US20210290184A1 - Remote patient management and monitoring systems and methods - Google Patents

Abstract

Systems and methods are provided for remote patient management and monitoring. The patient is monitored with a wireless sensor system connected to an application executing on a patient user computing device. The system continuously monitors physiological parameters, such as, but not limited to, blood oxygen saturation (SpO2), pulse rate, perfusion index, pleth variability index, and/or respiration rate from the photoplethysmograph. The system triggers alarms if the patient physiological data violates thresholds. Care providers review patient data and associated alarm(s) with graphical user interfaces.

Description

INCORPORATION BY REFERENCE TO ANY PRIORITY APPLICATIONS
• This application claims the benefit of priority of U.S. Patent Application No. 63/106,273, titled “WEARABLE DEVICE FOR NONINVASIVE BODY TEMPERATURE MEASUREMENT,” filed Oct. 27, 2020, U.S. Patent Application No. 63/056,925, titled “WEARABLE DEVICE FOR NONINVASIVE BODY TEMPERATURE MEASUREMENT,” filed Jul. 27, 2020, U.S. Patent Application No. 63/065,961, titled “HEALTH SCREENING AND MONITORING SYSTEM,” filed Aug. 14, 2020, U.S. Patent Application No. 63/049,478, titled “REMOTE PATIENT MANAGEMENT AND MONITORING SYSTEMS AND METHODS,” filed Jul. 8, 2020, U.S. Patent Application No. 62/992,808, titled “REMOTE PATIENT MANAGEMENT AND MONITORING,” filed Mar. 20, 2020, U.S. Patent Application No. 62/992,779, titled “OPIOID OVERDOSE MONITORING USER INTERFACE,” filed Mar. 20, 2020, and U.S. Patent Application No. 63/010,669, titled “REMOTE PATIENT MANAGEMENT AND MONITORING,” filed Apr. 15, 2020. All of the above-mentioned applications are hereby incorporated by reference herein in their entireties.
• Any and all applications for which a foreign or domestic priority claim is identified in the Application Data Sheet as filed with the present application are hereby incorporated by reference under 37 CFR 1.57.
FIELD
• This application relates broadly to patient management and/or monitoring system that can assist care providers to provide remote care for patients.
BACKGROUND
• In a medical context, a patient may be given a plan to manage health condition(s) or recover from health condition(s). The plan can include instructions for the patient. The patient can be asked to implement their plan outside of a hospital, such as in their home. A patient may be asked to self-monitor and/or track their own health condition, which can include taking their own physiological measurements. Patients can also be tested for health conditions.
• In the medical field, instead of extracting material from a patient's body for testing, light or sound energy may be caused to be incident on the patient's body and transmitted (or reflected) energy may be measured to determine information about the material through which the energy has passed. This type of non-invasive measurement is more comfortable for the patient and can be performed more quickly than invasive measurement techniques. Blood pressure and the body's available supply of oxygen, or the blood oxygen saturation, can be monitored. Measurements such as these are often performed with non-invasive techniques where assessments are made by measuring the ratio of incident to transmitted (or reflected) light through a portion of the body, for example a digit such as a finger, or an earlobe, foot, or forehead.
• In a computer/software context, frameworks exist for developing applications, such as smart phone applications. Application development using such frameworks typically requires developers with programming skills and technical expertise. In some cases, significant updates to the applications require recompiling and republishing of the updated executable applications.
• The COVID-19 pandemic is creating increased demand across the globe for home-based monitoring and patient engagement solutions. As current CDC and WHO guidelines require monitoring a suspected and/or confirmed COVID-19 patient's temperature, respiration rate, and oxygen saturation and due to the highly contagious nature of the virus and/or the limited healthcare resources such as the availability of hospital beds, there is an increased need to provide remote monitoring and patient engagement solutions in multiple settings via a secure remote solution. Various systems and methods have been proposed or implemented to provide wireless communication links between patients and remotely-located care providers, allowing patients to receive care while reducing the risk of being infected from or infecting other patients, and/or the risk of infecting the care providers.
SUMMARY
• For purposes of summarizing the disclosure, certain aspects, advantages and novel features are discussed herein. It is to be understood that not necessarily all such aspects, advantages or features will be embodied in any particular embodiment of the invention and an artisan would recognize from the disclosure herein a myriad of combinations of such aspects, advantages or features.
• According to various embodiments of the present disclosure, a method for remote patient care and monitoring can include causing presentation of a patient care configuration user interface. A patient care user interface can be made available in a patient care application, such as an application executing on a patient user computing device. The patient care user interface can be tailored towards particular health condition(s), such as, but not limited to, COVID-19, diabetes, sleep apnea, one or more addictions, one or more cardiac diseases, obesity, and/or one or more respiratory diseases. An administrator can configure a patient care user interface with the patient care configuration user interface and without programming. The patient care configuration user interface can include one or more configuration user interface elements. The method can further include receiving, via the patient care configuration user interface, a request to create or edit a first patient care user interface; and one or more selections of the configuration user interface elements. The one or more selections can indicate: a graphical layout configuration of the first patient care user interface; a patient care action item configuration; and a patient sensor item configuration. The method can further include generating, for the first patient care user interface, a first client configuration package. The first client configuration package can include the graphical layout configuration, the patient sensor item configuration, and the patient care action item configuration. The method can further include transmitting, to a patient user computing device, the first client configuration package. A patient care application, executing on the patient user computing device, can be configured to receive the first client configuration package. Upon receiving the first client configuration package, the patient care application can be caused to arrange a graphical layout of the first patient care user interface according to the graphical layout configuration. The patient care application can be further caused to present a patient care action item according to the patient care action item configuration. The patient care application can be further caused to interface, according to the patient sensor item configuration, with a patient sensor device capable of capturing physiological parameters from a patient. The patient care application can implement the first client configuration package, which can cause presentation of the first patient care user interface on the patient user computing device. The patient care application can implement the first client configuration package and/or present the first patient care user interface without or before recompiling of the patient care application. The method can further include receiving, from the patient user computing device, a first physiological parameter value generated by the patient sensor device. The method can further include causing presentation, on a clinician user computing device, a patient monitoring user interface including: (i) information associated with the patient; and (ii) a visual representation based at least in part on the physiological parameter value.
• According to various embodiments of the present disclosure, a system for remote patient care and monitoring can include a memory device configured to store instructions and a hardware processor. The system, such as the hardware processor of the system, can cause presentation of a patient care configuration user interface. A patient care user interface can be made available in a patient care application, such as an application executing on a patient user computing device. The patient care user interface can be tailored towards particular health condition(s), such as, but not limited to, COVID-19, diabetes, one or more addictions, one or more cardiac diseases, and/or one or more respiratory diseases. An administrator can configure a patient care user interface with the patient care configuration user interface and without programming. The patient care configuration user interface can include one or more configuration user interface elements. The system can receive, via the patient care configuration user interface, a request to create or edit a first patient care user interface; and one or more selections of the configuration user interface elements. The one or more selections can indicate: a patient care action item configuration and a patient sensor item configuration. The system can generate, for the first patient care user interface, a first client configuration package. The first client configuration package can include the patient sensor item configuration and the patient care action item configuration. The system can transmit, to a patient user computing device, the first client configuration package. A patient care application, executing on the patient user computing device, can be configured to receive the first client configuration package. Upon receiving the first client configuration package, the patient care application can be caused to present a patient care action item according to the patient care action item configuration. The patient care application can be further caused to interface, according to the patient sensor item configuration, with a patient sensor device capable of capturing physiological parameters from a patient. The patient care application can implement the first client configuration package, which can cause presentation of the first patient care user interface on the patient user computing device. The patient care application can implement the first client configuration package and/or present the first patient care user interface without or before recompiling of the patient care application. The system can receive, from the patient user computing device, a physiological parameter value generated by the patient sensor device. The system can cause presentation, on a clinician user computing device, a patient monitoring user interface including: (i) information associated with the patient; and (ii) a visual representation based at least in part on the physiological parameter value.
• In various embodiments, the system can transmit, to the patient user computing device, multiple client configuration packages. Each client configuration package can be configured to cause the patient care application to present a patient care user interface different from the first patient care user interface.
• In various embodiments, the system can transmit, to the patient user computing device, a second client configuration package. The second client configuration package can be configured to cause the patient care application to present a second patient care user interface different from the first patient care user interface.
• In various embodiments, the system can receive, from the patient user computing device, multiple physiological parameter values. The system can identify, from the first physiological parameter value and the other physiological parameter values, a subset of physiological parameter values for a period of time. The system can determine that the subset of physiological parameter values for the period of time violates a threshold. In response to determining that the subset of physiological parameter values violates the threshold, the system can transmit an alert.
• In various embodiments, the patient care action item can include a prompt. The system can receive, from the patient user computing device, response data associated with the prompt.
• In various embodiments, the system can select, from a first threshold and a second threshold, the first threshold. Selecting the first threshold can include: applying the response data as input to conditional threshold logic and identifying the first threshold as output from the conditional threshold logic. The system can determine an alert based at least in part on the physiological parameter value and the first threshold. The system can transmit the alert.
• In various embodiments, the system can receive, via the patient care configuration user interface, a definition of the conditional threshold logic customized for the first patient care user interface.
• In various embodiments, the patient care action item can include at least one of a boolean input field, a numeric input field, a text input field, a data input field, or a time input field.
• In various embodiments, a data type of the response data corresponds to the at least one of the boolean input field, the numeric input field, the text input field, the data input field, or the time input field.
• In various embodiments, the patient care application is capable of implementing the first client configuration package without recompiling the patient care application.
• In various embodiments, the patient sensor device includes a pulse oximeter.
• In various embodiments, the physiological parameter value measures at least one of oxygen saturation, respiration rate, pulse rate, or a perfusion index.
• In various embodiments, the one or more selections further indicate a graphical layout configuration of the first patient care user interface. The first client configuration package can further cause the patient care application to: arrange a graphical layout of the first patient care user interface according to the graphical layout configuration.
• In various embodiments, the system can receive via the patient care configuration user interface: a second request to edit the first patient care user interface; and user input comprising program instructions in an interpreted language; generate, for the first patient care user interface, an updated first client configuration package comprising the program instructions in the interpreted language; and transmit, to the patient user computing device, the updated first client configuration package.
• In various embodiments the interpreted language can include JavaScript.
• In various embodiments, the patient care application, executing on the patient user computing device, can receive the updated first client configuration package that causes the patient care application to execute the program instructions without recompiling the patient care application.
• According to various embodiments of the present disclosure, a method establishing a monitoring environment for a user suspected of having a contagious respiratory infection where the user is to be monitored remotely from a care provider, said monitoring environment including one or more sensors worn by the user, a wearable device worn by the user configured to communicate with the one or more sensors and to process information responsive to output from the one or more sensors, a user computing device configured to wirelessly communicate with the wearable device and to communicate with a remote care provider system over a network, the care provider system configured to be monitored by the care provider, can include providing a user monitoring kit to the user, said user monitoring kit including said wearable device and at least some of said one or more sensors, said wearable device configured to process sensor signals to determine measurement values of blood oxygen saturation of the user over a monitoring period. The method can further include providing a user a first software application for said user computing device, said first software application configured to aggregate medical information of said user, said medical information including received said measurement values of said blood oxygen saturation and received one or more measurement values of a temperature of said user. The method can further include providing a care provider a second software application for said care provider system, said second software application configured to receive medical information from said first software application, to process said medical information and to output to a display viewable by said care provider indicia responsive to said measurement values of said blood oxygen saturation and temperature of said user during said monitored period, said indicia including a variance from a baseline for said user at least when said user should receive further screening for said contagious respiratory infection.
• In various embodiments, said providing said user monitoring kit to the user can further include providing said kit including said one or more sensors including a disposable battery and disposable sensor and a reusable processor and reusable wireless device.
• According to various embodiments of the present disclosure, a method of treating a contagious respiratory infection using a wearable sensor can include providing a remote monitoring kit to a patient, said remote monitoring kit including a reusable device and a disposable device, wherein the reusable device is configured to engage the disposable device to form a wearable sensor assembly, said wearable sensor assembly configured to measure blood oxygen saturation of the patient over a monitoring period. The remote monitoring kit can be used at the patient's place of residence. The method can further include providing, to the patient, a first software application that is configured to be installed on a patient user computing device, said wearable sensor assembly configured to wirelessly connect with the patient user computing device. The method can further include providing a second software application to a care provider, wherein the said second software application enables the care provider to view the patient's blood oxygen saturation and temperature measurements over the monitoring period. The method can further include treating the patient based at least on the patient's measured blood oxygen saturation and the temperature measurements over the monitoring period.
• In various embodiments, the remote monitoring kit further can further include a connectivity hub device configured to transmit the patient's blood oxygen saturation and the temperature measurements over the monitoring period to the care provider.
• In various embodiments, the wearable sensor assembly can be further configured to measure the patient's respiratory rate over the monitoring period.
• In various embodiments, treating the patient can further include ordering mechanical ventilation for the patient.
• In various embodiments, treating the patient can further include prescribing a drug to the patient. The drug can further include at least one of: remdesivir, dexamethasone, azithromycin, tocilizumab, lopinavir, ritonavir, or oseltamivir.
• In various embodiments, the first software application can be further configured to provide an alert based at least on the patient's blood oxygen saturation and the temperature measurements over the monitoring period.
• In various embodiments, the second software application can be further configured to provide an alert based at least on the patient's measured blood oxygen saturation and the temperature measurements over the monitoring period.
• In various embodiments, the wearable sensor assembly can be further configured to be disposed on at least one of the patient's finger, wrist, chest, or forehead.
• According to various embodiments of the present disclosure, a method of managing surge capacity in a hospital during an infectious disease outbreak can include providing each of a plurality of patients having symptoms of an infectious disease a wearable device in a non-clinical space, said wearable device configured to measure blood oxygen saturation over a monitoring period. The method can further include providing a connectivity hub device that is configured to (i) wirelessly connect with respective wearable devices of the plurality of patients and (ii) transmit the measured blood oxygen saturation over the monitoring period. The method can further include providing a first software application to a care provider, wherein said first software application enables the care provider to monitor the patient's physiological condition over the monitoring period without coming in close proximity with the patient. The method can further include determining based at least on the patient's measured blood oxygen saturation over the monitoring period that the patient needs to be moved to a clinical space for treatment of a contagious respiratory infection.
• In various embodiments, the method can further include diagnosing the patient with a respiratory virus. The respiratory virus can include at least one of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), severe acute respiratory syndrome-related coronavirus (SARS-CoV), or influenza.
• In various embodiments, the method can further include providing each of the plurality of patients a second software application that is configured to be installed on a respective patient user computing device, said wearable device configured to wirelessly connect with respective patient user computing devices.
• In various embodiments, the first software application can be further configured to provide an alert based at least on the patient's measured blood oxygen saturation over the monitoring period.
• In various embodiments, the method can further include treating the patient based at least on the patient's measured blood oxygen saturation over the monitoring period.
• In various embodiments, the method can further include notifying emergency medical services based at least on the patient's measured blood oxygen saturation over the monitoring period.
• In various embodiments, the wearable device can be further configured to measure the patient's respiratory rate over the monitoring period.
• In various embodiments, the first software application can be further configured to provide an alert based at least on the patient's measured blood oxygen saturation over the monitoring period.
• In various embodiments, the method can further include causing the care provider to contact the patient.
• According to various embodiments of the present disclosure, a method of detecting a respiratory health condition using a wearable sensor can include providing a pulse oximetry sensor device to a patient, wherein the pulse oximetry sensor device is configured to measure blood oxygen saturation of the patient over a monitoring period. The method can further include providing, to the patient, a software application that is configured to be installed on a patient user computing device, said pulse oximetry sensor device configured to wirelessly connect with the patient user computing device. The method can further include receiving, from the patient user computing device, the patient's blood oxygen saturation and temperature measurements over the monitoring period. The method can further include diagnosing a contagious respiratory infection based at least on the patient's measured blood oxygen saturation and the temperature measurements over the monitoring period.
• In various embodiments, the method can further include notifying emergency medical services based at least on the patient's measured blood oxygen saturation and the temperature measurements over the monitoring period.
• In various embodiments, the software application can be further configured to provide an alert based at least on the patient's blood oxygen saturation and the temperature measurements over the monitoring period.
• According to various embodiments of the present disclosure, a system for remote detecting and monitoring of a respiratory health condition can include a pulse oximetry sensor device, wherein the pulse oximetry sensor device is configured to measure blood oxygen saturation of a patient over a monitoring period, and wherein the pulse oximetry sensor device is configured to wirelessly connect with a patient user computing device. The system can further include a memory device configured to store instructions; and a hardware processor. The hardware processor can be configured to execute the instructions to: receive, from the patient user computing device, the patient's blood oxygen saturation and temperature measurements over the monitoring period; and diagnose a contagious respiratory infection based at least on the patient's measured blood oxygen saturation and the temperature measurements over the monitoring period.
• In various embodiments, the contagious respiratory infection can be caused by at least one of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), severe acute respiratory syndrome-related coronavirus (SARS-CoV), or influenza.
• In various embodiments, the hardware processor can be further configured to execute further instructions to: notify emergency medical services based at least on the patient's measured blood oxygen saturation and the temperature measurements over the monitoring period.
• In various embodiments, the hardware processor can be further configured to execute further instructions to: provide an alert based at least on the patient's blood oxygen saturation and the temperature measurements over the monitoring period.
• According to various embodiments of the present disclosure, a remote monitoring kit can include a package, wherein the package is configured to be mailed and a pulse oximetry sensor device. The pulse oximetry sensor device can include a wireless communications device; a memory device configured to store instructions; and a hardware processor. The hardware processor can be configured to execute the instructions to pair, via the wireless communications device, with a patient user computing device through a downloadable application. The pulse oximetry sensor device can be disposed within the package.
• In various embodiments, the remote monitoring kit can further include a scannable code. The scannable code can encode a link to download the downloadable application. The downloadable application can be configured to receive input data associated with the scannable code. Receipt of the input data by the downloadable application can cause the downloadable application to initiate pairing with the pulse oximetry sensor device.
• In various embodiments, the pulse oximetry sensor device can further include a removable chip, and wherein the removable chip comprises the wireless communications device, the memory device, and the hardware processor.
• In various embodiments, the remote monitoring kit can further include a second sensor, wherein the second sensor is configured to receive the removable chip, and wherein the second sensor is disposed within the package.
• In various embodiments, the patient user computing device can include a smart phone or a tablet.
• In various embodiments, the remote monitoring kit can further include a connectivity hub device, wherein the connectivity hub device is configured to communicate with the pulse oximetry sensor device and a remote server, and wherein the connectivity hub device is disposed within the package.
• In various embodiments, the pulse oximetry sensor device can be configured to be disposed on at least one of the patient's finger, wrist, chest, or forehead.
• In various embodiments, the pulse oximetry sensor device can be further configured to measure the patient's respiratory rate over the monitoring period.
• According to various embodiments of the present disclosure, a method of treating opioid addiction using a wearable sensor can include providing a remote monitoring kit to a patient, said remote monitoring kit including a reusable device and a disposable device, wherein the reusable device is configured to engage the disposable device to form a wearable sensor assembly, said wearable sensor assembly configured to measure blood oxygen saturation of the patient over a monitoring period at the patient's place of residence. The method can further include providing, to the patient, a first software application that is configured to be installed on a patient user computing device, said wearable sensor assembly configured to wirelessly connect with the patient user computing device. The method can further include providing a second software application to a care provider, wherein the said second software application enables the care provider to view the patient's blood oxygen saturation over the monitoring period. The method can further include treating the patient for an opioid overdose based at least on the patient's measured blood oxygen saturation over the monitoring period.
• In various embodiments, treating the patient can include applying medication to the patient.
• In various embodiments, the remote monitoring kit can further include a connectivity hub device configured to transmit the patient's blood oxygen saturation over the monitoring period to the care provider.
• In various embodiments, the wearable sensor assembly can be further configured to measure the patient's respiratory rate over the monitoring period.
• In various embodiments, the second software application can be further configured to provide an alert based at least on the patient's measured blood oxygen saturation over the monitoring period.
• In various embodiments, the wearable sensor assembly can be configured to be disposed on at least one of the patient's finger, wrist, chest, or forehead.
• In various embodiments, the remote monitoring kit can further include a medication applicator device, wherein the first software application, based at least on the patient's blood oxygen saturation over the monitoring period, is configured to instruct the medication applicator device to administer medication to the patient.
• According to various embodiments of the present disclosure, a method of managing an opioid epidemic can include providing each of a plurality of patients having symptoms of an opioid addiction a wearable device in a non-clinical space, said wearable device configured to measure blood oxygen saturation over a monitoring period. The method can further include providing a connectivity hub device that is configured to (i) wirelessly connect with respective wearable devices of the plurality of patients and (ii) transmit the measured blood oxygen saturation over the monitoring period. The method can further include providing a first software application to a care provider, wherein the said first software application enables the care provider to monitor the patient's physiological condition over the monitoring period from the non-clinical space. The method can further include determining based at least on the patient's measured blood oxygen saturation over the monitoring period that the patient needs to be moved to a clinical space for treatment of an opioid overdose.
• In various embodiments, the method can further include diagnosing the patient with an opioid addiction.
• In various embodiments, the method can further include notifying emergency medical services based at least on the patient's measured blood oxygen saturation over the monitoring period.
• In various embodiments, the method can further include providing each of the plurality of patients a second software application that is configured to be installed on a respective user computing device, said wearable device configured to wirelessly connect with respective user computing devices.
• In various embodiments, the first software application can be further configured to provide an alert based at least on the patient's blood oxygen saturation over the monitoring period.
• In various embodiments, the method can further include treating the patient based at least on the patient's measured blood oxygen saturation over the monitoring period.
• In various embodiments, the connectivity hub device can be further configured to transmit patient temperature measurements over the monitoring period.
• In various embodiments, the wearable device can be further configured to measure the patient's respiratory rate over the monitoring period.
• In various embodiments, the method can further include causing the care provider to contact the patient.
• In various embodiments, the method can further include providing a medication applicator device, wherein the first software application, based at least on the patient's blood oxygen saturation over the monitoring period, is configured to instruct the medication applicator device to administer medication to the patient.
• Various combinations of the above and below recited features, embodiments, and aspects are also disclosed and contemplated by the present disclosure.
• Additional embodiments of the disclosure are described below in reference to the appended claims, which may serve as an additional summary of the disclosure.
• In various embodiments, systems and/or computer systems are disclosed that comprise a computer readable storage medium having program instructions embodied therewith, and one or more processors configured to execute the program instructions to cause the one or more processors to perform operations comprising one or more aspects of the above- and/or below-described embodiments (including one or more aspects of the appended claims).
• In various embodiments, computer-implemented methods are disclosed in which, by one or more processors executing program instructions, one or more aspects of the above- and/or below-described embodiments (including one or more aspects of the appended claims) are implemented and/or performed.
• In various embodiments, computer program products comprising a computer readable storage medium are disclosed, wherein the computer readable storage medium has program instructions embodied therewith, the program instructions executable by one or more processors to cause the one or more processors to perform operations comprising one or more aspects of the above- and/or below-described embodiments (including one or more aspects of the appended claims).
• According to an aspect of the present disclosure, a patient management and monitoring system can include a network server and a processor. The network server can establish wireless communication with one or more user devices and one or more care provider devices. The processor can execute program instructions to cause the patient management and monitoring system to receive patient health data from the one or more user devices and transmit the patient health data to a remote care provider via wireless communication.
• The one or more user devices can be in wireless communication with one or more sensor systems. The one or more sensors configured to collect the patient health data and wirelessly transmit the patient health data to the one or more user devices. The processor of the patient management and monitoring system can further cause the patient and monitoring system to generate a graphical user interface and display indicators associated with the patient health data via the graphical user interface. The graphical user interface can be displayed on the one or more care provider devices. The patient data may allow care providers to track compliance, thereby allowing the care providers to identify when intervention is needed. Additionally, the patient data may allow care providers to prioritize patients.
BRIEF DESCRIPTION OF THE DRAWINGS
• FIGS. 1A-1B are block diagrams illustrating network environments for a patient management and monitoring system, according to some embodiments of the present disclosure.
• FIG. 2A is a perspective view of an example patient sensor device on a patient, according to some embodiments of the present disclosure.
• FIG. 2B is a block diagram illustrating a patient sensor device and other devices, and communications between the devices, according to some embodiments of the present disclosure.
• FIGS. 2C-2H illustrate additional example patient sensor devices, according to some embodiments of the present disclosure.
• FIG. 2I illustrates an example medication applicator device, according to some embodiments of the present disclosure.
• FIG. 3 is a block diagram illustrating a connectivity hub device and other devices, and communications between the devices, according to some embodiments of the present disclosure.
• FIGS. 4A-4D illustrate a pairing process between a patient sensor device and another device, according to some embodiments of the present disclosure.
• FIG. 5 illustrates pairing between a patient sensor device and a patient user computing device, according to some embodiments of the present disclosure.
• FIG. 6 illustrates a pairing graphical user interface, according to some embodiments of the present disclosure.
• FIGS. 7A-7B illustrate graphical user interfaces for a patient user computing device connected to a patient sensor device, according to some embodiments of the present disclosure.
• FIG. 7C illustrates an example remote monitoring kit, according to some embodiments of the present disclosure.
• FIGS. 8A-8B are flowcharts of methods for pairing a patient sensor device and a connectivity hub device and/or a patient user computing device, according to some embodiments of the present disclosure.
• FIGS. 9, 10A-10C, 11, and 12A-12C illustrate example patient care configuration user interfaces, according to some embodiments of the present disclosure.
