Untitled record
Abstract
A system of controlling distribution of a medication in the treatment or prevention of epilepsy is provided (Fig. 6). A central controller (10) of the system has a data store and one or more processors for reading and writing data to the data store. The data store comprises a database (22) of patient records, each patient record having a medication authorization field. The central controller (10) can output an authorization of a first prescription of epilepsy medication to a patient in dependence upon genetic test results for the patient and schedules a subsequent test for the patient prior to authorization of a subsequent prescription of epilepsy medication. Also provided are methods in which the subject systems find use. The systems and methods find use in the treatment of severe subtypes of epilepsy or refractory epilepsy, such as Dravet Syndrome.

Term
No projected expiry on record.
- Priority
- Filed
- Published
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9 claims: 9 independent, 0 dependent
- 1عناصر الحماية 1. نظام للتحكم في توزيع فينفلوارمين fenfluramine أو ملح مقبول صيدلانيا pharmaceutical acceptable salt منه لعلاج أع ارض نوع ثانوي معين من الصرع epilepsy، النظام يتضمن:منشأة تخزين بيانات data storage facility تتضمن قاعدة بيانات لسجلات المريض شاملة معالجة التفاصيل الخاصة بالمريض، كل سجل مريض له حقل التحقق من الدواء medication 5 authorization field للدخول في وصفة أولى لفينفلوارمين fenfluramine أو ملح مقبول صيدلانيا pharmaceutical acceptable salt منه؛ متحكم مركزي central controller له واحد أو أكثر من المعالجات processors المقترنة بشبكة اتصالات communication network، هذا المتحكم المركزي central controller مقترن بمنشأة تخزين البيانات data storage facility لق ارءة وكتابة البيانات على منشأة تخزين البيانات data 10 storage facility عبر الشبكة؛ منشأة تخزين العقار data storage facility له فينفلوارمين fenfluramine أو ملح مقبول صيدلانيا pharmaceutically acceptable salt منه للتخزين فيها؛ حيث تتم برمجة المتحكم المركزي central controller للنظام لم ارقبة مخزون العقار drug في منشأة تخزين العقار drug storage facility ومبرمج أيضا للتحكم في إرسال فينفلوارمين fenfluramine أو 15 ملح مقبول صيدلانيا pharmaceutically acceptable salt منه من منشأة تخزين العقار drug storage facility؛ و حيث يقوم المتحكم المركزي central controller بالتحكم في إرسال واستقبال البيانات إلى ومن منشأة تخزين البيانات data storage facility عبر الشبكة، ويعمل كصيدلية مركزية للدواء، وتؤكد على استلام فينفلو ارمين fenfluramine أو ملح مقبول صيدلانيا pharmaceutically acceptable salt منه 20 عند عنوان المريض، المتحكم المركزي central controller مبرمج للإخ ارج عبر الشبكة إذن أول لوصفة أولى لفينفلوارمين منه إلى مريض معين pharmaceutically acceptable salt أو ملح مقبول صيدلانيا fenfluramine خاضع سلفا إلى اختبار تخطيط القلب بالموجات الصوتية echocardiographic imaging test الأول؛ حيث ناتج الإذن معتمد على نتائج اختبار تخطيط القلب بالموجات الصوتية echocardiographic 25 imaging test الأول، 6929 -36- وحيث المتحكم المركزي central controller مبرمج أيضا للإخ ارج على مدار فترة زمنية تقوم باستخدام فينفلو ارمين fenfluramine أو ملح مقبول صيدلانيا pharmaceutically acceptable salt منه بواسطة مريض معتمد ولتخطيط صور التخطيط القلبي الصوتية echocardiograph imaging التالية الخاصة بالمريض وهذه النتائج التالية للاختبار الخاصة بالمريض مطلوب تلقيها قبل اعتماد فينفلو ارمين منه الخاصة pharmaceutically acceptable salt إضافي أو ملح مقبول صيدلانيا fenfluramine 5 بالمريض، وأيضا حيث تتم برمجة المتحكم المركزي central controller لتنفيذ أثر معتمد على نتائج الاختبار التالي المختارة من اعتماد وصفة إضافية، التغير في الوصفة وناتج اقت ارح إيقاف الوصفة.
- 210 2. النظام وفقا لعنصر الحماية 1، حيث تتم برمجة المتحكم المركزي central controller لاعتماد المعلومات المرتبطة بالوصفة المتعلقة بالجرعة، الحجم، العدد، النظام، التركيز والفترة الزمنية المطلوبة للاستخدام بواسطة المريض لفينفلو ارمين fenfluramine أو ملح مقبول صيدلانيا pharmaceutically acceptable salt منه؛ وأيضا حيث يقوم المتحكم المركزي central controller بتنسيق الاختبا ارت التالية الخاصة بالمريض. 15
- 3النظام وفقا لعنصر الحماية 2، حيث تتم برمجة المتحكم المركزي central controller لتوقع نتائج الاختبار المستقبلي وتصنيف بيانات اختبار المريض بواسطة الإشارة إلى نموذج محدد سلفا.
- 4النظام وفقا لعنصر الحماية 1، 20 حيث تتم برمجة المتحكم المركزي central controller لوصف صيغة البيانات لنتائج الاختبار لكل مريض، صيغة البيانات المتحاذية مع حقول اختبار البيانات لكل مريض؛ وأيضا حيث تتم برمجة المتحكم المركزي central controller لتسجيل نتائج الاختبار لكل مريض بمرور الزمن، ولتوليد مخطط يبدي ميل لكل مريض.
- 525 5. النظام وفقا لعنصر الحماية 1، حيث تتم برمجة المتحكم المركزي central controller لم ارقبة جهاز م ارقبة المريض patient monitoring device؛ جمع البيانات المرتبطة بعلاج المريض؛ 6929 -37- تحليل البيانات المجمعة؛ تحديد استجابة مريض للعلاج؛ و تحديد حدوث ونوع التشنجات seizures.
- 65 6. النظام وفقا لعنصر الحماية 1، يتضمن أيضا:جهاز إلكتروني محمول portable electronic device يتم حمله أو ارتداؤه بواسطة المريض لم ارقبة صحة المريض، يتضمن الجهاز الإلكتروني electronic device مستشعر sensor لقياس المعلومات المختارة من المجموعة المختارة من ضغط الدم blood pressure، التخطيط القلبي الكهربي ECG( electrocardiography(، معدل نبضات القلب heart rate، أوكسيجين الدم blood oxygen، 10 درجة الح اررة، ووظيفة الرئة lung function، و حيث يتم تجهيز الجهاز الإلكتروني electronic device لتوفير ق ارءات مستشعر sensor في صيغة متوافقة مع المتحكم المركزي central controller.
- 7النظام وفقا لعنصر الحماية 1، 15 حيث يتم استخدام ناتج خرج الجهاز الإلكتروني electronic device بواسطة المتحكم المركزي central controller لتحديد واحد على الأقل من التغير إلى اختبار طبي مخطط خاص بالمريض وتغير في وصفة الدواء الخاصة بالمريض؛ وأيضا حيث تتضمن منشأة تخزين البيانات المركزية central data storage facility قاعدة بيانات للعاملين في المجال الطبي المعتمد، إذن إخ ارج المتحكم المركزي central controller لواحد أو أكثر من 20 العاملين في المجال الطبي عند إكمال واحد أو أكثر من حقول البيانات التي تشير إلى سمعة المسئول الطبي في مجال الصرع epilepsy.
