DE102020129402A1 - System for collecting, storing, editing and monitoring patient data - Google Patents

Abstract

The invention relates to a system for capturing, storing, processing and monitoring patient data with a database for storing patient data in a central patient file and different access devices for accessing different groups to the patient data stored in the database in the patient file, characterized in that the different Groups are assigned different authorizations for capturing, storing, processing and monitoring different patient data on the database and the different access devices are designed for the exchange of data with one another.

Description

The invention relates to a system for recording, storing, processing and monitoring patient data.

Nowadays many people, especially in industrialized and emerging countries, are diagnosed with a chronic illness, such as kidney, heart, circulatory, glandular and diabetes diseases or the like. People with such a diagnosis are dependent on monitoring their health status and, if necessary, taking medication regularly at fixed times in the daily routine according to a medication plan.

As a rule, health monitoring in the private, non-stationary area is such that different physiological parameters, such as body temperature, blood pressure, blood sugar level, blood oxygen saturation and the like, are measured with different devices and with standard values for can be compared to the respective patient. In order to be able to trace the chronology of these measured values, it is advisable to note the respective measured variable and the time of the measurement. The problem here, however, is that these physiological variables measured at the respective points in time are generally not available to a treating doctor in order to take them into account when making a diagnosis and a medication plan during a doctor's visit.

In addition, medication monitoring currently looks like that the corresponding dosage of the drug or the drugs for a certain period, for example one week, is carried out on a daily basis with one portioning, the dosage on one day in the morning, noon and evening. For this purpose, corresponding doses are filled into individual compartments of a subdivided storage container for this period of time, for example one week. Regardless of the fact that errors can easily occur in this portioning of the corresponding dosages and that different medications can be mixed up, so that the wrong medication can occur, this procedure has a decisive disadvantage. Many medicines are packed in a sealed package so that they cannot come into contact with the environment. This is done against the background that many drugs can lose their effectiveness if they come into contact with air. This loss of effectiveness is greater, the longer these drugs are in contact with the environment or the ambient air.

In addition, if the medication is stored in unsealed containers, the medication can easily become contaminated, so that the medication can also lose some of its effectiveness as a result. In serious cases it can even lead to a situation that is dangerous and even life-threatening for the patient due to contamination.

Furthermore, for patients who have problems with memory, such as, for example, often elderly people and also patients with certain diseases that affect memory, such as Alzheimer's or the like, it is often not possible at all to ensure that drugs that are already pre-portioned in appropriate doses to apply properly to a medication plan.

Against this background, the object of the invention is to provide a system for capturing, storing, processing and monitoring patient data with all the features of the preamble of claim 1, in which all groups or persons involved in the treatment of a patient have access to those for them have relevant patient data. According to a further concept of the invention, it should also be ensured that a medication plan provided by the doctor can be safely adhered to without having to pre-portion the medication or medication over a predetermined period of time and only remove the medication from the sealed pack shortly before ingestion of the drug can take place, so that a reliable adherence to the medication plan is given without the drug being contaminated beforehand.

This object is achieved by a system for acquiring, storing, processing and monitoring patient data with all the features of claim 1. Advantageous embodiments of the invention can be found in the subclaims.

The system according to the invention for capturing, storing, processing and monitoring patient data has a database for storing patient data in a central patient file and different access devices for accessing different groups to the patient data stored in the database in the patient file. The invention is now characterized in that the different groups are assigned different authorizations for capturing, storing, processing and monitoring different patient data on the database, and the different Access devices are designed for the exchange of data with one another.

The inventive design of the system for capturing, storing, processing and monitoring patient data now enables patient data to be stored centrally in a database, with different access authorizations being assigned to different groups for different data, so that the respective group only has access to receives patient data for which she has authorization. In this case, the database can be stored on a server which has appropriate communication devices in order to communicate with the access devices for different groups to access the database. Such communication devices can be, for example, radio connections, in particular encrypted radio connections, such as cellular radio connections, Bluetooth connections, WLAN connections or the like. In addition, the different access devices for accessing different groups should be able to communicate with one another so that these patient-relevant data can also exchange with one another. Since they can also communicate with the central database, the patient data in the patient record can be updated in real time on the database, so that the respective groups with access authorization can access the current patient data within the patient records stored in the database at any time.

1. a. Patienten,
2. b. Apotheken,
3. c. Arztpraxen,
4. d. Krankenhäuser,
5. e. Therapiepraxen und
6. f. Krankenkassen.