• FIGS. 13, 14, and 15A-15C illustrate example graphical user interfaces of a patient care application, according to some embodiments of the present disclosure.
• FIGS. 16A-16C and 17 illustrate example patient care user interfaces, according to some embodiments of the present disclosure.
• FIGS. 18, 19A-19B, and 20 illustrate example patient monitoring user interfaces, according to some embodiments of the present disclosure.
• FIG. 21 is a flowchart of a method for configuring patient care user interfaces, according to some embodiments of the present disclosure.
• FIG. 22 is a flowchart of a method for implementing a patient care user interface and receiving patient data, according to some embodiments of the present disclosure.
• FIG. 23 is a flowchart of a method for patient monitoring, according to some embodiments of the present disclosure.
• FIGS. 24A-24Y and 25A-25J illustrate additional patient monitoring graphical user interfaces for a patient user computing device, according to some embodiments of the present disclosure.
• FIG. 26 is another flowchart of a method for patient monitoring, according to some embodiments of the present disclosure.
• FIG. 27 illustrates a block diagram of an example computing device that may implement one or more aspects of the present disclosure, according to various embodiments of the present disclosure.
• FIG. 28A illustrates anetwork architecture2800 for enabling remote management of patients, according to some embodiments of the present disclosure.
• FIG. 28B illustrates an extended architecture, supplementing the architecture ofFIG. 28A, according to some embodiments of the present disclosure.
• FIG. 28C illustrates a block diagram of the remote patient management system, according to some embodiments of the present disclosure.
• FIG. 29 illustrates an example wireless sensor system, according to some embodiments of the present disclosure.
• FIG. 30 illustrates example graphical user interfaces providing patients with descriptions of the digital home-care plan and initial questions, according to some embodiments of the present disclosure.
• FIG. 31 illustrates an example graphical user interface providing resources to users, according to some embodiments of the present disclosure.
• FIGS. 32A-32C illustrate additional example graphical user interfaces of a patient care application, according to some embodiments of the present disclosure.
DETAILED DESCRIPTIONIntroduction
• Patients are cared for and/or treated in healthcare facilities. Some existing healthcare facilities have patient sensors and devices to capture physiological data regarding patients. Clinicians can respond to alarms associated with the physiological data. As described herein, some patients can be discharged from a healthcare facility (such as when a patient is and sent home) and given plans to continue their recovery at their new location. In many cases, patients are sent home with written instructions for self-care. In other cases, temporary health care facilities (such as an emergency medical tents) can be setup where having portable medical equipment can be advantageous. Improved and/or easily expandable/extensible patient monitoring, care, and management may advantageously improve a patient's recovery, patient health, and/or save patient lives.
• Disclosed herein are embodiments of remote patient management and monitoring systems and methods. Some or all of the patient sensor devices described herein can be sent to and used in nearly any environment. Those patient sensor devices can be connected to user computing devices and/or ancillary devices to securely transmit physiological data to a backend system. The system can enable care providers to configure and push customized patient care user interfaces to patient care applications executing on the user computing devices. A configuration package can define a patient care user interface. The patient care user interfaces can address and/or be tailored to particular health condition(s). Customized configuration packages for the patient care user interfaces can include configurations for sensors that streamline remote patient monitoring. The system can continuously monitor physiological parameters, such as, but not limited to, blood oxygen saturation (SpO₂), pulse rate, perfusion index, pleth variability index, and/or respiration rate from the photoplethysmograph. The patient can be monitored with a wireless sensor system connected to an application executing on a patient user computing device or other device that transmits patient data to the backend. The customized patient care user interfaces can include prompts to elicit patient responses and patient engagement (such as a reminder for the patient to take their temperature or for the patient to exercise), and the patient's responses can be shared with the backend system. Patients can also specify additional recipients (such as friends or family) that can be authorized to view their patient data. Care providers can review the patient data and associated alarm(s) with graphical user interfaces.
• A monitoring kit can be provided to a patient. The monitoring kit can include various devices for remote patient monitoring. For example, a wearable device can be worn by a patient that captures physiological parameters for the patient. The wearable device can wirelessly connect with a software application on the patient's user computing device. The patient's user computing device can transmit the physiological parameters to a patient management and monitoring system, which can include a software application for a care provider. As described herein, the patient management and monitoring system and/or a clinician can use the physiological parameters for the patient. For example, a clinician can treat, diagnose, and/or respond to physiological parameters for the patient.
• The remote patient management and monitoring systems and methods described herein can be used to address communicable diseases, such as respiratory, influenza, and/or influenza-like virus outbreaks, and in particular the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or novel coronavirus) and the coronavirus disease 2019 (COVID-19) global pandemic. The solutions described herein can allow extensible and/or remote patient monitoring and patient engagement. Such solutions can be crucial to expanding healthcare services and/or allowing suspected or confirmed, novel coronavirus patients to remain quarantined, which can be crucial to slowing a virus' spread so that fewer people need to seek treatment at any given time, which is known as “flattening the curve.” The solutions described herein can enable remote-monitoring of patient physiological parameters, such as, but not limited to, a patient's temperature, respiration rate, and/or oxygen saturation. An example remote patient management and monitoring system is Masimo SafetyNet™ by Masimo Corporation, Irvine, Calif.
• Some existing methods for diagnosing a communicable disease can include administering a test. For example, in the context of SARS-CoV-2, a viral or an antibody test can be administered to a patient. In some cases, such tests can take several days to get results, some of which may include false positive or negative results. Testing for the novel coronavirus or other communicable diseases can involve inserting a long swab, e.g., a six-inch swab, into the cavity between the nose and mouth. The solutions described herein can provide additional or alternative methods of diagnosing a health condition, such as the novel coronavirus. As described herein, a patient can use a patient sensor device, such as a wearable device, which captures physiological parameters and a system and/or a clinician can use the physiological parameters to diagnose a health condition. For example, the novel coronavirus or other communicable diseases can be diagnosed as possibly being present in a patient based at least on one or more physiological parameters, such as blood oxygen saturation, pulse rate, perfusion index, respiration rate, pleth variability index, and/or temperature.
• In some embodiments, the wireless sensor system may be a tetherless pulse oximetry sensor with respiration rate monitoring. An example tetherless pulse oximetry sensor can use Masimo SET® measure-through-motion technology. The tetherless single-patient-use sensor can provide continuous respiration rate and oxygen saturation monitoring. Patient data can be sent securely via Bluetooth® to a computing device, such as, for example, a computing device executing the Masimo SafetyNet mobile application.
• Creation and implementation of customized patient care user interfaces and applications by care providers may be impractical or difficult with some existing systems. As described above, frameworks exist for developing applications, such as smart phone applications. However, application development using such frameworks typically requires developers with programming skills and technical expertise to prepare and configure user interfaces. Such barriers can make it difficult or prohibitive for care providers to develop such applications since the providers typically lack such resources and competencies. Moreover, significant updates to the applications typically require recompiling and republishing of the updated executable applications.
• Various embodiments of the present disclosure provide improvements to various technologies and technological fields, and practical applications of various technological features and advancements. For example, as described above, some existing systems are limited in various ways, and various embodiments of the present disclosure provide significant improvements over such systems, and practical applications of such improvements. For example, embodiments of the present disclosure can allow care providers to create customized patient care user interfaces without programming skills and/or technical expertise. Care providers can use configuration user interfaces to configure patient care user interfaces. The configurations of the patient care user interfaces can be stored in client configuration packages that can be received by patient care applications. The patient care applications can then implement the client configuration packages to present customized patient care user interfaces. As described herein, the patient care user interfaces can be customized for particular health conditions(s). The patient care applications can receive and/or implement new or updated client configuration packages to present new or updated patient care user interfaces without or before recompiling the patient care applications. Accordingly, the systems and techniques described herein can result in improvements to computer application development technologies. Thus, various embodiments of the present disclosure can be inextricably tied to, and provide practical applications of, computer technology.
• Advantageously, the systems and techniques described herein can result in improvements to graphical user interfaces. For example, existing methods for pairing devices may be cumbersome for users. As described herein, the client configuration packages can include sensor configurations to facilitate configuring sensor devices that capture patient physiological parameters. The predefined sensor configurations can enable a faster pairing processes with fewer user input clicks or selections. The client configuration packages may facilitate other configurations of a patient care application. Thus, various embodiments of the present disclosure can result in more efficient graphical user interfaces.
• Various embodiments of the present disclosure can interface with sensor technology, such as non-invasive patient sensor devices. Such features and others are intimately tied to, and enabled by, computer sensor technology, and would not exist except for computer sensor technol1efined below. The terms defined below, as well as other terms used herein, should be construed broadly to include the provided definitions, the ordinary and customary meaning of the terms, and/or any other implied meaning for the respective terms. Thus, the definitions below do not limit the meaning of these terms, but only provide example definitions.
• Client Configuration Package: Data and/or software instructions that define a patient care user interface. An administrator configures a patient care user interface with a configuration user interface and the output of the configuration user interface is a client configuration package. The client configuration package can be received by a patient care application that causes the patient care application to present the patient care user interface. The client configuration package can include configurations for a graphical layout of a patient care user interface, action items, and/or sensor items.
• Patient Care User Interface: A graphical user interface of an application that addresses and/or is tailored to particular health condition(s). The graphical user interface can include action items for a patient and/or prompts to elicit user input, which are related to health condition(s). Example action items can be tasks for a patient associated with the health condition(s), such as medication reminder(s) and/or physical activity or physical therapy reminder(s) or goal(s). The graphical user interface can integrate with patient sensor(s) to present physiological parameters and can include elements to configure patient sensor items. The graphical user interface can present particular action(s) and/or prompts based on configured schedule(s). As described herein, an administrator can configure the patient care user interface with a configuration user interface and can make the patient care user interface available on an application. As used herein, the terms “CareProgram” or “care program” can refer to a configured patient care user interface, which can be embodied in a client configuration package.
Overview
• FIG. 1A illustrates anetwork environment100 that includes a patient management andmonitoring system110. Thenetwork environment100 can further include anetwork108, one or morepatient sensor devices104A and/or one or moreadditional devices114A in communication with a patientuser computing device102, and one or morepatient sensor devices104B and/or one or moreadditional devices114B in communication with aconnectivity hub device106. The one or morepatient sensor devices104A,104B and/oradditional devices114A,114B can wirelessly communicate (e.g., over Bluetooth) with the patientuser computing device102 and/or theconnectivity hub device106. Examplepatient sensor devices104A,104B can include, but are not limited to, a tetherless pulse oximetry sensor/pulse oximetry device with respiration rate monitoring, which can be described in further detail below with respect toFIGS. 2A-2B. Exampleadditional devices114A,114B can include, but are not limited to, a device capable of administering one or more medications. The patientuser computing device102 and/or theconnectivity hub device106 can transmit patient data, such as captured patient physiological data, to the patient management andmonitoring system110 over thenetwork108.
• The patientuser computing device102, the additionaluser computing device122, and/or the clinicianuser computing device124 can include any computing device capable of communicating with patient management andmonitoring system110 over thenetwork108. Example computing devices include a smartphone, hybrid PDA/mobile phone, mobile phone, tablet computer, laptop, desktop computer, and/or a personal digital assistant (PDA). The patientuser computing device102 can execute apatient care application120 that is configured to present patient care user interfaces and/or to communicate with the patient management andmonitoring system110 over thenetwork108. In particular, thepatient care application120 can communicate (such as interface) with the one or morepatient sensor devices104A,104B and/oradditional devices114A,114B. A patient can authorize their health data to be shared with third-party health service(s)112. The patientuser computing device102 can share patient data with third-party health service(s)112.
• A patient can authorize their health data to be shared with additional user computing device(s)122. For example, a patient can specify one or more contacts, such as friends or family, that are authorized to view the patient-associated data. Thus, the authorized additional user computing device(s)122 can implement apatient care application120 or otherwise have access to the shared patient data. For example, the authorized additional user computing device(s)122 can receive an alert if an alarm is triggered, such as a patient's oxygen saturation alarm being triggered.
• As described herein, the patient management andmonitoring system110 can provide graphical user interfaces and alerts associated with the patient to the clinicianuser computing device124.
• FIG. 1B illustrates components of the patient management andmonitoring system110 in thenetwork environment100. Thenetwork environment100 ofFIG. 1B can be similar or identical to thenetwork environment100 ofFIG. 1A. For example, thenetwork environment100 ofFIG. 1B can include the patientuser computing device102, the connectivity hub device106 (not illustrated),patient sensor devices104A,104B and/oradditional devices114A,114B (not illustrated), additionaluser computing devices122, third-party health services112, and/or the clinicianuser computing device124.
• The patient management andmonitoring system110 can include afrontend server130, a patientcare management service134, apatient data service132, and/or apatient monitoring service136. Thepatient data service132 can receive patient data from the patientuser computing device102 and/or theconnectivity hub device106. Thepatient data service132 can store patient data in the patient database(s)142. Example patient data can include, but is not limited to, temperature, blood pressure, pulse rate, respiratory rate (RRa), total hemoglobin (SpHb®), carboxyhemoglobin (SpCO®), methemoglobin (SpMet®), oxygen content (SpOC™), oxygen saturation (SpO2), pulse rate (PR), perfusion index (Pi), pleth variability index (PVi®), and/or electroencephalogram (EEG) data, some of which can be collected by the patient sensor device(s)104A,104B.
• In some embodiments, the patient sensor device(s)104A,104B, the additional device(s)114A,114B, and/or the patientuser computing device102 can include one or more sensors that can obtain information associated with position, acceleration, orientation, and/or movement of a patient. Example one or more sensors can include, but are not limited to, an accelerometer, a gyroscope, and/or a magnetometer. The patientuser computing device102 and/or theconnectivity hub device106 can process the sensor information to determine a position, acceleration, orientation, and/or movement of the patient (such as the patient's position and/or orientation in three-dimensional space). For example, the patientuser computing device102 and/or theconnectivity hub device106 can determine whether the patient is upright based on the sensor information.
• Thefrontend server130 can provide patient care configuration user interfaces that allow a care provider administrator to configure a patient care user interface. Upon receiving administrator user selections, thefrontend server130 can cause client configuration packages to be created or updated via the patientcare management service134. The patientcare management service134 can store configurations in the patientcare configuration database140. The patientcare management service134 can also be responsible for maintaining patient monitoring alarms, which can be customized for a particular patient care user interface. Thepatient monitoring service136 can communicate with the patientcare management service134 to receive alarm configurations. Thepatient monitoring service136 can communicate with thepatient data service132 to monitor patient data, trigger patient alarms, and/or to send alerts regarding a patient. Thefrontend server130 can further provide graphical user interfaces to the clinicianuser computing device124. A clinician can view patient data and/or alerts via the provided graphical user interfaces.
• In some embodiments, the patient management andmonitoring system110 and/or components thereof are implemented by one or more virtual machines implemented in a hosted computing environment. The hosted computing environment may include one or more rapidly provisioned and/or released computing resources. The computing resources may include hardware computing, networking and/or storage devices configured with specifically configured computer-executable instructions. Hosted computing environments can be referred to as “cloud computing” environments.
Patient Sensor Device
• Wirelessly transmitting physiological data may have some limitations. Sensors capable of wirelessly transmitting patient physiological data may include internal power source (for example, battery) that may be limited in size and/or capacity. Since continuous data collection and wireless transmission can require significant power usage, operation time duration of such sensors can be limited. Therefore, such wireless sensors and/or batteries may need to be replaced and/or recharged regularly. Although such wireless patient monitoring sensors may utilize rechargeable batteries, having rechargeable batteries may not be suitable where it may not be ideal for a patient to wait for the battery to recharge in time of need. Accordingly, it can be advantageous to provide a sensor system that is compatible with existing sensors and monitors and is capable of wireless communication as discussed herein.
• FIG. 2A illustrates an examplepatient sensor device104 attached to a wrist of a patient. Thepatient sensor device104 can be attached to a patient with a strap. Thepatient sensor device104 does not have to be physically attached to a monitoring device. Therefore, a patient may be able to move around, for example, in their home, hospital room, hotel room, outdoor tent, or outdoor area (for example, parks, beaches, and malls), without having to worry about cables or cords limiting their range of movement. As such, thepatient sensor device104 can establish wireless communication with nearby devices to securely transmit physiological data thepatient sensor device104 collects from a patient. Thepatient sensor device104 can be an example pulse oximetry device. An examplepatient sensor device104 can be a wearable sensor assembly. As described herein, a reusable device can be configured to engage a disposable device to form a wearable sensor assembly.
• Thepatient sensor device104 can be disposed on various locations of a patient's body. For example, instead of thepatient sensor device104 being attached to the wrist of a patient as illustrated inFIG. 2A, thepatient sensor device104 can be disposed on a patient's chest. Thepatient sensor device104 can be disposed on other locations on a patient including, but not limited to, torso, back, shoulder, arms, legs, neck, or head. Various means can be used to attach thepatient sensor device104 to a patient. For example, thepatient sensor device104 can be attached to, for example, the skin of a patient with an adhesive. In another example, thepatient sensor device104 can be attached to a patient with a fastener, such as tape, laid over at least a portion of thepatient sensor device104. Alternatively, thepatient sensor device104 can be attached to a patient via one or more straps, such as the strap(s) shown inFIG. 2A.
• FIG. 2B is an example block diagram illustrating an examplepatient sensor device104 including adisposable device220 and areusable device250. As used herein, the terms “disposable” and “reusable” refer to an expected length of use for respective portions of thepatient sensor device104. For example, thesensor240 of thedisposable device220 may come into physical contact physical contact with a patient, and, therefore, may be discarded after some period of use by the patient. As another example, thebattery224 of thedisposable device220 may not be a rechargeable battery, and thedisposable device220 may be discarded after the battery loses charge. In contrast to thedisposable device220, thereusable device250 may be designed to be disinfected easily and its intended use may be to be used with multiple disposable devices. However, in some embodiments, thedisposable device220 can be used multiple times and/or over multiple days or weeks. The expected period of use for thereusable device250 may be longer than the expected period of use of thedisposable device220. In other embodiments, somepatient sensor devices104 do not have “disposable” portions in the sense that those devices may not have portions that have expected shorter lifespans that other portions of the same device.
• Thedisposable device220 can collect physiological data from a patient and transmit the data to thereusable device250. Thereusable device250 can receive the physiological data from thedisposable device220 and wirelessly transmit the data to the patientuser computing device102, theconnectivity hub device106, and/or thepatient monitoring device206. In some embodiments, thepatient monitoring device206 can be used as part of a hospital patient monitoring system, which can include various types of monitors capable of displaying patient health data. An examplepatient monitoring device206 includes a Root® Platform, a patient monitoring and connectivity hub by Masimo Corporation, Irvine, Calif. A mobile physiological parameter monitoring system usable with the cable is described in U.S. Pat. No. 9,436,645, issued on Sep. 6, 2016, titled “MEDICAL MONITORING HUB,” which is hereby incorporated by reference in its entirety.
• Thedisposable device220 can include adock222, a battery (or batteries)224, amemory226, one ormore sensors240, and one ormore cable assemblies230. As used herein, thedisposable device220 can be referred to herein as a “sensor.” Thebattery224 can provide power for thereusable device250. Thebattery224 can be housed within thedock222 of thedisposable device220. Thebattery224 can provide power for thedisposable device220 and thereusable device250 when thereusable device250 is coupled with thedisposable device220. Thereusable device250 may use the power from thebattery224 to, for example, receive and/or retrieve physiological data from thedisposable device220, process the physiological data, and transmit the processed physiological data to, for example, the patientuser computing device102 and/or theconnectivity hub device106.
• When thebattery224 is depleted, a patient may discard thedisposable device220 with the depletedbattery224 and use a newdisposable device220 with a chargedbattery224. This can advantageously allow users, for example, care providers, to continue remote monitoring and/or managing patients without having to use multiplereusable devices250. This can prevent or reduce the need to reestablish wireless communication between thereusable device250 and, for example, a nearby device such as the patientuser computing device102 and/or theconnectivity hub device106.
• Thememory226 can be housed within thedock222 of thedisposable device220. Thememory226 can store physiological data collected by thesensor240. In some embodiments, thememory226 may be optional. For example, the physiological data collected by thesensor240 may be transmitted to thereusable device250 without first being stored. This can advantageously prevent or reduce the likelihood of physiological data being thrown away when replacing thedisposable device220.
• Thedock222 can removably couple with thereusable device250. Once thereusable device250 is coupled with thedock222, thereusable device250 can communicate with thedisposable device220 to transmit data therebetween. For example, thereusable device250 can transmit sensor signal to thedisposable device220 to operate thesensor240 to collect physiological data from a patient. The collected physiological data can then be transmitted to thereusable device250.
• Thecable230 can be flexible or non-flexible. Thecable230 can be a thin film including electrical circuitries. Thecable230 can be surrounded by different types of electrical insulating material. Thecable230 can be substantially flat or round.
• Thesensor240 can collect various types of physiological data for thepatient sensor device104. The various types of physiological data can include, but not limited to, blood pressure, respiratory rate (RRa), total hemoglobin (SpHb), carboxyhemoglobin (SpCO), methemoglobin (SpMet), oxygen content (SpOC), oxygen saturation (SpO2), pulse rate (PR), perfusion index (Pi), and pleth variability index (PVi), and/or electroencephalogram (EEG). Anexample sensor240 can include, but is not limited to, a RD rainbow SET sensor™, Rainbow® sensor, Rainbow Acoustic Monitoring® sensor, Radius PPG™, RD SET™ sensor, LNCS® sensor, and/or SofTouch™ sensor, by Masimo Corporation, Irvine, Calif.
• The data collected by thesensor240 may be in a raw data format. As such, aprocessor254 of thereusable device250 may process the raw data and transmit the processed data to the patientuser computing device102, theconnectivity hub device106, and/or thepatient monitoring device206. Additionally or alternatively, thesensor240 can process the raw physiological data and send processed physiological data to thereusable device250. When thereusable device250 wirelessly transmits processed physiological data, power consumption of thereusable device250 can be reduced since processed physiological data can be smaller in size than unprocessed, raw physiological data.
• As described herein, thereusable device250 can, for example, receive and/or retrieve physiological data from thedisposable device220, process the physiological data, and wirelessly transmit the processed physiological data to, for example, with the patientuser computing device102 and/or theconnectivity hub device106. Thereusable device240 can include awireless communication device252, aprocessor254, and amemory256. As described herein, thereusable device250 can receive physiological data from thedisposable device220 when thereusable device250 is coupled to thedisposable device220, for example, via thedock222. Thereusable device250 can transmit the physiological data received from thedisposable device220 to nearby devices. For example, as shown inFIG. 2B, thereusable device250 can establishwireless communication204 with the patientuser computing device102 and/or theconnectivity hub device106. Thewireless communication204 may be established via thewireless communication device252.
• Thewireless communication device252 can include an RFID (radio-frequency identification) antenna. Additionally or alternatively, thewireless communication device252 can include a Bluetooth antenna. Thewireless communication device252 can include multiple antennae. A first antenna can be a receiving antenna and a second antenna can be a transmitting antenna. In other embodiments, both the first antenna and the second antenna can each receive and transmit data. In some embodiments, the first antenna can be a passive antenna while the second antenna can be an active antenna. An active antenna can include a built-in amplifier that can amplify certain spectrum or frequency of signals.
• In some embodiments, thewireless communication device252 can include multiple antennae for establishing different types of wireless communication. For example, thewireless communication device252 may include a first antenna for establishing an RFID-based or NFC-based (near field communication) wireless communication with nearby devices, and a second antenna for establishing a Bluetooth-based wireless communication with nearby devices. In some embodiments, both the first and the second antenna are capable of establishing RFID-based and/or Bluetooth-based wireless communication.
• Thememory256 can be computer hardware integrated circuits that store information for immediate use for a computer (for example, the processor254). Thememory256 can store the patient physiological data received from thesensor240. Thememory256 can be volatile memory. For example, thememory256 can be a dynamic random access memory (DRAM) or a static random access memory (SRAM). Thememory256 can be a non-volatile memory. For example, thememory256 can be a flash memory, ROM (read-only memory), PROM (programmable read-only memory), EPROM (erasable programmable read-only memory), and/or EEPROM (electrically erasable programmable read-only memory).
• Thememory256 of thereusable device250 can store patient physiological data received from thesensor240. Thememory256 can store instructions that, when accessed, can prompt theprocessor254 to receive or retrieve patient physiological data from thedisposable device220. When thereusable device250 is not wirelessly connected with other devices, for example, the patientuser computing device102 and/or theconnectivity hub device106, thereusable device250 may store the physiological data in thememory256. When thereusable device250 is wirelessly connected with other devices, for example, the patientuser computing device102 and/or theconnectivity hub device106, thereusable device250 may wirelessly transmit the physiological data to the other devices.
• In some embodiments, thememory256 can store patient physiological data regardless of whether thereusable device250 has established wireless communication with other devices. For example, the physiological data may be stored in thememory256 regardless of whether thereusable device250 is in wireless communication with other devices.
• In some embodiments, thepatient sensor device104 can optimize how data is stored. For example, in order to maximize the life of thememory256, thememory256 may store a health-related event (for example, an event representing high blood pressure and low blood oxygen level) but not a series of individual physiological data items (for example, individual blood pressure and blood oxygen readings). For example, the information related to a health-related event can be a time stamp when an event occurred or it can be a snapshot of data taken before, during, and/or after an event. In some embodiments, thememory256 can store a window of data, such as, for example, one, two, three, five, or seven days of data.
• In some embodiments, the coupling between thereusable device250 and thedock222 of thedisposable device220 can be waterproof or shockproof. Thedisposable device220 and/or thereusable device250 can be shockproof and/or waterproof. Thedisposable device220 and thereusable device250 can be durable under various types of environments. For example, thereusable device250 can be fully enclosed, allowing it to be washed, sanitized, and reused.
• Further details regarding thepatient sensor device104 can be found in U.S. application Ser. No. 16/599,017, filed Oct. 10, 2019, titled “SYSTEM FOR TRANSMISSION OF SENSOR DATA USING DUAL COMMUNICATION PROTOCOL” (hereinafter the “Dual Communication reference”), which is hereby incorporated by reference in its entirety.
• FIG. 2C illustrates another examplepatient sensor device290. Thepatient sensor device290 can include asensor240 and acable assembly292. As shown, thesensor240 can be coupled to the patientuser computing device102 via thecable assembly292. Accordingly, the patientuser computing device102 may receive patient physiological data from thesensor240 via thecable assembly292.
• The examplepatient sensor device290 can have some advantages. For example, thesensor240 can be powered by a power source of the patientuser computing device102, which may have greater capacity than thebattery224 of thedisposable device220. As such, the configuration of thepatient sensor device290 and the patientuser computing device102 can collect physiological data for a longer period of time relative to some other sensor configurations. Patient physiological data can be transmitted to the patientuser computing device102 via thecable assembly292, which may have some security advantages over wireless data transmission methods.
• InFIG. 2D, theenvironment251 includes an examplepatient sensor device104 and a patientuser computing device102. Thepatient sensor device104 ofFIG. 2D can be a pulse oximeter that is designed to non-invasively monitor patient physiological parameters from a fingertip. Thepatient sensor device104 ofFIG. 2D can include a display and a touchpad and/or touchscreen. Example physiological parameters that thepatient sensor device104 ofFIG. 2D can measure can include, but is not limited to, blood oxygen saturation, pulse rate, perfusion index, respiration rate, and/or pleth variability index. As described herein, thepatient sensor device104 ofFIG. 2D can be wirelessly connected to the patientuser computing device102. An examplepatient sensor device104 includes a MightySat® fingertip pulse oximeter by Masimo Corporation, Irvine, Calif.
• InFIG. 2E, theenvironment260 includes an examplepatient sensor device104 and a patientuser computing device102. Thepatient sensor device104 ofFIG. 2E can be configured to be worn on a patient's wrist to non-invasively monitor patient physiological parameters from a fingertip. Thepatient sensor device104 ofFIG. 2E can include a display and/or touchscreen. In some embodiments, thepatient sensor device104 ofFIG. 2E can present a graphical user interface, which is designed to be presented on a wrist-worn display. Example physiological parameters that thepatient sensor device104 ofFIG. 2E can measure can include, but is not limited to, blood oxygen saturation, pulse rate, perfusion index, respiration rate, and/or pleth variability index. As described herein, thepatient sensor device104 ofFIG. 2E can be wirelessly connected to the patientuser computing device102. In some embodiments, thepatient sensor device104 ofFIG. 2E can be a smartwatch.