- 8النظام وفقا لعنصر الحماية 1، حيث النوع الثانوي المعين من الصرع epilepsy عبارة عن متلازمة .Dravet
- 925 9. نظام للتحكم في توزيع دواء لعلاج أع ارض نوع ثانوي معين من الصرع epilepsy، النظام يتضمن:منشأة تخزين بيانات data storage facility تتضمن قاعدة بيانات لسجلات المريض شاملة معالجة التفاصيل الخاصة بالمريض، كل سجل مريض له حقل التحقق من الدواء medication 6929 -38- authorization field للدخول في وصفة أولى لفينفلوارمين fenfluramine أو ملح مقبول صيدلانيا pharmaceutically acceptable salt منه؛ متحكم مركزي central controller له واحد أو أكثر من المعالجات processors المقترنة بشبكة اتصالات communication network، هذا المتحكم المركزي central controller مقترن بمنشأة 5 تخزين البيانات data storage facility لق ارءة وكتابة البيانات على منشأة تخزين البيانات data storage facility عبر الشبكة؛ و حيث يقوم المتحكم المركزي central controller بالتحكم في إرسال واستقبال البيانات إلى ومن منشأة تخزين البيانات data storage facility عبر الشبكة، ويعمل كصيدلية مركزية للدواء، وتؤكد على استلام فينفلو ارمين fenfluramine أو ملح مقبول صيدلانيا pharmaceutically acceptable salt منه 10 عند عنوان المريض، المتحكم المركزي central controller مبرمج للإخ ارج عبر الشبكة إذن أول لوصفة أولى لفينفلوارمين منه إلى مريض معين pharmaceutically acceptable salt أو ملح مقبول صيدلانيا fenfluramine خاضع سلفا إلى اختبار تخطيط القلب بالموجات الصوتية echocardiographic imaging test الأول، حيث ناتج إذن معتمد على نتائج اختبار تخطيط القلب بالموجات الصوتية echocardiographic 15 imaging test الأول، مبرمج أيضا لتخطيط اختبار طبي تالي خاص بالمريض قبل السماح بدخول الوصفة التالية منه في pharmaceutically acceptable salt أو ملح مقبول صيدلانيا fenfluramine لفينفلوارمين حقل التحقق من الدواء medication authorization field، حيث الاختبا ارت الطبية التالية عبارة عن اختبار تخطيط القلب بالموجات الصوتية echocardiographic imaging test، 20 حيث تتم برمجة المتحكم المركزي central controller للإخ ارج على مدار فترة زمنية تقوم باستخدام فينفلو ارمين fenfluramine أو ملح مقبول صيدلانيا pharmaceutically acceptable salt منه بواسطة مريض معتمد وبناء عليه يتم الحصول على نتائج الاختبار التالي الخاصة بالمريض مطلوب تلقيها قبل اعتماد فينفلوارمين fenfluramine إضافي أو ملح مقبول صيدلانيا pharmaceutically acceptable salt منه الخاصة بالمريض، 25 حيث تتم برمجة المتحكم المركزي central controller لتنفيذ أثر معتمد على نتائج الاختبار التالي المختارة من اعتماد وصفة إضافية، التغير في الوصفة وناتج اقت ارح إيقاف الوصفة، 6929 -39- منشأة تخزين العقار drug storage facility له فينفلوارمين fenfluramine أو ملح مقبول صيدلانيا pharmaceutically acceptable salt منه مخزنة فيها؛ حيث تتم برمجة المتحكم المركزي central controller للنظام لم ارقبة مخزون العقار drug في منشأة تخزين العقار drug storage facility ومبرمج أيضا للتحكم في إرسال فينفلوارمين fenfluramine أو 5 ملح مقبول صيدلانيا pharmaceutically acceptable salt منه من منشأة تخزين العقار drug ،storage facility حيث تتم برمجة المتحكم المركزي central controller لاعتماد المعلومات المرتبطة بالوصفة المتعلقة بالجرعة، الحجم، العدد، النظام، التركيز والفترة الزمنية المطلوبة للاستخدام بواسطة المريض لفينفلوارمين fenfluramine أو ملح مقبول صيدلانيا pharmaceutically acceptable salt منه؛ 10 حيث يقوم المتحكم المركزي central controller بتنسيق الاختبا ارت التالية الخاصة بالمريض؛ حيث تتم برمجة المتحكم المركزي central controller لوصف صيغة البيانات لنتائج الاختبار لكل مريض، صيغة البيانات المتحاذية مع حقول اختبار البيانات لكل مريض؛ وأيضا حيث تتم برمجة المتحكم المركزي central controller لتسجيل نتائج الاختبار لكل مريض بمرور الزمن، ولتوليد مخطط يبدي ميل لكل مريض. 6929 -40-
Independent claims9
397 paragraphs, as filed
Full description
Sister Ar'a's background
Epilepsy is a brain condition characterized by recurrent seizures. There are causes of epilepsy that include, but are not limited to, birth trauma, perinatal infection, anoxia, infectious diseases, ingestion of toxins, tumors of the brain, inherited disorders. Or degenerative disease, head injury or trauma, metabolic disorders, cerebrovascular accident, abstinence from alcohol.
A large number of subtypes of epilepsy have been distinguished. See, for example, Meritt's 10 Neurology (12th Edition). Those skilled in the art will recognize that different subtypes of epilepsy are triggered by different stimuli, are controlled by different biological pathways and have different causes, whether genetic or genetic. Or environmental. The skilled addressee will also realize that subtypes of epilepsy vary in severity.
An example of a severe subtype of epilepsy is Dravet syndrome. D'Arvette syndrome 15 is a rare and catastrophic form of intractable epilepsy that begins in childhood. Initially, the patient experiences prolonged seizures. In their second year, additional types of seizures begin to occur and this is usually accompanied by developmental deterioration, possibly due to repeated cerebral hypoxia. This leads to poor development of language and motor skills.
Children with D'Arveit syndrome are likely to experience multiple seizures per day. Epileptic seizures are more likely to cause death in those with D'Arvet syndrome; Approximately 10 to 15% of patients diagnosed with D'Arvet syndrome die in childhood, specifically between the ages of two and four years. In addition, patients are...
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Risk of many comorbid conditions including bone developmental problems, poor growth (poor growth) and chronic infection
.chronic infections
Of particular concern, children with D'Arvet syndrome are particularly vulnerable to epilepticus. A severe and stubborn condition is classified as a medical emergency5 requiring immediate medical intervention, usually including hospitalization. Status epilepticus may be fatal. It may also be associated with cerebral hypoxia, which may lead to damage to brain tissue. It is clear that repeated hospitalizations for children with D'Arvet syndrome are distressing, not only for the patient but also for the family and caregivers.
In addition to D'Arveit syndrome, there are several other subtypes of epilepsy of comparable severity
<p dir="rtl">10 It is characterized by seizures of status epilepticus.</p>
While there are national or regional differences in the systems by which patients are diagnosed and treated, in general, a patient who develops symptoms of a condition will first be seen by their local doctor (or local hospital or clinic, in the case of severe and severe symptoms). Usually after A diagnosis is made (possibly after referral to a specialist) and a prescription is written by the treating physician. You will take the prescription 15 to the pharmacist who will then supply the prescribed medication. For chronic conditions, repeat prescriptions will be provided by a doctor (not always a specialist) and dispensed from the pharmacy in the same way.
While these systems may be adequate and work effectively to treat many common conditions, there are still many potentially problematic situations that may arise that cause a patient to be delayed in receiving their medication and/or to be provided with the incorrect medication.
<p dir="rtl">20 For example, a patient may be misdiagnosed at the beginning of treatment.</p>
Alternatively, even if the diagnosis is correct, errors may occur in transcribing that diagnosis into the patient's notes or incorrect or illegible writing of prescriptions by the physician. In addition, pharmacy shortages may occur, meaning the patient must either go to an alternative pharmacy or return to the pharmacy at a later time. Once your pharmacy supplies are restocked.
<p dir="rtl">25 For epilepsy patients, especially those who suffer from severe epilepsy,</p>
Any delay or error may lead to disastrous results. So there is a need for a system to ensure processing
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Epilepsy patients in a reliable and effective way. To date, the inventors believe that no systems have been developed to treat epilepsy. On the other hand, examples of systems for managing the treatment of other conditions have been developed.
For example, Xyrem Success Program can be mentioned. Xyrem (sodium oxybate) is used to treat narcolepsy. The drug itself has been used recreationally5 or as a “date rape” drug. Therefore, one of the goals of Xerem’s success program is to prevent
On Zerim inappropriately. Details of this system can be found in -<a href="http://www.xyrem.com/patient">www.xyrem.com/patient</a> success-program. Various aspects of the system are disclosed in U.S. Patent Nos. 7,668,730, 7,765,106, 7,765,107, 779,717, 7,895,059, 8,263,650, 8,457,988, 859,182, and 8,731,963.
<p dir="rtl">10 A process flow chart outlining the main steps of the Thalidomid program is provided in Figure</p>
<p dir="rtl">1. There are a number of problems with this program that make it inappropriate for use in prescribing medications for epilepsy patients.</p>
First, the program is open to all doctors regardless of their experience in treating and diagnosing the condition in question, provided they are registered. While this is not a problem for a condition with less severe symptoms, 15 this approach has been found to be inappropriate for the treatment of epilepsy, particularly severe subtypes of epilepsy.
Secondly, the system relies heavily on faxes between the pharmacist and the doctor, and this is problematic, for example, if faxes are sent to the wrong number, if the faxes are not legible, if there is any delay in the faxes sent by the doctor or pharmacist, etc.
In addition, many time-consuming steps must take place between the patient being diagnosed 20 with the condition in question and the drug being delivered.
An additional example of a patient treatment management system in the Risk Evaluation and Mitigation Strategies (REMS) program. Thalidomide. Thalidomide is used in the treatment of newly diagnosed multiple myeloma and moderate to severe erythema nodosum leprosy. Find details about this system on 25<a href="http://www.thalomidrems.com/">http://www.thalomidrems.com/</a>. Various aspects of the system are also disclosed in the patents
American numbers 6045501, 6315720, 6561976, 6561977, 6755784,
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6869399، 6908432، 7141018، 7874984، 7959566، 8204763، 8315886،
8589188 And 8626531.
A diagram outlining the main steps of the program is provided in Figure 2. There are several aspects of this program that make it inappropriate for use in prescribing medications for patients with epilepsy. First, the program
<p dir="rtl">5 Open to all doctors regardless of their experience in treating and diagnosing the condition in question, provided they are registered. In addition, any pharmacy may register to become accredited and therefore prescribe thalidomide. This can be an issue as different pharmacies may store and handle data in different ways. Therefore, while these systems have been found to be appropriate for the conditions in question by the regulatory authorities, it has been found by the inventor that they may not necessarily be suitable for the management of treatment of patients with epilepsy, given the problems</p>
<p dir="rtl">10 Specific information provided for epilepsy and associated care.</p>
Venflu Armin compositions and preparations employing the systems and methods of the subject matter include those described in Universal Patent Publication No. 177676/2014.
15
Any appropriate methods for treating epilepsy may be performed in combination with one or more aspects of the methods and systems of the subject matter (e.g., as described herein), including, but not limited to, those methods described in Universal Patent Publication No. 177676/2014, The entire disclosure is provided herein by reference.