According to a first advantageous embodiment of the invention, it is provided that the different access devices are designed for at least the following groups:

1. a. Patients
2. b. Pharmacies,
3. c. Doctor's offices,
4. d. Hospitals,
5. e. Therapy practices and
6. f. health insurance companies.

The different access facilities for these different groups ensure that all groups involved in the treatment of a patient, such as doctors, pharmacies, hospitals, therapy facilities, health insurance companies and the patient himself, have access to the data relevant to them. The corresponding patient data in the patient file on the database can contain different access authorizations or restrictions for different groups. This ensures that the respective group only has access to the data intended for it. Basically, it should be noted that only doctors or hospitals have write access to diagnostic data and the correspondingly proposed therapy measure data, so that unauthorized groups cannot save a diagnosis or ordered therapy measure in the file.

However, it is possible and also useful for different groups to have read access to patient data in order to be able to extract the data relevant to them from the patient record on the database. For a pharmacist, for example, this can be the prescription issued by the doctor and a corresponding medication plan for the prescribed medication. It is therefore also sensible to grant certain groups write access to selected areas of the patient record. In particular, pharmacies should be able to record the drugs dispensed to the patient, in particular with a link to a prescription and dispensing time issued by a doctor, in the patient file.

According to a further concept of the invention, an access device for patients for access to the system according to the invention is designed with at least one communication device, at least one memory device and at least one signal device. With this access device for patients, at least one drug name and a medication plan can be stored in a memory device via a communication device. Furthermore, the signal device is designed to use the medication plan stored in the memory device to indicate that the at least one medication is being taken in the appropriate dosage.

An access device for pharmacies is also designed for access to a system according to the invention with at least one communication device, at least one storage device and at least one signal device to receive data from the database and to send it to the database, in particular to receive data on the medication of a patient with the Exchange database.

Furthermore, an access device for medical practices is designed for access to a system according to the invention with at least one communication device, at least one storage device and at least one signal device in order to receive data from the database and to send it to the database, in particular for medical diagnosis and therapy data of a patient to exchange with the database.

Furthermore, an access device for therapy practices for access to a system according to the invention with at least one communication device, at least one memory device and at least one signal device is designed to receive data from the database and send it to the database, in particular to receive data on the therapy of a patient with the Exchange database.

An access device for hospitals for access to a system according to the invention is also designed with at least one communication device, at least one memory device and at least one signal device in order to receive data from the database and to send it to the database, in particular for medical diagnosis and therapy data of a patient to exchange with the database.

Furthermore, an access device for health insurance companies is designed for access to a system according to the invention with at least one communication device, at least one storage device and at least one signal device in order to receive data from the database and to send it to the database.

This ensures that the patient is informed at the right time in accordance with the medication plan by the device for medication monitoring to take his medication in accordance with his individual medication plan. This is particularly helpful for patients who have problems with memory, such as, for example, often elderly people and also patients with certain diseases that affect memory, such as Alzheimer's disease or the like, for example, since they are prompted by the patient access device to adjust their medication accordingly to apply a medication plan correctly both in terms of time and dosage. In addition to the advantage that the indication enables precise compliance with the medication plan, it is particularly advantageous according to the invention that pre-portioning according to a medication plan is not necessary and the corresponding medication can only be removed from the sealed pack immediately before use. However, it can also be provided that the access device for patients communicates with a medicament storage device and the corresponding doses of the medicaments to be administered are then provided by this. All medications that have been prescribed for the patient can be inserted into the medication storage device, whereby it is advantageous to store them within the medication storage device after appropriate recognition and / or coding of the respective medication in order to avoid mix-ups and thus false medications. This ensures that neither a contamination of the medicament nor a loss of effectiveness of the medicament through contact with air occurs over a long period of time. In this respect, this device ensures that the dosage, as provided by the medication plan, is actually administered, which cannot be ensured in the event of contamination or a loss of effectiveness.

Another advantage of the is that the at least one drug name and a medication plan can be communicated to the patient access device during a doctor's visit by the doctor using a communication device of an access device for medical practices to communicate the at least one medication and the medication plan stores a storage device of the access device for patients. This filing of the medication and the medication plan can take place directly on site in a mobile device carried by the patient, for example a smart watch or the like. Alternatively, it is also possible to transfer the drug name and the medication plan via a wireless connection, in particular via an Internet connection, to a device according to the invention that is not physically present at the doctor's office or to the central database. The patient can access this stored data by means of his patient access device if he wants to collect or order the medication from a pharmacy. In the pharmacy, however, the access device for patients can also communicate with an access device for pharmacies, which in turn retrieves the issued prescription by communicating with the database.

