Medication order processing and reconciliation

Patent metadata

Field	Value
Publication number	US-11049609-B2
Application number	US-201916544775-A
Country	US
Kind code	B2
Filing date	Aug 19, 2019
Priority date	Dec 30, 2005
Publication date	Jun 29, 2021
Grant date	Jun 29, 2021

Abstract

A system and method for managing medication orders, including verbal orders and changes to those orders, is described. A server receives mediation orders from a pharmacy and communicates those orders to an infusion pump. The infusion pump communicates status messages to the server and the server compares the status messages to the medication orders to determine if the there were any changes to the order, or if a medication was administered absent a medication order. The server assigns a new order identification number to the status message if needed. The system may also reconcile original medication orders with information associated with a new order identification number and stores the information in the eMAR of a patient.

First claim

I claim:

1. A method comprising:
receiving, by a computing device from a medical device, first infusion information corresponding to a first infusion of a fluid to a patient by the medical device, the first infusion information including an infusion fluid identifier, one or more first infusion parameters, and an order identifier associated with a first order for the infusion of the fluid;
verifying, by the computing device, based on the first infusion information, that the first infusion is for the patient;
when the first infusion is verified for the patient, electronically transmitting, from the computing device to the medical device, instructions to proceed with the first infusion, wherein the medical device is otherwise electronically prevented from performing the first infusion until the instructions are received by the medical device;
receiving, by the computing device from the medical device, updated infusion information including the infusion fluid identifier, the order identifier, and one or more second infusion parameters different than the first infusion parameters;
determining, by the computing device based on the updated infusion information, that a new order identifier should be assigned for the updated infusion information; and
responsive to determining that the new order identifier should be generated:
generating the new order identifier for the updated infusion information, and
updating an electronic record of infusions administered to the patient to reflect a second infusion with the new order identifier.

2. The method of claim 1 , wherein determining that the new order identifier should be assigned is based on comparing the one or more second parameters to the first order and determining that the one or more second parameters are not for the order.

3. The method of claim 2 , wherein determining that the new order identifier should be assigned is based on determining that data fields of the updated infusion information match data fields for a second order different than the first order based on a pattern matching algorithm.

4. The method of claim 1 , further comprising:
receiving respective infusion information periodically at predetermined intervals by the computing device from the medical device, the updated infusion information being received at a respective one of the predetermined intervals.

5. The method of claim 4 , wherein each respective infusion information, including the first infusion information, includes an internal identifier assigned by the medical device to the infusion of the fluid.

6. The method of claim 4 , wherein receiving respective infusion information periodically comprises the computing device polling the medical device for the respective infusion information according to the predetermined intervals.

7. The method of claim 1 , wherein first infusion of the fluid is an infusion of a drug.

8. A system comprising:
one or more processors; and
a memory including executable instructions that, when executed by the one or more processors, cause the one or more processors to:
receive, from a medical device, first infusion information corresponding to a first infusion of a fluid to a patient by the medical device, the first infusion information including an infusion fluid identifier, one or more first infusion parameters, and an order identifier associated with a first order for the infusion of the fluid;
verify, based on the first infusion information, that the first infusion is for the patient;

when the first infusion is verified for the patient, electronically transmit, from the computing device to the medical device, instructions to proceed with the first infusion, wherein the medical device is otherwise electronically prevented from performing the first infusion until the instructions are received by the medical device;
receive, from the medical device, updated infusion information including the infusion fluid identifier, the order identifier, and one or more second infusion parameters different than the first infusion parameters;
determine, based on the updated infusion information, that a new order identifier should be assigned for the updated infusion information; and
responsive to determining that the new order identifier should be generated:
generate the new order identifier for the updated infusion information, and
update an electronic record of infusions administered to the patient to reflect a second infusion with the new order identifier.

9. The system of claim 8 , wherein determining that the new order identifier should be assigned is based on comparing the one or more second parameters to the first order and determining that the one or more second parameters are not for the order.

10. The system of claim 9 , wherein determining that the new order identifier should be assigned is based on determining that data fields of the updated infusion information match data fields for a second order different than the first order based on a pattern matching algorithm.

11. The system of claim 8 , wherein, when the executable instructions are executed, the one or more processors are further caused to:
receiving respective infusion information periodically at predetermined intervals by the computing device from the medical device, the updated infusion information being received at a respective one of the predetermined intervals.

12. The system of claim 11 , wherein each respective infusion information, including the first infusion information, includes an internal identifier assigned by the medical device to the infusion of the fluid.

13. The system of claim 11 , wherein receiving respective infusion information periodically comprises the computing device polling the medical device for the respective infusion information according to the predetermined intervals.

14. The system of claim 8 , wherein first infusion of the fluid is an infusion of a drug.

15. A non-transitory machine-readable medium comprising instructions stored therein, which when executed by a machine, cause the machine to perform operations comprising:
receiving, from a medical device, first infusion information corresponding to a first infusion of a fluid to a patient by the medical device, the first infusion information including an infusion fluid identifier, one or more first infusion parameters, and an order identifier associated with a first order for the infusion of the fluid;
verifying, based on the first infusion information, that, the first infusion is for the patient;
when the first infusion is verified for the patient, electronically transmitting, to the medical device, instructions to proceed with the first infusion, wherein the medical device is otherwise electronically prevented from performing the first infusion until the instructions are received by the medical device;
receiving, from the medical device, updated infusion information including the infusion fluid identifier, the order identifier, and one or more second infusion parameters different than the first infusion parameters;
determining, based on the updated infusion information, that a new order identifier should be assigned for the updated infusion information; and
responsive to determining that the new order identifier should be generated:
generating the new order identifier for the updated infusion information, and
updating an electronic record of infusions administered to the patient to reflect a second infusion with the new order identifier.

16. The non-transitory machine-readable medium of claim 15 , wherein determining that the new order identifier should be assigned is based on compa

Assignees

• Carefusion 303 Inc

Inventors

• Batch Richard M

Classifications

• G16H40/67 Primary

  for remote operation · CPC title

• G16H20/10 Primary

  relating to drugs or medications, e.g. for ensuring correct administration to patients · CPC title

• G16H70/40

  relating to drugs, e.g. their side effects or intended usage · CPC title

• G16H40/20 Primary

  for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms · CPC title