Automated method of recording contents of medication packages vended from a plurality of vending machines in an electronic record that stores records for a plurality of patients associated with respective vending machines

• US 20150019009A1
• Filed: 03/20/2013
• Published: 01/15/2015
• Est. Priority Date: 03/21/2012
• Status: Active Grant

• Current Assignee: Medherent, LLC
• Original Assignee: Sequon, Inc.
• Inventors: FELDMAN, Joel F., GREEN, Yeardley W., FELDMAN, Stanley I. H., SWEETER, Jeffrey C.
• Granted Patent: US 9,117,010 B2
• Time in Patent Office: Days
• US Class Current: 700/237
• CPC Class Codes: A61J 2200/30 Compliance analysis for taking medication
• CPC Class Codes: A61J 7/0418 with electronic history memory
• CPC Class Codes: A61J 7/0454 for dispensing of multiple drugs
• CPC Class Codes: A61J 7/0463 for multiple patients
• CPC Class Codes: A61J 7/0481 working on a schedule basis
• CPC Class Codes: G07F 17/0092 for assembling and dispensing of pharmaceutical articles medical dispensers for private use, A61J7/00
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/13 delivered from dispensers
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

An automated method is provided for recording contents of medication packages vended from a plurality of vending machines in electronic records, such as an electronic medication administration record (eMAR), that store records for a plurality of patients who are associated with respective vending machines. A vending event causes the electronic record to be populated. The contents of the medication packages vended from the vending machines are recorded in electronic records without communicating patient names or vended medications in the electronic message sent from the vending machines.

Claims

1. An automated method of recording contents of medication packages vended from a plurality of vending machines in electronic records that store records for a plurality of patients who are associated with respective vending machines, the electronic records including the following fields (i) a patient identifier, (ii) schedule of dose times, (iii) contents of medication packages to be dispensed at the appropriate dose time in the dose schedule, and (iv) vended medications indicator, the method comprising:

(a) receiving at a medication administration computer from the vending machines electronic messages generated at the vending machine that include at least a unique identifier of the patient whenever a vending event occurs at one of the vending machines;

(b) detecting at the medication administration computer for each received electronic message whether an electronic record exists for a patient identifier that matches the unique identifier of the patient and for which the scheduled dose time can be properly inferred; and

(c) recording by the medication administration computer in the vended medications indicator field of the electronic record that the medications to be dispensed at the appropriate dose time in the dose schedule were properly dispensed if it is detected in step (b) that an electronic record exists for a patient identifier that matches the unique identifier of the patient and for which the scheduled dose time can be properly inferred,

wherein the contents of medication packages vended from the vending machines are recorded in electronic records without communicating patient names or vended medications in the electronic message sent from the vending machines.

2. The method of claim 1 wherein the unique identifier of the patient is the patient identifier.

3. The method of claim 1 wherein the vending machine has an assigned unique number, and the unique identifier of the patient is the assigned unique number of the vending machine, the method further comprising:

(d) translating by the medication administration computer the assigned unique number of the vending machine to the patient identifier using a database table that stores assigned unique numbers of the vending machines to patient identifiers.

4. The method of claim 1 wherein the electronic records are records in an eMAR.

5. The method of claim 1 wherein the medications are vended in multi-unit dose packages (MUDPs), and wherein the contents of each MUDP are the contents stored in field (iii) of the electronic record, a single vending event thereby causing the electronic record to record that a plurality of medications were vended.

6. An apparatus for recording contents of medication packages vended from a plurality of vending machines in electronic records that store records for a plurality of patients who are associated with respective vending machines, the electronic records including the following fields (i) a patient identifier, (ii) schedule of dose times, (iii) contents of medication packages to be dispensed at the appropriate dose time in the dose schedule, and (iv) vended medications indicator, the apparatus comprising a medication administration computer adapted to:

(i) receive from the vending machines electronic messages generated at the vending machine that include at least a unique identifier of the patient whenever a vending event occurs at one of the vending machines;

(ii) detect for each received electronic message whether an electronic record exists for a patient identifier that matches the unique identifier of the patient and for which the scheduled dose time can be properly inferred; and

(iii) record in the vended medications indicator field of the electronic record that the medications to be dispensed at the appropriate dose time in the dose schedule were properly dispensed if it is detected that an electronic record exists for a patient identifier that matches the unique identifier of the patient and for which the scheduled dose time can be properly inferred,

wherein the contents of medication packages vended from the vending machines are recorded in electronic records without communicating patient names or vended medications in the electronic message sent from the vending machines.

