Liquid medicine administration system and communication control method
The drug solution administration system addresses the issue of unintended changes in set values by having the drug administration pump report actual setting values to the server, which blocks communication if discrepancies are found, thereby ensuring accurate recording and administration.
Patent Information
- Application Number
- JP2023178223
- Authority / Receiving Office
- JP · JP
- Patent Type
- Applications
- Current Assignee / Owner
- Filing Date
- 2023-10-16
- Publication Date
- 2025-04-28
AI Technical Summary
In drug solution administration systems, unintended changes to set values such as flow rate in chemical liquid administration pumps can lead to operational status information being linked to incorrect order information, causing recording errors and potential administration issues.
The system includes a server device, a terminal device, and a drug administration pump that communicates between the server and the terminal. The terminal obtains order information from the server, transmits it to the pump, and at the start of administration, the pump sends the actual setting values to the server. If the setting values do not match, the server blocks communication with the pump to prevent incorrect recording of operational status.
This solution effectively prevents operational status information based on changed order information from being incorrectly linked to original order information, ensuring accurate recording and administration of drug solutions.
Smart Images

Figure 2025068372000001_ABST
Abstract
Description
[Technical field]
[0001] The present disclosure relates to a drug solution administration system and a communication control method. [Background technology]
[0002] Conventionally, in hospitals and the like, liquid medicine administration pumps such as infusion pumps and syringe pumps are used. Japanese Patent Application Laid-Open Publication No. 2011-87678 (Patent Document 1) discloses an infusion pump in which a portable setting terminal having an operation unit for setting designated values of a planned amount and a flow rate and a memory unit for storing command values set by the operation unit is provided separately from the pump body. A command value receiver (reader) for short-distance wireless communication with the setting terminal is provided on the top surface of the pump body. When the setting terminal is held over the command value receiver, the designated values of the planned amount and flow rate stored in the memory unit of the setting terminal are read into the pump body. The pump body performs pumping according to the read designated values of the planned amount and flow rate. [Prior art documents] [Patent documents]
[0003] [Patent Document 1] JP 2011-87678 A Summary of the Invention [Problem to be solved by the invention]
[0004] In the case of a system configuration in which a terminal device obtains order information including flow rate, planned amount, etc. from a server device and the terminal device is capable of transferring the order information to a liquid administration pump, it is desirable for the server device to obtain, via wireless communication, and store operating status information indicating the operating status of the liquid administration pump based on the order information, for the purpose of recording implementation.
[0005] In the above configuration, various setting values, such as flow rate, included in the order information may be changed by an unintended user operation, etc., of the liquid administration pump. If the liquid administration pump starts liquid administration with the setting values changed in this way, the server device stores an implementation record based on order information different from the original order information, linked to the original order information.
[0006] The present disclosure has been made in consideration of the above-mentioned problems, and provides a chemical liquid administration system and a communication control method that can prevent operating status information based on changed order information from being linked to order information sent from a server device to a chemical liquid administration pump. [Means for solving the problem]
[0007] According to an aspect of the present disclosure, a medicinal liquid administration system includes a server device, a terminal device that communicates with the server device, and a medicinal liquid administration pump capable of communicating between the server device and the terminal device. The terminal device acquires order information including a prescription order for an injection for a patient from the server device, and transmits the order information to the medicinal liquid administration pump. The prescription order includes a setting value that specifies the operation of the medicinal liquid administration pump. The medicinal liquid administration pump is capable of accepting an operation to change the setting value, and transmits the setting value at the start of medicinal liquid administration to the server device. If the setting value included in the order information transmitted to the terminal device does not match the setting value received from the medicinal liquid administration pump at the start of medicinal liquid administration, the server device cuts off communication with the medicinal liquid administration pump.
[0008] According to another aspect of the present disclosure, a communication control method includes a step of a terminal device acquiring order information including a prescription order for an injection for a patient from a server device, and a step of the terminal device transmitting the order information to a medicinal liquid administration pump. The prescription order includes a setting value that specifies an operation of the medicinal liquid administration pump. The setting value of the medicinal liquid administration pump can be changed based on an operation by an operator. The communication control method further includes a step of the medicinal liquid administration pump establishing communication with the server device, a step of the medicinal liquid administration pump transmitting a setting value at the start of medicinal liquid administration to the server device, and a step of the server device cutting off communication with the medicinal liquid administration pump when the setting value included in the order information transmitted to the terminal device does not match the setting value received from the medicinal liquid administration pump at the start of medicinal liquid administration. Effect of the Invention
[0009] According to the present disclosure, it is possible to prevent operating status information based on changed order information from being linked to order information sent from a server device to a liquid administration pump. [Brief description of the drawings]
[0010] [Figure 1] 1 is a diagram showing a configuration of a medical system including a drug solution administration system. [Diagram 2] FIG. 2 is a diagram for explaining information stored in a server. [Diagram 3] FIG. 13 is a diagram showing the first half of the screen transition of the smartphone. [Figure 4] FIG. 13 shows the latter half of the screen transition on the smartphone. [Diagram 5] FIG. 2 is a diagram showing the flow of data in the drug solution administration system. [Figure 6] FIG. 13 is a diagram showing reading of a wristband by a smartphone. [Figure 7] FIG. 13 is a diagram showing reading a barcode of an infusion pump using a smartphone. [Figure 8] FIG. 13 illustrates reading of a medicine label using a smartphone. [Figure 9] 13 is a diagram showing the state of the smartphone and the infusion pump immediately after the transfer of order information is completed. FIG. [Figure 10] FIG. 2 is a block diagram of each device that constitutes the drug solution administration system. [Figure 11] FIG. 11 is a sequence diagram for explaining the flow of a first part of data processing in the drug solution administration system. [Figure 12] FIG. 11 is a sequence diagram for explaining the flow of a second part of the data processing in the drug solution administration system. [Figure 13] FIG. 11 is a sequence diagram for explaining the flow of a third part of the data processing in the drug solution administration system. [Figure 14] FIG. 2 is a diagram showing a modified example of the drug solution administration pump group shown in FIG. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0011] Hereinafter, an embodiment of the present disclosure will be described with reference to the drawings. In the following description, the same members are denoted by the same reference numerals. Their names and functions are also the same. Therefore, detailed description thereof will not be repeated.
[0012] (A. System Configuration) Fig. 1 is a diagram showing the configuration of a medical system including a medicinal liquid administration system. As shown in Fig. 1, the medical system 1 includes a medicinal liquid administration system 5, a server 10 that records electronic medical records, a pharmacy department server 20, and a monitoring terminal 60. The medicinal liquid administration system 5 includes a server 30, a smartphone 40 as an example of an information processing device (terminal device), and a group of medicinal liquid administration pumps 500.
