, booth can comprise the sensor physiological parameter with detection key, such as: heart rate, bodyTemperature, breathing rate and blood oxygen level and body weight.The body weight of patient can be by chair in booth belowElectronic scale measure, this body weight is automatically transmitted to the medical records containing patient by described electronic scaleCentral computer.The electrocardiogram of patient can be measured by electric potential sensor, and described electromotive force sensesDevice can be placed on the opposite face of described chair, separate 1 meter.For determining the electrocardiogram of patientNon-conductive electric potential sensor be described and (see for example, the Meas.Sci. of Harland et al.Technol.13,163-169,2002, the document is expressly incorporated herein by reference).The breathing speed of patientRate and heart rate can be determined by distance sensor, and this distance sensor is by electric with radio frequency (RF)Magnetic signal irradiates patient and detects reflected electromagnetic signal ripple to detect physiological activity.Described biographySensor can be included in the back side of described chair.Such as, it is used for detecting breathing rate and heart rateDistance sensor be described and (see for example, within 18th, be published in JIUYUE in 2007McGrath United States Patent (USP) No.7,272,431 under one's name).The body temperature of patient is taken the photograph by actinometryAs the thermal imaging of head determines (such as, can be from the Infrared of Texas BeaumontThe 7320ETIP photographic head that Cameras company obtains；See Spec.Sheet IR camera,The document is expressly incorporated herein by reference).Infrared camera is installed in booth and focuses on patient'sOn forehead or eyes.Determine that the equipment of core temperature and method can for non-invasively and remotelyAdjust from other equipment and method and (see for example, United States Patent (USP) No.7,340,293, be somebody's turn to doPatent is expressly incorporated herein by reference).
The hematocrit of patient and blood oxygen concentration are by the light volume on the handrail of described chairTracer determines.The system with finger clip is passed through the tissue emissions of finger and detects different rippleLong light (see for example, the Conf.Proc.IEEE Eng.Med.Biol.Soc. of Shaltis et al.4:3567-3570,2005, the document is expressly incorporated herein by reference).Disappearing of the light of selected wavelengthLose detected and can be used for determining hematocrit and blood oxygen saturation value.Such as, it is used for passing throughHemocyte is measured with the finger of the light transillumination patient that wavelength is 660nm, 805nm and 1550nmThe system and method for specific volume and blood oxygen is described and (see for example, United States Patent (USP) No.5,372,136, this patent is expressly incorporated herein by reference).
The biology and the physiological parameter that are remotely determined by the automatic data acquisition system (ADAS) of booth are wirelessIt is sent to central computer (such as, the Kaiser Permanente with health and fitness information database communicationElectric health record can use the Epic Systems from the state of Wisconsin (WI) Wei LuonaThe EpicCare software of company conducts interviews；And Center for Disease Control (CDC), data and statistical dataCan obtain online at http://www.cdc.gov/datastatistics).For assembling and sending physiologyData to the wireless sensor network of central computer be described (see for example, Gao's et al.Proc.IEEE Conf.Technologies for Homeland Security, p.187-192,2008,The document is expressly incorporated herein by reference).
Automatic medical service include computer program and method with by the physiological parameter of patient with fromThe parameter that healthy individuals obtains compares with the medical history of patient and with current prescription.InstituteThe system of stating includes that central computer, described central computer have program so that prescription drugs is with currentPhysiological parameter interrelated.Remembered for assessing and comparing the computer program of physiological data setCarry and (see for example, the title in the October, 1997 of John L.Pollock and Devin HoseaFor OSCAR-MDA An Artificially Intelligent Advisor for Emergency RoomMedicine's and can beciteseerx.ist.psu.edu/viewdoc/download？Doi=10.1.1.49.4970&rep=rep1&tyPe=pdf. the online paper obtained, and the Cognitive Carpentry:A of PollockBlueprint for How to Build a Person, MIT Press, Cambridge, MA, 1995,Described document is expressly incorporated herein by reference).
Indication embodiment 2
By the long-range conveying of the prescription drugs that automatic conveying system is carried out
Individual from the U.S. travels about 3 weeks at EU businesses.After 1 week, this patientLost his antidepressants, and he needs this medicine to complete his industry in his daily routinesBusiness and function.The medical supplier of this patient has set up booth network in Eurocities, this booth netThe patient authorized is given in network conveying medical product and service.
By via the Internet or via his medical supplier of phone contact, this patient acquisitionThe magnitude of recruitment of his antidepressants is to spend remaining two weeks strokes.It is anti-that this patient admission supplementsDepressed prescription, such as, 14 paroxetines (every 30mg), and ask his wine in ParisBooth near shop obtains prescription.The office of he doctor demonstrates his identity and his medical recordsOn prescription information and authorize this booth specified distribute 14 paroxetines.If this patient is alsoLost his credit card and other proofs of identification, then authorization code can be carried by the office of this doctorSupply him to allow to access this booth.Patient to the reception of medicine by shooting at this booth and being sent toThe photo of medical supplier confirms.