7. The apparatus of claim 6 wherein the unique identifier of the patient is the patient identifier.

8. The apparatus of claim 6 wherein the vending machine has an assigned unique number, and the unique identifier of the patient is the assigned unique number of the vending machine, the medication administration computer being further adapted to:

(iv) translate the assigned unique number of the vending machine to the patient identifier using a database table that stores assigned unique numbers of the vending machines to patient identifiers.

9. The apparatus of claim 6 wherein the electronic records are records in an eMAR.

10. The apparatus of claim 6 wherein the medications are vended in multi-unit dose packages (MUDPs), and wherein the contents of each MUDP are the contents stored in field (iii) of the electronic record, a single vending event thereby causing the electronic record to record that a plurality of medications were vended.

11. An automated method of recording contents of medication packages vended from a plurality of vending machines in electronic records that store records for a plurality of patients who are associated with respective vending machines, the electronic records including the following fields (i) patient identifier, (ii) schedule of dose times, (iii) contents of medication packages to be dispensed at the appropriate dose time in the dose schedule, and (iv) vended medications indicator, the method comprising:

(a) receiving at a medication administration computer from the vending machines electronic messages generated at the vending machine that include at least the following information whenever a vending event occurs at one of the vending machines;

(i) a unique identifier of the patient, and

(ii) a scheduled dose time;

(b) detecting at the medication administration computer for each received electronic message whether an electronic record exists that includes a patient identifier that matches the unique identifier of the patient and the scheduled dose time; and

(c) recording by the medication administration computer in the vended medications indicator field that the medications to be dispensed at the appropriate dose time in the dose schedule were properly dispensed if it is detected in step (b) that an electronic record exists for a patient identifier that matches the unique identifier of the patient and the scheduled dose time, wherein the contents of medication packages vended from the vending machines are recorded in electronic records without communicating patient names or vended medications in the electronic message sent from the vending machines.

12. The method of claim 11 wherein the unique identifier of the patient is the patient identifier.

13. The method of claim 11 wherein the vending machine has an assigned unique number, and the unique identifier of the patient is the assigned unique number of the vending machine, the method further comprising:

(d) translating by the medication administration computer the assigned unique number of the vending machine to the patient identifier using a database table that stores assigned unique numbers of the vending machines to patient identifiers.

14. The method of claim 11 wherein the electronic records are records in an eMAR.

15. The method of claim 11 wherein the medications are vended in multi-unit dose packages (MUDPs), and wherein the contents of each MUDP are the contents stored in field (iii) of the electronic record, a single vending event thereby causing the electronic record to record that a plurality of medications were vended.

16. An apparatus for recording contents of medication packages vended from a plurality of vending machines in electronic records that store records for a plurality of patients who are associated with respective vending machines, the electronic records including the following fields (i) patient identifier, (ii) schedule of dose times, (iii) contents of medication packages to be dispensed at the appropriate dose time in the dose schedule, and (iv) vended medications indicator, the apparatus comprising a medication administration computer adapted to:

(i) receive from the vending machines electronic messages generated at the vending machine that include at least the following information whenever a vending event occurs at one of the vending machines;

(A) a unique identifier of the patient, and

(B) a scheduled dose time;

(ii) detect for each received electronic message whether an electronic record exists that includes a patient identifier that matches the unique identifier of the patient and the scheduled dose time; and

(iii) record in the vended medications indicator field that the medications to be dispensed at the appropriate dose time in the dose schedule were properly dispensed if it is detected in step (b) that an electronic record exists for a patient identifier that matches the unique identifier of the patient and the scheduled dose time,

wherein the contents of medication packages vended from the vending machines are recorded in electronic records without communicating patient names or vended medications in the electronic message sent from the vending machines.

17. The apparatus of claim 16 wherein the unique identifier of the patient is the patient identifier.

18. The apparatus of claim 16 wherein the vending machine has an assigned unique number, and the unique identifier of the patient is the assigned unique number of the vending machine, the medication administration computer being further adapted to:

(iv) translate the assigned unique number of the vending machine to the patient identifier using a database table that stores assigned unique numbers of the vending machines to patient identifiers.

19. The apparatus of claim 16 wherein the electronic records are records in an eMAR.

20. The apparatus of claim 16 wherein the medications are vended in multi-unit dose packages (MUDPs), and wherein the contents of each MUDP are the contents stored in field (iii) of the electronic record, a single vending event thereby causing the electronic record to record that a plurality of medications were vended.