Another advantage of the system according to the invention is that the treating doctor has access to the patient's data stored in the database, which can be a complete medical record of the patient and thus also diagnosis and therapy data from other doctors. This is particularly advantageous if a doctor from a different specialty treats other symptoms of the patient and has also drawn up a corresponding medication plan. Against this background, the attending physician can compare the medication he wants to prescribe for the patient with the medication plans already in place and thus exclude or at least minimize possible side effects and interactions in advance by taking a wide variety of medications.

After the attending physician has prescribed the appropriate medication to the patient and uses his or her medication plan Has transferred the access device for medical practices to the database, the access device for patients can regularly indicate to the patient via a signal device to buy the corresponding drug in a pharmacy. As long as the purchase has not been confirmed via a communication device of the device, this reminder is repeated at regular intervals, for example every 30 minutes.

Alternatively, it can also be provided that the order of the medication prescribed by the doctor through the system according to the invention is ordered directly in a pharmacy using a wireless connection, for example via a radio link and / or the Internet, and is made available for collection or sent directly to the patient's place of residence becomes.

Of course, it can also happen that the patient is unable to get the drug from a pharmacy on the day of the doctor's visit. In this case, he has the option of postponing the reminder function for a certain period of time, for example one day. In this case, the reminder function to buy the medication would only start on the following day.

After the patient has bought the medication and has confirmed this via the communication device of the access device for patients, this reminds the patient from now on when the respective medication is to be taken or appled.

According to an advantageous embodiment of the invention, it is provided that a communication device is designed to identify this at least one medicament by means of a communication device after the instruction to take a medicament. On the basis of the medication plan, a signal device is instructed to communicate the dosage of the at least one medication. Only when the medication has been identified is the reminder function for taking the medication deactivated and only activated again when the next dose is scheduled according to the medication plan. The drug can be identified by means of a barcode scanner that scans the barcode of the drug packaging. The corresponding barcodes of the individual drugs are in a database of the system according to the invention, to which it has access, for example, by means of an Internet connection. Alternatively, it is also possible to identify drugs using a camera and, for example, a text recognition program.

According to a further concept of the invention, it is provided that a communication device of the access device for patients is designed to confirm the intake of the at least one medicament in accordance with the medication plan. This communication device can be designed as a key device, for example in the form of a touchscreen. However, it is also possible that the intake of the drug is confirmed in accordance with the medication plan by means of a voice input, the access device for patients having a voice recognition system for recognizing the voice input.

A communication device of the patient access device is advantageously designed to store the pack size of the at least one medicament in a memory device, with a processor device calculating the supply of medicament based on the confirmation of the intake of the at least one medicament in accordance with the medication plan and storing it in the memory device. This embodiment of the invention makes it possible for the current medicament supply to be always stored in a memory device of the access device for patients. In this respect, the patient always has the exact medication supply in view without having to inspect the individual medication packages.

It is particularly advantageous if a communication device generates a request to purchase the at least one medicament when the supply of the at least one medicament falls below a limit value. As a result, the patient is requested by the patient access facility to ensure that the at least one drug is replenished.

However, it is particularly advantageous if this request is preferably designed as a message for automated reordering in a pharmacy. This makes it possible for the pharmacy to be automatically informed of the subsequent procurement by one of the access devices for pharmacies and to initiate a corresponding order or preparation of the medicament. Furthermore, the message that the pharmacy should send the drug to the patient's place of residence can also be sent directly.

If the medication plan has not been adhered to by the patient, a communication device of the access device for patients is designed to be automated in accordance with the medication plan after the at least one medication has not been confirmed Send a warning that the medication plan has not been adhered to. This is particularly important in view of the fact that a confidant of the patient is informed about non-compliance with the medication plan and can then contact the patient accordingly, if necessary, and point out compliance with the medication plan. This also makes a possible emergency situation of the patient immediately accessible to the person of trust if the person of trust cannot reach the patient with his advice that the medication plan is not being adhered to.

It is then also advantageous if the access device is portable for patients, preferably designed as a smart bracelet or the like. With this embodiment of the invention, the patient always has the patient access device with him. This is not only important in view of the fact that the patient can be informed about the intake according to the medication plan at any time. Rather, due to the portable design of the device, in particular as a smart bracelet or the like, it is possible for the patient access device to also have a device for determining the location of the device and thus of the patient. This makes it possible to locate the patient in an emergency situation, for example when he is unconscious, and to arrange for rapid assistance.

