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Title:
PATIENT CENTRIC POINT OF CARE ASSISTANCE SYSTEM AND METHOD THEREOF
Document Type and Number:
WIPO Patent Application WO/2020/121238
Kind Code:
A1
Abstract:
The invention relates to a system and a method for providing patient centric point of care assistance. The invention provides for creating electronic medical record for a patient. The invention provides for capturing, storing and reporting of patient vital statistics and pathological lab reports for access by authorized medical practitioners and by authorized personal, thus increasing safety of the patient. The invention also provides for capturing of all prescriptions issued by medical practitioner(s) for a patient and evaluating each prescription from safety point of view. The invention further provides for automatically ordering of drugs in accordance with prescriptions which have evaluated from safety point of time. The invention also provides for timely delivery of drugs thus ordered. The invention further provides for monitoring of drug consumption by the patient, reminding the patient to consume the drugs, thereby contributing to increase in drug adherence level by the patient.

Inventors:
MOHAN RAJESH (IN)
Application Number:
PCT/IB2019/060697
Publication Date:
June 18, 2020
Filing Date:
December 12, 2019
Export Citation:
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Assignee:
MOHAN RAJESH (IN)
International Classes:
G06Q50/22; A61M5/142; A61M5/172; G16H10/00
Foreign References:
US20110313789A12011-12-22
Attorney, Agent or Firm:
HARIHARAN, Rajeshwari (IN)
Download PDF:
Claims:
CLAIM:

1. A health care assistance system, comprising:

an electronic medical record creation module adapted to assist in creation of an electronic medical record for or on behalf of a patient;

a connection establishing module adapted to establish connection with at least one device that records patient’s vitals;

a receiving module adapted to receive information representing patient’s vitals from the at least one device;

a storage module adapted to store the information representing patient vitals’ in the electronic medical record;

the receiving module being further adapted to receive at least one electronic pathological report;

the storage module being further adapted to store the electronic pathological report in the electronic medical record;

an access granting module adapted to grant access to at least one authorized medical practitioner to the electronic medical record of a particular patient;

the receiving module being further adapted to receive at least one prescription from the authorized medical practitioner;

the storage module being further adapted to store the at least one prescription in the electronic medical record;

a determining unit adapted to determine satisfaction of first criteria set by the prescription; and

a transmitting module, adapted to transmit the prescription thus stored to a drug delivery execution system, in response to satisfaction of first criteria set, to enable delivery of drug(s) to the patient.

2. The health care assistance system as claimed in claim 1, wherein the receiving module is further adapted to receive information representing dispensing of the drug(s) from the drug dispensing device and storing module is further adapted to store the information representing dispensing of the drug(s) in the electronic medical record.

3. The health care assistance system as claimed in claim 2, wherein the determining unit is further adapted to determine if the information representing dispensing of the drug(s) satisfies second criteria set.

4. The health care assistance system as claimed in claim 3, comprising at least one alert / alarm transmitting module adapted to transmit at least one alert / alarm, if the information representing dispensing of the drug satisfies second criteria set.

5. The health care assistance system as claimed in claim 2, wherein the determining unit is further adapted to determine if the information representing dispensing of the drug(s) satisfies third criteria set and in response thereto, cause the transmitting module to transmit at least one prescription thus stored to the drug delivery execution system, to enable delivery of drug(s) to the patient.

6. The health care assistance system as claimed in claim 1, comprising a querying module adapted to receive a query directed towards a patient’s vitals from an authorized personal or an authorized application, the querying module further adapted to provide a response to the query.

7. The health care assistance system as claimed in claim 1, comprising a querying module adapted to receive a query directed towards a patient’s drug adherence level from an authorized personal or an authorized application, the querying module further adapted to provide a response to the query.

8. A health care assistance method, comprising the steps of:

assisting in creation of an electronic medical record for and on behalf of a patient;

connecting at least one device that records patient’s vitals;

receiving information representing patient’s vitals from the at least one device and storing the information representing patient vitals’ in the electronic medical record;

receiving at least one electronic pathological report and storing the electronic pathological report in the electronic medical record; permitting access to the electronic medical record of a particular patient by at least one authorized medical practitioner;

receiving at least one prescription from the authorized medical practitioner and storing the same in the electronic medical record; and

transmitting, upon satisfaction of a first criteria set, the prescription thus stored to a drug delivery execution system to enable delivery of drug(s) to the patient.

