Extensible therapy delivery system and method thereof

• US 8,589,178 B2
• Filed: 09/10/2008
• Issued: 11/19/2013
• Est. Priority Date: 09/10/2008
• Status: Expired due to Fees

• Current Assignee: Roche Diabetes Care Inc. (Roche Holding AG)
• Original Assignee: Roche Diagnostics Operations Incorporated (Roche Holding AG)
• Inventors: Reinke, Robert E.
• Primary Examiner(s): Patel, Neha
• Application Number:
  US12/207,975
• Publication Number:
  US 20100063844A1
• Time in Patent Office: 1,896 Days
• Field of Search: 705/2, 705/3
• US Class Current: 705/2
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

An extensible therapy delivery system for an individual having a clinical rules module providing an existing clinical rule and is extensible to receive a new validated clinical rule and method thereof are disclosed. The extensible system also provides a domain module having existing clinical data and base logic and is extensible to receive new clinical data and additional logic to support the new validated clinical rules. The extensible system also provides a data request interface that directs a request for information from the clinical rules for the determination of therapy for the individual to the domain module, which answers the request with the existing and new clinical data and logic. The extensible system delivers to the individual the therapy determined by the clinical rules module from using the answer to the request provided by the domain module.

Claims

1. An extensible therapy delivery system for an individual comprising:

a development environment comprising a computer system having a simulation module;

a deployed environment comprising an electronic device configured to be provided to the individual and integrated with a mobile deployed application which is operatively connected to the computer system in the development environment by a network connection, the mobile deployed application having;

a clinical rules module comprising one or more existing clinical rules and which is configured to be extensible by receiving from the computer system of the development environment one or more new validated clinical rules;

a domain module further comprising existing individual-specific clinical data and existing base logic, the domain module is configured to be extensible by receiving from the computer system of the development environment new individual-specific clinical data and additional logic to the existing base logic to support the one or more new validated clinical rules, wherein the one or more new validated rules are configured to be provided by the simulation module which is configured to simulate one or more physiological conditions of the individual and to validate the one or more new validated clinical rules via use of test data, wherein the simulation module is configured to validate the new clinical rules prior to integration into the clinical rules module by identifying detrimental health outcomes to the simulated physiological conditions of the individual caused by a simulated delivery of the therapy determined by the new clinical rules; and

a messaging architecture having a data request interface operably connected to the clinical rules module and the domain module, wherein the messaging architecture comprises an existing messaging framework and is extensible to receive one or more new messaging frameworks to support requests for information made by the one or more new validated clinical rules to determine therapy for the individual, and wherein the clinical rules module is programmed to make a request for information to the data request interface according to the one or more existing clinical rules and the one or more new validated clinical rules in order to determine therapy for the individual, and the data request interface is programmed to forward the request to the domain module, which is programmed to answer the request using the new individual-specific clinical data and additional logic, if the existing individual-specific clinical data and the base logic are unable to answer the request, wherein the data request interface further comprises a failsafe module defining one or more therapy limitations independent of the one or more existing clinical rules and the one or more new validated clinical rules for substantially preventing delivery of determined therapy outside of the therapy limitations,

and

wherein the mobile deployed application is configured to deliver to the individual the therapy determined by the clinical rules module from using the answer to the request provided by the domain module, where the system comprises a clinical rule editing tool, a clinical rule compiler, a development tool, and a deployment tool employed in the development environment.

2. The extensible therapy delivery system according to claim 1, wherein the clinical rule editing tool is configured to permit drafting and editing of new clinical rules prior to integration into the clinical rules module.

3. The extensible therapy delivery system according to claim 1, wherein the clinical rule compiler is configured to convert the one or more new validated clinical rules into a form executable by the clinical rules module to determine therapy for the individual prior to integration into the clinical rules module.

4. The extensible therapy delivery system according to claim 1, wherein the development tool is configured to permit drafting and editing of the new individual-specific clinical data and additional logic prior to integration into the domain module.

5. The extensible therapy delivery system according to claim 1, wherein the deployment tool is configured to deploy from the development environment to the deployed environment via the network connection:

the one or more new validated clinical rules for integration into the clinical rules module,

the new individual-specific clinical data and additional logic for integration into the domain module, and

a configuration file for directing the integration of the one or more new validated clinical rules and the new individual-specific clinical data and additional logic into the clinical rules module and the domain module, respectively.

6. The extensible therapy delivery system according to claim 1, wherein the therapy delivery system further comprises an input/output interface in the deployed environment, the input/output interface being configured to exchange therapy-related data with the individual.

7. The extensible therapy delivery system according to claim 6, wherein the input/output interface is configured to display data relating to physiological conditions of the individual, meals, and/or recommended and delivered therapies.

8. The extensible therapy delivery system according to claim 1, wherein the therapy delivery system further comprises one or more metabolic sensors in the deployed environment, the one or more metabolic sensors being configured to sense one or more metabolic parameters of the individual.

9. The extensible therapy delivery system according to claim 8, wherein the one or more metabolic sensors are operatively connected to the domain module such that data of the sensed metabolic parameters are transmitted from the one or more metabolic sensors and integrated into the existing individual-specific clinical data and/or the new individual-specific clinical data.