According to a further concept of the invention, it is also possible that the access device for patients has an emergency signaling device. In this way, the patient himself can proactively send an emergency message - which can also be saved in advance as a voice message. This can be done, for example, by actuating a corresponding key or by a voice command to a communication device of the device according to the invention. Here it is necessary that at least one communication device of the access device for patients is designed as a speech recognition system.

In a further embodiment of the invention, the access device for patients has at least one device for recording and storing physiological variables, such as body and skin temperature, blood pressure, heart rate, electrocardiogram or the like. This measure makes it possible for these physiological data to be recorded and stored with the device according to the invention. As soon as these data exceed limit values of tolerance ranges, the access device for patients can be designed to initiate appropriate emergency measures, in particular signaling of nursing staff or an emergency doctor, a person of trust or the like. In addition, long-term monitoring of the corresponding physiological data of the patient can take place in this way.

The access device for patients can be designed as a smart wearable device, such as a watch, a bracelet or a necklace with an optionally connected device. The connected device can in turn be a smart device, such as. B. a ring, a disk, a hat, an earring, contact lenses or the like. The access device for patients can also be designed as a device that can be injected or implanted into the body.

The access device for patients can contain a display screen and can be equipped with basic functions such as the detailed display of physical activity, saving and recording, and uploading to basic data sets on a server or the database. The recorded movements and activities can be analyzed and uploaded to the basic data sets. These basic data sets can be viewed by the patient on the server or the database, whereby the display on the access device for patients can be limited in time for security reasons, the display disappearing after a specified time and possibly deleting data stored on the access device for patients, which however can be stored in and in the basic data sets on the server or the database.

In the event that the patient access device takes the form of a bracelet, watch, ring or collar, the sensors are distributed on all parts of the device, in particular on a belt or a fastening strap of the patient access device.

An attached device may be equipped with a patient access device verification, compliance and approval system to ensure that medication to be taken at base time is securely dispensed as soon as the patient access device is coupled to the attached device that the correct medication is present and out of the reach of children.

The access device for patients can also be designed for wireless charging of a storage device for electrical energy.

In addition to the presence of solar or photovoltaic cells, the device should be continuously supplied with electrical energy. For this purpose, for example, the heat of the patient's body can be used, who is wearing the patient access device. The pulse movement of the patient wearing the patient access device can also be used to generate electrical energy, as can the movements of the patient himself.

The attached device can be an insulated and unbreakable medication box that is resistant to heat, moisture and corrosion. Internally it is divided into several pockets. In each pocket there is a certain supply of a certain medication that has been named and distributed by the pharmacist or doctor, as well as the patient's need for the medication.

When the time of taking a medication is signaled in order to bring the medication to the main device, there is also an alarm signal on the box. As soon as the patient approaches the box, the medication to be taken is automatically dispensed into a pocket in the device. In this case, the carrier or holder of the patient access device can open this small pocket by pressing or fingerprinting and apply the medicament.

If the patient does not open the bag in order to take the indicated medicine, the box returns the medicine to its place within a predetermined period of time, for example half an hour, and signals the non-consumption to the patient.

Furthermore, the patient access device can contain a pocket for placing an emergency pill, in which there is a place for one or two completely isolated medication doses and which can be opened either in emergencies according to a sensor registration or by fingerprint or by voice etc. If the patient access device is a smart bracelet, stretch it to close or open it to put it on or take it off. The corresponding command can be given, for example, by means of a voice command or fingerprint recognition.

The access device for patients also has an infrared transmitter and / or a camera for examining the skin by means of infrared rays or automatic imaging. This will periodically check the skin to determine if there is a potential lack of water and how sensitive the skin is, which can be both indicators of infection in the body.

The access device for patients can have an air pressure measuring sensor for detecting the ambient air pressure. In the event of a pressure drop, the patient access device can trigger an alarm or, via the emergency signaling device, trigger an emergency due to a pressure drop.

The access device for patients can also have an altimeter for recording their height above the stand or the height above sea level.

A sensor for measuring the oxygen content of the air and for warning of lack of oxygen can also be integrated in the access device for patients.

The access device for patients can also have a CO ₂ sensor in order _{to warn of an excessively high CO 2} content in the air.

The patient access device can also issue a warning of approaching people who suffer from infections or high temperatures within 2 meters, provided that the other person wears and communicates with an appropriate patient access device.