9. The method as claimed in claim 8, wherein the drug(s) is loaded on a drug dispensing device.

10. The method as claimed in claim 9, comprising receiving information representing dispensing of the drug(s) from the drug dispensing device and storing the information representing dispensing of the drug(s) in the electronic medical record.

11. The method as claimed in claim 10, wherein the information representing dispensing of the drug(s) includes a time of dispensing of the drug(s) and a detail of the drug(s) thus dispensed.

12. The method as claimed in claim 11, comprising analyzing the information representing dispensing of the drug(s) and raising at least one alert / alarm, if the information representing dispensing of the drug (s) satisfies second criteria set.

13. The method as claimed in claim 11, comprising analyzing the information representing dispensing of the drug(s) and sending at least one prescription thus stored to the drug delivery execution system, if the information representing dispensing of the drug(s) satisfies a third criteria set, to enable delivery of drug(s) to the patient.

14. The method as claimed in claim 8, comprising receiving a query directed towards a patient’s vitals from an authorized personal or an authorized application and providing a response to the query.

15. The method as claimed in claim 8, comprising receiving a query directed towards patient’s drug adherence level from an authorized personal or an authorized application and providing a response to the query. 16. The method as claimed in any of claims 14 or 15, wherein the query includes a voice based query.

17. The method as claimed in any of claims 14 or 15, wherein the response includes a voice based response.

Description:
PATIENT CENTRIC POINT OF CARE ASSISTANCE SYSTEM

AND METHOD THEREOF

FIELD OF THE INVENTION

The present invention relates to a system and a method for providing health care assistance. In particular, the present invention relates to a system and a method for providing patient centric point of care assistance.

BACKGROUND OF THE INVENTION

Prescription medications are effective remedies for many patients when taken according to instructions. However, studies have shown that, on average, about 50% of patients do not comply with the prescribed medication regimens. A low rate of compliance with medication regimens results in a large number of hospitalizations and admissions to nursing homes every year. Consequently, various methods and apparatus have been made available to improve patient compliance with prescribed regimens in efforts to improve patient health.

There are many complex reasons why patients do not comply with their medication regimens. However, one major reason relates to memory. A large number of persons who take medications, particularly those over 65 years of age, fail to comply with a prescribed regimen because of one or more of the following: (1) forgetting to take a medication, (2) forgetting to take a medication at the correct time, (3) forgetting the correct dosage, (4) forgetting important warnings and instructions that accompany the medications, (5) forgetting to refill a prescription, (6) forgetting to perform a health-related activity such as a therapeutic exercise or pulse reading, or (7) forgetting to attend their next doctor's appointment.

There is thus a need in the prior art for improved methods and apparatus for assisting a patient's memory with respect to timing, dosage, and counseling information relating to prescribed medications, as well as with respect to refilling prescriptions therefor, performing various activities or keeping a doctor's appointment.

Moreover, at present health care providers such as physicians, pharmacists, and nurses do not have a suitable method of determining if patients are taking their medications as prescribed. This information is important for several reasons, including: (1) assisting a health care provider in assessing whether a lack of improvement in a patient's condition is due to noncompliance or to ineffectiveness of the medication or dosage, and (2) assisting with diagnosis and counseling based on the patient's pattern of compliance (e.g., is the patient forgetting or neglecting to take medications at night only; is the patient experiencing reduced cognition from the medication; etc.).

Indirect measures of compliance such as patient inter views and pill counts are only accurate approximately half the time. Direct measures such as blood tests (to determine medication levels) are costly, inconvenient for outpatients, and may be inaccurate due to varying metabolism and other factors.

There is thus a need in the prior art to provide compliance information to health care providers in order to develop the correct intervention for the patient's illness.