• InFIG. 2F, theenvironment262 includes an examplepatient sensor system261. Thepatient sensor system261 can include anacoustic sensor263, anelectrode264, anoptical sensor265, ablood pressure cuff266, an electrocardiogram (ECG)device267, a blood pressure monitor268, and/or apatient monitor269. Any or all of the sensors/cuffs/monitors263,264,265,266,267,268 can be reusable, disposable, or resposable. Resposable devices can include devices that are partially disposable and partially reusable. For example, theacoustic sensor263 can include both reusable electronics and a disposable contact surface (such as an adhesive) where thesensor263 comes in to contact with a skin of the patient. As another example, theECG device267 can include a reusable portion and a disposable portion. In some embodiments, the patient sensor system261 (such as the patient monitor269 and/or individual sensors of the patient sensor system261) can communicate with the patientuser computing device102 and/or theconnectivity hub device106.
• TheECG device267 can be connected to theelectrodes112 and to theblood pressure monitor268. The blood pressure monitor268 can be connected to thepatient monitor269. Theacoustic sensor263 can be connected to thepatient monitor269. Theoptical sensor265 can be connected to thepatient monitor269. TheECG device267 can be secured to a chest of the patient. The blood pressure monitor269 can be secured to an arm of the patient and/or ablood pressure cuff266 can be secured to the arm.
• The electrocardiogram (ECG)device267 can be used to monitor electrical activity of the heart of the patient. TheECG device267 can be coupled to the one ormore electrodes264. TheECG device267 can include one, two, three, four, five, six or seven ormore electrodes264. The blood pressure monitor268 and theblood pressure cuff266 can be used to measure the blood pressure of the patient. Theblood pressure cuff266 can inflate and/or deflate. Theblood pressure cuff266 can be an oscillometric cuff that is actuated electronically (e.g., via intelligent cuff inflation and/or based on a time interval) to obtain blood pressure information of the patient. The blood pressure monitor268 can transmit the blood pressure data to thepatient monitor269.
• Theoptical sensor265 can include one or more emitters and one or more detectors for obtaining physiological information indicative of one or more physiological parameters for the patient. These parameters can include various blood analytes such as oxygen, carbon monoxide, methemoglobin, total hemoglobin, glucose, proteins, glucose, lipids, a percentage thereof (e.g., concentration or saturation), and the like. Theoptical sensor265 can also be used to obtain a photoplethysmograph, a measure of plethysmograph variability, pulse rate, a measure of blood perfusion, and the like. Theoptical sensor265 can obtain information such as oxygen saturation (SpO2), pulse rate, a plethysmograph waveform, perfusion index (PI), pleth variability index (PVI), methemoglobin (MetHb), carboxyhemoglobin (CoHb), total hemoglobin (tHb), and/or glucose and data related to such information can be transmitted to thepatient monitor269. Theoptical sensor265 can be a pulse oximeter, for example.
• Theacoustic sensor263 can include an acoustic transducer, such as a piezoelectric element. Theacoustic sensor263 can connect to thepatient monitor269. Theacoustic sensor263 can detect respiratory and other biological sounds of a patient and provide signals reflecting these sounds to thepatient monitor269. An exampleacoustic sensor263 can be a piezoelectric sensor that obtains physiological information reflective of one or more respiratory parameters of the patient. These parameters can include, for example, respiratory rate, inspiratory time, expiratory time, inspiration-to-expiration ratio, inspiratory flow, expiratory flow, tidal volume, minute volume, apnea duration, breath sounds, rales, rhonchi, stridor, and/or changes in breath sounds such as decreased volume or change in airflow. In addition, in some cases theacoustic sensor263 can measure other physiological sounds such as heart rate (e.g., to help with probe-off detection), heart sounds (for example, S1, S2, S3, S4, and murmurs), and changes in heart sounds such as normal to murmur or split heart sounds indicating fluid overload. In some implementations, a second acoustic sensor can be provided over the chest of the patient for additional heart sound detection.
• InFIG. 2G, theenvironment270 includes an examplepatient sensor device104 and a patientuser computing device102. Thepatient sensor device104 ofFIG. 2D can be a temperature sensor that is designed to non-invasively monitor physiological parameters of a patient. In particular, thetemperature sensor104 can measure a temperature of the patient. As described herein, thetemperature sensor104 can be wirelessly connected to the patientuser computing device102. Thetemperature sensor104 ofFIG. 2G can be described in further detail below with respect toFIG. 2H.
• InFIG. 2H, thepatient sensor device104 can be a temperature sensor assembly.FIG. 2H can depict a schematic cross-sectional view of thetemperature sensor assembly104. In the assembly, the top surface of thebottom base272 can be in contact with and adhered to the bottom surface of thetop base271. A rim of thehousing274 can be sandwiched between the twobases271,272 to secure thehousing274. Thehousing274 can protrude through a cut-out of thetop base271. Within thehousing274, abattery279 and a mountingframe276 can be adjacent the top surface of thebottom base272.
• Atemperature device281 can be mounted on thecircuit board278. Thetemperature device281 can be in thermal contact with the patient's skin to sense the temperature of the patient. Inputs to thetemperature device281 can be thermally connected to multiple through-hole vias280 located in thecircuit board278. A through-hole vias can be a small vertical opening or pathway in thecircuit board278 through which thermally and/or electrically conductive material can be placed, thereby permitting transmission of thermal and/or electrical energy from one side of thecircuit board278 to the other side. Under the through-hole vias280 is an aperture or opening that extends through the mounting frame276 (to form a mounting frame aperture) and through thebottom base272 of thetemperature sensor assembly104. The aperture can provide access from thetemperature sensor281 to the patient's skin when thetemperature sensor assembly104 is disposed on the patient. The aperture and the through-hole vias280 are filled with thermallyconductive material273. Thermally conductive materials can include, by way of non-limiting example, thermally conductive elastomers, polymers, and resins, to name a few. Thetemperature sensor assembly104 can be affixed to the patient's skin. The thermallyconductive material273, which can be exposed to the patient's skin, can transmit thermal energy from the patient's body through the aperture and the through-hole vias273 to arrive at the inputs to thetemperature device281.
• Advantageously, thetemperature sensor104 can measure the patient's body core temperature (an established and useful vital sign) from the skin surface. In the human body, there is a natural heat flux between the body core and the skin surface because the body core temperature is typically at a higher temperature than that of the skin surface. Thebottom base272 andtop base271 of thetemperature sensor104, which is in contact with the patient's skin, can possess thermal insulation properties. Illustratively, by way of non-limiting example, thebottom base272 andtop base271 can be made of thermally insulating materials including polyurethane foam, polystyrene foam, neoprene foam, neoprene rubber, polyester (Mylar), polytetrafluoroethylene (PTFE), silicone foam, silicone rubber, or the like.
• In some embodiments, apatient sensor device104 can include a processor and a temperature sensor. A temperature sensor may capture one or more physiological signals related to a patient's temperature, such as a body core temperature. The processor can process the one or more physiological signals to measure the patient's body core temperature, which is a vital sign used by clinicians to monitor and manage patients' conditions. The temperature sensor can include a thermocouple, a temperature-measuring device having two dissimilar conductors or semiconductors that contact each other at one or more spots. A temperature differential can be experienced by the different conductors. The thermocouple can produce a voltage when the contact spot differs from a reference temperature. Thermocouples may be self-powered and therefore may not require an external power source for operation. In some embodiments, the temperature sensor can include a thermistor. A thermistor is a type of resistor whose resistance value can vary depending on its temperature. Thermistors typically offer a high degree of precision within a limited temperature range.
• In some embodiments, apatient sensor device104 can include an acoustic respiration sensor. The acoustic respiration sensor may capture one or more physiological signals related to vibrational motion from the patient's body (e.g., the patient's chest) that are indicative of various physiologic parameters and/or conditions, including without limitation, heart rate, respiration rate, snoring, coughing, choking, wheezing, and respiratory obstruction (e.g., apneic events). Additional details regarding an example acoustic respiration sensor are described in U.S. Pat. No. 8,771,204, titled “ACOUSTIC SENSOR ASSEMBLY,” which is hereby incorporated by reference in its entirety.
• In some embodiments, apatient sensor device104 can include a processor and an electrocardiogram (ECG) sensor. The ECG sensor may capture one or more physiological signals related to cardiac activity. The processor can process the one or more physiological signals to measure the patient's cardiac activity. In some embodiments, the patient management andmonitoring system110 can process the ECG parameter values to detect arrhythmias, such as bradycardia, tachyarrhythmia, or ventricular fibrillation.
• Additional temperature sensor embodiments (also referred to as “wearable devices”) are described in U.S. patent application Ser. No. ______, titled “WEARABLE DEVICE FOR NONINVASIVE BODY TEMPERATURE MEASUREMENT,” filed on Mar. 19, 2021 (“the temperature sensor application”), and corresponding to Attorney Docket No. MAS.1373A, which is hereby incorporated by reference in its entirety. For example, the temperature sensor application describes example wearable devices and aspects thereof in paragraphs [0005]-[0020] and [0043]-[0124], among others.
• Additional examplepatient sensor devices104 can include blood pressure monitors and/or digital weight scales. Blood pressure monitors and/or digital weight scales can be used to diagnose and/or treat health conditions as described herein. For example, a patient's blood pressure and/or weight can be used in combination with other patient physiological data to diagnose and/or treat health conditions related to COVID-19, diabetes, sleep apnea, one or more addictions, one or more cardiac diseases, obesity, and/or one or more respiratory diseases.
Medical Applicator Device
• In an opioid medical context, it can be important to administer medication, such as an opioid receptor antagonist (e.g., Naloxone), to victims of opioid overdoses as soon as possible. Often it can be a matter of life or death for the overdose victim. It can be advantageous for a medication applicator device to administer medication without user or responder action. It can be further advantageous for a device to provide assistance to first responders in the event of an opioid overdose event, such as visual or auditory indicators and/or instructions. For example, a patient can wear a wrist band that changes color to indicate an opioid overdose event.
• FIG. 21 illustrates amedication applicator device282. Themedication applicator device282 can be an example of anadditional device114A,114B, as described herein. Themedication applicator device282 can be configured to apply topical medication to reverse or reduce the effects of an opioid overdose. Themedication applicator device282 can include an actuator and medication in a gel form. The gel can be contained in a pouch or container with frangible seals. The actuator can receive an actuation signal from theconnectivity hub device106 and/or the patientuser computing device102 to initiate the actuation process. An antenna in themedication applicator device282 can receive the actuation signal. Themedication applicator device282 can receive the actuation signal and the actuator can actuate to dispense the gel onto the skin of the patient. For example, the actuator can include a gas squib that, when activated, creates a pressurized gas or fluid that is in fluid contact with the gel via one or more conduits. The pressurized fluid can force the gel to break frangible seals next to the tissue that can cause the gel to be applied to surface tissue.
• Additionally or alternatively, themedication applicator device282 can include a vial or container of injectable medication, an actuator, and/or a needle. The needle can be a microneedle. The actuator can receive the actuation signal from theconnectivity hub device106 and/or the patientuser computing device102 to initiate the actuation process. Once themedication applicator device282 receives the actuation signal, the actuator can actuate to force injectable medication through the needle. The needle can be configured to inject the medication into tissue under the pressure generated by the actuator.
Connectivity Hub Device
• In addition to or in place of a patientuser computing device102, aconnectivity hub device106 may be used to facilitate wireless transmission of physiological data from thepatient sensor device104. Also as described herein, another example context for a patient management and monitoring system can be situations where medicine may need to be administered, such as in the case of home opioid monitoring and patient care.
• FIG. 3 illustrates a block diagram of anetwork environment300 that includes thepatient sensor device104B, theadditional device114B, theconnectivity hub device106, and thenetwork108. In some embodiments, thenetwork environment300 can further includeother devices330. Thepatient sensor device104B may collect patient physiological data and theadditional device114B may, for example, deliver a dose of a medicine based at least in part on the physiological data. The dosage may be predetermined. Theadditional device114B may be a delivery device that can be self-administrating or user-activated (for example, activated by a patient, a care provider, or an emergency responder). Thepatient sensor device104B may or may not be integrated with theadditional device114B.
• Theconnectivity hub device106 can receive patient physiological data, for example, from thepatient sensor device104B, and transmit the patient physiological data via thenetwork108. Theconnectivity hub device106 can include acommunications device308 to communicate with one or moreadditional devices114B, thepatient sensor device104B, thenetwork108, andother devices330 with monitoring capabilities. Communications can be over Bluetooth or Wi-Fi, for example. Theconnectivity hub device106 can further includedata storage302,memory304, and aprocessor306. In some embodiments, one or more applications may be stored within thedata storage302 and loaded into thememory304. Thedata storage302 can store physiological data received from thepatient sensor device104.
• Theconnectivity hub device106 can be powered by an AC current. In some implementations, as shown inFIG. 3, theconnectivity hub device106 can include abackup battery310 that can supply power for theconnectivity hub device106 when AC power is no longer available. Theconnectivity hub device106 can be powered through a USB port, using a charger connected to an AC outlet. Theconnectivity hub device106 can generate a notification for a battery-low condition. For example, the notification for a battery-low condition may be visual and/or auditory.
• Thepatient sensor device104B can collect a patient's physiological data and transmit the physiological data to theadditional device114B and/or theconnectivity hub device106. Thepatient sensor device104B may communicate with theadditional device114B and/or theconnectivity hub device106 via wired or wireless communication. Optionally, thepatient sensor device104B can transmit raw sensor data to theconnectivity hub device106 and/or theadditional device114B, via wired or wireless communication. Theadditional device114B and/or theconnectivity hub device106 can process the raw sensor data to, for example, determine when a user of thepatient sensor device104B (for example, a patient) needs a care provider's attention or a critical health-related event is imminent or occurring. Additionally or alternatively, theconnectivity hub device106 can transmit the raw physiological data via thenetwork108. Accordingly, a patient management and monitoring system110 (not illustrated) can receive the data and determine when the patient may require a care provider's attention or a critical health-related event is imminent or occurring. When the patient management andmonitoring system110 determines that a critical health-related event (for example, inability to breathe, an opioid overdose, heart attack, and the like) is imminent or occurring, thesystem110 can communicate with other devices to address the critical health-related event. For example, the patient management andmonitoring system110 can generate and transmit to theadditional device114B via theconnectivity hub device106 instructions to, for example, administer one or more medications. The patient management andmonitoring system110 can generate and transmit notifications to user-authorized contacts, such as friends, family, emergency personnel, caregivers, police, ambulance services, other addicts or patients, and/or hospitals. The patient management andmonitoring system110 can generate and transmit notifications to a patient's user computing device. In some embodiments, theconnectivity hub device106 can send theadditional device114B instructions to, for example, activate and deliver medication.
• To avoid false-positive indications, theadditional device114B can provide an indicator or a notification before administrating medication when a critical health-related event is detected to inform the user that medicine will be administered. Example notifications can include, but are not limited to, a low-voltage electric shock or haptic feedback. The notification intensity can incrementally escalate until a threshold is reached or a user applies a manual override. In response to a notification, the user can employ a manual override to indicate that the user is not in need of the medication or is not experiencing a critical health-related event. The override can be a button, switch, or other user input on theadditional device114B, the patientuser computing device102, and/or theconnectivity hub device106. Theadditional device114B, the patientuser computing device102, and/or theconnectivity hub device106 can wait for the user input for a period of time before triggering the release of the medicine. The period of time can be less than 1 minute, less than 5 minutes, less than 10 minutes, between 1 minute and 5 minutes, between 1 minute and 10 minutes, and the like.
• In some embodiments, to receive additional indicators of any critical health-related events, theconnectivity hub device106 can receive data from other devices with somemonitoring capability330. Example devices with monitoring capabilities include, but are not limited to, smartphones, smart speakers, video cameras (such as an indoor home security camera), and/or Internet of Things (IoT) devices. For example, many homes have household cameras which provide a video feed. As another example, a smartphone can listen to breathing and generate respiration data. Intelligent personal assistants, such as Amazon's Alexa® Google's Google Assistant®, Apple's Siri®, and the like, can control devices that have monitoring capabilities (such as microphones or cameras). Many IoT household appliances, such as refrigerators, washing machines, coffee makers, and the like, can include monitoring capabilities. Other medical monitoring devices such as ECGs may also provide additional data. Data from one or more of these devices can be stored in thedata storage302 and used by theconnectivity hub device106 and/or sent to the patient management and monitoring system. The data from thedevices330 can be used to detect that a critical health-related event is imminent or occurring. Theconnectivity hub device106 can identify if anyother monitoring devices330 are available and can connect to thedevices330 to receive data.
• Theconnectivity hub device106 can interface with an internet filter, such as a Circle® internet filter that connects to a home network to monitor content. Using the filter, theconnectivity hub device106 can determine which network data is directed to the user's well-being and store the well-being data. The data can comprise text messages, voice recordings, video, and the like. Because of privacy concerns, theconnectivity hub device106 can determine which small portions of data are helpful to determining the user's physical condition and store only those portions of data.
• Because theconnectivity hub device106 can sometimes fail to connect to thenetwork108, it can be advantageous to have redundant systems to report or transmit patient physiological data for detecting critical health-related events. In the event that theconnectivity hub device106 fails to connect to thenetwork108, other networked devices can provide an internet connection. For example, theconnectivity hub device106 can transmit patient physiological data to anotherdevice330, such as a user computing device that can transmit the patient physiological data to thenetwork108. Thepatient sensor device104B or theadditional devices114B can wirelessly communicate withother devices330 when theconnectivity hub device106 fails to communicate with thenetwork108.
• While some aspects ofFIG. 3 are described herein as being performed by theconnectivity hub device106, some of those aspects may additionally or alternatively be performed by the patientuser computing device102. For example, in some embodiments, the patientuser computing device102 can communicate with and cause theadditional device114B to administer medicine.
Patient Sensor Device Pairing
• FIGS. 4A-4D illustrate an example pairing process between apatient sensor device104 and another device. InFIG. 4A, an examplepatient sensor device104 is shown. Thepatient sensor device104 includes areusable device250 anddisposable device220. As shown, thereusable device250 can detach from thedisposable device220. Thedisposable device104 can include thedock222. Thedock222 can be coupled to one or more sensors240 (not shown) via thecable230. Thedock222 can receive and couple with thereusable device250. As part of the setup/pairing process, thereusable device250 can be inserted into thedock222, which can cause thepatient sensor device104 to power on.
• InFIG. 4B, anexample sensor240 is shown. Thesensor240 can be designed to be placed on a patient's finger. As described herein, a sensor can be disposed on different parts of a patient's body including, but not limited to, torso, legs, arms, neck, back, shoulder, and the like. Thesensor240 can include anindicator242 that can indicate that thepatient sensor device104 is powered on. The indication can be auditory and/or visual. For example, when thepatient sensor device104 is powered on (such as when thereusable device250 is coupled to the disposable device220), theindicator242 may generate a light. Thesensor240 may receive power from thebattery224 of thedisposable device220. In some embodiments, thesensor240 may not draw power from thebattery224 until thereusable device250 is coupled with thedisposable device220, for example, via thedock222. Thesensor240 may not be powered or may not operate until it receives a sensor signal from theprocessor254 of thereusable device250. This can advantageously conserve the power stored in thebattery224 by allowing thesensor240 to draw power from thebattery224 when thereusable device250 is powered and ready to wirelessly transmit patient physiological data to nearby devices. In other embodiments, thesensor240 may receive power from thebattery224 regardless of whether thereusable device250 is coupled to thedisposable device220. In some embodiments, thesensor240 may not be operational (for example, not collect physiological data) even though it receives power from thebattery224.
• InFIG. 4C, an exampleconnectivity hub device106 powered by an AC power source is shown. Theconnectivity hub device106 can include abody401, apower connector402, anetwork connect button404, anetwork status indicator406, and acable assembly408. Thebody401 can house thedata storage302, the memory303, theprocessor306, thecommunications device308, and thebackup battery310.
• Theconnectivity hub device106 can receive power from a power source, for example, a standard power outlet on a wall, via thepower connector402. The power connector may vary in shape, size, and/or orientation based least in part on voltage, current, and/or power ratings associated with theconnectivity hub device106. Thepower connector402 can be coupled to thebody401 of theconnectivity hub device106 via thecable assembly408 such that theconnectivity hub device106 can receive power from a power source via thepower connector402 and thecable assembly408. As part of the setup/pairing process, theconnectivity hub device106 can be connected to a power source, which can cause theconnectivity hub device106 to power on.
• Selection of the network connect button404 (such as pressing the button for five seconds) can cause theconnectivity hub device106 to connect with nearby devices (such as the patient sensor device104). Theconnectivity hub device106 may wirelessly pair with another device, such as thepatient sensor device104, over a communication protocol, such as, but not limited to, Bluetooth. In particular, selection of thenetwork connect button404 can cause theconnectivity hub device106 to enter a pairing mode.
• In some embodiments, thenetwork connect button404 may be pressed for a predetermined length of time before theconnectivity hub device106 is caused to search for nearby devices with wireless communication capabilities. In other embodiments, thenetwork connect button404 may be pressed in a predetermined manner to cause theconnectivity hub device106 to search for nearby devices with wireless communication capabilities. For example, thenetwork connect button404 may be pressed three times consecutively to cause theprocessor306 of theconnectivity hub device106 to search for nearby devices with wireless communication capabilities.
• Thenetwork status indicator406 can be disposed on thebody401 of theconnectivity hub device106. For example, thenetwork status indicator406 can be positioned on a top surface of thebody401 such that users, for example, care providers or patients, can easily monitor thenetwork status indicator406 and determine network connectivity status for theconnectivity hub device106.
• InFIG. 4D, thepatient sensor device104 can be paired with theconnectivity hub device106. As described herein, thepatient sensor device104 and/or theconnectivity hub device106 can be caused to enter a pairing mode. As shown, a wireless device (such as the patient sensor device104) can connect with theconnectivity hub device106 when the wireless is proximate to theconnectivity hub device106 in a pairing mode.
• InFIG. 5, theenvironment500 can include a patientuser computing device102 and apatient sensor device104. In theenvironment500, thepatient sensor device104 can be paired with the patientuser computing device102. As described herein, thepatient sensor device104 and/or the patientuser computing device102 can be caused to enter a pairing mode. As shown, an application executing on the patientuser computing device102 can include a user interface that enables pairing between thepatient sensor device104 and the patientuser computing device102
• InFIG. 6, an example graphical user interface on a patientuser computing device102 is shown. The graphical user interface can enable a user to pair with other devices. For example, a user can select theuser interface element602 to cause the executing application to search for nearby devices, such as apatient sensor device104. Once the application identifies one or more nearbypatient sensor devices104, the application can generate thedevice information display604 that provides information associated with the nearbypatient sensor device104. As shown, example information can include, but is not limited to, sensor type information, sensor identification/serial number, and/or device access control information (for example, a media access control (MAC) address). Additionally or alternatively, the application may search for nearby devices without any user intervention or input.
• A graphical user interface can present physiological parameters that are received from paired patient sensor device(s)104.FIGS. 7A-7B illustrate example graphical user interfaces for presenting physiological parameters received from paired device. InFIG. 7A, the depicted graphical user interface includes patient physiological parameter values710. As shown, examplephysiological parameters710 can include blood oxygen saturation (SpO₂), pulse rate (PR), and/or perfusion index (PI). In some embodiments, thephysiological parameters710 can update in substantially real-time.
• InFIG. 7B, another graphical user interface is depicted that includes patient physiological parameters. The graphical user interface ofFIG. 7B can further include historical data. In particular, the graphical user interface can include avisualization714 that presents historical trends of patient physiological parameters. As shown, thevisualization714 can include one or more graphs with an x-axis of time and a y-axis of parameter values. The underlying historical data can originally be generated, at least in part, by the one or morepatient sensor devices104.
Remote Monitoring Kit
• The solutions described herein can enable remote patient monitoring with remote monitoring kits. A remote monitoring kit can be mailed or otherwise made available to a patient. A remote monitoring kit can include a package, such as a box and/or packaging configured to hold the contents of the kit. In the case of communicable or other diseases, it can be advantageous for the package to be configured to be mailed. For example, a package can be under a certain weight, can be under a certain total length and girth, and/or include a sturdy box. As described herein, the contents of the remote monitoring kit can advantageously facilitate monitoring and/or patient care. As used herein, the terms “remote monitoring kit” and “user monitoring kit” can be used interchangeably.
• FIG. 7C illustrates an exampleremote monitoring kit720. Theremote monitoring kit720 can include aconnectivity hub device106 and sensor and/or sensor-related devices, such as thereusable device250. Theremote monitoring kit720 can further include a charging adapter and/or a cord. In some embodiments, thekit720 can include other sensor and/or sensor-related devices, such as adisposable device220 and/orsensors240. Example remote monitoring kits can include different combinations of devices, such as any of the devices described herein.
• For example, another remote monitoring kit can include a pulse oximetry device. The remote monitoring kit can further include a package. The package can be configured to be mailed. The pulse oximetry device can be disposed within the packaged. Example pulse oximetry devices are described herein, such as the above description of thepatient sensor device104 ofFIGS. 2A-2B. The pulse oximetry device can include a wireless communications device, such as a Bluetooth device. A hardware processor of the pulse oximetry device can be configured to pair, via the wireless communications device, with a patientuser computing device102 through a downloadable application, such as thepatient care application120. In some embodiments, the remote monitoring kit can include aconnectivity hub device106. Theconnectivity hub device106 can be configured to communicate with the pulse oximetry sensor device and a remote server, such as a server of the patient management andmonitoring system110. Theconnectivity hub device106 can be disposed within the package.
• In some embodiments, a pulse oximetry device can include a reusable device250 (such as a removable chip). As described above with respect toFIG. 2B, thereusable device250 can include awireless communication device252, ahardware processor254, and amemory device256.
• A remote monitoring kit can include a sensor, such as thedisposable device220 described above with respect toFIG. 2B. The sensor can be disposed within a package. The sensor can be configured to receive the removable chip. For example, a reusable device250 (such as a removable chip) can be docked into thedock222 of thedisposable device220.
• A remote monitoring kit can include a scannable code. An example scannable code can include, but is not limited to, a Quick Response (QR) code. The scannable code can encode a link to download the downloadable application. In other embodiments, the downloadable application can be configured to receive input data associated with the scannable code. For example, the patientuser computing device102 can include a camera and the downloadable application can receive input data associated with the scannable code (such as an image of the scannable code) via the camera. Receipt of the input data by the downloadable application can cause the downloadable application to initiate pairing with apatient sensor device104, such as the pulse oximetry sensor.
• In some embodiments, a remote monitoring kit can include any number of sensors, hubs, and/or other devices, such as amedication applicator device282. For example, a remote monitoring kit can include areusable device250, adisposable device220, andmultiple sensors240. As another example, a remote monitoring kit can include one or more of the following: thepatient sensor device290 ofFIG. 2C, thepatient sensor device104 ofFIGS. 2D, 2E, 2G, 2H, and/or thepatient sensor system261 ofFIG. 2F.
Methods of Pairing, Collecting Data, and Transmitting Data
• FIGS. 8A-8B are flowcharts of methods for pairing apatient sensor device104 with another device. The below description of theFIGS. 8A-8B may discuss pairing apatient sensor device104 with a patientuser computing device102 and/or aconnectivity hub device106. However, in some embodiments, the techniques for pairing apatient sensor device104 may also apply to pairing with a device that is different than the patientuser computing device102 and theconnectivity hub device106, such as apatient monitoring device206.
• FIG. 8A illustrates amethod800 of establishing wireless communication between apatient sensor device104 and another device, determining patient physiological parameters, and/or transmitting the physiological parameters. As described herein, an examplepatient sensor device104 can include areusable device250 and adisposable device220.
• Beginning at block802, a pairing signal can be generated. In particular, the patientuser computing device102 and/or theconnectivity hub device106 can generate and transmit a pairing signal. Generating the transmitting the pairing signal can be done automatically or manually. An example pairing signal can be a radio signal. A component of thepatient sensor device104, such as thereusable device250, can be configured such that, upon receiving the signal, thepatient sensor device104 is triggered to transmit identification information back to the patientuser computing device102 and/or theconnectivity hub device106 in response. The pairing signal can include energy sufficient to enable nearby devices to transmit pairing parameters in response to the pairing signal, which is discussed in further detail below. The patientuser computing device102 and/or theconnectivity hub device106 can vary the strength of the pairing signal.
• In some embodiments, generating and transmitting the pairing signal can be done by a device coupled to theconnectivity hub device106. For example, a dongle attached to theconnectivity hub device106 can generate and transmit the pairing signal. Additional details regarding the dongle and/or pairing can be found in the Dual Communication reference.
• Atblock804, power can be received. In particular, a component of thepatient sensor device104, such as thereusable device250, can receive power from the pairing signal generated by theconnectivity hub device106. The pairing signal can be a high-frequency alternating current which can be used to create a voltage potential. A component of thepatient sensor device140, such as thereusable device250, may receive the pairing signal of theconnectivity hub device106 when the component of thepatient sensor device104 is within a threshold distance from theconnectivity hub device106. In some embodiments, physical contact between theconnectivity hub device106 and thepatient sensor device104 can cause thepatient sensor device104 to receive the power from the pairing signal. In some embodiments, by receiving power from the pairing signal, thewireless communication device252 of thereusable device250 may not need to draw power from thebattery224 of thedisposable device220.
• Atblock806, pairing parameters can be transmitted. In particular, thepatient sensor device104 can transmit pairing parameters to the patientuser computing device102 and/or theconnectivity hub device106. In some embodiments, a component of thepatient sensor device104, such as thereusable device250, can use the power received from the pairing signal to transmit identification information to the patientuser computing device102 and/or theconnectivity hub device106. Example pairing parameters can include an identifier for thepatient sensor device104, such as a serial number that identifies thepatient sensor device104. Additional example identification information can include, but is not limited to, a stock number, lot number, batch number, production date, or other information.
