Abstract: A system for electronic patient care is provided. The system includes a monitoring server comprising middleware configured to communicate with a plurality of databases. A database of the plurality of databases includes a data formatting or a communications protocol different from another database of the plurality of databases. The monitoring client communicates with the plurality of databases via the monitoring server. The monitoring server translates communication between the monitoring client and the plurality of databases utilizing the middleware. The system includes a first medical pump coupled to the monitoring client and a second medical pump coupled to the first medical pump.