[0013] In this example, the group of drug solution administration pumps 500 includes a plurality of infusion pumps 50A, 50B, and 50C, each of which is an example of a drug solution administration pump. In the following, any one of the infusion pumps 50A, 50B, and 50C is also referred to as an "infusion pump 50" for convenience of explanation. The infusion pumps 50A, 50B, and 50C are installed in an operating room or the like. In this example, the infusion pumps 50A, 50B, and 50C are arranged in positions close to each other. In this example, three infusion pumps 50A, 50B, and 50C are given as an example, but the number of infusion pumps is not limited to this. Furthermore, the group of drug solution administration pumps 500 may include one or more syringe pumps. The drug solution administration pump is not limited to the infusion pump 50, and may be another pump such as a syringe pump.
[0014] The information processing device is not limited to the smartphone 40, but may be any portable device such as a tablet terminal. In this example, the monitoring terminal 60 is a PC (Personal Computer). The smartphone 40 can also function as a terminal for status monitoring.
[0015] The server 30 is communicatively connected to the servers 10, 20, and the monitoring terminal 60. Typically, the server 30 is connected to the servers 10, 20, and the monitoring terminal 60 by wires. The server 10 is communicatively connected to the server 20. Typically, the server 10 is connected to the server 20 by wires. Note that the server 30 may be communicatively connected to the monitoring terminal 60 wirelessly.
[0016] The server 30 is configured to be able to communicate with the smartphone 40 and each infusion pump 50. Typically, the server 30 can establish communication between the smartphone 40 and the infusion pump 50 via a wireless LAN (Local Area Network). In this example, Wi-Fi (registered trademark) is used as one type of wireless LAN communication method.
[0017] The smartphone 40 communicates with the infusion pump 50. The smartphone 40 performs wireless communication with the infusion pump 50. The smartphone 40 performs near field communication (NFC) with the infusion pump 50. In this example, the smartphone 40 communicates with the infusion pump 50 using Felica (registered trademark), which is Type-F of NFC. The near field communication is an example of communication based on a predetermined protocol in the present invention.
[0018] The smartphone 40 has a built-in reader / writer for Felica. The reader / writer has a control board and an antenna. The infusion pump 50 is equipped with Felica Link. The infusion pump 50 has a built-in contactless integrated circuit card for Felica (FeliCa Plug). The contactless integrated circuit card has an integrated circuit chip and an antenna. In the following, the contactless integrated circuit card is also referred to as a "contactless IC card."
[0019] In this example, by bringing the smartphone 40 operating as a reader / writer close to the infusion pump 50 operating as a tag, short-range wireless communication is performed between the smartphone 40 and the infusion pump 50. For example, by bringing the smartphone 40 close to the infusion pump 50A, short-range wireless communication is performed between the smartphone 40 and the infusion pump 50A. The reason why the smartphone 40, rather than the infusion pump 50, has a built-in reader / writer is that it is assumed that the smartphone 40 will also perform short-range wireless communication with multiple other pumps (not shown) in the same way as the infusion pump 50.
[0020] The server 10 prestores staff master data that stores personal information of each staff member (hereinafter referred to as "staff") belonging to the hospital, such as nurses, and patient master data that stores personal information of each patient. The staff master data and the patient master data are updated successively. The server 10 transmits the staff master data and the patient master data to the server 30. The server 10 typically transmits the staff master data and the patient master data to the server 30 in response to a request from the server 30 or based on the fact that the above-mentioned updates have been made.
[0021] When the server 10 acquires order information including a prescription order for an injection for a patient created by a doctor, the server records the received order information in the electronic medical record of the patient. The prescription order is created using a terminal (not shown) used by the doctor. During one treatment, the doctor creates a prescription order for each medicinal liquid. Therefore, when multiple medicinal liquids are administered to one patient, multiple pieces of order information are created and recorded in the electronic medical record.
[0022] The server 20 stores drug library data in advance. The server 20 transmits the drug library data to the server 30. When the drug library is updated in the server 20, the server 20 transmits update data for updating the drug library of the server 30 to the server 30. The server 20 may transmit the updated drug library data itself as the update data, or may transmit data of only the updated parts.
[0023] Server 20 acquires order information of a specified patient from server 10 based on an input operation by a pharmacist or the like. Server 20 transmits order information of a patient about to start treatment (hereinafter also referred to as a "target patient") to server 30. Servers 10 and 20 may handle multiple pieces of order information of the target patient as one list information. Staff in the pharmacy department judge whether the order information acquired by server 20 from server 10 is appropriate.
[0024] (B. Data) Fig. 2 is a diagram for explaining information stored in the server 30. As shown in Fig. 2, the server 30 includes a control unit 31 and a storage unit 32. The control unit 31 is a functional block realized by a processor executing an operating system and various programs stored in the storage unit 32. The storage unit 32 is specifically a memory. The memory includes a volatile memory and a non-volatile memory.
[0025] 1, the storage unit 32 of the server 30 stores staff master data, patient master data, the latest drug library data, and a plurality of pieces of order information #1, #2, ... #N. Each piece of order information #1, #2, ... #N includes information such as an order ID for identifying the order information, a patient ID for identifying the patient, a drug name (medicinal solution name), a drug ID for identifying the drug, a set value of the liquid flow rate (mL / h), a set value of the dosage (mL), etc. Furthermore, the order information includes information such as the scheduled date and time of administration, the date and time of order creation, etc.
[0026] When multiple medicinal liquids are administered to the same patient at the same time, multiple order information (e.g., order information #1, #2) are prepared for the patient. In this case, the same patient ID is associated with different order IDs. Server 30 also stores past order information that has already been used as history.
[0027] The drug library data stores at least a flow rate (mL / h) threshold, a dosage (mL) threshold, and an administration rate (μg / kg / min) threshold in association with a drug name or drug ID. The dosage is also called a "scheduled amount."
[0028] The flow rate threshold includes an upper flow rate limit and a lower flow rate limit. The dosage threshold includes an upper dosage limit and a lower dosage limit. The administration rate threshold includes an upper administration rate limit and a lower administration rate limit. Note that the drug library data does not necessarily need to store all of the upper and lower limits for each drug solution.
[0029] (C. User operations and data transmission and reception) Fig. 3 is a diagram showing the first half of the screen transition of smartphone 40. Fig. 4 is a diagram showing the second half of the screen transition of smartphone 40. Fig. 5 is a diagram showing the flow of data in medicinal liquid administration system 5. Below, the operations of the staff will be explained with reference to Figs. 3 and 4, etc., and the data exchanged by the operations will be explained with reference to Fig. 5 as appropriate.
[0030] In this example, for convenience of explanation, it is assumed that the infusion pump 50 is powered on and that wireless communication is possible between the infusion pump 50 and the server 30. However, this is not limited thereto, and the server 30 may be configured to establish wireless communication with the infusion pump 50 at a predetermined timing.