By means of a location detection, for example via GPS, the access device for patients can generate a reminder or warning, for example for Alzheimer's patients, when leaving a geographical area, which was previously stored in a defined manner on the access device for patients.

By means of an electrical contact contained in the access device for patients, tremors, in particular hand tremors, can be counteracted by stimulating corresponding nerves with electrical charges.

Furthermore, the access device for patients can have a sensor for monitoring and examining the movement of the body and the changes in physiological measured variables during sleep, such as blood pressure or the like that occur in dreams, in particular nightmares. This data can be saved in the database and retrieved from it for comparison with later events.

By means of a movement sensor within the access device for patients, a tremor or a trembling frequency of the hand can be determined and thus predictions about the early detection of Parkinson's disease can be made.

It activates the status of the blind or visually impaired when they move. Since it is equipped with laser light and waves to scan the road at a certain distance to be determined, the image is sent to the patient by sound inside headphones or through the device itself, or by sending brain waves to show the patient the way.

Perhaps it uses its own independent communication system through its own towers and a complete network that does not require the Internet. These towers or stations provide a wireless charging mechanism in the event of presence. Wireless charging is available at home to ensure continued effectiveness and enable energy saving and rely on the pulse to perform the necessary tasks such as powering the device or charging.

The access device for patients has rechargeable electrical accumulators, in particular via solar and / or photovoltaic modules. Furthermore, the heat generated between the access device for the patient and the body is converted into electrical energy and the accumulators are thus also charged

Further goals, advantages, features and possible applications of the present invention emerge from the following description of exemplary embodiments with reference to the drawings. In this case, all of the features described and / or illustrated in the form of themselves or in any meaningful combination form the subject matter of the present invention, regardless of how they are summarized in the claims or their reference.

• 1: ein Ausführungsbeispiel eines erfindungsgemäßen Systems in einer schematischen Darstellung,
• 2: ein Ausführungsbeispiel einer Zugangseinrichtung für Patienten des Systems gemäß 1,
• 3: die Zugangseinrichtung für Patienten gemäß 2 in einer schematischen Darstellung mit daran angeordneten Komponenten,
• 4: ein Ausführungsbeispiel einer Zugangseinrichtung für Arztpraxen,
• 5: ein Ausführungsbeispiel einer Zugangseinrichtung für Apotheken in einer schematischen Darstellung,
• 6 bis 8: verschiedene Ablaufdiagramme einer Kommunikation zwischen verschiedenen Zugangseinrichtungen und einer Datenbank eines erfindungsgemäßen Systems,
• 9: Darstellung verschiedener Funktionen auf einer Zugangseinrichtung eines erfindungsgemäßen Systems und
• 10: ein Ausführungsbeispiel eines Ablaufplans einer möglichen Notfallsignalisierung.

It shows:

• 1 : an embodiment of a system according to the invention in a schematic representation,
• 2 : an embodiment of an access device for patients of the system according to FIG 1 ,
• 3rd : the access device for patients according to 2 in a schematic representation with components arranged on it,
• 4th : an embodiment of an access device for medical practices,
• 5 : an embodiment of an access device for pharmacies in a schematic representation,
• 6th to 8th : various flow diagrams of a communication between different access devices and a database of a system according to the invention,
• 9 : Representation of various functions on an access device of a system according to the invention and
• 10 : an embodiment of a flow chart of a possible emergency signaling.

In 1 is a system according to the invention 10 for capturing, saving, editing and monitoring of patient data with a database 11 for storing patient data in a central patient file and with different access facilities 12th to 17th for patients, pharmacies, medical practices, hospitals, therapy practices and health insurance companies. With arrows there is the possibility of communication between the individual access devices 12th to 17th and the database. However, it is also possible that the individual access devices 12th to 17th communicate with each other and exchange data, which then with the database 11 can be synchronized.

That in the 2 illustrated embodiment of an access device 12th for patients of the system according to the invention 10 for medication monitoring is designed as a smart bracelet. There are two in one housing in the device 1 arranged communication devices 4th and 5 shown, on the one hand, as a barcode reading scanner 4th and on the other hand as an information screen, in particular a touch screen 5 are trained. In the case 1 Storage devices and processor devices that are not drawn are integrated here.