The prior art discloses a number of devices that use electronic technology to remind users when to take their medication. These devices generally can be classified as:

(1) electronic timers/alarms,

(2) medication dispensers combined with alarms, and

(3) fixtures for holding medication containers which are combined with alarms.

With the improvement in the technology and the ready availability of patient vital sensors, it is now possible for a patient to purchase some of the patient vital sensors. Despite availability, these sensors generally are not configured to directly feed the sensed information in to a system through which an authorized medical practitioner can review them and take an appropriate decision.

In some cases, where the certain patient vital parameters can be determined only in pathological laboratories, the laboratories do not feed the reports into a system through which an authorized medical practitioner can review them and take an appropriate decision. Many a times, the patient has to either physically collect the report or get the report from on-line and thereafter take the same to the authorized medical practitioner for consultation. Likewise, in terms of purchase of drugs, the traditional method of going to a shop and purchasing the drugs after showing the prescription is still the most commonly adopted technique. While on-line medical pharmacy stores are coming, the patient has to still log on to the on-line medical pharmacy store, upload the prescription and purchase the drugs. In addition to the above, the drugs are delivered to house in their individual packages and the patient has to sort them as per the prescription.

Thus, it can be seen that many improvements are needed in the area of providing health care assistance.

SUMMARY OF THE INVENTION

This summary is provided to introduce a selection of concepts in a simplified format that are further described in the detailed description of the invention. This summary is neither intended to identify key or essential inventive concepts of the invention, and nor is it intended for determining the scope of the invention.

Accordingly, the present invention provides a health care assistance system which is patient centric and can be made available at the point of care of the patient including the home of the patient. The system comprises an electronic medical record creation module adapted to assist in creation of an electronic medical record for and on behalf of a patient. The system further comprises a connection establishing module adapted to establish connection with at least one device that records patient’s vitals. The system further comprises a receiving module adapted to receive information representing patient’s vitals from the at least one device. The system further comprises a storage module adapted to store the information representing patient vitals’ in the electronic medical record thus created. The receiving module is further adapted to receive at least one electronic pathological report. The storage module is further adapted to store the electronic pathological report in the electronic medical record thus created. The system further comprises an access granting module adapted to grant access to at least one authorized medical practitioner to the electronic medical record of a particular patient. The receiving module is further adapted to receive at least one prescription from the authorized medical practitioner. The storage module is further adapted to store the at least one prescription in the electronic medical record thus created. The system further a determining unit adapted to determine satisfaction of first criteria set. The system further comprises a transmitting module, adapted to transmit at least one prescription thus stored to a drug delivery execution system to enable delivery of drug(s) to the patient.

The invention furthermore provides a health care assistance method which is patient centric and can be made available at the point of care of the patient including the home of the patient. The method comprises providing assistance in creating an electronic medical record for and on behalf of a patient. The method further comprises connecting at least one device that records patient’s vitals. The method further comprises receiving information representing patient’s vitals from the at least one device and storing the information representing patient vitals’ in the electronic medical record thus created. The method further comprises receiving at least one electronic pathological report and storing the electronic pathological report in the electronic medical record thus created. The method permits access to the electronic medical record of a particular patient by at least one authorized medical practitioner. The method further comprises receiving at least one prescription from the authorized medical practitioner and storing the same in the electronic medical record thus created. The method further comprises transmitting, upon satisfaction of first criteria set, the at least one prescription thus stored to a drug delivery execution system to enable delivery of drug(s) to the patient.

To further clarify advantages and features of the present invention, a more particular description of the invention will be rendered by reference to specific embodiments thereof, which is illustrated in the appended drawings. It is appreciated that these drawings depict only typical embodiments of the invention and are therefore not to be considered limiting of its scope. The invention will be described and explained with additional specificity and detail with the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

These and other features, aspects, and advantages of the present invention will become better understood when the following detailed description is read with reference to the accompanying drawings in which like characters represent like parts throughout the drawings, wherein:

Figure 1 illustrates a block diagram of the patient centric point of care assistance system in accordance with an embodiment of the invention; and Figure 2 illustrates a flow chart of the patient centric point of care assistance method in accordance with an embodiment of the invention.