General description of the invention
Aspects of the present disclosure include a system for controlling the distribution of a drug for the treatment or prevention of epilepsy. The system may include a central controller with a data store and one processors
<p dir="rtl">20 Or more to read and write data to the data store, as the data store includes a database of patient records. Each patient record has a medication authorization field, where the central controller can issue a license for a first prescription of epilepsy medication for a patient based on the results of the examination. Genetic review of the patient and schedules one or more subsequent examinations for the patient before authorizing one or more subsequent prescriptions for an epilepsy drug.</p>
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The systems and methods of the present disclosure could be particularly useful in the treatment of epilepsy, such as severe subtypes of epilepsy and/or refractory epilepsy, for example, D'Arvette syndrome, and/or for the management of drugs with associated side effects. The central controller may license a first or additional prescription that includes any combination of the following for a specific drug or active ingredient: dosage;
<p dir="rtl">5 the size; the number; diet; Concentration and/or durations intended for use by the patient. The central controller may issue an authorization in the event of missing patient genetic test results, incomplete and/or inconsistent data formats. The central controller can instruct and/or coordinate the patient's genetic examination and/or one or more subsequent examinations of the patient. This centralized management of the specific scan to be performed is particularly useful and can allow the central controller to detect any combination of: type 10 scan; Inspection conditions/criteria; And/or the format of the test results. Additionally or alternatively, the central controller may control/authorize one or more teams to perform the inspection.</p>
This central control not only authorizes the prescription, but also performs tests to determine patient suitability, unlike the previous area but has been determined to be particularly useful for controlling drug distribution where side effects of the drug can have significant health implications for the patient. This is central control
<p dir="rtl">15 It may also reduce or prevent misdiagnosis of one or more epileptic conditions. This has been found to be crucial for medications that have the potential to cause physiological deterioration of one or more organs over extended periods of time.</p>
In the example of a central controller describing the data formats for examination results, the data format could be mapped to patient examination data fields and/or the database format for patient records. This 20 could allow a hitherto unavailable degree of automation and/or control of drug distribution to patients.
In one example, the central controller and/or data store may include one or more screening data threshold values for authorization to prescribe a drug to a patient. The central controller or data store may include one or more computer models or algorithm to determine whether or not to authorize a prescription of the drug 25 and/or the prescription dosage/diet. A central controller can input screening results for one or more patients over time to generate a chart or trend in one or more screening data fields. He may rise
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The central controller for predicting future examination results or approaches to using one or more medications and/or patient examination data can be compiled as a reference to one or more predefined models.
This method of control is very useful in allowing the potential outcomes of a patient's treatment to be determined, for example to be able to modify or discontinue an existing prescription if it is determined that it is not effective or potentially harmful to the patient. Additionally or alternatively, these methods can allow the control system to learn patients' patterns or responses to a drug, so that the control system itself can evolve with use. These features are useful in allowing ongoing development of the care program, prescription authorization process and/or so that a central database can serve as a knowledge base.
Given the above benefits, systems, methods and/or a central database can serve as a research tool to develop understanding of one or more drugs and/or manage a facility care programme. Furthermore, the collection of information of the type described here within a central, restricted-access database allows the export of relevant data to the necessary authorities, including regulatory authorities such as the Food and Drug Administration, the European Medicines Agency, the Medicines and Healthcare Products Regulatory Agency, or similar organizations.
The controller may permit the reporting of statistics, trends or outcomes for the care programme, for example regulatory bodies and/or research partners or other organisations. Centralized maintenance of these records, for example, in a prescribed format, can therefore be an important advantage in implementing the invention.
According to various examples of the present disclosure, subsequent screening may differ from genetic screening. Subsequent examination may include a physiological examination and/or genetic examination.
The central controller may schedule (e.g., automatically) one or more subsequent examinations for a patient, for example upon receipt of the patient's examination results, upon issuance of a prescription authorization, or upon confirmation of delivery/receipt of an authorized prescription to/by the patient. The controller may The central office schedules a specific time/date and/or time period within which the follow-up examination must be performed. The timing of the follow-up examination is usually within a time period during which the authorized prescription is being used.
The central controller may issue an initial or subsequent time period during which use of the drug by the patient is authorized, for example, after requesting receipt of the results of a subsequent patient examination before additional time of use can be authorized for the patient. In one example, timing will be checked
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5
Requesting a repeat prescription, for example by a patient or doctor, for a time period specified by the central controller can usefully allow monitoring of patient adherence to treatment.
The central controller can authorize a repeat prescription for the drug based on the results of the subsequent examination. The central controller can change the authorized prescription and/or time period until an examination is ordered
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Subsequent based on the patient's examination results.
In one example, a patient record may be created on a database if genetic testing results are available to the patient. Entering the patient into the database is prohibited by the central controller unless a pre-defined format or least option of the patient's examination data fields is received by the central controller. This ability to screen patients before any possibility of authorizing a prescription is beneficial because it is a fail-safe to ensure that a single patient cannot be issued an unlicensed prescription, for example, through human error. When combined with the capability of a central controller to control initial and/or subsequent patient examinations, this provides a particularly robust system for managing patient diagnosis and drug distribution.
The control center may issue authorization for the prescription and/or distribution of the concomitant drug, either itself or through an affiliated distributor. Confirmation of receipt of the medication by the patient may be provided to the control center, for example including the time/date of receipt. The confirmation may include data referring to or any combination of the following for the specific medicine or active ingredient of the prescription being communicated: dosage; size; number; diet; Concentration and/or time period for use by the patient. Therefore, the delivered drug can be verified
By the central controller.
The central controller can start delivering prescriptions to patients. It may include a base
<p dir="rtl">20 Data contains one or more receipt address fields for each patient. Delivery may be made directly to the patient and/or does not include the prescribing physician. Therefore, the central controller can act as a central pharmacy. Additionally or alternatively, the central controller may provide a central prescribing license controller, which instructs the associated pharmacies whether or not to fill prescriptions for the end patient. Each associated pharmacy may require confirmation/authorization by the central controller before</p>
<p dir="rtl">25 Allowing the distribution of prescriptions in accordance with the patent.</p>
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The subsequent medical examination of the patient may or may not include an examination to change the patient's clinical condition. The subsequent medical examination may include an evaluation of the structure and/or function of one or more specific organs. Subsequent examination may include visualization of one or more specific organs, for example by sonography, echocardiography, or another technique.
<p dir="rtl">5 Other convenient. One or more specific organs may or may not include the heart. The results of the examination may or may not include one or more images of the organ, such as an echocardiogram. Scan results that include one or more images can be transmitted to the central controller. Additionally or alternatively, a data summary or accompanying processed/derived data may be transmitted.</p>
The system may include a portable or wearable electronic device
<p dir="rtl">10 I did not monitor the patient's health. The electronic device may include one or more measuring sensors</p>
One or more indicators of the patient's health, such as, for example, any combination of blood pressure, echocardiography, electrocardiography, heart rate, blood oxygen, temperature, lung function function. The electronic device can take readings indicating the functioning of one or more organs, which can be
<p dir="rtl">15 The organ that is the focus of subsequent examination.</p>
The electronic device may be arranged to transmit sensor data, or a subset, processing group, or results of sensor data, to, or to be received by, a central controller. Sensor results may be processed, for example, by an electronic device or a central controller, so that only certain sensor data inputs or results can be recorded by the controller on a central data store (e.g., on a database
<p dir="rtl">20 Thus, continuous, continuous or intermittent patient monitoring and processed sensor data can be used so that only key indicators can be fed into the central data store. For example, one or more algorithms can be used to process the sensor data and produce a normal or abnormal indicator , or deterioration in, the patient's health in response to the care program.</p>
The results from the electronic device can be used by the central controller to determine/issue
<p dir="rtl">25 Change to the patient's scheduled medical examination and/or change of prescription authorization or change of drug prescription.</p>
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A central data store can include the database of licensed caregivers, such as medical professionals. Licensing to treat and/or write a prescription for a patient may require the patient's input to be linked to physician content within the database of licensed caregivers. This could also allow control over which doctors are able to prescribe the medication. This unprecedented level of control can be used to ensure that only key experts or previously vetted specialists are authorized to prescribe the drug. In a second aspect of the present disclosure there is provided a method for controlling the distribution of the drug, as one or more drugs, in accordance with the system of the first aspect. The method or system may include a method/system for operating a patient care program. In a third aspect of the present disclosure, a data carrier is provided that includes readable instructions for controlling one or more processors to act as a central controller 10 in conjunction with the first or second aspect.
Where applicable, any of the essential or preferred features identified in accordance with any aspect of the present disclosure may be applied to any additional aspect. Accordingly, embodiments of the invention may include various alternative settings for the features specified above.
Brief explanation of the drawings
<p dir="rtl">15 Embodiments of the invention are described in greater detail below by example with reference to drawings</p>
Attached, which contains:
Figure 1 shows a flow chart of the steps involved in a first example of a sponsorship program according to the previous domain;
Figure 2 shows a flow chart of the steps involved in a second example of a sponsorship program by domain
20 the previous;
Figure 3 shows an embodiment of a system and a network according to the present disclosure;
Figure 4 shows a flow diagram of the steps involved in the physician approval process according to an embodiment of the present disclosure;
Figure 5 shows a flow diagram of the steps comprising a patient consent process according to an embodiment of the disclosure
<p dir="rtl">25 Present; And</p>
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5
Figure 6 shows a flow diagram of a drug distribution process according to an embodiment of the present disclosure.
10
15
20
Detailed description:
As summarized above, it provides a system and method for centralized control of a care program and the issuance of associated prescriptions. Sponsorship programs in the former area typically focus on managing the risk of the sponsorship program. In contrast, embodiments of the present disclosure described herein are intended to facilitate a more comprehensive patient care program, which may include: 1) confirming the diagnosis, 2) verifying compliance, 3) monitoring a side effect profile and/or identifying failure to Efficacy: Regimens according to the previous scope are not suitable for the treatment of epilepsy, and, in particular, certain severe forms of epilepsy. The regimen described and claimed herein is also suitable for use in managing the treatment of patients with other conditions, the care of which involves the same or similar concerns in proportion to severity of symptoms, prognosis, compliance, side effects and efficacy. The present disclosure provides a care program that includes one or more drugs known to adversely affect a patient's life expectancy. Existing systems and methods are appropriate for care programs where the drug(s) have a cumulative adverse effect on the patient's health over extended periods of time, such as months or years. In these circumstances, careful prescribing and drug distribution can be used to control the balance between the effectiveness of the drug and the negative impact on other aspects of the patient's health.
