# US 2021/0345103 A1 · Transparent Secure Link for Point-of-Care Devices

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- Number: US 2021/0345103 A1
- Document ID: US20210345103A1
- Status: Published application
- Kind: A1
- Application number: 17/243,655
- Filed: 2021-04-29
- Published: 2021-11-04
- Earliest claimed: 2020-04-30
- Assignees: Laboratory Corporation of America Holdings
- Applicants: Laboratory Corporation of America Holdings
- Inventors: Edward Dunn; Gordon Lo
- Web page: https://patentgrep.com/patent/US20210345103A1

## CPC

- G16H 10/60: for patient-specific data, e.g. for electronic patient records
- H04W 12/037: of the control plane, e.g. signalling traffic
- G16H 10/40: for data related to laboratory analysis, e.g. patient specimen analysis
- G16H 15/00: ICT specially adapted for medical reports, e.g. generation or transmission thereof
- G16H 40/67: for remote operation
- G16H 80/00: ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
- H04L 63/04: {for providing a confidential data exchange among entities communicating through data packet networks}
- H04W 12/03: Protecting confidentiality, e.g. by encryption
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- H04W: WIRELESS COMMUNICATION NETWORKS (broadcast communication H04H; communication systems using wireless links for non-selective communication, e.g. wireless extensions H04M1/72)
- H04L: TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION (arrangements common to telegraphic and telephonic communication H04M)

## Abstract

Aspects and features relate to a system that transparently connects point-of-care testing (POCT) devices with electronic health records associated with a remote laboratory information system (LIS) to report test results in real time or near real time. POCT results can be received from the POCT device at a mobile computing device. The mobile computing device and the POCT device are located outside the LIS environment, for example, at a physician office or remote clinic. The mobile computing device can use its own data broker to configure low-level instrument protocol data from the POCT device for secured transmission over a wide-area network infrastructure. The POCT results can be subsequently received in the LIS environment and provided to the LIS to transparently populate an electronic medical record (EMR) with the POCT results. In some examples, the LIS or a hospital information system can also update a point-of-care EMR.

## Claims

### Claim 1

A system comprising:
a non-transitory computer-readable medium including computer program code to provide a transparent secure link for point-of-care testing (POCT) devices; and
a processor device communicatively coupled to the non-transitory computer-readable medium, wherein the processor device is configured for executing the computer program code to:
access low-level instrument protocol data from a POCT device using a mobile computing device, the mobile computing device and the POCT device being located external to a laboratory information system (LIS) environment;
configure the low-level instrument protocol data using a data broker on the mobile computing device to produce secured POCT data;
transmit the secured POCT data to the LIS environment using a wide-area network infrastructure;
access the low-level instrument protocol data from the secured POCT data in at least one of the wide-area network infrastructure or the LIS environment; and
populate an electronic medical record (EMR) in an LIS of the LIS environment using information from the low-level instrument protocol data accessed from the secured POCT data.

### Claim 2 (depends on 1)

The system of claim 1, wherein the processor device is configured for executing the computer program code to populate the EMR in the LIS by providing the information to centralized middleware configured to format the information for the EMR.

### Claim 3 (depends on 1)

The system of claim 1, wherein the processor device is configured for executing the computer program code to transmit at least a portion of the EMR including the information, from the LIS to the mobile computing device.

### Claim 4 (depends on 1)

The system of claim 1, wherein the data broker on the mobile computing device is configured to encapsulate the low-level instrument protocol data into JSON messages.

### Claim 5 (depends on 1)

The system of claim 1, wherein the processor device is configured for executing the computer program code to use a remote broker in at least one of the wide-area network infrastructure or the LIS environment to de-encapsulate the low-level instrument protocol data.

### Claim 6 (depends on 1)

The system of claim 1, wherein processor device is configured for executing the computer program code to:
establish a connection between the POCT device and the data broker on the mobile computing device; and
automatically establish a real-time connection between the data broker on the mobile computing device and the LIS based on establishing the connection between the POCT device and the data broker on the mobile computing device.

### Claim 7 (depends on 6)

The system of claim 6, wherein the connection between the POCT device and the data broker on the mobile computing device comprises TCP messages from the POCT device to the mobile computing device.