Indication embodiment 3
Automatic drug induction system is to control the distribution of controlled substance
Prescribe medicine oxycodone with control pain and described patient to the patient suffering from chronic painTheir medicine is received from automatic drug induction system.Before medicine oxycodone of prescribing, doctorThis automatic conveying system network can be used to carry out examination patient.Such as, the verifiable patient of described systemName see with or without any previous conviction, and it can search for any and all doctor of described patientTreating record, described medical records discussion includes the pipe of prescription drug, ethanol or over-the-counter drugPharmacy thing.Described system can also be for medicine and seeks other indexs (that is, prescription loss of behaviorFrequency, join again (refill) request frequency and see multiple doctor) search medical records.For openingThe guide of prescription drugs opioid drug is obtainable (see for example, Substance Abuse andMental Health Services Administration.SAMHSA Opioid OverdosePrevention Toolkit:Information for Prescribers.HHS publishes No. (SMA) 13-4742.Rockville, MD 2013, can be at store.samhsa.gov/shin/content//SMA13-4742/Toolkit_Prescribers.pdf obtains online, and the document is expressly incorporated herein by reference).?In the case of understanding relevant information by the search guided by automatic conveying system, doctor and patientInformed consent agreement is discussed.Described automatic conveying system can be supervised in doctor's office by displayThe list controlling the relevant theme of the oxycodone on device and key message helps to discuss.Such as, instituteThe information from described informed consent agreement of display comprises the steps that
1) risk of opioid drug therapy and benefit
2) physical dependence and the probability of cognitive impairment
3) patient agrees to cut out other analgesic drug products, unless doctor's suggestion is taken
4) patient agrees to obtain prescription drug from a doctor and a booth
5) patient agrees to the dosage according to prescription and timetable drug administration
6) patient the security provisions of medicine is responsible for prevent kinsfolk, friend or otherPeople obtains opioid drug
After described discussion, knowing the inside story for oxycodone (such as, OxyContin) prescriptionAgreement Protocol can print from automatic drug induction system and signed by described doctor and described patient.
In order to help physician in view federal law (to see for example, aforementioned SAMHSA HHSPublish No. (SMA) 13-4742) perform complete and legal prescription orders, medication delivery systemSystem one form of display on a monitor, asks for information needed:
Patient's name and address
The name of doctor, address and DEA herd number
The electronic signature of doctor
The distribution date
The name of prescription drug and quantity
Operation instruction
Join information again
The prescription orders completed with for distributing the appointment booth of medicine and obtaining this for patientThe licensing mode (such as, for the fingerprint of bio-identification) of medicine the most electronically sendsTo pharmacy.Such as, doctor outputs the prescription drugs OxyContin at the limited quantity specifying booth distribution(such as, the sufficient dose of 3-5 days).OxyContin and/or Austria of reselling is abused in order to reduce patientExecute the risk of Kangding, the identity of automatic drug induction system checking patient and according to prescribed dose andWhat timetable controlled to be distributed to this patient joins quantity again.Such as, doctor can output prescription: Austria executesKangding 10mg, every 12 hours are once, for three days on end, and i.e. 6, simultaneously at prescription firstAfter distribution, can obtain the 4th day, the 7th day and the 10th day and join prescription again.In order to controlTo the access of delivery system and in order to identify patient, booth can have biological fingerprint sensor and setStandby (such as, from the Lumidigm of Lumidigm company of Albuquerque, New MexicoVenus fingerprint sensor；Seeing Lumidigm Venus tables of data, this tables of data passes through referenceIt is expressly incorporated herein).
Described booth can have video frequency pick-up head, and this video frequency pick-up head shooting patient is to OxyContinThe reception of prescription.Two events, fingerprint sensing and videograph, all it is sent to by booth computerThe office of doctor is also stored in the electronic medical record of patient.Facial recognition software can by withIn the photo automatically comparing patient and the videograph obtained from described booth.If face-image is notIf coupling or fingerprint recognition and face image recognition are not mated, then send alarm to doctor'sOffice, and stop patient's access to this booth, until status incongruence has been resolved.By medicineThe video data that thing conveying booth obtains is sent to the office of doctor and enters the medical treatment note of patientIn record.Such as, can to require that patient answered before allowing patient obtain to join slow with it again for described systemThe problem that the service condition of property pain and OxyContin thereof is relevant.To regarding of the answer containing patientThe review of frequency evidence can be reminded doctor's problem place or need extra medicine.Such as, patientNaloxone (a kind of opioid antagonist) can be asked to arrange as the prevention excessive to opioid drugExecute (see for example, aforementioned SAMHSA HHS publishes No. (SMA) 13-4742).DescribedThe booth of automatic conveying system can pass through short message, Email or phone call patient and its doctorPreengage, and described system also can remind doctor to contact patient.
Although disclosed herein many aspects and embodiment, but to those skilled in the artFor, other aspects and embodiment can be apparent from.Various aspects disclosed hereinBe in order at descriptive purpose with embodiment and be not intended to limit, real scope and spirit byEnsuing claim shows.