The case 1 comes with a bracelet 6th connected, with the help of which the device according to the invention can be attached to the arm of a patient. There is also a blood pressure sensor on the bracelet 2 arranged, with the help of which the blood pressure of the wearer of the smart bracelet can be monitored. The blood pressure sensor communicates with in the housing 1 arranged communication, storage and processor devices.

For the energy supply of the smart bracelet are present on the bracelet 6th arranged photovoltaic cells 7th intended. Using the barcode scanner 4th For example, a barcode of a drug packaging and thus the drug name can be stored in a storage device within the housing 1 can be read.

In addition, a medication plan can be uploaded to the device for medication monitoring via a further communication device, for example via a voice recognition system not used here by means of a voice input are stored in a memory device. The uploading of a medication plan can also be uploaded to a memory device within the device for medication monitoring via wireless or wired communication of a medication plan input device, such as is available to a doctor, for example. The medication plan input device can be designed, for example, as a data processing system or as a computer.

If the medication and the medication plan are now stored in a memory device within the device for medication monitoring, a processor device of this device can use the barcode scanner 4th read-in drug name with the medication plan in the memory device within the housing 1 compare and the patient by means of a communication device, here for example via the information display screen or touchscreen 5 Inform or prompt you to take the respective medication in accordance with the medication plan. In principle, it is also possible for this information to be given acoustically via a loudspeaker, not shown here.

As soon as the patient is asked to take a drug, he can pick up the appropriate drug pack and remove it from the device using the barcode scanner 4th let identify. After the device has confirmed via appropriate communication devices that it is a drug to be taken at this point in time and has also reported what dose the patient has to take, the patient can now take the drug out of the sealed packaging in the appropriate dose and apply it. This procedure ensures that the medication is safely stored in the sealed package until it is consumed, so that there can be no contamination or no loss of effectiveness due to contact with air.

After the patient has taken the medication according to the medication plan, he confirms this via a corresponding communication device. On the one hand, this can be a voice recognition system; on the other hand, it is also possible for this confirmation to be provided via the display, which for example is a touchscreen 5 is carried out. Within the device, the processor now recalculates the supply on the basis of the supply size stored in the memory device and the amount of medicament applied and saves it as a new supply. As soon as the drug supply falls below a certain limit value, the patient is now signaled that a subsequent procurement of the drug is necessary in order to ensure the continuous administration of the drug.

The patient can now obtain the drug himself from the pharmacy, if necessary after issuing a new prescription from the attending physician. Alternatively, it is also possible for the device to send a corresponding message to the doctor to be treated to issue a new prescription and to the pharmacy to provide or also send the medicament. For this purpose it can be provided that the device has a corresponding receptacle 3rd has a SIM card for integration so that the device can send corresponding information. Alternatively, it can also be provided that such communication with the doctor or pharmacist takes place by means of a wireless Internet connection, in particular a WLAN connection.

In principle, it is also possible here for the entire content of a health insurance card or the health insurance card itself to be integrated within the device. This enables the doctors to be treated to have full access to the entire disease and medication files of the patient to be treated, so that they can adapt their treatment to treatments that other doctors may have carried out in parallel or previously. In this way, adverse drug interactions can be avoided or at least minimized.

The device according to the invention can also be adapted to specific patient groups who have specific physical deficits. So it is z. B. possible that the device communicates purely acoustically with severely visually impaired people via a speech system, while hearing and speech impaired patients communicate with the device via a visual and / or tactile system.

In 3rd is now a schematic of an access facility 12th shown for patients with the various integrated electronic components. As can be seen from this, this contains access device 12th various processors, such as a CPU, a DPU, a multimedia processor, a data processor and a touch-sensing screen, a memory for data and a rechargeable energy store. In addition, the access device has 12th via one or more communication interfaces for various communication modules, such as for example an I / O module, an NFC module, a SIM card, an RF interface, a Bluetooth module, a WiFi module. Furthermore, the access device has 12th via various sensors, which are only shown here in the form of a GPS sensor, a sensor manager and a sensor hub. Furthermore, the access device has 12th via an audio / video codec, an audio driver, a loudspeaker, a microphone, a camera, a light, a vibration module and an RTC module. Furthermore is in the access facility 12th an emergency signaling integrated, which can be activated in a simple manner, for example manually using an emergency button or acoustically with an emergency word.