Further, skilled artisans will appreciate that elements in the drawings are illustrated for simplicity and may not have been necessarily been drawn to scale. For example, the flow charts illustrate the method in terms of the most prominent steps involved to help to improve understanding of aspects of the present invention. Furthermore, in terms of the construction of the device, one or more components of the device may have been represented in the drawings by conventional symbols, and the drawings may show only those specific details that are pertinent to understanding the embodiments of the present invention so as not to obscure the drawings with details that will be readily apparent to those of ordinary skill in the art having benefit of the description herein.

DETAILED DESCRIPTION OF THE INVENTION

For the purpose of promoting an understanding of the principles of the invention, reference will now be made to the embodiment illustrated in the drawings and specific language will be used to describe the same. It will nevertheless be understood that no limitation of the scope of the invention is thereby intended, such alterations and further modifications in the illustrated system, and such further applications of the principles of the invention as illustrated therein being contemplated as would normally occur to one skilled in the art to which the invention relates.

It will be understood by those skilled in the art that the foregoing general description and the following detailed description are explanatory of the invention and are not intended to be restrictive thereof.

Reference throughout this specification to“an aspect”,“another aspect” or similar language means that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment of the present invention. Thus, appearances of the phrase “in an embodiment”, “in another embodiment” and similar language throughout this specification may, but do not necessarily, all refer to the same embodiment. The terms "comprises", "comprising", or any other variations thereof, are intended to cover a non-exclusive inclusion, such that a process or method that comprises a list of steps does not include only those steps but may include other steps not expressly listed or inherent to such process or method. Similarly, one or more devices or sub-systems or elements or structures or components proceeded by "comprises... a" does not, without more constraints, preclude the existence of other devices or other sub-systems or other elements or other structures or other components or additional devices or additional sub-systems or additional elements or additional structures or additional components.

Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skilled in the art to which this invention belongs. The system, methods, and examples provided herein are illustrative only and not intended to be limiting.

Embodiments of the present invention will be described below in detail with reference to the accompanying drawings.

Now referring to Figure 1, there is illustrated a block diagram of a health care assistance system (100) in accordance with the teachings of the invention. The health care assistance system (100) comprises an electronic medical record creation module (102) adapted to assist in creating an electronic medical record for and on behalf of a patient. The health care assistance system (100) further comprises a connection establishing module (104) adapted to establish connection with at least one device that records patient’s vitals. The health care assistance system (100) further comprises a receiving module (106) adapted to receive information representing patient’s vitals from the at least one device. The health care assistance system (100) further comprises a storage module (108) adapted to store the information representing patient vitals’ in the electronic medical record.

The receiving module (106) is further adapted to receive at least one electronic pathological report and the storage module (108) is further adapted to store the electronic pathological report in the electronic medical record. The health care assistance system (100) further comprises an access granting module (110) adapted to grant access to at least one authorized medical practitioner to the electronic medical record of a particular patient.

The receiving module (106) is further adapted to receive at least one prescription from the authorized medical practitioner. The storage module (108) is further adapted to store the at least one prescription in the electronic medical record.

The health care assistance system (100) further comprises a determining unit (112) adapted to determine satisfaction of first criteria set for the prescription. The health care assistance system (100) further comprises a transmitting module (114), adapted to transmit the prescription thus stored to a drug delivery execution system, in response to satisfaction of first criteria set as determined by the determining unit (112), to enable delivery of drug(s) to the patient.

In an embodiment of the invention, the connection establishing module (104) is further adapted to establish connection with the drug dispensing device. In another embodiment of the invention, the receiving module (106) is further adapted to receive information representing dispensing of the drug(s) from the drug dispensing device and the storing module (108) is further adapted to store the information representing dispensing of the drug(s) in the electronic medical record.

In an embodiment of the invention, the determining unit (112) is further adapted to determine if the information representing dispensing of the drug(s) satisfies second criteria set.