21. An automated method of recording contents of medication packages vended from a plurality of vending machines in an electronic record that stores records for a plurality of patients who are associated with respective vending machines, the electronic record including (i) a patient ID field, (ii) a vended medications field, and (iii) time of medication vending, the vending machine including (i) an IP address, (ii) a vending machine controller (VMC), (iii) one or more vending slots or columns, each slot or column holding a medication package to be vended, and (iv) a vending machine data format interface connected to an electronic network for communicating vending machine data, the vending machine'"'"'s IP address, and the time of vending events, the vending machine data including the vending slot or column that a medication package was vended from, the method comprising:

(a) providing a first database that stores the IP addresses of the plurality of vending machines and the patient ID'"'"'s of the respective vending machines, and a second database that stores IP addresses of the plurality of vending machines and the contents of the medication packages in each of the slots or columns of the respective vending machines;

(b) initiating a vending event at the vending machine, the vending event being captured by the VMC and communicated to the electronic network as vending machine data via the vending machine data format interface;

(c) receiving at a translation engine the vending machine data, the vending machine'"'"'s IP address, and the time of vending events;

(d) converting, by the translation engine and by using the data in the first and second databases, the vending machine data into HL7 protocol compatible data, the HL7 protocol compatible data including one or more HL7 compatible transaction messages that includes (i) the patient ID, the vended medication, and the time of the vending event;

(e) converting, by the translation engine, HL7 compatible transaction messages into electronic medication administration record (eMAR) data; and

(f) populating the electronic record with the eMAR data for each of the vending events, the populated data including for each patient, the vended medications and the time of the vending event.

22. The method of claim 21 wherein there are a plurality of different slots or columns in the vending machine, and at least some of the slots or columns contain medication packages with different medication contents.

23. The method of claim 21 wherein the medications are vended in multi-unit dose packages (MUDPs), and wherein the contents of each MUDP is stored in the second database, a single vending event thereby causing the electronic record to record that a plurality of medications were vended.

24. The method of claim 21 wherein the vending machine slots or columns are filled by a pharmacy during a medication dispensing process, the pharmacy electronically populating the second database with the contents of the medication packages in each of the slots or columns of the respective vending machines.

25. The method of claim 21 wherein the electronic record is an eMAR.

26. The method of claim 21 wherein the vending machine data format interface is a data exchange (DEX) interface, and the vending machine data is DEX data.

27. The method of claim 21 wherein the vending machine data format interface is a multi-drop bus (MDB) interface, and the vending machine data is MDB data.

28. A method of vending medication packages from a vending machine that includes (i) a vending machine controller (VMC), and (ii) a plurality of vending slots or columns, each slot or column holding a medication package to be vended, and

(a) providing a plurality of dosing configurations, each dosing configuration defining the number of times per day that a dose of medication needs to be taken, each daily dose having a different assigned number, the configuration defining a different vending slot or column for each assigned dose number;

(b) programming the VMC with one of the dosing configurations, the plurality of medication packages to be vended being loaded into the vending machine in accordance with the programmed dosing configuration; and

(c) vending the medication packages from the appropriate vending slot or column in accordance with the programmed dosing configuration in response to output signals from the VMC.

29. The method of claim 28 wherein the vending machine further includes (iii) a plurality of motor actuators, each motor actuator being associated with a respective vending slot or column for causing a mechanical action to occur that results in vending of a medication package from the vending machine, wherein the output signals from the VMC are motor actuator signals that are communicated to the appropriate motor actuator.

30. A vending machine that vends medication packages, the vending machine comprising:

(a) a plurality of vending slots or columns, each slot or column holding a medication package to be vended; and

(b) a vending machine controller (VMC) adapted to;

(i) store a dosing configuration, the dosing configuration defining the number of times per day that a dose of medication needs to be taken, each daily dose having a different assigned number, the configuration defining a different vending slot or column for each assigned dose number, wherein the plurality of medication packages to be vended are loaded into the vending machine in accordance with the programmed dosing configuration, and

(ii) vend the medication packages from the appropriate vending slot or column in accordance with the programmed dosing configuration in response to output signals from the VMC.

31. The vending machine of claim 30 further comprising:

(c) a plurality of motor actuators, each motor actuator being associated with a respective vending slot or column for causing a mechanical action to occur that results in vending of a medication package from the vending machine, wherein the output signals from the VMC are motor actuator signals that are communicated to the appropriate motor actuator.