A system and method is described that enables a health care provider to monitor and manage a health condition of a patient. The system includes a health care provider apparatus operated by a health care provider and a remotely programmable patient apparatus that is operated by a patient. The health
A system and method is described that enables a health care provider to monitor and manage a health condition of a patient. The system includes a health care provider apparatus operated by a health care provider and a remotely programmable patient apparatus that is operated by a patient. The health care provider develops a script program using the health care provider apparatus and then sends the script program to a remotely programmable patient apparatus through a communication network such as the World Wide Web. The script program is a computer-executable patient protocol that provides information to the patient about the patient's health condition and that interactively monitors the patient health condition by asking the patient questions and by receiving answers to those questions. The answers to these health related questions are then forwarded as patient data from the remotely programmable patient apparatus to the health care provider apparatus through the communication network. The patient data may also include information supplied by a physiological monitoring device such as a blood glucose monitor that is connected to the remotely programmable patient apparatus. When the patient data arrives at the health care provider apparatus, the patient data is processed for further management of the patient's health condition by the health care provider, such as forwarding another script program to the remotely programmable patient apparatus.
대표청구항▼
1. A method of performing diabetes self-care by a patient with a system of integrated electronic devices, comprising: (a) powering a portable blood glucose monitor provided to said patient;(b) receiving a sufficient amount of blood from said patient for the portable blood glucose monitor to run a bl
1. A method of performing diabetes self-care by a patient with a system of integrated electronic devices, comprising: (a) powering a portable blood glucose monitor provided to said patient;(b) receiving a sufficient amount of blood from said patient for the portable blood glucose monitor to run a blood glucose test sequence;(c) controlling the blood glucose test sequence;(d) computing a blood glucose level;(e) coupling the blood glucose monitor directly to a portable microprocessor-based device also provided to said patient, wherein said portable microprocessor-based device is separate from the blood glucose monitor, the blood glucose monitor is removably coupled to said portable microprocessor-based device by said patient, and said portable microprocessor-based device includes 1) a video display for displaying information to said patient, said video display configured to display pictorial, symbolic, graphic and alphanumeric information, 2) a plurality of switches operable by said patient for interactively controlling said portable microprocessor-based device and for manipulating the information displayed on said video display, and 3) a circuit coupled to said plurality of switches for generating video signals in response to the operation of the switches;(f) transmitting blood glucose test results from said blood glucose monitor directly to said portable microprocessor-based device;(g) running program instructions stored in a memory of the portable microprocessor-based device for performing analysis of the blood glucose test results, signal processing of insulin dosage data, and detecting a need for a change in insulin dosage; and(h) recording data and time stamped blood glucose test results, calibration information, and insulin dosage information in said memory of the portable microprocessor-based device, said memory also containing programming for establishing a data protocol that allows digital data signal processing, and for performing said analysis of blood glucose. 2. The method of claim 1, the receiving including (i) inserting a test strip into a receptacle of the blood glucose monitor and (ii) applying a drop of blood to the strip. 3. The method of claim 1, further comprising displaying the blood glucose level on said video display. 4. The method of claim 1, wherein said portable microprocessor-based device comprises a palm-top computer. 5. The method of claim 1, the receiving comprising receiving a test strip including a reagent impregnated portion having blood applied thereto. 6. The method of claim 1, the controlling comprising monitoring whether a sufficient amount of blood has been applied to a reagent impregnated portion of a test strip. 7. The method of claim 6, the controlling comprising monitoring whether said test strip is properly inserted into the monitor. 8. The method of claim 1, the controlling comprising performing a test sequence to confirm that the system is operating properly. 9. The method of claim 1, further comprising running a calibration procedure by reading a code strip inserted into the monitor. 