A real-time embedded server system for controlling, in real-time, at least one infusion pump. The embedded server system includes an embedded server including a memory and a processor electrically coupled to the memory and configured to implement a control engine configured to issue control commands to at least one infusion pump, a messaging engine configured to issue messages to and receive messages from at least one infusion pump, an aggregation engine configured to aggregate data related to the operation of the at least one infusion pump, and a networking engine configured to control network access of the embedded server and the at least one infusion pump. A patient care system including at least one embedded server controlling device configured to make patient-specific care decisions and an associated network of devices operably coupled to a patient and configured to be controlled by the at least one controlling device.