The present systems and methods have been developed for use with specific drugs as described below that have side effects that require greater control than that provided by prior art. In such cases, it has been found that controlling the initial prescription and/or frequency of ongoing prescriptions according to specific patient examinations can significantly improve patient outcomes.
There are a large number of subtypes of epilepsy. While all forms of epilepsy trouble both the patients themselves as well as their parents, caregivers and friends, some subtypes of epilepsy are more severe than others. By “severe” a reference is created for, for example, subtypes of epilepsy that are refractory and/or characterized by seizures of status epilepticus. Includes subtypes
Of epilepsy such as, but not limited to, D'Arvette syndrome, Lennox-Gastaut syndrome,
<p dir="rtl">25 West syndrome, Doose syndrome and/or other refractory types of epilepsy.</p>
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The system described and purported herein is suitable for use in the management of patients with epilepsy with any suitable drug, if provided alone, as a preparation or as a combination containing other bioactive drugs, which is useful in the treatment of epilepsy. In some aspects, the drug is a receptor agonist, antagonist or allosteric 5 modulator. In certain aspects, the drug is active at one or more 5-HT receptor subtypes and/or subunits thereof. In some aspect, the drug induces neurotransmitter or neuropeptide synthesis, storage, release, degradation, reuptake and/or activity. In another aspect, the drug is an ion channel blocker. In certain aspects, the drug is a drug that adjusts the balance between transitions
<p dir="rtl">10 Excitatory and inhibitory neurotransmissions in the brain of a patient with epilepsy. In some respects, a drug is a drug known to be effective in patients with epilepsy who have one or more genetic mutations. In certain respects, the drug is a drug known to be effective for patients with epilepsy who are unresponsive to drugs commonly used to treat epilepsy.</p>
<p dir="rtl">15 In some respects, the system is suitable for use in the management of patients with epilepsy</p>
Using a drug, drug preparation, or drug composition that either directly or indirectly induces the activity of one or more 5-hydroxytryptamine receptors in the patient's brain when an effective dose of such compound or composition is administered to said patient. In some embodiments, one or more than one 5-hydroxytryptamine receptor is selected
<p dir="rtl">20 or more than 5-hydroxytryptamine-1,5-hydroxytryptamine (5-HT1).</p>
Tryptamine 1A 5, (5-HT1A) 5-hydroxytryptamine 1A-Hydroxytryptamine 1B-5 5, (5-HT1B) hydroxytryptamine 1B-Hydroxytryptamine 1C 5-(5-hydroxytryptamine 1C 5,) 5-HT1C-Hydroxytryptamine 1D) 5-hydroxytryptamine 1D (5-HT1D), 5-hydroxytryptamine 1E (5-HT1E)
25 5, (5-HT1F) hydroxytryptamine 1F-hydroxytryptamine 2 2 5-(5-hydroxytryptamine
5 5-hydroxytryptamine 2A, (5-HT2A) 5-hydroxytryptamine 2A
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Tryptamine 2B 5, (5-HT2B) 5-hydroxytryptamine 2B-Hydroxytryptamine 2C-5 5, (5-HT2C) hydroxytryptamine 2C-Hydroxytryptamine 3 3 5-( 5-hydroxytryptamine 5, HT3-Hydroxytryptamine 4, 5- 5-hydroxytryptamine, 5-hydroxytryptamine 5a, 5-hydroxytryptamine 5b, 5-hydroxytryptamine 6, and 5-hydroxytryptamine 7, among others. In certain embodiments, the drug is a receptor agonist, antagonist, or an aggressor Allosteric modulator.
Thus, according to one aspect of the present invention, there is provided a system suitable for use in managing the treatment of a patient with epilepsy using a drug, drug preparation or drug combination that elicits activity of one receptor, some of the receptors or all of the foregoing receptors.
<p dir="rtl">10 In some respects, the system disclosed and claimed herein is suitable for use in processing management</p>
Patients with epilepsy using a drug, drug preparation or drug combination that is effective in inducing the synthesis, storage, release, dissolution, reuptake, and/or activity of one or more neurotransmitters or neuropeptides that is involved in triggering one or more epileptic symptoms. Or cause its intensity, frequency or duration. In certain embodiments of this aspect of the invention, the neurotransmitter 15 can be a transporter of dopamine, serotonin, and γ-aminobutyric acid.
GABA (gamma aminobutyric acid), among others. In one exemplary embodiment, the neurotransmitter is serotonin.
In another aspect of the invention, the system is suitable for use in the administration of therapies using drugs that act as ion channel blockers. In one embodiment the drug 20 is a sodium channel blocker.
In some respects, the system disclosed and claimed herein is suitable for use in the management of treatment of patients with epilepsy using drugs, drug preparations or drug combinations that are effective in preventing or treating the symptoms of epilepsy in patients who possess one or more genetic mutations. 25 Such mutations may include but are not limited to those involving the onset, frequency, severity or duration of epileptic symptoms, including but not limited to seizures. Examples of such mutations include, but are not limited to: Mutations in sodium voltage-gated alpha subchannel genes
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1 Channel Alpha Subunit (SCN1A) (such as partial or complete deletion mutations, truncation and/or missense mutations, such as in voltage regions or S4 or S6), Sodium Voltage-Gated Alpha Channel 1B (such as the region that encodes the subunit Sodium channel beta subunit 1), sodium voltage-gated alpha subchannel 2a, sodium voltage-gated alpha subchannel 3a, alpha subchannel
<p dir="rtl">5 Voltage-gated sodium 9a, gamma-aminobutyric acid type A gamma 2-gamma receptor module.</p>
Such as the region where (GABRG2) aminobutyric acid type A receptor subunit gamma2
Encoding the gamma 2 subunit, gamma-aminobutyric acid type A delta subunit
Such as the area where (GABRD) Aminobutyric Acid Type A Receptor Subunit Delta
Encoding the delta subunit and/or protocadherin 19 (PCDH19). Therefore, according to
<p dir="rtl">10 As an additional aspect of the present invention, there is provided a system suitable for use in managing the treatment of a patient with epilepsy who displays a mutation in one, some or all of the foregoing genes.</p>
In some respects, the system disclosed and claimed herein is suitable for use in the management of treatment of adolescent patients. In certain embodiments, the age of the patient is less than 18 years, such as less than 15, less than 10, less than 5, less than 2 years, less than 18 months, less than 1 year, less than 6 months, or
<p dir="rtl">15 From 1 month to 6 months. In certain embodiments, patients are 18 years or younger, such as 15 years or younger, 10 years or younger, 5 years or younger, 2 years or younger, 15 months or younger, 1 year or younger, 6 months or younger, or 1 month to 6 months.</p>
In certain aspects, the frequency and amounts of doses will vary according to the needs of the individual patient. Dosage can be twice daily, daily, once every two days, four times a week, three times a week,
<p dir="rtl">20 Five marts a week, six marts a week, once a week, twice a week or once a month. Dosage amounts will vary according to patient variables including, but not limited to, age, weight, severity, frequency, and/or nature of symptoms. In certain embodiments, dosage is used in a lower amount of about 0.8 mg/kg/day, about 0.7 mg/kg/day, about 0.6 mg/kg/day, about 0.5 mg/kg/day, About 0.45 mg/kg/day, About 0.4 mg/kg/day, About 0.35 mg/kg/day, About 0.3 mg/kg/day,</p>
<p dir="rtl">25 About 0.25 mg/kg/day or 0.2 mg/kg/day to about 0.1 mg/kg/day, about 0.05 mg/kg/day, or about 0.01 mg/kg/day. In certain embodiments, dosing of the drug of interest is performed</p>
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In an amount of 0.8 mg/kg/day or less, such as 0.7 mg/kg/day or less, 0.6 mg/kg/day or less, 0.5 mg/kg/day or less, 0.45 mg/kg/day or less, 0.4 mg/kg/day or less, 0.35 mg/kg/day or less, 0.3 mg/kg/day or less, 0.25 mg/kg/day or Less, 0.2 mg/kg/day or less, 0.1 mg/kg/day or less, 0.05 mg/kg/day or less, or 0.01 mg/kg/day or less.
<p dir="rtl">5 In addition, the dose is administered orally, by intramuscular or intravenous injection, or by any other convenient means.</p>
Drugs used in therapies for which current detection systems are useful may be administered alone, or as a drug preparation in which the drug is combined with inactive ingredients, which may include dispersants, preservatives, buffers, dyes or...