• Atblock808, the pairing parameters can be received. In particular, the patientuser computing device102 and/or theconnectivity hub device106 can receive the identification information from thepatient sensor device104.
• Atblock810, a device can be associated with thepatent sensor device104. In particular, the patientuser computing device102 and/or theconnectivity hub device106 can associate with thepatent sensor device104, which allows the wireless communication to be established between thepatent sensor device104 and the patientuser computing device102 and/or theconnectivity hub device106. In some embodiments, association between thepatient sensor device104 and the patientuser computing device102 and/or theconnectivity hub device106 can include a user input step. For example, upon receiving the pairing parameters from thepatient sensor device104, the patientuser computing device102 and/or theconnectivity hub device106 can generate a notification prompting a user to allow or disallow association with thepatient sensor device104. If allowed, the patientuser computing device102 and/orconnectivity hub device106 can associate with thepatient sensor device104. If rejected, the patientuser computing device102 and/or theconnectivity hub device106 may not associate with thepatient sensor device104 and thepatient sensor device104 may not establish awireless communication204 with the patientuser computing device102 and/or theconnectivity hub device106.
• Atblock812, thepatent sensor device104 can receive power. For example, in the context of thepatient sensor device104 ofFIG. 2B, thereusable device250 can mate with thedock222 and can receive power from thebattery224.
• Atblock814, wireless communication can be established. In particular, thepatient sensor device104 can establishwireless communication204 with the patientuser computing device102 and/or theconnectivity hub device106. The wireless communication can be established using the pairing parameters. Example wireless communication can be via Bluetooth, as described herein. The wireless communication can be one-way or two-way communication between thepatient sensor device104 and the patientuser computing device102 and/or theconnectivity hub device106. For example, thepatient sensor device104 can transmit processed physiological data to the patientuser computing device102 and/or theconnectivity hub device106. The patientuser computing device102 and/or theconnectivity hub device106, in turn, can transmit a confirmation signal back to thepatient sensor device104 indicating that the processed physiological data was received. Thepatient sensor device104 can audibly or visually (for example, a light-emitting diode or other light source can generate light) indicate that wireless communication has been established, such as when thepatient sensor device104 receives the confirmation signal from the patientuser computing device102 and/or theconnectivity hub device106.
• Atblock816, raw patient physiological data can be acquired and physiological data can be transmitted. For example, in the context of thepatient sensor device104 ofFIG. 2B, thesensor240 can acquire raw patient physiological data, which can be received by thedisposable device220. In the context of thedevice104 fromFIG. 2B, thereusable device250 can receive raw physiological data from thedisposable device220. As described herein, one ormore example sensors240 can include, but are not limited to, an acoustic sensor, ECG sensor, EEG sensor, respiratory acoustic sensor (RAS), and/or a SpO₂sensor.
• Atblock818, the patient physiological data can be received. For example, in the context of thepatient sensor device104 ofFIG. 2B, theprocessor254 of thereusable device250 can receive the raw patient physiological data from thedisposable device220. The raw patient physiological data can be stored in thememory256 of thereusable device250.
• Atblock820, signal processing can be performed on the raw physiological data. In particular, thepatient sensor device104 can perform signal processing on the raw physiological data. For example, in the context of thepatient sensor device104 ofFIG. 2B, theprocessor254 of thereusable device250 can perform signal processing on the raw physiological data. Various types of signal processing can be used on the raw physiological data. Further details regarding signal processing can be found in the Dual Communication reference.
• Atblock822, physiological parameters can be determined. In particular, thepatient sensor device104 can determine physiological parameters. For example, in the context of thepatient sensor device104 ofFIG. 2B, theprocessor254 of thereusable device250 can determine patient physiological parameters by processing the raw physiological data. Theprocessor254 can then store the processed data and the calculated parameters in thememory256 before transmitting the parameters. As described herein, example physiological parameters can include, but are not limited to, temperature, blood pressure, respiratory rate (RRa), total hemoglobin (SpHb), carboxyhemoglobin (SpCO), methemoglobin (SpMet), oxygen content (SpOC), oxygen saturation (SpO2), pulse rate (PR), perfusion index (Pi), pleth variability index (PVi), and/or electroencephalogram (EEG) data.
• Atblock824, the physiological parameters can be transmitted. In particular, thepatient sensor device104 can transmit the physiological parameters to the patientuser computing device102 and/or theconnectivity hub device106. For example, in the context of thepatient sensor device104 ofFIG. 2B, thereusable device250 can transmit the patient physiological parameters. Thepatient sensor device104 can advantageously transmit the physiological parameters (for example, 60% SpO₂) as opposed to transmitting the raw physiological data to thecomputing device206. For example, the raw physiological data can be larger in size than corresponding physiological parameters, and, therefore, can use greater bandwidth to transmit to thepatient sensor device104 and/or theconnectivity hub device106. Conversely, physiological parameters can be much smaller in size and can use less bandwidth to transmit. Accordingly, transmitting patient physiological parameters instead of raw physiological data can lead to decreased energy consumption and/or longer battery life. Thepatient sensor device104 can wirelessly transmit the physiological parameters via NFC and/or Bluetooth. Additionally or alternatively, thepatient sensor device104 can transmit the physiological parameters via a cable.
• Atblock826, the physiological parameters can be received. In particular, the patientuser computing device102 and/or theconnectivity hub device106 can receive the patient physiological parameters. As described herein, the patientuser computing device102 and/or theconnectivity hub device106 can transmit the patient physiological parameters to the patient management andmonitoring system110.
• FIG. 8B illustrates anothermethod850 of establishing wireless communication between apatient sensor device104 and another device, determining patient physiological parameters, and/or transmitting the physiological parameters. Themethod850 ofFIG. 8B can be similar to the method ofFIG. 8A. However, themethod850 ofFIG. 8B can use communication protocol(s) that are different from the communication protocol(s) used by the method ofFIG. 8A. For example, themethod850 ofFIG. 8B can use near field communication (NFC) protocol(s).
• Atblock852, an NFC connection can be established. In particular, thepatient sensor device104 can establish an NFC connection with the patientuser computing device102 and/or theconnectivity hub device106. For example, in the context of thepatient sensor device104 ofFIG. 2B, thereusable device250 can establish an NFC connection by being placed near the patientuser computing device102 and/or the connectivity hub device106 (such as by making physical contact between the devices).
• Atblock854, pairing parameters can be transmitted. In particular, thepatient sensor device104 can transmit pairing parameters to the patientuser computing device102 and/or theconnectivity hub device106 using NFC. Atblock856, the pairing parameters can be received. In particular, the patientuser computing device102 and/or theconnectivity hub device106 can receive the pairing parameters from thepatient sensor device104 via NFC.
• Atblock858, a device can be associated with thepatent sensor device104. In particular, the patientuser computing device102 and/or theconnectivity hub device106 can associate with thepatient sensor device104 can using the pairing parameters. Once associated, the patientuser computing device102 and/or theconnectivity hub device106 may wait for thewireless communication204 from thepatient sensor device104. As described herein, thewireless communication204 can be made over Bluetooth.
• The remainingblocks860,862,864,866,868,870,872 ofFIG. 8B can be similar to theblocks812,814,816,818,820,822,824,826 ofFIG. 8A regarding receiving physiological data and generating and transmitting physiological parameters.
• Atblock860, power may be received. For example, in the context of thepatient sensor device104 ofFIG. 2B, thereusable device250 can receive power from thebatteries224 of thedisposable device220.
• Atblock862, wireless communication can be established. For example, in the context of thepatient sensor device104 ofFIG. 2B, thereusable device250 can establish wireless communication with patientuser computing device102 and/or theconnectivity hub device106. As described herein, thepatient sensor device104 can use the pairing parameters to establish wireless communication with theconnectivity hub device106.
• Atblock864, raw patient physiological data can be acquired and physiological data can be transmitted. In particular, a component of thepatient sensor device104 can acquire the raw patient physiological data and transmit the data.
• The remainingblocks866,866,868,870,872 can be optional in some embodiments. In other embodiments, other blocks can be optional. Atblock866, patient physiological data can be received. For example, in the context of thepatient sensor device104 ofFIG. 2B, thereusable device250 can receive the patient physiological data from thedisposable device220. Atblock868, signal processing can be performed. In particular, thepatient sensor device104 can perform signal processing on the patient physiological data. Atblock870, patient physiological parameters can be determined using the processed physiological data. In particular, thepatient sensor device104 can determine patient physiological parameters using the processed physiological data. Atblock872, the patient physiological parameters can be transmitted. In particular, thepatient sensor device104 can transmit the physiological parameters to the patientuser computing device102 and/or theconnectivity hub device106 using thewireless communication204, such as Bluetooth. Atblock874, the patient physiological parameters can be received. In particular, the patientuser computing device102 and/or theconnectivity hub device106 can receive the patient physiological parameters.
Configuration Graphical User Interfaces
• FIGS. 9, 10A-10C, 11, and 12 illustrate example patient care configuration user interfaces, according to some embodiments of the present disclosure. In various embodiments, aspects of the user interfaces may be rearranged from what is shown and described below, and/or particular aspects may or may not be included. As described herein, the patient care configuration user interfaces ofFIGS. 9, 10A-10C, 11, and 12 can enable a user to create or edit patient care user interfaces. An administrator can interact with the graphical user interfaces ofFIGS. 9, 10A-10C, 11, and 12 on the clinicianuser computing device124. The graphical user interfaces ofFIGS. 9, 10A-10C, 11, and 12 may have similar user interface elements and/or capabilities.
• InFIG. 9, an example patient careconfiguration user interface900 is depicted. The patient careconfiguration user interface900 can include a patient care userinterface list area902 that can present patient care user interfaces for configuration. For example, a first patient care user interface906 (here “3 Times Per Day”) in thearea902 can be edited by an administrator in response to a user selection of the edit element918 associated with the first patient care user interface906. An administrator can request to create a new patient care user interface by selecting thenew element904.
• In some embodiments, the patient careconfiguration user interface900 ofFIG. 9 can be configurable. The patient careconfiguration user interface900 can further include theedit elements910A,910B. Theedit elements910A,910B (here represented by the pen icon) can be selected by an administrator to configure the patient careconfiguration user interface900. For example, thefirst edit element910A can be selectable to allow an administrator to update a logo or text associated with the patient careconfiguration user interface900.
• InFIG. 10A, another example patient careconfiguration user interface1000 is depicted. An administer can create a patient care user interface (here the “Remote Monitoring” user interfaces) with the patient careconfiguration user interface1000. The patient careconfiguration user interface1000 can include multiple configuration user interface elements. For example, the patient careconfiguration user interface1000 can includemultiple sections1002A,1002B,1002C. Each section can be assigned one or more items. The presentation of the sections (in a patient care user interface) can be edited with theelements1004,1006. In particular, the text and/or image(s) of a section can be edited and/or the graphical layout of the section(s) can be edited. For example, an administrator can delete, add, or rename sections, as well as reorder the arrangement of the sections. The patient careconfiguration user interface1000 can include anelement1008 that enables an administrator to add or remove a timeline1010. If configured, the timeline1010 can allow for presentation of different items in the patient care user interface based on a schedule.
• In some embodiments, items in a patient care user interface can be associated with one or more categories. In the patient careconfiguration user interface1000, an administrator can select the add-category element1012 to create a new category. As described herein, example items can include action items for a patient, prompts to elicit user input, and/or patient sensor items.
• InFIG. 10B, another example patient careconfiguration user interface1050 is depicted. The patient careconfiguration user interface1000 can include an add-item element1052. An administrator can select the add-item element1052, which can cause presentation of the item-type selection area1054. The item-type selection area1054 can include multiple template item types. As described herein, items in a patient care user interface can be associated with one or more categories. Accordingly, the item being created in the patient careconfiguration user interface1050 ofFIG. 10B can be associated with the category1056 (here a “Monitoring” category). The administrator, via the patient careconfiguration user interface1050, can configure the patient care user interface to have an additional item by using the item-type selection area1054.
• Example item types can include patient sensor items, such as, but not limited to, an oxygen saturation sensor item type, a perfusion index sensor item type, a pleth variability index sensor item type, a respiration rate from pleth sensor item type, a body temperature sensor item type, a pulse rate sensor item type, a step count (e.g., pedometer) sensor item type, a blood glucose sensor item type, and/or a blood pressure sensor item type. An administrator can select a patient sensor item type that causes a corresponding patient sensor item to be added to the patient care user interface. The patient sensor items can be configured with example prompts such as, but not limited to, “What is oxygen saturation (SpO2)?”, “What is your temperature?”, or “What is your respiration rate?” In some embodiments, a patient sensor item can reduce the number of steps to pair a patient sensor with thepatient care application120 that includes the patient care user interface. An advantage of configuring patient sensor items in a patient care user interface is that such configurations can improve graphical user interfaces for monitoring patient physiological parameters by enabling a user to more quickly associate patient sensor(s) with their patient care user interface, as described herein. Once a patient sensor is associated/paired, the value for a physiological parameter in the patient sensor item can auto-populate. Additionally or alternatively, some patient sensor items may allow a user (for example, a patient or a care provider) to manually input a value. For example, in some embodiments, a patient can manually input the value for the patient sensor item.
• Additional example item types can be generic and can allow an administrator to further customize items in a patient care user interface. Additional example item types (some of which are shown in the item-type selection area1054 ofFIG. 10B) can include, but are not limited to, a text input item type, a date input item type, a numeric input item type, a date and time input item type, a text item type, a uniform resource location item type, a weight input item type, a height input item type, a yes/no item type, a rating item type, a slider item type, a single select item type, and/or a multi-select item type. The input items can be configured with example prompts such as, but not limited to, “What is your age?”, “Do you have any pre-existing conditions?”, “Are you experiencing any symptoms?”, or “Have you been in contact with anyone who has texted positive for the novel coronavirus?”
• For example, with the text input item type, an administrator can configure a text input item to receive text input from a user (for example, a patient or a care provider). With the date input item type, an administrator can configure a date input item to receive date input from a user. With the numeric input item type, an administrator can configure a numeric input item to receive numeric input from a user. With the date and time input item type, an administrator can configure a date and time input item to receive date and time input from a user. With the text item type, an administrator can configure a text item to present text to a user. With the uniform resource location (URL) item type an administrator can configure a uniform resource location (URL) item to present a URL and/or the contents of a URL to a user. With the weight input item type, an administrator can configure a weight input item to receive a weight value from a user. With the height input item type, an administrator can configure a height input item to receive a height value from a user. With the yes/no item type, an administrator can configure a yes/no item type to receive yes/no input from a user. With the rating item type, an administrator can configure a rating item to receive rating input from a user. With the slider item type, an administrator can configure a slider item to receive slider input from a user. With the single select item type, an administrator can configure a single select item to receive a user selected option from a variety of options (such as options in a drop-down menu or list). With the multi-select item type, an administrator can configure a multi-select item to receive multiple user selected options from a variety of options (such as options in a drop-down menu or list).
• InFIG. 10C, yet another example patient careconfiguration user interface1070 is depicted. The patient careconfiguration user interface1070 can include anitem configuration area1072. In particular, with respect toFIG. 10B, an administrator can select the item type1058 (here an oxygen saturation item type), which can cause presentation of theitem configuration area1072 corresponding to theitem type1058. Theitem configuration area1072 can includeeditable fields1074 that allow an administrator to configure the item (here a patient sensor item for oxygen saturation). The patient sensor item can be configured to interface with particular patient sensor devices (such as a tetherless pulse oximetry sensor device) and can include a particular physiological parameter type, such as, but not limited to, an oxygen saturation parameter type or a pulse rate parameter type. In some embodiments, a singlepatient sensor device104 can output multiple types of physiological parameters. An administrator can add the item to the patient care user interface by selecting acomplete element1076 from theitem configuration area1072. An output of the patient careconfiguration user interface1070 can be a patient sensor item configuration, which is further included in an output client configuration package. The patient sensor item configuration can include configuration information that facilitates the interface between thepatient care application120 and apatient sensor device104. Example configuration information can include a device type (such as a tetherless pulse oximetry sensor device type) that allows thepatient care application120 to detect apatient sensor device104 has already been connected to the patientuser computing device102 and/or to initiate a pairing process between thepatient sensor device104 and the patientuser computing device102. In some embodiments, the device type(s) in the configuration information can include specific model(s) ofpatient sensor devices104.
• InFIG. 11, yet another example patient careconfiguration user interface1100 is depicted. The patient careconfiguration user interface1100 ofFIG. 11 can be similar to the patient careconfiguration user interface1000 ofFIG. 10A. However, unlike theelement1008 of the patient careconfiguration user interface1000 ofFIG. 10A that was selected, the element1108 of the patient careconfiguration user interface1100 ofFIG. 11 may be unselected. Accordingly, unlike the patient careconfiguration user interface1000 ofFIG. 10A that includes a timeline1010 in its layout, the patient careconfiguration user interface1100 ofFIG. 11 may not include a timeline in its layout. In some embodiments, without a timeline, the patient careconfiguration user interface1100 may not have a schedule and/or different items per day, but rather the same daily items.
• InFIG. 12A, yet another example patient careconfiguration user interface1200 is depicted. The patient careconfiguration user interface1200 can include analarm configuration area1202. As described herein, a patient care user interface can have customized alarms. For example, a first patient care user interface can have first alarms that are different from second alarms of a second patient care user interface. Thealarm configuration area1202 can be associated with a particular physiological parameter (here an oxygen saturation physiological parameter). Thealarm configuration area1202 can allow an administrator to configure conditional threshold logic. For example, thealarm configuration area1202 can include a first condition1204 (here a default condition) and a second condition1206 (here a chronic obstructive pulmonary disease (COPD) condition). Thefirst condition1204 can include a first threshold and thesecond condition1206 can include a second threshold. An administrator can configure each of theconditions1204,1206. As described herein, apatient monitoring service136 can apply thesecond condition1206 based on response data from a patient. For example, as configured, thepatient monitoring service136 can apply thesecond condition1206 if a patient has indicated that they have chronic obstructive pulmonary disease, then thepatient monitoring service136 can use the second threshold (here a 90% oxygen saturation threshold). Otherwise, thepatient monitoring service136 can apply thefirst default condition1204 that uses a first threshold (here a 93% oxygen saturation threshold).
• InFIG. 12B, yet another example patient careconfiguration user interface1220 is depicted. The patient careconfiguration user interface1220 can include a list of patient sensor items and/or items, such as thepatient sensor item1222 for blood oxygen saturation (SpO2). As shown, an administrator can select an item, such as thepatient sensor item1222.
• InFIG. 12C, yet another example patient careconfiguration user interface1230 is depicted. The patient careconfiguration user interface1230 can include asettings area1232, which can be presented in response to the selection of an item, such as thepatient sensor item1222 described above with respect toFIG. 12B. Thesettings area1234 can include aprogram instructions area1234. Theprogram instructions area1234 can include a programinstructions input area1236. An administrator can submit user input in theinput area1236, such as the depicted program instructions that can be in an interpreted language (such as JavaScript). As shown, the program instructions can include customized logic related to an item, such as generating an alert, which can be transmitted to a patientuser computing device102 in a client configuration package. As described herein, using an interpreted language for the program instructions can advantageously have the benefit of providing and/or changing behavior in thepatient care application120 without or before recompiling of thepatient care application120. An administrator can submit user input including the program instructions by selecting thesave element1238. Additionally or alternatively, some embodiments can allow administrators to configure customized logic and/or application behavior without writing program instructions in an interpreted language. For example, graphical user interface can be provided that allow similar customization of logic and/or behavior with graphical elements, such as the graphical elements described above with respect toFIG. 12A.
Client Graphical User Interfaces
• FIGS. 13, 14, and 15A-15C illustrate example graphical user interfaces of apatient care application120, according to some embodiments of the present disclosure. In various embodiments, aspects of the user interfaces may be rearranged from what is shown and described below, and/or particular aspects may or may not be included. Thepatient care application120 can execute on the patientuser computing device102 to present the graphical user interfaces ofFIGS. 13, 14, and 15A-15C. The graphical user interfaces ofFIGS. 13, 14, and 15A-15C may have similar user interface elements and/or capabilities.
• FIG. 13 illustrates agraphical user interface1300 of thepatient care application120. Thegraphical user interface1300 can include afeed1306, which can present the patient care user interface option(s)1308 that correspond to a patient care user interface that has been shared with the patient user (here the “COPD Maintenance with MightySat” user interface/CareProgram). Thegraphical user interface1300 can provide further access to the user (for example, a patient or a care provider) to other aspects of thepatient care application120. For example, the user can access a dashboard user interface, which can present patient physiological parameters, via thedashboard element1302. An example dashboard user interface is described in further detail below with respect toFIG. 14. As another example, the user can access a sharing configuration user interface via thesharing element1304. As described herein, a sharing configuration user interface can allow a user to modify their sharing permissions, such as by identifying and/or modifying the other users that are permissioned to view at least some the patient's data/receive alerts regarding the patient.
• FIG. 14 illustrates an exampledashboard user interface1400 of thepatient care application120. Thedashboard user interface1400 can include one or morephysiological parameter summaries1410A,1410B,1410C,1410D. As shown inFIG. 14, each of the examplephysiological parameter summaries1410A,1410B,1410C,1410D can be associated with different physiological parameters. Thedashboard user interface1400 can include more or less physiological parameter summaries based on the particular configuration or embodiment. Thephysiological parameter summaries1410A,1410B,1410C,1410D can allow a user (for example, a patient or a care provider) to review patient physiological parameters. The one or morephysiological parameter summaries1410A,1410B,1410C,1410D can be associated with physiological parameters including, but not limited to, blood pressure, blood oxygen saturation, heart rate, respiration rate, body weight, or body temperature. A user can select the one or morephysiological parameter summaries1410A,1410B,1410C,1410D to access additional details related to the physiological parameter associated with the selectedphysiological parameter summary1410A,1410B,1410C,1410D.
• Thephysiological parameter summary1410A can include aphysiological parameter name1412, aphysiological parameter value1414, and avisualization1420. The physiological parameter value1414 (here an oxygen saturation value) can be associated with a date and/ortime1418, such as when the measurement was taken. Anexample visualization1420 can be a graph of physiological parameter values, such as a trend graph.
• Thevisualization1420 can display an overall trend of the parameter associated with thephysiological parameter summary1410A. Thevisualization1420 may be based on physiological data from one or more sensors that collect data from a patient. Additionally or alternatively, thevisualization1420 can be based on measurements taken by care providers.
• Thedashboard user interface1400 can include one ormore elements1430 that indicate users that are authorized to view and/or access patient data, such as thephysiological parameter summaries1410A,1410B,1410C,1410D. Accordingly, a user of thepatient care application120 can readily identify who has access to thephysiological parameter summaries1410A,1410B,1410C,1410D. A user may add other users as authorized users via theadd user element1440. Once added as authorized users, those other users may be able to view and/or access thephysiological parameter summaries1410A,1410B,1410C,1410D associated with the user. User selection of theadd user element1440 may cause thepatient care application120 to present a graphical user interface that can allow the user to identify one or more users to be added as authorized users.
• FIGS. 15A-15C illustrate example physiological parameter detail user interface of thepatient care application120. In particular,FIG. 15A illustrates a physiological parameterdetail user interface1500 associated with blood oxygen saturation. The physiological parameterdetail user interface1500 can include astatistical measurement value1502, such as an average physiological parameter value (here an average blood oxygen saturation of 97.5 percent). The physiological parameterdetail user interface1500 can include avisualization1510, such as a graph showing blood oxygen saturation values over time. As shown, thevisualization1510 can include user interface elements that allow a user to interact with thevisualization1510, such as by changing the time period associated with the visualization. Additional example visualizations (not shown) can include, but are not limited to, a bar graph, scatter plot, pie chart, etc.
• In some embodiments, thevisualization1510 can use different indicators to display different data points in. For example, thevisualization1510 can use the color green for data points within a predetermined range, the color yellow for data points within a different predetermined range, and the color red for data points outside of those predetermined ranges. Care providers can configure the predetermined range(s).
• FIG. 15B illustrates another physiological parameterdetail user interface1520 associated with respiratory rate.FIG. 15C illustrates yet another physiological parameterdetail user interface1540 associated with peripheral perfusion index. The physiological parameterdetail user interfaces1520,1540 ofFIGS. 15B and 15C can be similar to the physiological parameterdetail user interface1500 ofFIG. 15A, such as by including similar user interface elements and/or operating in a similar manner. For example, the physiological parameterdetail user interfaces1520,1540 ofFIGS. 15B and 15C can each include a visualization. However, the physiological parameterdetail user interfaces1520,1540 ofFIGS. 15B and 15C can have different selected time periods than the selected time period of the physiological parameterdetail user interface1500 ofFIG. 15A.
Patient Care User Interfaces
• FIGS. 16A-16C and 17 illustrate example patient care user interfaces of apatient care application120, according to some embodiments of the present disclosure. In various embodiments, aspects of the user interfaces may be rearranged from what is shown and described below, and/or particular aspects may or may not be included. Thepatient care application120 can execute on the patientuser computing device102 to present the patient care user interfaces ofFIGS. 16A-16C and 17. As described herein, thepatient care application120 can receive a respective client configuration package that causes the presentation the patient care user interfaces ofFIGS. 16A-16C and 17. The graphical user interfaces ofFIGS. 16A-16C and 17 may have similar user interface elements and/or capabilities.
• Turning toFIGS. 16A-16C, the patient care user interface ofFIGS. 16A-16C can be directed towards the novel coronavirus and/or COVID-19 health condition(s).FIG. 16A illustrates an example patientcare user interface1600. InFIG. 16A, thegraphical user interface1600 includes atimeline1602. As shown, the current day in thetimeline1602 hasseveral items1604A,1604B,1604C,1604D to be completed by a user. Theexample items1604A,1604B,1604C,1604D can be patient care action items, such as questions to be completed by the user. Theitems1604A,1604B,1604C,1604D can include prompts that elicit user responses. Theitems1604A,1604B,1604C,1604D can correspond to an initial questionnaire for particular health condition(s). In the case of the novel coronavirus and/or COVID-19 and/or other use cases, example questions/prompts can include: “What is your age?”, “Do you have pre-existing conditions”, “Are you experiencing any symptoms”, or “Have you been in contact with anyone who has test positive for COVID-19?” The responses to the questions can be used by clinicians and/or care providers.
• FIG. 16B illustrates another example patientcare user interface1610. The patientcare user interface1610 can include aninput area1612 for a patient care action item (here an item to receive a patient's temperature as user input). As shown, a user can input a temperature value. Alternatively, in some embodiments, instead of being received via manual user input, a patient care user interface can receive the patient temperature value from apatient sensor device104. The patient care action item ofFIG. 16B can be defined by a patient care action item configuration of a client configuration package.
• FIG. 16C illustrates yet another example patientcare user interface1620. The patientcare user interface1620 ofFIG. 16C can be similar to the patientcare user interface1600 ofFIG. 16A. In particular, the patientcare user interface1620 ofFIG. 16C can represent a progression of completed items from the patientcare user interface1600 ofFIG. 16A. For example, the patientcare user interface1620 ofFIG. 16C can include indicators of the patient's progress (such as a visual icon representing a completed status for a particular day in thetimeline1602, such as a visual star icon, and/or the text “100% complete”).
• The patientcare user interface1620 can include avisual representation1622 of a patient sensor item configuration, which also can be referred to as a patient sensor item. As described herein, a patient sensor item configuration can be included in a client configuration package, as configured by an administrator. The patient sensor item configuration can facilitate the interface between thepatient care application120 and apatient sensor device104 capable of capturing physiological parameters from a patient. For example, thepatient care application120 can use the patient sensor item configuration to detect that apatient sensor device104 has already been connected to the patientuser computing device102. As another example, thepatient care application120 can use the patient sensor item configuration to initiate a pairing process between thepatient sensor device104 and the patientuser computing device102. The examplevisual representation1622 for the patient sensor item configuration includes an oxygen saturation physiological parameter received from a connectedpatient sensor device104 that measured the patient's oxygen saturation.
• The patientcare user interface1620 can further includeseveral items1624A,1624B,1624C. Theexample items1624A,1624B,1624C can be patient care action items, which can be completed by the user. For example, the first patientcare action item1624A with the prompt (such as “Are you having trouble breathing?”) can elicit a yes/no response to be provided from the user. The user can select thesecond item1624B that can cause presentation of the patientcare user interface1610 ofFIG. 16B. In some embodiments, thethird item1624C (shown as a respiration rate item) can be an item that can receive user input. In other embodiments, thethird item1624C can be a patient sensor item that receives the respiration rate physiological parameter from apatient sensor device104. Similar to theitems1604A,1604B,1604C,1604D ofFIG. 16A that can be directed towards the novel coronavirus and/or COVID-19, theitems1622,1624A,1624B,1624C ofFIG. 16C can likewise be directed towards the novel coronavirus and/or COVID-19. For example, theitems1622,1624A,1624B,1624C ofFIG. 16C can be directed towards the symptoms of COVID-19 or any other respiratory disease (that can potentially be very dangerous) such as low oxygen saturation, high body temperature, difficulty breathing, and/or too low or too high of a respiration rate. As described herein, theitems1622,1624A,1624B,1624C of the patientcare user interface1620 and associated response data/physiological parameter values can be monitored by authorized users (such as a clinician or family or friends) and/or used to alert the authorized user if the response data/physiological parameter values trigger an alarm. Such monitoring and alarms can save lives, since emergency personnel or family or friends can response to the alarm/alert.