[0031] With reference to Fig. 3, when the smartphone 40 starts a predetermined application program by an operation of a staff member, the smartphone 40 displays a screen G41 on the touch screen 43 as shown in state (A) of Fig. 3. The screen G41 is a login screen. The screen G41 includes an image object 471. In this example, the application program has a function of reading one-dimensional codes (i.e., barcodes) and two-dimensional codes such as QR codes (registered trademark).
[0032] When the staff member selects image object 471 with the fingers of his / her hand 901, reading of the barcode using the camera is started. For example, the staff member uses the camera of smartphone 40 to capture an image of the barcode on a name tag worn by the staff member. The barcode has a staff ID written on it. In this manner, the staff ID is read by smartphone 40.
[0033] After the smartphone 40 reads the barcode, the staff member inputs a password into the smartphone 40. The staff member then selects a specific image object, which causes the smartphone 40 to transmit the staff member ID and password to the server 30. Through this process, the server 30 authenticates the staff member using the staff master data.
[0034] When the staff member is authenticated, the smartphone 40 displays a screen G42 on the touch screen 43 as shown in state (B). The screen G42 is a menu screen. The screen G42 includes image objects 472, 473, 474, and 475.
[0035] The image object 472 is an object for transitioning to a vital sign management screen. The image object 473 is an object for transitioning to an order transfer screen. The image object 474 is an object for transitioning to a monitoring device registration screen (i.e., monitoring device registration). The image object 475 is an object for transitioning to a screen showing a list of registered monitoring devices.
[0036] When the staff member selects image object 473 with his / her finger, the smartphone 40 displays screen G43 on the touch screen 43 as shown in state (C). Screen G43 and screens G44 to G47 described below are screens for transferring order information. Screen G43 includes image objects 476 and 491. In state (C), of image objects 476 and 491, only image object 476 is selectable. Image object 476 is an object for transitioning to a selection process (reading process) of a patient ID.
[0037] When the staff member selects the image object 476 with his / her finger, the smartphone 40 starts reading the barcode using the camera. The staff member captures an image of the barcode on the wristband attached to the wrist of the target patient with the camera of the smartphone 40. The patient ID is written on the barcode.
[0038] Fig. 6 is a diagram showing reading of a wristband by smartphone 40. As shown in Fig. 6, information such as the name, date of birth, blood type, and barcode 811 is printed on wristband 810 wrapped around wrist 951 of a subject patient. Staff reads barcode 811 using smartphone 40. Barcode 811 indicates (describes) the patient ID. In this manner, the patient ID is read by smartphone 40.
[0039] As shown as "(i) Photographing barcode on wristband" in Fig. 5, when the smartphone 40 reads the barcode 811, it transmits the patient ID to the server 30 as shown as "(ii) Patient ID" in Fig. 5. Typically, the smartphone 40 transmits the patient ID to the server 30 via wireless LAN after confirmation input by the staff (selection of an image object such as a send button).
[0040] When the smartphone 40 transmits the patient ID to the server 30, authentication is performed by the server 30 using the patient ID, and the smartphone 40 displays a screen G44 on the touch screen 43 as shown in state (D) of FIG. 3. The screen G44 includes an image object 478, an image object 491, and an image object 477. In state (D), of the image objects 491 and 477, only the image object 491 is selectable. The image object 491 is an object for transitioning to a pump ID reading process.
[0041] The image object 478 indicates the patient ID obtained by reading the barcode 811. Note that the patient ID can be reset by selecting a reset button 4781 in the object 478.
[0042] Thereafter, the staff sets the medicine (infusion pack) in a predetermined infusion pump 50 among the multiple infusion pumps 50. In this example, as shown in FIG. 5 as "(iii) Setting of medicine (infusion pack)", the staff sets the medicine in the infusion pump 50B. Note that the timing of setting the medicine in the infusion pump 50 is not limited to this. For example, the medicine may be set in the infusion pump 50 before the staff starts the predetermined application program on the smartphone 40.
[0043] When the staff member selects with his / her finger the image object 491 shown in state (D) in Fig. 3, the smartphone 40 resumes reading the barcode using the camera. As shown in Fig. 5 as "(iv) Photographing the barcode on the infusion pump", the staff member photographs the barcode printed on the sticker (label) attached to the infusion pump 50B with the camera of the smartphone 40.
[0044] Fig. 7 is a diagram showing the reading of the barcode of the infusion pump 50B by the smartphone 40. As shown in Fig. 7, the staff member reads the barcode 511 printed on the seal 510 using a scanning screen G51 displayed on the smartphone 40. The barcode 511 includes a pump ID (serial number) for identifying the infusion pump 50B.
[0045] In this example, the seal 510 is attached to the upper part of the front surface of the infusion pump 50B. However, the position of the seal 510 is not limited thereto. The position of the seal 510 is not particularly limited as long as the barcode 511 can be easily scanned by the smartphone 40.
[0046] The smartphone 40 acquires the pump ID of the infusion pump 50 (in this example, the infusion pump 50B) by reading the barcode 511. The smartphone 40 temporarily stores the acquired pump ID. For convenience of explanation, the pump ID is also referred to as "pump ID_BAR" below.
[0047] When the smartphone 40 acquires the pump ID by scanning, the smartphone 40 displays a screen G45 on the touch screen 43 as shown in state (E) of FIG. 3. The screen G45 includes an image object 478, an image object 492, and an image object 477. In state (E), the image object 477 is selectable. The image object 477 is an object for transitioning to a selection process (reading process) of an order ID.
[0048] Image object 492 indicates the pump ID obtained by reading barcode 511. Note that by selecting a reset button 4901 in object 492, the pump ID can be reset.
[0049] When the staff member selects image object 477 with his / her finger, smartphone 40 resumes reading the barcode using the camera. As shown in FIG. 5 as "(v) Photographing the barcode on the drug label," the staff member photographs the barcode printed on the drug label of the target patient with the camera of smartphone 40.
[0050] Fig. 8 is a diagram showing reading of a medicine label by smartphone 40. As shown in Fig. 8, information such as a patient ID, name, age, and barcode 821 is printed on a medicine label 820 of a target patient. A staff member reads barcode 821 using smartphone 40. An order ID is expressed (written) on barcode 821. In this manner, the order ID is read by smartphone 40.
[0051] When the smartphone 40 reads the barcode 821, it transmits the order ID to the server 30 as shown as "(vi) Order ID" in Fig. 5. Typically, the smartphone 40 transmits the order ID to the server 30 via wireless LAN after confirmation input by the staff member (selection of an image object such as a send button).
[0052] When the server 30 acquires the order ID from the smartphone 40 after the patient ID, the server 30 executes the following process. The server 30 extracts order information including an order ID that matches the order ID sent from the smartphone 40 from among the multiple order information #1, #2, ..., #3 stored in the storage unit 32 (FIG. 2). That is, the server 30 extracts order information including an order ID that matches the order ID obtained by reading the barcode 821 of the medicine label 820 by the smartphone 40 from among the multiple order information #1, #2, ..., #3. Note that since there are no duplicate order IDs, the server 30 extracts one order information.