<p dir="rtl">10 flavoring agents, among others. Drugs may be administered with non-ablative agents that may also be antiepileptic active or have other bioactives.</p>
Any suitable drugs can benefit from the systems and methods in question. In certain embodiments, the system is useful for administering treatments using one or more of the following drugs: cannabidiol, carbamazepine, clemizole, clobazam,
15 Fenfluramine, midazolam, stiripentol, topiramate and valproate. In certain embodiments, the drugs can be chemical derivatives, or metabolites of those compounds. In certain embodiments, the drug is conjugated to an antibody or peptide derived from an antibody which, in some cases, can give rise to the specificity, activity, half-life, metabolism of the drug or other aspects of the activity
20 Bio.
In some examples, the drug is a cannabinoid. In some cases, cannabinoids are substances similar to the cannabimimetic effect of cannabis, such as 9-tetrahydrocannabinol. Cannabinoids of interest include, but are not limited to, 5,4-dihydro-2-methyl-4(4-morphophenylmethyl)-1-(1-naphthalenyl-carbonyl)-
25 116-Pyrrolo3,2,1-1-lequinoline-3-one-(4,5-dihydr0-2methy]-4(4-m0rph01inylmethyl)
[15()71055,212 l-(l-naphthaleny]-carbony])-6H-pyrrolo[3,2,li,j]quinolin-6-one
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Cannabidiol, a derivative thereof, a metabolite thereof or a conjugate thereof. In some examples, the drug is carbamazepine, a derivative thereof, a metabolite thereof or a conjugate thereof. In some examples, the drug is klemizole, a derivative thereof, a metabolite thereof or a conjugate thereof. In some examples, the drug is a derivative, derivative, metabolite, or conjugate of Kloba. In some examples,
<p dir="rtl">5 The drug is midazolam, a derivative thereof, a metabolite thereof, or a conjugate thereof. In some examples, the drug is stiripentol, a derivative thereof, a metabolite thereof or a conjugate thereof. In some examples, the drug is a tobiramate, a derivative thereof, a metabolite thereof or a conjugate thereof. In some examples, the drug is valproate, a derivative thereof, a metabolite thereof or a conjugate thereof. In some examples, the drug is an active agent of fenfluArmine, such as fenfluArmine, a derivative thereof, a metabolite thereof, or a conjugate thereof</p>
<p dir="rtl">10 from him. In certain aspects, the drug is a chemical derivative of fenfluarmin. In certain examples, the drug is a fenfluramine antibody conjugate. In some embodiments, the active agent of fenflu-armine is fenflu-armine, or a pharmaceutically acceptable salt thereof. In certain embodiments, the active agent of fenflu-armine is an analogue of fenflu-armine, or a pharmaceutically acceptable salt thereof. Includes emulators</p>
<p dir="rtl">15 FenfluArmin is of interest to, but is not limited to, those analogue compounds that are resistant to N-dehydration.</p>
N-dealkylation, for example, by metabolizing enzymes such as cytochrome P
20
25
450 Cytochrome P450 2D6 (CYP2D6). In some cases, fenfluramine analogs have structures that confer reduced affinity for cytochrome P450 2D6 to the molecule, while maintaining the activity of a desired target. In certain examples, fenfluramine analogues have structures that confer resistance to metabolism By cytochrome P450 2D6.
Aspects of the methods of the subject matter include treating and/or preventing epilepsy in a patient comprising administering an effective dose of a fenfluarmin active agent (e.g., fenfluarmin) or a pharmaceutically acceptable salt thereof to a patient. In certain embodiments, the method includes preventing and/or improving seizures In a patient diagnosed with epilepsy, it involves administering an effective dose of the active agent of fenfluarmine (e.g., fenfluarmine) or a pharmaceutically acceptable salt thereof to a patient. In certain examples, the active agent of fenfluarmine is fenfluarmine. In certain examples, the active agent of fenfluarmine is a fenfluarmine derivative. In examples
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5
10
15
20
25
In certain cases, the active agent of fenfluarmine is a metabolite of fenfluarmine. In certain examples, the active agent of phenfluarmine is a phenfluarmine conjugate. In certain examples, the patient suffers from D'Arvette syndrome.
Aspects of the methods of the subject matter of treating and/or preventing Dravet syndrome in a patient include administering an effective dose of the active agent of fenfluarmin (e.g., fenfluarmin) or a pharmaceutically acceptable salt thereof to the patient. In certain embodiments, the method includes preventing and/or Improving seizures in a patient diagnosed with Dervet syndrome involves administering an effective dose of a fenfluarmine active agent (e.g., fenfluarmine) or a pharmaceutically acceptable salt thereof to the patient. In certain examples, the fenfluarmine active agent is fenfluarmine. In certain examples, the active agent of fenfluarmine is a fenfluarmine derivative. In certain examples, the active agent of fenfluramine is a metabolite of fenfluramine. In certain examples, the active agent of fenfluarmine is a fenfluarmine conjugate. In some embodiments of the method, the patient expresses a mutation in one, some or all of genes selected from the group consisting of sodium voltage-gated alpha subchannel 1a, sodium voltage-gated alpha subchannel 1b, sodium voltage-gated alpha subchannel 2a, alpha channel Sodium voltage-gated subunit 3a, sodium voltage-gated alpha channel subunit 9a, gamma-aminobutyric acid type A receptor subunit gamma 2, gamma-aminobutyric acid type A delta subunit and protocadherin 19. The method includes administering to the patient an effective dose of an active agent of Fenflu. Armin (e.g., Venflu Armin) or a pharmaceutically acceptable salt thereof.
Aspects of the present disclosure include a method of stimulating one or more 5-hydroxytryptamine receptors in the brain of a patient by administering an effective dose of a fenfluarmin active agent (e.g., fenfluarmin), or a pharmaceutically acceptable salt thereof, to the patient, the 5-hydroxytryptamine receptor selected One or more tryptamines of the group consisting of one or more of 5-hydroxytryptamine 1, 5-hydroxytryptamine 1a, 5-hydroxytryptamine 1b, 5-hydroxytryptamine 1c, 5-hydroxytryptamine 1d, 5-hydroxytryptamine 1e, 5- 1-Hydroxytryptamine, 5-Hydroxytryptamine 2, 5-hydroxytryptamine 2a, 5-hydroxytryptamine 2b, 5-hydroxytryptamine 2c, 5-hydroxytryptamine 3, 5-hydroxytryptamine 4, 5-hydroxytryptamine 5, 5-hydroxytryptamine 2a
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tryptamine 5a, 5-hydroxytryptamine 5b, 5-hydroxytryptamine 6, and 5-hydroxytryptamine 7. In certain embodiments of the method, a patient is diagnosed with D'Arveit syndrome.
In certain embodiments of the methods described herein, the effective dose is from about 0.5 mg/kg/day to about 0.01 mg/kg/day. In certain embodiments, the effective dose is administered as one or more 5 doses for oral, injectable, transdermal, inhaled, nasal, rectal, vaginal or parenteral delivery. In certain embodiments, the one or more dosage forms are a liquid preparation. In certain examples of the method, the active agent of fenfluarmin is used as a single-drug treatment
monotherapy. In certain cases, the effective dose of an active agent is co-administered
<p dir="rtl">10 Fenflu-Armine (e.g., Fenflu-Armin) or a pharmaceutically acceptable salt thereof, with one or more combined therapeutic agents.</p>
more. In certain embodiments, the one or more combined therapeutic agents are selected from the group consisting of carbamazepine, ethosuximide, fosphenytoin, and lamotrigine.
lamotrigine, levetiracetam, phenobarnitol, progabide,
topiramate, stiripentol, valproic acid, valproate
15 valproate, verapamil, and benzodiazepines (such as Cloba Azeme, clonazepam)
clonazepam, diazepam, ethyl loflazepate, lorazepam and midazolam (or a pharmaceutically acceptable salt thereof). In certain embodiments, the patient is 18 years of age or younger.
In certain embodiments, central control is provided to an organization, in some cases, a drug development and/or supply organization. In some cases the control steps are provided with machine-readable code 20 in the form of a program or firmware that runs on a network computer system under the organization's control. However, certain control steps may be implemented at least in part by manual intervention in conjunction with control software and, accordingly, various combinations of manually initiated and/or automatically initiated control steps are imagined as would be understood by a person skilled in the field.
Turning first to Figure 3, where an overview of a system is provided according to an example from the invention, 25 comprising a central control system 10, a medical facility 12 responsible for the care of a patient and a patient's residence 14. The examples of the invention described below are based on data communications between devices Convenient and,
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As such, it is possible, in certain examples of the invention, for the necessary data communications to be established via electronic devices, such as portable communications devices, associated with the patient and/or care provider rather than buildings or accommodations. As such, although a common implementation of the invention would involve various premises 12 and 14, they are not essential to the definition of the invention.
<p dir="rtl">5 The central control system 10 includes a 16drug storage facility,</p>
Typically a secured storage facility with restricted access, it can allow the central control facility to act as a central pharmacy for one type, or a limited number, of drugs prescribed in accordance with the invention. The computer system for operating the central control system may be located jointly with the facility 16 or may otherwise be located remotely but jointly, for example through a local network.
<p dir="rtl">10 As broad or extensive as necessary.</p>
The computer system supporting the central control system 10 includes one or more servers 18 for controlling the sending and receiving of data communications to/from the central computer system, in some cases over the Internet, for example, via TCI/IP communications, or Another suitable wide area network over which the central control system 10 can communicate with
<p dir="rtl">15 Patients and/or relevant medical professionals.</p>
The mainframe system further includes a data store 20, comprising one or more non-volatile data storage devices, upon which a patient database 22 is maintained. In this example, the data store 20 further includes a medical professional, e.g., physician, database 24 and/or a property inventory database 26 for a property storage facility 16. A warehouse may be located
<p dir="rtl">20 The total data is 20 at a single site or distributed over several sites as necessary, for example with different databases or sections of it maintained at different sites/buildings.</p>
The server 18 and data store 20 may be provided as part of a local 28 area network. The central controlling network 28 may include one or more electronic devices 30, such as personal computers, to allow operator interaction
<p dir="rtl">25 With central control system. Such electronic devices permit, via one or more appropriate interfaces, any combination of data entry, data modification, data review/search and/or data output,</p>
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For example by routing data transmission from a data store to a receiver, printer or other conventional output device. The one or more user electronic devices in some cases include a screen or other conventional display device. Multiple servers 18 and/or actuator devices 30 may be adapted to access a shared data store 20.
<p dir="rtl">5 The medical facility 12 in some cases includes a hospital, surgery center, clinic or the like,</p>
One or more doctors are associated with her to treat epilepsy. Appropriate clinicians may include recognized experts, and in some cases key experts, in the appropriate medical setting or treatment area.
An experiment 32 may be provided for performing one or more medical examinations in accordance with current examination at the medical facility 12, or may be accessible therein under the control of a central computer system.