In another embodiment of the invention, the health care assistance system (100) further comprises at least one alert / alarm signal generating device (116) adapted to generate at least one alert / alarm, if the information representing dispensing of the drug(s) satisfies second criteria set. The alert / alarm thus generated may be sent via the transmitting unit to appropriate device(s). In response to receiving the alert / alarm signal, the appropriate device may be configured to provide an audio alert / alarm; or a video alert / alarm; or may undergo a working status change for example, perform a task. In yet another embodiment of the invention, the determining unit (112) is further adapted to determine if the information representing dispensing of the drug(s) satisfies third criteria set and in response thereto, cause the transmitting module (114) to transmit the at least one prescription thus stored to the drug delivery execution system, to enable delivery of drug(s) to the patient.

In still another embodiment of the invention, the health care assistance system (100) further comprises a querying module (118) adapted to receive a query directed towards a patient’s vitals from an authorized personal or an authorized application, the querying module (118) further adapted to provide a response to the query.

In a further embodiment of the invention, the querying module (118) is further adapted to receive a query directed towards a patient’ s drug adherence level from an authorized personal or an authorized application, the querying module (118) is furthermore adapted to provide a response to the query.

Now referring to Figure 2, there is illustrated a flow chart of a health care assistance method (200) in accordance with an embodiment of the invention. The health care assistance method (200) comprises assisting in creation (202) of an electronic medical record for and on behalf of a patient. The health care assistance method (200) further comprises connecting (204) at least one device that records patient’s vitals. The health care assistance method (200) further comprises receiving (206) information representing patient’s vitals from the at least one device. The health care assistance method (200) further comprises storing (208) the information representing patient vitals’ in the electronic medical record.

The health care assistance method (200) further comprises receiving (210) at least one electronic pathological report and storing (212) the electronic pathological report in the electronic medical record.

The health care assistance method (200) further comprises permitting (214) access to the electronic medical record of a particular patient by at least one authorized medical practitioner. The health care assistance method (200) further comprises receiving (216) at least one prescription from the authorized medical practitioner and storing (218) the same in the electronic medical record. The health care assistance method (200) further comprises determining (220) whether the at least one prescription satisfies first criteria set. In case of satisfaction of first criteria set, the health care assistance method (200) further comprises transmitting (222) the prescription to a drug delivery execution system to enable delivery of drug(s) to the patient.

In an embodiment of the invention, the drug(s) is dispensed by a drug dispensing device and wherein the health care assistance method (200) further comprises establishing connection (224) with the drug dispensing device.

In another embodiment of the invention, the health care assistance method (200) further comprises receiving (226) information representing dispensing of drug(s) from the drug dispensing device and storing (228) the information representing dispensing of the drug(s) in the electronic medical record. In an embodiment of the invention, the information representing dispensing of the drug(s) includes a time of dispensing of the drug(s) and a detail of the drug(s) thus dispensed.

In still another embodiment of the invention, the health care assistance method (200) further comprises determining (230) whether the information representing dispensing of the drug(s) satisfies a second criteria set. In case the information representing dispensing of the drug(s) satisfies the second criteria set, the health care assistance method (200) may further comprise generating and transmitting (232) at least one alarm/alert signal.

The health care assistance method (200) further comprises determining (234) whether the information representing dispensing of the drug(s) satisfies a third criteria set. In case the information representing dispensing of the drug(s) satisfies the third criteria set, the health care assistance method (200) may further comprise generating and sending (222) the at least one prescription (replenishment order for drugs) to the drug delivery execution system to enable replenishment of drug(s) to the patient.

In yet another embodiment of the invention, the health care assistance method (200) may further comprise receiving (238) a query directed towards at least one of a patient’s vitals and patient’s drug adherence level from an authorized personal or an authorized application. The health care assistance method (200) may further comprise providing (240) a response to the query.

In an embodiment of the invention, the query includes a voice based query. In another embodiment of the invention, the response includes a voice based response.

In an embodiment of the invention, where the patient is required to uptake two or more individual drugs at the same time or within a short period of time, the two or more drugs may be packaged in“prescription based packet”. Thus, the patient may be delivered“prescription based packets”, each of which contains two or more drugs as per the prescription by the authorized medical practitioner. The“prescription based packets” may be prepared either manually or preferably using an automated system, for example, as disclosed in U.S. Patent No. 5,502,904.