[0053] Next, the server 30 determines whether or not the patient ID (see FIG. 2) included in the extracted order information matches the patient ID sent from the smartphone 40. In other words, the server 30 determines whether or not the patient ID included in the extracted order information matches the patient ID obtained by reading the barcode 811 of the wristband 810 by the smartphone 40.
[0054] On condition that it is determined that the patient IDs match, the server 30 transmits the extracted order information to the smartphone 40, as shown as "(vii) Order information" in Fig. 5. Specifically, the server 30 transmits the extracted order information to the smartphone 40 by using communication via wireless LAN.
[0055] If the server 30 determines that the patient IDs do not match, it does not transmit the extracted order information to the smartphone 40. In this case, typically, the server 30 transmits information indicating an error or a warning to the smartphone 40.
[0056] When the smartphone 40 acquires (receives) the order information from the server 30, as shown in state (F) of FIG. 4, the smartphone 40 displays a screen G46 on the touch screen 43. The screen G46 includes an image object 478, an image object 480, and an image object 481.
[0057] Image object 480 shows the order information (excluding the patient ID) obtained from server 30. Staff can confirm the prescription order for injections for the target patient by visually checking the order information included in image object 480. Note that the order information can be reset (changed) by selecting a reset button 4801 in image object 480.
[0058] The image object 481 is an object for accepting the start of order transfer. When the staff member selects the image object 481 with his / her finger, the smartphone 40 switches the screen displayed on the touch screen 43 from screen G46 to screen G47 as shown in state (G) of FIG. 4, and prepares for short-range wireless communication with the infusion pump 50B.
[0059] The screen G47 includes an image object 478, an image object 480, and an image object 482. The image object 482 includes a guidance display that prompts the staff to bring the smartphone 40 closer to the infusion pump 50B. The image object 482 further includes a cancel button 4821 for canceling the transfer of the order information to the infusion pump 50B. When the staff selects the cancel button 4821, the smartphone 40 switches the screen from the screen G47 to the screen G46, for example.
[0060] When the staff brings the smartphone 40 close to the infusion pump 50B, short-range wireless communication is established between the smartphone 40 and the infusion pump 50B. In more detail, when the staff holds the smartphone 40 over the FeliCa mark 590 (see FIG. 7) printed on the surface of the infusion pump 50B, short-range wireless communication is established between the smartphone 40 and the infusion pump 50B.
[0061] By establishing the short-range wireless communication, the smartphone 40 transmits a request signal requesting transmission of the pump ID to the infusion pump 50B, as shown as "(viii) request signal" in Fig. 5. Upon receiving the request signal, the infusion pump 50B transmits the pump ID of the infusion pump 50B to the smartphone 40 with which the short-range wireless communication has been established, as shown as "(ix) pump ID" in Fig. 5. For ease of explanation, hereinafter, the pump ID thus acquired by short-range wireless communication is also referred to as "pump ID_NFC."
[0062] When the smartphone 40 receives the pump ID_NFC from the infusion pump 50B, as shown as "(x) Comparison of pump IDs" in Fig. 5, the smartphone 40 determines whether the pump ID_NFC matches the pump ID_BAR obtained by reading the barcode 511 (Fig. 7). That is, the smartphone 40 determines whether the infusion pump 50 (in this example, the infusion pump 50B) that transmitted the pump ID_NFC and the infusion pump 50 (in the case of Fig. 7, the infusion pump 50B) of the pump ID_BAR written in the barcode 511 are the same infusion pump 50.
[0063] When the smartphone 40 determines that the infusion pump 50 of the pump ID_BAR and the infusion pump 50 of the pump ID_NFC are the same, the smartphone 40 associates the pump ID_BAR (or pump ID_NFC) with the order ID and stores them as shown in "(xi) Store pump ID and order ID in association" in Fig. 5. The order ID to be associated may be the order ID transmitted from the smartphone 40 to the server 30 ((vi) in Fig. 5), or the order ID included in the order information received from the server 30 ((vii) in Fig. 5). Specifically, the smartphone 40 manages the pump ID and the order ID in an associated state as shown as data table D4 in Fig. 5.
[0064] Furthermore, as shown as "(xii) Order Information" in FIG. 5, the smartphone 40 transmits the order information to the infusion pump 50 (in this example, the infusion pump 50B) with which short-range wireless communication has been established. That is, the smartphone 40 transmits the order information to the infusion pump 50 by short-range wireless communication, on the condition that the infusion pump 50 in which the drug is set is the same as the infusion pump 50 to which the order information is to be transmitted. In detail, the smartphone 40 transfers the order information acquired from the server 30 to the infusion pump 50 (in this example, the infusion pump 50B). With this configuration, it is possible to transmit the order information of the drug to the infusion pump 50 in which the drug is set.
[0065] When the order information is transferred, the smartphone 40 switches the screen displayed on the touch screen 43 from screen G47 to screen G48, as shown in state (H) of Fig. 4. Screen G48 includes an image object 483 and an image object 484.
[0066] Now, suppose that the staff mistakenly brings the smartphone 40 closer to the infusion pump 50A or the infusion pump 50C instead of the infusion pump 50B. In this case, the pump ID_NFC acquired by short-range wireless communication does not match the pump ID_BAR acquired by reading the barcode 511. In this case, the smartphone 40 does not transmit the order information to the infusion pump 50 with which the short-range wireless communication is established (the infusion pump 50 having the pump ID_NFC).
[0067] 9 is a diagram showing the states of the smartphone 40 and the infusion pump 50 immediately after the transfer of the order information is completed. As shown in FIG. 9, the smartphone 40 displays the above-mentioned screen G48 on the touch screen 43.
[0068] 9 and 4 indicates that the transfer of the order information is complete. The image object 483 further includes a notification urging the staff to press a setting completion button represented as an image object 484 and to press a start button 591 of the infusion pump 50 after pressing the setting completion button.
[0069] The infusion pump 50 includes a display 55. When the infusion pump 50 receives order information from the smartphone 40, the infusion pump 50 displays a screen G61 on the display 55. The screen G61 includes information that the operation of the infusion pump 50 is stopped. The screen G61 further includes information on the drug name, planned amount, and flow rate included in the order information. The screen G61 includes an item for the accumulated amount.
[0070] As shown in Figure 5 as "(xiii) Start button on," when screen G61 is displayed on display 55 of infusion pump 50 and the staff member presses start button 591 (Figure 9) of infusion pump 50, administration of medicinal fluid by infusion pump 50 begins.