<p dir="rtl">10 A communication device 34 connected to the medical facility and/or expert doctor allows for remote data communication with the server 18 for the purpose of the invention.</p>
The system further includes an electronic communication device for one or more patients 36, such as a personal computer, laptop, mobile phone, tablet or similar device through which the patient can send/receive communications with the server 18 or communication device 34.
<p dir="rtl">15 Specifically, using the patient's device to communicate with the drug delivery communications between the patient and the central control system. In certain examples, patient device 36 functions may be assigned to deliver and/or receive the prescription to the medical facility device 34 or a local pharmacy to confirm delivery/receipt of the prescription by the patient.</p>
In some examples, the system also includes a patient monitoring device
<p dir="rtl">20 38 device includes one or more sensors to measure physiological parameters</p>
One or more indications of the patient's health. In certain examples, the monitor includes one or more sensors for measuring a temperature function, such as a heart rate and/or blood pressure sensor. The patient monitoring device in some cases includes a portable and/or wearable electronic device, for example, having a power source, capable of emitting readings to the patient's communication device 36 and/or directly
<p dir="rtl">25 To server 18 or medical facility device 34. For example, a wrist strap device or other device integrated with, or shared with, a mobile phone or similarly may be</p>
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5
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15
It is used for this purpose, in a similar way to traditional health monitoring technology. However, in some cases, the patient monitoring device 38 is configured for automated communication with the server 18 either directly or indirectly in order to ensure that the necessary format data is provided and/or at the necessary times/periods.
The patient monitoring device 38 may also be preprogrammed to take and/or collect measurements in a predetermined format, for example, over a predetermined period or according to a predetermined number of variables or readings. In certain cases, the patient monitor may only transmit aware data when the aforementioned pre-defined variables have been found, for example to ensure continuity of readings and/or to ensure that a pre-defined data format is recognizable to the server18. Additionally or alternatively, data transmitted by a patient monitoring device may include one or more identifiers, by means of a packaged master, metadata, identifying header, or the like, in order to indicate which patient record to which the data relates. This can allow for an automated update of the patient database 22 when the central control system receives appropriate readings or associated/derived data from the patient monitoring device.
An example of how to run an epilepsy care program using the system previously described is described below with reference to Figures 4-6.
A key requirement for the operation of the Care Program system is that a physician proposing a prescription for a patient must first be identifiable and pre-approved on the mainframe system, as shown in Figure 4, before a request can be authorized to either enter a patient into the patient database, or Otherwise, he prescribed a drug to a patient. Approval for a physician to refer patients into the system of care requires a number
20 Of audits to satisfy the doctor.
Such audits may include one or more of the following criteria in the appropriate area of patient care: qualifications of the physician; Number of years in practice; Reputation as an expert; Number of articles published and/or approved references. In certain embodiments, it is intended that the approved standards will ensure such a high threshold that approval will be available only to key experts in the field, rather it will be available25 to any qualified physician or specialist.
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In certain embodiments, the prescriber of drugs under the sponsorship program may additionally or alternatively require approval before the prescription is authorized by a master control system. Any one or any combination of the foregoing approval criteria may be applied to a prescriber approval process under the Care Program. A remote prescriber may be approved to receive a referral from a pre-determined number of one or more 5 approved doctors/referees.
The physician database 24 contains details of approved physicians and associated consent criteria, for example by several fields relating to the consent criteria recorded for each physician. An approved legal status field may also be provided for each physician entry into database 24. Database 24 may include details of physicians awaiting consent, such that 10 certain consent fields may be incomplete or insufficient to allow consent to be authorized.
The doctor database in some cases includes a unique identifier for each doctor as well as the doctor's name, contact details and an associated medical business organization or manager. An approval rating can be created and provided in an additional field for each doctor in the database 24.
Once approved, the physician may refer a patient to the care program by sending 15 associated requests to server 18 containing certain authorization data fields, including the patient's name, postal address details and any other appropriate contact details. The request can include a diagnosis, acuity index, or associated examination results for a patient. The remote patient referral request is processed by server 18 as shown in Figure 5. The patient details are recorded in the remote patient database 22 by the server. Each patient record includes a field that refers to the physician
<p dir="rtl">20 Referrer using an ID corresponding to the entry corresponding to the 24 doctor database. Only when it is registered</p>
With the appropriate ID of a pre-approved physician, the patient can be evaluated to be authorized for treatment under the program.
The process of assessing patient suitability includes analysis of the patient's medical examination results, in some cases including genetic testing. The genetic testing is scheduled and performed under the control of the central control system 25 10, that is, by a drug company that controls the distribution of the drug in question. Controlling the patient suitability screening process in this way ensures that results can be performed according to defined standards of compliance and/or that
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Test results data are provided in a pre-defined format that can be scanned by a program that runs upon patient approval. A genetic test schedule is generated by a central control system and sent to the patient, physician, and/or operator. The operator may include one or more employees of the drug company and/or an organization examined and approved by the drug company to perform the examination in accordance with
<p dir="rtl">5 predetermined conditions. Once approved by recipients, the genetic test is scheduled and the time/date is recorded, so the central control system awaits receipt of the test data.</p>
If genetic testing results do not meet patient approval criteria, a communication is sent to the approving physician and/or patient indicating unsuitability for the program of care. In certain examples, a record of successful/unsuccessful patient referral requests may be maintained for each physician. In certain examples,
<p dir="rtl">10 Genetic testing is necessary as only patients with specific genetic mutations have the relevant indication. Taking into account the adverse side effects of the drug, in some cases, such patients should not be treated unless absolutely necessary.</p>
In addition to genetic testing, one or more physiological tests may be performed under the control of the care program operator to determine the patient's sensitivity to one or more known side effects of the care program 15 medication. Such an examination may include images of, and/or subsequent examination of, one or more diseased organs. In a care program for one or more severe epilepsy subtypes, a certain medication may cause a decline in cardiac awareness and accordingly echocardiography or examination of the circulatory system may be performed in such cases.
If the results of genetic and/or physiological testing meet the approval criteria, the results of the testing can be registered
<p dir="rtl">20 The patient record can be updated to a status approved for the care program. Information about the care program, including possible side effects of the drug, is provided to the patient via an appropriate medium, including a website, data carrier, documentation, or other conventional means. In certain cases, it is necessary for the patient or facility to confirm that he or she has returned, understands and accepts the risks associated with the care program. The patient's acceptance can be recorded by</p>
<p dir="rtl">25 The central computer system recorded the patient in the database 22 before entering the prescription distribution and developed the patient monitoring program as depicted by Figure 6.</p>
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In certain examples, an initial drug prescription for a patient is determined by the central control system 10 in accordance with patient data recorded in the database, such as age, sex, height/weight, medical history and/or examination results. A mainframe computer system, such as for example a personal computer (PC) or server 18, issues a prescription label containing patient data 5 and the prescription to be applied to one or more prescription containers 40. In some cases, the system also issues a document Or a receipt tag containing the receipt address for the prescription. This documentation/tags can be printed at the storage facility in order to be applied to the prescription prior to shipment.
In certain examples, the patient's initial prescription is packaged, labeled and dispatched from the drug storage facility 16 in accordance with details issued by the central control system. The timing and date of sending can be recorded
<p dir="rtl">10 The prescription is on the patient's record and the confirmation of receipt field is provided in the patient database 22. Confirmation of positive receipt of the prescription by the patient or medical facility 12 may be provided to the server 18 and recorded in the patient database 22. This confirmation may be provided by completing the receipt of a prescription From the Internet, in some cases requiring the recipient to register with an online site or network portal provided by the server 18. In addition or alternatively, each recipe may include:</p>
<p dir="rtl">15 Single identifier, where confirmation of receipt is verified only by reconnecting the single identifier to server 18 by the recipient. The recipient's definitive acknowledgment and prescription can thus be accommodated. In certain examples, a mobile communication device carried by the courier may provide an interface for deterministic verification of delivery of the prescription in the manner described above.</p>
The timing/date of the prescription can be recorded on the patient record along with the duration or time range 20 for an accompanying prescription. The system may then issue a final date by which a repeat prescription will be authorized, preceding, or coinciding with, the date the initial prescription was discontinued. Unlike traditional repeat prescriptions, a repeat or additional prescription under a care program is not authorized by the central control system unless acceptable additional medical evaluation results are recorded on the patient database22. Such results may be gained by continuous monitoring of the patient using a patient monitor 25 sent to the patient by the central control system and/or additional medical examination conducted under control/instruction.
Central control system.
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The results of the assessment may be communicated to server 18 and processed to determine the effectiveness of the drug and/or the severity of adverse effects experienced by the patient. This data can be used to determine a dose increase/decrease in repeat prescription; Stopping the medication, switching to an alternative medication and/or discontinuing the care program. This data may be used additionally or alternatively to determine the appropriate time period for an additional prescription or
<p dir="rtl">5 The appropriate time interval until further medical examination of the patient.</p>
Once the prescription delivery timing/date is received, the control system can then schedule a medical examination in preparation for approval for a repeat prescription. The medical examination can be scheduled by the control system based on an appropriate amount of time before the initial prescription expires. For example, with the initial medical examination, each additional medical examination is instructed by, and conducted under the control of, the control system.
<p dir="rtl">10 Central. Communications indicating the proposed timing/date and location of the medical examination may be transferred to the appropriate departments/devices, such as physician and/or patient devices 34 , 36 and confirmation or appointment responses are appropriate in order to confirm or reschedule the examination.</p>
In some cases, the additional medical examination differs from the initial examination and includes examination of one or more of the patient's organs, such as the heart or cardiovascular function. Accordingly, it may include:
<p dir="rtl">15 Devices used for imaging/sonography equipment, such as echocardiography equipment, to evaluate the structure and function of the heart. The results are collected, for example in device 32 or personal computer 34, according to a predetermined formula determined by the central control system. The results include one or more digital images of the heart and accompanying measurements, such as the dimensions of one or more internal structures of the heart and/or the flow rate through it.</p>
<p dir="rtl">20 In cases where the test results are read and/or interpreted by a human operator, e.g</p>
Doctor, nurse, specialist nurse practitioner or other trained medical worker, test results such as EKGs, electrocardiograms, echocardiograms or other test results may be sent to a central or local reading center to be read by an expert. Someone who has specialized or additional training or is very experienced, such as a doctor, specialist doctor, or trained specialist
<p dir="rtl">25 Customized or local expert doctor. The use of central facilities provides consistency and quality</p>
and improved reliability of the assessment.