In 4th is now an access facility 14th for medical practices shown schematically. Such an access facility 14th can for example be a data processing system of any form, in particular a personal computer, a notebook or a tablet computer or a smart device. By means of the access device 14th various functions are possible for doctors. For example, the entire patient file, which is stored on a server or a database, can be processed by means of the access device for medical practices. For security reasons, it makes sense if a log is kept within the patient record of who made which input or change to the patient record and when. By means of the access device 14th medical practices can perform various functions. This includes B. planning a medication, filling out prescriptions, issuing referrals, entering various diagnoses as well as medication and therapy plans and recording various physiological data of the patient.

In 8th is now shown how a communication between an access device 12th for patients, an access facility 14th for medical practices and the database 11 can be done. In a first step, the access device connects 12th of the patient with the access device 14th in the doctor's office. This access facility 14th the doctor's office connects to the database in a second step 11 of the system according to the invention, after which in the database 11 in a third step, access to the patient record of the access device 12th is granted for patient-carrying patients. Access is enabled by the access device 12th the patient a corresponding code via the access device 14th the doctor's office to the database 11 is transmitted, whereby a release for the access of the doctor's office to the patient file of the access device 12th pregnant patient. However, access can also be granted by having the database 11 upon request from the access facility 14th the doctor's practice sends a confirmation message to the access facility 12th of the patient and the patient can confirm access to the patient file. If the patient refuses to confirm, the entire process is closed and the access facility is closed 14th the doctor's office does not have access to the patient files of the access facility 12th pregnant patient. If he refuses the confirmation several times, the database can 11 or the operator of the database 11 directly with the doctor who has the access facility 14th Tried for doctor's offices has the patient records of the access facility 12th to open the pregnant patient, get in touch to clarify the access request.

However, if the patient has confirmed the confirmation message, the database gives 11 the access of the access device 13th the doctor's practice so that the treating doctor has access to the patient's file. Via the access facility 14th the doctor can now access the patient file. The system can be designed in such a way that the patient can use his access device 12th cannot take any action while the doctor has his access device 14th has opened the patient's medical record. Only after the doctor has closed the patient file does the patient have access again via his access device 12th .

In the 5 is an embodiment of a possible access device 13th shown schematically for pharmacies. In particular, it can be seen here that in particular via this access device 13th Prescriptions and medication functions can be carried out by the pharmacy and a communication with that of an access facility 17th the health insurance company and an access facility 12th is possible for patients. The pharmacist receives via his access facility 14th For example, a prescription for the patient and then searches in a corresponding database for medicines for the medicine issued on the prescription. If this prescription is not available and the pharmacy cannot produce it itself, the unavailability will be indicated on the access device 13th displayed by the pharmacy and an order process triggered. This is done through the access facility 13th the pharmacy then the access facility 11 communicated by the patient. As soon as the existing medication has been delivered to the pharmacy, the patient can communicate with the access facilities 12th and 13th be informed about it and pick up the drug at the pharmacy. Alternatively, the pharmacy can also deliver the drug directly to the patient. If the medication is available, a confirmation is given and the medication is given to the patient. After the medication has been handed over to the patient, the access device communicates 13th the pharmacy with the access device 11 of the patient, confirming the purchase and delivery of the medication and the corresponding medication plan on the access facility 11 of the patient. Corresponding information is also sent to the database 11 transmitted and stored in the patient file.

6th and 7th show an example of such a communication of the access device 12th of a patient with the access device 13th a pharmacy and the database 11 . The access devices communicate via an interface 11 and 13th of the patient and the pharmacy with one another, the identity of the patient being confirmed, for example, via a barcode. The access facility 13th the pharmacy then communicates with the database 11 that in turn with the access facility 11 communicates with the patient and, if necessary, sends a confirmation message to the patient, which the patient must confirm so that the pharmacist can use his access device 13th on the patient's data in the database 11 can access. If the patient does not confirm, the process is closed. If the patient refuses to confirm the confirmation several times, the database kicks in 11 or the database operator in connection with the pharmacist and clarifies his request.

However, does the patient have the confirmation message for the database 11 sent, then the database sends 11 the prescriptions available for the patient or only selected prescriptions to the access facility 13th of the pharmacist. If the pharmacist has now sold the drug to the patient and given it to him, he confirms this via his access facility 13th . As long as the pharmacist has his access device 13th on the database 11 or the patient file on the database 11 access is for the patient via his access device 12th blocked or at least restricted.

In the 9 is now a schematic representation of various functions, for example on an access device 12th shown at a doctor's office. These are on the one hand personal data of the patient, a corresponding medication plan of the patient, possibly with the information how the supply of medication is still in the patient as well as the possibility of making an appointment to check and, if necessary, change the medication plan. A function is also shown that enables full access to the patient's medical, diagnostic and therapeutic data, so that the doctor has a complete overview of the chronology of the patient's treatment. This can also contain all the improvements in physiological data relating to the patient, such as blood tests, blood pressure measurements, cardiograms, and the like, for example.