### Claim 8

A method comprising:
accessing low-level instrument protocol data from a point-of-care testing (POCT) device using a mobile computing device, the mobile computing device and the POCT device being located external to a laboratory information system (LIS) environment;
configuring the low-level instrument protocol data using a data broker on the mobile computing device to produce secured POCT data;
transmitting the secured POCT data to the LIS environment using a wide-area network infrastructure;
accessing the low-level instrument protocol data from the secured POCT data in at least one of the wide-area network infrastructure or the LIS environment; and
populating an electronic medical record (EMR) in an LIS of the LIS environment using information from the low-level instrument protocol data accessed from the secured POCT data.

### Claim 9 (depends on 8)

The method of claim 8, further comprising populating the EMR in the LIS by providing the information to centralized middleware configured to format the information for the EMR.

### Claim 10 (depends on 8)

The method of claim 8, further comprising transmitting at least a portion of the EMR including the information, from the LIS to the mobile computing device.

### Claim 11 (depends on 8)

The method of claim 8, wherein configuring the low-level instrument protocol data further comprises encapsulating the low-level instrument protocol data into JSON messages.

### Claim 12 (depends on 8)

The method of claim 8, further comprising using a remote broker in at least one of the wide-area network infrastructure or the LIS environment to de-encapsulate the low-level instrument protocol data.

### Claim 13 (depends on 8)

The method of claim 8, further comprising:
establishing a connection between the POCT device and the data broker on the mobile computing device; and
automatically establishing a real-time connection between the data broker on the mobile computing device and the LIS based on establishing the connection between the POCT device and the data broker on the mobile computing device.

### Claim 14 (depends on 13)

The method of claim 13, wherein the connection between the POCT device and the data broker on the mobile computing device comprises TCP messages from the POCT device to the mobile computing device.

### Claim 15

A non-transitory computer-readable medium including computer program code executable by a processor to cause a mobile computing device to:
receive low-level instrument protocol data from a point-of-care testing (POCT) device located external to a laboratory information system (LIS) environment;
configure the low-level instrument protocol data using a data broker on the mobile computing device to produce secured POCT data; and
transmit the secured POCT data to the LIS environment using a wide-area network infrastructure.

### Claim 16 (depends on 15)

The non-transitory computer-readable medium of claim 15, wherein the computer program code is executable by the processor to cause the mobile computing device to receive at least a portion of an electronic medical record including the information from the LIS.

### Claim 17 (depends on 15)

The non-transitory computer-readable medium of claim 15, wherein the data broker on the mobile computing device is configured to encapsulate the low-level instrument protocol data into JSON messages.

### Claim 18 (depends on 15)

The non-transitory computer-readable medium of claim 15, wherein the computer program code is executable by the processor to cause the mobile computing device to:
establish a connection between the POCT device and the data broker on the mobile computing device; and
automatically establish a real-time connection between the data broker on the mobile computing device and the LIS based on establishing the connection between the POCT device and the data broker on the mobile computing device.

### Claim 19 (depends on 18)

The non-transitory computer-readable medium of claim 18, wherein the connection between the POCT device and the data broker on the mobile computing device comprises TCP messages from the POCT device to the mobile computing device.

### Claim 20 (depends on 19)

The non-transitory computer-readable medium of claim 19, wherein the connection between the POCT device and the data broker comprises TCP messages from the POCT device to the mobile computing device, and wherein the computer program code is executable by the processor to cause the mobile computing device to:
receive user input; and
open a TCP port to listen for a connection message from the POCT device in response to the user input.

### Claim 21

A system comprising:
a non-transitory computer-readable medium including computer program code to provide a secure link for a point-of-care (POC) electronic medical record (EMR); and
a processor device communicatively coupled to the non-transitory computer-readable medium, wherein the processor device is configured for executing the computer program code to:
access low-level EMR data within a laboratory information system (LIS) environment or a hospital information system (HIS) environment;
configure the low-level EMR data using a remote broker to produce secured EMR data;
transmit the secured EMR data to a POC environment using a wide-area network infrastructure;
access the low-level EMR data from the secured EMR data in the POC environment, the POC environment being outside of the LIS or HIS environment; and
populate or update the POC EMR using information from the low-level EMR data.

### Claim 22 (depends on 21)

The system of claim 21, wherein the remote broker is configured to encapsulate the low-level EMR data into JSON messages.