In an embodiment of the invention, the health care assistance method (200) and the health care assistance system (100) may implement a block-chain technology to trace the drug(s) thus delivered to the patient. In particular, details of the drug(s) may be stored on plurality of computing devices in a network. By doing so, it is would be easier to trace the origin and other details (such as manufacturer name, batch number, date of manufacturing, date of expiry, etc.) of the drug(s) thus delivered to the patient.

In case the patient is delivered“prescription based packets” it has been found that with an increase in the number of drugs contained in a“prescription based packet”, it becomes difficult to indicate on the packet, the origin and other details of each drug (such as manufacturer name, batch number, date of manufacturing, date of expiry, etc.). Under such scenario, in accordance with an embodiment of the invention, each“prescription based packet” may be identified in a unique ID (for example, using a bar code). In accordance with an embodiment of the invention, details such as manufacturer name, batch number, date of manufacturing, date of expiry, etc. of each drug contained in the prescription based packet may be associated with the unique ID corresponding to the prescription based packet. While the unique ID will be adduced or printed or attached to the prescription based packet, the details such as manufacturer name, batch number, date of manufacturing, date of expiry, etc. of each drug contained in the prescription based packet may be stored on a plurality of computing devices in a network using block-chain technology to enable tracing of each drug thus delivered to the patient. Thus, in an embodiment of the invention, the need to provide all the details on/in the“prescription based packet” can be avoided.

Since only authorized medical practitioner is allowed to access the electronic medical record of a particular patient, the health care assistance system (100) and the health care assistance method (200) implements a process authorizing the medical practitioner to access the electronic medical record of a particular patient. Since an authorized personal or an authorized application is able to send a query directed towards at least one of a patient’ s vitals and patient’s drug adherence level, the invention implements a process authorizing the personal or the application thereby enabling the system/method to respond to the queries.

In an embodiment of the invention, the patient may add details of a medical practitioner as “an authorized medical practitioner”. Once the patient adds a medical practitioner as“an authorized medical practitioner”, the invention will grant access to at least a part of the electronic medical record of the particular patient to the authorized medical practitioner. In particular, once the patient adds a medical practitioner as “an authorized medical practitioner”, the invention will grant access to a part of the electronic medical record which is of relevance to the authorized medical practitioner. In another embodiment of the invention, the“authorized medical practitioner” may sometime be granted access to the entire electronic medical record of the patient.

In an embodiment of the invention, the patient may add details any person as“an authorized personal”. Once the patient adds a person as“an authorized personal”, the invention will provide a response to query sent by such authorized personal. By way of non-limiting example, in case the authorized personal queries for patient’s vitals, the method/system will send a suitable response to the authorized personal. The response may be based on information representing patient’s vitals as received from the at least one device. By way of another non-limiting example, in case the authorized personal queries for patient’s drug adherence level, the method/system will send a suitable response to the authorized personal. The response may be based on information representing dispensing of the drug(s) as received from the drug dispensing device. It may be noted that apart from responding to the aforesaid types of queries, the method/system may be configured to respond to other types of queries pertaining to the patient, provided the response can be derived from the electronic medical record stored in relation to the patient.

It can be observed that the prescription is transmitted to the drug delivery execution system only upon satisfaction of the first criteria set. By way of non-limiting example, the first criteria set may include:

• The prescription is clearly and unambiguously interpreted for execution;

• The prescription has the legal identify of the authorized medical practitioner issuing the prescription;

• The prescription has the date and place of issue;

• There is a specific dose defined for each medication in the prescription;

• There is a validity period of each drug listed in the prescription i.e. how many doses or for how many days is stated in the prescription;

• Dose of medicine indicated in the prescription is not in excess of norms for consumption of the drug per day based on age, sex and weight of the patient;

• There is no contra-indicated medication (not by brand but by salt) in the prescription, i.e. the prescription does not contain two or medications that are known not to be taken concurrently;

• Or any combination thereof.