• FIG. 17 illustrates yet another example patientcare user interface1700. The patientcare user interface1700 ofFIG. 17 can be similar to the patientcare user interfaces1600,1620 ofFIGS. 16A and 16C. As described herein, while the patientcare user interfaces1600,1620 ofFIGS. 16A and 16C can be directed towards the novel coronavirus and/or COVID-19, the patientcare user interface1700 ofFIG. 17 can be directed towards chronic obstructive pulmonary disease (COPD). Moreover, the patientcare user interface1700 ofFIG. 17 can includeitems1702A,1702B, which can be similar to theitem1622 ofFIG. 16C. Each of theitems1702A,1702B can relate to a patient sensor item configuration for particular physiological parameters. For example, theitems1702A,1702B, each of which are associated with one of an oxygen saturation or a pulse rate, respectively, can be configured to interface with a particular type of patent sensor device104 (here the “MightySat” device).
• Additional patient care user interfaces can be directed towards different types of health condition(s). For example, some patient care user interfaces can be directed towards heart disease. Example symptoms of heart disease can include, but are not limited to, abnormal heart rhythms, shortness of breath, high blood pressure (for example, pulmonary hyperextension), and/or shortness of breath. Accordingly, in some patient care user interfaces, one or more patient sensor items and/or items can monitor physiological parameters such as respiratory rate, heart rate, blood pressure, ECG trends, and/or blood oxygen saturation (SpO2). Thus, as a result of the patient care user interface, the patientuser computing device102 can transmit physiological parameter values related to the patient management andmonitoring system110 to monitor for heart disease. For example, if a patient suffers from a sudden increase in respiratory rate (which may indicate shortness of breath), sudden decrease in blood oxygen saturation (which may indicate impaired heart function), and/or arrhythmia, thesystem110 may generate and send a notification (or an alert) to a care provider, an emergency contact, and/or to the patientuser computing device102. Moreover, the patient management andmonitoring system110 can make the patient data related to heart disease available to clinicians in one or more patient monitoring user interfaces.
• Some patient care user interfaces can be directed towards sleep apnea. Example symptoms of sleep apnea can include, but are not limited to, night sweats that may be indicated higher than normal body temperature, high blood pressure, irregular heartbeats, and/or irregular breathing. Example sleep-apnea-related complications can include, but are not limited to, cardiovascular problems such as a heart attack, unusual heart rhythms, and/or low blood oxygen levels. Accordingly, in some patient care user interfaces, one or more patient sensor items and/or items can monitor physiological parameters such as temperature, blood pressure, ECG trends, and/or blood oxygen saturation. For example, if a sleeping patient suffers from irregular respiratory rate, irregular heartbeat, and/or higher than normal body temperature, thesystem110 may generate and send a notification (or an alert) to a care provider, an emergency contact, and/or to the patientuser computing device102. Moreover, the patient management andmonitoring system110 can make the patient data related to sleep apnea available to clinicians in one or more patient monitoring user interfaces.
• Some patient care user interfaces can be directed towards chronic lower respiratory diseases such as chronic obstructive pulmonary disease, asthma, pulmonary hypertension, and the like. Example symptoms of chronic lower respiratory diseases can include, but are not limited to, shortness of breath, chronic cough, unintended weight loss, swelling in ankles, feet, or legs, and/or frequent respiratory infections. Example chronic-lower-respiratory-disease-related complications can include, but are not limited to, heart-related events (for example, heart attack) and/or high blood pressure. Accordingly, in some patient care user interfaces, one or more patient sensor items and/or items can monitor physiological parameters such as respiratory rate, patient temperature, blood oxygen saturation, and/or ECG trends. For example, if the patient's respiratory rate falls below a certain threshold (which can indicate that a patient is having difficulty breathing), the patient's blood oxygen saturation is below a threshold, the patient's temperature is higher than a certain threshold (which can indicate that a patient might have an infection), and/or blood pressure is above a certain threshold, thesystem110 may generate and send a notification (or an alert) to a care provider, an emergency contact, and/or to the patientuser computing device102. Moreover, the patient management andmonitoring system110 can make the patient data related to chronic lower respiratory diseases available to clinicians in one or more patient monitoring user interfaces.
Patient Monitoring User Interfaces
• FIGS. 18, 19A-19B, and 20 illustrate example patient monitoring user interfaces, according to some embodiments of the present disclosure. In various embodiments, aspects of the user interfaces may be rearranged from what is shown and described below, and/or particular aspects may or may not be included. The patient management andmonitoring system110 can provide the patient monitoring user interfaces ofFIGS. 18, 19A-19B, and 20, which can be accessed by a clinicianuser computing device124. The patient monitoring user interfaces ofFIGS. 18, 19A-19B, and 20 can update substantially in real-time based on received data. The graphical user interfaces ofFIGS. 18, 19A-19B, and 20 may have similar user interface elements and/or capabilities.
• FIG. 18 depicts an example patientmonitoring user interface1800 that can allow care providers to monitor patients. The patientmonitoring user interface1800 includes adashboard1802. Generally, the patientmonitoring user interface1800 can allow a care provider to review information regarding patients, search for patients, and/or configure items (such as tasks) for patients. The patient management andmonitoring system110 can receive data from apatient care application120 and/or a patient care user interface executing on a patientuser computing device102. As shown, theexample dashboard1802 can include a table with columns, column headings, and rows. In theexample dashboard1802, each row can correspond to a particular patient. Thedashboard1802 can include apatient detail area1820, which can further provide details regarding a particular patient, such as patient identifying information, patient activity, provider activity, etc. In some embodiments, user selection of a row associated with a particular patient in thedashboard1802 can cause presentation of thepatient detail area1820 for the particular patient. With respect to thedashboard1802, user selection of theuser interface element1814 in the “Stop CareProgram” can cause a corresponding patient care user interface to pause or end, which can remove the patient care user interface from thepatient care application120 executing on a patientuser computing device102. In other embodiments, user selection of theuser interface element1814 in the “Stop CareProgram” can cause a corresponding patient care user interface presented from apatient care application120 executing on a patientuser computing device102 to cease from presenting new items.
• The patient management andmonitoring system110 can use the received data to generate summary metadata. Thedashboard1802 can include the summary metadata for multiple patients. Example summary metadata can be related to the headings shown in the dashboard1802: “Tasks Remaining,” “Notifications,” “Missed,” “Completed,” “Remaining,” “Days Missed,” and “Compliance.” As described herein, a patient care user interface can include items associated with a patient and/or can assist in collecting patient physiological data, which can trigger notifications/alarms. Example items can be associated with schedules, such as daily schedules.
• The patient management andmonitoring system110 can generate summary data for each patient, which can be shown as indicators in thedashboard1802. A “Tasks Remaining” indicator can indicate that there are items (such as tasks) remaining for a patient. For example, afirst indicator1804 in the “Tasks Remaining” column with the number “21” can indicate that there are twenty-one remaining items (such as tasks) for a first patient associated with one or more patient care user interfaces. A “Notifications” indicator can indicate that there are notifications for a patient. For example, asecond indicator1806 in the “Notifications” column with the number “1” can indicate that there is one notification for a second patient associated with one or more patient care user interfaces. Thesecond indicator1806 can further indicate a status level, such as by being color coded. For example, a red indicator can indicate an urgent status, a yellow indicator can indicate a warning status, and a green indicator can indicate a nominal status. “Missed,” “Completed,” and “Remaining” indicators can indicate that a patient has missed, completed, and remaining items (such as tasks), respectively. A “Compliance” indicator can indicate a level of compliance for items (such as tasks) associated with a patient. For example, thecompliance indicators1808,1810,1812 (with the numbers “0,” “100,” and “75,” respectively) can represent non-compliance, total compliance, and partial compliance, respectively, for respective patients.
• FIGS. 19A-19B depict additional example patientmonitoring user interfaces1900A,1900B that can allow care providers to monitor a patient. In particular,FIG. 19A depicts a patientmonitoring user interface1900A with adashboard1902A. Thedashboard1902A can be specific to a particular patient and can include one or morepatient attribute areas1904A,1904B,1904C,physical activity areas1906A,1906B,1906C, andphysiological parameter areas1908A,1908B,1908C. As described herein, the information in theareas1904A,1904B,1904C,1906A,1906B,1906C,1908A,1908B,1908C can be received from a patient care user interface. As shown, the areas within thedashboard1902A can be represented as tiles. Thepatient attribute areas1904A,1904B,1904C can provide patient attributes, such as, but not limited to, height weight, body mass index, etc. Thephysical activity areas1906A,1906B,1906C can be associated with physical activity data, such as a number of steps taken by the patient. As shown, the examplephysiological parameter areas1908A,1908B,1908C can be associated with heart physiological parameters. Additional example physiological parameter areas can be described in further detail below with respect toFIG. 19B. As shown, some of theareas1906A,1906B,1906C,1908A,1908C can include visualizations, such as graphs, plots, and/or bar graphs. The visualizations can allow a care provider to quickly analyze patient data and/or monitor a patient.
• The data in thedashboard1902A can be associated with a date and time range. In some embodiments, the data in thedashboard1902A can update in response to a change of the date and time range. For example, the patient's weight of “100 lbs” in thearea1904B can be for a date and time within the date and time range.
• FIG. 19B depicts a patientmonitoring user interface1900B with another dashboard1902B. The dashboard1902B ofFIG. 19B can be similar to thedashboard1902A ofFIG. 19A. In particular, the dashboard1902B ofFIG. 19B can be a continuation of thesame dashboard1902A ofFIG. 19A for the same patient. Thedashboard1902A can includephysiological parameter areas1908D,1908E,1908F,1908G,1908H,1908I,1908J. As described herein, example physiological parameters can include, but are not limited to, blood pressure, resting heart rate, heart rate variability, blood glucose, blood oxygen saturation, peripheral perfusion index, and/or respiratory rate, which can be captured bypatient sensor devices104. Some of thephysiological parameter areas1908H,1908I,1908J can be similar to and/or have some overlap with the physiological parameterdetail user interfaces1500,1520,1540 described above with respect toFIGS. 15A, 15B, and 15C.
• FIG. 20 depicts another patientmonitoring user interface2000 that can allow care providers to monitor a patient. The patientmonitoring user interface2000 ofFIG. 20 can be similar to the patientmonitoring user interfaces1900A,1900B ofFIGS. 19A-19B. For example, similar to the patientmonitoring user interfaces1900A,1900B ofFIGS. 19A-19B, the patientmonitoring user interface2000 ofFIG. 20 can be specific to a particular patient. Moreover, much like the patientmonitoring user interfaces1900A,1900B ofFIGS. 19A-19B, the patientmonitoring user interface2000 ofFIG. 20 can present values for patient data, such as, but not limited to, amount of time spent for physical activity, heart rate, active steps, total number of steps, blood pressure, weight, heart rate variability, walking heart rate, resting heart rate, blood glucose, blood oxygen saturation, peripheral perfusion index, and/or respiratory rate. However, instead of presenting visualizations of patient data, like in the patientmonitoring user interfaces1900A,1900B ofFIGS. 19A-19B, the patientmonitoring user interface2000 can present patient data in a data view. As shown, the patientmonitoring user interface2000 includes apatient data area2002 with patient data values. In some embodiments, the patient data values shown in thepatient data area2002 can be sampled from the current date and time range.
• The patientmonitoring user interface2000 can be interactive. The patient data value types (such as blood glucose, blood oxygen saturation, peripheral perfusion index, respiratory rate, physical activity, etc.) can each be associated with a category (such as a fitness category, a heart category, a vitals category, a body measurement category, or a results category). A clinician can select one or more categories from thefilter area2004, which can cause the patientmonitoring user interface2000 to update the data value types in thepatient data area2002 based on the category filter(s). A clinician can select a date and time range in the patientmonitoring user interface2000, which can cause the patientmonitoring user interface2000 to update the data values in thepatient data area2002 based on the selected date and time range.
Patient Care User Interface Configuration Methods
• FIG. 21 is a flowchart of amethod2100 for configuring patient care user interfaces, according to some embodiments of the present disclosure. Themethod2100 provides example approaches regarding configuring patient care user interfaces. As described herein, the patient management andmonitoring system110 ofFIG. 1B may include various devices, services, and/or applications, some of which may implement aspects of themethod2100 as described herein. Depending on the embodiment, themethod2100 may include fewer or additional blocks and/or the blocks may be performed in order different than is illustrated.
• Beginning atblock2102, a patient care configuration user interface can be presented. In particular, thefrontend server130 can present a patient care configuration user interface. Thefrontend server130 can present the patient care user interfaces that are available for configuration. An example patient care configuration user interface is the patient careconfiguration user interface900 ofFIG. 9, which includes a patient care userinterface list area902. Thefrontend server130 can further present a patient care configuration user interface that includes an option to create a new patient care user interface. As described herein, an advantage of afrontend server130 that presents patient care configuration user interfaces is that an administrator can be enabled to add, remove, or edit patient care user interfaces without programming experience. Additional details regarding some patient care configuration user interfaces are described above in further detail with respect toFIG. 9.
• Atblock2104, it can be determined whether to create or update a patient care user interface. In particular, thefrontend server130, via a patient care configuration user interface, can receive a request to create or update a patient care user interface. For example, if thefrontend server130 presents a list of patient care user interfaces in a patient care configuration user interface, an administrator can select a particular patient care user interface to edit. Thefrontend server130 can further present an option to create a new patient care user interface. Thus, if thefrontend server130 receives a request to edit or create a patient care user interface, themethod2100 can proceed to theblock2106 for receivingconfiguration user input2106.
• However, if thefrontend server130 does not receive a request to edit or create a patient care user interface, themethod2100 can return to theprevious block2102 to continue present a patient care configuration user interface. For example, in some cases, an administrator can view existing patient care user interfaces without making a change to an existing patient care user interface.
• Atblock2106, configuration user input can be received. In particular, thefrontend server130 can receive configuration user input. Example configuration user input can include one or more selections of configuration user interface elements in a patient care configuration user interface. In particular, the one or more selections can indicate graphical layout configuration for a patient care user interface. As described above with respect toFIGS. 10A and 11, user selection of an element in patient care configuration user interface can add or remove a timeline to or from the graphical layout of a patient care user interface. Additional example graphical layout changes can include rearranging the order or placement of elements of a patient care user interface. Thefrontend server130 can also receive configuration user input related to item configuration, which can be described in further detail above and below, such as with respect toFIGS. 10A-10C.
• An additional example user selection can indicate a patient care action item configuration. As described herein, example patient care action items can be tasks for a patient associated with the health condition(s), such as medication reminder(s) and/or physical activity, physical therapy reminder(s) or goal(s). A patient care action item configuration can define a patient care action item. As defined by its configuration, a patient care action item can include at least one of a user selected boolean input field, a numeric input field, a text input field, a data input field, or a time input field.
• An additional example user selection can indicate a patient sensor item configuration. A patient sensor item configuration can define a patient sensor item, which can include one of a sensor type and/or a physiological parameter type. Example patient sensor item configurations can relate to a physiological parameter such as oxygen saturation, a perfusion index, a pleth variability index, a respiration rate from pleth, a body temperature, a pulse rate, a blood glucose, and/or blood pressure. The user selections for a patient sensor item configuration can indicate particular model(s) ofpatient sensor devices104. As described herein, a patient sensor item can reduce the number of steps to pair a patient sensor with thepatient care application120 that includes the patient care user interface. An advantage of thefrontend server130 allowing configurations of patient sensor items in a patient care user interface is that such configurations can improve graphical user interfaces for monitoring patient physiological parameters by enabling a user to more quickly associate patient sensor(s) with their patient care user interface. Thus, a patient care user interface can receive physiological parameters from a sensor based on the patient sensor item configuration that can include configuration information associated with apatient sensor device104. An example patient sensor item configuration is described above with respect toFIGS. 10A-10C where a patient sensor item configuration is defined for oxygen saturation.
• An additional example user selection can indicate one or more alarms or conditional alarms associated with a patient care user interface. Thefrontend server130 can receive, via the patient care configuration user interface, alarm configurations, such as a definition of conditional threshold logic customized for a patient care user interface. Additional details regarding user input for configuring alarms or conditional alarms are described in further detail above with respect toFIG. 12A.
• Additional example configuration user input can include program instructions. As described herein, the program instructions can be in an interpreted language, such as JavaScript. Thefrontend server130 can receive the program instructions. Due to the nature of program instructions, an administrator can modify and customize the behavior of a patient care user interface in an open-ended manner. For example, an administrator can submit program instructions that can access patient data, such as a patient physiological parameter, an answer to a questionnaire, etc. Moreover, the program instructions can send notifications, set attributes, and/or control the pathway or flow of what happens next in the patient care user interface in a programmatic and/or conditional manner. Additional details regarding user input for program instructions are described in further detail above with respect toFIGS. 12B-12C. Additionally or alternatively, instead of text-based program instructions, some user input can be submitted via graphical elements that allow administrators to customize logic and/or behavior without programming skills or knowledge.
• Atblock2108, it can be determined whether configuration of the patient care user interface is complete. In particular, thefrontend server130 can receive user input that indicates that configuration of the patient care user interface is complete. For example, in the patient care user interfaces ofFIGS. 10 and 11, an administrator can select the “EXIT STUDIO” user interface element to complete editing of the patient care user interface. In other embodiments, there can be a save or close user interface element. If configuration of the patient care user interface is complete, then themethod2100 proceeds to theblock2110 for generating or updating a client configuration package. However, if thefrontend server130 has not received user input that configuration of the patient care user interface is complete, then themethod2100 can return to block2106 to allow thefrontend server130 to continue receiving additional configuration user input. Accordingly, an administrator can continue to add or change items and/or the layout of the patient care user interface.
• Atblock2110, a client configuration package can be generated or updated. In particular, the patientcare management service134 can generate or update a client configuration package that corresponds to the configured patient care user interface. An example client configuration package can include a graphical layout configuration of the patient care user interface, a patient care action item configuration, and/or a patient sensor item configuration. An example client configuration package can include at least some configuration in a configuration format such as, but not limited to, JavaScript Object Notation (JSON), Extensible Markup Language (XML), and/or YAML. For example, each of the graphical layout configuration of the patient care user interface, patient care action item configuration, and/or patient sensor item configuration can be represented in the configuration format. The patientcare management service134 can store the client configuration package in the patientcare configuration database140.
• Atblock2112, a client configuration package can be distributed. In particular, the patientcare management service134 can distribute one or more client configuration packages to a patientuser computing device102. An administrator can specify which patient care user interfaces should be provided to particular end-users. For example, an administrator can specific which of the patient care user interfaces listed in theuser interface900 ofFIG. 9 should be shared and which end users should receive the specified patient care user interfaces. The patientcare management service134 can identify client configuration packages that correspond to the specified patient care user interfaces. The patientcare management service134 can transmit the identified client configuration package(s) over thenetwork108 to a patientuser computing device102. The patientcare management service134 can transmit multiple client configuration packages to the patientuser computing device102. Each client configuration package from the multiple client configuration packages can be configured to cause the patient care application to present a different, respective patient care user interface. The patientcare management service134 can cause updated patient care user interface(s) to be presented on the patientuser computing device102 by transmitting updated client configuration package(s) to thedevice102.
• In some embodiments, themethod2100 for configuring user interfaces can also be applied to a health monitoring system that can assist organizations to manage infectious diseases. Additional health monitoring systems and use cases are described in U.S. patent application Ser. No. ______, titled “HEALTH MONITORING SYSTEM FOR LIMITING THE SPREAD OF AN INFECTION IN AN ORGANIZATION,” filed on Mar. 19, 2021 (“the health monitoring application”), and corresponding to Attorney Docket No. MAS.1371A, which is hereby incorporated by reference in its entirety. For example, the user interfaces that are configured by themethod2100 can be described in paragraphs [0103], [0150]-[0151], [0205]-[0219], and [0228] among others, of the health monitoring application.
Patient Care User Interface Implementation Methods
• FIG. 22 is a flowchart of amethod2200 for implementing a patient care user interface and receiving patient data, according to some embodiments of the present disclosure. Themethod2200 provides example approaches regarding implementing patient care user interfaces and receiving patient data. As described herein, the patientuser computing device102 and/or theconnectivity hub device106 may implement aspects of themethod2200 as described herein. Depending on the embodiment, themethod2200 may include fewer or additional blocks and/or the blocks may be performed in order different than is illustrated.
• Beginning atblock2202, apatient care application120 can be received. In particular, the patientuser computing device102 can receive a file that can be executed as thepatient care application120. In some embodiments, a user can download and install an executable file for thepatient care application120. The patientuser computing device102 can execute thepatient care application120, which can cause the presentation of one or more user interfaces. In particular, the patientuser computing device102 can execute thepatient care application120 to cause presentation of any of theuser interfaces1300,1400,1500,1520,1540 described above in further detail with respect toFIGS. 13, 14, and 15A-15C.
• Atblock2204, a client configuration package can be received. In particular, the patientuser computing device102 and/or thepatient care application120 can receive the client configuration package. For example, while thepatient care application120 is executing on the patientuser computing device102, thepatient care application120 can receive a client configuration package from the patient management andmonitoring system110 over thenetwork108. As described herein, in some embodiments, an administrator can specify which client configuration packages can be made available to end users.
• Atblock2206, the client configuration package can be implemented. In particular, thepatient care application120, executing on the patientuser computing device102, can implement the received client configuration package. Thepatient care application120 can be configured to receive the client configuration package as input. Thepatient care application120 can be configured to use the configurations in the client configuration package and output a patient care user interface, as discussed in further detail herein with respect to theblock2208 for presenting a patient care user interface. In some embodiments, advantages of thepatient care application120 implementing client configuration packages can include that presentation of corresponding patient care user interfaces can occur without or before recompiling of thepatient care application120. For example, some patient care applications, executing on the patientuser computing device102, can be configured to receive new or updated client configuration packages that cause thepatient care application120 to execute program instructions without recompiling the patient care application. As described herein, such behavior can be achieved by using interpreted languages where the program instructions can be executed without or before recompilingrespective applications120.
• In some embodiments, implementation of the client configuration package by thepatient care application120 can include interfacing with apatient sensor device104. For example, the client configuration package implemented by thepatient care application120 can include a patient sensor item configuration. Thepatient care application120 can interface, according to the patient sensor item configuration, with thepatient sensor device104. Thepatient care application120 can use a sensor device type in the patient sensor item configuration to facilitate pairing the patientuser computing device102 with thepatient sensor device104. Thepatient care application120 can be configured to receive physiological parameters from thepatient sensor device104 based on a physiological parameter type specified in the patient sensor item configuration.
• Atblock2208, a patient care user interface can be presented. In particular, thepatient care application120, executing on the patientuser computing device102, can present a patient care user interface. In some embodiments, a user (such as a patient) can select a user interface option to initiate a patient care user interface (such as theoption1308 and the “COPD Maintenance with MightySat” patient care user interface). As described herein, the patient care user interface can be defined by the client configuration package. Thepatient care application120 can arrange a graphical layout of the patient care user interface according to the graphical layout configuration in the client configuration package. Additional details regarding example patient care user interfaces are described in further detail above with respect toFIGS. 16A-16C and 17.
• Atblock2210, one or more items can be presented. In particular, thepatient care application120 can present one or more items. For example, thepatient care application120 can present one or more patient care action items according to respective patient care action item configurations in the client configuration package. Thepatient care application120 can present one or more patient sensor items according to respective patient sensor item configurations in the client configuration package. Thepatient care application120 can present a patient care user interface that includes items such as a patient sensor item for oxygen saturation and patient care action items for the patient's breathing, their temperature, and/or respiration, which can be relevant to monitoring of patients under a COVID-19 program. Additional details regarding example items in patient care user interfaces are described in further detail above with respect toFIGS. 16A-16C and 17.
• Atblock2212, it can be determined whether there are any open action item(s). In particular, thepatient care application120 can determine whether any action item(s) are incomplete. For example, thepatient care application120 can determine that a physiological parameter value for a patient sensor item has not been received or that user input in response to a prompt has not been received. If there are open action item(s), themethod2200 can proceed to theblocks2214,2216 for receiving physiological data/patient input and thepatient care application120 can receive input for the open action item(s). However, if there are no open action item(s), themethod2200 can proceed to theblock2218 and thepatient care application120 can transmit patient data.
• Atblock2214, physiological data can be received. In particular, thepatient care application120 can receive physiological parameter values generated from one or morepatient sensor devices104. Thepatient care application120 can receive physiological parameter values, such as, but not limited to, blood oxygen saturation (SpO₂), pulse rate, perfusion index, pleth variability index, and/or respiration rate. For example, as reflected inFIG. 16C described above, thepatient care application120 can receive an oxygen saturation value of 91% that was generated by thepatient sensor device104.
• Atblock2216, patient input can be received. In particular, thepatient care application120 can receive patient input. For example, thepatient care application120 can receive user input such as, but not limited to, a value for the patient's temperature, a value for the patient's age, a value for the patient's respiration rate, a value for the patient's weight, and/or a yes or no answer in response to a prompt (such as, “Are you having trouble breathing?”). Additional details regarding receiving patient input are described in further detail above with respect toFIGS. 16A-16C. Themethod2200 can return to block2212 to cause thepatient care application120 to check for additional open action item(s) until there are no open action item(s) left.
• Atblock2218, patient data can be transmitted. In particular, thepatient care application120, executing on the patientuser computing device102, can cause the patientuser computing device102 to transmit patient data. As described herein, example patient data can include, but is not limited to, physiological parameter values generated by thepatient sensor device104 and patient user input. The patientuser computing device102 can be configured to transmit patient data over thenetwork104 using one or more security protocols, such as various encryption methods, to the patient management andmonitoring system110.
• In some embodiments, themethod2200 for implementing user interfaces and receiving health data can also be applied to a health monitoring system that can assist organizations to manage infectious diseases. As described herein, additional health monitoring systems and use cases are described in the health monitoring application. For example, the user interfaces that are implemented by and/or health data that is received by themethod2200 can be described in paragraphs [0103], [0150]-[0151], [0205]-[0219], and [0228], among others, of the health monitoring application.
Patient Monitoring Methods
• FIG. 23 is a flowchart of amethod2300 for patient monitoring, according to some embodiments of the present disclosure. Themethod2300 provides example approaches regarding patient monitoring. As described herein, the patient management andmonitoring system110 ofFIG. 1B may include various devices, services, and/or applications, some of which may implement aspects of themethod2300 as described herein. Depending on the embodiment, themethod2300 may include fewer or additional blocks and/or the blocks may be performed in order different than is illustrated.
• Atblock2302, patient data can be received. In particular, thepatient data service132 can receive patient data from the patientuser computing device102, theconnectivity hub device106, and/or thepatient monitoring device206. As described herein, example patient data can include, but is not limited to, temperature, blood pressure, respiratory rate (RRa), total hemoglobin (SpHb), carboxyhemoglobin (SpCO), methemoglobin (SpMet), oxygen content (SpOC), oxygen saturation (SpO2), pulse rate (PR), perfusion index (Pi), pleth variability index (PVi), and/or electroencephalogram (EEG) data. Thepatient data service132 can receive the patient data in an encrypted format. Thepatient data service132 can receive patient data, such as physiological parameter values, in a continuous stream, which can allow continuous monitoring, as described herein.
• Atblock2304, the patient data can be processed. In particular, thepatient data service132 can process the received patient data. Thepatient data service132 can group the patient data by patient and/or by category. For example, thepatient data service132 can identify the type of physiological parameter (such as oxygen saturation (SpO2), pulse rate (PR), perfusion index (Pi), pleth variability index (PVi), etc.) for the patient data that includes physiological parameter values. Thepatient data service132 can identify patient response data in the patient data, such as yes/no responses to prompts from the patient care user interface. Thepatient data service132 can store the patient data in the patient database(s)142, which can be encrypted.
