Physician-Centric Health Care Delivery Platform

Abstract

A system for diagnosing and/or treating a patient comprising a patient information database for storing and retrieving patient health data related to the patient. The data includes one or more of real-time patient health information, at least one clinical practice guideline, at least one patient questionnaire and a patient medical history. At least one server is operative to access the patient information database. A computing device remotely located from the server, including a microprocessor, configured to store a computer application and is configured for communication with the server for retrieving of the patient health data. The computer application generates at least one of a patient diagnosis or a patient treatment recommendation using the retrieved patient health data.

What is claimed is: 
     
         1 . A system, comprising:
 a patch device with feedback control operable with control circuitry;   the control circuitry configured to interface with at least one actuator of the patch device;   at least one sensor configured to provide sensed data via at least one communication device of the patch device for the feedback control; and   wherein each of the at least one communication device is configured to communicate sensed data from the at least one sensor to a controller of the control circuitry for the feedback control.   
     
     
         2 . The system according to  claim 2 , wherein the control circuitry is configured with a microcontroller and firmware to execute programmed code thereof to adjust a drug delivery rate by the at least one actuator. 
     
     
         3 . The system according to  claim 2 , wherein an actuator control loop provided using the microcontroller and the firmware for the feedback control is responsive to the sensed data. 
     
     
         4 . The system according to  claim 3 , wherein:
 the sensed data includes first sensed data and second sensed data;   the first sensed data is from a patient prior to adjustment of the drug delivery rate; and   the second sensed data is from the patient after the adjustment of the drug delivery rate.   
     
     
         5 . The system according to  claim 4 , wherein the communication device is configured for wired communication. 
     
     
         6 . The system according to  claim 4 , wherein the communication device includes a Universal Serial Bus. 
     
     
         7 . The system according to  claim 4 , wherein the communication device is for wireless communication. 
     
     
         8 . The system according to  claim 7 , wherein the at least one sensor is configured for wireless communication with the at least one communication device for the feedback control. 
     
     
         9 . The system according to  claim 8 , wherein:
 the at least one sensor is a heart rate monitoring sensor;   the sensed data is includes circadian rhythm data; and   the patch device is configured for the adjustment of a dosage responsive to a heart rate variable and circadian relationship determined by the patch device and the sensed data.   
     
     
         10 . The system according to  claim 9 , wherein:
 the patch device includes memory coupled to store a historical record of the sensed data; and   the patch device is configured to determine treatment responsive to the sensed data including the historical record thereof.   
     
     
         11 . The system according to  claim 10 , wherein the patch device includes at least one drug reservoir, at least one micropump and at least one microneedle array accessible under control of the patch device for administration of the dosage. 
     
     
         12 . The system according to  claim 10 , wherein the patch device includes drug formulation reservoirs and a needle array accessible under control of the patch device for administration of the dosage as a formulation of more than one medication. 
     
     
         13 . The system according to  claim 10 , wherein the patch device is configured to automatically deliver medication responsive to the sensed data. 
     
     
         14 . The system according to  claim 10 , wherein the patch device is configured with the actuator control loop configured to dispense a dosage responsive to an immediate need indicated by the sensed data. 
     
     
         15 . The system according to  claim 10 , wherein the firmware is configured with a hypervolemia algorithm included in the programmed code for the treatment. 
     
     
         16 . The system according to  claim 1 , wherein the patch device is configured as a smart delivery device. 
     
     
         17 . The system according to  claim 1 , wherein the patch device is configured for wireless communication with a smart device proximate to the patch device and operative as a wireless hub. 
     
     
         18 . The system according to  claim 17 , wherein the smart device is selected from a smart phone, a laptop computing device, a personal computing device, or a tablet computing device operative as a data hub device. 
     
     
         19 . The system according to  claim 1 , wherein the patch device is configured for remote telehealth/telemedicine monitoring. 
     
     
         20 . The system according to  claim 19 , wherein the remote telehealth/telemedicine monitoring is by a physician-based clinical decision support system.