In some instances, a patient may be receiving treatment from different medical practitioners for different medical conditions. Thus, there may exist overlapping period(s) when the patient may be required to take drugs as prescribed by different medical practitioners. In such a scenario, the first criteria set may further include:

• There are no duplicate drugs (by brand, or by salt, etc.) when all the prescriptions for an overlapping period are combined;

• there is no contra-indicated medications (by brand, or by salt, etc.) when all the prescriptions for an overlapping period are combined, i.e. two medications that are known to not be taken concurrently;

• or any combination of the aforesaid. In an embodiment of the invention, if a prescription is not transmitted to the drug delivery execution system on account of non- satisfaction of the first criteria set, a suitable corrective measure may be implemented. By way of non-limiting example, a message that“prescription given to the patient is not sent to the drug delivery execution system” may be sent to the patient and/or the authorized medical practitioner (who has provided the prescription). Apart from sending a message, the patient and/or the authorized medical practitioner may be prompted to send a revised prescription for storing on the system, which can be once again tested for satisfaction of the aforesaid first criteria set.

In an embodiment, the invention allows a patient to nominate a medical practitioner as “Anchor Medical Practitioner”. The “Anchor Medical Practitioner” may re-verify the prescriptions that are provided by other authorized medical practitioner(s) in relation to the patient. In an embodiment of the invention, transmission of the medical prescription to the drug delivery execution system may occur only after the“Anchor Medical Practitioner” has re- verified the prescriptions.

In an embodiment of the invention, the “Anchor Medical Practitioner” may receive notification of all prescriptions that are provided by other authorized medical practitioner(s) in relation to the patient. In another embodiment of the invention, the“Anchor Medical Practitioner” may receive notification only under certain conditions.

By way of a non-limiting example, whenever a new prescription is provided by an authorized medical practitioner, the new prescription may be compared with other existing prescription to determine a condition of presence of “overlapping period”. In case presence of an overlapping period is detected, the new prescription or all the prescriptions or a notification may be sent to the“Anchor Medical Practitioner”.

By way of another example, non-limiting example, whenever a new prescription is provided by an authorized medical practitioner, the new prescription may be compared with other existing prescription to determine presence of duplicate drugs. In case presence of duplicate drugs is detected, the new prescription or all prescriptions or a notification may be sent to the “Anchor Medical Practitioner”. By way of another example, non-limiting example, whenever a new prescription is provided by an authorized medical practitioner, the new prescription may be compared with other existing prescription to determine presence of contra-indicated medications. In case presence of contra-indicated medications is detected, the new prescription or all prescriptions or a notification may be sent to the“Anchor Medical Practitioner”.

Once a notification is sent to the“Anchor Medical Practitioner” in relation to a prescription (or the prescription in itself is sent to the“Anchor Medical Practitioner”), up to the time the “Anchor Medical Practitioner” gives an approval, the prescription is not transmitted to the drug delivery execution system.

It can be observed that in an embodiment of the invention, at least one alert / alarm, is generated if the information representing dispensing of the drug(s) satisfies second criteria set. Thus, the second criteria set can be said to be closely related to drug adherence level by the patient. By way of a non-limiting example, to implement the detection of satisfaction of the second criteria set, a scheduled time“ST” may be provided for each dose (that may be uniquely identified). The second criteria set may then be detected for example, as any of:

• ST is within lOmin of current time;

• The specific dose has not been dispensed beyond“W” minutes past ST;“W” being configurable by the“anchor medical practitioner” or by the“authorized medical practitioner” or by the patient (himself/herself);

• The specific dose has not been dispense beyond“X” minutes past ST;“X” being greater than“W” and being configurable by the“anchor medical practitioner” or by the“authorized medical practitioner” or by the patient (himself/herself);

• The specific dose has not been dispense beyond“Y” minutes past ST;“Y” being greater than“X” and being configurable by the“anchor medical practitioner” or by the“authorized medical practitioner” or by the patient (himself/herself); and/or

• The specific dose has not been dispense beyond“Z” minutes past ST;“Z” being greater than“Y” and being configurable by the“anchor medical practitioner” or by the“authorized medical practitioner” or by the patient (himself/herself).