[0071] When the start button 591 of the infusion pump 50 is pressed, the following process is further executed. As shown as "(xiv) Setting value at the start of drug solution administration + pump ID" in Fig. 5, the infusion pump 50 transmits to the server 30 the setting value at the start of drug solution administration (when the start button 591 is pressed) and the pump ID in a mutually associated state. In the example of Fig. 5, the pump ID "02405015" of the infusion pump 50 is transmitted to the server 30.
[0072] When the staff operates the infusion pump 50 to change the setting values (such as the flow rate setting value and the dosage setting value shown in FIG. 2) included in the order information received from the smartphone 40, the changed setting values are transmitted to the server 30. If the staff has not changed the setting values included in the order information before pressing the start button 591, the setting values included in the order information received from the smartphone 40 are transmitted (i.e., transferred) to the server 30.
[0073] In this example, the infusion pump 50 transmits one or more setting values included in the order information to the server 30, but the present invention is not limited to this. The infusion pump 50 may transmit the order information itself to the server 30 when the start button 591 is pressed.
[0074] As shown as "(xv) Setting value at start of drug solution administration+pump ID" in FIG. 5, the server 30 transfers the setting value at start of drug solution administration and the pump ID acquired from the infusion pump 50 to the smartphone 40. As shown as "(xvi) Extraction of order information" in FIG. 5, the smartphone 40 refers to the data table D4 and selects an order ID associated with the pump ID received from the server 30. In this way, the smartphone 40 extracts one piece of order information from the multiple pieces of order information. Specifically, the smartphone 40 identifies the order information transmitted to the infusion pump 50 (infusion pump 50B in the example of FIG. 5).
[0075] Next, as shown in Fig. 5 as "(xvii) Comparison of setting values at the start of drug solution administration with setting values in order information", the smartphone 40 compares whether or not the setting values at the start of drug solution administration received from the server 30 match the setting values included in the extracted order information. The smartphone 40 determines whether or not the setting values match for each type of setting value, such as the flow rate setting value, the dosage setting value, and the like. The smartphone 40 determines whether or not the setting values completely match for all types.
[0076] As shown as "(xviii) Comparison result" in Fig. 5, the smartphone 40 transmits the comparison result between the above-mentioned setting values to the server 30. If the setting values for all types match, the smartphone 40 transmits information (signal) indicating that they match to the server 30. If the setting values for all types do not completely match, the smartphone 40 transmits information (signal) indicating that they do not match to the server 30.
[0077] If the setting values of all types match, the smartphone 40 further switches the screen to screen G49 shown in state (I) in Fig. 4. Screen G49 includes image objects 491, 477, and 485. On screen G49, the staff member cannot select image object 477, as with screen G44 in Fig. 3.
[0078] If the order needs to be transferred to the remaining infusion pumps 50, the staff member selects image object 491 and repeats the above-mentioned processes of reading the pump ID and selecting the order ID. If no further order transfers are required, the staff member selects image object 485. When image object 485 is selected, the smartphone 40 switches the screen from screen G49 to screen G50 shown in state (J).
[0079] Screen G50 includes an image object 486 and an image object 487. Image object 486 includes an order ID, a pump ID, and a notification that no changes have been made to the set values. By selecting image object 487, the staff member can transition the screen from screen G49 to screen G42 (FIG. 3).
[0080] If the set values do not match, the smartphone 40 switches the screen from the screen 49 to a screen (not shown) indicating that the set value has been changed. The smartphone 40 displays a warning.
[0081] When the server 30 receives information indicating a match from the smartphone 40, the server 30 continues wireless communication with the infusion pump 50. In this case, as shown as "(xix) Operational status information (when the set values match)" in Fig. 5, the server 30 periodically obtains data indicating the operational status of the infusion pump 50 from the infusion pump 50.
[0082] On the other hand, when the server 30 receives information indicating a mismatch from the smartphone 40, the server 30 blocks wireless communication with the infusion pump 50. This prevents the server 30 from receiving data indicating the operating state periodically transmitted from the infusion pump 50. This prevents the server 30 from recording the operating state information when the infusion pump 50 operates based on order information different from the order information transmitted to the infusion pump 50 via the smartphone 40 (hereinafter, "original order information") as an implementation record in a state linked to the original order information. Furthermore, this prevents the operating state information from being used as monitoring data. The operating state information includes various information such as start and stop of the infusion pump 50 in addition to administration information (flow rate, etc.).
[0083] If the server 30 receives information indicating a mismatch from the smartphone 40, the server 30 further registers the correspondence between the order ID and the pump ID. Specifically, the server 30 manages the order ID of the order information ((vii) in FIG. 5) transmitted to the smartphone 40 based on the order ID ((vi) in FIG. 5) from the smartphone 40 and the pump ID ((xiv) in FIG. 4) received from the infusion pump 50 in association with each other.
[0084] (D. Small summary) (1) As shown in FIG. 1, a medicinal solution administration system 5 includes a server 30, a smartphone 40 that communicates with the server 30, and an infusion pump 50 that can communicate between the server 30 and the smartphone 40.
[0085] The smartphone 40 acquires order information including a prescription order for an injection for the patient from the server 30, and transmits the order information to the infusion pump 50 ((vii), (xii) in FIG. 5). As shown in FIG. 2, the prescription order includes setting values that specify the operation of the infusion pump 50. The infusion pump 50 can accept an operation to change the setting values, and transmits the setting values at the start of medicinal liquid administration to the server 30 ((xiv) in FIG. 5). If the setting values included in the order information transmitted to the smartphone 40 do not match the setting values received from the infusion pump 50 at the start of medicinal liquid administration, the server 30 cuts off communication with the infusion pump 50 (sequence SQ24 in FIG. 13).
[0086] According to this configuration, if the setting value included in the order information transmitted to the smartphone 40 does not match the setting value received from the infusion pump 50 at the start of medicinal solution administration, the server 30 does not receive operational status information indicating the operational status of the infusion pump 50 from the infusion pump 50. Therefore, according to the medicinal solution administration system 5, it is possible to prevent the order information transmitted from the server 30 to the infusion pump 50 from being linked with operational status information based on the changed order information.
[0087] As described above, the entity that determines whether the setting value included in the order information sent to the smartphone 40 matches the setting value received from the infusion pump 50 at the start of medicinal fluid administration is the smartphone 40, but this is not limited to this and may be the server 30.
[0088] (2) The smartphone 40 obtains from the server 30 the setting value at the start of liquid administration ((xv) in FIG. 5). If the setting value at the start of liquid administration is not the same as the setting value included in the order information, the smartphone 40 transmits a predetermined signal to the server 30 ((xviii) in FIG. 5). Upon receiving the predetermined signal, the server 30 cuts off communication with the infusion pump 50 (sequence SQ24 in FIG. 13). This allows the liquid administration system 5 to be configured so that the smartphone 40 determines whether the setting values match.