• Atblock2306, it can be determined whether any applicable alarm(s) are triggered. In particular, thepatient monitoring service136 can determine whether any applicable alarm(s) are triggered. As described herein, a patient care user interface and/or a patient can be associated with one or more alarms. For example, thepatient monitoring service136 can identify a set of physiological parameter values for a patient. From the set, thepatient monitoring service136 can identify a subset of physiological parameter values for a period of time for the patient. For example, thepatient monitoring service136 can identify oxygen saturation values over one minute for the patient. Thepatient monitoring service136 can determine that the subset of physiological parameter values for the period of time violates a threshold. For example, thepatient monitoring service136 can trigger an alarm if the oxygen saturation values go below 90% for one minute, such as by having an average oxygen saturation value under 90%. If an alarm is triggered, themethod2300 can proceed to theblock2308 for transmitting notifications. Otherwise, if an alarm is not triggered, themethod2300 can proceed to theblock2314 for presenting patient data and user interface(s).
• In some embodiments, thepatient monitoring service136 can apply conditional alarms. A patient care user interface can be associated with a conditional alarm, such as the conditional alarm described in further detail above with respect toFIG. 12A. As described herein, the conditionality of an alarm can be based on response data received through the patient care user interface (for example, a patient can respond “Yes” to a prompt asking if the patient has a chronic obstructive pulmonary disease (COPD) condition). In the case of a conditional alarm, thepatient monitoring service136 can select, from a first threshold and a second threshold, the first threshold for alarm purposes. In particular, thepatient monitoring service136 can apply the response data as input to conditional threshold logic and output from the conditional threshold logic can identify the first threshold. For example, as described in further detail above with respect toFIG. 12A, conditional threshold logic can be based on the presence of a COPD condition; if the patient has response data indicating COPD “yes,” then a first threshold (such as 90% oxygen saturation) can be used; however, if the patient has response data indicating COPD “no,” then a second, default threshold can be used (such as 93% oxygen saturation). As described herein, an administrator can configure the conditional threshold logic and/or conditional alarm(s) with a patient care configuration user interface. After identifying the conditional threshold, thepatient monitoring service136 can determine that the alarm should be triggered based at least in part on the physiological parameter value and the first threshold (for example, if one or more physiological parameter values exceeds or is below the first threshold).
• In some embodiments, thepatient monitoring service136 can compare each of the monitored physiological parameters with a threshold that indicates a minimum or maximum acceptable level for the respective physiological parameter. For example, thepatient monitoring service136 can compare the patient's heart rate in beats per minute with the acceptable range of approximately 50 beats per minute to approximately 195 beats per minute. Thepatient monitoring service136 can compare the patient's respiration rate in breaths per minute with the acceptable range of approximately 6 breaths per minute to approximately 30 breaths per minute. Thepatient monitoring service136 can compare the patient's pleth with the acceptable range of approximately 5 to approximately 40 and the patient's perfusion index to a minimum acceptable perfusion index of approximately 0.3.
• The one or more physiological parameters can be weighted and when the combination of weighted parameters falls below a threshold, thepatient monitoring service136 can trigger an alarm. The one or more physiological parameters can be weighted based on trends in the patient's physiological parameters (such as the patient's parameters during opioid use) and when the combination of weighted parameters falls below a threshold, thepatient monitoring service136 can trigger an alarm.
• Atblock2308, a network can be notified. In particular, thepatient monitoring service136 can notify the patient's network, which can include the patientuser computing device102. An example patient network can include one or more person(s), emergency personnel, friends, family, caregivers, doctors, hospitals selected to be notified. The notification can inform the network of an alarm being triggered. For example, the selected person(s) can receive a notification on their user computing device(s). In some embodiments, thepatient monitoring service136 can alert emergency services. Accordingly, in response to thepatient monitoring service136 determining that an alarm has been triggered, thepatient monitoring service136 can transmit an alert.
• Atblock2310, it can be determined whether on-site care is required. In particular, thepatient monitoring service136 can determine whether on-site care is required. For example, in the case of patient care user interfaces directed towards opioid-related health conditions, thepatient monitoring service136 can monitor the physiological parameters for indications of an opioid overdose. The patient physiological parameters can include the physiological parameters that are most likely affected by an overdose condition, such as one or more of the oxygen saturation, heart rate, respiration rate, pleth variability, perfusion index, etc. Thepatient monitoring service136 can determine whether the physiological parameters indicate that the patient needs on-site care. A blood oxygen saturation level below a threshold can indicate a heath condition, such as an opioid overdose condition. For example, thepatient monitoring service136 can monitor the oxygen saturation of the user and trigger an alarm when the oxygen saturation falls below a threshold. Thepatient monitoring service136 can compare the user's current oxygen saturation level with a threshold that can indicate a minimum acceptable blood oxygen saturation level. An oxygen saturation level below the minimum acceptable blood oxygen saturation level can be an indication of a health condition, such as an overdose event. For example, an oxygen saturation level below approximately 88 can indicate respiratory distress. If on-site care is required, themethod2300 can proceed to theblock2312 for executing on-site care. Otherwise, if on-site care is not required, themethod2300 can proceed to theblock2314 for presenting patient data and user interface(s).
• Atblock2312, on-site care can be executed. In particular, emergency personnel and/or care providers can provide on-site care. In some embodiments, someadditional devices114A,114B can administer medication on-site. In some embodiments, the additional device(s)114A,114B can include a delivery device to deliver medication in response to the indication of health event, such as an opioid overdose event. In some embodiments, the delivery device can administer an opioid receptor antagonist in response to the indication of an opioid overdose event. The delivery device can include a patch that includes a reservoir with the medication, a needle, and a battery. Additional details regarding patient monitoring and on-site care for opioid overdoses can be found in U.S. Provisional Application No. 62/992,779, filed Mar. 20, 2020, titled “OPIOID OVERDOSE MONITORING USER INTERFACE.”
• Atblock2314, patient data and/or user interface(s) can be presented. In particular, thefrontend server130 can present patient data and/or user interface(s) to clinician user computing device(s)124. Thefrontend server130 can present a patient monitoring user interface comprising. The patient monitoring user interface can include (i) information associated with the patient and (ii) a visual representation based at least in part on a physiological parameter value. Example patient monitoring user interfaces that thefrontend server130 can present are described in further detail above with respect toFIGS. 18, 19A-19B, and20. Accordingly, a clinician can review data received via the patient care user interfaces in a patient monitoring user interface.
• In some embodiments, themethod2300 for health monitoring can also be applied to a health monitoring system that can assist organizations to manage infectious diseases. As described herein, additional health monitoring systems and use cases are described in the health monitoring application. For example, the health monitoring user interfaces that are presented by themethod2300 can be described in paragraphs [0220]-[0227], and [0229]-[0230], among others, of the health monitoring application.
Patient Monitoring Graphical User Interfaces
• FIGS. 24A-24Y and 25A-25J illustrate example patient monitoring graphical user interfaces of a patientuser computing device102, according to some embodiments of the present disclosure. In various embodiments, aspects of the user interfaces may be rearranged from what is shown and described below, and/or particular aspects may or may not be included. In some embodiments, thepatient care application120 can execute on the patientuser computing device102 to present the graphical user interfaces ofFIGS. 24A-24Y and 25A-25J. The graphical user interfaces ofFIGS. 24A-24Y and 25A-25J may have similar user interface elements and/or capabilities.
• FIG. 24A illustrates agraphical user interface2400 of the patientuser computing device102 for receiving an image of a scannable code. Thegraphical user interface2400 can be configured to receive an image of a scannable code, such as the example QR code shown. Receipt of the image of the scannable code by the application of thegraphical user interface2400 can cause the application to initiate pairing with apatient sensor device104. The example scannable code shown inFIG. 24A can be included in a remote monitoring kit.
• FIG. 24B illustrates agraphical user interface2402 of the patientuser computing device102 for configuring alerts. Thegraphical user interface2402 can allow a user to specify which alerts a recipient should receive. As shown, the recipient, “Brandon DeBord,” can be an emergency contact for the user. Example alerts can include measurement alerts (such as alerts associated with physiological parameter values for a user), low battery alerts, and/or sensor off alerts.
• FIG. 24C illustrates agraphical user interface2404 of the patientuser computing device102 for receiving geolocation-related input data. Thegraphical user interface2404 can allow a user to provide an address as user input. Additionally or alternatively, the patientuser computing device102 can provide a current location using geolocation technique(s). For example, thegraphical user interface2404 can allow a user to authorize use of location services on the patientuser computing device102. In some embodiments, the patientuser computing device102 and/or theconnectivity hub device106 can provide a location to emergency services (e.g., emergency personnel, caregivers, police, or ambulance services) or to friends or family.
• InFIG. 24D, anothergraphical user interface2406 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2406 can further include historical data. In particular, thegraphical user interface2406 can include a visualization(s) that present historical trends of patient physiological parameters. As shown, the visualization(s) can include one or more graphs with an x-axis of time and a y-axis of parameter values. The underlying historical data can originally be generated, at least in part, by the one or morepatient sensor devices104.
• InFIG. 24E, yet anothergraphical user interface2408 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2408 ofFIG. 24E can be similar to thegraphical user interface2406 ofFIG. 24D. However, in addition to the presentation of the patient physiological parameters shown in thegraphical user interface2406 ofFIG. 24D, thegraphical user interface2408 ofFIG. 24E can include alert indicator(s). For example, in thegraphical user interface2408 ofFIG. 24E, the oxygen saturation level can be below a threshold, which can cause the presentation of visual alert indicator(s) in thegraphical user interface2408.
• FIG. 24F illustrates agraphical user interface2410 of the patientuser computing device102 for configuring notifications and/or threshold levels for a physiological parameter. For example, a user can configure the type of notifications, the frequency of notifications, and/or recipients of the notifications for a particular physiological parameter. As used herein, the terms “alerts,” “alarms” and “events” can be used interchangeably. In some embodiments, a user can manually adjust the threshold levels for a physiological parameter for a notification to be sent.
• InFIG. 24G, yet anothergraphical user interface2412 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2412 ofFIG. 24G can be similar to thegraphical user interface2406 ofFIG. 24D. However, in addition to the presentation of the patient physiological parameters shown in thegraphical user interface2406 ofFIG. 24D, thegraphical user interface2412 ofFIG. 24G can present an additional physiological parameter.
• InFIG. 24H, yet anothergraphical user interface2414 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2414 ofFIG. 24G can be similar to thegraphical user interface2408 ofFIG. 24E. However, unlike the presentation of the patient physiological parameters shown in thegraphical user interface2408 ofFIG. 24E, thegraphical user interface2414 ofFIG. 24H can present less patient physiological parameters.
• InFIG. 24I, yet anothergraphical user interface2416 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2416 ofFIG. 24I can be similar to thegraphical user interface2408 ofFIG. 24E. However, in addition to the presentation of the patient physiological parameters shown in thegraphical user interface2408 ofFIG. 24E, thegraphical user interface2416 ofFIG. 24I can present an additional physiological parameter(s).
• InFIG. 24J, yet anothergraphical user interface2418 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2418 ofFIG. 24J can be similar to thegraphical user interface2412 ofFIG. 24G. However, in addition to the presentation of the patient physiological parameters, thegraphical user interface2418 ofFIG. 24J can present a status indicator associated with patient action items, which is shown below the patient physiological parameters in this embodiment. The status indicator associated with patient action items can be used to facilitate patient engagement.
• FIG. 24K illustrates agraphical user interface2420 of the patientuser computing device102 for changing the source of patient physiological parameters. As shown, thegraphical user interface2420 can present source options, such as “Live” or “Friends Monitoring.” For example, a first option can specify that the source of the physiological parameters is the patient of the patientuser computing device102. A second option can specify that the source of the physiological parameters is another patient that has shared their physiological data with the user.
• InFIG. 24L, yet anothergraphical user interface2422 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2422 can present current values for patient physiological parameter(s). As shown, in addition to the current values for patient physiological parameter(s), thegraphical user interface2422 can present a visualization for a status of the patient. For example, thegraphical user interface2422 can present a visual representation of human organ(s) (e.g., heart and lungs) with visual indicators corresponding to the status of the patient. In the example, the visual representation of a human cardiovascular system can be color coded to match the status of the patient, such as green for nominal or red for an alert or alarm notification. InFIG. 24M, thegraphical user interface2424 of the patientuser computing device102 is depicted that allows a user to select an option to change the format of the user interface for presentation of patient physiological parameter(s).
• InFIG. 24N, yet anothergraphical user interface2426 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2426 ofFIG. 24N can be similar to thegraphical user interface2422 ofFIG. 24L. However, in addition to the presentation of the current physiological parameters shown in thegraphical user interface2422 ofFIG. 24L, thegraphical user interface2408 ofFIG. 24E can include alert indicator(s). For example, in thegraphical user interface2426 ofFIG. 24N, the oxygen saturation level can be below a threshold, which can cause the presentation of visual alert indicator(s) in thegraphical user interface2408. In particular, thegraphical user interface2422 can present a visual representation of human organ(s) (e.g., heart and lungs) with visual indicators corresponding to the alert(s). As shown, there can be an alert for oxygen saturation and the visually depicted lungs can be shown in red. As another example, if there is an alert for heartbeats then there can be visual alert indicator(s) for the heart, such as by showing the visual depiction of the heart in a red color.
• InFIG. 24O, yet anothergraphical user interface2428 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2428 ofFIG. 24O can be similar to thegraphical user interface2426 ofFIG. 24N. However, instead of the visual depictions of organs shown in thegraphical user interface2426 ofFIG. 24N, thegraphical user interface2408 ofFIG. 24E can present current physiological parameters and alert indicator(s) without visual depictions of organs. Similar to other graphical user interfaces described herein, the alert indicator(s) can be color coded or otherwise show a severity or status of a physiological parameter. Thegraphical user interface2428 ofFIG. 24O can also include a recent events element that depicts a summary of events associated with a physiological parameter to indicate a quantity of events with various status levels, such as nominal, warning, cautionary, and/or critical statuses, for example.
• InFIG. 24P, yet anothergraphical user interface2430 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2430 ofFIG. 24P can be similar to thegraphical user interface2422 ofFIG. 24L, such as by presenting current values for patient physiological parameter(s). The graphical user interface430 ofFIG. 24P can present another embodiment of a visual representation of human organ(s) (e.g., heart and lungs) with visual indicators corresponding to the status of the patient.
• InFIG. 24Q, yet anothergraphical user interface2432 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2432 ofFIG. 24Q can be similar to thegraphical user interface2430 ofFIG. 24P, such as by presenting current values for patient physiological parameter(s) and visual indicator(s) regarding a patient's status. In addition to the presentation of current values for patient physiological parameter(s) and visual indicator(s) regarding a patient's status, thegraphical user interface2432 ofFIG. 24Q can present indicators of recent events, such as critical, cautionary, and/or warning events. InFIG. 24R, yet anothergraphical user interface2434 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2434 ofFIG. 24R can be similar to thegraphical user interface2432 ofFIG. 24Q.
• InFIG. 24S, yet anothergraphical user interface2436 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2436 ofFIG. 24S can be similar to thegraphical user interface2428 ofFIG. 24O, such as by presenting current patient physiological parameter(s). In addition to the presentation of current patient physiological parameter(s), thegraphical user interface2436 ofFIG. 24S can present indicator(s) that visually indicate a status of the parameters and various status ranges for each parameter. InFIG. 24T, yet anothergraphical user interface2438 of the patientuser computing device102 is depicted that includes patient physiological parameters. Thegraphical user interface2438 ofFIG. 24T can be similar to thegraphical user interface2436 ofFIG. 24S. In the embodiment of thegraphical user interface2438 ofFIG. 24T, visual alert and/or alarm indicator(s) can be presented.
• FIG. 24U illustrates agraphical user interface2440 of the patientuser computing device102 for presenting an alert. The alert shown in thegraphical user interface2440 ofFIG. 24U can correspond to the alert shown in thegraphical user interface2436 ofFIG. 24S. The alert element in thegraphical user interface2440 can present alert information to a patient. The alert element in thegraphical user interface2440 can provide an option to contact an emergency contact and/or emergency services.FIG. 24V illustrates agraphical user interface2442 of the patientuser computing device102 for confirming or cancelling notifying emergency services. Additionally or alternatively, a patient can contact their care provider and/or a clinician through the patientuser computing device102 regarding their physiological parameters.FIG. 24W illustrates agraphical user interface2444 of the patientuser computing device102 for contacting a care provider and/or a clinician.
• FIG. 24X illustrates anothergraphical user interface2446 of the patientuser computing device102 for presenting an event. Thegraphical user interface2446 ofFIG. 24X can be similar to thegraphical user interface2440 ofFIG. 24U, such as by presenting information regarding an event and/or alert for a physiological parameter.FIG. 24Y illustrates yet anothergraphical user interface2448 of the patientuser computing device102 for presenting an event. Thegraphical user interface2448 ofFIG. 24Y can be similar to thegraphical user interface2446 ofFIG. 24X, such as by presenting information regarding an event. However, in addition to the presentation of a description of an event associated with a physiological parameter, thegraphical user interface2448 ofFIG. 24Y can present a visualization showing historical values associated with a physiological parameter and/or indications that notifications were sent to one or more recipients.
• FIG. 25A illustrates agraphical user interface2500 for viewing a patient alert. As described herein, a patient can specify contacts, such as friends or family, to receive patient data such as patient alerts. Accordingly, an authorized-user can use thegraphical user interface2500 to view the patient alert. As shown, thegraphical user interface2500 can display a map showing the location of the patient and a status of the patient. Thegraphical user interface2500 can further include element(s) to call the patient, get directions to the patient's location, and/or to cause administration of medication.
• FIG. 25B illustrates agraphical user interface2504 of the patientuser computing device102 for managing settings. Example settings can include notification and/or monitoring settings. Thegraphical user interface2504 can enable a patient to configure the recipients of the notifications (such as emergency contacts and/or emergency services). Thegraphical user interface2504 can enable a patient to configure monitoring settings for physiological parameters, such as the alarm levels for one or more physiological parameters.
• FIG. 25C illustrates agraphical user interface2508 of the patientuser computing device102 for configuring notification settings. In thegraphical user interface2508, a patient can specify an amount of time after a physiological parameter has violated a warning level before the patientuser computing device102 generates a notification for the patient. In some embodiments, the amount of time can be configurable. An example amount of time can be thirty seconds. For example, if a physiological parameter violates a warning level for thirty seconds, then the patientuser computing device102 can generate a notification for the patient. As described below, additional or alternative graphical user interfaces can allow a patient to configure contact notifications and/or emergency service notifications.
• FIG. 25D illustrates anothergraphical user interface2512 of the patientuser computing device102 for configuring notification settings. Thegraphical user interface2512 ofFIG. 25D can be similar to thegraphical user interface2508 ofFIG. 25C, such as by allowing a patient to configure notification settings. However, instead of allowing configuration of notification settings for notifications destined for a patient, as shown in thegraphical user interface2508 ofFIG. 25C, thegraphical user interface2512 ofFIG. 25D can allow configuration of contact notifications. For example, if a physiological parameter violates a warning level for thirty seconds, then the patientuser computing device102 can generate a notification for a contact.
• FIG. 25E illustrates yet anothergraphical user interface2516 of the patientuser computing device102 for configuring notification settings. Thegraphical user interface2516 ofFIG. 25D can be similar to thegraphical user interface2508 ofFIG. 25C, such as by allowing a patient to configure notification settings. However, instead of allowing configuration of notification settings for notifications destined for a patient, as shown in thegraphical user interface2508 ofFIG. 25C, thegraphical user interface2516 ofFIG. 25E can allow configuration of emergency service notifications. For example, if a physiological parameter violates a warning level for three minutes or longer, then the patientuser computing device102 can generate a notification emergency services.
• FIG. 25F illustrates agraphical user interface2520 of the patientuser computing device102 for configuring alarm threshold levels. Thegraphical user interface2520 can allow a patient to set one or more threshold levels for causing the patientuser computing device102 to generate a notification. For example, if a first level is violated, then the patientuser computing device102 can cause an emergency notification to be generated. As another example, if a second level is violated, then the patientuser computing device102 can cause a warning notification to be generated.
• FIG. 25G illustrates anothergraphical user interface2524 of the patientuser computing device102 for configuring alarm threshold levels. Thegraphical user interface2524 ofFIG. 25G can be similar to thegraphical user interface2520 ofFIG. 25F, such as by allowing a patient to configure an alarm threshold. Moreover, thegraphical user interface2524 ofFIG. 25G can allow a patient to configure multiple physiological parameter alarm levels. As shown, the physiological parameter alarm(s) can be activated or deactivated by the patient.
• FIG. 25H illustrates yet anothergraphical user interface2528 of the patientuser computing device102 for configuring notification settings. For example, in thegraphical user interface2528, a patient can activate or deactivate notifications for the patient's contacts. As another example, in thegraphical user interface2528, a patient can activate or deactivate notifications for the patientuser computing device102, which can cause the or notifications to the patientuser computing device102.
• FIG. 25I illustrates yet anothergraphical user interface2532 of the patientuser computing device102 for configuring notification settings. For example, in thegraphical user interface2532, a patient can configure the notification delay, which can be a configurable amount of time to delay a notification.
• FIG. 25J illustrates yet anothergraphical user interface2536 of the patientuser computing device102 for configuring alarm threshold levels. Thegraphical user interface2536 ofFIG. 25I can be similar to thegraphical user interface2520 ofFIG. 25F, such as by allowing a patient to configure threshold range levels for particular physiological parameters. In particular, the example threshold ranges shown inFIG. 25J can correspond to a “Good Range,” a “Caution Range,” and a “Serious Range.” As shown, thegraphical user interface2536 can allow a user to configure multiple alarm threshold levels.
Additional Patient Monitoring Methods
• FIG. 26 is another flowchart of amethod2600 for patient monitoring, according to some embodiments of the present disclosure. Themethod2600 provides additional example approaches regarding patient monitoring. As described herein, the patientuser computing device102, theconnectivity hub device106, thepatient sensor devices104, and/oradditional device114A,114B may implement aspects of themethod2600 as described herein. As described herein, the patient management andmonitoring system110 ofFIG. 1B may include various devices, services, and/or applications, some of which may implement aspects of themethod2600 as described herein. Depending on the embodiment, themethod2600 may include fewer or additional blocks and/or the blocks may be performed in order different than is illustrated.
• Beginning atblock2602, one or more remote monitoring devices can be provided to a patient. An organization, such as a company or a care provider, can provide a remote monitoring kit to the patient. In some embodiments, the remote monitoring kit can include areusable device250 and adisposable device220. Thereusable device250 can be configured to engage thedisposable device220 to form a wearable sensor assembly. The wearable sensor assembly can be configured to measure one or more physiological parameters, such as, but not limited to, blood oxygen saturation (SpO₂), pulse rate, perfusion index, pleth variability index, temperature, and/or respiration rate, of the patient over a monitoring period. The patient can be monitored at the patient's place of residence. The remote monitoring kit can include aconnectivity hub device106 that is configured to transmit the physiological parameters, such as the patient's blood oxygen saturation and the temperature measurements, over the monitoring period to the care provider. As described herein, the wearable sensor assembly can be configured to be disposed on at least one of the patient's finger, wrist, chest, or forehead.
• In some embodiments, an organization can provide a wearable device to respective patients having symptoms of a health condition (such as an infectious disease or an opioid addiction) in a non-clinical space. As described herein, the wearable device can be configured to measure one or more physiological parameters (such as, but not limited to, blood oxygen saturation) over a monitoring period. An organization can further provide aconnectivity hub device106 that is configured to (i) wirelessly connect with respective wearable devices and (ii) transmit the measured physiological parameter(s) over the monitoring period.
• In some embodiments, a remote monitoring kit can include a package and a pulse oximetry sensor device. The package can be configured to be mailed. Additional details regarding remote monitoring kits can be described herein, such as with respect toFIG. 7C. The pulse oximetry sensor device can include a wireless communications device, a memory device configured to store instructions, and a hardware processor configured to execute the instructions. The pulse oximetry sensor device can be configured to pair, via the wireless communications device, with a patientuser computing device102 through a downloadable application. The pulse oximetry sensor device can further include aremovable chip250. Theremovable chip250 can include the wireless communications device, the memory device, and the hardware processor.
• In some embodiments, the remote monitoring kit can further include multiple sensors, which can be in the package. Each of the sensors can be configured to receive the removable chip. The remote monitoring kit can include one or more scannable codes. The scannable code can encode a link to download the downloadable application. For example, a patient can take a picture of the scannable code with their patientuser computing device102, which can cause the patientuser computing device102 to download the downloadable application. Additionally or alternatively, a scannable code can be used for other purposes. For example, as described above with respect toFIG. 24A, the downloadable application can be configured to receive input data (such as an image of the scannable code) associated with the scannable code. Receipt of the input data by the downloadable application can cause the downloadable application to initiate pairing with apatient sensor device104, such as the pulse oximetry sensor device. In some embodiments, the scannable code can initiate an ordering process for a prescription.
• In some embodiments, the remote monitoring kit can further include aconnectivity hub device106, which can be in the package. Theconnectivity hub device106 can be configured to communicate with the pulse oximetry sensor device and a remote server, such as a server of the patient management andmonitoring system110.
• In some embodiments, an organization can provide a pulse oximetry sensor device to a patient. The pulse oximetry sensor device can be configured to measure blood oxygen saturation (and/or other physiological parameters such as, but not limited to, blood pressure, respiratory rate, total hemoglobin, carboxyhemoglobin, methemoglobin, oxygen content, pulse rate, perfusion index, and pleth variability index) of the patient over a monitoring period. The pulse oximetry sensor device can be configured to wirelessly connect with a patientuser computing device102.
• In some embodiments, the remote monitoring kit can further include a medication applicator device. As described herein, a software application can be configured to instruct the medication applicator device to administer medication to the patient. The software application can be configured to instruct the medication applicator device to administer medication to the patient based on a physiological parameter, such as the patient's blood oxygen saturation over the monitoring period. An example medication applicator device is described above with respect toFIG. 2I.
• In some embodiments, a user monitoring kit can include a wearable device one or more sensors. The wearable device can be configured to process sensor signals to determine measurement values of blood oxygen saturation of the user over a monitoring period. Additionally or alternatively, the wearable device can be configured to process sensor signals to determine measurement values of a temperature of the user over a monitoring period. The kit can further include a disposable battery and disposable sensor and a reusable processor and reusable wireless device.
• Atblock2604, one or more software applications can be provided. An organization can provide a software application to the patient. The software application can be configured to be installed on the patientuser computing device102. A wearable sensor assembly can be configured to wirelessly connect with the patientuser computing device102. The software application of theuser computing device102 can be configured to aggregate medical information of the user. The medical information can include received measurement values of blood oxygen saturation and/or received measurement values of a temperature of the user. The organization can provide another software application to a care provider. For example, graphical user interfaces of the software application for the care provider can be made available to clinicians of the care provider. In some embodiments, a clinician can use a web browser application to access the graphical user interfaces of the software application for the care provider. As described herein, the software application can enable the care provider to monitor the patient's physiological condition over the monitoring period without coming in close proximity with the patient.
• In some embodiments, the software application of the care provider can be configured to receive medical information from the software application on the user computing device. The software application of the care provider can be further configured to process the medical information. The software application of the care provider can be further configured to output to a display viewable by the care provider, which can include indicia that is responsive to the measurement values of the blood oxygen saturation and temperature of the user during the monitored period. The indicia can include a variance from a baseline for the user at least when the user should receive further screening for the contagious respiratory infection.
• A patient can configure one or more alerts, alarms, notifications, and/or emergency services using the software application on the patientuser computing device102, Example graphical user interfaces for configuring one or more alerts, alarms, notifications, and/or emergency services are described above in further detail with respect toFIGS. 24B, 24C, 24F, and 25B-25J.
• Atblock2606, patient data can be received. Theblock2606 ofFIG. 26 for receiving patient data can be similar to block2214 ofFIG. 22 for receiving physiological data and/or block2302 ofFIG. 23 for receiving patient data. In some embodiments, a software application can receive physiological parameter values generated from one or morepatient sensor devices104. The software application can receive physiological parameter values, such as, but not limited to, blood oxygen saturation (SpO₂), pulse rate, perfusion index, pleth variability index, and/or respiration rate. For example, as reflected inFIG. 24D, the software application can receive an oxygen saturation value of 97% and a heart rate of 65 beats-per-minute generated by patient sensor device(s)104. As described herein, the patientuser computing device102 and/or theconnectivity hub device106 can transmit patient data to a remote server, such as a server of the patient management andmonitoring system110. The remote server, such as a server of the patient management andmonitoring system110, can receive patient data, which can include the physiological parameter values.
