An interactive communication system includes a plurality of in-room video communications system each including an audio microphone, a video camera, an audio speaker, a patient operated control and a televisionvideo monitor. The aerosol assembly defines a product chamber and is selectively operable in a first mode in which the product chamber is sealed and in a second mode in which fluid is allowed to flow out of the product chamber along a dispensing passageway. The asynchronous data is collected at an application layer or at an end-user application layer. A record for the at least one dependent data object describes an interdependency between the given data object and the at least one dependent data object.