[0089] (3) As shown in Fig. 2, the smartphone 40 stores a plurality of different order information. When transmitting one piece of order information to the infusion pump 50, the smartphone 40 acquires a pump ID for identifying the infusion pump 50 from the infusion pump 50 (e.g., (ix) in Fig. 5). The smartphone 40 stores the acquired pump ID in association with the order information transmitted to the infusion pump 50 ((xi) in Fig. 5). The infusion pump 50 transmits the setting value at the start of administration of the liquid medicine to the server 30 in association with the pump ID ((xiv) in Fig. 5).
[0090] The smartphone 40 acquires from the server 30 the setting values at the start of liquid administration in association with the pump ID ((xv) of FIG. 5). The smartphone 40 extracts, from among the multiple pieces of order information, order information associated with the same pump ID as the pump ID associated with the setting values at the start of liquid administration ((xvi) of FIG. 5). If the setting values at the start of liquid administration are not the same as the setting values included in the extracted order information, the smartphone 40 transmits a predetermined signal to the server 30 ((xviii) of FIG. 5).
[0091] According to this configuration, in a configuration in which order information corresponding to drugs installed in each of multiple infusion pumps 50 is transmitted to the smartphone 40, the smartphone 40 can compare the setting value contained in the order information transmitted from the server 30 to the smartphone 40 to the target infusion pump 50 (in the above example, infusion pump 50B) with the setting value received from the target infusion pump 50 at the start of drug administration.
[0092] (4) As shown in Fig. 2, each piece of order information includes an order ID for identifying the order information. The smartphone 40 associates the acquired pump ID with the order ID of the order information transmitted to the infusion pump 50 by associating the acquired pump ID with the order information transmitted to the infusion pump 50 (Fig. 5 (xi)). The smartphone 40 extracts, from among the pieces of order information, order information including an order ID associated with the same pump ID as the pump ID associated with the setting value at the start of liquid medicine administration (Fig. 5 (xvi)).
[0093] According to this configuration, it is possible to extract, from among a plurality of pieces of order information, order information associated with the same pump ID as the pump ID associated with the setting value at the start of medicinal liquid administration.
[0094] (5) When the setting values included in the order information transmitted to the smartphone 40 match the setting values received from the infusion pump 50 at the start of drug solution administration, the server 30 periodically acquires information indicating the operating state of the infusion pump 50 from the infusion pump 50 (xix) in FIG. 5). With this configuration, the server 30 acquires information indicating the operating state from the infusion pump 50 on the condition that the setting values match.
[0095] (E. Internal structure) 10 is a block diagram of each device constituting the medicinal liquid administration system 5. As described above, the medicinal liquid administration system 5 is composed of the server 30, the smartphone 40, and the infusion pump 50.
[0096] 10, the smartphone 40 includes a control unit 41, a storage unit 42, a touch screen 43, a scanner 44, a Wi-Fi communication unit 45, and a reader / writer 46. The control unit 41 controls the overall operation of the smartphone 40. For example, the control unit 41 controls the screen display on the touch screen 43. The storage unit 42 stores an operating system and various application programs including the above-mentioned predetermined application programs. These are executed by the control unit 41 (more specifically, a processor).
[0097] The touch screen 43 includes a display 431 and a touch panel 432. The touch panel 432 is superimposed on the display 431. The scanner 44 includes a camera 441 and a data processing unit 442. The camera 441 includes an image sensor (not shown). The data processing unit 442 performs various types of data processing. In this example, the data processing unit 442 functions as a barcode reader. The scanner 44 sends the patient ID, the order ID, and the pump ID_BAR to the control unit 41.
[0098] The Wi-Fi communication unit 45 is a communication interface that performs wireless communication via Wi-Fi. As shown in FIG. 5 as “(ii) Patient ID”, “(vi) Order ID”, and “(xviii) Comparison result”, the smartphone 40 transmits the patient ID, the order ID, and the comparison result between the setting values to the server 30 using the Wi-Fi communication unit 45.
[0099] The reader / writer 46 includes a transmitter 461 and a receiver 462. As described above, the smartphone 40 performs short-range wireless communication with the infusion pump 50 using the reader / writer 46. The smartphone 40 transmits (transfers) a request signal requesting transmission of the pump ID_NFC to the infusion pump 50, as shown as "(viii) request signal" in FIG. 5. The smartphone 40 transmits (transfers) order information acquired from the server 30 to the infusion pump 50, as shown as "(xii) order information" in FIG. 5.
[0100] The control unit 41 of the smartphone 40 compares the pump ID_BAR with the pump ID_NFC, as shown as "(x) Comparison of pump IDs" in Fig. 5. The control unit 41 associates the pump ID_BAR (or pump ID_NFC) with the order ID and stores them in the storage unit 42, as shown as "(xi) Store pump ID and order ID in association with each other" in Fig. 5.
[0101] The control unit 41 extracts order information from the multiple pieces of order information based on the pump ID and data table D4 received from the server 30, as shown in "(xvi) Extraction of order information" in Fig. 5. The data table D4 is stored in the storage unit 32. The control unit 41 compares the setting value at the start of liquid administration with the setting value included in the order information, as shown in "(xvii) Comparison of setting value at the start of liquid administration with setting value included in order information" in Fig. 5. The comparison result is transmitted to the server 30 by the Wi-Fi communication unit 45, as described above.
[0102] The server 30 includes a control unit 31, a storage unit 32, a wired communication unit 33, and a Wi-Fi communication unit 34. The control unit 31 controls the overall operation of the server 30. The storage unit 32 includes an operating system and various programs. These are executed by the control unit 31 (more specifically, a processor). The wired communication unit 33 is a communication interface for communicating with the servers 10 and 20 and the monitoring terminal 60.
[0103] When the server 30 receives the patient ID and the order ID from the smartphone 40, as described above, it extracts order information including an order ID that matches the received order ID from among the multiple order information #1, #2, ... #N.
[0104] The server 30 transmits the extracted order information to the smartphone 40 on condition that the patient ID included in the extracted order information matches the patient ID received from the smartphone 40. Specifically, the server 30 transmits the order information to the smartphone 40 using the Wi-Fi communication unit 34, as shown as "(vii) Order information" in Fig. 5. Furthermore, the server 30 transmits the setting value at the start of liquid administration and the pump ID received from the infusion pump 50 to the smartphone 40 using the Wi-Fi communication unit 34, as shown as "(xv) Setting value at the start of liquid administration+pump ID" in Fig. 5.
[0105] The infusion pump 50 includes a control unit 51, a storage unit 52, an operation button 53, a Wi-Fi communication unit 54, a display 55, and a non-contact IC card 56. The control unit 51 controls the overall operation of the infusion pump 50. The storage unit 52 stores an operating system and various programs. These are executed by the control unit 51 (more specifically, a processor).