• As described herein, example patient data can include answers to a questionnaire. Example questions, which can be used to identify a health condition (such as a respiratory infection/the novel coronavirus), can include, but are not limited to, one or more of the following questions. In the last twenty-four hours have you: Developed a cough? Experienced shortness of breath? Experienced chills? Experienced muscle pain? Lost the sense of taste or smell? Experienced nausea, vomiting, or diarrhea? Experienced loss of appetite? Experienced fatigue? The patient data can include yes/no answers to the questions.
• Atblock2608, patient data can be processed and/or stored. For example, the software application on the patientuser computing device102 can process and/or store the patient data. The software application can store historical physiological parameter values for a period of time. As described herein, in some embodiments, the software application can process the physiological parameters and determine if an alarm, alert, or notification is applicable. In some embodiments, the software application can store patient data on a storage device of the patientuser computing device102 in an encrypted format. Theblock2608 ofFIG. 26 for processing and/or storing patient data can be similar to block2304 ofFIG. 23 for processing and/or storing patient data. In some embodiments, a remote server can process and/or store patient data.
• Atblock2610, it can be determined whether any applicable alarm(s) and/or alert(s) are triggered. Theblock2610 ofFIG. 26 for determining any applicable alarm(s) and/or alert(s) can be similar to block2306 ofFIG. 23 for determining any applicable alarm(s). However, in addition or alternative to thepatient monitoring service136 checking for an alarm or alert, the patientuser computing device102 can determine whether any applicable alarm(s) and/or alert(s) are triggered. As described herein, example alerts can include measurement alerts (such as alerts associated with physiological parameter values for a user), low battery alerts, and/or sensor off alerts. For example, if blood oxygen saturation drops below eighty percent, then the patientuser computing device102 can cause one or more notifications can be sent and/or presented, as described herein. In some embodiments, there can be more than one threshold level to trigger an alert. For example, in the context of blood oxygen saturation, anything below eighty-five percent can trigger a warning notification and anything below eighty percent can trigger an emergency notification. In some embodiments, a user can adjust the threshold level(s) via the software application on the patientuser computing device102. If an alarm and/or alert is triggered, themethod2600 can proceed to theblock2612 for transmitting notifications. Otherwise, if an alarm and/or alert is not triggered, themethod2600 can proceed to theblock2618 for presenting patient data and user interface(s).
• Atblock2612, a network can be notified. Theblock2612 ofFIG. 26 for notifying a network can be similar to block2308 ofFIG. 23 for notifying a network. However, in addition or alternative to thepatient monitoring service136 notifying a network, the patientuser computing device102 can cause notification of the network. In particular, the software application on the patient user computing device102 (and/or the patient monitoring service136) can cause presentation of a notification in a graphical user interface, which can be based at least on a physiological parameter (such as the patient's blood oxygen saturation and/or temperature measurements) over the monitoring period. Example notifications in graphical user interfaces are described herein, such as with respect toFIGS. 24E, 24H, 24I, 24N, 24T, 24U, 24X, and 24Y. The patientuser computing device102 can also cause a notification to be sent to the patient's network. As described herein, an example patient network can include one or more selected person(s), friends, family, caregivers, doctors, and/or clinicians. For example, the selected person(s) can receive a notification on their user computing device(s). Example notifications to a friend are described herein, such as with respect toFIG. 25A. In some embodiments, thepatient monitoring service136 can notify the care provide to contact the patient.
• In some embodiments, the patientuser computing device102 can alert emergency services. As described above with respect toFIG. 24V, a patient can be prompted in a graphical user interface to confirm whether emergency services should be notified. The patientuser computing device102 and/or thepatient monitoring service136 can notify emergency medical services based at least on the patient's physiological parameters (such as blood oxygen saturation and/or temperature measurements) over the monitoring period.
• Atblock2614, it can be determined whether on-site care is required. Theblock2614 ofFIG. 26 for determining whether on-site care is required can be similar to block2310 ofFIG. 23 for determining whether on-site care is required. However, in addition or alternative to thepatient monitoring service136 determining whether on-site care is required, the patientuser computing device102 can determine whether on-site care is required. In particular, the software application on the patientuser computing device102 can determine based at least on the patient's physiological parameters (such as blood oxygen saturation) over the monitoring period, to instruct a medication applicator device to administer medication to the patient, as descried herein. For example, one or more physiological parameters can be used to detect an opioid overdose event. If on-site care is required, themethod2300 can proceed to theblock2616 for executing on-site care. Otherwise, if on-site care is not required, themethod2300 can proceed to theblock2618 for presenting patient data and user interface(s).
• Atblock2616, on-site care can be executed. Theblock2616 ofFIG. 26 for executing on-site care can be similar to block2312 ofFIG. 23 for executing on-site care. In some embodiments, the software application on the patientuser computing device102 and/or theconnectivity hub device106 can instruct the additional device(s)114A,114B to deliver medication in response to the indication of health event, such as an opioid overdose event. As described herein, a medication applicator device can administer an opioid receptor antagonist in response to the indication of an opioid overdose event.
• Atblock2618, patient data and/or user interface(s) can be presented. Theblock2616 ofFIG. 26 for presenting patient data can be similar to block2314 ofFIG. 23 for presenting patient data. However, in addition or alternative to thefrontend server130 presenting patient data to clinician user computing device(s)124, the software application of the patientuser computing device102 can presenting patient data in one or more graphical user interface. Example graphical user interfaces of the software application on the patientuser computing device102 for presenting patient data can be described herein, such as with respect toFIGS. 24D-24U, 24X, 24Y, and 25A. The software application provided to a care provider can enable the care provider to view the patient's physiological parameters (such as, but not limited to, blood oxygen saturation and/or temperature measurements) over the monitoring period. Example graphical user interfaces of the software application for the care provider can be described herein, such as with respect toFIGS. 18, 19A-19B, and 20.
• Atblock2620, a patient can be diagnosed and/or treated for a health condition. For example, a clinician can review and/or a system can process the patient data and make a determination whether a health condition is present. For example, a preliminary indication of whether a patient has the coronavirus can be determined based on physiological parameters such as blood oxygen saturation and/or temperature measurements. A clinician can treat the patient based on the patient's physiological parameters (such as blood oxygen saturation and/or the temperature measurements) over the monitoring period. In some embodiments, a system can make a treatment recommendation based on the physiological parameters for review by a clinician. Treating the patient can include ordering mechanical ventilation for the patient. Treating the patient can include prescribing a drug to the patient. In the case of the novel coronavirus, example drugs that can be prescribed can include at least one of remdesivir, dexamethasone, azithromycin, tocilizumab, lopinavir, ritonavir, or oseltamivir. A clinician or a system can diagnose the patient with a respiratory virus. Example respiratory viruses can include SARS-CoV-2, SARS-CoV, or influenza. In other embodiments, a clinician or a system can diagnose the patient with an opioid addiction.
• In some embodiments, themethod2600 can be used to establish a monitoring environment for a user suspected of having a contagious respiratory infection. As described herein, the user can be monitored remotely from a care provider. The monitoring environment can include one or more sensors worn by the user, a wearable device worn by the user configured to communicate with the one or more sensors and to process information responsive to output from the one or more sensors. The monitoring environment can further include a user computing device configured to wirelessly communicate with the wearable device and to communicate with a remote care provider system over a network. The care provider system can be configured to be monitored by the care provider.
• In some embodiments, any of the systems or methods described herein can also be applied to and/or used in conjunction with a health monitoring system that can assist organizations to manage infectious diseases. As described herein, additional health monitoring systems and use cases are described in the health monitoring application. For example, any of the systems or methods described herein can also be applied to and/or used in conjunction with risk states and/or proximity data described in paragraphs [0007]-[0009], [0011]-[0012], [0014]-[0017], [0019]-[0022], [0024]-[0026], [0128]-[0132], [0142]-[0146], [0221], [0225]-[0226], [0228], [0223], among others, of the health monitoring application.
Additional Implementation Details
• FIG. 27 is a block diagram that illustrates example components of acomputing device2700. Thecomputing device2700 can implement aspects of the present disclosure, and, in particular, aspects of the patient management andmonitoring system110, such as thefrontend server130, thepatient data service132, the patientcare management service134, and/or thepatient monitoring service136. Thecomputing device2700 can communicate with other computing devices.
• Thecomputing device2700 can include ahardware processor2702, adata storage device2704, amemory device2706, abus2708, adisplay2712, and one or more input/output devices2714. Aprocessor2702 can also be implemented as a combination of computing devices, e.g., a combination of a digital signal processor and a microprocessor, a plurality of microprocessors, one or more microprocessors in conjunction with a digital signal processor, or any other such configuration. Theprocessor2702 can be configured, among other things, to process data, execute instructions to perform one or more functions, such as process one or more physiological signals to obtain one or measurements, as described herein. Thedata storage device2704 can include a magnetic disk, optical disk, or flash drive, etc., and is provided and coupled to thebus2708 for storing information and instructions. Thememory2706 can include one or more memory devices that store data, including without limitation, random access memory (RAM) and read-only memory (ROM). Thecomputing device2700 may be coupled via thebus2708 to adisplay2712, such as a LCD display or touch screen, for displaying information to a user, such as a clinician. Thecomputing device2700 may be coupled via thebus2708 to one or more input/output devices2714. Theinput device2714 can include, but is not limited to, a keyboard, mouse, digital pen, microphone, touch screen, gesture recognition system, voice recognition system, imaging device (which may capture eye, hand, head, or body tracking data and/or placement), gamepad, accelerometer, or gyroscope.
Additional Patient Management and Monitoring Embodiments
• Additional patient management and monitoring embodiments are described in the following paragraphs. For example, a patient management system can be designed to help clinicians care for patients remotely over a period of time. As described herein, an example patient management system may be Masimo SafetyNet. The patient management system can advantageously adapt non-clinical spaces into advanced care environments with a range of sensors and vital signs monitors as described below.
• FIG. 28A illustrates anetwork architecture2800 for enabling remote management of patients. Thenetwork architecture2800 can include awireless sensor system2810 that is capable of transmitting data to amobile computing device2812 such as iOS or Android™ enabled smartphones or another mobile computing device via awireless link2814. In some examples, thewireless link2814 is a Bluetooth link. Other wireless links, such as NFC or WiFi can also be used for connection between thewireless sensor system2810 and themobile computing device2812. Themobile computing device2812 may communicate with a remote patient management system (RPMS)2850 (seeFIG. 28C) that can display the collected data fromwireless sensor system2810 in a format that is readable by a patient or a user of themobile computing device2812. TheRPMS2850 can generate customized user interfaces as shown in more detail below. Themobile computing device2812 in combination with theRPMS2850 may enable transmission of the collected data to aserver2816 via anetwork connection link2818. In some examples, thenetwork connection link2818 can include WiFi or other wireless broadband communication systems.
• In some examples, themobile computing device2812 can be replaced with a connectivity hub that enables data collection from thewireless sensor system2810 and transmits the collected data to theserver2816 via thecommunication link2818. Not all users have access to a smart phone or mobile computing devices. Accordingly, the connectivity hub as shown inFIG. 28B can enable collection and transmission of data.
• A careprovider monitoring system2820 can access the collected data from theserver2816. The careprovider monitoring system2820 can include a computing system associated with a hospital, a caregiver (such as a primary provider), or a user (friends or family) that have permission to access the patient's data.
• FIG. 28B shows anextended architecture2801, supplementing thearchitecture2800 discussed above with respect toFIG. 28A. Thewireless sensor system2810 can collect physiological data. In some instances, thewireless sensor system2810 can store 96 hours of data. This data can be streamed directly to themobile computing device2812. In some instances, when themobile computing device2812 is offline or not in the vicinity, data can be transferred when themobile computing device2812 is connected back with thewireless sensor system2810. Accordingly, thewireless sensor system2810 can keep monitoring and transmit when themobile computing device2812 is available.
• Themobile computing device2812 can associate the collected physiological data with patient identification information and transmit the data to theserver2816 as discussed above with respect toFIG. 28A. Likewise, connectivity hub can also transmit the collected data to theserver2816. In some instances, the database is part of theserver2816, that it is located within same networking environment. The clinicians can access the collected patient data with a web browser. The clinicians can monitor one patient or multiple patients in a dashboard. The clinicians can access trend chart of the patients. Moreover, clinicians can obtain patient alerts via email. In some instances, patient data may be replicated on clinician's mobile computing device using Masimo's Replica™ System, available from Masimo Corporation, Irvine, Calif. In some examples, users can integrate their monitored data with Apple Health and/or Google Fit™ interfaces via theRPMS2850 as discussed below.
• WhileFIGS. 28A and 28B show a cloud based system, in some instances, connectivity between thewireless sensor system2810 may be enabled inside the hospital using a network system, such as Masimo's Patent SafetyNet. During a contagion management situation, it may be ideal for caregivers to not come in close contact with patients on frequent basis. Accordingly, ad hoc remote monitoring system can be created at the hospital. The wireless sensor system2810 (such as the Radius PPG available from Masimo Corporation and shown inFIG. 29) can be paired with a receiver. In some examples, the receiver can enable transmission of data to a patient monitor which in turn transmits the data to a hospital server. In other examples, the receiver is a communication hub that can directly transmit the data to the hospital server. Accordingly, caregivers can monitor multiple patients from a central location or even outside of a particular patient's hospital room, thereby limiting the interactions. This can also be useful in field hospitals that are set up on demand. A central monitoring station can be set up to monitor many patients through a local ad-hoc network.
• FIG. 28C illustrates a block diagram of theRPMS2850. TheRPMS2850 can be a software application including multiple engines that can be implemented across multiple devices, such as themobile computing device2812, theserver2816, and the careprovider monitoring system2820. TheRPMS2850 can collect data from multiple wireless sensor systems associated with a patient. TheRPMS2850 can further collect data from multiple patients that are monitored in different locations. TheRPMS2850 can collect data periodically for transmission to theserver2816. TheRPMS2850 can generate user interfaces for presenting the collected data and reports associated with the collected data.
• FIG. 29 illustrates an examplewireless sensor system2810. Further details on thewireless sensor system2810, including pairing to themobile computing device2812, can be found in the Dual Communication reference.
• As shown inFIG. 28B, theRPMS2850 can additionally or alternatively include a different wireless sensor system from the system shown inFIG. 29. In some instances, thewireless sensor system2810 can include Masimo's MightySat™ available from Masimo Corporation, Irvine, Calif. In some instances, multiplewireless sensors systems2810 can be part of thenetwork architecture100. For example, additionalwireless sensors systems2810 can include a temperature monitoring system (described below), an ECG monitoring system, a blood pressure monitoring system, an acoustic sensor monitoring system, and any other physiological monitoring system capable of communication using thewireless link2814.
• In some implementations, the wireless sensor system(s)2810 may include a pulse oximetry sensor with respiration rate monitoring. The pulse oximetry sensor can provide continuous respiration rate and oxygen saturation monitoring. The pulse oximetry sensor can also monitor the patient's pulse rate, pleth variability index, perfusion, index, among other physiological parameters. Alternatively or additionally, the wireless sensor system(s)2810 may include a temperature monitoring system worn on the patient's body for measuring temperature. An example of such atemperature monitoring system104 is shown in theFIGS. 2G-2H. Such atemperature monitoring system104 is described in U.S. Pat. No. 10,226,187, issued on Mar. 12, 2019, titled “PATIENT-WORN WIRELESS PHYSIOLOGICAL SENSOR,” which is hereby incorporated by reference in its entirety. Thetemperature monitoring system104 can include a patch to secure it on the patient's body, such as the patient's chest. Thetemperature monitoring system104 can provide continuous temperature monitoring. Thetemperature monitoring system104 can connect directly to amobile computing device2800 via thewireless link2814 discussed above.
• In some implementations, the remote patient monitoring system may include a digital discussion platform that may incorporate questions and possible answers to direct a patient consultation. Further details of the remote patient monitoring system can be found in U.S. Patent Application Publication No. 2017/0024748, titled “GUIDED DISCUSSION PLATFORM FOR MULTIPLE PARTIES,” which is hereby incorporated by reference in its entirety.
• In some implementations, the remote patient management system may incorporate a secured data sharing to allow the remote patient surveillance system to share patient physiological data with others, for example, care providers, without the surveillance system gaining access to data. The secured data sharing may incorporate multiple layers of encryption with multiple entry points to some of the layers. Further details of the secured data sharing can be found in U.S. Patent Application Publication No. 2018/0013562, titled “SECURE AND ZERO KNOWLEDGE DATA SHARING FOR CLOUD APPLICATIONS,” which is hereby incorporated by reference in its entirety.
• TheRPMS2850 may offer care providers a single-platform solution that couples a secure, cloud-based monitoring platform with patient sensors that can monitor blood oxygen saturation (SpO₂), pulse rate, perfusion index, pleth variability index, and respiration rate from the photoplethysmograph, and the like. Optionally, the system can also monitor the patient's body temperature. The sensor monitoring can be continuous or periodic.
• Patients can be sent home with one or more ofwireless patient sensors2810 along with access to a secure, home-based, remote patient surveillance system. In some examples, patients may receive a multi-day supply of sensors. For example, thewireless patient sensor2810 can be a Radius PPG sensor, a sensor available at Masimo Corporation, Irvine, Calif., and/or other suitable wireless sensors. Examples user interfaces provided by theRPMS2850 can include user interfaces from the SafetyNet mobile application. TheRPMS2850 can include the Doctella™ mobile application, a home-based patient engagement and remote care automation platform available at Masimo Corporation, Irvine, Calif. TheRPMS2850 may be designed to provide easy, intuitive patient use via a digital home-care plan. TheRPMS2850 can provide a dashboard user interface for a care provider to monitor multiple patient simultaneously. In some instances, the patients can be monitored for respiratory distress. Further, in some instances, the patients can be monitored during virus outbreaks. TheRPMS2850 may generate alerts when the patient may need urgent attention, including admission in the hospital based on monitoring a trend in physiological parameters. For example, if the patient's temperature is above normal for a substantial period of time and the blood oxygenation is decreasing, it may be an indication of the progression of a disease (such as COVID-19). In some instances, an alert is triggered by theRPMS2850 when the blood oxygenation falls below 93 for more than 5 minutes.
• In some implementations, theRPMS2850 may offer programs or regimes that are digital replacement for traditional home-care plans and may be delivered to patients' smartphones. Programs can include for example, contagious disease monitoring, glucose monitoring, blood pressure monitoring, and other health condition monitoring and compliance. The programs can be predefined and selectable by the clinicians. The programs can be dynamically modified by changing government guidelines. TheRPMS2850 can actively remind patients to follow their regimen, automatically capture monitoring data from the wireless sensor system, and securely push (or transmit) the data to clinicians at the hospital for evaluation. In some implementations, the digital home-care plan may follow CDC and WHO guidance for monitoring suspected COVID-19 or other communicable disease subjects, which can be easily updated at any time to accommodate evolving guidance or hospital protocol. The patient management system can provide support during a surge in demand for medical care. The system can expand the ability of healthcare professionals to monitor conditions of patients that need non-urgent medical care (for example, patients with mild or moderate symptoms) and care for those patient remotely, while saving the limited hospital beds and urgent care facilities (for example, the intensive care units) for patients who are in more critical conditions, such as needing intubation and/or assisted breathing. Conditions of the patients who are experiencing mild or moderate symptoms, or suspected of having been infected by virus or bacteria can be more accurately and/or more timely monitored using the patient management system, for example, as compared to asking the patient to self-report breathlessness, fever, or other medical conditions. In times of an epidemic or pandemic, patients who otherwise need their vital signs monitored by a healthcare professional can also receive medical care using the patient management system. The reduction in need for patients to visit the hospital or other clinical setting unless in urgent situations can also facilitate in reducing cross-contamination (among patients, healthcare professionals, and other care takers) during epidemics or pandemics.
• Additionally and/or optionally, theRPMS2850 may collect other physiological data, for example, temperature, heart rate, and the like from user inputs via interactive user interfaces. For example, theRPMS2850 may notify patients to answer questions such as, “are you having trouble breathing?” and “what is your temperature?”, and securely push patient responses to those questions to care providers for evaluation. Such questions may be displayed on a screen or be read aloud to patients depending on accessibility options provided by care providers or patients. Alternatively, physiological data such as the temperature, heart rate, or others, can be measured automatically by the wireless sensor system worn by the patient. For example, the sensor system can include atemperature sensor104 that is in thermal contact with the patient's skin, for example, through thermally conductive materials between the temperature sensor and the patient's skin. The temperature sensor can be configured to measure the patient's core body temperature using a technique by which deep tissue temperature can be measured from the skin surface. The technique can involve, for example, insulating the skin surface at and around the point at which the skin temperature is measured, thereby blocking heat from escaping the insulated skin surface. The temperature gradient between the body core and the skin surface can therefore decrease. The skin temperature under the insulated area can rise until reaching equilibrium with the warmest region (that is, the body core) under the insulation, thereby approaching the body core temperature. When equilibrium is reached, the skin temperature measured by the temperature sensor can be equal to the core body temperature. Alternatively, such a temperature sensor and the core body temperature sensing technique can be incorporated into the tetherless pulse oximetry sensor disclosed herein. Additionally and/or optionally, the remote patient surveillance system can transmit the patient responses along with physiological monitoring data. In some implementations, the remote patient surveillance system can proactively notify patients to submit status updates or request patients to submit status updates based at least in part on physiological data collected from the patient.
• TheRPMS2850 may include a secured online portal that may allow care providers to easily track patient compliance, helping the care providers to identify when intervention may be needed, as well as providing insight to prioritize patients. With advanced automation features, institutions can more easily deploy home care monitoring at scale while ensuring clinicians stay informed of important developments in a patient's condition. In some implementations, theRPMS2850 can be fully customizable to accommodate each institution's protocols, each patient's needs, and any changes in guidance. Additionally and/or optionally, the remote patient surveillance system can be updated through the cloud by providers even after being deployed, for maximum flexibility as situations evolve.
• In some implementations, the digital home-care plan generated byRPMS2850 may enable providers to monitor suspected COVID-19 patients at home until they recover or require hospital admission. The digital home-care plan may collect vital patient information by pulling data from the wireless sensor system and proactively notifying patients to submit status updates. For patients who need to visit the hospital or another clinical setting, the wireless sensor system disclosed herein can allow a healthcare professional to monitor (for example, continuously monitor) the patient from outside the room in which the patient is located, for example, via a patient monitor wirelessly connected to the sensor system or the healthcare professional's mobile computing device. Keeping the distance and/or physical barrier between the patient and the healthcare professional can further reduce the risks of cross-contamination.
• TheRPMS2850 can, for example, upon initialization, provide patients with descriptions of the digital home-care plan and a series of initial questions. An example graphical user interface providing patients with descriptions of the digital home-care plan and a series of initial questions is shown inFIG. 30.
• Additionally and/or alternatively, theRPMS2850 can periodically provide, as described herein, a series of questions that can be used to determine patient status. Such questions may include: “What is your oxygen saturation?” “What is your respiration rate?” “What is your temperature” (which may optionally be replaced and/or supplemented by the measurement from the temperature sensor disclosed herein) and “Are you having trouble breathing?” Example graphical user interfaces providing a series of questions to patients is shown inFIG. 30. In some implementations, the questions may be provided as directed or a certain number of times per day.
• In some implementations, theRPMS2850 can include a resource library with guidance on, for example, checking temperature, applying the wireless sensor system, manually gathering data from the wireless sensor system, checking heart rate, and the like. An example graphical user interface providing resources to users is shown inFIG. 31.
• In some implementations, theRPMS2850 can generate and provide displays of patient physiological data via, for example graphical user interfaces. Such displays can be made available to the user and/or care providers. To ensure privacy and security of such data, theRPMS2850 may request users and care providers to provide authentication prior to providing and displaying patient physiological data.
Additional Client Graphical User Interfaces
• FIGS. 32A-32C illustrate additional example graphical user interfaces of apatient care application120, according to some embodiments of the present disclosure. In various embodiments, aspects of the user interfaces may be rearranged from what is shown and described below, and/or particular aspects may or may not be included. Thepatient care application120 can execute on the patientuser computing device102 to present the graphical user interfaces ofFIGS. 32A-32C.
• FIG. 32A illustrates agraphical user interface3200 of thepatient care application120. Thegraphical user interface3200 can include a list ofdevice items3204. Thegraphical user interface3200 can be presented to a user as part of the setup process of a patient care user interface, which can include configuring patient sensor devices. For example, a user can select thepulse oximeter element3206 to begin a pulse oximeter setup process. As another example, a user can select a thermometer element to begin a thermometer setup process.
• FIG. 32B illustrates anothergraphical user interface3210 of thepatient care application120. Thegraphical user interface3210 can present a list of patient sensor devices. In some cases, such as a hospital setting or a setting that is using health monitoring systems, there can be multiple patient sensor devices in a vicinity. Thus, thegraphical user interface3210 can present the list of patient sensor devices sorted by signal strength, such as a Bluetooth signal strength. For example, patient sensor devices can be sorted by Received Signal Strength Indicator for Bluetooth devices.
• FIG. 32C illustrates anothergraphical user interface3220 of thepatient care application120. Thegraphical user interface3220 ofFIG. 32C can be similar to thegraphical user interface3200 ofFIG. 32A. However, unlike the list ofdevice items3204 ofFIG. 32A, the list of device items of thegraphical user interface3220 ofFIG. 32C can include a blood pressure monitorelement3226A and a digitalweight scale element3226B.
Additional Embodiments and Terminology
• While the present disclosure discusses example connectors in the medical device and/or patient monitoring context, the apparatuses, systems, and methods described herein may be agnostic to the particular context, and, therefore, may be used in any connector environment. Further, while the present disclosure discusses advantages of the example connectors as including water resistance, other embodiments of devices, apparatuses, systems, and/or methods described herein may not necessarily be water resistant and may have other advantages, as described herein.
• As used herein, in addition to its ordinary meaning, the term “patient” can refer to any person that is monitored using the systems, methods, devices, and/or techniques described herein. As used herein, a “patient” is not required—to be admitted to a hospital, rather, the term “patient” can refer to a person that is being monitored. As used herein, in some cases the terms “patient” and “user” can be used interchangeably.
• The apparatuses and methods described herein may be implemented by one or more computer programs executed by one or more processors. The computer programs include processor-executable instructions that are stored on a non-transitory tangible computer readable medium. The computer programs may also include stored data. Non-limiting examples of the non-transitory tangible computer readable medium are nonvolatile memory, magnetic storage, and optical storage.
• The term “substantially” when used in conjunction with the term “real-time” forms a phrase that will be readily understood by a person of ordinary skill in the art. For example, it is readily understood that such language will include speeds in which no or little delay or waiting is discernible, or where such delay is sufficiently short so as not to be disruptive, irritating, or otherwise vexing to a user.
• Conditional language used herein, such as, among others, “can,” “might,” “may,” “e.g.,” “for example,” and the like, unless specifically stated otherwise, or otherwise understood within the context as used, is generally intended to convey that certain embodiments include, while other embodiments do not include, certain features, elements, or states. Thus, such conditional language is not generally intended to imply that features, elements or states are in any way required for one or more embodiments.
• Disjunctive language such as the phrase “at least one of X, Y, or Z,” unless specifically stated otherwise, is otherwise understood with the context as used in general to present that an item, term, etc., may be either X, Y, or Z, or any combination thereof (e.g., X, Y, and/or Z). Such disjunctive language is not generally intended to, and should not, imply that certain embodiments require at least one of X, at least one of Y, or at least one of Z to each be present. Thus, the term “or” is used in its inclusive sense (and not in its exclusive sense) so that when used, for example, to connect a list of elements, the term “or” means one, some, or all of the elements in the list. Further, the term “each,” as used herein, in addition to having its ordinary meaning, can mean any subset of a set of elements to which the term “each” is applied.
• The term “a” as used herein should be given an inclusive rather than exclusive interpretation. For example, unless specifically noted, the term “a” should not be understood to mean “exactly one” or “one and only one”; instead, the term “a” means “one or more” or “at least one,” whether used in the claims or elsewhere in the specification and regardless of uses of quantifiers such as “at least one,” “one or more,” or “a plurality” elsewhere in the claims or specification.
• The terms “comprising,” “including,” “having,” and the like are synonymous and are used inclusively, in an open-ended fashion, and do not exclude additional elements, features, acts, operations, and so forth.
• While the above detailed description has shown, described, and pointed out novel features as applied to various embodiments, it will be understood that various omissions, substitutions, and changes in the form and details of the devices or algorithms illustrated can be made without departing from the spirit of the disclosure. As will be recognized, certain embodiments described herein can be embodied within a form that does not provide all of the features and benefits set forth herein, as some features can be used or practiced separately from others.

