Method for semantic communication of device data between a source and receiving client

Patent metadata

Field	Value
Publication number	US-9352109-B2
Application number	US-201113811922-A
Country	US
Kind code	B2
Filing date	Jul 26, 2011
Priority date	Aug 2, 2010
Publication date	May 31, 2016
Grant date	May 31, 2016

Abstract

A treatment delivery system includes one or more medical therapy delivery devices ( 34 ) which deliver medical treatment or therapy to a patient, and one or more medical devices ( 10 ) which monitor results of the delivered medical therapy or treatment, clinical information, laboratory information, and health record information. The medical treatment delivery device has a proprietary communications protocol. A medical therapy delivery controller ( 18 ) semantically communicates among the medical device(s) and one or more medical treatment delivery devices. The controller has a user input ( 32 ) by which a user inputs therapy objectives in other than the proprietary communications protocol and a control processor ( 26 ) which generates treatment delivery device control commands, receives treatment or therapy results from a medical device ( 10 ), and adaptively adjusts the control commands based on the received treatment results. The control processor accesses a clinical decision support system ( 41 ), determines a physiological state of the patient from the received treatment results, and adjusts one of the therapy objectives and the control commands in accordance with input from the clinical decision support system.

First claim

The invention claimed is:

1. A medical therapy delivery system comprising:
a treatment delivery device configured to deliver medical treatment to a patient;
a medical device configured to collect physiological data;
a patient monitor configured to collect the physiological data, determine results of the delivered medical treatment, and transmit the physiological data and the results in a semantic communication, the semantic communication including an array of primitives and transfer functions describing the relationship of the primitives and the determined results;
a user input device configured to input a therapy objective;
a controller configured to receive the semantic communication and the therapy objective and adaptively adjust operation settings of the treatment delivery device based on the semantic communication and the therapy objectives.

2. The system according to claim 1 , wherein the controller receives at least one of metabolic data, physiological data, clinical information, laboratory information, and health record information indicative of a current physiological state of the patient, further including:
a clinical decision support system configured to adapt at least one of the therapy objective and the operational settings in accordance with the received at least one of the patient's current physiological state, clinical information, laboratory information, and health record information.

3. The system according to claim 1 , wherein the patient monitor includes a processor configured to receive the collected physiological data and configure the semantic communication.

4. The system according to claim 1 , wherein the treatment delivery device includes at least one of: IV or medication administration systems, nutritional feeding devices, ventilators, pace makers/defibrillators, thermal control systems, phototherapy delivery systems, radiation delivery systems, imaging systems, home monitoring, and anesthesia delivery systems.

5. The system according to claim 1 , wherein the controller is further configured to adjust closed loop and partial closed loop settings of the treatment delivery device.

6. The system according to claim 1 , wherein the therapy objective includes at least one of: data relating to the medical device's delivery of medical therapy to the patient including the relationship of various operation settings, acceptable ranges and parameters, and how the selected operation settings should vary with changes in the patient's physiological state.

7. A method delivering medical treatment, the method comprising:
with a medical monitor device, collecting physiological data and delivering results of a delivered medical treatment, and transmitting the data and the results in a semantic communication, the semantic communication including an array of primitives and transfer functions describing a relationship between the primitives and the determined results;
with a controller, receiving the semantic communication and a therapy objective from a user input device and adaptively adjusting operational settings of a medical treatment delivery device based on the semantic communication and the therapy objectives.

8. A medical therapy delivery system configured to control a treatment delivery device which includes a delivery device processor configured to control treatment delivery structure to delivery therapy, the system comprising:
a patient monitor including a monitor control processor configured to receive physiological data from medical devices and generate a semantic communication containing at least the physiological data and including a monitor communications device configured to transmit the semantic communication;
a treatment controller including a controller communications device configured to receive the semantic communication from the patient monitor, a controller memory which stores the physiological data, and one or more controller processors configured to:
receive treatment delivery settings and objectives of the therapy from a user interface and the physiological data from the controller communication device and the memory,
communicate with a clinical decision support system to determine best medical practices for a patient with the patient's current physiological or clinical state,
generate a semantic communication to the delivery device processor with instructions regarding delivery of the treatment, wherein the semantic communication includes an array of primitives and transfer functions describing the relationship of the primitives and the delivered results.

9. The system according to claim 8 , wherein the semantic communications further include statements, event summaries, and event tags.

10. The system according to claim 9 , wherein
the primitives are constructed by identifying a driving function for a therapy epoch, an optimizing function for the therapy epoch, and accepted functions for the therapy epoch;
the statements include at least one of implicit or explicit statements with enumeration and conditional statements relating to the therapy epoch and include the transfer functions relating to the primitives to the delivered results;
the event summaries are generated from the primitives and the statements and include an intended component and a delivered or resulting component; and
the event tags are based on one of a harmonized name standard and a manufacturer's declaration.

Assignees

• Wittenber Jan
• Gross Brian David
• Koninkl Philips Nv

Inventors

• Wittenber Jan
• Gross Brian David

Classifications

• A61M16/0051

  with alarm devices · CPC title

• G16H40/63

  for local operation · CPC title

• G16H50/20

  for computer-aided diagnosis, e.g. based on medical expert systems · CPC title

• A61M16/024

  including calculation means, e.g. using a processor · CPC title

• G06F19/3406

  Physics · mapped topic