[0106] The infusion pump 50 receives a request signal from the smartphone 40 via the non-contact IC card 56. Upon receiving the request signal, the infusion pump 50 transmits the pump ID_NFC of the infusion pump 50 to the smartphone 40. When the pump ID_NFC matches the pump ID_BAR, the smartphone 40 transmits the order information acquired from the server 30 to the infusion pump 50 ("(xi) Order information" in FIG. 5). The infusion pump 50 receives the order information via the non-contact IC card 56. This enables the infusion pump 50 to perform settings and operations based on the order information.
[0107] The infusion pump 50 communicates with the server 30 using the Wi-Fi communication unit 54. As shown as "(xiv) Setting value at start of drug administration + pump ID" in FIG. 5, the infusion pump 50 transmits the setting value at the start of drug administration and the pump ID to the smartphone 40 using the Wi-Fi communication unit 34. The infusion pump 50 transmits operation status information of the infusion pump 50 to the server 30 using the Wi-Fi communication unit 54 ("(xix) Operation status information" in FIG. 5). The monitoring terminal 60 can obtain the operation status information from the server 30 and display the operation status information on a display. This allows the staff to monitor the operation status of the infusion pump 50 using the monitoring terminal 60.
[0108] (F.Sequence) Fig. 11 is a sequence diagram for explaining the flow of the data processing in the medicinal liquid administration system 5 in the first half. Fig. 12 is a sequence diagram for explaining the flow of the data processing in the medicinal liquid administration system 5 in the second half.
[0109] 11, in sequence SQ1, the smartphone 40 reads the barcode 811 printed on the wristband 810 of the target patient with the scanner 44. In sequence SQ2, the smartphone 40 transmits the patient ID, which is the result of reading the barcode 811, to the server 30.
[0110] In sequence SQ3, the staff sets the medicine (infusion pack) in the infusion pump 50 (in this example, the infusion pump 50B). In sequence SQ4, the smartphone 40 reads the barcode 511 printed on the sticker 510 of the infusion pump 50B with the scanner 44.
[0111] In sequence SQ5, the smartphone 40 reads the barcode 821 printed on the drug label 820 of the target patient with the scanner 44. In sequence SQ6, the smartphone 40 transmits the order ID, which is the reading result of the barcode 821, to the server 30.
[0112] In sequence SQ7, the server 30 extracts, from among a plurality of pre-stored pieces of order information, order information that includes the same order ID as the order ID received from the smartphone 40. In sequence SQ8, the server 30 extracts the patient ID included in the extracted order information. In sequence SQ9, the server 30 checks whether the patient ID received from the smartphone 40 matches the patient ID extracted from the order information.
[0113] 12, in sequence SQ10, the server 30 transmits the order information extracted in sequence SQ7 to the smartphone 40. In sequence SQ11, the smartphone 40 accepts a transfer operation of the order information received from the server 30. The transfer operation refers to the selection of the image object 481 and the holding of the smartphone 40 over the infusion pump 50.
[0114] When the smartphone 40 is held over the infusion pump 50B, communication between the smartphone 40 and the infusion pump 50B is established in sequence SQ12. In sequence SQ13, the smartphone 40 transmits a request signal to the infusion pump 50B with which communication has been established, requesting transmission of a pump ID via short-range wireless communication. In sequence SQ14, the infusion pump 50B transmits a pump ID_NFC to the smartphone 40 as a response signal.
[0115] In sequence SQ15, the smartphone 40 determines whether the received pump ID_NFC matches the pump ID_NFC obtained by scanning the barcode 511. If the two pump IDs match, in sequence SQ16, the smartphone 40 transmits the order information to the infusion pump 50B by short-range wireless communication.
[0116] In sequence SQ17, the infusion pump 50B starts administration of medicinal fluid based on the received order information upon receipt of a press operation of the start button 591. In sequence SQ18, the smartphone 40 stores the pump ID and the order ID in association with each other.
[0117] 13, after sequence SQ17, in sequence SQ19, the infusion pump 50B transmits the setting values at the start of liquid administration and the pump ID to the server 30. In sequence SQ20, the server 30 transfers the setting values at the start of liquid administration and the pump ID to the smartphone 40.
[0118] In sequence SQ21, the smartphone 40 has a pump ID and a data table D4, and extracts one piece of order information from among a plurality of pieces of order information stored in the smartphone 40. In sequence SQ22, the smartphone 40 compares the setting value at the start of medicinal liquid administration with the setting value included in the extracted order information.
[0119] In sequence SQ23, the smartphone 40 notifies the server 30 of the comparison result. In sequence SQ24, the server 30 executes processing according to the comparison result. Specifically, if the set values match, the server 30 continues wireless communication with the infusion pump 50B and acquires operation status information from the infusion pump 50B. If the set values do not match, the server 30 cuts off wireless communication with the infusion pump 50B.
[0120] When the wireless communication between the server 30 and the infusion pump 50B is not interrupted, the infusion pump 50B periodically transmits the operation status information of the infusion pump 50B to the server 30, as shown in sequence SQ25.
[0121] If the settings do not match, the smartphone 40 displays a screen indicating that the settings have been changed, as described above. This display allows the staff member to notice that an unintended change has been made to the settings of the infusion pump 50.
[0122] The server 30 may be configured to send a command to the infusion pump 50 to stop operation of the infusion pump 50 before cutting off wireless communication.
[0123] (G. Variation) (1) Fig. 14 is a diagram showing a modification of the group of drug solution administration pumps 500 shown in Fig. 1. As shown in Fig. 14, the drug solution administration system 5 may include a group of drug solution administration pumps 500A instead of the group of drug solution administration pumps 500. The group of drug solution administration pumps 500A includes, as one example, a plurality of infusion pumps 55A, 55B and a plurality of syringe pumps 56A, 56B, 56C.
[0124] The infusion pumps 55A, 55B and the syringe pumps 56A, 56B, 56C are housed in a rack. The infusion pumps 55A, 55B and the syringe pumps 56A, 56B, 56C are arranged vertically in a line in the rack. When such liquid administration pumps are arranged close to each other, it is preferable to transmit order information after determining whether the pump IDs match each other.
[0125] (2) In the above, as shown in FIG. 8, the smartphone 40 obtains the order ID by reading the barcode 821 on the medicine label 820. However, this is not limited to this. The order ID may be obtained by reading an injection prescription with the smartphone 40. Information such as the patient ID, name, age, and two-dimensional code is printed on the injection prescription. The staff member may use the smartphone 40 to read a two-dimensional code (e.g., a QR code) on which the order ID is expressed (written).
[0126] (3) In the above, an example has been described in which the barcode 811 on the wristband 810 is scanned, and then the barcode 821 on the medicine label 820 is scanned. That is, an example has been described in which the smartphone 40 first acquires the patient ID, and then acquires the order ID. However, this is not limited to this. The smartphone 40 may acquire the patient ID after acquiring the order ID.