In the 10 is now the possibility of emergency signaling via the access device 11 of the patient. This emergency signaling can be automated or activated actively by the user. This activation can then be confirmed or switched off. After confirmation, it is possible for various sensors, such as a GPS sensor, a camera and / or a microphone, to be activated so that the corresponding emergency can be displayed at various institutions, such as the police, ambulance or civil protection, and communication with the user and the institution. If the user is no longer able to communicate, the location of the user can be determined using the signal from the GPS sensor and further measures can be taken.

List of reference symbols

1

casing

2

Blood pressure sensor

3

admission

4th

Barcode scanner

5

Touch screen

6th

bracelet

7th

Photovoltaic cells

10

system

11

Database

12th

Access facility

13th

Access facility

14th

Access facility

15th

Access facility

16

Access facility

17th

Access facility

Claims (13)

System (10) for capturing, storing, processing and monitoring patient data with a database (11) for storing patient data in a central patient file and different access devices (12, 13, 14, 15, 16, 17) for access by different groups the patient data stored in the database in the patient file, characterized in that the different groups are assigned different authorizations for capturing, storing, processing and monitoring different patient data on the database and the different access devices are designed to exchange data with one another. System according to Claim 1 , characterized in that the different access devices (12, 13, 14, 15, 16, 17) are designed for at least the following groups: a) patients, b) pharmacies, c) medical practices, d) hospitals, e) therapy practices and f) Health insurances. Access device (12) for patients for access to a system according to Claim 2 is designed with at least one communication device, at least one memory device and at least one signal device to receive data from the database and send it to the database, in particular to exchange data for medication monitoring with the database and to send physiological data to the database. Access device according to Claim 3 , characterized in that i at least one medication name and a medication plan can be stored in the at least one memory device via a communication device, the at least one signal device being designed to indicate the intake of the at least one medication based on the medication plan stored in the memory device, and preferably after the indication of the one signal device by means of a communication device to identify this at least one drug, particularly preferably a communication device is designed to confirm the taking of the at least one drug according to the medication plan, wherein a communication device is designed to store the package size of the at least one drug in a memory device to store, wherein a processor device based on the confirmation of the intake of the at least one medicament in accordance with the medication plan the supply of the medicament is calculated and stored in the memory device and a communication device generates a request to purchase the at least one medicament when the supply of the at least one medicament falls below a limit value, this request preferably being designed as a message for automated reordering in a pharmacy, preferably a communication device after the at least one medication has not been confirmed in accordance with the medication plan, a warning message is automatically sent stating that the medication plan has not been adhered to. Access device according to Claim 3 or 4th , characterized in that it has a device for determining the location. Access device according to one of the Claims 3 to 5 , characterized in that it is portable, preferably designed as a wearable, in particular as a smart watch, smart bracelet or the like. Access device according to one of the Claims 3 to 6th , characterized in that it has at least one device for recording and storing physiological variables, such as blood pressure, heart rate, electrocardiogram, blood sugar, skin moisture or the like, and particularly preferably has an emergency signaling device. Access device according to one of the Claims 3 to 7th , characterized in that the at least one storage device of the access device for patients synchronizes its memory content with the database for the patient data by means of a communication device. Access device for pharmacies for access to a system according to Claim 2 is designed with at least one communication device, at least one memory device and at least one signal device to receive data from the database and to send it to the database, in particular to exchange data on the medication of a patient with the database. Access device for medical practices for access to a system according to Claim 2 is designed with at least one communication device, at least one memory device and at least one signal device to receive data from the database and to send it to the database, in particular to exchange medical diagnosis and therapy data of a patient with the database. Access device for therapy practices for access to a system according to Claim 2 with at least one communication device, at least one storage device and at least one signal device is designed to receive data from the database and to send it to the database, in particular to exchange data on therapy of a patient with the database. Access device for hospitals for access to a system according to Claim 2 is designed with at least one communication device, at least one memory device and at least one signal device to receive data from the database and to send it to the database, in particular to exchange medical diagnosis and therapy data of a patient with the database. Access device for health insurance companies for access to a system according to Claim 2 is designed with at least one communication device, at least one memory device and at least one signal device to receive data from the database and to send it to the database.

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