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The results are transmitted to the server 18, for storage in the patient database 22 along with the actual date/time of the examination. Results can be evaluated manually and/or automatically (automatically) by one or more algorithms or routines dictated by a program on the mainframe system. A pre-defined format allows the results to be compared with previous examination results, in order to evaluate changes in the patient’s health5 during care under the program . The algorithms may include one or more simple thresholds to determine a patient's suitability for ongoing prescription of a drug, such as fenofloarmine. In certain cases, algorithms may additionally or alternatively process/plot medical examination data over time in order to determine a gradient, trend or other data characteristic in the results. Therefore, algorithms may identify one or more models of a patient's response to a drug or other aspects of a care program and may classify a patient's response to a care program, for example in terms of ongoing risk to the patient's health, and/or predict the patient's future health over the course of the program. .
Methods for assessing a patient's response to a care program are useful in changing the administration of a prescription for a specific patient. The care program also allows for the means to research and continually evolve the care program in response to the results of the patient's treatment. This is facilitated by a controlled method, where the 15 best prediction of the outcome of a patient's treatment can be used at each stage of repeat prescription. A specific data format is also highly desirable. Data can be compared between patients and statistical evaluation performed on all available variables to continuously update and improve understanding of the effects of different patient and treatment factors. Whereas, centralized control of the care program provides outcome and knowledge, with which algorithms or models of patient response to the care program can be improved.
<p dir="rtl">20 In an embodiment of sending a patient's neck monitoring device 38 in addition to or instead of a medical examination</p>
Additionally, in some cases the device is worn, used routinely/frequently, or carried by the patient so that it allows continuous monitoring of one or more indicators of the patient's health. In light of the effect of the above-described fenfluarmin or other antiepileptic drugs on the cardiovascular system, a patient monitor can monitor cardiovascular function. Depending on the specific application of the invention, the device may be used to monitor the patient's neck to prevent seizures
patient and issue an alarm or other alert signal for notification by the caregiver. In this
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Embodiment, the caregiver may manually enter details of each observed episode, eg into a patient notes, personal computer or other computer device for transmission to a central control system. Thus, the patient monitoring device can be an independent device that does not connect itself to the central control system. Different levels of communication can be implemented between the patient monitor and a computer/LAN or system
<p dir="rtl">5 The same central control exists in other embodiments of the invention.</p>
In some embodiments, a patient monitoring device may be used to determine the number, regularity, duration and/or severity of seizures experienced by a patient during a treatment period. In certain embodiments, the patient monitoring device may include one or more algorithms to determine the seizure type based on sensor readings.
In certain embodiments, a patient monitoring device may be used to check/control correct administration
<p dir="rtl">10 For medication for/by the patient. The patient monitor may include a clock/timer and a user interface for entering the time at which the patient takes the medication. The patient monitoring device may include one or more alarms or other alerting means to indicate when a medication is approaching or overdue according to a predetermined routine or the time since a previous medication was recorded.</p>
In any of these embodiments, the felt/recorded results may be transmitted from the patient monitoring device
<p dir="rtl">15 To the central control system in order to be evaluated and stored against the patient record. The results of the device may be processed by the device itself or by a central control system to indicate data characteristics and/or trends indicative of the patient's health or response to treatment under the care program.</p>
The use of a wearable mobile device for epilepsy monitoring can be particularly useful in epileptic seizures that can be easily sensed/diagnosed and a corresponding alert signal can be sent in real time.
<p dir="rtl">20 For any or any combination of the central control system, the patient's physician and/or other care volunteer. For injurious or long-lasting seizures this alarm signal can be crucial in ensuring that appropriate care is provided to the patient.</p>
In some examples, a patient monitor can be usefully used to monitor patients. The operational status of the patient monitoring device itself can also be monitored so that any error or anomaly can be flagged
<p dir="rtl">25 of the device to the patient, caregiver or central control system. In the event of a device malfunction, the central control system can schedule a medical examination for the patient before repeating the prescription. The way it was done</p>
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5
The patient monitoring device described above can be used in combination with medical examinations in order to provide an ongoing, more comprehensive assessment of the patient or it can also be used to mitigate recurrence that requires repeating.
10
15
20
Medical examinations.
The patient examination and/or monitoring process described above may be repeated for each repeat prescription cycle. Thus, the history of use of each patient's record is integrated over time, allowing the central control system not only to avoid significant patient risks previously experienced but also to replicate successful prescription systems for the requirements of each individual patient or even across a wider patient group as well.
Each prescription change can be accompanied by information transfer to the patient and/or caregiver/physician. Where with the initial information, confirmation of delivery or approval may be requested before authorizing the new prescription. In certain cases, an additional database may be maintained for care-related documentation. Each item carries an identifier. These identifiers may be recorded in the patient database upon transfer to the patient/clinician and/or receipt of consent.
In combination with central control of patient records and care program management, the central control system allows drug inventory to be monitored in a central pharmacy manner. The current inventory of one or more drugs used in the care program is saved in the drug inventory database. Each time a prescription is authorized by the central control system and dispatched, the drug inventory database can be updated with prescription details including prescription total/volume, dispatch date and prescription ID issued by the control system.
The drug inventory database is updated with confirmation of receipt received upon secure receipt of the prescription. Thus, the inventory database takes into account all inventory held in the drug's storage facility and all prescriptions in transit. On the other hand, a drug inventory database can include a prescription duration record so that the database can be interrogated to identify summary data for effective prescriptions. This can be valuable for ensuring restricted access to a rule
Patient data, where workers can access inventory reports and other things to control inventory without
<p dir="rtl">25 The need to access sensitive personal or medical patient data. Accordingly, the inventory database 26 can be updated with the release of non-sensitive data by the patient database 2 and can have rules</p>
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These data have different access restrictions. Updating of the inventory database can be at least partially automated for example using conventional technology such as visual/printed ShiftArt or adjacent field communication chips that can be scanned/interrogated at various stages of transmission or receipt and/or upon receipt of data communications in accordance with the system described above .
<p dir="rtl">5 In any embodiments, data transmitted by any device may be encrypted or otherwise protected</p>
Using traditional means to ensure data integrity. The patient care program described above and its accompanying control system could include: i) confirmation of diagnosis, ii) verification of compliance, iii) monitoring of the side effect profile and identification of failure in efficacy, in a manner not yet proposed in the field. the previous. On the other hand, genetic screening and/or medical examinations are performed for the patient in order to be coordinated and controlled10 by the care program control system itself, that is, by the drug company, through which all test results can be correctly captured in the care program record and used properly. Complete to improve patient care.
The comprehensive nature of the care program described above coordinates large volumes of patient and program data that are useful not only in the current effective care of severe forms of epilepsy, such as 15D-Art syndrome, but also in providing a long-term registry that can serve as a research tool for epileptologists. maybe
This enables key leaders and experts in different regions or countries to gather information and potentially collaborate in improving the continuum of care. Thus, while there were challenges in developing and maintaining a system in which non-standard information was recorded, it was found that implementing this system could open up great potential in developing companion care programmes.
<p dir="rtl">20 On the other hand, automation of many processes in a centralized control system can improve effectiveness</p>
Drug distribution, for example, through which packages of the drug are provided to the patient by the central pharmacy without the need for the participation of a doctor to prescribe the prescription.
Avatars
<p dir="rtl">25 Aspects of the present disclosure include a system for controlling drug distribution in the treatment or prevention of epilepsy.</p>
In some embodiments, the system includes: a data storage facility including a database of records
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Patients, each patient record has a drug authorization field; A central controller that has one or more processors connected to a communication network, controlling the transmission and delivery of data across the network, which is coupled to a data storage facility to read and write data to the data storage facility; Through the network, the central controller issues a license for a first prescription for an epilepsy medication for a patient based on the results of the examination
<p dir="rtl">5 Genetic analysis of the patient and scheduling one or more subsequent examinations for the patient before authorizing one or more subsequent prescriptions for an epilepsy drug.</p>
In certain embodiments, the system also includes a drug storage facility having at least one epilepsy drug stored therein. In certain embodiments, the system also includes a drug storage facility having at least one epilepsy drug stored therein; The central controller monitors the property inventory in an establishment
<p dir="rtl">10 Drug storage and controls the dispatch of medications from the drug storage facility to complete the first prescription and subsequent prescriptions. In certain embodiments, the system is for controlling the distribution of drugs in the treatment of refractory epilepsy. In certain embodiments, the central controller authorizes a first or additional prescription that includes at least one of the dosage, volume, number, regimen, concentration and intended duration of use by the patient for a specified drug or active compound. In certain embodiments, the central controller gives</p>
<p dir="rtl">15 Instructs and/or coordinates a patient's genetic testing and one or more subsequent tests for the patient. In certain embodiments, the central controller determines the data format for the examination results, the data format being parallel to the patient examination data fields and/or the format of the patient records database.</p>
In certain embodiments, the central controller records screening results for one or more patients over time to generate a chart or trend in one or more screening data fields. In certain incarnations, it predicts
<p dir="rtl">20 The central controller of future examination results and/or classifies patient examination data by reference to one or more pre-defined templates. In certain embodiments, the one or more subsequent examinations comprise a physiological examination of one or more patient organs. In certain embodiments, the subsequent examination includes echocardiography. In certain embodiments, the central controller issues a subsequent period of time within which the drug is authorized for use by the patient and after which the results of a subsequent examination of the patient are required to be received before</p>
<p dir="rtl">25 License for a subsequent period of use for the patient. In certain embodiments, the central controller authorizes a repetition of at least one prescription, a change in the prescription and issues a proposal to discontinue the prescription based on the results of</p>
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5
10
Subsequent examination. In certain embodiments, the central controller monitors a patient monitor to collect data and analyze the data to determine response to treatment, and to determine seizure status and seizure types. In certain embodiments, the central controller acts as a central pharmacy for the drug and the patient database contains details of the patient's receipt address, while the central controller monitors confirmation of delivery of the drug at the receipt address.