[0127] (4) The order of the process (iii), the process (iv), and the series of processes (v) to (vii) shown in FIG. 5 is not limited to the order described above.
[0128] (5) In the above, the smartphone 40 transmits a request signal to the infusion pump 50, but the present invention is not limited to this. The medical solution administration system 5 may be configured so that the infusion pump 50 transmits the pump ID_NFC to the smartphone 40 without receiving a request signal. For example, the medical solution administration system 5 may be configured so that the infusion pump 50 transmits the pump ID_NFC to the smartphone 40 when the establishment of short-range wireless communication is triggered.
[0129] (6) In the above, an example has been described in which the smartphone 40 acquires a staff ID, a patient ID, a pump ID, and an order ID by scanning each code, such as a barcode, with the smartphone 40. However, this is not limited to this. The staff may manually or by voice input these IDs into the smartphone 40, so that the smartphone 40 acquires these IDs.
[0130] If the staff member remembers his / her staff ID, he / she can input the staff ID into the smartphone 40 based on the memory. Usually, the staff member has a staff ID attached to the name tag that he / she wears. Therefore, if the staff member forgets his / her staff ID, he / she can check his / her name tag and input his / her staff ID into the smartphone 40.
[0131] As shown in Fig. 6, the patient ID is written on the wristband 810 in numbers or the like ("00000045" in the example of Fig. 6) so that the staff can read it. The staff may input the numbers or the like into the smartphone 40. By performing such an operation, the smartphone 40 can obtain the patient ID.
[0132] As shown in Fig. 7, the pump ID is written on the sticker 510 in numbers or the like (in the example of Fig. 7, "02405015") so that the staff can read it. The staff may input the numbers or the like into the smartphone 40. By such an operation, the smartphone 40 can obtain the pump ID_BAR.
[0133] As shown in Fig. 8, the order ID is written on the medicine label 820 in numbers or the like (in the example of Fig. 8, "3000055040671010100") so that the staff can read it. The staff may input the numbers or the like into the smartphone 40. By such an operation, the smartphone 40 can obtain the order ID.
[0134] As with the drug label 820, the order ID is written on the injection prescription in numbers or the like (not shown) so that the staff can read it. Therefore, the staff may input the numbers or the like into the smartphone 40. By such an operation, the smartphone 40 can also obtain the order ID.
[0135] The embodiments disclosed herein should be considered to be illustrative and not restrictive in all respects. The scope of the present disclosure is defined by the scope of the claims, and it is intended to include all modifications within the scope and meaning equivalent to the scope of the claims. [Explanation of symbols]
[0136] 1 Medical system, 5 Drug administration system, 10, 20, 30 Server, 31, 41, 51 Control unit, 32, 42, 52 Memory unit, 33 Wired communication unit, 34, 45, 54 Communication unit, 40 Smartphone, 43 Touch screen, 44 Scanner, 46 Reader / writer, 49, G41, G42, G43, G44, G45, G46, G47, G48, G49, G50, G51, G61 Screen, 50, 50A, 50B, 50C, 55A, 55B Infusion pump, 53 Operation button, 55, 431 Display, 56 Card, 56A, 56B, 56C Syringe pump, 60 Monitoring terminal, 432 Touch panel, 441 Camera, 442 Data processing unit, 461 Transmission unit, 462 Receiver, 471,472,473,474,475,476,477,478,480,481,482,483,484,485,486,491,492 image objects, 500,500A drug administration pump group, 510 sticker, 511,811,821 barcode, 590 Felica mark, 591 start button, 810 wristband, 820 drug label, 901 hand, 951 wrist, 4781,4801,4901 reset button, 4821 cancel button, D4 data table.
Claims
1. A server device; A terminal device that communicates with the server device; a liquid administration pump capable of communicating between the server device and the terminal device; The terminal device acquires order information including a prescription order for an injection for a patient from the server device, and transmits the order information to the drug solution administration pump; The prescription order includes a set value that specifies the operation of the drug solution administration pump; The drug solution administration pump is capable of accepting a change operation of the set value and transmits the set value at the start of drug solution administration to the server device; A drug solution administration system, wherein if a setting value included in the order information sent to the terminal device does not match a setting value received from the drug solution administration pump at the start of drug solution administration, the server device cuts off communication with the drug solution administration pump.
2. The terminal device Acquire from the server device a set value at the start of administration of the medicinal liquid; transmitting a predetermined signal to the server device when the set value at the start of the medicinal liquid administration is not the same as the set value included in the order information; The chemical liquid administration system according to claim 1 , wherein the server device cuts off the communication with the chemical liquid administration pump when the server device receives the predetermined signal.
3. The terminal device A plurality of pieces of order information different from each other are stored, When transmitting one of the order information to the liquid administration pump, pump identification information for identifying the liquid administration pump is acquired from the liquid administration pump; The acquired pump identification information is stored in association with the order information transmitted to the drug solution administration pump; The liquid administration pump transmits a set value at the start of the liquid administration to the server device in association with the pump identification information; The terminal device acquiring, from the server device, a setting value at the start of administration of the medicinal liquid in a state associated with the pump identification information; extracting, from the plurality of pieces of order information, the order information associated with the same pump identification information as the pump identification information associated with the set value at the start of the medicinal liquid administration; The medicinal liquid administration system according to claim 2 , wherein the predetermined signal is transmitted to the server device when the setting value at the start of the medicinal liquid administration is not the same as the setting value included in the extracted order information.
4. Each of the order information includes order identification information for identifying the order information, The terminal device Associating the acquired pump identification information with the order identification information of the order information transmitted to the liquid administration pump, thereby associating the acquired pump identification information with the order information transmitted to the liquid administration pump; The drug solution administration system according to claim 3, further comprising: extracting, from the plurality of order information, order information including the order identification information associated with the same pump identification information as the pump identification information associated with the setting value at the start of the drug solution administration.
5. 5. The drug solution administration system according to claim 1, wherein, when a setting value included in the order information transmitted to the terminal device matches a setting value received from the drug solution administration pump at the start of the drug solution administration, the server device periodically acquires information indicating the operating status of the drug solution administration pump from the drug solution administration pump.
6. A step in which the terminal device acquires order information including a prescription order for an injection for a patient from the server device; The terminal device transmits the order information to a liquid administration pump; The prescription order includes a set value that specifies the operation of the drug solution administration pump; In the liquid administration pump, the set value can be changed based on an operator's operation, Establishing communication between the drug solution administration pump and the server device; a step of transmitting the setting value at the start of drug solution administration by the drug solution administration pump to the server device; the server device cutting off the communication with the liquid drug administration pump if a setting value included in the order information sent to the terminal device does not match a setting value received from the liquid drug administration pump at the start of the liquid drug administration.
Citation Information
Patent Citations
Infusion pump
JP2011087678A