10. A method of performing diabetes self-care by a patient with a system of integrated electronic devices, comprising: (a) powering a portable blood glucose monitor provided to said patient;(b) receiving a sufficient amount of blood from said patient for the portable blood glucose monitor to run a blood glucose test sequence;(c) controlling the blood glucose test sequence;(d) computing a blood glucose level;(e) coupling the blood glucose monitor directly to a portable microprocessor-based device also provided to said patient, wherein said portable microprocessor-based device is separate from the blood glucose monitor, the blood glucose monitor is removably coupled to said portable microprocessor-based device by said patient, and said portable microprocessor-based device includes 1) a video display for displaying information to said patient, said video display configured to display pictorial, symbolic, graphic and alphanumeric information, 2) a plurality of switches operable by said patient for interactively controlling said portable microprocessor-based device and for manipulating the information displayed on said video display, and 3) circuit means coupled to said plurality of switches for generating video signals in response to the operation of the switches;(f) transmitting blood glucose test results from said blood glucose monitor directly to said portable microprocessor-based device;(g) running program instructions stored in a memory of the portable microprocessor-based device for performing analysis of the blood glucose test results, signal processing of insulin dosage data, and detecting a need for a change in insulin dosage; and(h) recording blood glucose test results and insulin dosage information in said memory of the portable microprocessor-based device, said memory also containing programming for establishing a data protocol that allows digital data signal processing, and for performing said analysis of blood glucose, and for monitoring food intake. 11. The method of claim 10, the receiving including (i) inserting a test strip into a receptacle of the blood glucose monitor and (ii) applying a drop of blood to the strip. 12. The method of claim 10, further comprising displaying the blood glucose level on said video display. 13. The method of claim 10, wherein said portable, microprocessor-based device comprises a palm-top computer. 14. The method of claim 10, the receiving comprising receiving a test strip including a reagent impregnated portion having blood applied thereto. 15. The method of claim 10, the controlling comprising monitoring whether a sufficient amount of blood has been applied to a reagent impregnated portion of a test strip. 16. The method of claim 15, the controlling comprising monitoring whether said test strip is properly inserted into the monitor. 17. The method of claim 10, the controlling comprising performing a test sequence to confirm that the system is operating properly. 18. The method of claim 10, further comprising monitoring food intake quantitatively in terms of “Bread Exchange” units or other suitable terms. 19. The method of claim 18, wherein said food intake monitoring comprises (i) providing a food intake menu item and using a submenu display, and (ii) providing for the selecting of one or more food items using said switches of said portable microprocessor-based device. 20. The method of claim 10, further comprising storing food intake data along with time and date tagged blood glucose test results. 21. The method of claim 10, further comprising monitoring exercise. 22. A method of performing diabetes self-care by a patient with a system of integrated electronic devices, comprising: (a) powering a portable blood glucose monitor provided to said patient;(b) receiving a sufficient amount of blood from said patient for the portable blood glucose monitor to run a blood glucose test sequence;(c) controlling the blood glucose test sequence;(d) computing a blood glucose level;(e) coupling the blood glucose monitor directly to a portable microprocessor-based device also provided to said patient, wherein said portable microprocessor-based device is separate from the blood glucose monitor, the blood glucose monitor is removably coupled to said portable microprocessor-based device by said patient, and said portable microprocessor-based device includes 1) a video display for displaying information to said patient, said video display configured to display pictorial, symbolic, graphic and alphanumeric information, 2) a plurality of switches operable by said patient for interactively controlling said portable microprocessor-based device and for manipulating the information displayed on said video display, and 3) a circuit coupled to said plurality of switches for generating video signals in response to the operation of the switches;(f) transmitting blood glucose test results from said blood glucose monitor directly to said portable microprocessor-based device;(g) running program instructions stored in a memory of the portable microprocessor-based device for performing analysis of the blood glucose test results, signal processing of insulin dosage data, and detecting a need for a change in insulin dosage;(h) recording blood glucose test results and insulin dosage information in said memory of the portable microprocessor-based device, said memory also containing programming for establishing a data protocol that allows digital data signal processing, and for performing said analysis of blood glucose; and(i) indicating trend information of said patient. 23. The method of claim 22, the receiving including (i) inserting a test strip into a receptacle of the blood glucose monitor, and (ii) applying a drop of blood to the strip. 24. The method of claim 22, further comprising displaying the blood glucose level on said video display. 25. The method of claim 22, wherein said portable, microprocessor-based device comprises a palm-top computer. 26. The method of claim 22, the receiving comprising receiving a test strip including a reagent impregnated portion having blood applied thereto. 27. The method of claim 22, the controlling comprising monitoring whether a sufficient amount of blood has been applied to a reagent impregnated portion of a test strip. 28. The method of claim 27, the controlling comprising monitoring whether said test strip is properly inserted into the monitor. 29. The method of claim 22, the controlling comprising performing a test sequence to confirm that the system is operating properly. 30. The method of claim 22, further comprising displaying trend information in graphic format. 31. The method of claim 22, further comprising displaying trend information in alphanumeric format. 32. The method of claim 22, further comprising displaying daily or weekly trend information, or both.
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