10. The extensible therapy delivery system according to claim 1, wherein the therapy delivery system further comprises a therapy delivery device in the deployed environment, the therapy delivery device being configured to deliver to the individual therapy determined by the one or more existing clinical rules and the one or more new validated clinical rules.

11. The extensible therapy delivery system according to claim 1, wherein the electronic device is a therapy delivery pump.

12. The extensible therapy delivery system according to claim 1, wherein extensibility of the clinical rules module and the domain module to receive the one or more new validated clinical rules and the new individual-specific clinical data and additional logic, respectively, do not interfere with an operational functionality of hardware or software of the system.

13. The extensible therapy delivery system according to claim 1, wherein therapy delivered to the individual by the system is insulin in a dosage amount, concentration, delivery rate, and/or delivery schedule determined by the one or more existing clinical rules and the one or more new validated clinical rules.

14. The extensible therapy delivery system according to claim 1 wherein the electronic device is selected from the group comprising a blood glucose meter, a mobile phone, a personal digital assistance, and a notebook computer.

15. A method of determining therapy for an individual, the method comprising:

providing an extensible therapy delivery system which comprises;

a development environment comprising a computer system having a simulation module, a deployed environment comprising an electronic device configured to be provided to the individual and integrated with a mobile deployed application which is operatively connected to the computer system in the development environment by a network connection, the mobile deployed application having;

a clinical rules module comprising one or more existing clinical rules and which is configured to be extensible by receiving from the computer system of the development environment one or more new validated clinical rules;

a domain module further comprising existing individual-specific clinical data and existing base logic, the domain module is configured to be extensible by receiving from the computer system of the development environment new individual-specific clinical data and additional logic to the existing base logic to support the one or more new validated clinical rules, wherein the one or more new validated rules are configured to be provided by the simulation module which is configured to simulate one or more physiological conditions of the individual and to validate the one or more new validated clinical rules via use of test data, wherein the simulation module is configured to validate the new clinical rules prior to integration into the clinical rules module by identifying detrimental health outcomes to the simulated physiological conditions of the individual caused by a simulated delivery of the therapy determined by the new clinical rules, and

a messaging architecture having a data request interface operably connected to the clinical rules module and the domain module, wherein the messaging architecture comprises an existing messaging framework and is extensible to receive one or more new messaging frameworks to support requests for information made by the one or more new validated clinical rules to determine therapy for the individual, and wherein the clinical rules module is programmed to make a request for information to the data request interface according to the one or more existing clinical rules and the one or more new validated clinical rules in order to determine therapy for the individual, and the data request interface is programmed to forward the request to the domain module, which is programmed to answer the request using the new individual-specific clinical data and additional logic, if the existing individual-specific clinical data and the base logic are unable to answer the request, wherein the data request interface further comprises a failsafe module defining one or more therapy limitations independent of the one or more existing clinical rules and the one or more new validated clinical rules for substantially preventing delivery of determined therapy outside of the therapy limitations, and wherein the mobile deployed application is configured to deliver to the individual the therapy determined by the clinical rules module from using the answer to the request provided by the domain module, where the system comprises a clinical rule editing tool, a clinical rule compiler, a development tool, and a deployment tool employed in the development environment;

extending the extensible clinical rules module to integrate one or more new validated clinical rules with one or more existing clinical rules, which result from testing one or more new clinical rules with test data in the simulation module simulating one or more physiological conditions of the individual, and the one or more new validated clinical rules and the one or more existing clinical rules being defined to determine therapy for the individual;

extending the extensible domain module to integrate new individual-specific clinical data and additional logic with existing individual-specific clinical data and base logic, the new individual-specific clinical data and additional logic being provided to support the one or more new validated clinical rules of the extensible clinical rules module for therapy determination for the individual;

requesting information for therapy determination with the one or more new validated clinical rules of the extensible clinical rules module through the data request interface to the extensible domain module;

providing the requested information to the data request interface with at least one of the existing individual-specific clinical data and the base logic, and the new individual-specific clinical data and additional logic of the extensible domain module; and

determining therapy for the individual with the one or more new validated clinical rules provided from the simulation module and the requested information provided from the extensible domain module or defining one or more therapy limitations independent of the existing clinical rules and the new validated clinical rules from the failsafe module for substantially preventing delivery of therapy outside of the therapy limitations.

16. The method of determining therapy for an individual according to claim 15, further comprising on the computer system in the development environment:

defining one or more new clinical rules for determining a therapy for an individual or defining one or more therapy limitations for preventing delivery of therapy for the individual;

capturing the one or more new clinical rules in a text file on a computer;

validating the one or more new clinical rules by testing the one or more new clinical rules with test data in a simulation module simulating one or more physiological conditions of the individual;

editing and re-validating the one or more new clinical rules as necessary to substantially eliminate any detrimental outcomes to health of the individual identified in the simulation module;

deploying the one or more new validated clinical rules with new individual-specific clinical data and additional logic to support the one or more new validated clinical rules to the deployed application of the system;

extending a clinical rules module of the system to integrate the one or more new validated clinical rules;

extending an electronic device further comprising a domain module of the system to integrate the new individual-specific clinical data and additional logic; and

delivering the therapy to the individual with the system, the therapy determined by the one or more new validated clinical rules or substantially preventing delivery of therapy to the individual determined by the one or more therapy limitations.