In certain embodiments, the system further includes a portable electronic device carried or worn by the patient in order to monitor the patient's health, the electronic device comprising one or more sensors for measuring at least one of blood pressure, electrocardiogram, heart rate , blood oxygen, temperature, and lung function. In certain embodiments, the electronic device is arranged to provide sensor readings in a format that is automatically processable by a central controller. In certain embodiments, a version of the electronic device is used by the central controller to identify at least one of a change to a scheduled medical examination for a patient and a change to a prescription for the patient. In certain embodiments, the central data store includes a database of authorized medical specialists, the central controller issues authorization to one or more medical specialists upon completion of one or more data fields indicative of the reputation of the medical specialist in the field of epilepsy. In certain embodiments, the system is for controlling drug distribution
<p dir="rtl">15 In the treatment of D'Arveit syndrome.</p>
Aspects of the present disclosure include a method for controlling the distribution of a drug in the treatment or prevention of epilepsy. In some embodiments, the method includes: maintaining a central data storage facility including a patient records database, each patient record including a drug authorization field, issuing from a central controller coupled with a communications network and with the data storage facility, an authorization for a first prescription for a drug
<p dir="rtl">20 epilepsy of a patient through the communications network only in response to the results of the patient's genetic testing; Scheduling of one or more subsequent examinations by the patient's central controller before authorizing one or more subsequent prescriptions for an epilepsy drug. In certain embodiments, the method further includes monitoring the drug inventory by a central controller at a drug storage facility and controlling the dispatch of drugs to fill prescriptions.</p>
Aspects of the present disclosure include a data bus comprising a non-temporary machine readable storage medium 25 that stores instructions to control one or more processors to act as a central controller for an epilepsy drug by: controlling the reading and writing of data to a central data storage facility including a database of records
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5
Patient, each patient record includes a drug authorization field; Issuance of authorization by the central controller through a telecommunications network for a first prescription of an antiepileptic drug to a patient solely in response to the results of a genetic test for that patient registered in the patient database; and automatically schedule one or more subsequent examinations for the patient before authorizing one or more subsequent prescriptions for an epilepsy drug. In certain embodiments, the data bus also includes monitoring the drug inventory by a central controller at a drug storage facility and controlling the dispatch of drugs for prescription fulfillment.
Relay list:
“A” The doctor is registered as a prescriber in the Xerium Success Program (XSP).
<p dir="rtl">10 “B” Send the doctor’s registration form via fax to the Najah Zirim program registry</p>
<p dir="rtl">(c) Approval of the doctor’s registration</p>
<p dir="rtl">D. Diagnosing the patient with narcolepsy</p>
<p dir="rtl">“E” Filling the prescription for Xyrem</p>
<p dir="rtl">“And” sending the prescription via fax to the pharmacy</p>
<p dir="rtl">15 “G” The pharmacy verifies the validity of the prescription</p>
<p dir="rtl">“H” The admissions specialist will contact the patient if insurance coverage has been reinstated</p>
<p dir="rtl">“i” The pharmacy contacts the patient to schedule the delivery of Xerium</p>
<p dir="rtl">“Y” is delivered to the Zerim</p>
<p dir="rtl">“K” The pharmacy will contact the patient when the refill date approaches</p>
<p dir="rtl">20 “L” refills the xeremia delivered to the patient</p>
<p dir="rtl">“M” is the previous domain</p>
<p dir="rtl">“N” The physician is registered as a prescriber in the EST Thalidomide Risk Assessment and Mitigation Strategies Program</p>
Transient receptor potential (TRP)
<p dir="rtl">“S” Diagnosis of the patient</p>
25 “A” is the majority of the patient in a transient future effort
<p dir="rtl">“F” Counseling the patient regarding contraceptive methods and pregnancy testing (for females with reproductive potential)</p>
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<p dir="rtl">“R” fill out the prescription and send it to the pharmacy</p>
<p dir="rtl">“S” registers the pharmacy to become certified to dispense thalidomide</p>
<p dir="rtl">“R” The pharmacy is approved</p>
<p dir="rtl">“Sh” The pharmacy obtains a confirmation number from the thalidomide manufacturer</p>
<p dir="rtl">5 “T” supplies thalidomide to the patient</p>
"th" the end
“Kh” Are the acceptance criteria missing?
"y" the beginning
<p dir="rtl">“Z” receives doctor’s acceptance data</p>
<p dir="rtl">10 A1: Have the acceptance criteria been met?</p>
<p dir="rtl">“B1” Issuing the ID of the accepted doctor</p>
<p dir="rtl">“C1” Receiving patient referral data</p>
<p dir="rtl">D1: Have you accepted the patient's data?</p>
<p dir="rtl">“E1” Enter patient data and schedule a genetic test</p>
<p dir="rtl">15 “And 1” Are the results of the genetic test positive?</p>
<p dir="rtl">“G1” Issuing a doctor’s ID or requesting patient data</p>
<p dir="rtl">H1: Issuing a refusal of the medication</p>
<p dir="rtl">“I 1” Enter the result into the patient database</p>
<p dir="rtl">“J1” Issuing care program information to the patient</p>
20 “K1” Verify and log in to patient admission
<p dir="rtl">“L1” results of the entry examination and determination of an initial prescription</p>
<p dir="rtl">“M1” License/entry of prescription and issuance of a receipt address and mark</p>
<p dir="rtl">“N1” Send the recipe, enter the time/date and recipe ID</p>
<p dir="rtl">Q1: Do we confirm the patient’s receipt?</p>
25 “P1” Registration date and medical examination schedule
<p dir="rtl">“F1” Examine the process/monitor the results</p>
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<p dir="rtl">"P. 1" Do I have to repeat the recipe?</p>
<p dir="rtl">Q1: Should the recipe be modified?</p>
<p dir="rtl">“R1” Information to the patient/caregiver/doctor</p>
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8 sheets
Sheet 1 Sheet 2 Sheet 3 Sheet 4 Sheet 5 Sheet 6 Sheet 7 Sheet 8
40 members in 16 offices
Priority claims3
| Document | Office | Kind | Date |
|---|---|---|---|
| 201462056836 | United States of America | P | |
| 62056836 | United States of America | – | |
| 2015002081 | International Bureau of the World Intellectual Property Organization (WIPO) | W |
Members40
| Document | Office | Kind | |
|---|---|---|---|
| US2016092652A1 | United States of America | A1 | |
| CA2962367A1 | Canada | A1 | |
| WO2016051271A1 | World Intellectual Property Organization (WIPO) | A1 | |
| AU2015326472A1 | Australia | A1 | |
| SG11201702494UA | Singapore | A | |
| IL251360A0 | Israel | A0 | |
| IL251360D0 | Israel | D0 | |
| KR20170063851A | Republic of Korea | A | |
| MX2017004065A | Mexico | A | |
| EP3201808A1 | European Patent Office (EPO) | A1 | |
| CN107111673A | China | A | |
| JP2017528849A | Japan | A | |
| BR112017006219A2 | Brazil | A2 | |
| RU2017110222A | Russian Federation | A | |
| RU2017110222A3 | Russian Federation | A3 | |
| SA517381207A | Saudi Arabia | A | |
| ZA201705078B | South Africa | B | |
| US10452815B2 | United States of America | B2 | |
| RU2704749C2 | Russian Federation | C2 | |
| US2020051686A1 | United States of America | A1 | |
| AU2020202655A1 | Australia | A1 | |
| AU2015326472B2 | Australia | B2 | |
| NZ730560A | New Zealand | A | |
| SA517381207B1 | Saudi Arabia | B1 | |
| SA6929B1This record | Saudi Arabia | B1 | |
| JP6774402B2 | Japan | B2 | |
| IL251360A | Israel | A | |
| IL251360B | Israel | B | |
| IL277505D0 | Israel | D0 | |
| JP2021007038A | Japan | A | |
| US10950331B2 | United States of America | B2 | |
| CN107111673B | China | B | |
| KR102245345B1 | Republic of Korea | B1 | |
| US2021158920A1 | United States of America | A1 | |
| EP3201808B1 | European Patent Office (EPO) | B1 | |
| NZ762886A | New Zealand | A | |
| IL277505A | Israel | A | |
| IL277505B | Israel | B | |
| EP3961640A1 | European Patent Office (EPO) | A1 | |
| BR112017006219A8 | Brazil | A8 |
Numbers
- Publication
- 6929
- Publication, DOCDB
- 6929
- Application
- 418390489
- Application, DOCDB
- 418390489
Titles2
- Arabic
- نظام تحكم للتحكم بتوزيع دواء
- English
- CONTROL SYSTEM FOR CONTROL OF DISTRIBUTION OF MEDICATION
Classification
- CPC, 8
- G16H10/60
- G16H20/13
- G06F16/24573
- G16C10/00
- G16H20/10
- G16H40/20
- G16H20/70
- G16H40/67
- IPC, 5
- G06F19 00
- G16H10 60
- G16H20 13
- G16H20 70
- G16H40 67