By way of a non-limiting example, if ST is within lOmin of current time, a pre-alert (or pre alarm) may be provided to the patient of the upcoming scheduled time for consuming the drug(s). By way of another example, if the specific dose has not been dispensed beyond“W” minutes past ST, an alert / alarm of a first type may be generated and transmitted. The alert / alarm of the first type may be transmitted to the drug dispensing device for output there-from.

By way of another example, if the specific dose has not been dispensed beyond“X” minutes past ST, an alert / alarm of a second type may be generated and transmitted. The alert / alarm of the second type may be transmitted to a device closely associated with the patient for output there-from, for example a mobile device or a hand-held device or a wearable device.

By way of another example, if the specific dose has not been dispensed beyond“Y” minutes past ST, an alert / alarm of a third type may be generated and transmitted. The alert / alarm of the third type may be transmitted to“authorized personal” whose details has been included by the patient. In an alternative option, the alert/alarm of the third type may cause a device to undergo a change in the working status, for example, perform a task. By way of example, a remotely controllable television can be switched ON and a message can be displayed thereupon.

By way of another example, if the specific dose has not been dispensed beyond“Z” minutes past ST, an alert / alarm of a fourth type may be generated and transmitted. The alert / alarm of the fourth type may be transmitted to a device closely associated with the“authorized medical practitioner” or with the“anchor medical practitioner”.

The second criteria set may apart from (or in addition to) being related to a dispensing time of the drug(s) from the dispensing device may also relate to an amount of dispensing recorded by the dispensing device. For example, if an amount of dispensing is greater than the predicted consumption amount (based on the prescription); the alert / alarm may be generated and transmitted. Such an alert may be avoided in the event the predicted consumption is increased from default by an“anchor doctor”; for example in case of a requirement to travel by the patient.

It can be said that the third criteria set is closely related to replenishment of the drugs in the drug delivery device. As the drug delivery system comes into picture for replenishment of the drugs in the drug delivery device, the third criteria set once satisfied causes, transmitting of the at least one prescription thus stored to the drug delivery execution system, to enable delivery of drug(s) to the patient. Some of the non-limiting examples of the third criteria set include:

• The previously delivered doses are within the limit of lead time to delivery defined for the location of use;

• There is recorded indication of continuity of the current prescription;

• There is a new prescription approved by at least the“anchor doctor” if not any other doctor in the patient’s network as defined on the system; the new prescription can be a repeat of the previous prescription;

• There is a loss or damage of the currently delivered dmg/medication pack registered on the system by a positive action of reporting by the patient; or

• Any combination thereof.

It may be noted that as information representing patient’ s vitals and/or electronic pathological report is being received, it would be advantageous to utilize the same for detecting well-being of the patient. In case it can be inferred from information representing patient’ s vitals and/or the electronic pathological reports that the patient may be experiencing some health related condition, an alarm / alert may be generated and sent to“the authorised medical practitioner” or the“Anchor Medical Practitioner” or the“Authorised Personnel” of the“Authorised Application” or a combination thereof. By way of non-limiting example, an inference that the patient may be experiencing some health related condition may be drawn from information representing patient’s vitals and/or the electronic pathological reports if information representing patient’s vitals and/or the electronic pathological reports satisfy a fourth criteria set.

By way of example, the fourth criteria set may include:

• Any of the recorded vital parameters is recorded as outside an acceptable range defined by minimum and maximum value of the vital indicator for age, sex and weight of the patient;

• Any of the recorded pathological test report is recorded as outside the acceptable range defined by minimum and maximum value of an indicator for age, sex and weight of the patient;

• Any other indicator/parameter that is either recorded by a new device/sensor measuring the indicator/parameter from the patient that falls outside an acceptable range of values that are configurable on the system as prescribed by the“anchor doctor”; either manually or automatically.

While certain present preferred embodiments of the invention have been illustrated and described herein, it is to be understood that the invention is not limited thereto. Clearly, the invention may be otherwise variously embodied, and practiced within the scope of the following claims.