Claims (20)

What is claimed is:

1. A method for remote patient care and monitoring, the method comprising:

causing presentation of a patient care configuration user interface comprising a plurality of configuration user interface elements;

receiving via the patient care configuration user interface:

a request to create or edit a first patient care user interface; and

one or more selections of the plurality of configuration user interface elements, wherein the one or more selections indicate:

a graphical layout configuration of the first patient care user interface;

a patient care action item configuration; and

a patient sensor item configuration;

generating, for the first patient care user interface, a first client configuration package comprising the graphical layout configuration, the patient sensor item configuration, and the patient care action item configuration;

transmitting, to a patient user computing device, the first client configuration package, wherein a patient care application, executing on the patient user computing device, is configured to receive the first client configuration package that causes the patient care application to:

arrange a graphical layout of the first patient care user interface according to the graphical layout configuration;

present a patient care action item according to the patient care action item configuration; and

interface, according to the patient sensor item configuration, with a patient sensor device capable of capturing physiological parameters from a patient;

receiving, from the patient user computing device, a first physiological parameter value generated by the patient sensor device; and

causing presentation, on a clinician user computing device, a patient monitoring user interface comprising:

(i) information associated with the patient; and

(ii) a visual representation based at least in part on the physiological parameter value.

2. The method ofclaim 1, further comprising:

transmitting, to the patient user computing device, a plurality of client configuration packages, wherein each client configuration package of the plurality of client configuration packages is configured to cause the patient care application to:

present a patient care user interface different from the first patient care user interface.

3. The method ofclaim 1, further comprising:

receiving, from the patient user computing device, a plurality of physiological parameter values;

identifying, from the first physiological parameter value and the plurality of physiological parameter values, a subset of physiological parameter values for a period of time;

determining that the subset of physiological parameter values for the period of time violates a threshold; and

in response to determining that the subset of physiological parameter values violates the threshold, transmitting an alert.

4. The method ofclaim 1, wherein the patient care action item comprises a prompt, further comprising:

receiving, from the patient user computing device, response data associated with the prompt.

5. The method ofclaim 4, further comprising:

selecting, from a first threshold and a second threshold, the first threshold, wherein selecting the first threshold further comprises:

applying the response data as input to conditional threshold logic; and

identifying the first threshold as output from the conditional threshold logic;

determining an alert based at least in part on the physiological parameter value and the first threshold; and

transmitting the alert.

6. The method ofclaim 5, further comprising:

receiving, via the patient care configuration user interface, a definition of the conditional threshold logic customized for the first patient care user interface.

7. The method ofclaim 1, wherein the patient care action item further comprises at least one of a boolean input field, a numeric input field, a text input field, a data input field, or a time input field.

8. The method ofclaim 1, wherein the patient care application is capable of implementing the first client configuration package without recompiling the patient care application.

9. The method ofclaim 1, wherein the patient sensor device comprises a pulse oximeter.

10. The method ofclaim 1, wherein the physiological parameter value measures at least one of oxygen saturation, respiration rate, pulse rate, or a perfusion index.

11. A system for remote patient care and monitoring, the system comprising:

a memory device configured to store instructions; and

a hardware processor configured to execute the instructions to:

cause presentation of a patient care configuration user interface comprising a plurality of configuration user interface elements;

receive via the patient care configuration user interface:

a request to create or edit a first patient care user interface; and

one or more selections of the plurality of configuration user interface elements, wherein the one or more selections indicate:

a patient care action item configuration; and

a patient sensor item configuration;

generate, for the first patient care user interface, a first client configuration package comprising the patient sensor item configuration and the patient care action item configuration;

transmit, to a patient user computing device, the first client configuration package, wherein a patient care application, executing on the patient user computing device, is configured to receive the first client configuration package that causes the patient care application to:

present a patient care action item according to the patient care action item configuration; and

interface, according to the patient sensor item configuration, with a patient sensor device capable of capturing physiological parameters from a patient;

receive, from the patient user computing device, a first physiological parameter value generated by the patient sensor device; and

cause presentation, on a clinician user computing device, a patient monitoring user interface comprising:

(i) information associated with the patient; and

(ii) a visual representation based at least in part on the first physiological parameter value.

12. The system ofclaim 11, wherein the hardware processor is further configured to execute further instructions to:

transmit, to the patient user computing device, a second client configuration package, wherein the second client configuration package is configured to cause the patient care application to:

present a second patient care user interface different from the first patient care user interface.

13. The system ofclaim 11, wherein the hardware processor is further configured to execute further instructions to:

receive, from the patient user computing device, a plurality of physiological parameter values;

identify, from the first physiological parameter value and the plurality of physiological parameter values, a subset of physiological parameter values for a period of time;

determine that the subset of physiological parameter values for the period of time violates a threshold; and

in response to determining that the subset of physiological parameter values violates the threshold, transmitting an alert.

14. The system ofclaim 11, wherein the patient care action item comprises a prompt, wherein the hardware processor is further configured to execute further instructions to:

receive, from the patient user computing device, response data associated with the prompt.

15. The system ofclaim 14, wherein the hardware processor is further configured to execute further instructions to:

select, from a first threshold and a second threshold, the first threshold, wherein selecting the first threshold further comprises:

applying the response data as input to conditional threshold logic; and

identifying the first threshold as output from the conditional threshold logic;

determine an alert based at least in part on the physiological parameter value and the first threshold; and

transmit the alert.

16. The system ofclaim 15, wherein the hardware processor is further configured to execute further instructions to:

receive, via the patient care configuration user interface, a definition of the conditional threshold logic customized for the first patient care user interface.

17. The system ofclaim 11, wherein the one or more selections further indicate a graphical layout configuration of the first patient care user interface, wherein the first client configuration package further causes the patient care application to:

arrange a graphical layout of the first patient care user interface according to the graphical layout configuration.

18. The system ofclaim 11, wherein the hardware processor is further configured to execute further instructions to:

receive via the patient care configuration user interface:

a second request to edit the first patient care user interface; and

user input comprising program instructions in an interpreted language;

generate, for the first patient care user interface, an updated first client configuration package comprising the program instructions in the interpreted language; and

transmit, to the patient user computing device, the updated first client configuration package.

19. The system ofclaim 18, wherein the interpreted language comprises JavaScript.

20. The system ofclaim 18, wherein the patient care application, executing on the patient user computing device, is configured to receive the updated first client configuration package that causes the patient care application to execute the program instructions without recompiling the patient care application.

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